4018 Deerwood TrF 1.1" 894-°-0 + CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for
Est. Value $13$0000
Receipt #
198
Site Address 4018 U)v t'tr? ;:?: 11-,
Lot I Block 3 Sec/Sub. ENG"?'T .Ot" 5
Parcel No. G w N
W Name 1UNSHINE CONST: OCTION
c Address 2121 CLIFF M
City EAGA,ti Phone 452-099 5
Name -
Address
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
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: ,0.;3TRUCTION
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 M-11 FEES
Zoning K-1
(Actual) Const Y H Bldg. Permit 7 •
(Allowable) V--H ri8 g0
# of Stories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
Surcharge +
sb Plan Review 183.00
36' SAC, City I oo • 00
I
SAC, MCWCC 575.00
1
Water Conn • 4L
Water Meter ;1U. U0
XX
Acct. Deposit
30 . 00
_ SAY Permit 2a. (T.
5?'VV Surcharge
1.1010
223.00
Treatment PI
Road Unit 340.Ot
Park Ded.
Copies
TOTAL
3,189.5t?
Permit No. Permit Holder Date Telephone #
WATER / I1?l0 /
SEWER
PLUM
ING
B
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I - -
c. r ?a A-C A< _/Z
c F
Foundation
Framing / _ A
Roofing
Rough Plbg. g^g
Rough Htg.
Isul. 7,
Fireplace n ' f'r
Final Htg. p
Final Plbg. 8? ?9 Lt/
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg. Y ? p ° S
Deck Final
/?-???/ D
i
Well
Pr. Disp.
I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
till I i U [ Nil
01.105H 1
01/31/91
SITE ADDRESS: „ 1 I fit t„ 1. APPLICANT:
I1"Ifm' III 114111Ufi i t; I ) 4h 1 } 1id
-11
PERMIT SUBTYPE: TYPE OF WORK: rti I T H Al r ON
I I ; NUH 6AS I 1 NF
Permit No. Permit Holder Date Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
linspecoon Date bap. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Mg.
lain.
Fireplace Q r
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Nothy Plumber
Const. Meter
EngrAnan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
INSPECTION
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
hj ,
'jCORD?
PERMIT TYPE:
Permit Number:
Date Issued:
+taNN !? iN ?•`
OI APPLICANT:
TYPE OF WORK:
ft 111! 4?1Wf?
Aitllf;l?Fi
FnnI fNW, I I I t INf,l
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG ?S(?G
DECK FINAL ?? /Q6
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE JUNE 13, 29-9
WATER PERMIT # 1053 ? SEWER PERMIT #
METER # B.P. RECEIPT # 1 2433
R&ABER7 C B.P. RECEIPT DA 1)
METER SIZE 5?_rf Rd
ISSUE DATE _ PRV _ BOOSTER PUMP
SITE ADDRESS Gig f?t L-- PERMIT REQUESTED
LOT BLOCK ,SEC/SUB APPLICANT:`:::,-,
ADDRESS: 2-('7-( C.(,(
CITY, STAT ZIP
PHONE:
PLUMBER:
ADDRESS: (" ?j
CITY, STATE ?- zip PHONE:
XX SEWER XX WATER _ TAPS
- COMM/IND XX RESIDENTIAL
XX NEW _ EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
OWNER:`=..
ADDRESS: S ATURE W EN METE ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING, FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
CITY OF BUILDING DEPARTMEFT
EXTERIOR ENVELOP AVERAGE "U" COMPUTATION
(To be submitted with building permit application)
O e or Two Pamily Dwelling
All Other
Contractor
Owner
Site Address i.pT _ ?A.9WAX
sm T
Date Phone
LINEAL FEET OF 1I1J
!EXPOSED WALL f r. above grade
(":94,
TOTAL EXPOSED 14ALL AREA SQ. FT.
? bPAQL'E !MALL CONSTRUCTION: "U" Value X Area
isD -tail fluff x SQ.
4reference ^ "U" i X SQ.
from "U" 1 X SQ.
.attached `T "U" X SQ.
sheets. "U" X SQ.
' "U" X S
4L Q.
"U" Value X Area
FT. 2?-(01 ? (U) (A)
FT..:?. (U) (A)
FT. C C-? h 1;4f (U) (A)
FT. ` - , (U) (A)
FT. _ (U) (A)
FT. _ (U) (A)
& Type 12,_? ,UL "u" 1 c•y? :: SQ. FT. = 1 QL (U) (A)
& Type "U" X SQ. FT. (U) (A)
& Type "U" X SQ. FT. _ (U) (A)
& Type "U" X SQ. FT. (U) (A)
"U" Value X Area
ke b Type `°:r,?T?,.. ? .,U" X SQ.
ke & Type "U" X SQ.
lake & Type - fluff -x SQ.
Make & Type „U'.' X SQ.
TOTALS ? 655 t' SQ.
AVERAGE "U"
TOTAL (U) (A) VALUES
j?DIVIDED BY TOTAL WALL AREA
AVERACE "U" .11 or less for 1 &`1 family dwel
IirJOP/CEILII3G: t
. 1?
y?TOTAL AREA
,,Detail reference "U" ,r }{ SQ.
`+V- from "U" X SQ.
F
attached sheets. "U" X SQ.
`Describe openings "U" X SQ.
}-in roof. "U" ' X SQ.
TOTAL (U) (A)
PT. 2 'i?_ (U) (A)
FT. _ (U) (A)
FT. _ (U) (A)
FT. _ (U) (A)
FT. (U) (A)
FT- ? f L, (U) (A)
FT. _ (U) (A)
FT. _ (U) (A)
FT. _ (U) (A)
FT. _ (U) (A)
TOTALS ? SQ. FT.T*311 ) (A)
?? -
VALUES DIVIDED BY
-TOTAL ROOF/CEILING AREA
i.AVFR.AGF "U' ..025 for ventilated roofs.
CITY OF EAGAN N?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # (? /
7 '
To be used for SF DWG/GAR Est. Value $138,000 Date JUNE 12
Site Address 4018 DEERWOOD TR
Lot 1 Block 3 Sec/Sub. ENGSTROM' S OFFICE USE ONLY
Parcel No. Occupancy R-3 M-1
Zoning R-1
EAGAN Phone 452-0995
City Phone
Phone
I hereby acknowle a that I have read this application and state that the
information is co__ and agree o comply with applicable State of
Minnesota Statutes Cit4jbEa n Ordinances.
Signature of Permitee
A Building Permit is issued to: SUNSHINE CONSTRUCTION
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 JB N6 :6,'JUJ , 11 il -
16614 ,
_, is89
FEES ?3':
(Actual) Const -Y---N Bldg. Permit 772.00
(Allowable) VAN 68.50
Surcharge
# of Stories
Length 56' Plan Review 385.00
Depth 36' SAC, City 100.00
S.F. Total SAC, MCWCC 575.00
S.F. Footprints
On Site Sewage Water Conn 580.00
On Site Well Water Meter 90.00
MWCC System
00
30
City Water XX .
Acct. Deposit
PRV Required S.NV Permit 20.00
Booster Pump SW Surcharge 1.00
Treatment PI 228.00
APPROVALS Road Unit 340.00
Planner - - Park Ded.
Council
Bldg. Off. Copies
189.50
3
Variance ,
TOTAL
t afifirate of orrupaury
Citp of (Eagan
arvartiumt of Vida* jWernaft
Code certifying that at the time of issuance this structure was in compliance with the various
POST IN A CONSPICUOUS PLACE
I
1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS I tot* 14
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, Q?
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS .
r ? 1??t c?,
To Be Used For: `G Valuation: Date: ?2L
Site Address 4WIn W - OFFICE US]
Lot Block ENWRC)?A5 O-10
OccupaAcy R'J -?
Zoning Q- i
Parcel/Sub ,
?Y ?y A N Actual Const V-N
r t
O Allowable Y- N
t
i
f
#
wner or
s
es
o
Length
Address
?? GL(,
Depth 36'
S.F. Total
City/Zip Code Footprint S.F.
Phone 4J?z -- ?? On site sewage
On site well
Contractor MWCC System je-
City water v
Address PRV required
Booster Pump
City/Zip Code
APPROVALS
Phone Planner
Arch./Engr.2 . t4? L Council
Bldg. Off.
Variance
Address Council
City/Zip Code
Phone # oe
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
TOTAL
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.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
y 3 3 q 3830 PILOT KNOB RD - 55122
651-681-4675 /t
New Construction Requirements Remodel/Repair Requirements
. 3 registered site surveys showing sq. ft. of lot, sq. H. of house: and all 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 sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE ` _S"U I VALUATION (EXCLUDING LAND) 2606T
JOB SITE ADDRESS 0660 t)):W/A aw _
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER( igi f,;r i BAS 1
TYPE OF WORK r%_ FIREPLACE(S) _0 Ll _2 _3
APPLICANT Fziu? (?,rzscz I- z a.??«.e a?? ? PHONE# U2JO-4N1.1G
ADDRESS 2lS N S? S , WN??N' )?io?,/t /ham sb3? ZIP CODE
PAGER #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY O
(check one) - Residential Ventilation Category I Worksheet 39 ? - T T[
Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
McchsuuCal System Includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is7 rr ct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances / /
Certificates of Survey Received
Oul7
CELL PHONE # (L `7 43L\l6 FAX # 3ZQ_Daa_!
Water Softener
_ Water Heater
No. of Baths
_ Phone #:
Lawn Sprinkler
No. of R.I. Baths
Signature of Applicant
Tree Preservation Plan Received - Not Required _
Updated 1/01
CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
SITE ADDRESS:
DESCRIPTION:
REMARKS: RECEIPT # CR 003794.
FEE SUMMARY:
511PChll'[; ;` _ _ p7
CONTRACTOR: OWNER:
r st;rtnc? '(L:l'i Ir„ ?rl?„
:I.rca '?y ai l.l.oM: ea; 't= i-hsri _ hove' rar?iJ kY??, ??I?. eat ba€Ir; uoiS •?.I• _..;1 ,l•rt 1`i'.«. _J i,fl .'t .'. 11? •t i1 .I.11: 1: ... i C .
L
f ?" I-A ?:ir(f I`t'?-1`(
APPLICANT/PERMITEE SIGNATURE ISSUED B : S GNAT RE
2005 RESIDENTIAL CBUILDING ity Of Eagan PERMIT APPLICATION rl
3830 Pilot Knob Road, Eagan MN 55122 OCT 2 2?Oti
Telephone # 651-675-5675 FAX # 651-675-5694 II I
New Construction Requirements RernodellReoair Requirements I Office Use On
3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies of plan Cad of SurveyRecd
(20% maximum lot coverage allowed) l set of Energy Calculations for heated additions TreePresfgarrReff'_Y _N,
2 copies of plan showing beam & window saes; poured found design, etc. t site survey for additions & decks Tree Pres Required _Y _N
1 set of Energy Calculations Addition - indicate don-site septic system On-she septic System _Y _N
3 copies of Tree Preservation Plan g lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units) (? G
Date ? / ? / V S Construction Cost -l 5 J
Site Address 4 61 1? --Qe-a uznpcd Ifa ; 1 Unit/Ste #
Description of Work
Multi-Family Bldg - Y _ N Fireplace(s) _ 0 - 1 - 2 tl
Property Owner e?-?db f 5C abaxxv, Telephone N ((05- B 'f SS
Contractor RENEWAL BY ANDERSEN
1920 COUNTY RD "C" WEST
Address ROSEVILLE, MN 55113
State 651-264-4777
LICENSE #20130983
Telephone # (
City
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Category 1
• Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
_ Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
appr al of plans.
plicanfs Printed ame A cants Ignature
. vve oe. sv•e,', zuo ti. JV rriA lOJ D/1 '44ftD !({}(YIStl`?a &ke 91YUlSt47? -
rune 2001
of Eagan
3836 Pilot Snob'Road
Eagan, MN 56122
To Whom It May concern:
Elder Tones is authorized to pull building peewits for Renewal by Anden:er>_ Please guow
Eider Jones to provide this CO r na in . `i hia eathorizetion la valid for any
to date beyond 6/6!01; until a bonby Andersen mana? sly revokes it in wridng
the aty_
I regnest this am6od= ion be a d'eXnetlftfonaly, as to not delay in the P itg of
our buiIdmg Poanits aay further. Pleaac can me if them am eny queadona., I can be
contacted at 763-502-4706_
Your immgdiatc attcation to ifs mdtter is slre6arm- t , .
Sincainly>
ytnond2 -Puma
nsraltation Mauager
Renewal by Andersen Corporation
re: TCarn-Fides Tnnee
7
off n. ??
.u My Iru
0^?IL'etJly„??
Im UU
Reuived Time Jun. 7. 1.07PM
:I oDgC1
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodellReoair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Carl of Survey Recd . _Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pros Plan Recd _Y -N.
2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pros Required ' - _Y _N
l set of Energy Calculations Addition - Wkate i(onske septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date C7? Construction Cost 77?
Site Address W3 T ?(.(/(??? Unit/Ste #
,J
Description of Work
(
?? ^? i
c /^d 57-If I-C Co A-5 /^j 1
Multi-Family Bldg
Y N Fireplace(s) _ 0 1 _ 2
!
/
Property Owner
I? ?1 J l? /? ' 5u1l
oz 6 +"M Telephone # (? ?7
lp? r)
(? l ?I R' t H
Contractor
Address 4-J7?J()-7RN
5/9?/?(?
City
State Zip SS-3?6 Telephone # LCU) 7?? - S2l?y
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
Energy Envelope Calculations Submitted
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 information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an
permit; that the work will be in accordance with the ap)
approval of plans.
??3F0 *c-???
Applicant's Printed Name
a nermit. and work is not to start without a
case W Work which requires a review and
RESIDENTIAL BUILDING
X11 Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
5 3sw-IS
New construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. it of lot, sq. it. of house; and all roofed areas 2 copies of plan _ Can of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions _ Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd
l set of Energy Calculations AddiNon - indicate if on-sife septic system -On-site Septic System
3 copies of Tree Preservation Plan it lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date 9 / I / ?? Construction Cost 2?i l l45`i • 0a
?? ? ? ?
Site Address f! 0 ( 1 31?X y\jm ,I
__4"7j2 Unit/Ste #
Description of Worl ? win &Nn I M
t • n a t 'v>evanoS
Multi-Family Bldg _ Y V N /
Fireplace(s) ? 0- 1 _ 2
Property Ovvner?h ?? rScJnha? >,nA Telephone # (Lp51 ) -i ? t 559
Contracts RENEWAL BY ANDERSON
1920 COUNTY RD. "C" WEST
Addrr ROSEVILLE, MN 55113 city
State 651-264-4777 _ Zip Telephone # ( )
LIC #20130983
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Category 1
Residential Ventilation Category 1 Worksheet
(submission type) Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
_ Minnesota Rules 7672
New Energy Code Worksheet
Submitted
Telephone #(
Telephone #(
T(
I hereby apply for a Residential Building Permit and acknowledge that the i4formation is complete land accurate;
that the work will be in conformance with the ordinances and codes of the- =itv-6€+aaarri -tFM State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved in the case of work which requires a review and
appr val of plans.
Applicant's Pnnted Name Applicant's Signature
""• ••....•.i auv ate.uv ctsa tof o(.L '4480 tSISrIL`ffllfta br°BPIUtlIG7tf1'1
re
June 7, 2001
City of Eagan
3836 Pilot Snob Road
Eagan, MN 55122
I
To Whom It May Conoern:
Eider Jones is authorized to pidl building Permits for Renewal by Andersen. Please aIIow
Elder Jones to provide this service for us in Eagan. 'this muhcdzetiOn ]s valid for any
date beyond 6/6/01; until a Rouewai by Andersen manager eiressly revokes it in waiting
to the aty-
I rr bad this authox?@oa be accepted-expeditiously. as to not delay in the
ding Permits any fur&=. Eicase can me if thcro am Ping of
contacted at 763-502..4706. any questions, I can He
Your immgdift attention to:mt matter is
Sinoeinly,
KMud'EL 'Rau
on Manager
Renewal by Andersen Corporation
-('r.: Km-a-Filter Jnne? , .
Ok 0i cA" 4AMAL
w,r?„? „?zors
1 1.
W ue
Received Time Jun. 7. 1:07py
?`1 t f 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. fl. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window saes; poured found design, etc.)
• t set of Energy Calculations
• 3 copies of Tree Preservation Plan Slot platted after 7/1193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE R ` - O Z
SITE ADDRESS
TYPE OF
MULTI-FAMILY BLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT SELA ROOFING & REMOOELi l:'
STREET ADDRESS ST. LOUIS PARK, MN CITY $TATE_ZIP
to Twuluou
TELEPHONE #G1Z %'Z3-90(Ao CELL PHONE # FAX #
PROPERTYOWNER k 1?-? \CX ,ct-trc_yyt. TELEPHONE# cI?`(- LSD CI
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 Ene %1eYVodmhu13ubm
• Energy Envelope Calculations Submitted IN SEP 0 3 2002
Plumbing Contractor: --
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
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 Ord'
Signature of Applicant
................ -°_...... _....................... -- -__.............................................. -.............
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
Water Softener
Water Heater
No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Air Conditioning
Heat Recovery System
a?
(5?
Remodel/Repair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• kite survey for exterior additions & decks
• Indicate if home served by septic system for additions
IsszO, o
VALUATION
RESIDENTIAL
`k? BUILDING PERMIT APPLICATION
CITY OF EAGAN
aS
3830 PILOT KNOB RD, EAGAN MN 55122 LA
651-681-4675
New construction Reauiremests
• 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan N lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE '0 •OCA -OA
RemodellReoair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• l site survey for exterior additions &decks
• Indicate if fume served by septic system for additions
VALUATION p?lQr? ?U00
SITE ADDRESS ?O,O 17 -e--e_4U0006 RQUk MULTI-FAMILYBLDG_Y _ N
TYPE OF WORK't?RJG]..Q-O ? a i ?f1hC`OL?J? FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT
STREET ADDRESS
TELEPHONE # 651'ak 414 CELL
RENEWAL BY ANDERSEN, INC.
1920 COUNTY ROAD "C" WEST
ROSEVILLE, MN 55113
-W ao?3o` a)
-STATE _ ZIP
PROPERTY OWNER 5Ch'00_5--1m TELEPHONE #(g5I- qS-I' is"
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
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: __$90.00_
Water Heater - No. of R.I. Baths„-7 ? i
No. of Baths
GAT 1- .2007_
Mechanical Contractor. Phone #
Mechanical system includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor. Phone #
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 Or mantes.
Signature of Applican 0 _
OFFICE USE ONLY
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required
Updated 4/02
?-' ? I I ,."r 14v I&.OU rep r od 011 4400 iM=ffaL ar"Woa"Im
re al
June 7, W01
City of Sagan
3836 Pilot Knob Road
Eagan, MN 55122
To Whom It May Concern:
Elder Jones is authorized to pith building permits for Renewal by Andersen. Please allow
Elder Jones to provide this service for us in Eagan. `Min authorization is valid for any
date beyond 616101; until a 1. `' aewai by Andersen man a= expressly revokss it in writing
to the City.
I rcgnest this authorization be accepted expeditiously, as to not delay in the processing of
our building pcanits any fulthcr. Plcasc can me If them am any questions. I can be
contacted at 763-502-4706-
Your immGdiatc attontlon to this matter is appreciated.
Sincerely,
and R Rau
tistallation Manager
Renewal by Andersen Corporation
('Z..: Kata-Fis tier inn".
FMY d M Not" ca?o,w, „
WUU2/U
Received Ti'me Jun. 7. 1 :O7PM
REACTIVATE
PERMIT #
lWi 2 ft
CITY OF EAGAN $
1993 BUILDING PERMIT APPLICATION
681-0675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when ppemit 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 Valuation of work 7 O
Site Address: `-/ o ( SZ ?Q 2 l f/c?c>c/ ?? -
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SDBD. P.I.D. 1k
Description of work: Urv c- Li w2 fv ,Srt ^? Fi ?? ° <<< s
The applicant is: ? Owner ? Contractor ? Other (Describe)
Name M (r S-e ® 1-?_ Phone
Property LAST FIRST
Owner n
Address 10/9 0.?i?x> ,,( _D,
STREET STE #
city ze--a G a w State 1Y4 10 Zip-5 s 46?
Company i' Le PLC c tv- c ; t' L ; Sfi5 Phone 5
Contractor Address l? on 7?h
License #ma?92y Exp.
CityS,S-tState m Zip
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 Stag of Minnesota Statutes and City of
Eagan Ordinances.
f
li
t
J /
Signature o
can
:
App
C'"
;y.:v: t[?;'YF:;k:;kM?1<>Y. W.:+k>X:Y:?:?r k:1( -c;; Kk.kF"?,.?:ikyX "m:?FYn>kYFY,<.?.X[MR<5K
CITY Or EAGAN
VAS HIr:,Rv 5 TIERMINAi... NO, 62
pA`£F:a 09/15/96 TIME; 16:0$:05
D,
NAM[. 1-1014ARD D JOSTAD
321D 9001 4018 DFIERNOOD T 45.00
2105 0001 401.8 DI:-[:RWOOD T 0.10
i,)tal Receipt Amount;; 45.50
CRi)ti'2 )11
USER TD: NANCY
?*m>k ?:?Nc?k%??X?a%aX?ak*%??akW%KYF??KsK?at##>xa%??k%?Sk??kY??C
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.T.N.: 10-23900-010-03
PERMFf
PERMIT TYPE: BUILDING
Permit Number: 0 2 8 4 5 3
Date Issued: 08/15/96
4018 DEERWOOD TR
LOT: 1 BLOCK: 3
ENGSTROMS OEERW00D
DESCRIPTION:
Building Permit Type
Building Work Type
Census Code
REMARKS:
DECK
ADDITION
434 ALT. RESIDENTIAL
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
Total Fee $45.50
CONTRACTOR: - Applicant - ST. LIC.OWNER:
WOODWORKING SERVICES 19411328 0004372 KIRSCHBAUM ROB
7425 IZAAK WALTON RD 4018 DEERWOOD TR
BLOOMINGTON MN 55438 EAGAN MN 55122
(612) 941-1328 (612)454-1559
I hereby acknowl d e that I have read this application and state that the
information is or ect and agree to comply with all applicable State of Mn.
Statutes nd Ci y an Ordinances.
PP CAN /P IGNA ISSUED BY:.IGN 'U RE
164531996
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
RemodellRecair Reouirements
r
Name: ? ? 5 (,\ U1 M Phone #:48q-)S {N, Ims, --?- r
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured intl. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? t energy calculations for heated additions
? 3 copies of tree preservation plan If W platted after 7/1/93
required: _ Yes _ No
DATE: CONSTRUCTION COST: ?j d 0 `
DESCRIPTION OF WORK Q5L G h 7
STREET ADDRESS: I r
LOT _]_ BLOCK SUBD.IP.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
Sewer & water licensed plumber:
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
Street
3 4?. J o
?Aw 5-)-
City:
' ,? lU ? State: ? Zip•
I-Ij "A
Company: W t1c1l ln?of?i nc cam, `?C?1Ce? Phone #:? ^? 3 a
Sty?--ree??--t Address: asx,? License #-
C itySi rmtt State: Zip
Company:
Name:
Phone #•
Registration #•
Street Address-
City:
State: Zip:
OFFICE USE ONLY
Certificates of Survey Received
Yes No
Tree Preservation Plan Received Yes No
Penalty applies when address change and lot
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _ plex
WORK TYPE
0/31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
replace 13
15 Deck
? 36 Move
? 37 Demolition
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length s% ft.
Depth Footprint sq. ft.
APPROVALS
Planning Building s- Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
All
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. L-1 4/
SAC Code ?L
Census Bldg
Census Unit
% SAC
SAC Units
R'
R°?? , ? ? . 62.g4
0
BENCH MARK
YOP OP IRON
-
EL9Vw9 7AB
r
J?
I-
'Y /
\$ ?GR4
1 /.
`t1 ,G
y, .I
?o
N;
m
W 8743 4 Ra
al s. ?
!ll_
1500
O
c
o 01
56
?
j e7e.
a ?,re??o)
ge
CS-77• 1>
33 3? I I\ ? `?u'''A
' PRpPpSEp 'W? by 1 t
-3 40
NpUS dt SS--
50.0 8\ (8 ' Nom' }
(87s.S l
1 all V WHo-
FD`4 892 ??Y 1+
I ? .flL?' .r I ? iA J
Cq1
1111411 T PEA
/ ? ? N 690
-f
?-^-- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
0 DENOTES IRON MONUMENT FOUND
XOOO.O DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
SUNS'r?lNE CONSTRUCTION
BENCH NARK
TOP OP IRON
ELEV.-smm
0?
44
+p
D Q
N 1
s
I
I
3
z '21
py
ENGINEER
SCALE: 1 INCH _ 30 FEET
PROPOSED GARAGE FLOOR - 877.5 FEET
PROPOSED LOWEST FLOOR - 844.0 FEET
PROPOSED TOP OF BLOCK- 877,7 FEET
WE HEREBY CERTIFY TO SUNSHINE CONSTRUCTION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot I, Block 3, ENGSTROMS DEERWOOD ADDITION, according to the retarded
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 6TH DAY OF J LINE .1989.
SIGNED: J F?/LL, INC. 14e
k;
,z c,:- (;c? ? c--::) 4"' k l cq ?
k to _ (a (4:7 k'Z. _
40 tn?
Ci?t?d
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
OFFICE USE ONLY
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO. CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
'Vo1p fitxo
To Be Used For: Valuation. A Date: 101-.13'90
Site Address gdla peexwoMd fifesj
Lot / Block 3
Parcel/Sub
Owner ;Zoe M& lp- r
Address 8018 AiearMMWj?pe)? Y-r
City/Zip Code&42njow
Phone 4c5-y-'70
Contractor zg- p
Address 1.2213 hen Or.
City/Zip Code
Phone 4ff?- 9"U3y
Arch./Engr. _
Address
City/Zip Code
Phone #
Occupancy
Zoning
J.ctual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System
City water _
PRV
Booster Pump
APPROVALS
Planner _
Council
Bldg. Off. ` 14/10
Variance
COMMERCIAL
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
TOTAL
--?C'
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: 7,12 -CK)
Description of Work: ` Construct new fireplace " Gas -Masonry Alterations to existing
Install pas insert only Install pas line only
p Other
Job address: 'o \ 0 ??rJLL?C1dD } (G
Lot: Block: Subdivision/P.I.D. #: or11 Y15vcc?
Applicant (circle one only): Own Contractor Permit Fee. $60.50
Name:44'SGw&cs , Phone#:(?,s -?54-
PROPERTY Last First
OWNER Street Address: -lO?7 l D ?lzizfL?r 0059 --r2L,
city State:, Zip: _SS)
Company: Phone #: ;) ggek6
(area code)
FIREPLACE
INSTALLER Street
city c, c-- Stater Zip:'?377
?? 7y?
Company:
Phone #:
(area code)
GAS LINE
INSTALLER Street
City
State:
Zip:
I hereby acknowledge that I have read this application and state that the info ation is correct and agree to
comply with all applicable State of Minnesota Statutes and C4 pf Eagap Or ances.
SUBD,
BLOC?Ky/V NCI D7ly l(l?t
,rtECEIPT # ? / DATE
1996 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: 3 (W Commercial GPM
Residential (boulevards) GPM
Existing residential
Area/address to be irrigated: Q? 8 r W 0 a r r,\,, l
installer: 4 CC y" e-d'I T, k ? I'A m? 'I N U Owner ? Plumber 14
y
Street address: / 6 ?Z 0 ?`o ri q UN 11 ? 4-
City, state & zip code: L" V-f-Vi ? ) -k- rn W Phone #: 2 9 1 7
Owner Name.
r/ `N o\6 Kit rS)-??
Street address: 7 Q >r g ??? t o a ?? r r^ `?
City, state & zip code: q N Phone #:
Irrigation contractor, if different than installer:
Telephone #:
I hereby acknowledge that 1 have read this application, 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 property
owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City
property/right-0f-way/easement.
Applicant's signature Title
Approved by: Date:
PRV ? Yes ? No
Meter Size & Cost
Fees due:
,9-17- 96
W ,V ffs
New service
Calculated by:
$oo 1910 4)9
? Yes ? No
H35(.,9 ? 3o.so
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date 7 l /Ej / (o
Site Address 2 ev" t j 0 O Unit #
Property Owner J tA- i K i r S L, w n? Telephone #( )
Contractor `1 r' 2 P-a-Y 2
1
Street Address _ P, 77 City /
LXYI?i-4l e-
State /V\ t/ Zip Telephone # V3 ta7
Bond #: Expires:
The Applicant is Owner Contractor Other
Lo U L 18 200
Add-on or alteration to existing dwelling unit 30.00
furnace -Additional -Replacement _ New
air exchanger
air conditioner
heat pump
Yt S L ^
other CV
!? l
State Surcharge $ .50
Total S
I hereby apply for a Residential Mechanical Pemut 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.
,f, ,r /G.// ?
Applicant's Printed Name Applicant's Signature
.. r-----_-----------
- I FVr' ? ICE%.?JSB
Permit #: V l?Xj ll?
I Permit Fee: J U ??
I
Date Received:
I
I Staff:
u----------------'
D 2008 RESIDENTS/ Il?AL".PLUMBING PERMIT APPLICATION
Date: 1-6'061 Site Address: _ 7(?f? f" ?V?7LC? ????d
Tenant:
Suite #:
RESIDENT/OWNER Name: -?ph 3" So.?(Lz I-,lr5c
Phone: 65(-14'5y-15'5 7
WLCh--,
,
LC
Address / City / Zip: SCL'l)b CCLL" C A I A
CONTRACTOR Name: License #: V,' 11 ? 0 ` P:V)
Address: 851-385-1340`
3870
City: Eaean. MN 55123-1339 State: Zip:
Phone: Contact Person: i?r S 11 e r1
TYPE OF WORK _New Replacement -Repair _Rebuild _ Modify Space - Work in R.O.W.
c
Description of work: C ( br-;LL?E
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
_ Lawn Irrigation -Add Plumbing Fixtures
(_ RPZ / _ PVB) Main _ Lower Level)
Septic System _ Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL F
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordi
1:114 d*
s
Eagan; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a
"t
accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name i
gnature
Applicant' i BV
FOR OFFICE USE Reviewed By - a
Date ' ;Y
Required Inspections: z,j
_UnderGrourtd
?
Rough In ' AlrTest
Gas Test ,.
,
ril
F :
.
?
, i
391st
?2p4jl 1 .9
-SURVEYOIR'S CERTIFICATE
.RAIL
6 9 W4.5 L?
D
oO
`
?•?''0 4
n
?sP
18.50 ' R*115 50Q115dl _
R.?0000., . ? --
I I.96
C81 .9 i , b15
W7 ?1
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to e
N?
pR ./
g?Yi•3)
1
SUNSHINE CONSTRUCTION
EENCH MARK
TOP W IRON
ZLEV.-.TOSS
O1
CA
N?
N
L
a
m
=
M
a
OD
0
W
m
- rr^ ro CA > C->
p m P On ? m m z
- M O m rn
-r
we DENOTES PROPOSED SURFACE DRAINAGE
0 DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
0
X000
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 677.3 FEET
.
(000.0) DENOTES EXISTING ELEVATION
DENOTES PROPOSED ELEVATION PROPOSED LOWEST FLOOR - 864.6 FEET
PROPOSED TOP OF BLOCK - 877.7 FEET
WE HEREBY CERTIFY TO SUNSHINE CONSTRUCTION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot I, Block 3, ENGSTROMS DEERWOOO 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 6 TH DAY OF JUNE 1989.
ILL, INC.
PROPOSED 6RADE8 SHOWN WERE SIGNED: J
TAKEN MM THE DEVELOPMENT PLAN
PR' EPARED Y ORtNEM ,, LAST DDA ETON' BY: fflawz
9 . P00'
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
40
<e? a?? ? ? ? I I
C•? S?tpN ? `` ?
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. 0 BLOOMINGTON, MN. 55431 9 812.884.3029
SUAVEYdR'S C%PERTIFIGATE
:007,42 ?_ 6? 1
v °
1
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SENM MARK , \ B ??-
TOP OP IRON 2'L 6
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1 0? p,`,1 I ?
VVV e No-
C•n`a ?a `P,K pW
e'e 6°°2 IT ..
IL Y
(678 ?$1?11
-r
SUNSHINE CONSTRUCTION .
* DENOTES PROPOSED SURFACE DRAINAGE 7 v JL? j
O DENOTES IRON MONUMENT SET SCALE: 1 INCH _ 30 FEET
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 977.5 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 869.6 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK •- 877.7 FEET
WE HEREBY CERTIFY TO SUNSHINE CONSTRUCTION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot I, 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 6TH DAY OF JUNE 1989.
SIGNED: J ILL, INC.
PROPOSED GRADES DEVELOPMENT WERE
TAKEN P7iOM t1iE DEVELOPMENT ALAN ,
FOR INGSTROMS DEERWOOD ADDITION,
PREPARED BY BRW INC. , LAST DATED BY.
e-28"'08• HAROLD C. PETERSON, LAND SURVEYOR
MfNNESOTA LICENSE NUMBER 12294
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
R
0
a
9401 JAMES AVE. S. + BLOOMINGTON, MN. 55431 • 012.884.3029
City of Baan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: /b19�0 9
Use BLUE or BLACK Ink
Permit #: /6,51
Permit Fee: _-
/ 5D
Date Received: f 0 /1
Staff: �Co
2009 MECHANICAL��PERMIT APPLICATION
Site Address: 5/F 4[.aar"rtr00L 7rz. 1
Tenant: Suite #:
RESIDENT / OWNER
Name: il.4b ):I tr--ScJ LA -L," Phone: 457-95/Sri
Address / City / Zip: 0'JF deer' 1-voesili 7 a?J 6`1J 6541- 2_
CONTRACTOR
Name: >7 / i vs- 4:ro"7 License #:
Address: ) Igv—k kya..1 Z(
City: State:VO-) Zip: 53 3
Phone: [ '5"O j = ? E: S 3 Contact Person: �%za ✓ 0/4As
TYPE OF WORK
New X Replacement Additional Alteration Demolition
cription of wolrk: L , �..--e..e 0 -- AC-. (l
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PERMIT TYPE
RESIDENTIAL
)0 Fumace
COMMERCIAL
New Construction Interior Improvement
)O Air Conditioner
_ _
Install Piping Processed
Air Exchanger
_ _
Gas Exterior HVAC Unit
Heat Pump
_
Under / Above ground Tank ( Install / Remove)
— Other
_ _
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on
or alteration to an existing unit (includes
bumed out appliances, ductwork, etc.) (includes
$.50 State Surcharge)
$.50 State Surcharge) $ TOTAL FEE
$90.50 Fire repair (replace
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation/removal OR
State Surcharge)
surcharge is $.50.
increases by $.50 for each
Permit Fee requires a $1.00 surcharge).
Contract Value $ x 1%
= $ Permit Fee
- If Permit Fee is less than $1,000,
= $ Surcharge
- If Permit Fee is > $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000
= $ TOTAL FEE
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.aopherstateonecaliorq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x /407 17‘,44,:n
Applicants Printed Name
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Applicants Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125851
Date Issued:08/05/2014
Permit Category:ePermit
Site Address: 4018 Deerwood Tr
Lot:1 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert R Kirschbaum
4018 Deerwood Tr
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r________________i .
I For Office Use �
. 4 r� i
� Permit#: � �v I
Clty of Ea��� � G� �
� Permit Fee: �
3830 Pilot Knob Road � i
Eagan MN 55122 � Date Received: �
Phone: (651) 675-5675 � �
Fax: (651) 675-5694 L Staff: ______________�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
/� � � �(} ,
Date: �^ Y`� �� SiteAddress: 'f��� �.Jeev' u.�po�`C ��c �
Tenant: Suite#:
����-�°� ��� t /
` � Name: 1C I H t5 � �CI R it Z Phone:���"" `'"ES���- l S�S'1
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��� �� Address/City/Zip: �4- r'c
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����� � ��-� �� �' Name: � C.. � ►�2 b�� � C License#: f��l� �� ��
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� � �➢�'� Address: ��� /�,G��2�"'�t �r �//!GY !/��
��� �. �`. City:
�� �' State: -�� Zip: �SS`l �� Phone:GO l� " �L�� �' l v�(
Contact: � Email:
�
��,����� .' _New _Replacement _Repair b�Rebuild _Modify Space _Work in R.O.W.
'�YP�O�f. rl����
� .� ���� ��5
�-� ����� � Descri tion of work: S
�� � �������-�� - p �
«,�.� ..�: _
�
�� RESIDENTIAL
��� ���
���� �_.
���� �_, Water Heater
� � - Water Softener
�, . Lawn Irrigation�RPZ/_PVB)
' �� � � Add Plumbing Fixtures�Main/_Lower Level)
��, : - �: Septic System
s � ���� New � Water Turnaround
� �� � —
�`` `� � �=
� Abandonment
� �_
� �..H -, �-�� —
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround"(includes$5.00 State Surcharge)
*Water Turnaround (add$200.00 if a 5/8"meter is required)
$115.00 Septic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. wvwv.goqherstateonecall.orq
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 pla .
x �� V�u'� x
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ApplicanYs rinted Name Applicant s Signature
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� - .
Use BLUE or BLACK Ink I
. .------------------ I
� For Office Use I '
' j Permit#: l��/ �� �"�� I
Clt of ��oan ; . . �_ rQ� �;
� b , Permit Fee. �� �U /
3830 Pilot Knob Road ' I - � I
Eagan MN 55122 j Date Received:�/..��� j '
Phone:(651)675-5675 I _\_ I
Fax:(651)675-5694 I Staff: �r� i
I I
� `���������������.�J ,.
2o�s RES�DENTIAL BUILDING PERMiT aPPucaTioN
Date: -�^� �l- `s Site Address: ��� C7 -��� L✓�7 t�� ���� � Unit#:
Name:__�_'.0 „��r-Sc � �J���-�-, , , Phone:
Resident/
Owner aaaress i c�ty i z�p: �ol � ✓J-e�r��� c� �1 �, /
Applicant is: Owner �Contractor II
T'y�O#WOI"k �escription of work:_�.C��7'Lr'� ��a J� ��'c�l��f
Construction Cost: 0�po� °�' Multi-Family Building: (Yes /No„�
Company:__i/>-1�-� �v s�-y, �v�/�y S" Contact: J`�7�t---z- /,fZ�y"�`'
COt1t1'8Ct01' address: �/i �,f ��r�'li J�- � City: V�C(7/' �a,�
State�Zip: 3 ?'Z Phone: ��� �'���r���mail: S f��'y�� ,�� �,S'��'I c����
License#: � � (� .� � � � O Lead Certificate#:
If the project is exempt from lead,certification, please explain why:
/l/P�,,✓fi • . �y�,-C.P l3U/L..i i n� � ��✓
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the Clty of Eagan issued a permlt for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: ' Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:P/ans and supportfng document�tfiaf you submif ar+�c:onsider�ed to be public i�tOrm�on. Por#ons ot
the fnfomiatian may be ctass�if�ed as non:publ�c it you provfde�pecif�c r�aaon�that woultl p�mlt ttr�City to
I conc{ude that th�e are trade sec�ts.
CALL BEfORE YOU DIG. Call Gopher State One Call at(651)454-0002 for rotection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities.�aopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in confonnance with the ordinances and codes of the City of
Eagan; that I understand this is not a pe it, 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�se of work which requires a review and approval of plans.
Exterlor work authorized by a building�ermit issued in accordance with the Mlnnesota State BufldMg Code must be completed within 180
days of permlt issuance.
x ��'�'1'.., �- ��y`�', X .Sp= ��`/�..5
Applicant's Printed Name I Appli nt's S ature
', Page 1 of 3
DO NOT WRITE BELOW THIS �INE
{ � 4%�� ��1Z(;�o�d Tr�- ,
SU�TYPES � � � ���� ����
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Fam11y) I
� Single Family _ Garage _ Porch(4Season) _ Exterior Alteratlon(Mul�)
_ Multi _ Dec�C _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Buiiding*
Addition _ Move Building _ Reroof _ Demolish Interior
,� Alteration _ Fire Repair _ Windows _ Demollsh Foundatlon
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation � Occupancy �-/ MCES System
Plan Review ' Code Edition G/` SAC Units ---
(25%_100%� Zoning p/� City Water
Census Code �t' 3Y Stories ^ Booster Pump ---
#of Units � Square Feet -- PRV �'
#of Buildings _'!_ Length — Fire Suppression Required -�"
Type of Construction � Width �-'"
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) ', Fin�l/C.O. Required
Footings(Addition) � Finai/No C.O. Required
Foundation � HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:�Stucco Lath _Stone Lafih _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire WaNs Fire Suppression:_Rough In_Fina)
Braced Walls Erosion Control
��--�� Other:
Reviewed By: £ , Building Inspector
RESIDENTIAL FEES �L�,Q f�.��� �G ?7 �'
Base Fee �'j� �
Surcharge
Plan Review �'�� 1y
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL�
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152370
Date Issued:10/12/2018
Permit Category:ePermit
Site Address: 4018 Deerwood Tr
Lot:1 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Scott Sjerven
4018 Deerwood Tr
Eagan MN 55122
(612) 747-1252
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature