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4030 Deerwood Tr     öëö    îïù  ÿ þýý  üûïûü     úýý  ðþñ ñ  ô   ø ñäñ   þýö  þýüûúùîý   ûúùöø   ùîý  Þý       ù ô ïý ô  ëýü ã  ÿþ   ù ÿ  ý ä öë ú ó ëøúñ ã  ôîáõùô ßæêê õú  þý ë îèæêäêä  ôïóï ö òñ ùù ÜÛõú ýôü Ýó ãëþëô  ó ëøúññ  øû ý  ìãöññ ãö áäßà ë üúø ë ëì ë ùù ëëé ô   ôùúøëùùüþ éã þý òúé í  ê ùù÷  ôþ ý  ýúþ ý  f ?.---••- CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for SF D Site Address 4030 DEERWOW TR Lot 4 Block 3 Sec/Sub. ENGSTROMS . Parcel No. UEERWOOD W Name MITTELSTABDT BROTHERS CONST c Address 785 SUl ZT DR City EACJW Phone 456-9125 Name Address Phone that I have read this application and state that the and agree to comply with all applicable State of Signature of Permitee A Building Permit is issued to: MITTEILSTAEDT 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 AWO 17546 Receipt # OFFICE USE ONLY Occupancy R-3 M-1 FEES Zoning RR-1 (Actual) Const V-N Bldg. Permit 787.00 ; (Allowable) V R Surcharge 71 •? # of Stories II Length 540 Plan Review 1 511.00 Depth 521 SAC, City 100.00 i S.F.Total SAC, MCWCC §9•O 1 S F. Footprints - On Site Sewage Water Conn 625.00 ! On Site Well Water Meter 29-00 MWCC System 30•00 City Water Acct. Deposit ?•? PRV Required SNV Permit Booster Pump S/W Surcharge • 50 ' 252.00 Treatment PI APPROVALS Road Unit 355.00 ?. Planner Park Dad. Council Bldg. Off, Copies 3,451.50 Variance - TOTAL Permit No. Permit Holder Date Tekphone N WATER / SEWER PLUMBING O H.V.A.C. ti ELECTRIC /YAll ^/.! Inspection Date Insp. Comments Footings 1 _ 0-1 "a Foundation 122 Framing Roofing Rough Plbg. Rough Htg. 31.2 / Isul. p1_2 Fireplace 3 7.I Final Hlg, -all Ye Final Plbg. d3 Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. L4Il Deck Final - Well Pr. Disp. I PERMIT # ` r MECHANICAL PERMIT RECEIPT # CITY OF EAGAN - 3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec[Sub Res New Name °i G Mult Add-on °-' Comm. Repair m Address J - c City Phone '` 1 rE :1 Other FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone 2 5 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES 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 SIGNATURE OF PERMITTEE S/C: TOTAL: FOR: CITY OF EAGAN CONTRACT PRICE Site Address Lot -/,/ Nat C?ty Address City 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 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) PLUMI3IFOU Vr.MMIT For Off Ice Use CITY OF EAGAN PERMIT# 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # 02 4, PHONE DATE: ::? BLDG. TYPE WORK Res. -b? New _? Mult. 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 - Kitchen Sink ink - $3.00 UrinaVBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Jr! ?L Water Heater - $1.50 _,,t 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 J r? PERMIT FEE: _ STATES S/C:{?- GRAND TOTAL: 1/!?. ?? SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 PRV _ BOOSTER PUMP SITE ADDRESS Q LOT BLOCK --L-SEC/SUB APPLICANT: ADDRESS: '7 'S S a<12?v'c` CITY, STATE %?7 ZIP 5s? z 3Z 3 PHONE; PLUMBER: ADDRESS: _La2 -7 CITY, STATE 1040, ej)u-i /rlr?ZIP 5::?yq PHONE: ? 3 -5 3 311 OWNER: ADDRESS:- CITY, STATE PHONE: - OFFICE USE ONLY METER # ?{ 3 7 Co ?a f-5' PERMIT DATE 62 / 2 3 / 90 CHIP # D I -6 D 3 S',' f WATER PERMIT # 11243 METER SIZE ° B.P. RECEIPT # C 6524 ISSUE DATE v B.P. RECEIPT DATE 02/26/ 90 ZIP PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOT] PERMIT REQUESTED SEWER kL WATER _ TAPS COMMAND K RESIDENTIAL X NEW _ EXISTING I AGREE TO COMPLY WITH CITY OF EAGA/IN ORDINANCES: SIGNATURE WHEN METER ISSUED RM SEWER PERMITS, CONTACT WHEN PERMIT IS PROCESSED. -!a_ F 4 74 4/ 6?/? 9a? 0-0 Request Date (? k? ?/\ J N Rough-in Inspection - n R wired? ? Ready No,?XMII Notify Inspector Yes ? No When Ready? I?! licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street Box or Route No.) No. ITownship Name or No. Range No. c- MINNESOTA STATE 130ARD of ELECTRICITY I / 4", -/ rl Grigg"Idway Bldg _ Room 5173 THIS INSPECTION REQUEST WILL NOT 1821 University Ave., St. Paul, MN 55104 BE ACCEPTED BY THE STATE BOARD Phone (612) 642-Moo UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION • ON. See instructions for completing this form on back of yellow copy. 98.00001.07 F 47471 X" Below Work Covered by This Request Furnace A Other Inspection Fee Below. 200 Fee # Cir 0 to 100 Above 1i &F, I, the Electrical Inspector, hereby certify that the above inspection has been made. IFFICE USE ONLY his request void 18 months from 36 ' 21e) BUILDING PERMIT To be used for SF CITY OF EAGAN N2 17546 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 1 Receipt # 0, (OS Q4 Value $142,000 Site Address 4030 DEER OD TR Lot 4 Block 3 Sec/Sub. ENGSTROMS OFFIC E USE ONLY Parcel No. Occupancy R- 3 MM-1 FEES Name MITTF.T.. TAFDT BROTHE r' Zoning RR-1 RS ONST z Address 785 SUNSET DR (Actual) Const V=N Bldg. Permit 787.00 - O City - EA =AN Phone - 456-9125 _ (Allowable) # of Stories VV_N Surcharge 71- 00 o Name SAINF. Length 541 Plan Review 511.00 O?' Address o Depth 52 r SAC, City 100.00 cc - '- City Phon S.F. Total - SAC, MCWCC 600.00 e S.F. Footprints Uu¢i Name On Site Sewage -. Water Conn 625.00 W I z Address 0 On Site Well Water Meter 90.00 0 Mz `u, City Phone MWCC System City Water %X XX Acct. Deposit 30.00 I hereby acknowle e th I h PRV Required S/W Permit 30.00 g at ave read this application and state that the information is correct and agree to comply with all applicable state of Minnesota Statutes and Ci Booster Pump S/W Surcharge . 50 an Ordinances. Signature of Permitee Treatment PI 252.00 V APPROVALS A Building Permit is issued to: MITTELSTAEDT BROTHERS Planner Road Unit 355,00 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Ea an Ordi Council _ Park Dad. g nances. Building Official Bldg. Off. Copies Variance TOTAL 3 451.50 w. v 1 Tutifirstr of (Orrupoury Citp of eagan lopPtl1 of ll LgpPtttJQtt UM9 This Ce?W*ate 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 Classification SF DWG/GAR 17546 > Nrmir war Type Owner of Addrm Addre? , any 4/1/91 n.re: Bu&hm POST IN A CONSPICUOUS PLACE 1190 .49" BUILDING-PERMIT APPLICATION CITY OF EAGAN fl-4 ti (* SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - i STRUCTURAL PLANS (CHECK WITH BLDG DIV.) i SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. FOR SALE UNITS 1 OF UNITS PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. FEB 2 0 RECD To Be Used For: Cjt,L, FruZ-A Valuation: or °O Date: 2 f ?o?Qo Site Address LlL-Ae? 'Nr-E/1,Ag7?A T2.4ic_ Lot L_ Block 3 Parcel/Sub Ne /L'a22d Owner Address City/Zip Code Phone Contractor City/Zip Code J-A& t A.) _6_:Sq 2 o APPROVALS Phone L/ S to ot/ A Planner Council Areh./Engr. Bldg. Off. Variance Address City/Zip Code ??? ? Jour r l?:r: vor Occupancy R-3 M- Zoning -I Actual Const V- N Allowable V-N # of stories Length -53 'i - Depth $2Y3? S.F. Total Footprint S.F. On site sewage On site well MWCC System P"' City water V/ FRV required Bowater P=P tca/zz FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1, Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL 1-5- ? W Phone # DATE ZXTF.RIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER `I 11 F 11 Fi m P ' c SITE ADDRESS t'?D?jO FeL2 w?l Ti?R?? CONTRACTOR ?YItrTE I_? rl?Fair (?n CrA?Sr ?A?? ADDRESS rJq i L. n ?r'r I l rJ i /nfl PHONE lL 5 !e 41 2 5 DETERMINE WORKING SQUARE FOOTAGE OF EACH. 1. Total exposed wall area ... 7.'7j e sq. ft. x .11 ° 72 -+r -, 2. Total roof/ceiling area .... / x-314 sq. ft. x •026 ° Total exposed wall area above floor ° (0`10 a. Total wall window area ......................... b. Total door area ................................ qq C.' Total sliding glass door area .................. X13 d. Total fireplace wall area ...................... c7 e. Total wall framing area (average 10%) .......... Z &q f. Total net wall area above floor ............... 1 7 5 n g. Total rim joist area ........................... 2.3 3 Total exposed foundation area ° Z& h. Total foundation window area ................... '7.,5 i. Total net foundation area above grade h 5c.5 Determine "U" value of each wall segment. a. 3 11 X l'UII , 147,`7 b. 0 X llUll , C)7 ° Z. °7 C. X ?full d. n X (lull e. 2r y X IIUII 29.0 f. 1'7 ,) X null . 0q3 N ° '116" 6 g. 233 X IIUII . 0yy - Icy. 13 h. rJ. 5 X IIUII 5/ ° 3 . i. X 'full i 0 5 Z h. 3 . ...............................Total `` 71, 2 If item 03 is the same as, or less than item 111, you have met the intent of SBC 6006 (02. -1- Page 2 of 2 Total exposed roof/ceiling area s J e 6L/ ?. Total sight area 3717 . k. Total roof/ceiling framing area (average 107.).. 9,5.7 1. Total net insulated roof/ceiling area ......... 1r`/_1. / Determine "U" value for each roof/ceiling segment. J. 'S 7 -7 X "U" D2 tS q. Yf k. X 5. 9 X uUn 02 IF 2, 5 1. 10& 1. 1 X "u,l 021 g = 23, r 4 ....................................... .Total If total of A4 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 #3 and 04 shall not be greater than the sum of items 111 and 02. 1. + 2. 3. + 4. -2- CITY USE ONLY _4 L BL RECEIPT#: DO `? SUBD. S`O?/ 7? RECEIPT DATE:Will PERMIT # 1999 PLUMBING PERMIT (RESID£NTUkQ CITY OF EAGAN 3$30 PILOT KNOB SD EAGAN, MN 551 £S (651)6$1-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet " minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished ' requires MPC lic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ -5 Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existin dwelling 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surcharge .50 > > ----> $ 50 Total ----> $ 30 s-b Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------------- --------- ----- -------------------------------------------------------- I hereby acknowledge that I 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 /a'cctivitiesto the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: / 3V 6,t Q- r &0 0 U ?_ T r A 1 OWNER NAME: Q r ra rN c-e. b 1,_ r?_n TELEPHONE #: ?SI_`moo Ot0 (77 AREA CODE) TELEPHONE #:_ A , - (AREA CODE) INSTALLER NAME: ACG tree) led?? k,,??tt ).. STREETADORESS::) 1 (0'? _0 TO Ili V} U. CITY: y l1 STATE: ZIP: S SIGNATURE OF PERMITTEE 53g? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681-4675 -I S New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. R. of house, and all roofed areas l20% maximum lot coverage allowed) • 2 copies of plan showing bean n,1 window, sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711;93 • Rim Joist Detail Options selection sheet (clogs with 3 or less units) DATE 1 1, I SITE ADDRESS ?j TYPE OF WORK -7 APPLICANT IL STREET ADDRESS TELEPHONE # 11Y RemodedRagair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions I site surveyor exterior additions 3 decks • Indicate if home served by septic system for additions VALUATION ?lamIC 1 MULTI-FAMILY BLDG Y N EPLACE(S) _ 0 _ 1 - 2 7 PHONE # FAX # PROPERTY OWNER TELEPHONE #461-191- ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RI LES 76713 J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ____ Plumbing system includes: Mechanical Contractor: Mechiinical system includes: Sewer/Water Contractor: Phone A) Water Softener _ Lawn c Water Heater No. of No. of Baths Air Conditionin; Heat RecoycrN System Phone # 'Feel n (7 1 100? Fee- 870.00 ----------------------------------------------------------------------------------------------------°------------------° I hereby acknowledge that I have read this application, state that the information is correct, Za" ee tcomply with all applicable State of Minnesota Statutes and City of Eaga dinance . Signature of Appllca OFFICE USE ONLY Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ updated 4102 -40960 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 Remodel/Reaair Requirements 6" use 6dlV 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copes of plan Ced of Survey Recd X ?IY (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Ares PlilAaFd X ._t' 2 copes of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres R jwred Y .,„I l set of Energy Calculations Addition - indicate it on-ske septic system Q'"oa 3epGe ystem W 7 _N 3 copies of Tree Preservation Plan if lot platted after VIM Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date t?j IS;;-- / 6J S Construction Cost 13? Site Address / 36 -,1 Unit/Ste # Description of Work Multi-Family Bldg - Y - N Fireplace(s) _ 0 - 1 - 2 Property Owner M'sNC,rn'r Telephone#((05() (SDI - 0?"J Contractor Address State RENEWAL BY ANDERSEN 1920 COUNTY RD. "Crr W. ROSEVILLE, MN 55113 651-264-4777 LICENSE #20130983 City - Telephone # ( 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 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planB - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( 1 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 permit that the work will be in accordance with the approvAdn Applicant's Printed Name for a permit, and work is not to start without a app al of plans. in the case of work which requires a review and r L Signature ?u? ?L005 D vvl vdl d./•/? tILU 86_JV fjfd. {p'} .01j. •gi?0 "+4[[tl,al1 69y wiUL4W[Yi r? aI June 7 2tT41 City OfEagm 3836 Pilot &roii Road Eagan, MN 55122 To Whom It may Concern: Elder Ions is authorized to ptO building permits forReaetwai by Anderset,_ pie=* allow SIdcr Zones to Provide this service for us in Eagan. This date beyond 616101: watiI a ion cwal by endtorizetion is valid far any to the City Andersen 04y revokes it in writiag _ I request this autIiozization be accepted-expeditiously. our building p--=its an as to not delay in the processing of contacted at 763-5o2-4t& Eicasc can me If them am nay question:. I can be r Your imm9diato attention to $tls matter is etfm 6- arm- , Siuoeiely> 0 n 12ettewal by Anderson Corporation C'r.: KKern-Fides ]nee cox n. ?? uy ?ot¢ r'y?ya.n,z? Received Time Jun. 1. 1'0IPM- WOU O 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 -05 yo. 06 New Construction Reeuirements RemodelfRe air ReQuireme?nts Office Use OnTu 3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced of SuNey Recd _ Y W (2D% maximum lot coverage aflowed) 1 set of Energy Calculations for heated additions N b TreeFreeiPlan Recd Y 2 copies of plan showing beam & window sizes; poured found design, etc, 1 site survey for additions & decks N D Tree Pres Ftecuit d Y N 1 set of Energy Calculations Additn - indicate if on-site septic system Cn-sde septieSybiem _ Y .,,._N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date ); -A_ / I / Q? S Construction Cost 35? o00 , p 0 Site Address y a -3 O e P r t T \ Unit/Ste # Description of Work C ? T r. Kr mc? c, ?? Multi-Family Bldg _ Y Z N Fireplace(s) _ 0 1 _ 2 ?XiS?i m Property Owner t y \? \ V Sc hm %TT Telephone #(t,51) 10$\ - $5O3 Contractor FN o ac? C o w T v e7\ s o t? Address a S 'l $ l? Qv e r v ?- E o ST City ?Ae ,-T 1. sT. pn_. State MW Zip 5 S \ O 9 Telephone # ( LSl ) --1-1 `1 - d a O 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 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 approval of plans. J Applicant's Printed Name Applica 's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg "`? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex, ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ,or 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant Valuation 1..? Occupancy MCES System Plan Review 00 °k or 25% ? ? d Census Code ?l .?'7 T Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const 10 S Width Footings (new bldg) Footings (deck) Footings (addition) Foundation _ Drain Tile Roof Ice&Water Final Framing Fireplace R.I. V Air Test Final Insulation -h REQUIRED INSPECTIONS _ Final/C.O. Final/No C.O. _ Plumbing HVAC Other Pool _ Figs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Cit SAC [Ig?FyL ! y Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total j?_aIS 20o6 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 0Sd.5o Date /O 1 n 6 Site Street Address ti/O C) ojaoD Unit # Property Owner Telephone # ( ) Contractor k)1Wa-)1&/ Telephone# (4 /7 Address ?ff s17lW/C/7r Ci - City State A,1 1V Zip The Applicant is: _ Owner Contractor -Other Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Al (plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section, move to the next section and check the appliance(s) you are installing. ` i S r _ 77 - eptic System Abandonment 41 ` ?„ -Water Turnaround (add $130.00 if a 5/8" meter is required) Ji + -Other: MFV K ?A? kY¢S W1nn 1A5 ? ne s--- 1 ti . 1 Water Softener _ Water Heater $ 15.00 _ new replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $? I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed Name Applicant's Signature SURVEYOR'S`CERTIFICATE -v N \ se,I y e0,. e4o"V,. ay?.? n Q, 1 QQ-Q-?? a a ,yM ,s ? o ?o lry . do I 1° l°\ 6 ... ?, 9' I BPI r /9-?' x. p or r or ,,. ?p oE???6 R 33 \ \ \ oQa ,yo- ' T3 ' 3° 3B ? 111. ll •l. 19 \v a\ MITTELSTAEDT BROS.CONST. c" iJ / d' o ` k P Aa o b? \ / ?\ 3 ,s S o d \ e. w= V SQL SQ?? \ F \ o \ ??v ?Fysq,'Ja Rif F"1f ?'F \ R7 / ?y?•.o G?, 5 1 .. oar T AAA t 3 43 O W ?Y l" NG DEL'I' EAGAN ENGINEERI ?o C l DENOTES PROPOSED SURFACE DRAINAGE ??' 1? 1 O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR AR(o.3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 879.4 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 886,7 FEET WE HEREBY CERTIFY TO MITTELSTAEDT BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 4, 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 19TH DAY OF FEBRUARY , 1990 VR0P05ED GRKL:ES 310W" WtQE TAKEN FP"A 111E OEVELAPMEUI"PLAM FOR F.Rb SCROhIS DEERWOOD ADD1T10N pREFAfcED By BRW, WC. AUD LAST DFTEO 6-29-88. SIGNED: ES R. HILL, INC. ' BY: r 49wc? JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 In a: -v 00 vZ n m -? ? o o I z o M O OD Z -4 > z 1 _ M p ?1 m O < James R. Hill, inc. PLANNERS / ENGINEERS I SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 - - - - - - - - - - - For Office Use • t Permit*: Mi of Ii(t I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Staff-, Fax: (651) 675-5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: J II IC)'? Site Address: 430 ~LCJCX.~c °TrGI f Tenant: M i ~C JUlm Suite RESIDENT I OWNER Name: M I K.tr ' j ~-Yl l'Yl1 Phone: 6n5J- 691-g 503 Address 1 City / Zip: '4O C) Dee 1.t-W&66 Applicant is: Owner Contractor TYPE OF WORK Description of work: Demo OR deLK u I& - € 5 ( S t&) ii tz Construction Cost Multi-Family Building: (Yes /No CONTRACTOR Name: ROSSh (I)Y1` CfiM f ay~ License* 1-355 Address: a5 7TV e £ ° City: I` J State: I~/W Zip: S6 I 1 Phone: (051- 7 -'OHO Contact Person: ~I`~'~ ? yj'b If)LS COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted I submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? _,-_Yes _No If yes, date and address of master plan: Licensed Plumber. Phone: Mechanical Contractor Phone: Sewer & Water Contractor Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 it; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 2e h IBS x Applicant's Printed Namef D ©I V 7 P tore ! ~1 D Page 1 of 3 JUL 1. 7 2009 1T0 Lb Cc~ -T(1- DO NOT WRITE BELOW THIS LINE 9 SUB TYPES Foundation Fireplace _ Porch (3-Season) ` Storm Damage Single Family _ Garage - Porch (4-Season) Exterior Alteration (Single Family) Multi - Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of , Plex Y Lower Level _ Pool - Miscellaneous Accessory Building WORK TYPES Now _ Interior improvement `aiding =Demolish Building; Move Building Reroof Demolish Interior Alteration - Fire Repair _ Windows - Demolish Foundation Replace - Repair Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation - Occupancy L GR G - MCES System Plan Review Code Edition SAC Units (25%„x,1000% Zoning P f~ City Water Census Code 1 Stories Booster Pump # of Units Square Feet °o& les" PRV # of Buildings Length 0' Fire Sprinklers Type of Construction Width 7 = G REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: _Ice & Water Final - Pool: _Footings Air/Gas Tests Final Framing Siding: -Stucco Lath __Pone Lath _Brick Fireplace: -Rough In Air Test Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES / 3,1 D l C' 3 000 Q" / , G' Base Fee Surcharge 'ga SP~atSS w 3 - Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ®gd SURVEYOR'S CERTIFICATE MITTELSTAEDT BROS.CONST. asp' EAGAN REVIEWED PP T: Tlr: 2~ $'nONS DIVISION 111 n ~ \ Ir t3, CD .0 30 Beall. CO~O Pik, > QoS~ ~D'~ • N o~ ~ ~ G \Fj c'9 1 ~ \ J~~ \ s`S SFfjgC~` ` ~7 I Ss~ FyTA GT e City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4030 Deerwood Tr Lot: 004 Block: 003 Addition: Engstroms Deerwood PID:10- 23900 - 040 -03 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 2,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $2K Surcharge - Based on Valuation $2K - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk Elder -Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6040 Total: $70.00 Owner: Michael A Schmitt 4030 Deerwood Tr Eagan MN 55122 $69.00 0801.4085 $1.00 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature Building EA074954 08/31/2006 ePermit           û  ÿþ þýý   üûùüû     úýý øÿþð ò ÿ  ô   åò   þýö  ýüûúùø      ö    ø    ä  ýÙ ä  úùø äüëü ý öüôû õ ô öüôû  ýÙ úù   ý åóüùõò ü  í þäöá åòòò  ôï à ýÞ÷  èìæìòæá ôú  ýü   ÿ ïê èìåìå éüþâì  ó ò ö ñð øø úùÚ øø ä  ý ô åóüùõò ò ú ü  í äöá ÿäö àåßòòò  ûù ÿ   í    øø    ë ô  ÿ ôøù øøû ý  ëä ýü óùë ÿî  ì øø÷ ô ýÿü  ü ùýÿü PERMIT City of Eagan Permit Type:Building Permit Number:EA106830 Date Issued:09/12/2012 Permit Category:ePermit Site Address: 4030 Deerwood Tr Lot:4 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-040 Use: Description: Sub Type:e-Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Tim Schenk Elder-Jones Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Michael A Schmitt 4030 Deerwood Tr Eagan MN 55122 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121864 Date Issued:04/16/2014 Permit Category:ePermit Site Address: 4030 Deerwood Tr Lot:4 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-040 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 . William Krech Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael A Schmitt 4030 Deerwood Tr Eagan MN 55122 (651) 895-7163 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:Plumbing Permit Number:EA142833 Date Issued:05/22/2017 Permit Category:ePermit Site Address: 4030 Deerwood Tr Lot:4 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael A Schmitt 4030 Deerwood Tr Eagan MN 55122 Dakota Water Treatment 17484 Goodland Path Lakeville MN 55044 (952) 953-4643 Applicant/Permitee: Signature Issued By: Signature r r L eCt' For Office Use V I I' 1 % : i Permit#: E AG N Permit Fee: Date Received: V/-/6 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ECEIVE (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspectionsfacitvofeaaan.com DEC 17 2018 2018 RESIDENTIAL BUI ING PERMI APPLICATION Date:1a I `4 I I C. Site Address: \OO iI 2 c U)OOC U I Os l I Unit#: Name: 1.J1 �f\ \' c\ Phone:vb\ rg"1T -41`0. Resident/ �J lI\ Owner Address/City/Zip: (L10�0 �QQ.`(l)0(A_ 171 C Co V\IM N 70` Applicant is: Owner /\ Contractor p D S-/-/2n z5/d' /01 ) T of Work Description of work: k--01a�C o0 1 --ve_f y-)Q c\ \ ypeConstruction Cost: I CV • CO Multi-Family Building:(Yes /No ) Company O€ )C),C\' 1 Co Clea C u C�\O fl Contact:1 `) \ \--I I U� Contractor Address:a. 11. \ City:l,)ocdh 5* (x State IV Zips ):_)\CP\ Phone. b\41-cI 0320 Email:-)W • (aq") \ ICO 000 License#2C(--)0 Lead Certificate#: NI 1 \ _ 1 w lfav If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting its that you submit are considered to be public information. Portions of the Min iney . classified as non-public if you provide specific reasons that would penult the City to conchal&that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.00pherstateonecall.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 plans. Applicant's Printed NIaYp Applicant's Signature �/ J o0 i 2 FzWood 1 . / .. --,-/ DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* 4 . Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace — Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION 4, Valuation WOO Occupancy T/PLG-/ MCES System Plan Review / Code Edition /0/9 SAC Units -- (25%_100% ✓) Zoning P? City Water Census Code 'V 311 Stories / Booster Pump #of Units / Square Feet ii Q' PRV #of Buildings / Length V-4 N Fire Suppression Required ". Type of Construction Width /3' -9" REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required ' Footings(Addition) Final/No C.O. Required Foundation Foundation Before Backfill ,e,' HVAC_Gas Service Test Gas Line Air Test Hood Roof:_Iced Water _Final Pool:_Footings Air/Gas Tests _Final Framing i# 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES �i, j,� if 74 / 3 G y t Base Fee 1O 3 Surcharge Plan Review G7 " MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 r For Office Use : :: / � IE C, . Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff. buildinoinsoectionsekitvofeaoan.com , 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: - / et Site Address: 0 3 O i,.00 e/ Tri, /' F, s t Tenant /G t- Suite#: Resident/Owner ! Name: (C\y LM i it Phone: Address/City/Zip: 4030 afWtx)C0 T I Name: Woch e c,, .- r l License#: Contractor Address: / 4 $ 4/ / 5 7`., n .di J` City: 5 f State: /4 /V Zip: 5- / O Phone: 66-1 -- 7 7 3 l 3 e g Contact o//t/c�a✓ Email: 7." 0,i7 F A (/© r� . c 4-'') Type of Work —New _Replacement _Repair _Rebuild Modify Space _Work in R.O.W. Description of work: gip /o e,1r ) & h4 h/e, :h / Let,/r / Water Heater Lawn Irrigation L RPZ/_PVB) Water Softener Description Add Plumbing Fixtures L—Main/_Lower Level) Septic System Description: New Connection to City Water from Well Abandonment RESIDENTIAL FEES $60.00 Water Heater,Water Softener,or Water Heater and Softener(indudes State Surcharge) $60.00 Lawn Irrigation (indudes State Surcharge) $60.00 New fixtures, adding or removing piping(indudes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential(fee collected with Building Permit) $115.00 New Septic System (indudes County fee and State Surcharge) $60.00 Connecting to City Water from Weir+$290 for Meter and$190 for Radio Read=$540 *Sewer&Water Permit also required for connection charges 1 TOTAL FEES$ 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. www.aooherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan.com/subscribe. 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 -r ,v1 F sct--P-69/Lee. rat- Applicant's Printed Name Applicant's Signature Page 1 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA179607 Date Issued:10/12/2022 Permit Category:ePermit Site Address: 4030 Deerwood Tr Lot:4 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-040 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael A & Kay G Schmitt 4030 Deerwood Trl Eagan MN 55122--188 (651) 895-7163 Solaris Roofing Llc 1324 Forest Cir Burnsville MN 55306 (651) 675-8486 Applicant/Permitee: Signature Issued By: Signature