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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