4033 Deerwood TrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4033 Deerwood Tr
Lot: 9 Block: 1 Addition: Engstroms Deerwood
PID:10- 23900 - 090 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Harmony Homes
3158 Viking Blvd NE
Wyoming MN 55092
(763) 413 -1100
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Owner:
R Mario Vai
4033 Deerwood Tr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA078384
06/19/2007
ePermit
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.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4033 Deerwood Tr
Lot: 9 Block: 1 Addition: Engstroms Deerwood
PID:10- 23900 - 090 -01
Use:
Description:
Sub Type: e - Furnace
Work Type: Replace
Description: Furnace
Comments: Expired Perm
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
952- 445 -2840
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Closed w/o Required Inspections. Letter sent. 12/10/2008 pf
- Applicant -
Owner:
R Mario Vai
4033 Deerwood Tr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA081581
01/02/2008
ePermit
cal Inspector,
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
h all applicable State
M
CITY OF EAGAN A0 7793
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for SP DWG/G" Est. Value $163,000
Site Address %V33 ut;Et<cWUUD
Lot 9 Block 1 Sec/Sub.
W Name ...
Address XYIAM SO
0
City MP Phone
o Name SAHR
;s Address
W W Name
Address
a W 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 _ !? 1
WZSIAY CONSTRUCTION
in accordance with all
Receipt #
Date MAY 2 19 90
OFFICE USE ONLY
Occupancy R-3• m-1 FEES
R-1
Zoning vn f ??•
(Actual) Const Bldg. Permit
(Allowable) Ift
Surcharge dl •
# of Stories 559.
Length 601 Plan Review
Depth 422- SAC, City 100.
S.F. Total SAC, MCWCC 600.
S.F. Footprints 625.
On Site Sewage Water Conn
On Site Well Water Meter 90.
MWCC System Xx 30.
City Water Acct. Deposit
30.
PRV Required S/W Permit
Booster Pump S/W Surcharge S
252.
Treatment Pl
APPROVALS Road Unit 355.
Planner
Council Park Ded.
Bldg, Off. -
Copies 3 83
Variance TOTAL
Permit No. Permit Holder Date Telephone #
WATER Q 7
SEWER
PLUMBING /5 td/
r, 355
H.V.A.C.
p
ELECTRIC
Inspection Date Insp. Comments
Footings t
Foundation
Framing
Roofing
Rough Plbg. -
Rough Hlg. rr fb 0
Isul. Tes
Fireplace 24 A;2 l5 c,u v v-T rtvw ca-,m - Alplb
Final Htg. - ICJ `0
Final Plbg.
Consl. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
m
-
MECHANICAL PERMIT PERMIT #
RECEIPT # l ?'1'
x?. CITY OF EAGAN
3830 PILO T KNOB ROAD, EAGAN, MN 55122 DATE:
:ONTRACT PRIC E: ,---PHON. 454-8100 For Office Use Only:
cite Address
of B
lock Sec/Sub ' it '0
BLDG. TYPE
WORK DESCRIPTION
1
'
Res. 1
New
; Mult Add-on
Name v
r•, r y, Comm. Repair
o Address
4(7 , Other
c City ? ,- "
Phone
Name
c Addre
p City_,
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater
Air Cond. M BTU
M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE:
S/C:
TOTAL
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
CITY OF EAGAN PERMIT # _
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#
PRICE PHONE 454.8100 DATE: C
Ir'l
m
City r' -I( Phone
Address
City F
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)
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
4 Water Closet - $3.00 $ ) C J
Bath Tubs - $3.00 ,j :2,.,
Lavatory - $3.00
Shower - $3.00 .
'
Kitchen Sink - $3.00 O
Urinal/Bidet - $3.00
_T
d
00
9
Laun
ry Tray - $3. 3 . 4
0
Floor Drains - $1.50 i. -
Water Heater - $1.50 i .
-T Whirlpool - $3.00 j 0,2
Gas Piping Outlets - $1.50 -
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
5
U. G. Sprinkler System - $12.00
PERMIT FEE:
CITY OF EAGAN
STATES SIC:
GRAND TOTAL: ?? 7
INSPE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
` (612) 681-4675
SITE ADDRESS:
10 ia+
F1?i"? t lst?M:tit i. I?llt?t,Ill
PERMIT SUBTYPE:
, I . ., o(j11 - I N
TYPE OF WORK:
F I NAt
N 9i66
04 /18/97
MLAML ONNUMENIaNEL
ON
PERMIT TYPE:
Permit Number:
Date Issued:
" 0140 ' APPLICANT:
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 ?4/4?
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
•I r19' 1?? i ntlrr?ll?
PERMIT SUBTYPE:
4 fit o i . h , APPLICANT:
i r. I ? a1s 1 ?4 ?
TYPE OF WORK:
-VA11i0N
INSPECTION TYPE
i! DATE INSPTR. •
?F
.ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
1111 ft I+1Nh
02114
Ofi/141!`?s
Permit No. Permit Holder Date Telephone R
5NV
PLUMBING
HVAC
ELECTRIC
3 r'
(?
ELECTRIC
Inspection Date Insp. Comments
Footings I
Av
-
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg. d r:???7 / /Lu
Isul. l GT ?, 2
Fireplace
D? /?/5 SG iJ+r S
Final Hg. ` G' o C ? s? /L - /.tS
Orsat Test 1! 3
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
r .lea
Deck Fig.
Deck Final
" T- L/ L C MOB
Well
N ?.r
Pr. Disp.
0
0
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
/OFFICE USE ONLY
METER # % 4 S PERMIT DATE 0 5 /07 / 9i.
CHIP # to -574 0 WATER PERMIT #I 13 70
METER SIZE S Stf B.P. RECEIPT # r 7577
ISSUE DATE U B.P. RECEIPT DATLO 5 `03 90
SITE ADDRESS/ oo ??
LOT ?BLOCK -/--SEC/SUB
I
APPLICANT: !
ADDRESS: /Cj Xs?l v J ms's=.
CITY, STATE
.y?, ?T _ ZIP `4 'r
PHONE: i S c?„ f 1
BER: e-1/-e-et
ESS: 7 SU jC/J G i / RTf)GE VR
STATE ZIP. i
IE = G?Su
, STATE
DEPT.
_ PRV -BOOSTER PUMP
PERMIT REQUESTED
X SEWER WATER _ TAPS
COMM/IND RESIDENTIAL
X NEW
EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN Ol3DINANCES:
SIGNATURE WHEN METER ISSUED
ZIP
3 DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
IT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER
SITE ADDRESS L-0 oc 1 NGS1?NtS
CONTRACTOR k 5 y ??*J_l ' DATE !!?ZG PHONE
e u z n /?
.j
Determine working square footage of each.
1. Total exposed wale area ..... .057 sq. ft. x ,ii
2. Total roof/ceiling area ...... 0 sq. ft. x o76
Total exposed wall area above floor =4
a. Total wall window area ........................... 1,29,5 6
b. Total door area .................... ^ SS,S
c. Total sliding glass door area ................... /os
d. Total fireplace wall area....... ............ ?O
e. Total wall framing area (average 10%)............ .1) ?/F)
f. Total net wall area above floor ................. /?2/
g. Total rim joist area ............................ ,2;2 2
Total exposed foundation area = 154
h. Total foundation window area...... .............
i. Toal net foundation area above grade ............
Determine "U" value of each wall segment.
a. X flute = 63
C. /OS X ..U.. uq = ?5/. u5
d. _;?_ O X bull 7,,Z
e. X "U"
f. X Stull El
g. .2 z X ,.u„ 6, Ef,
h. _ X "u"
i . /SO X "u" '/3 = Z,
_
3 ...................................... Total 5 ?. 7 l
If item #3 is the same as, or less than item 11, you have met the intent
of S8C 6006(c)2.
CITY OF EAGAN nJo 17793
3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121
BUILDING PERMIT ' PHONE: 454-81 00 R `/ n , 7T-7-7
eceipt # _
To be used for SF DWG/GAR Est. Value $163,000 Date MAY 2 19-2-0-
Site Address 4033 DEERWOOD TRAIL
Lot 9 Block 1 Sec/Sub. ENGSTROM' S OFFICE USE ONLY
Parcel No. DEERWOOD Occupancy R-3, M-1 FE ES
LIJ
Name WESLEY CONSTRUCTION Zoning
(Act
al
C
t R-1
VII
$ 860.00
I Address 9401 XYLON SO 55438 u
)
ons
(Allowable) _
Vn Bldg. Permit 81
50
- Surchar
e .
city
MPLS 452-0587 Phone # of Stories g 559.00
o
SAME
N Length 6W Plan Review
ame De
th 4Z 100
00
f v p SAC, City .
00 Address S
F
Total
¢ .
.
SAC
MCWCC 600.00
~ City Phone S.F. Footprints ,
?¢ On Site Sewage Water Conn 625.00
oW
w Name O
Sit
ll
W 90
w
Add
n
e
e
Water Meter .00
Q ress MWCC System XX
30.00
<W city Phone City Water XX Acct. Deposit
PRV Required S/W Permit 30.00
1 hereby acknowlege that I have read this application and state that the
i
f
i
i Booster Pump S 0
n
ormat
on
s correct and agre to comply with all applicable State of SiW Surcharge
Minnesota Statutes and City of ga
ce
s.. Treatment PI 252.00
?
_
Signature of Permitee APPROVALS
Road Unit 355.00
A Building Permit is issued to: WESLEY CONSTRUCTION Planner
on the express condition that all work shall be done in accordance with all
Council Park Ded.
applicable State of Minneso tatutes and City of agan Ordinances. Bldg. Off. Copies
Building Official .? Variance TOTAL $3, 583.00
I V
T.ertifirat.e of Mrruvaury
Citp of Cagan
f rpartmmt of WaHb tu3 , prtimt
Ais Certiffcate 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 DWr./GAR Bldg. Permit No. 17793
O-P y rya ON] Tuning District R12 Type coast. VN
Owner of %ilding WMEY AQ,, 9401 XY DN AMM MPIq.
Beil&VAad/rm 4033.E TRAIL LnwityQ, B1, F.WlS7WH"S DBEfsm
Date)IXIST 9, 1990
/ Building
POST IN A CONSPICUOUS PLACE
199 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.
To Be Used For: 5FD b Ak Valuation: A6,31000
2 6 RECD
Date:
Site Address `fV OFFICE USE ONLY
Lot ? Block FEES
Occupancy (Z zl M -I
l Zoning R- I
Parcel/Sub Actual Const V- N Bldg. Permit
Allowable Surcharge
Owner # of stories Plan Review
Length ( O SAC, City
Address Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code ?L?} JJ 7,.t3 Footprint S.F. Water Meter
_ Acct. Deposit
Phone qYr Q ??7 On site sewage- S/W Permit
On site well S/W Surcharge
Contractor MWCC System Treatment Pl.
City water 1/ Road Unit
Address PRV Park Ded.
Booster Pump Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL
Council /
Arch./Engr. Bldg. Off. x¢130 ??
Variance
Address
City/Zip Code
` ?60'C7o
5 2-1 Do
!b ??oo
D , 00
&2 Oo
90,00
0, cx>
39' 00.
..SD
.?tea
Phone #
7634344933
08/02/2006 13:07 7634344933 HARMONY HOMES INC PAGE 01
-Iy-5 4
2005 RESIDENTIAL BUILDINGPER1VU APPLICA'T'ION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
'T'elephone 0 651-675-5675 FAX 0 651-675-5694
-4 .70.() v
CoMadgn Reauireolanta
3 reghtored ebe surveys sna" sq. R of 1%sq. R of house: and 6$ roofed areas RMU9019W00 Raoukemerds
2 copies of plan
ra
ddW
d
f
h
t oftiuselonlx
C*A of Survey ReW..::.
:. :
Prsx Pion Racd
TT
._Y- -N
N
'
Y
(20% maximum W tavelaga allowed)
2 ooples of plan showing beam 3 whim slier, poured found design, etc. a
e
a
or
ea
1 Set of Energy CalculB Ons
I site survey foraddgions a decks _
w
Tree Pros Required"`.' ', _
.
_
.._Y; _77N,
I set of Energy calculations - Additn • kdkafe ff n sde $"lk rydlam Ooete SOP%Systeht '_X: ._N
3 copies of Tree Preservation Plan I ist pbtlad after 71193
Rim Joist Detall Options selection street (buildings with 3 or less units)
Date I z / 6 4 Construction Cost 0z'
Site Address 40-J 8 Deer WoorJ Tra" adAYV Unit/Ste #
Description of Work ?En6 n / ( ,,; a 2 G.+GYI dLs?S 4 , 5&xh , door. noi?al
LIP) &
Ors
Multi-Family Bldg - X k
Fireplace(s) - 0 - 1 - 2
Property Owner A :tu( I / l L? L Telephone 0 (101) -rte 5q -4 `/U 9
Contractor
6Prtts4
Address
State StM >/ city, f4
Zip , -(Q-qZ Telephone 11('763P'413-1160
.eq4
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category I Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category I Worksheef - New Enargy 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 #(
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.
Applicant's Printed Name Applicant's Signature
Telephone #(
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
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 If lot platted after 711/93
Rim Joist Detail options selection sheet (buildings with 3 or less units)
F? )moo . 0 0
Remodel/Repair Reouirements Office Use Only
2 copies of plan Cod of Surrey Recd. Y, N
l set of Energy Calculations for heated additions Tree Pres Plan Redd; Y _N
1 site survey for additions & decks Tree Pres Required Y N
Addion- indicate don-site septic system On-site Septic System -_Y _N
D
e/ 7 / OF t 70St7
C
C
ti
at on
os
onstruc
Site Address qo j ? Dept-V n y rJ -7T !A 1 Unit/Ste #
Description of Work /nsA llaa k a, 07" 3 (/ / roIUWJ YI U R o.
(?/G1 rl
Multi-Family Bldg
_ Y i!
N Fireplace(s) _ 0 - 1 _ 2
?
,
/
a1
'IU
P
O
/4"1Cf ?j
hone#?,rl L16 /
T
l
roperty
wner
Y
V e
ep
Contractor 1
I
2 C
Address zs-e 11161) * q
it lvg-
O???/
City
State /VA/,
?
Zip Telephone # (70) (/V-///0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I _ 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
without a
Statutes; I understand this is not a permit, but only an application for a permit, and wQk not to start
permit; that the work will be in accordance with the approved plan in the case of work t?i hidh requires t?J end
approval of plans.
1)?rrao Mch
Applicant's Printed Name
Signature
L1 ty
.JUN 0 8 2005
)\ a` RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
sU 651-681-4675
New Construction Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas
(20%mulmum lot coverage allowed)
• 2 copies of plan showing beam & window saes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan ft lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 5 _ I ,_9D -Oa
SITE ADDRESS
TYPE OF
MULTI-FAMILY BLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
`Ex ilorg, IlIC•
APPLICANT Caft Valley
OM znin street
STREET ADDRESS r+00f1 Paplds, MN CITY STATE-ZIP
TELEPHONE #? 7021il CELL PHONE # FAX #_?-1y
PROPERTY OWNER _M0 Y I (') \h 1 , TELEPHONE#t2'01'454,(,940
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(4 submission type) Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ____
Plumbing system includes:
Water Softener
Water Heater
No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning F%7 .00
Heat Recovery System D
Sewer/Water Contractor: Phon 3 2002
.. -
I hereby acknowledge that I have read this application, state that information i§ an agree to comply
with all applicable State of Minnesota Statutes and City of Eaganf0 dinances. _,,1'f
Signature of Applicant
OFFICE USE ONLY
[3L.?s
RemodelfReoair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION o
=1?` t
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
01(2 CsuN
021145
06/16/93
SITE ADDRESS:
4033 DEERWOOD TR
LOT: 9 BLOCK: 1
ENGSTROM'S DEERWOOD
P.I.N.: 10-23900-090-01
DESCRIPTION:
3-SEASON
"Ildl°n~g, Permit Type SF PORCH
Auildinj Work Type NEW
USC Occunanc'le, R-3
Building Lengt
Building Width
18
12
Q _
11
REMARKS
FEE SUMMARY-
Base Fee
Surcharge
Lic. Search Fee
Total Fee
VALUATION
$99.00
$4.00
$5.00
$108.00
$8,000
CONTRACTOR: - Applicant - ST. LIC OWNER:
TWIN TOWN EXTERIORS 18813949 0005724 VAI MARIO
9301 BRYANT AVE S 4033 DEERW000 TR
BLOOMINGTON MN 55420 EAGAN MN
(612) 881-3949
I hereby acknowledge that I h.aVe read this application and state that the
information is correct, and agree to comply with all applicable State of Mn.
Statutes d City o. agar Ordinances.
L / / ?
PERMIT
s
/ I l()PIA7 ?41
IGNATURE T ED SIGNATURE
ERMITEWP BY.
REACTIVATE
PERMIT #.,
Oil
lay
{.:I IT Vr CAUArt
1993 BUILDING PERMIT
681-4675
APPLICATION
r -1 l?
rg E_c?oEil\?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, copy of energy
calcs. ---------------
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, I copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Yal ua on of work / mod.
Site Address: ?zQs?_5 //??? • ?I
STREET SUITE /
Tenant Name: (commercial only)
LOT BLOCK SIISD. ,-(_ n /.
?
{ P.I.D. N
-
Description of work: ?
The applicant is: ? Own r ? Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner Address X033
STE S
STREET
/
Zi
t
Cit
St
p
e
y
a
Company Phone
Contractor Address License ;I 5_7o`7 Exp ?S
City 'oo'zf State d Zip _ _2O
Company Phone
Architect/
Engineer Name Registration N
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 re this applicatio state that the information is
correct and agree to comply wit pplicable Stag of innesota tutes and City of
Eagan Ordinances.
Signature of Applicant: _
/11
OFFICE USE ONLY
BUILDING PERMIT TYPE
? Ol Foundation ? 06 Duplex ? 11 Apt./Lodging ?•,lit asefeen*,Fai1Pish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Addl. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
M 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy 9-S 2nd Fl. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
,3y
Length i4' a" On-site well Census Code 4HER
Depth izOn-site sewage SAC Code
-
7-APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS 3, ego, p?v ?n Gws-4,' Jc,'
? Site 5 Footing 0 Framing ? Insulation
? Wallboard "Final ? Draintile ? Fireplace
Permit Fee GC( vatuation: $ Boocq
Surcharge -
Plan Review
1 -767 X12= ZI z
License 5.00
MWCC SAC X12)
City SAC
Water Conn.
0
Cy s S =
Water Meter o
19-
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total: 10?
SAC %
SAC Units
PERMIT
ITIf'Rno EAGAN
830 Pilot Kb Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date Issued:
4033 DEERWOOD TR
LOT: 9 BLOCK: 1
ENGSTROMS DEERWOOD
P.I.N.: 10-23900-090-01
DESCRIPTION:
ermit Type
,k Type
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $°50
Total Fee $50.50
FIREPLACE
NEW
434 ALT. RESIDENTIAL
es '? rn OF, vF fT. =1 .?? ?k
;e e
":; W
BUILDING
029766
04/18/97
%.vrrirstak,wrs: - Applicant - ST. LIC.VVVIVttf:
HEAT-N-GLO FIREPLACES 18900758 0002960 VAT MARIO
'5850 W HWY 13 4033 DEERWOOD TR
BURNSVILLE MN 55337 EAGAN MN 55123
(612) 890-0758 (612)454-6409
I hereby at?kermwl*dge >KhaC° 1`harve? reed hi p 3ca xn grid tat tt7 t
3nfio,rirti?sn e ciotPre t?!P3'wh a asplkcobie3?at?,af 17?
..
. tou.t??` andq 'ity .Of E c.9-a,T'F i fr x
s'l
-2 1, 21
T _
..n..r?,E_..__ ?.n? .. _ _..E._..
r
APPLICANT/PERMITEE SIGNATURE
CITY OF EAGAN
4W1&& 3830 PILOT KNOB RD - 55122
1997 FIREPLACE PERMIT APPLICATION
681-4675
DATE:/r /141 ' I r-7
?j PERMIT FEE: $50.50
DESCRIPTION OF WORK: CONSTRUCT
NEW FIREPLACE _ ALTERATIONS TO EXISTING
INSTALL GAS INSERT ONLY
INSTALL GAS LINE ONLY
OTHER:
STREET ADDRESS: 4 3 3 -D g2srt- wcros ?2 A o"
LOT '? BLOCK SUBD./P.I.D.
APPLICANT: (circle one only) OWNER CONTRACTOR
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 Name: \/ ry v A !z l() Phone #:
OWNER
Signature:
Street Address: 3 3 Z)&-zr12 W-e-o o -7 A/ L
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
City: `'{ -1 Ct A D?/ State:
Companyt ul -kv
Signature: 5 Stre ddress-z7 5'O 1? "1 `
City O UYWS '10 LK-Z? State: V
Company: _
Name:
Signaft
Street Address:
City:
Zip: J / Z Z--
9 O --0 7
one #: 4ZYZL5?/
License #: 2sm 70 9//
S?
Zip:
Phone #:
State:
Zip:
* P10
* eng?
?>K4
LANG
ftJ -CIVIL ENGINEER]
LA"[ ,APT ARCW7rC
YVESCC-Y CavsT.
Certificate of Survey for:
a t? ??u1i1 ??e
o ? i ?a5e
I
i
I
l
I
IA I_
siy
s
a?52wsr ? ?j c.
?\99 \
v8? 89
11/7
3725 W
o ,
1o
2479 61letpri5c Drive
Mrttdnts I leights, MN 55170
(6121681-1914
ac/
>.su
0
4\ n
1 t
NOPV14
0
9oo.o Derlole5 extAgo Elevation
(JeO oertale5 prop , ed Elevafiorf
-- - Omol Ps Urvino e (Ulilil? F_rasemen?
0enote-9 Drain F7ow'R"-vws
Oerfote5 monument
gccfriOl S 5110W) Ore 055unfied
[0we9T Iloor Elevation MO. 7
Top o; Block Uevaliorr PP3.7
Gara0e Slob Elevation PE, _
Su Jecl to Ecrsemerds or Record
LOT 9 Bcock ICAtaraoMs Dawwooo ADO.
OAKOrq coUNrr , MrNIJE90-rA
I hnr MrY rvtify Ihm thls furveY. Alnn nr rrpnrl w,,A1 Arff?n'If by M. umfer nW tlirrcl .uprr vleinn n 1 nm duly fleAir lrrnd Lnnd Snr veVm
under the Inws of the Slate of MlnoosmA, orted thl rfny of A.0. 19 -_yQ
ref
890/Z•vA TTT _ -_?-? Innr? n. Sn<N'n i.v'nr ..Nn. Inn j---
_X ?
o Z ?
~(^ din
/ r
A 7`
Construction R-Value
1. j-4- r i 0,6 11
2. 114 N yS
3, S ?i.nc es soft wood G.
. .?. 9G
4 ?z tirttt G lI!" NG
6. Exterior air ,film = 0.17
Total Is 2l '
l/= • 07
FRAHE WALL
1. Interior air film 0.68
2. M sS
3.
?r?
/9 vo
4.
5.
I",l'/2
/Z15 I 77irrr'OLDY 17. owl
S, ee;
6. Exterior air film 0.17
Total ?7 J?
e ,ey
SILL
Yc:1:
FOO"MA.TION
k*p.1.L
1. Interior air film 0.68
2. ° 4 l /949
3. /%° /'0
4. IL<I7Hr?6 O
5. ' riX fldiYlRi 7 Ird2E Ar '5' 49 0
6. Exterior air film 0.17
Total ?9
o3
1. Interior air film 0.68
2.
a . / " ?o2.n rs s. a 6
6. Exterior air film 0.17
Total 7 7?
SLAB ON GRADE
FIG. N3
` • t
'
?_ • '/rl
FIG. R4
1(f
?
• /cl
? X x ,c = /U
? Irr _ r?r
NOTE? Indicate type, "n" value, denth and
placemen t of in sulation.
WALL SECTIONS
NOTE-' Use 15% of opaque wall.area for
frame construction
-/ 'f '- -_-.
22395 y
Request Date Fire
I
_ Rough-in Inspection
Required?
? Yes 9P9O -
t?Ready Now ? WII Notify Inspector
/-, When Ready?
I t)ZJicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Sinner, Box or Race NoJ
City
(-
Section No
. Townsh,p Name or No. Range No.
County
O D/V-eO
ccupant (PRINT)
?L£ CANS
?-7p
J Phone No.
Power Supplier .
Address _
_
Electrical Contractor (Company Name) -
Contrador's Cleanse Na.
l?Sv?2 6 c
Meiling gddress (C
o
ntractor or Owner Making Installation) a -3
(
on
Authorized Signature oni+ac for/Owner Making Instellationi /y
_ Phan
e
NUmber
?
? y?
BOARD or tLECTQICITY _
Griggs-Midway Bldg. - Room 5-11, THIS INSPECTION RECUEST WILL NOT
1821 University Ave., S1. Paul. MN 55104 BE ACCEPTED BY THE STATE BOARD
Phone (612) 642-0800 UNLESS PROPER INSPECTION FEE IS
ENCLOSED
3o?a?ao 9 o ? REQI 5ST•FOR ELECTRICAL INSPECTION -?\
/ R a'M
b' I See in tractions for completing this (arm on back of yellow copy E6 00001 0)
.
v 2-2395 "X° Below Work Covered by This Reouesf
ew Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other lspeciry Contractors Remarks'
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool
Transformers
S ir 0 to 200 Amps
Above 200 _ Amps ,ar 0 to 100 Amps
Abo 0 Amps
igns l nspector's use Only TOTAL b
Irrigation Booms /J vQJ
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED D
S
Other Fee I
CONNECTED IF NOT
COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby R°uDate
certify that the above inspection has Final {
been made. Data ?,. LflU
OFFICE USE ONLY 7
This request void 18 months lcm
Page Three
ROOF/CEILING
Construction R-Value
,.., p 3 y 1. Interior air film 0.61
s:5-1 . -SP
I I i(?m 32 -7k ' 6" . _42Ar C. /IE mod
/ I1I1 1. I?I 4. Exterior air'film is till 0.
t?pf /!t I^+ 1III11 Total ?SEg
M L) ?...1 L 1 ?C r
14 Vented Heat flow
up .
FIG. #5
1. Interior a film 0.61
2.
3.
4. Exterior air sLi _
Total
1.
2.
3.
4.
5.
Notes Use additional sheets if more space in
needed for details and calculations.
[Heat flow up vented
FIG. #6' -
.
avq-vl:N1YJJ if
Heat S U
f
low up
PTA. 47
r
`118'( yu 96 F90
22396??
Request Date Ire N Rough-in Inspection
Required? G Ready Now KT`Will Notify ector
r
Z G
When ?
,J /
s G No
?Jdklg
Licens
ed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No) City
0 E?, afl T (L ?/Ff
Section No. Township Name or No. Range No. County
/?l 770
Ormpaot(PRINT) Phone No.
L C lJnYS nJ S? ? z-1
Power Supplier
Address
D7Y G L-EL (G
5
- ?f
JGTZJx?
Electrical Contractor (Company N
.
, ) Contractor's License No.
7rc2 Ems..-?i c ?a L? a 1 ?f?-3
Mailing Atltlress (Contractor or Owner Makmg Install9lionl
A
Au[honzed natu (Contractor
MI king Installeton) Phone Number
MINNESOTA STATE BOARD OF ELECTFWTY THIS INSPECTION REQUEST WILL NOT
Griggs-MlCway Bldg. - ROOM 5-1]3 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)643-0880 ENCLOSED.
' REQUEST FOR. ELECTRICAL INSPECTION Eg.Qepcl.o?
? Sea instructions for completing this term on back of yellow copy ` aA? ?/ ?GD
`2396 . t
'X" Below Work Covered bV This Request Y
ew Add Rep. Typeof Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm, ndustrial Furnace
Farm it Conditioner
Other (specify) Contractor's Remarks'.
Compute Jnspection Fee Below:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps r p to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
Signs Inspector's Use Only. TOTAL
'
Irrigation Booms D,07 t
-
Special Inspection ' S o
Alarm/Communication THIS INSTALLATION MAY BE ORD
ON
O
h DISC
NECTED IF NOT
t
er Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby Rough-io Oct.
tif
th
cer
y
at the above inspection has
Final
been made
uae
7-
s
.
OFFICE USE ONLY -
This reguen tco 18 mantha from
Total exposed roof/ceiling area = /'C
J. Total skylight area ............ ....... ... ...
k. Total roof/ceiling framing area (average
1. Total net insulated roof/ceiling area........... /j 4'v
Determine "U" value for each roof/ceiling segment.
- X „u„
I ' X .Ulf 02L _ 22 917
4 ..................................Total
If total of N4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of items /3 and #4 shall not be greater than the sum of items Al and 02.
1. 31y.27 + 2. 30•16 34/y1 5-`3
3. SSG 71 + 4.
069-?s6/
d 074 9-7s4?-
Reque ate ire No. Rough-in Inspection (/
Re - ad'
s G No •Y9 Ready Now ? Will Notity Inspector
l When Ready?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street. Edit or Rdule NN..) Clry„
Section No. Township Name or No. Range No. Cdun
Occupant (PRINT)
Phone No.
/M- ji t4 Z 0,
/ t
Power Supplier Address
Er trica( Cdntreclor (Comp ny Name J
t Co actor License No.
Maili
00, ng Addd/dre? (Contractor or Owner Making Installation,
//?
J
?/
/? -
?
Authors Signature (COn
r to
?IjlLion,
r,; wI M
ayng Ins
l Phone Number
/
/
/
- /
/
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave„ St. Paul, MN 55104 ?Or UNLESS PROPER INSPECTION FEE IS
Phone (612( U24800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
E p C/-
I? See msvuctions tar completing this form on back of yellow copy.
G 0 7 4 3 _ W" Below Work Covered by This Request,
ew Add Rep. Typeof8uildmg Appliances Wired Equipment Wired
- - Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) contractors Remarks II r CC
L?/I?- J{Y.S??IS UK-?
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee #
ts/Feeders
Circui
Fee
Swimming -Pool 0 to 200 Amps 0
0 to 10 Amps
Transformers Above 20D -Amps Above -li Amps
Signs Inspectors Use Only: -y m/h TOTAL
Irrigation Booms
l//1 ?O
Special Inspection /
Alarm/Communication D DISCONNECTED IF NOT
THIS INSTALLATION MAY BE ORD
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector., hereby Rough-in - r Data %
certify that the above inspection has
been made. Final
OFFICE USE ONLY
This regui wild 18 months hom
L
Use BLUE or BLACK Ink
� r——————_�_________.�
I For Office Use �
' � Permit#:_ � � � �.
V16� Ol ����11 I Permit Fee: �� �� I
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I � I
Fax: (651)675-5694 I Staff: I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
��� � �
� Y ���� ��� �,� Name: Iv1�C�'1�L�,t�2�ci� t%i�l Phone:�nJ�''1�.�7"�'T(79
uE�
���1 ������ �---�
�� Address/City/Zip: �� ��-- �� ��iA�� � /�Z
�������
' �°` ° : Applicant is Owner �Contractor
aa
��` �' �� � � �' . .
� � � ' Description of work: ����L �E= � �� �Q d�
y �� �r��lftarrk
� ,� �; Construction Cost: �Q��3� .� � Multi-Family Building: (Yes /No�
� �y�� � �, (�
, a�&z- Company:;�`�F��,A f:1�fA!C�,�K��.SI�/.1 �of.l'l�A��l�f.)�,ontact:�R�t� ��M���ilo
�� � ; °��� ��
��� � Address:t���7 �� `� J1, t� City: 1'�t�t?� l��t��-
�Q�'1'�I�C'�Qt'
��a� ������r°'�� �
_ � �� � State:/�,�Zip: �L� Phone:�S�.�''��`I-bS� � Email:JrJ����AL��efraL'��c��1�S��x,1.C .
��� � ������ p � i
� � �`�� License#:-1������� � Lead Certificate#: IV R�� I0753�!" �
�, �`� ``�;
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 8�Water Contractor: Phone:
Fire Suppression Contractor: Phone:
�7"��� lat� �t Qrl�ir�� ��rtr����'h �au sub»���'at'�'c�s��Fe�' � : ,�,�, ����f�af�r�. c�t�� � �+�n�c�f ��
��,����r�f�rmi�i � � ����'+� Cas�s�#�ea� pe� ' au:�r�r���iC��p����� ��s.� ����t�c���i$�e�'�� ��C�#��; ��
'��F , ; � � ,
��F �, �� � � ` � �� �� � y����
��..__ . . ...�., r� ��.� ��a.: ��... ���e� �t�� ��,��� 3 �� ���
�.,.: �
�. ., ....�� �, �. Y
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.qoqherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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. y
x��1AC� �Qt'Mi�'��L , X
ApplicanYs Printed Name Applicant's Signa r .
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147849
Date Issued:02/12/2018
Permit Category:ePermit
Site Address: 4033 Deerwood Tr
Lot:9 Block: 1 Addition: Engstroms Deerwood
PID:10-23900-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
R Mario Vai
4033 Deerwood Tr
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149834
Date Issued:06/12/2018
Permit Category:ePermit
Site Address: 4033 Deerwood Tr
Lot:9 Block: 1 Addition: Engstroms Deerwood
PID:10-23900-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
R Mario Vai
4033 Deerwood Tr
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
For Office Use
:'° y i' �� /q� :::e:
4 1,
\ Date Received: •
3830 PILOT KNOB ROAD I EAAN, MN 55122-1810
(651)675-5675 I TDD: (651)45 8535 I FAX: (651)675-5694 Staff: Pt
buildinginspections aC�cityofeagan. om L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION WIC•
Date: Site Address: Unit#:
i
Name: i ;-/ . &
Resident/ I �` Phone:4S-1- L1 5-1"—(�`fGfl
t ' r
, Owner Address/City/Zip: f, _.> i.J�`tvr.f `Tr 1
LApplicant is: Owner Contractor I 1. ' �S l e/�' lel
Type of Work i
Description of work: (pir /P.L1LId U iN cCk ..Si 1 e c.)1-r.
rit 4
Construction Cost: t 2/fr
Multi-Family Building: (Yes /N
1 Company: Ac) tr r fvc/r �s/,5 !t. Contact: � �'"�
t Address: 177,7/ i6 31-F City: acs L
Contractor1
p
I State(0''t# Zi 3^ '2 - 61'z-216 7537 4 e ,h � r l o r
Zip: 5 Phone: Email: +'u ortv',- o;, r �0. e'k
r License#r~'CS 23 11 Lead Certificate#:
If the project is exempt from ead certification, please explain why:
Yv-9t!S Ore, (Lin-in �1/L1 ' i ?W
�� I
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:
d
I
Licensed Plumber: Phone:
l Mechanical Contractor: Phone:
I
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: 4 Phone:
NOTE:Plans and supporting
documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if ou rovide specific reasons that would ermit the Cit to conclude that the are trade secrets._ _ _
You may subscribe to receive an electronic notification from the City of proposed ord?nances by signing up for an email update on the City's
website at www.citvofeaqan.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.gopherstateonecall.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 - : iv, 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 O 4'"2r A£(rK.4c x
Applicant's Printed Name •p icant's S'= ature
DO NOT WRITE BELOW THIS LINE ---)--S-S(�
SUB TYPES iwr '
Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration (Multi)
Multi 4 Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
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
Valuation — Occupancy >7G -! MCES System --
Plan Review / Code Edition j/j SAC Units --
(25%_ 100% /�) Zoning ) 0 City Water ,-
Census Code if 3+ Stories -- Booster Pump --
#of Units 1 Square Feet PRV
#of Buildings ! Length -- Fire Suppression Required
Type of Construction p Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) 44 Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
Roof: _Ice &Water _Final Pool:_Footings Air/Gas Tests Final
Framing 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: i-I , Building Inspector
RESIDENTIAL FE' elk
7� I ,p�0 „4Aec ke, i�/a igicv
Base Fee .7 3 h�
Surcharge
Plan Review y --
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
i 1Z sr,sk 1?'h P4'! L Gvo,Z.1-c, w/o p44,,,,,-r) 73 -2, -r_
Lfz)33 Th2_,-,,,,,,,) -.Tr. /5)- 33.6
2477 Fntertnise Drive
PIONEER LANDSURVEYOR7•CIVILENGIN£ER! Mrti ntalleights,MN51-
i12O
,� engineer rig.. -A.
LAND PLANNERS•LANftV nus ICRC/pttCY�
I ** (6121 6111.1914
I *
Certlfiicnte of Survey for: -We w Y Co `'
to1 ` 40v iitbly 44e. aril pthn'a 4205e-
t Norvii
"� 6, -
N F. ,.. 3
O z (Flee. . \ �`
ZI I
\ ,.
%or eI-1
oy �.�. .d `N Rlnr,
r
' -1,7 r?
fn 0/ 'A
{V/
4 F 4'
(12). /
/
rip
94 � � ° �T J q /
c/ //ge 8 I' lV'✓
• 9 ''s-7e_ _ _- = .'''.3•......775•54L;�-/ /p .� /
T� it
07• 4 � 32,e
EAS} 2s k! ---.n 1
j
r
FEV1 r ED _ _
�g ry...
: Ilif
DATE: 10//D// r By
i•—• , _A._
BUILDING IN SPEC i"IONS DIVISION are- 6
Milt
�AG�P
- 900.0 Denotes' exisfirllevafiorE,,r E a
E� VA 11 U
l
5
' ) peo/es 1roatced Elevator( Lowes F�vorlv�r. ton Mo. 7
-- -- h Liotel Urna
e( Ul i(i It F_-cxser»er tl- Top or Block Ueva li on erg• 7
--- Uenafe9 Drain Mel `/grows Gcrrale Stub Elevcifiori g6 2'.'1. __-
U Demotes monument
Bearin s shown ore assumed 5u jec/' to Ecrsemerllg o� 'gecoed
Lor 9 • BLOCk I ,twQsraoMs OEcw000 Aoa .
0/wort; COUNTY r MINNESOTA
1 hrrrhy c.rllry Ih:rl thtt ltlrvey,rim'Or t.rgrl wet pr nett by rn. r ii tfrr my tfirrr-1 anrtrtvItinn n ,, I nm fluty riegitlrr.rl Lnntr Sarveynr
iuvt.r the Net of the Siete t,I Mlnh.tntrt,Ontert th1! 2(rim of-- S/J�p��A�t p
Y ��! ._A.O. 19 Ili
3ca/e : Ic!i4oiet
101 89 az. ng titnrn"n. ginirll I .`�`nr .-tiff. I,,,, I
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152826
Date Issued:11/02/2018
Permit Category:ePermit
Site Address: 4033 Deerwood Tr
Lot:9 Block: 1 Addition: Engstroms Deerwood
PID:10-23900-01-090
Use:
Description:
Sub Type:Fireplace
Work Type:Free-standing Stove (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
R Mario Vai
4033 Deerwood Tr
Eagan MN 55122
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature