4013 Deerwood Tr
BUILDING PERMIT
To be used for St 1
CITY OF EAGAN 4! 16941
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
Value $1
Site Address 6013 DKIRW00D TR
Lot 4 Block 1 Sec/Sub. ENGSTWO DEERWOOD
Parcel No.
Name
City Phone
Address
Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan grdinances.
Signature of Permitee
A Building Permit is issued to: WESLEY CMTRUCTION
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
Occupancy R-3 ?i FEES
Zoning
(Actual) Const V -N Bldg. Permit 758.00
(Allowable) Y-*
Surcharge 67•00
x of Stories
65'
Plan Review
37900
Length
Depth ?
SAC. City
100*00
S.F. Total SAC, MCWCC 575.00
S.F. Footprints 5W.00
On Site Sewage Water Conn
On Site Well Water Meter 90.00
MWCC System 30.00
City Water ? Acct. Deposit
2???
PRV Required S/W Permit
Booster Pump S/W Surcharge 1.00
228.00
Treatment PI
APPROVALS Road Unit 340'00
Planner Park Ded.
Council -
Bldg. Off. Copies
3,168.00
Variance TOTAL
Permit No. Permit Holder Date Telephone #
WATER JOSS
SEWER
PLUMBING .?
45 ?; - 9 r3 8 s
H.V.A.C. '
ELECTRIC ?11319 d
Inspection Date Insp_ Comments
Footings I 8/!7
Foundation
Framing s D S
Roofing
Rough Plbg. ?j .
Rough Htg. ° s 8 3 bs
[Sul. 1O s
Fireplace rl 2 r S - d / r1?
Final Htg. - /
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
EngrJPlan
Bldg. Final -S-SC ?S
Deck Ftg.
Deck Final
Well
Pr. Disp.
• PERMIT #
?y
MECHANI CAL PERMIT RECEIPT #
CITY OF EAGAN A /?/
DATE:
3830 PIL OT KNOB R OAD, EAGAN, MN 55122
CONTRACT PRICE: PHONE : 454-8100 For Office Use Only:
Site Address BLDG. TYPE WORK DESCRIP TION
Lot Block Sec/Sub
Res. New
Name Mult Add-on
S?
U
Address Comm. Repair
U)
City
Phone r
_"' 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
50 EA
1
(
-
) -
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler TOWNHOUSE & CONDOS - RES. RATE APPLIES
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
I
:
TOTAL FOR: CITY OF EAGAN
PLUMBING PERMIT For C
CITY OF EAGAN PERMIT # -
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#
PRICE PHONE 454-8100 DATE: /
Site Address Gn/ 5
Lot ? Block
FEES
COMMAND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND.IFEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 SIC PER EACH $1,000 OF PERMIT FEE)
Res. New _
Mult. Add-on
Comm. Repair.
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
_ Water Closet -
00
Bath Tubs - $3
00 $
.
.
?
_V Lavatory - $3.00 n?-
_ Shower - $3.00 7n ??
Kitchen Sink - $3.00 _
Urinal/Bidet - $3.00
Laundry Tray - $3.00 6z,'
Floor Drains - $1.50
_L Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 Z",
PERMIT FEE: j!7L7
STATES S/C:
GRAND TOTAL: e/5- J _i2
CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 4548100
Site AddTs
"
/
Addr S x7XIqXr
c C'r[r- Phone
Name y
2 Addres
8 City Phone
FEES
COMMAND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STAT SURCHARGE PER PERMIT .50
(ADD .50 S/C PER EACH $1,000 OF PERMIT FEE)
For
PERMIT #
Res. T- New
MuR. Add-on
Comm. Repair
Other
RES. PLBG. ONLY • COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
urinaVBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
X Softener - $5.00
Well - $10.00
Private Disp. -$10.00
Rough Openings - $1.50
PERMIT FEE:
STATES S/C:
GRAND TOTAL:
INSR Y
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 4b39
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS:
Iawur,I7 t t
rl+?', I I? UM'. Uf k Itldn,rt? .
` PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
I . •Uk`.- I't AN RF-Vit 11r t, ftY IIA',Nf MI I I I 1
IF
I I, I r,r k , I APPLICANT:
?j Permit Holder Date Telephone N
SEWER/
WATER
PLUMBING ?p // ?y (?9•G949
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
((
?'V
ROOFING
ROUGH
PLUMBING
7'S -O?7
44
PLBG
AIR TEST
ROUGH
HEATING C
r
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
[DECK FINAL
PERMIT N: 4 D ! 5
CITY USE ONLY
RECEIPT DATE:
RMIDENIULL MECH"CAL PERMIT APPIKATION
CITY OF EABAH
3530 PILOT KNOB RD
EAGM MN 551 EE
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 12.141 oI
SITE ADDRESS: A,+01-6 1. RlR Q.Y?r? w Ty-
OWNER NAME: SkVt Vy 1 n n TELEPHONE #:
?(?\1 '" (AREA CODE)
INSTALLER NAME: 4\ (Ict.!)T N? IY ed-iayL(Can TELEPHONE #: fa51 52- ?5
n (AREA CODE)
STREET ADDRESS: 21.oSD KW rl&u- Ty- ?`l.`u-[P I
CITY: ?_L101Q t? STATE: NW ZIP: S?J?22
Place a check mark next to the permit work type
New residential dwelling unit under constructionand not owner/occupied $ 70.00
_ Add-O , modification or alteration to existing dwelling unit $ 50.00
?• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work:
State Surcharge $ .50
Total $ !56,5p
Reminder: Call for inspections.
V O PERMITT
Updated 1/01
I
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
SITE ADDRESS
LOT -BLOCK SEC/SUB
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # SEWER PERMIT #
METER #??o7a ??3$ B.P. RECEIPT # " 3G
B6ABER-# 6 0 B.P. RECEIPT DATE =S I r
METER SIZE
ISSUE DATE Igz [- PRV -BOOSTER PUMP
APPLICANT: s?G y env 5
ADDRESS: yvlou
'J
CITY, STATE ZIP 4_
PHONE:
PLUMBER:
ADDRESS:
CITY, STATE ZIP ?s
PHONE:
OWNER:
ADDRESS:-
CITY, STATE
PHONE:
ZIP
PERMIT REQUESTED
"SEWER WATER,. T
COMM/IND
NEW EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
ATURE HEN MET ISSUED
L
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
r I--,' I
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER
SITE ADDRESS
CONTRACTOR
DATE PHONE
Determine working square footage of each.
1. Total exposed wall area ...../.?(c sq. ft. x -11
2. Total roof/ceiling area .... . sq. ft. X _026 = [?1"?-?]
Total exposed wall area above floor = ?(?? ?' -
a. Total wall window area ............... ..
b. Total door area ...
c. Total sliding glass door area ...................Q
d. Total fireplace wall area......... 1c?
e. Total wall framing area (average 10X)...:. f
f. Total net wall area above floor .. ....??
g. Total rim. joist area ............................ - "-"
Total exposed foundation area = ,? 30
h. Total foundation window area...... ...... ..
i. Toal net foundation area above grade ............ ...?,w:p
Determine "U" value of each wall segment.
a. X hull
b. 7 ?? X ..U.. . 123
$full
C. X
e. X Hull e
X fluff
..U,. g X pt __ _ `' O
foul$
h. - X
X U ' / r..
3. ... .................................Total
If item #3 is the same as, or less than item 41. vnt the intent
n{ ?nr rnrovr• i ?
CITY OF EAGAN N2 16941
385% Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5
5121
`
BUILDING PERMIT PHONE: 454-8100 Receipt #
To be used for SF DWG/GAR Est. Value $134,00 0 Date AUG 15 1989
Site Address 4013 DEERWOOD TR
Lot 4 Block 1 Sec/Sub. ENGSTROMS
- OFFIC E USE ONLY
Parcel No. DEERWODIT Occupancy R-3 MM-1 FEES
Zoning RR-1
W Name WESLEY CONSTRUCTION (Actual) Const V=N Bldg. Permit 758.00
o Address 9401 XYLON S
City MINNEAPOLISph
452-0587 (Allowable) VVN
f S
i
#
Surcharge 67.00
one tor
es
o 379
00
-j5!
Length .
Plan Review
c? Name _ SAME Depth 39 r SAC, City 100.00
U<
I.- Address
City Phone S.F. Total -
S.F. Footprints
SAC, MCWCC 575.00
58
On Site Sewage 0.00
Water Conn
W W
t= Name On Site Well
Water Meter go- 00
Address MWCC System XX
<LU City Phone City Water X( Acct. Deposit 30.00
PRV Required SNV Permit 20.00
1 hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of Booster Pump S/W Surcharge 1.00
Minnesota Statutes and City q(I Eager Ordinances.
(/
(
/
J
/
,
U Treatment PI 228.00
L(
Signature of Permitee (
-f /
J
L
l
K APPROVALS Road Unit 340.00
A Building Permit is issued to: WESLEY CONSTRUCTION Planner Park Ded
on the express condition that all work shall be done in accordance with all
Council .
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official / QU4 11, PJ l? ' 11(?
in
r
Variance
TOTAL 3 , 168.00
a.a
y Tertifirate of COrrupaury
Citp of Cagan
arpmlllmt of Nufldmg ""Lwerfinn
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,
Lime Clauirinrion SF DWG/GAR tom. Rrmit No. 16941
_4_y TYM R3 Zmmw District R1 Tn, Caara. Vn
OwnworBw7ding WESLEY CONST Address 9401 XYLON S., MINNEAPOLIS
...,,;,4,.013 DEERWOOD TRAIL LoWity L4, B19 ENGSTROM'S DEERWOOD
Daw FEBRUARY 5, 1990
8 ORsdal
POST IN A CONSPICUOUS PLACE
1989 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS lDLTIPLE DiTELLINGS COMMRCIIL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS.
MULTIPLE DWELLINGS RENTAL UNITS _ FOR SALE UNITS f OF UNITS
NOTES ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIDST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED..
SETTER i WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING
PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS
BEEN COMPLETED INDICATING A LICENSED PUMER.
PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
Date: -?_8 1989
To Be Used Fors SFD, GAR, Valuation: (3410000 -
Site Address X01 _? e?nu?crar? _'?Jv
Lot /-/ Block /
Parcel/Sub % /! iCJ?? cvuo
Owner
Address
City/Zip Code
Phone
Contractor U leS/rtl C a vs7
Address N /e/ )eV /0') SJ
City/Zip Code
Phone el yl? 4) 5 ,7
Arch./Engr.
Address
City/Zip Code
Occupancy -3 M -I
Zoning 12-1
Actual Const V-N
Allowable V-N
0 of stories
Length 65'
Depth 39
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System z
City water
PRV required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty 9.1
TOTAL
Phone 0
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U ' C L D T N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 4 5 "19
(651) 681-4675 Date Issued: 0 2 /l 8 / 9 9
SITE ADDRESS:
Y.T.N.; 10-23900-040-01
1013 OFERW000 TR
LOT. 4 BLOCK: 1
ENGSTROMS DEER1.d00D
DESCRIPTION:
1d.ind'^PerlnS_t Tvpe
6;"i .dino L,6,rk TvDe
ansus Coue?`
i
8AbEMENT FINISH
AI. FERATTON
434 ALT. RESIDENTIAL
REMARKS:
PLAN REVIEWED 8"' WAYN;` 14I' I rl:.
SEPERATE PERMIT RE0UiH1:0 FOft AiJl`:' 1'L Uf'f;;I N6 WI)i'2K.
CALL ( ;;12) 445--2840 ri?tG A 1?2 U: lai r! I:IR:.Cl11 'RM'll A1'10 rNSPECI IDNS„
FEE SUMMARY'
Base Fee $60-00
Su rcIn a r- qe f L;y
Total Fee 5@. Sin
CONTRACTOR:
SATRANG CONSI„ LARRY
1.41B50 MAVEN OR
APPLE VALLEY MN
(612) 891-1.952
ADn1 ir_,tont - 5I . ' 1C
1i 91 i.9!i '00 8 l;id9
55124
OWNER:
:JYNN S TEVE.
'A. "I OCERW000 TR
eAGAN MN 55123
r 651 ) 45?-3<3z,t
I. hei°ebv ,ckoowle:doe that I have read this ?,ppl.iceition and std Le than. Lhe
inforwatlon ,s correet aril agree to comply with all aoolicebliz Stai.e o't 11n.
Si,itute,, and City of Eagan Ordinances.
A PLICANT/PERMITEE SIG ATURE UED 8Y: SIGNATURE
I
V--
?t?(X(%t%(X(?X??XYF*?t7f<X?%KX?yFYF?k(t(?k?k1%?k??k? ?I!7o<XC YFX??1k ?(? k?k?
CITY OF l'AGAN
CASHTE:R: S TERMINAL N0: 7:1.9
DATE... 02/1.9/99 TIME 07:32c42
ID.
NAME: I...ARRY SAIRANG
321.0 9001. 4013 DEE:RMOOD T 60.00
2155 9001 4013 DEE:RHOOD T 0.50
Total. Receipt Amount, 60.50
CR9.03050
USER ID. NANCY
***it
* P1011
* engir
LAND SURVEY ORS. CIVIL ENGINEERS
Certificate of Survey for: _.___W&SLE Y _ ONST.
2422 Enterprise Drive
Mendota Heights, MN 55120
1612) 681-1914
C / 4
O'A
NOP M
WILLIAIIA-> rIIPELj"EF
EASEMENT ooc. No.84rrig2
soo.o Denofes exisfill Elevaliort
r?soo v? Qerrofes prop .,ed ?leva??orl
_ hnnofes L
--- Denol es G
Deno l es
Bearirl?s
Trill eeUrihly f-asea
,-Oil Id e Flow 4rrows
montjrneo
shown are assumed
Diu( K Lit VUI IVlt out, o,u
Slob Elevation 581.33
LOT4 , gLocg L,EN6sraoms OEEcwooo l41oo.
DAKOTq Cou"rr I MWIVES07-!t
1 hrrehy C."tify thar this survey, plan nr report vuas lag arrd by me r miderr my direct supervision noel that I am rally Registerrd Land Surveyor
under the laws of the Slate of Minnesota. Dated this _ d; A.D. 19 lPf4
.
cale•1„mod,=4p eet -?
nn _... _ -- - - - "----"-""_ -- RnnERT S. SIHICIt L.S. RED;. Nn. 1,3891
gtecl to Ecrsemerifq Dj T RPCord
! WALL SECTIONZ
NOTES Use 15% of opaque wall.area for
frame construction
w
BASIC
SILL
FOOND TICN
WALL
FMtE WALL
Construction R-Value
1, grio i film 0.68
3, ?T i.nChe soft wood /, G
4
5.
6..
Exterior
air film
0.17
Total ?^ G
1.
2.
3.
4.
5.
6.
1. Interior air film 0.68
4. r
6. Exterior air film 0.17
Total
1. Interior air film 0.68
2.
3.
4.
5.
6. Exterior air film 0.11
Total
SLAB ON GRADE
FIG. N3
o r ,ty
r . %4L
FIG. 84 r (l
WF Of
NOTE: Indicate type, "^" value, death and
placement of insulation.
9
3900
)
X
56
8
,?,// ?K
Z5//i?
Rawest Date Fire No.
V/ Rough-in Inspection
Required?
Ready Now /JiiI Notify Inspector
es ? No When Ready?
1 licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
(o / /) ti ti re 2.4_0 L9 ct c> L G?r
Section No. Township Name or No. Range No. County
P/¢I' OTr*-
Occupant (PRINT) Phone No.
L) C'-,5 L C?err3 PYLc,t ?T7tr.-? ?5? -a S
Power Supplier Address
4kv _? L Fs2LYLi?11GTd
Electrical brNagor (Company Name) Contractors License No.
t
Melling Address (Contractor or
er Making Installation)
02 f 6.7 F_- A T- -IV
Authorized Signature ( n ractor/Owner Making Installatlo ) ' q Pion Number
1 f-7, -3
MINNESOT TATE BOARD OF ELECTRI Y THIS INSPECTION REQUEST WILL NOT
Grigga-Mldway Bldg. - Room S-1Ta BE ACCEPTED BY THE STATE BOARD
1821 University Ave., SL Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Phone (812) 892-0880 ENCLOSED.
REOUESTeFOReELECTRICAL INSPECTION EB 00001 -07
ft? See 93999
58596 X" Below Work Covered by This Request
e 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) contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service En France Size Fee # Circuits/Feeders> Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 20D Amps j Above 100 _ Are
Signs Inspectors Use Only: TOTAL
Irrigation Booms GG _
Special Inspection
Alarm/Communication O
Other Fee
I, the Electrical Inspector, hereby Rwgh-in Date
certify that the above inspection has
been made. Final 0 to
,.?
OFFICE USE ONLY
This request void 1B months from
Page Three
1
ROOF/CEILING
Construction R-Value
3J 1. Interior air film 0.61
2. ( PJG??'
4. Exterior air film (still) 0.61
V114T Total 39?
Vented Heat flow
up
FIG. #5
1. Interior ai film 0.61
- - 2.
3.
4. Exterior as 1 st-i _
utal
I Feat flow up .vented
.FIG. A6'
1. Inside pir film 0.61
2.
r., eof 3.
4.
5.
Total
Notos Use additional sheets if more space
U needed for detatis and calculations.
Heat
flow up
FTC;. 47
595/ s99
?t/
t'
o
_
17 8 j3l l, ,5
O
T
Request Date Fire Nc. Rough-in pection
/ p Required? 17 Ready Now ? Will Notify Inspector
W
! 0 G Y. No hen Ready?
I ?I licensed Contractor ? owner hereby request inspection of above electrical work at
Job Address (Street, Box or Route No.) City
O/ 3 E - C< JZX9/? / - G G
Section No. Township Name or No. RamJa No. County
Occupant (PRINT) Phone No.
/JE5GI` _,e?j S?-os
Power Supplier Address
_PRY-eaY-"f _
114 i . ' To
Electrical Contractor (Company Name) Conhactors License No.
*ST 2 e- _ c- o o ?? -
Mailing Address (Contractor or Owner Making I nstallation)
6
Authorized Sgnatur on rector/Owner Making Installation) home, Number
d C/ SJ J
MINNESOT/CSTATE BOARD OF ELECTRICI fi/
GrigWMidmy BMg. - Room S-173
1821 Univ4rally Ave., St. Paul, MN 55104
Phone (812) 842-0880
???/ryq REQUEST FOR ELECTRICAL INSPECTION
O / fil See instructions for completing this form on back of yellow copy.
THIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
?: EB-00001-0]
y 93911
If 5 U 9 5 "X" Below Work Covered by This Request
ew Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Serv ice
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Comraotor5 Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
Signs Inspeclork Use Only:
r TOTAL iO
Inigation Booms U
r? 1.4J
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Rough-m Date
certify that the above inspection has
been made. Final Dale
OFFICE USE ONLY
This request void 18 months from
Total exposed roof/ceiling area - ///Z
J. Total skylight area .............................
k. Total roof/ceiling framing area (average 10%)..... 'Y
1. Total net insulated roof/ceiling area..............
Determine "U" value for each roof/ceiling segment.
k. X "u
4 ........... .....................Total
If total of 64 is the same as, or less than f2, you have met the intent of
SBC 6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of items #3 and f4 shall not be greater than the sum of items 01 and #2.
1;11 9
61 60't' -V
1
L; , 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ('0 -
(651( 681-4675 p _ a 01
New Construction Requirements Remodel/Repair Requirements
? 3 registered site surveys
• 2 copies of plans (include beam & window sizes; poured find. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted after 711/93
required: _Yes _ No
DATE: )- - 12 - C( C/
? 2 copies of plan
? t site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST: I Oi d OO
DESCRIPTION OF WORK: F l ) 5 y L-o U' e r (e k eat
STREET ADDRESS: o vie e r N-od N Tr,
LOT: 41 BLOCK: SUBD./P.I.D. #: in o,5?Y0Nl1S
Name: x h f) / -t e-1' G Phone #:
PROPERTY Last First
OWNER
Street
cr wa e-
L4 5'
City State: Zip:
Company: L a r r y S cf7• r cr Phone #: 6 0- -&V , (4 S Z
CONTRACTOR
Street Address: 1 g s G a r. e h ®/ License # ).O0 g I ?$ 9Exp. 9
City Ape < e- y. ((.o y State: / " 161 Zip: F.5- (2-9
ARCHITECT/
ENGINEER Company: Phone
Name: Registration #:
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
Penalty applies when address
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 RFCFiNM
Certificates of Survey Received _ Yes _ No FEB 12 1999
Tree Preservation Plan Received Yes No Not Require n
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01. Foundation .0. 06 Duplex ? 11 Apt./Lodging PC 16 Basement Finish
? 02 SF Dwelling ?. 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 0 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
? .`3 T• . New. bg?33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) VA) Basement sq. ft. Cehsus Code zY 3 N
(Allowable) Main level sq. ft. SAC Code b/
UBC Occupancy T sq. ft. Census Units ep I
Zoning sq. ft. Census Bldg
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn',
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC:. • . - .. ., ,
SAC Units:
ZL BL-- ?//??CITY USE ONLY RECEIPT #: /037
SUBD. ?kt eenZ9Yi'li1 /09O RECEIPT DATE: 11 F
1999 PLUMBIN@ PERMIT (RESIDENTIAL)
CITY OF EAGAN
9690 PILOT KNOB RD
EA6AN, MN 55122
(651) 661-4675
Please complete for: single family dwellings
townhomes and condos when pe rmits are required for each unit
backflow preventer for undergrou nd sprinkler system
----------------------------------------------------------------
FIXTURES -----------------
EACH ----------------------------
# --------------
TOTAL
Shower 3.00 x =
Water Closet 3.00 x
Bath Tub 3.00 x I =
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 for dwellings under construction 5.00 x =
Water Softener for existing dwelling 30.00 x =
U.G. Sprinkler for dwelling under const. 3.00 =
U.G. Sprinkler for existing dwelling 30.00 =
Alterat i onsons to existing residence 30.00 -
VJater Turn-Around 30.00 =
Private Disposal System MPC lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE 50
Reminder: Call 681-4675 for inspections of water heaters,
i
water softeners, alterations, etc.
TOTAL
---------------------- -----------------------------------------------------------------------------------------------------
hereby acknowledge that I have read this appiicalJon, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the properly owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: • ?l ?'N?5 a?
NAME: L'y 2 W C4 IF\' \ (6st? y??/ ????
INSTALLER NAME: SxC' TELEPHONE #: YrSY'GR ??
STREET ADDRESS: r,- y t L-1 y v G(? V t° w ???`?
CITY: L. Yt- lY- O V 1'\ -e
STATE: /1)11. A-) ZIP: ?So G/7
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
RESIDENTIAL
BUILDING PERMIT APPLICATION _
CITY OF EAGAN a _^]
'?63DZ 3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reaulremenh RemodelfReoairReauiremeMs
• 3 registered site surveys showing sq. I of lot sq. it. of house; an?ll roofed areas 2 copies of plan
(20% maximum lot coverage albwed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 site survey for exterior additions 8 decks
• 1 set of Energy Calculations • Indicate I home served by septic system for additions
• 3 copies of Tree Preservation Plan Slot platted after 711193
• Rim Joist Detail options selection sheet (bldgs with 3 or less units)
DATE `7 " a.3-0
VALUXION '7 0 0,n .0 O
JOB SITE ADDRESS Y O / 3 (oC.¢p?,,? `r"y k ; L
IF MULTI-FAMILY BUILDING, DHOW MANY UNITS?
PROPERTY OWNER M e-L i n.jnnc wk
k
TYPE OF WORK -2.m.>, 4- n?/LO o-
j !L"
APPLICANT Y4- .® L er
ADDRESS 11/77 S IG y CA-?J
PAGER #
PHONE # CA)- 9 Ya 3 q2 FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
- MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor.
Mechanical System Includes:
Sewer/Water Contractor.
Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
Fee: $70.00
By
ao I
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and gree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Receive _ Not Required _
Updated 1/01
FIREPLACE(S) _ 0 _ I _ 2
_ PHONE# 6?G I1???63
7iPCODE ?S)6 I
w Water Softener _
Water Heater _
No. of Baths
_ Phone
Lawn Sprinkler
No. of R.I. Baths
Phone #
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115441
Date Issued:09/26/2013
Permit Category:ePermit
Site Address: 4013 Deerwood Tr
Lot:4 Block: 1 Addition: Engstroms Deerwood
PID:10-23900-01-040
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 .
Eric Brehe
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 -
John J Stange
4013 Deerwood Tr
Eagan MN 55122
Aspen Contracting/asi
4651 Nicols Rd
Eagan MN 55122
(952) 583-2641
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140861
Date Issued:01/26/2017
Permit Category:ePermit
Site Address: 4013 Deerwood Tr
Lot:4 Block: 1 Addition: Engstroms Deerwood
PID:10-23900-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
David C Scalise
4013 Deerwood Tr
Eagan MN 55122
(206) 331-6177
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature