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4022 Deerwood Tr r- 'r '@01 SB r City of EPermit I / f-- I 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 RF +V E I I Date Received: Phone: (651) 675-5675 I i Fax: (651) 675-5694• < ° hill I staff: i L -----------------I 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ( Site Address: - GregoryTschida Tenant: 4022 Deerwood Trail Suite Eagan, MN 55122 RESIDENT / OWNER Name: 6514540683 one: Address / City / Zip: CONTRACTOR Name: NORBLOM PL(JMNING" G-O,. License#: NP Address: (612) 827-4033 City: 2905 GARFIELD AVE. SO» State: Zip: MINNEAPOLIS, IViN 55408 , Phone: Contact Person: TYPE OF WORK - New - Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W. Description of work: ru)ta(z, Water h aer PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) C_ 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 $165.00 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 FEES , I 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~J W091 o tru --"4e2 Applicant's Printe Name Ap icant's Signa ure FOR OFFICE USE Reviewed By Dafe Rei~uired Inspections Under Ground Rough Ili: Alr Test Gas Test Flnal Use BLUE or BLACK Ink j ? REC;EIVED City of EaEan Permit ~ ~ ` NOV 0 92010 1 Permit Fee: 00 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: _ 2010 MECHANICAL HAN^~IC~AL PERMIT A~ jPPLICA-TIIN Date: _ Site Address: i l~J l c7` 1 5211 Jt~( C,f I OC LA Tenant: ru-do- Suite RESIDENT / OWNER Name: Phone: ~ f Address / City / Zip: Lk) Name: ~ URNSViLLE HEATING & A/C, INC. License -?l 3 CONTRACTOR BumsVille a way Address: Suite 120 City: Burnsville, MN 55337 ~SZ ~ C4Q G~~ State: ip: Phone: Contact: LL~L Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: ao~o NOTE: Roof mbunted_and ground "mountQ nnechanbcal equipment Is reguired.tu be 4crestled by'City Code. Please contact the Mechanical Inspector for Inforrttation on permitted ocr'+ oning methods, RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace _ New Construction _ Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump Under / Above ground Tank Install Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ 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.gopherstateonecali.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 7E,w(] he case of work which requires a review and approval of plans. it x 6LM 2acjmja~ Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In Air Test Gas Service Test '1646or bleat Flnal Exterior HVAC Screoing Inspection 3830 BUILDING PERMIT To be used for SF DWG/GAR Site Address wz[ usaxttffuulti Lot 2 Block 5 Sec/Sub. Parcel No. CITY OF EAGAN 17723 Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # Est. Value $162 , 000 Date APa 17 19 `?t T2 W Name MITTELSTAEDT BROTHERS Address 785 SUNSET DR City EAGAN Phone 456-9125 i F Name SAM Address City Phone Name e.1.i-, I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee A Building Permit is issued to: MITTELSTAEDT BROTHERS 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 H-1 FEES Zoning V -N 857.00 (Actual) Const Bldg. Permit (Allowable) V -N Surcharge 81.00 # of Stories Length Plan Review 557.00 Depth SAC, City 100.00 S.F. Total SAC, MCWCC 600.00 S.F. Footprints 625.00 On Site Sewage Water Conn On Site Well Water Meter 90.00 MWCC System XX Acct. Deposit 30.00 City Water 30.00 PRV Required S/W Permit Booster Pump - S/W Surcharge 050 Treatment PI 252.00 APPROVALS Road Unit 555.00 Planner il C Park Ded. ounc Bldg. Off. Copies 3.577.50 Variance TOTAL Permit No. Permit Holder Date Telephone # .WATER ? M-fl.l? A 7/% O SEWER PLUMBING Q / C! O H.V.A.C. ?.53 &tA 5/0 U 4 ELECTRIC ??p "' / v dta Inspection Date Insp. Comments Footings I Y? 7? L V/ Foundation Z [' cs Framing Roofing Rough Plbg. -?3- Rough Htg. << J ((? Isul. Fireplace Final Htg. Final PIN - Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Zl' ' a Q le- Deck Ftg. Deck Final ?J Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: ` Date Issued: ` SITE ADDRESS: i : ?tI n? t APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: A'. L 1 N! 41NI Y INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR- I? permit No. Permit Holder Date Telephone i 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 O L FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, NIN 55122-1897 METER # 371,2LC e??-ST a D?- CHIP # METER SIZE ISSUE DATE - I PERMIT DATE 04(17190 WATER PERMIT # 11335 B.P. RECEIPT # G 7293 B.P. RECEIPT DATE?"- 117 90 - PRV - BOOSTER PUMP SITE ADDRESS ?U t a= ,; L ZI4i - LOT 'X'- BLOCK ?- SEC/SUB -42 z "51 .e /S A l-? Er 1.?lt fX, APPLICANT: 11' 1 J 169, e, 74 ADDRESS:-'-/'I 5 5Uti-5Z-7_ 1Jil. CITY, STATE f .r?l ZIP _: PHONE: L a PLUMBER: Z "/. i nA /.9L A .+e ... j . ,? c- x..1 cold rrZ, JrL ADDRESS: 14'? 3 71 CITY, STATE L A?r ii j z E ?tl `%• ZIP PHONE: !!i 3 3 -3 ''2 PERMIT REQUESTED ?`SEWER ? WATER -TAPS COMM/IND RESIDENTIAL X/ NEW - EXISTING I AGREE TO COMPLY WITH CITY OF EAgAN ORDINANCES: SIGNATURE WHEN METER ISSU OWNER: ADDRESS: CITY, STATE ZIP PHONE: CITY OF EAGAN N0 17 7 2 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551 1 I a q 3 BUILDING PERMIT PHONE: 454-8100 Receipt # To be used for SF DWG/GAR Est. Value $162,000 Date APR 17 , 19-5W Site Address 4022 DEERWOOD TR Lot 2 Block 3 Sec/Sub. ENGSTROM' S Parcel No. _ W Name MITTELSTAEDT BROTHERS 3 Address 785 SUNSET DR City EAGAN Phone 456-9125 =o Name SAME OU < Address ?-` City Phone O W Nam- ES Address' ew City - Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee OFFICE USE ONLY Occupancy R-3 MM1 FEES Zoning R-1 (Actual) Const VN Bldg. Permit 857.00 (Allowable) Surcharge 81.00 # of Stories Length 55' Plan Review 557.00 Depth 4' SAC, City 10D . DO S.F. Total SAC, MCWCC 6DD - DO S.F. Footprints On Site Sewage Water Conn 62 5 - DO On Site Well Water Meter 90. DO MWCC System XX Acct. Deposit 30.00 City Water PRV Required S/W Permit 30 - DO Booster Pump S/W Surcharge -----.do Treatment PI --252--120 APPROVALS Road Unit 355-00 A Building Permit is issued to: MITTELSTAEDT BROTHERS 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 Variance TOTAL 3 , 57 7.50 Building Official Tertifiro#r of Mrruvanry citp of Cagan lorpar 11tMt of Wahto jICt1wpfttvn 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. Use Clatsifi..§"y DWGIGAR Bldg. lbmrit No. 17723 Occupancy Type R-3/M1 Zoning District R I Type Cont. VN Owner of Buildin==.f r 5?11?)fiILS Address 785 SO M DR' , EWAN B ddres r Locality 'S DEMM JOIE 20f 1990 ??/` ? <? • Date: Bwlding POST IN A CONSPICUOUS PLACE Owner Contractor 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: ! A /B 0 Description of Work: _ Construct new fireplace -Gas -Masonry Alterations to existing _ Install ¢as insert only / Install gas line only Other ?c_ l?• . Job address: Lot: Block:- Subdivision/P.I.D. #: -trY EI-P Y rJbod Applicant (circle one only): PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER 60-5" Permit Fee: 560.50 Name: 15C 1-110 t4 Gazes, Phone #: (/oS I - ?I ? ?(_ b(og 3 Last First Street Address: '/ y 2-Z .EEfLUs&o D ?. City e5;?67q?j State: M A/ Zip: Company: Phone #: (a/2 S`dT S 32 g (area code) Street Address: ?a City 17-q&O 91(42017-)k 3?6_ Iv `rkA State: Company; Street City State: Zip: SJ?oS Phone #: (area code) Zip: 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 S?Ci of Eag rdin ces. Signature RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ???3 t l 2 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 New Construction Requirements RemodellReoair Requirements • 3 registered site surveys showing sq. d. of lot, sq. ft. of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for healed 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 Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (brigs with 3 or less units) DATE 1"16 ' 6cr VALUATION 77{6 SITE ADDRESS y 0`x-2- b,egr W004 Tr MULTI-FAMILY BLDG _Y _.N TYPE OF WORKTi?ot? a ? ?o1 ear j?aJ4,-d ons 4? FIREPLACE(S) _ 0 _ I _ 2 APPLICANT 3ELAROOFING&REMODELING, INC 4100 EXCELSIOR BLVD. CITY STATE ZIP STREET ADDRESS fiT if OLA9AA}iI!L MN 66416 TELEPHONE # ID#OOOL PHONE # FAX # ?Vj -a 9 F5 - -W-G % PROPERTYOWNER aV''eCf (.t' d21 TELEPHONE#T6? 5S7-I3I3 Energy Code Category (J submission type) COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY MINNESOTA RULES 7670 CATEGORY I. bIINNFS0'I'A RU'L1:S 7672 • Residential ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___ Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant _ ,-Fou OFFICE USE ONLY Water Softener Water Heater No. or Baths Air Condilionin- EICaL Recovcry Sysicm • New Energy Code Worksheet Submitted Phone # Lawn Sprinkler No. of R.I. Baths Phone It Fee: $90.00 Fee: $70.00 IS Il 11? !`r' ?r?'i I SEP 1 0 7002 Ii ct, and agree to comply Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 3 PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612)681.4675 cK-4g4 5 PERMIT TYPE: BUILDING Permit Number: 0 2 6 6 3 8 Date issued: 10 / 2 6 / 9 5 SITE ADDRESS: 4022 DEERWOOD TR LOT: 2 BLOCK: 3 ENGSTROM'S DEERWOOD P.I.N.: 10-23900--020-03 DESCRIPTION: (GAS LINE Bu'ildanjl,Permit 'Type Building Work Type 1 - i 3 S? i ONLY) FIREPLACE ALTERATION REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50. Total Fee $25.50 CONTRACTOR: - Applicant -- OWNER: BURNSVILLE HEATING 189AO005 TSCHIDA SANDY 12481 RHODE ISLAND AVE S 4022 DEERWOOD TR SAVAGE MN 55378 EAGAN MN 55123 (612) 894-0005 (612)454-0633 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 B SI TUR ?? CITY OF EAGAN " 3830 PILOT KNOB RD - 65122 1896 FIREPLACE PERMIT APPLICATION 681-4676 DATE: ,Ci'cQ??GJ DESCRIPTION OF WORK: _ INSTALL NEW FIREPLACE: _ WOOD BURNING - INSTALL GAS LOG ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: 4A q(460 GAS AREA TO BE INSTALLED IN: reS 1G?P lY STREET ADDRESS: 4OZ2- beeeuxn( Z?AV-Q, LOT ?L BLOCK SUBD./P.I.D. #: J APPLICANT: (circle one only) OWNER CONTRACTO 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. PROPERTY OWNER FIREPLACE INSTALLER Name: TSCh?ca ? n Phone #: UST R Signature: Street Address- "( iVL ?)( . City: State: Uv-,\ Zip: (E-L 'c??S Company: Signature: Street Address: Phone #: License #• City: GAS LINE Company: ?? Phone #4 '? INSTALLER Name: Signat Street City: r GOe State.\ - Zip: 2) 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 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. NO 1 2 REM To Be Used For: S&L. FiQGIL`r Valuation: Date: y11 '/$O Site Address ?/U?7eZ ,[)EF/LeuG IO Lot Block Parcel/Sub Owner Address City/Zip Code OFFICE USE ONLY 16,2,000' Occupancy 2-3 M-1 Zoning Actual Const ?/- Allowable V-N # of stories Length Depth 48 S.F. Total Footprint S.F. Phone Contractor Address -/15 (341A.6 AZ- City/Zip Code _9.4&,O?W 01-2 3 Phone 'I'Vy % P !5 Arch./Engr. Address City/Zip Code On site sewage_ On site well _ MWCC System City water PRV Booster Pump APPROVALS Planner Council Bldg. Off. ¢/I to Variance FEES Bldg. Permit 857,00 Surcharge a 160 Plan Review 5?00 SAC, City 100,00 SAC, MWCC 000,00 Water Conn ?Z5,00 Water Meter 90.00 Acct. Deposit 30,W S/W Permit 30,0.E S/W Surcharge SD Treatment Pl. $S'f%J3 Road Unit S-5,100 Park Ded. Copies SUBTOTAL Penalty TOTAL ? A/ Phone # ?. CtAR A Cx? 11? X 2 0 . Z Zz,? 1?uz2? y,a 63? x ?? 0 191LIC 42xzs 766 /y('? 2 I z? Zoe Il X ?? y Y ??z = Cud IS7 F?ou(Z 13S ?hT = 12 a/ ? Joxl'?2= JS 13zsysl Z a r) FL-Lx:WL ! r %y; Y' yZ = 588 I??CaG'lz= y5o 1106 ?5?? j61??? DATE 7. /9V EXTERIOR ENVELOPE AVERAGE 'full COMPUTATION OWNER _N9 8crrrgtjY q_ Y ?9J a S niZ? SITE ADDRESS ?Qa ( F/lWtW,( / AiL CONTRACTOR TT F 1 ?T R F !?i R,A /Y--, ('OA./ S 7 _ 10j6 ADDRESS_7 r/, 4?- I vL PHONE_ tj 5(0 - 9 a i DETERMINE WORKING SQUARE FOOTAGE OF EA-C11. 1. Total exposed wall area ... '] 1 sq. ft. X .11 ©--? 2. Total roof/ceiling area ... /,/,7-3 sq. ft. x •026 = L ? Ti?J Total exposed wall area above floor = 2'7q-7 a. Total wall window area ......................... j3 Q b. Total door area ................................ 3 q C. Total sliding glass door area .................. L13 d. Total fireplace wall area ...................... t/ R e. Total wall framing area (average 10%) .......... 2,5 5 f. Total net wall area above floor ................ 19112- g. Total rim joist area ........................... 2 40 Total exposed foundation area a I-r h. Total foundation window area ................... - i. Total net foundation area above grade .......... Determine "U" value of each wall segment. . a. 3 3n X hull '3S2- - )11.,,2- b .__ 139 X "U"O'7 (2J.7 C. 7 X buff `i Z- s d. '-/$ X IIDII Uy3y = 2.r e. 2.55 X bull 11 = 28.a f. / 6'4 Z. X "U" 7 q, q 9. 2 ?y X IIDI, o??f l0, h. - X bull i. 4`q X IIDII , o,7u lo, y 3 . ...............................Total If item 03 is the same as, or less than item 111, you have met the intent of SEC 6006 (c)2. -1- Page 2 of 2 Total exposed roof/ceiling area a / q 77 3 J. Teta"kyl#gh"rea ..7d'Iy.Aoof ............... 2G& k. Total roof/ceiling framing area (average 102).. 7 2 1. Total net insulated roof/ceiling area ......... /o 5 in• F2AinjAjG 10 2XiY C,EL„off 20 Determine "U" value for each roof/ceiling segment.L - M 2 a .aLs J. 2 c( 4, g IfU,. ? ' '7.5 k. 72 R "U" .D258 a ?• 9 1. /P S x 'ln" .D21 T a 23,7 4 ..........................................Total a ?. t1,q If total of #4 is the same as, or less than 02, 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 03 and #4 shall not be greater than the sum of items Ill and 02. 1. 2. a 3. + 4. _. .. a -2- 1991 BUI'LD!NG PERMIT APPLI?ATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS CO MME RCIAL 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. To Be Used For: pt=C_ K- Valuation: ? Date: 411(aJ41 Site Address V)22' Lot Block ,VNGS At4u Parcel/Sub T Owner GQ. es FL'-.] `SGr-?i ?OL\ Address 'kOL`2LCn?, ?cil 1 itd City/Zip Code &S-1 ?) L Phone LkSL1-CC(S 3 Ur-r-c c. 433 Ott( Contractor S? L i= Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Occupancy Zoning Actual Const Allowable # of stories Length 31? Depth I?'L S.F. Total Footprint S.F. On site sewage On site well MWCC System City water PRV Booster Pump APPROVALS Planner Council Bldg. Off. t!/DS Variance E 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. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL r- v?-?S agrees that all work shall be done in accordance with (Si- ggAa. re of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. CITY USE ONLY . L oZ B-LRECEIPT #: LlS?L7 SUBD... ???FPC DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN' 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NOL 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 50.00 = (new and refurbished systems) U.G. Sprinkler' home under const. 3.00 = Alterations " to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 2D-? TSCHIOR GREGORY SITE ADDRESS: 4022 DEERWDGD TRAIL ERGRN , 55122 OWNER NAME: H 434-0083 w INSTALLER NAME: NORRI QM P1 [ JURWf2 Co _ (612) 8274033 STREET ADDRESS: 2905 QARRF1 n AVP So MINNEAPOUSI MN 55408 CITY: STATE: ZIP: PHONE #: ( ) ?, 1*11A 1 SURVEYOR'S CERTIFICATE 8T4.7 n`°OO? ej60 8T ?/• BISO 1 11 .- ftoboo b0,c, 04 09 a 1 ° ? S? 91 l j i e PRO / (a?ti? 1 Nm eC 0 ??1? i ?1 • 11 0) N C? 'A ?? rho \ V?11 \ _ .F N No En \ MITTELSTAEDT BROS.CONST. ? ?ECFIVED APR 12 1990 / \pP VT•6O ROBERT ENGSTROM SOMPANIES 8T, 5 ?yl c ?a\ OD AI p ?\ U \?..1f !0 1, \ N s' ? ?t ? eypt / % h /? nn CEP /tom e e 3.? ?- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION & \ SCALE: 1 INCH - 30 FEET PROPOSED GARAGE FLOOR - 8-1, 3 FEET PROPOSED LOWEST FLOOR- 9.11,(p FEET PROPOSED TOP OF BLOCK - g?q 7 FEET WE HEREBY CERTIFY TO M ITTELSTAEDT BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 2 , 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 I ITH DAY OF APR IL 1990, SIGNED: )MES R. HILL, INC. PROPOSED GRADES SHOWN WERE TAKEN FROM THE GRADING PLAN FOR ENGSTROMS DEERNOOD ADDITION PREPARED BY B.R.W, LAST DATED 3- 25 -88. Or m 0? n O nl vi O 0> Y c. M - r 0) 'o M Z 'n O 0 A M C4 L'' /I.Ui \ r YOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 9 612-884-3029 SURVEYOR'S CERTIFICATE ,?RpIL b7<., `QQ`,'OOO? 0j60 874 O?``` e7en ?=0- "0409, 5 t 9 O i 1 OF'OSEO S ? ? ?a1VE`NAY ??\ 51 ? •a6 O )061 MPAK owt'w5 ` N? N ?A N _'199 I' 16 33 b \ / m ?? \ 'w \ c" MITTELSTAEDT BROS.CONST. d"1 ? ) eEN?OF R? K 65 EL04 =g11. `J v, O\ U 1 , ? It 1 • .N7??3877.8 No \ i \ 00T z ?dSRP PE r / s 3 DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION , cJ1 1 N? g?8.9 ?'q0 ? E1 T - ENGINEERING DEPT SCALE: 1 INCH - PROPOSED GARAGE FLOOR = PROPOSED LOWEST FLOOR. _ PROPOSED TOP OF BLOCK s 30 FEET 87q, 3 FEET X71, FEET 879.7 FEET WE HEREBY CERTIFY TO M ITTELSTAEDT BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 2 , 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 I ITH DAY OF APRIL '1990. SIGNED: dMES R. HILL, INC. PROPOSED GRADES SHOWN WERE TARN FROM THE GRADING PLAN FOR ENGSTROMS DEERNOOD BY: ADDITION PREPARED BY B.R.NI., , LAST DATED 3-25-88. C6 J x M M n -n -11 :0 (D co ul0 01 M j"' - O F O N 7 0 Y m O r O Z O rn 0, : ?b D O to m Z M o A M < TOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 James R: Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. 9 BLOOMINGTON, MN. 55431 9 612-884-3029 PERMIT City of Eagan Permit Type:Building Permit Number:EA113319 Date Issued:09/03/2013 Permit Category:ePermit Site Address: 4022 Deerwood Tr Lot:2 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-020 Use: Description: Sub Type:Reroof & Siding 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. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Gregory J Tschida 4022 Deerwood Tr Eagan MN 55122 (612) 845-3075 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121866 Date Issued:04/16/2014 Permit Category:ePermit Site Address: 4022 Deerwood Tr Lot:2 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gregory J Tschida 4022 Deerwood Tr Eagan MN 55122 (612) 845-3075 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162847 Date Issued:07/31/2020 Permit Category:ePermit Site Address: 4002 Deerwood Tr Lot:25 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-250 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey Tste A Sansgaard 4002 Deerwood Tr Eagan MN 55122 Signature Home Services 7373 West 147th St Apple Valley MN 55124 (651) 731-1147 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA173298 Date Issued:11/08/2021 Permit Category:ePermit Site Address: 4022 Deerwood Tr Lot:2 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Gregory J & Sandra Tschida 4022 Deerwood Trl Eagan MN 55122--188 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:Mechanical Permit Number:EA174714 Date Issued:02/15/2022 Permit Category:ePermit Site Address: 4022 Deerwood Tr Lot:2 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-020 Use: Description: Sub Type:Air Exchanger Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Gregory J & Sandra Tschida 4022 Deerwood Trl Eagan MN 55122--188 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature