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4010 Deerwood Tr Use BLUE or BLACK Ink For Qfifice I Permit I City of Eaban I Permit Fee: gri, VV I 3830 Pilot Knob Road I I~ i Eagan MN 55122 I Date y'ved: 6 Pho : 51) 675-5675 C~~ 7 I I Fax: (651) 675-5694 I Staff: I - - - - - - - - - - - 2011RESIDENTIAL BUILDING PERMIT APPLICDate:` Lr c i Site Address Lf Ul~ r 'C"i Unit Name: Phone: RESIDENT / OWNER Address / City / Zip: /Q ,LDP et/a q- Applicant is: Owner Contractor TYPE OF WORK Description of work: %LUcy, zg ael%- c~ c~ Construction Cost:S Multi-Family Building: (Yes / No ) Company: Contact;..) s CONTRACTOR Address: 70 /City: State: Zip: Phone: / 3 / 5,3 0 License Lead Certificate Does this project require Lead Remediation? ❑ Yes A. (see Page 3 for additional information) If no, please explain: 6~:~q 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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.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 ns. - ~1_19 Applicant's Printed Name Appli nes Sig fur f Page 1 of 3 PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA094735 Date Issued: 06/29/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4010 Deerwood Tr Lot: 27 Block: 3 Addition: Engstroms Deenvood PID:10-23900-270-03 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Scherer Brothers Lumber Company Michael L Bunnell 9401 73rd Ave. N 4010 Deenvood Tr Suite 400 Eagan MN 55122 Brooldvn Park NIN 55428 952 277-1600 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature • ' --=? CITY OF EAGAN { S_ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5$121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for - t 01":C / Est. Value $176,0`0 Date 19 %" Site Address 4010 DLEF.1=D n Lot Block ? Sec/Sub. i)t:EI','?YtUD OFFICE USE ONLY Parcel No. Occupancy -? Nr-1 FEES ?'? Zoning s Name h` "T i3Kl.t5 (Actual) Const An-F Bldg. Permit oft. C? o Address 7¢ > :.L'NSET :4 (Allowable) yeti Surcharge "600 City k.ACA1d Phone c, 5 --912 R # of Stories 453 e Plan Review .00 Len9th ZF '0; i S;Ikm Name Depth 491 SAC, City 100* 00 Address S.F. Total SAC, MCWCC 'j75,00 City Phone S.F. Footprints Water Conn '180.00 On Site Sewage w W Name On Site Well Water Meter 10. _? Qi Address MWCC System X?. XX Acct. Deposit 30.00 Mg o, City Phone City water SrW P it 2 U • 00 PRV Required erm I hereby acknowlege that I have read this application and state that the Booster Pump SW Surcharge 1 •00 information is correct and agree to comply with all applicable State of M I 2 innesota Statutes and City of Eagan Ordinances. Treatment PI . • Signature of Permitee APPROVALS Road Unit 40.00 ii. l.: -T BROS CONS 1" A Building Permit is issued to: Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off Copies Building Official Variance TOTAL ' 41 1 • Permit No. Permit Holder Date Telephone # WATER ? i C?:??. ,t ? ?y ? .?tr ,.% •,, ? /,3 ?? SEWER PLUMBING H.V.A.C. CL ?" i {r 5A ELECTRIC J/? /L r5 Inspection Date Insp. Comments Footings I /p Foundation Framing Q Roofing Rough P1bg. Rough Htg. Isul. Fireplace Final Htg. - Final Plbg. Const. Meter Pibg. Insp6ctor - Notify Plumber Engr.lPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. PERMIT # - MECHANICAL PERMIT RECEIPT # - CITY OF EAGAN x 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 For Office Use Site ck Sec/Sub Name Adore c City _ Phone BLDG.TYPE Res. MuR. Comm. Other WORK DESCRIPTION New Add-on Repair FEES HVAC 0-100 M BTU -$24 00 RES . . ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 50 EA GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1 . . COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - 50 (ADD $ 50 S/C IF PERMIT PRICE GOES . BEYOND $1,000) Name j 'T '' R 1 c dd p A ress City Phone TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent. CFM Gas Piping Outlets # FEE: SIGNATURE OF PERMITTEE S/C: TOTAL: FOR: CITY OF EAGAN PERMIT It PLUMBING PERMIT RECEIPT # CITY OF EAGAN n 7 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site A ress 0 ) BLDG. TYP WORK DESC TION Lot 7 Block -.? Sec/Sub Res. New ?9 :IQL5 Mult. Add-on Name _y I Comm. Repair Address Other C City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N?. FIXTURES TOT y Name Water Closet - $3.00 I - - / Bath Tubs - $3.00 c t Addre ' ?L Lavatory $100 • Jn p City Phone 00 c' Shower - $3 . Kitchen Sink - $3.00 ? FEES COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - S3.00 LLaundry Tray - $3.00 • ' APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE S CONDO - RES. RATE APPLIES -L-Water Heater - $1.50 -4 MINIMUM - RESIDENTIAL FEE -$12.00 Z Whirlpool - $3.00 = MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 / Private Disp. - $10.00 enin 50 =R h O s - $1 4X g . oug p SIGNATURE OF P,ERMITTEE FEE: STATE S/C: 5 V FOR CITY OF EAGAN GRAND TOTAL : : CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: c ,!; Ill-J!!!Ii =,i, 1 ,rli 1,y t 111.1111111 'I PERMIT SUBTYPE: TYPE OF WORK: III 'A' k 11, 1 1 ON till 11 1.11 NO 1l". / 1 I /v; I M111 0tvMN 1 N t 6J Ir?>i li ? It71?x 1?'? INSPECTION I INSPECTION PERMIT TYPE: Permit Number: Date Issued: Ij1 [H h APPLICANT: h t In' ! r pt. Permit No. Permit Holder Date Telephones S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings l Foundation Framing Roofing i Rough Plbg. Rough HIg. [Sul. Fireplace Final Htg. Orsat Test Final Pibg. Plbg. Inspector - Notify Plumber Const. Meter EWJPian Bldg. Final Deck Fig. 31y2 ?,) Deck Final Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: ;;, , . APPLICANT: - 111J. j I H( i t ill! ? JJI? I ?'J?; 111 1 F+IIt?Jtit ? ?, t t;t?-.I?fa1?4 PERMIT)SUQTYPE: TYPE OF WORK: tM 1 t 1? 1 Nit 0.1! - 1 141-. ©.'!.' 1 1141, 1 1 1 1 ( It 11 1114 INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. ?tll,.l' t N JI ? ., 1IV I,N L Permit No. Permit Holder Date Telephone f 5NV PLUMBING HVAC ELECTRIC tJJJ9? Q;r O eiv ELECTRIC Inspection Date Insp. Comments Footings I Foundation ` Framing Roofing - ". Rough Plbg. Rough Htg. v ?0,K Y ISUI. ? . Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter Engr./Plan Bldg. Final !! Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ; , , , II,, ! ?..fl•1 I,. I I'il.?fffllf t v.rt 1 N0 i .,II 1 1 W 1'I ttf. I III;, I 10 MAttt A t I'AN'A 1 1 f t I, M I f i Irl tilt I I, I If I „i: AN" i't iftitt I Fif; Ulr t 1 I I tt } f t11 I t,fttt N RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: J Permit No. Permit Holder Date Telephone N S/W PLUMBING X HVAC ELECTRIC &-d -lad /S. ELECTRIC Inspection Date Insp. Comments Footings I Foundation &C&5:< ?W47- Framing (7 f ?-, Roofing . _ . . ??_ Rough Pibg. Rough Htg. ? -/'?' 9s 1lLtr??.c !+a fCt/?r j?P C / l L. d Z k y* Isul. /?j ?l ? / 7-6 Fireplace 127/ Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Btdg. Final Q Deck Fig. Deck Final -€ _ dem p well 5 ? A57A)o ?j Pr. Disp. r V SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE WATER PERMIT __10264 METER #F T 4, 3 AEl)1 R #E o SO -6 VAD METER SIZE :?Z o K - ISSUE DATE 54 SEWER PERMIT #f B.P. RECEIPT #E : n7 B. P. RECEIPT DATE ?' . PRV _ BOOSTER PUMP SITE ADDRESS G PERMIT REQUESTED LOT BLOCK SEC/SUB APPLICANT: 171 T??= _s. :-% G p f ,' : r; T ?4 SEWER _ WATER _ TAPS ADDRESS: COMMAND !?' RESIDENTIAL CITY, STATE L• %% ' ZIP PHONE: r _ NEW _ EXISTING PLUMBER: 44- ADDRESS: % •?-=-?1 ?.? ?r.Lv. Yid 1iL I AGREE TO COMPLY WITH CITY OF CITY, STATE •? a - 'r i %r Ad - ZIP EAGAN ORDINANCES: PHONE: y ; 33q OWNER: y/ r r7 ',*.4iA T ?,I?r STATE ZIP ALLOW TWO WORKING DAYS FOR PROCESSING. FOR ST(6RM SEWER PERMITS, CONTACT :RING DEPT. V010 , 95 395 a Request Date L1J ire Req ireInspection Required? =Yes X. Ready Now ? Will Notify Inspector When Ready? I licensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) V I d ' City Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. Power Supplier Address E rical Contractor (C any Name) I C tractoOs License No. Mailing Address (Contractor or Owner Making 3 Cleo Installation ti ^/ s Auth S ature (Co ractori n km In tall n) Phone Number MINNESOTA TATE BOA D OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Prone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 C/?5 See instructions for completing this form on back of yellow copy. "A > H 0 5 3 9 5 "X" Below Work Covered by This Request ?•• ew Add Rep: ° TypeofBuilding 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: e, J / ef+ ?y v ?' Compute Inspection Fee Below: (f 6 # 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 e Special Inspection Alarm/Communication Dlr?.CONNECTED THIS INSTALLATION MAY B RDIF NOT Other Fee COMPLETED WITHIN 1 HS I, the Electrical Inspector, hereby Rough-in i ate C J certify that the above inspection has been made. Final a OFFICE USE ONLY This request void 18 months from CC. CITY OF EAGAN No 16117 3830 Pilot-Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 C1 BUILDING PERMIT ? ? I ? - Receipt # L To be used for SF DWG/GAR Est. Value $176,000 Date - (? 19A-9- Site Address 4010 DEERWOOD TR Lot 27 Block 3 Sec/Sub. DEERWOOD OFFICE USE ONLY Parcel No. occupancy R-3 M-1 FEES 1 R - Zoning W Name MITTELSTAEDT BROS CON ST (Actual) Const V-N Bldg. Permit 906.00 Z Address 785 SUNSET DR (Allowable) V-N Surcharge 88.00 City EAGAN Phone 456-9125 # of Stories Length' Plan Review 453.00 o Name SAME Depth 49' SAC, City 100.00 chi Address S.F.Total SAC, Mcwcc 575.00 City Phone S.F. Footprints F On Site Sewage Water Conn 580 - 00 w W Name On Site Well Water Meter 90.00 s Address MWCC System 3 <W City Phone City Water XX Acct. Deposit 0.0 PRV Required S'W Permit 20.00 1 hereby acknowlege that I have read this application and state that the Booster Pump SM/ Surcharge 1.00 information is correct and agree to comply with all applicable State of _ Minnesota Statutes and City of Eagan Ordinances. Treatment PI 228.00 Signature of Permitee APPROVALS Road Unit 340.00 A Building Permit is issued to: MITTELSTAEDT BROS CONST Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Ott. Copies fln(?f tak .1 n k2 Building Official Variance TOTAL 3,411.0 0 d' I 0 L t-A _ C1 _ .i'_.(] ¢ s i ??r#ifir?t? oaf (?rru?ttnr? Citp of eagan Orpallumd of Inning jumvIrtim 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 fogowing.• sl4 few No. 16117 Occupancy Type Aadr?4010 ?EEba0t7D TRAII. t=hty L27, B3, E[O?i'S DEERU(D 0.w: MAY 3,1989 POST IN A CONSPICUOUS PLACE 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS U I 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 TotBpUsed For: J/r CJ Valuations 7 0 ° Date: Site Address 40A 77t1 OFFICE USE ONLY Lot 2.Z Block 3_ Parcel/Sub 0Gc,-r/lq Owner ATTE L vrAkh Address City/Zip Code Phone Contractor / r--r'6. C' Address '7?x City/Zip Code Phone y_4, Arch./Engr. _ Address City/Zip Code ancy FEES 9 1 Const V'4/ Bldg. Permit able VAI- Surcharge stories Plan Review h SAC, City SAC, MWCC Total Water Conn rint S.F. Water Meter Acct. Deposil to sewage S/W Permit to well S/W Surcharg( System r/ Treatment Pl. water ,i Road Unit equired Park Ded. er Pump Copies TOTAL .1 Off ]Phone NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. PERMIT ,C CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 4010 DEERWOOD TR LOT: 27 BLOCK: 3 ENGSTROM'S DEERWOOD P.S.N.: 10-23900-270-03 DESCRIPTION: Bcfildingl-Permit Type Building W6.rk Type i OW (T-1( REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY- Base Fee $81.00 Surcharge $3.00 Lic. Search Fee $5.00 Total Fee $89.00 VALUATION $6,000 ajgn 0 PERMIT TYPE: BUILDING Permit Number: 025146 Date Issued: 02/21/95 SF (MISC.) ALTERATION CONTRACTOR: JNT CONSTRUCTION 832 PARKER ST PAUL (612) 489-6014 - Applicant - ST. LIC 14896014 0005942 AVE MN 55113 OWNER: NORDSETH ERIC 4010 DEERWOOD TR EAGAN MN (612)452-5892 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. L APPLICANT/PERMITEE SIGNATURE application and state that the with all applicable State of Mn. a ISSUED B : SIGNATURE PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 CU09z PERMIT TYPE: BUILDING Permit Number: 0 2 5 2 0 4 Date Issued: 03/08/95 SITE ADDRESS: 4010 DEERWOOD TR LOT: 27 BLOCK: 3 ENGSTROM'S DEERWOOD P.T.N.: 10-23900-270-03 DESCRIPTION: lu ldin`g-Permit Type Building Work Type BASEMENT FINISH ALTERATION ,0 rfj REMARKS A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: JNT CONSTRUCTION 832 PARKER ST PAUL (612) 489-6014 -- Applicant - ST. LIC. OWNER: 14896014 0005942 NORDSETH ERIC AVE 4010 DEERWOOD TR MN 55113 EAGAN MN 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 Min. Statutes and City of Eagan Ordinances. L_ APPLICANT/PERMITEE SIGNATURE ??.Stt,?: 6N T OE I a /is 9s ?8a S a 0 397 Request Dale Fire No Rough-in Inspection )61 wired? ? Ready Now Nody Inspector C v When Ready? / s ? No I licensed contractor ? owner hereby request inspection of above electrical work at: J00 Address (Street Box Or Route No.) City Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. Power Supper Address Electrical Contractor (Coro ny Name) Contractors License No. c Mai ing Atl ress (Contr or or Owner Making Installation) Alan - 9 lure IC ract r Ma gin labor) Phone Number MINNESOT STATE 6 ARID OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 662.0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 a'' ? See instructions for completing ibis loan on back of yellow copy. ?' & ? 9 da n L nn GG )" eJ U ?+C ?/ 7 X" Below Work Covered by This Request P. ew Add Rep. Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial 'Furnace Farm Air Conditioner Other (specay) CAontractors Remarksp?.?4/ Com ute I '4'r it G 4421111i p ) 17 nspection Fee Below.: J - # 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 Inspe ctor's use only. TOTAL Ir i ti r ga on Booms S e i l I ?DIO p c a nspection Alarm/Communicat n THIS INSTALLATION MAY BE Other Fee ED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONT - I, the Electrical Inspector, hereby Rough-in /' Oate ca? certify that the ab i LJ f ? ove nspection has Fi l !` na been made. oat ?r ?p- OFFICE USE ONLY This request void 1B months from n??•/, ?// This request voidJ 1R nwnths from F 1 n R A d r ?n /? 3 n.?7??;??: ((Jrr nr m 1? Request Data No. Ro uph-i Ins Verdun Requ oetl7 {{{,,,...,,,... Ready Now y?EWill Notify Insoec- ^ ?Y IK l 0No / for When Ready Licensed Electrical Contractor I hereb y request inspection of eboye Owner electrical work installed at: Street Address, Be. or Route No. City a to ill 6W A, -Section No. Township Name or No. Range No . County Occupant(PRINT) / ! 7F1 ?;4 - Phone No. ° - Power Supplier Address /jOa Z?"I ?[<-• 7 rLc-GG? twaw '(r' "?.?eN Elecoical Contractor (Company Name) Qmtrartor•s License No. Mailing Address (Contractor or Owner Making Instailati N S? .fla ,?iir?11& .< ?~9A? 53-3 Aur ee Sip tore (Contra ctnr/Owner Making I tho ' ff>- ? ?1??- nstallation. Phone Number bo MINNESOTA STATE BOARD OF ELECTRICITY Gir.m,Midwey Bldg. - Room N•191 1821 University Ave.- St. Pew. MN 55104 Phone (612) 642-0800 THIS INSPECTION BLUUL5t WILL NUi BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. dft EB-00001-06 REQUEST FOR ELECTRICAL INSPECTION ?// y 2( , See instructions for completing this form on back of yellow copv Viv LS 108- '-F 4 -X Retold Work Covered by khis Request ' Equipment W' ed -?-? APP( W eddy_J Rep.l Hype of 8 Id 9 T ra y S C Water Heater ffE Drye r Furnace Air Conditioner Fee Service Entrance Size Fee to J/ nal I, the Electrical lnspecto4 hereby certify that the above 'inspection has been made. A-CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 020899 05/11/93 SITE ADDRESS: P.I.N.: 10-23900-270-03 4010 DEERWOOD TR LOT: 27 BLOCK: 3 ENGSTROMS DEERWOOD DESCRIPTION: 12'x 11' 10'x 12' Bu"ilding.Permit Type DECK Building Work Type NEW r'UBC occupancy,", R-3 REMARKS: FEE SUMMARY: Base Fee Surcharge Lic. Search Subtotal $25.00 $.50 Fee $5.00 $30.50 COPIES $1.50 Total Fee $32.00 CONTRACTOR: - Applicant - ST. LIC. OWNER: MIKE WALLIN HOME IMPROVMNT 18949034 0001805 NORDSETH ERIC 12213 ALLEN OR 4010 DEERWOOD TR BURNSVILLE MN 55337 EAGAN MN 55122 (612) 894-9034 (612)452-5892 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 and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED Er. I NAT E J &5-lge 2004 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. is, z Date RS l '_ l b t Site Street AddressD ?? !r n ? ?nn /_a edcl[tJ .: (i?O U? Unit # `'n^ r Property Owner 7 +( C/r Burst) 2Y-Q Telephone # ((elj J) ?? ?-9,?? ( n Contractor / 4i ? 7.?d?e( )11_ Address <3? 70 t?cs-@9-& A a? CAAQ city Telephone # X43"E -M IzO State 1Yt11 _ Zip_ , 1-j.y The Applicant is: _ Owner r!Gontractor -Other Alterations to existing dwelling -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50-00 _ Water So ener replacement _ V Water Heater additional _ $ 15.00 Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 5.56 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 reviewed and approved. M A - Im m=? La? Applicant's 'Printed Vll? RLj ? is Applicant' Signature AUG 1 12004 ,15.50 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. R of house; and all roofed areas (20%mmumurn lot coverage allowed) • 2 copies of plan shoving beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE /D - 7- 2-©o--a-- Remodel/Repair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions 8 decks • Indicate if home served by septic system for additions ?? ca d VALUATION SITE ADDRESS MULTI-FAMILY BLDG _ Y XN TYPE OF WORK 41a4fl raO--/2 FIREPLACE(S) _ 0 _ 1 Z2 APPLICANT X'f&CW'4?FL 4. ??????u STREET ADDRESS ?r1I0 ?ee•'?da? 77,r) CITY plan STATEIV'V ZIP TELEPHONE # GL'" y5Z_t6'4_2=-CELL PHONE # FAX # PROPERTY OWNER TELEPHONE# '9 ??- COMPLETE FOR "NEW" 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 ILJ Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Water Softener Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths _ -- -.Fee;-- $90.00 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 zjo4 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 3 registered site surveys 2 copies of plans (include beam & window sizes; poured fnd, design; etc.) I energy calculations 3 copies of tree preservation plan if lot platted after VV93 required: _,,Yes _ No DATE: DESCRIPTION OF STREET ADDRESS: LOT -B BLOCK --3_ PROPERTY Name: OWNER CONTRACTOR CONSTRUCTION COST: 'L LO 0, SUBD./P.I.D. M Street Address--,"//(/ City: Stater Compare-3 Street Addres Phone M Zip: Phone License #, City Statee? Zip-`?s/lam ARCHITECT/ ENGINEER Company: Name: Phone #• Registration #• Street Address- City: State: Zip: Sewer & water licensed plumber. Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that th formation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. n , Signature of OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No RECC NED MAR 0 6 1995 ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? t energy calculations for heated additions OFFICE USE ONLY M , BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging tC 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 ? .15 Deck WORK TYPE ? 31 New x(,33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION 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. V3'4 Depth Footprint sq. ft. SAC Code of Census Bldg Census Unit o APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MC/IIVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ /SO % SAC SAC Units CITY OF EAGAN? mit 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reouirements RemodeVReoair Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window saes; poured fnd. 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: _ Ygs _ No DATE: CONSTRUCTION COST:?J?Vc' a a DESCRIPTION OF WORK: STREET ADDRESS: 4 O /O LOT J q BLOCK 4 _ SUBD.M.I.D. #: -? PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER PRST Street Address- 4?v/v / /? City: r? State: Zip: Company:. Phone #: d? r V I-D Street Address: ?'oZ License #: \j'95(a' City: State: Company: Gz,,Z, / Name: State: Street Address- City: Sewer & water licensed plumber: change are requested once permit is issued. Phone #: 46- -J 8 9 Y s v Zip-J / / 3 Phone #-?W_ ??/ 9 Registration #• Zip: Penalty applies when address change and lot 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 Applicant: / OFFICE USE ONLY R E (, E NE Certificates of Survey Received _ Yes _ No FEB 16 1995 Tree Preservation Plan Received Yes No _______________ OFFICE USE ONLY 4 . N i L, y BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? Y 05 SF Misc. ? 10 --plex ? 15 Deck WORK TYPE ? 31 New 66?3 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance -11s oL Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ ,?i cap % SAC SAC Units rt[n[iir14 1 4 _ O lio(UEWED PERMIT # " A 7 1993 gig--------- I yr GM%amrs W1 I 1993 BUILDING PERMIT 681-4675 APPLICATION t&.00 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: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Ak.. 5 Valuation of work ?21*V f9' Site Address: 40/0 1J,---?r u?C)CI d am: f STREET SUITE 0 Tenant Name: (commercial only) LOT BLOCK SUBD. L .. ???LA..,._. I ( P.I.D. 0 c e-c-A, r-- r l ,0.-. /CJ a, Z Description of work: 2 .4e ve / The applicant is: ? Owner fist Contractor ? Other (Describe) Name li),?T,1 e f -X r y- Phone i5.? S 2Z Property LAST FIRST Owner Address eo 2VIO )c-Ney- <yd'::?/ 7?;-_ STREET STE ! City F_g'Z?4•-t-`- State, IA-1 Zip Company 179 kP Lf?z//.r Ard?eilfex4 Phone Contractor Address IZZ i3 441eyt or, License #g 01 Exp.-5 ok- Cityr State,.- Zip `z`}337 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 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 Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE e,32 31 New Addition Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add11. ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual) SAllowable) UBC ccupancy ?L3 Zoning M of Stories Length Depth /Ox/L APPROVALS Planning Engineering REQUIRED INSPECTIONS ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ?15 Deck ? 35 Tenant Finish ? 36 Move r 4. ? ? 16.Basement I!inish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Basement sq. ft. 1st F1. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Site Footing ? Wallboard Final Permit Fee a5, 00 valuation: Surcharge sv Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units S MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code 43L/ SAC Code ?2y , es 0 Assessments ? Framing ? Insulation ? Draintile ? Fireplace DATE EXTERIOR ENVELOPE 'AVERAGE "U" COMPUTATION OWNER a9 SYa Ly SITE ADDRESS <AfJ/p j" CONTRACTOR (?I TTF I 'aTf? [y i I!?/1 lY ?. (o u S T I a? G ADDRESS_'7?-.5 ?vL_ PHONE 14 5(o ql ? ti DETERMINE WORKING SQUARE FOOTAGE OF EACH. 1. Total exposed wall area sq. ft. x •11 a 3 10 2. Total roof/ceiling area .... / y'73 sq. ft. x •026 ? ? Total exposed wall area above floor ° 2_7q7 a. Total wall window area ......................... b. Total door area ................................ 3 4 c. Total sliding glass door area .................. 1/3 d. Total fireplace wall area ...................... J/9 e. Total wall framing area (average 10%) .......... f. Total net wall area above floor ................ / S Y 2 g.' Total rim joist area ........................... :2 Yo Total exposed foundation area ° Q N h. Total foundation window area ................... - i. Total net foundation area above grade .......... Determine "U" value of each wall segment. a. 3 3n X "U _ 3S2 111.1 2- b. 101, X "U" .07 217 C. 3 X fluff 4 2 ° ) S, 1 d. ?g X flu" QY3Y ° 2,1 e. 255 X "u„ , // 2 9,.0 f. /8'42 X "u" .OY.3Y ° 79.9 9. 24o X "u" . OW /01& h. X "Un a i. gy X "u., , 07r ° G, q 3 . ...............................Total If item 43 is the same as, or less than item 01, you have met the intent of SBC 6006 (c)2. -1- Page 2 of 2 Total exposed roof/ceiling area s / y 7 3 J. Tese-1--skyUgM-- vea ..2f Jq. ROQ F .............. 2 910 . k. Total roof/ceiling framing area (average 107.).. 77- 1. Total net insulated roof/ceiling area ......... / n5S 5 in• FR,am„u(? lu 2K,y C,E4Nfr 2a Determine "U" value for each roof/ceiling segment. (}1 2a obs ?,'? J. IcY X "u" nz54 '7.5 k. 72 X "D" .D258 ?• 9 1. /O& X "u" ,n2?S 23, 7 4 ..........................................Total a If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. 3. + 4. -2- CITY USE ONLY LOT Q? BBL- o? n RECEIPT SUBD. e pd5 I.Ck K- o sr. o rorX RECEIPT DATE: 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY Of EAHAN 3850 PILOT KNOB RD EAGAN MN 55122 / op (612)6$1-4675 Date: 70 Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied' • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning ?Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge Total: $ 20.50 SITE ADDRESS: &4&,9Cd 4A. OWNER NAME: AZ,6 AdDgZ2 PHONE#: S?Ja7-S~?9oZ INSTALLER NAME: STREET ADDRESS: CITY: PHONE #: d' q `OQOS _ STATE: /`C///1 ZIP: ??J 7 U I NATUREC OF PERMITTEE IS/FORMS BLDIMECH PERMIT (RES) . 1998 CITY USE ONLY L ? -/BL .? RECEIPT #:. SUBD.N?QriwryiCo /UL22/YtUb'` DATE: 31151,05 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: leoe"" / 2;' OWNER NAME: 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 INSTALLER STREET ADDRESS 3>Jv y tom-- CITY: juoi-G1 STATE: 'OW'0.y ZIP: l PHONE #: ( ) ??P f1?1 bUNA I UKt-- 6t- FLKMITTF-E 51302- MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit 1%zc-sO Date / -j In / o.3 - Add D l t/ r Sit wcwuo c? a-t ress e Unit # Property Owner 0 1 C"Iel 1 6 L4- Telephone # ( o5/ Contractor Burnsville Heat ing & A/C Int, 12481 Rhode I sland Ave. So. Street Address Savage, MN 55378-1122 City State Zip Telephone # The Applicant is Owner V-1 Contractor Other Add-on, modification or alteration to existing dwelling unit $ 30.00 furnace replacement _ air exchanger air conditioner ?? - i other n u I i, I ?fl? JAN 2 3 2D03 uu State Surcharge $ .50 Total $ 3® . 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; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. n I ^ „ Applicant's Printed Name p icant's Si a re SURVEYOR'S CERTIFICATE MITTELSTAEDT BROS. CONST. REVISED 2-10-89 TO SHOW NEW HOUSE LOCATION ?O Mfg ' 1 ?Y/' 0EP dFiS g9 ip ?OOF 10 1 1 erOs f T .s cA c» °o 25 \ `11 is to ?11 1" 771, 27 ORAI/YAGE a UTILITY EASEMENT- PER PLAT - Iv ? QQ?'!'\gr'I I O ?i; R` $878.0 LOT LS Is4 - - om A - - - 1 Iv` 162.82 r?-r I S 85° 32115" E L_ ?-- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 883.0 X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - $75.3 (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 883,'f I r AJ f- I -J FEET FEET FEET FEET WE HEREBY CERTIFY TO MITTE LSTAEDT BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 27, BLOCK 3 , ENGSTROMS DEERWOOD ADDITION, ACCORDING 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 8 TH DAY OF FEBRUARY , 1989. PROPOSED GRADES SHOWN WERE TAKEN FROM THE GRADING PLAN FOR ENGSTROMS DEERYAOD ADDITION PREPARED BY B.R.W, LAST DATED 3-25-815. SIGNED: JA L, INC. C BY. ZzLza? -Pe? HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 N T r x ? O 8 O rtn1 m N 0 - r p ` O ?v O 'L> > L rn M vz O Ai UI O p z OD m z co -n ? Q m James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 SURVEYOR'S CERTIFICATE ' b / 10\ REVISED 2-10-89 TO SHOW NEW HOUSE LOCATION 'O ?wv 1 1 25 ' 1 `I 1 10 1 4 O9 QPpe l a?' MITTELSTAEDT BROS. CONST • it ? 9i r»a.iJL' is LOT 27 ..1 `ro 271, _ ORq/rygGE 9 UTILITY EASEMENT PER PLAT 5 \ 162.82 S 850 32' 1511 E sir c_ +-- DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT SIT • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATIO14 (000.0) DENOTES PROPOSED ELEVATION ktlJ I -J SCALE: 1INCH - 30 FEET PROPOSED GARAGE FLOOR - 883.0 FEET PROPOSED LOWEST FLOOR - 875.3 FEET PROPOSED TOP OF BLOCK- 883,`/ FEET WE HEREBY CERTIFY TO MITTELSTAEDT BROS. CONST THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 27, BLOCK 3, ENGSTROMS DEERWOOD ADDITION, ACCORDING 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 8 TH DAY OF FEBRUARY .1989. SIGNED: JA L, INC. PROPOSED GRADES SHOWN WERE TAKEN FROM THE GRADING PLAN FOR ENGSTROMS DEERWOOD ADDITION PREPARED BY B.R.W, BY: LAST DATED 3- 23 -68. HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 P 7: -0 m N1? w 0 0 < N o D 1n M ? ? O I? L m? O rrl O tn -0 0 cn ?m T M zz 0 c n < 8 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431.q 612-884-3029 h 6517390267 DE -02-2009 WED 12:02 PM LAMPERTS 16517390267 P.001/003 Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - - ' I Permit tx 0 of Ean 1,y I Permit l ee: 1 fly td 5830 Pilot Knob Road (/k" J Eagan MN 55122 I Date Received. Phone: (651) 675-5675 I 1 Staff: I Fax: (651) 675.5684 I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: lal~ Site Address: z 1aw Tenant: ~0"2' Suite RESIDENT /OWNER Name: ZVAIAI 1-41L Phona r-I&V-ea Address /City /Zip: b10 '7)9 4ewwj Applicant is: _X Owner Contractor t~~,r~ r'/i (r „SAC. sir vW' ,-I) ' Y317' ryaya- V 4tls/ r~ TYPE OF WORK Description of work: - f gt4 Construction Cost: multi-rammlly Building: (Yes ! No ) CONTRACTOR Name: License . Address: ~PzU12 ,44sO~1 41-14-6 City: ~ ~L 6-51 --29 7 &state; J zip: _ 5SU7` _ Phone:/ iT'7.3 f- 43D0 Contact Person: NT 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: Sower & Water Contractor: Phone: men~sFtat.yd(Iubm~>E a►-V CA+t;tlredif{bOtA'lfll~l1r#f~, pLona;of MOVE; Plans And:suppo+`Img'iNGU-p t ou:pAC~apur~dyeyfspep)c/l►f/lc+pca oh tttA +rriu ~~rrNt h~ Oi#y #a the inform~tlon maybe cl~ass)MW as/+iArotn. k'jb!1TA 'lf yhey q :.t-R~LMIM ~®:~flfM, •:}R:= IY~/i~: ✓MIVf/Rf+-.',.'Y ' ~f h. N 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 dlg to receive locates of underground utilities, y, ML/.aopherstateonecall orn 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 underatand 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 accordan a with the approved plan in the case of work which requires a review and approval of laps. - Applicant's Printed Name Appi cants Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA109730 Date Issued:04/02/2013 Permit Category:ePermit Site Address: 4010 Deerwood Tr Lot:27 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-270 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 - Michael L Burwell 4010 Deerwood Tr Eagan MN 55122 Gladstone's Window & Door Store 2475 Maplewood Drive Suite 110 Maplewood MN 55109-0000 (651) 774-8455 Applicant/Permitee: Signature Issued By: Signature City of Etall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit /I: toLi3g. I, Permit Fee: U.0 •C Date Received: % 1( 3 Staff: q3. J 2013 RESIDENTIAL�PLUMBING PERMIT APPLICATION L Date: • r3 t3 Site Address: 1 D I b �� t r' � / ►A ) Tenant: 14-r"\, - - " ' LA.rM.4j(h ` Suite #: Name: Phone: 1-�� Address / City / Zip: Name: ,MILBERT COMPANY INC dba CULLIGAN WATER License #: Address: 1801 50' STREET EAST City: INVER GROVE HGTS 063031 -WC State: MN Zip: 55077 Phone: 651-451-2241 Contact: BILL MILBERT Email: New KReplacement Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL FEES: "I $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 Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (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 $ (2O • RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment ater Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround CALL BEFORE YOU DIG. Call 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.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 not to start without a permit; that the work will be in accordance with a approved plan in the case of work which requires a review and approval of • lans. W t Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA112943 Date Issued:08/27/2013 Permit Category:ePermit Site Address: 4010 Deerwood Tr Lot:27 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-270 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Luanne Yang 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 - Michael L Burwell 4010 Deerwood Tr Eagan MN 55122 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA158644 Date Issued:10/23/2019 Permit Category:ePermit Site Address: 4010 Deerwood Tr Lot:27 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-270 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Michael L Burwell 4010 Deerwood Tr Eagan MN 55122 (651) 452-8522 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178600 Date Issued:08/25/2022 Permit Category:ePermit Site Address: 4010 Deerwood Tr Lot:27 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-270 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Michael L & Lynn A Burwell 4010 Deerwood Trl Eagan MN 55122--188 (612) 787-8589 Gladstone's Window & Door Store 2475 Maplewood Drive Suite 110 Maplewood MN 55109-0000 (651) 774-8455 Applicant/Permitee: Signature Issued By: Signature