4042 Deerwood TrSEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
METERiV 93767IJI PERMITDATE03,12yJ5?;
CHIP PERMIT # 11296
METER SIZE 9CA B.P. RECEIPT #
ISSUE DATE ?-L 70 B.P. RECEIPT DATE
- PRV _ BOOSTER PUMP
SITEADDHESS ,?I{' ??? " • ?•°-,Tr`'`? T--?
LOT BLOCK ' SEC/SUB
APPUCAMT:
ADDRESlS: 2
CITY, STATE ZIP -.7 '' `*'z'
PHONE:
PLUMBER:
ADDRESB: CITY, STATE ZIP r ? -
PHONE:
PERMIT REQUESTED
SEWER WATER _ TAPS
COMM/IND
x NEW
'`•- RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
/
? A?t
1 AGREE TO COMPLY WITH CITY dF
OWNER: EAGAN ORDINANCES
ADDRESS: ?J
CITY, STATE Zip
PHONE: i4IGNATURE WHEN METER ISSUED
`?'?a`b S- l&- y'? G.? , s;
PLEASE ALL TYV WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMRS, CONTACT ENGINEERING DEPT.
SEWF.A & WATER PERMIT
CRY OF EAGAN
3830 Piloi Knob Rd.
Eagan, MN 55122-1897
DATE
?
OFFICE USE ONLY
METER # PERMiT DATE03 /'L5 J 4G
CHIP # PERMIT # 11296 ?
METER SIZE B.P. RECEIPT # C 7002
ISSUE DATE B.P. RECEIPT DATE 03 / 2 9/`, 0
- PRV _ BOOSTER PUMP
S1TE AODRESS
lOT BLOCK SEClSUB
APPLICANT;
ADDREqS:
CITY, STATE -' ? ' •?. 4- ZIP
,
PHONE: .:-t
?
PLUMBER: "°?4--c?,?;:..
ADDRESS: --??:? u ,"• ; ? 4,.. ;,
CITY, STATE ZIP
PHONE: -
OWNER: -
ADQRESS:_
CITY, S7ATE
PHONE:
ZIP
PERMIT REL?UESTED
x SEVIfER
COMM/IND
X NEW
R WATER _ TAPS '
` RESIDENTIAL I
EKISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line. '
Credit WILL NOT be given for Deduct Meters.
? r.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW T1N0 WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, COMTACT ENGINEERING DEPT.
?'' •?'? DATE:
RE: 4042 DBBaiTO0D TR
03/29/90
X Your Sewer & Water Permit for the above property has heen completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YQUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Ulater Permit for the above property has been completed, but the meter cannot
i,be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspeciors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
& . _k„ DATE: 03/29/90
X
RE: 4042 DEERWOOD TR
Your Sewer & Water Permit for the above property has been completed. It wili be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
r
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
j,be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
3830 Pilot Knob
7
I BUILDING PERIJI'f '
Site Address 4042 DEEtNOQD tA
Lot -6 Block 3_ Sec/Sub. _ ENGSTR0M'3
Parcel No. nEGRil00D
W Name -1?ARlC OLDYl1
? Address 4042 DEEMr00D '!'Lt
° City EAG?N Phone 454-2747
to Name DA1m'1'A DECI610M
Address 14663 CHTCAOO ANE S
City BURNSVII.E.E Phone 431-1514
Name
Address
Phone
I hereby acknowlege that I have read this apptication and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statules and Cify ol Eagan Ordinances.
Signature of Permitee
,-•'r ---?'"-
A Buildfng Permit is issued to: ?'flXIWA DECKkIMM
on the express condilion that all work shall be done in accordance with all
applicable State ot Minnesota 5fatutes and City of Eagan Ordinances.
Building Official -- . +
CITY OF EAGAN
Dad, P.O. Box 21-199, Eagan, MN 55121
Receipt #
;u? t97?3
OFFIC E USE ONLY
Occupancy _ FEES
Zoning _
(Actual) Const _ Bldg. Permit ZS-?
JaWwable) - su«narge .30
# ot Stories _
Length 22-1 Plan Review
Depth SAC, City
S.F. Total _
SAC, MCWCC
S.F. Footprints _
On Site Sewage _ VUater Conn
On Site Well - Water Meler
MWCC Syslem _
City Water _ Acct. Deposil
PRV Required _ SNV Permit
Booster Pump - SrW Surcharge
Treatmenl PI
APPROVALS Road Unit
Planner - park Ded.
Cnuncil _
C
3,oo
BIdg.0f1. _ opies
Variance - TOTAI 28 *30
Permit No. Parmit Holder Date 7elephone #
WATER
SEWER
PLUMBING
H.VA(:..
ELECTRIC
bnpection Date 1nsp. Comments
Footings 1
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsiat Test
Final Plbg. Plbg. InspeCtor - NoGfy Plumber
Const. Meler
EngrJPlan
Bldg. Final
Oedc Ftg.
Deck Fnal
wen
Pr. Disp.
CITY OF EAGAN
. -? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT
To be used for SF ??/GAR
Site Address '
Lot 6 Block
Parcel No.
W Name WESLEY (70NSTRUCTION
3 Address 9401 XYLON S
0 City ru'LS Phone 452-05$7
,o Name s?
zr
OU 0Address
¢
1- City Phone
Name _
Address
Phone
I hereby acknowlege that I have read this application and state that the
intormation is corcect and agree to comply with all applicable State ol
Minnesota Stalutes and City of Eagan Ordi ances.
Signature of Permitee
A Building Permit is issued to: WEsLEY COliS'[R[1CTION
on the express condition that ali work shall be done in accordance wYth all
applicable State ol Mmnesota Statutes and City of Eagan Ordmances.
Building OHicial -
Sec/Sub.
Value
Receipt #
CE USE ONLY
19 !?Q
Occupancy 2""3 M-i FEFS '
Zvning R--i
(AC1uaI) Cqnst ? Bldg. Permit 77j *?
(Allowable) -
# o( Sfories ?
t
Length
oevm 36'
S.F. Total _
S.F. Footprints _
On Site Sewage _
pn Site Well
MWCC Syslem xx
City Water XX
PRV Required -
Booster Pump -
APPROVALS
Planner -
Council
BIdg.01t. _
Variance -
A 17642
Surcharge 69*00
Plan Review 502.00
snc, ciry 100000
SAC, MCWCC 600•00
water Conn 625•00
WaterMeter 90•00
30.00
Acct. Deposit
S/W Permit 3o•oo
S.MI Surcharge • 50
Trealment PI 232.00
Road Unit 355.00
Park Ded.
Copies
TOTAL
3.42G.SG
? Permit No. Permit Holder date TeleQhone ft
1NATER ? g ?'j0
SEN{ER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comrt?ents
Footings I
Foundation
framirtg Z
Roo(ing
Rough Plbg.
Rou9h Ht9•
isul.
Fireplace ? Z ? ,-9C (aS
Final Htg.
Fnal Plbg. - e ?
Const. Meter Plbg. Ins or - Notity Plumber
EngrJPlan c9l
B{dg. Final
DeCk Ftg.
Deck Final
Well
Pr. Disp.
PERMIT #
, - MECHANICAL PERMIT RECEIPT #
CITY OF EAQAH
3830 PILQT KNOB ROAO, EAGAN, MN 55122 OATE
iTRACT PRICE: PHONE: 454-8100 For Office Use Only:
m Name
? Addre
c City -'
?•' MBTU
M BTU
M BTU
M BTU
CFM
BLD(3. T1f PE
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
? Name
c Addre:
O Ciry 11-
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
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 INCIUDES A/C ON NEW
S
O
CON
TRUCTI
N)
'
GAS OUTLETS (MINIMUM - 1 PER PERMI
n - 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)
r.
?
. ?. ? f .
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
For Office Use Only
, CITY OF EAGAN PERMIT
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIRT# ?
PRICE PHONE 4548100 DATE: f? ? ?Sv
Site Address 1 BLDG. TYPE WORK DESCRIp,'FION
?
Lot ? Block 3 Sec/Sub Res. New
'? hAult. Add-on
(-D
I Name Comm.
Other Repair
City Phone
Phone
FEES
COMM./IND. 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)
f.?
RES. PLBG. ONLY - COIAPLETE THE FOLLOWING:
NO FIXTURES TOTAL
? Warer Closet - $3.00 $
? Bath Tubs - $3.00 0
Lavatory - S3.00 ? 2, a.>
Shower - $3.00
? Kitchen Sink - $3.00 ?. O.?
UrinaVBidet - $3.00
Laundry Tray - $3.00 ? • O ,?
? Floor Drains - $1.50 /. 3 v
Water Heater - $1.50
? Whirlpool - $3.00 3, B
Gas Piping Outlets -$1.50
(MINIMUM -1 PER PERIu11T)
So(tener - $5.00
Well - $10.00
Private Disp. - $10.00
? Raugh Openings - $1.50 ' S
U, G. Sprinkler System - $12,00
PERMIT FEE: I?
STATES S/C: 7 :7
GRAND TOTAL: ??? ' 3 47
. y_ - .. . , . ,. . . . , ,... . .,. .
PLUMBING PERMIT For City llse
CITY OF EAGAN pERMIT # _Zf?
)NTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #?
PRICE PHONE 454-8100 DATE:
Cay
? •
FEE5
COMM.lIND. FEE - 196 OF CON7RACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. fiATE APPLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C,"R EACH $1,000 OF PEFWIT FEE)
4
FOR: CITY OF EAGAN
BLdG. TYAE WORK DESCR1PT10N ?
Res. ? New Const-" ?r
Mult. Add-on -?
Comm. Repair _ :?A
Other ?
,
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: n?
NO. FIXTURES TOTAL
Water Closet - $3.00 $ ? Bath Tubs - $3.00 '
Lavatory - $3.00 '' ', ,•?
Skiower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
'
Floor Drains - $1.50
Water Heater - $1.50 ?
Whirlpool - $3.00 a
Gas Piping OuUets - $1.50 ;
(MINIMUM -1 PER PERMIT-NEW CONST.)
? Softener - $5.00 ??-
i
Well - $10.00
Private Disp. - $10.00 ?
Raugh Openings - $1.50
U. G. SprinWer System - $12.00 ?
PERMIT FEE: `
STATES S1C:• -?
}LL ?
GRANQ TOTAL: ?--'I'
. A
fEtrfi#irate uf (Orrupttnry
Citp of glagan
loPpaftPIZf Af wliitbtm 3wPtlim
This Certificate rssued pursuant to the requiremenu of Section 306 of the Uniform Building
Code certifying that at the time of issuance tlus structure was in compliance with the various
ordinances of tlre Ci1y regulating builrling constnection or use. For the following:
use pamfiauan SE jxG.4QR Bkg. Elrmrt No. 17642
0-44-r Trm R.4.411 - zonins nim;a RI rype co=. VN
OwnerofBwlftL1MEY!CON,?MIM(H pddr= %01 RWCN AVF S, M_S
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ?; ??, , r?, W,
3830 Pilot Knob Road Permit Number: 4 0 si
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ' ` N' '
r.0 r:
PERMIT SUBTYPE:
APPLICANT:
• :?
TYPE OF WORK:
INSPECTION .. . .•
I
. n•;,r1.>A z (A 4i i-1'1-:M I rV; R r E l1,iiael ? i) 1 4 ?1t
wcfF?M? ?. i'A l; rr 11 iiNiI C r: r c- fart t r 0 .141 '1 el s
n,N?; P 1 1114 B I t4 u () r: I tI ,' I r; i k nt 1.1111
?
?
Permlt No. Permft Holder Date Telephone ik
ELECTRIC DIDII/`/A
PLUMBING
HVAC
inspection Date Insp. Comments
FOOTVTJGS
FOUND
FRAMING
ROOFING
ROUGH A?rsf /..s'i:./ ?:?ti•,?
f3r s = Pvc
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
F1NAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I. AZ
BSMT FINAL
DECK FfG
OECK FlNAL
4,q
INSPECTION
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
:coRn
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS: ' O.F, y
?? , ? ??i•? ;? , ,:??;?z,??
PERMIT SUBTYPE:
F ftRM'! N(?
APPLICANT:
TYPE OF WORK:
i':f N A l
'? • ?
?
---------------------------------
Permit No. Permit Hoider Date Telephorre #
S/W
PLUMBING -?'/'2 ?-?
HVAC
ELECTRIC Q 8? 3 S y 3 (? ?
ELECTRIC
Inspection Date Insp. Commerns
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Piumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Finai
Well
Pr. Disp.
INSFECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
ocGk:].I oc?
PERMIT SUBTYPE:
TYPE OF WORK:
I I rr?r
:d E. LJ
?
CITY OF EAGAN NO 17642
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
BUILDING PERMIT PHONE:454-8100 Receipt q l
:7 M.?.
To6eusedfoi SF DWG/GAR Esi.ValuA $118,000
Site Address 4042 DEERWOOD TR
Lot _6 Block 3 SeGSub. E GSTROM' S
Parcel No. DE ^ RWO
w Name WESLEY CONSTRUCTION
o Address 9401 XYLON S
City MPLS Phone 452-0587
iF Name RAMF
gg Address
? City Phone
r
w W Name
w
mAddress
?5 w City Phone
I hereby acknowlege thatl have read this applwation and state thatthe
inlormauon is correct and agree to comply with all applicable State ol
Mmnesola Statutes and Cily of E an rd' n S.
SignaNre of Permnee -
n euildmg Permit is issued ro, WESLEY rn?NqTUirrT-rnN
on ihe express condition that all work shall be done in accordance with all
applicable State oi M,/i?nnesoia Statutes and City ot Eagan Ordinances.
BuddingOfliaal 'tMIA A Olf?' mI
er
OFFICE USE ONLY
Occupancy R- 3 M-t FEFS
Zoning
(ACtual) Const __.N Bldg Permit 773-00
(Allowable) V-N
Surcharge
69, 00
8 0l Slories
Length 56 ' Plan Review 502. O0
DeOih SAC.City 100-n0
SF.Total - SAC,MCWCC 600-n0
S F. Footpnnls _
On sne Sewage _ Water conn 625.00
OnSileWell WaterMeter 9n-n0
MWCCSystem xx Acct Deposit 30.00
Cny Water 7{g
PRV Reqwred _ S/W Permit 30.00
eooster Pump - S/W Surcharge . 50
Treatmenl PI ? 52.00
APPROVALS Road Umt 7 5 S_ flp
Planner - park Dad.
Council
B?? Olf. _ Copies
Verianca - TOTAL 3.426.50
CITY OF EAGAN N2 19773
f 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE: 454- 8100 n
-
BUILDING PERMIT Receipt # ('. j-5
6L)
To be used for DECK Est Value Date OCT 4 ,1991-
Site Address 4042 DEERWODD TR
Lot 6 BIaCk 3 SBGSub. ENGSTROM' S OFFICE USE ONLV
Parcel No. DEERWOOD Occupancy - FEES
Zoning _
w Name M?? OLDYN (Aduap Const Permit 25.00
Bldg
_ .
? Address 4042 DEERWOOD TR (Allowable) - 50
0 City EAGAN Phone 454-2747 # of Stories Surchar9e .
29 Plan Rewew
!
Lengih
o Name DAKOTA DECKWORKS Depth 1$' sac
ca
;k
? ,
y
'
' Address 14663 CHICAGO AVE 5 S.F.7otal
pity BURNSVILLE phone 431-1514 S.F.FOOlprinis _ SAC,MCWCC
W
? On Site Sewage ater Conn
W
w Name on sie wan
w - WaterMeter
?? Addfess MWCCSyslem _
a W City Phone Ciry Water _ Acm. Daposit
PRV Required _ S!W Permil
I here6y acknowlege Ihat I have read this applicalion and slate that the Boosier Pump - SM! Sumharga
inlormation is wrrect and agrae to comply with all pplicable State ot
Minnesota SlaNles and Cityof Ordma
?
Treatmenl PI
??2^r--
Signature ol Permitee. APPROVALS Road Und
A Bmlding Permil is issued ro: DAKOTA DECKWORKS Planner - parx Ded.
on the express condition that all work shall be done in accordance with all Cauncil 3
00
applicable Slate of Minnesota S
ptatutes and
C
tl
yI ol Eagan Ortlinances. Bldg. Of1. _ .
Coples
,
y y
?
,
Bmlding Otficial , I? 0ftI I I ILI Vanance _ TOTAL 98,50
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: s u z Lo i NG
3830 Pilot Knob Road Permit Number: 025409
Eagan, Minnesota 55122-1897 Date Issued: 0 5/ 12 / 9 5
(612) 681-4675
SITEADDRESS:P•I.N.: 1e-239ee-06e-e3 pppLICANT:
LOT: 6 BLOCK: 3
4042 DEERW00D 7R OLDYN MARK
ENGSTROM'S DEERWOOD (612) 454-2747
PERMIT SUBTYPE:
BASEMENT FINISH
TYPE OF WORK:
ALTERATION
INSPECTION
FRAMING „ .
INSULATION D.
OU6H IN PLBG FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
WORK STARTED UNDER PERMI7 #29443
?
?
7
I
.??O?O REQUEST FQR ELECTRICAL INSPECTION
W. See iosimcaons lor complaLng ihis torm on bsok of yellow mpy
@ 22353 "X" Selow Work Covered by This Requesf
V>A Reor TypeotBmldmg ApplancesWired
Heater
Comm !Industrial
?Omer [speaity)
Compute lnspechon Fee Below
p Olher Fee
Swimmmg Pool I
Signs
IrngaLOn eooms
Special Inspeciion
IOther Fee j
I, the Electncal Inspector, hereby
certrfy that the a6ove mspection has
been made.
9FFICE USE ONLY
mis repueat voia 18 monins irom
Conditioner
Sermce Entrence &ze
0 ro 200 Amps
Above 200 - AmF
ctor5 Use Only
$2aEB-00001-07
??,p-,?, 9GG ?<v
?s.iu•
Service
Fee # circunsrrO to 100 Amps
A6
. /J oU
THIS INSTALLATION MAY BE ORDERED
COMPLETED WITHIN 19 MONTHS.
S l
) IF NOT
?22353
Aequest Date F o Roughin'Inspecbon ? Ready Now C Will Notdy Inspecior
Reqwretl When Reatll
-(- z - 9,9 oYes KNa
I ?(licensed contractor ? owner hereby request inspection of above electrical work at
Job Adtlress (SVaeL B. or Route No )
% CiH
?
2?7- L
0 2 E f. c?n0
Setlmn N. Township Name or No Fange No Counry
f/-Ka
Oxupam (PRINT) Phora No
Gj
Pawer Suppber ? Adtlress /
LLf-LTiLI L ??'" ~
Elacm Cootraot? (Compeny Namej Conlractor's Liwnea No
?
?
410
r
Maling Atltlress IGontracmr or Owner Making Inslallaton) /
?
C
Amhon¢etl SignaWre/fI omractor?Ownee Making Installa?iom/
..I 7T__ Number
i - -?
WILL NOT
MINNES A STATE BOARO OF ELECTRIC TH BE IS ACGEPTED INSPECTION 6Y THE RE?UEST STATE BOARD
Griqga-Mwey Bltlg - Aoom 5-1]3 ?
lE
UNLESS PFOPEF INSPEGTION FEE
1821 UnWerslly Ave, St PaW, MN 55104 IS
ENCLOSED
Phone(612) 642-0800
0=
0 -002
?
Reques ?ate / '
Q5 Fire No Roug
(Yau -Ir p on Peqmretl
cell mspector when rAady) Ins ection Otner Tha ughln
ReeO
Now Wtll N
N
I
t
1J y
o
y
rispao
or
Yes
? No
Oate Fead
ILl licensed contractor YLXowner hereby request inspection of above electrical work aT
Job Address (Slreet. 6ox or(ioute No) cEty
rL
Seclmn No Township Name or No Range No County
Occupant(PRIN
T) Phone No
f
? "
Pawer Supplier Atltlrass
Elednoa ContraIXOr(COmpeny Name) Conhactor's Lmense No
W LIJY)
Matling tlress (COnVaqor or Owner Making Installanon)
D
Aulhor¢ed Si allre (GOnlracton aking I tallahon) Phone,f?mbe?•??
r/ T r
t 7 ^ , , , ,
MINNESOTA STATE BOAHD OF ELECTRICI II
I
Griggs?Mltlway Bltlg - Room 5428 II 1 II
II THIS INSPECTION REQUESI YVILL NOT
?
II I
1821 Unmereity Ave S[ Paul, MN 55106 I I
I II? II II IIII I I ?I BE AGCEPTED BV THE STATE 60APp
l1NLE
OPEk MSPECTION FE[ IS
Phone (612) 642-OB00 N q
Ki neF
REQUEST FOR ELECTRICAL INSPECTION ?? ? Es-ooooi-oe
00, Sae instruotions tor oamplelmg this farm on back ol yellaw capy
"X" 6elow Work Covered by This Request
Ne Ad'•F'Sp - Type ot 8wlding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (SpeciFy)
Farm Air Conditioner
Omer (specdy) Conhaclor s Remar J
?Sm?• ni51?.
Compute Inspection Fee Below:
!t Other Fee # Service Entrance S /Feeders Fee
Swimming Pool 0 to 200 Amps mps
Transformers Above 200 -Amps
Si nS trispeotor's use Onry TOT,A
L? ?
Irrigation Booms /
j? V
Special Inspection
Alarm/Communication THIS INSTALLATIONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 MON7
I, the Electrical Inspector, hereby R°°gn""
certify that the above mspection has
been made. F??ai oaie, /?
V
OFFICE USE ONLY
This request voitl 18 monlhs from
I . ? , -_1
0/q p
=////
,
? 22354
Fequasl Date Fre o RougMn Inspeobon
Reqmretl?
fl Reatly Now ?Wtll NoOty Inspeclor
?
f1CVes ? N. When Reatly
I,X licensed contractor ? owner hereby request inspection of above electncal work at:
Job AOtlress (Sheet. Boe or Roule No 1
T Qry
R , 4-
o a iz
Section No Township Name or N. ftange No Counly
' R?Ko 723
OccuOant(PRINT)
j?j F-s t ?s rn? _ PM1One No
s'a _o -!T 8
Power SoDPlier Atltlress
,Q O ?- ?e f-G'vYL G NG
Electncal GoMractor ICompany Namel GonVaclors license No
62
/yt?-s e? P>-- e--
Mailmq Aatlress (COnVaclor or Owner Makmg Insiallalii
la
??
? ?
lnslallaten)
e (GOntrar,tor/Owner Mahmg
AutM1Or¢ea Siynet Phone Number
MINNESOTA STATE BOAH? OF ELECT I ITY THIS INSPECTION FEQUEST WILL NOT
Grlggs-Mltlway BIEg. - Room 5413 BE aCCEPTED 6Y THE STATE BOARO
1821 Ilniveralty Ave., St. Paul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
FMne (612) 66P-0800 ENGLOSED
sk"A" EB-00001-07
,/? /nyQ ? REQUEST FOR ELECTRICAL INSPECTION ,,??=,I 9&???
?F ? See mslruclions lor campletmg tMS lorm on back oi yellow aaPY ?
??
v`Z 2 3-5 4 "X" Below Work Covered by This Request
A IiancesWi?d EqmpmeniWrted
New Add IRep TypeofBwlding Pp Temporary ServiCe
Home Range
,.....?..., I Water Heater I ?` "'' i
Farm
piher(spectly)
Compute Inspechon Fee Below
u Other Fee
eooms
IOther Fee I
I, ihe Electrical Inspector, hereby
cerLty that ihe above inspecuon has
been made
JFFICE USE ONLV
fhis request voitl 18 monfis fmm
Femarks
p ServiceEniranceSize Fee # Circmts/Feede?s Fee
L 0 to 200 Amps ,Q l 0 ta 100 Amps i(
Above200_A^?Ps 3 Ab ---Amps a-J
ispectar§ Use Only ? TA
7 ° 7 ?°
THIS INSTALLATION MAY BE ORDEREDpISCONNECTED IF NOT
rnuai FTEn WITHIN 18 M01YTHS./j I I
MINNESOTA STRTE BOAp?ml
Gtl99s'Mitlway BW9. -
1821 Univenity Ave..St Peul. 1
Plwne (612) 6,12'0600
UNLE55 PAOPER1Nbrt?I lu"
ENCLOSED
9'-5- REQUEST,FOR ELECTRICAL WSPECTION
coplefng tnis lorm on back ot yellow copy
45085 , ?e mslmcuons for m
"X" Below Work Covered by This Fequest
EB-00001-08
uiltlmg AppliancesWiretl EquipmentWired
Range Temporary Service
Water Heater Electric Heating
M Dryer Oiher (Speciry)
l
stria Fumaca
Air Conditioner e
Farm
/? ?.
?...' F^r ? I)f`
Conhaclor'4 Remark5
I
?
)
V ? ?
LL1 ` V !
I-
V
Compute Inspectian Fee 8elow.
# Other Fee # ServiceEntrance5¢e Fee # CircutlslFeeders Fee
Swimming Pool 0 to 200 Amps D to 100 Amps
Trenslormers Above 200 _ AmPs Above too _ Amps
? TOTAL
Signs o J
Inspecrors Use Only
Irrigatwn Booms
Special Inspection
OT
INSTALLATION MAY BE ORDERED DISCONNECTED IF N
Alarm/Communication THIS
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rou9h-in ? D?
Certify ihat Ihe aboVe inspechon ha5 F,nei oaie
been made. "
OFFICE USE ONLY
Thrs request voi0 i8 months trom
, PERMIT cR,?0?9'1
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L o I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 4 0 9
(612) 681-4675 Date Issued: 05/ 12 / 9 5
SITE ADDRESS:
4042 DEERWOOD TR
L07: 6 BLOCK: 3
ENGSTROM'S OEERWOOp
P.I.N.: 10-23900-060-03
DESCRIPTION:
BuildingP,ermit Type
Q?uilding lJoxk.Type
• `e.
BASEMENT FINISH
ALTERA7ION
{y 9
. t? Y.lj.?? .?,lFr "Y°? .. 0?..,Lli:? ''I?`r.?p?}'1? •.a,t
1 yr t ?
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUM9TNG OR ELECTRICAL WDRK
WORK STARTED UNDER PERMIT #20443
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
7ota1 Fee $35.50
CONTRACTOR: OWNER: - flpplicant -
OLDYN MflRK
4042 DEERW000 TR
EAGAN MN 55122
(612)454-2747
I hereby acknowledge that I have read this application and state that the
informaCion is co-rreat and sgree to comply wi-th all applivable State af Pin.
Statutes and City of Eagan.Ordinances.
? -
'14?'e4 O41,
APPLICANT! EFMITEE SI TURE
fiXIr d"AI T111
--'TSSUED BY.V1GN4PJRE
'S CITY OF EAGAN -kv?r
3830 PILOT KNOB RD - 55122
7985 BUILDING PERMIT APPLICATION (RESIDENTIAL) w?????
681-4675 r ?
New Canafructlon Reouirements Remodel/Reoalr Reouirements
i
? 3 registered aite surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window aizes; poured fid. design; etc.) ? 2 sfte surveys (exterior edditions 8 decks)
? 1 energy caiculations ? 7 energy cala+lations for heated additlons
? 3 copies of tme preeervation plan H lot plattad after 7/1/93
requlred: _ Yes _ No
DATE: CONSTRUCTION COST:
, , . . . .. ._
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT BLOCK SUBD./P.I.D. #: 'AL4,jj9
PROPERTY Name: 2W llL.n Vn? /Yld-vtY Phone#: ySY-27K-7
owNeR w= `M..
Street Address- 40 ?A ?ernA.r?p ? -i--1
City: C4.6 n-,., State: /41p Zip• Sri 122
coNrRACTOR Company:
Street Address:
City: State:
ARCHITECT/ Company:
ENGINEER
Name:
Phone #:
License #-
Zip-
Phone #-
Registration M
Street Address,
City:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
State: Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the infortnation is wrred and agree to comply with all
applicable STate of Minnesota 5tatutes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY
Certifiqtes of Survey Received
_ Yes _ No
Tree Preservation Pian Received - Yes ,_ No
r3E Ls?V'E D
r ?,?? 1 4 tAP;
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex o 11 Apt./Lodging
0 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. 17
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory 20
0 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21
0 05 SF Misc. 0 10 = plex ? 15 Deck
WORK TYPE
0 31 New Q4-33 Alterations
? 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
0 36 Move
0 37 Demolition
?
• =
.w..? ^
?r
.. ? .? .. -..
Basement Finish
Swim Pool -
Public Facility
Miscelianeous
?14 lfilo
U?
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Variance
Permit Fee
Surcharge
Plan Review
License
MCNYS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. y35?
SAC Code
Census Bldg i
Census Unit v
_ Engineering
Valuation: $
% SAC
SAC Units
L & BL J CITY USE ONLY RECEIPT #: -:o5
SUBD. J&,prar? a&Aa,,-d? DATE: `Lpf
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ? singie family dweliings
? townhomes and condos when permits are required for each unit
FIXTURES - EACH NO. TOTAL
Shower 3.00 x =
Water Cioset 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet " minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
s? -
TOTAL
51TE ADDRESS: o 'f a
OWNER NAME: M?? ?C d Lv`?^'
INSTALLER NAME:
STREET ADDRESS: Lfb q ;. `D_e eex w„-? a-l-L
a?
CITY: a ?5 (1-? STATE: & N zIP: 55)
?
PHONE #: ( ) <l4`f o`27 y :7
(,.,': 376 ? a ( a ? 4T-
SIG I I CC ?
. _E,AGAN
. CITY OF_
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Numher:
Date Issued:
neoj
6 ° 3/7
,.1r.?,Tr!„
6; c li , ! n ;
SITE ADDRESS:
4!:?!r o? rttiluoU 11?
I_?il : r rllOCl<e ..
DESCRIPTION:
Bullc;i?'c1°ri ? r 1'v!)e
B uzJdinq jJnt :, ?y;:r
IJ6c f)CCUp.'+l'IC"I
8 ASFf4ENT F1'\I ;I'
F? - . , ?" '-?? ?A•i: :'??f,- i? - „ -?'7,
REMARKS:
FEE SUMMARY:
I tI r??„
CONTRACTOR:
OWNER: - r'ipF t r.c..; i
r?? ? . r ? r! ru
t6 a,! '„t <i I,
lier'^by ..r!.rtnWlndcq? hal. T iiF?vs i'red t.li;_, ... , ,,c! t = I „ 1 ..? - ?,
i:iPornai.iari ie, aorr:c t arW o rjr . Io car.?p Iy u[I ,?..' app1?:? St r.- ,,. .;.?
i t<<?. ?nrl ctit,?? c?fi t_aqr?i? nidinunve-?
L -
/ , / I? / / C%?"?L??f? Y
AP?ICA'NT?R?TEE SIGNATUR? ISSUED V. SIGN E --
/
REACTIVATE
PERMIT #
?
-1r '_?:uj _1 -1.0,14
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 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 Zx_ Valuation of work 4660'
Site Address: q6?2 `C>o, C woe) 't%/t A-t (
STREET SUITE M
Tenant Name: (commercial only)
LOT l BLOCK .?_ SIIBD.L, C
A( d,l?U,1l,?r(JJP,9i?`L27? P.I.D. k
Descri tion of work:
The applicant is: b(Owner ? Contractor O Other (Describe)
Name 04- D4 &) /1-1 /1'vtt Phone `1SY-2 7 N 7
Property LAST FIRST
Owner Address `fD?FZ D?P_-e? dod 4n-
STREET STE X
City eG-G State /41 /V Zip SS?I a-2
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this aPPlication and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. n'
Signature of Applicant: v
cirr oF EaGaN
1993 BUILDING PERMIT APPLICATION
681-4675
OFFICE USE ONLY
BUILDlNG PERMIT TYPE
? 01 Foundation
?.02 SF Owg.
? 03 Sf Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
P3 31 New
O 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 t
L
d
i
A
p ?? ese sat Finish
./
o
g
n
p ?
?
? 12 Multi. Misc. ` ?,`17 S
wim
Aol
? 13 Garage/Accessory O 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
[3 35 Tenant Finish ? 31 Demolish
? 36 Move
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 4b R-3 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
#? of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code y3
Depth On-site sewage SAC Code
??
APPROVALS ?
?
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Insulation
? Fireplace
? Footing
? Final
)0 Framing
? Draintile
Permit fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
0 b I valmNon: g ?--
, So
SAC %
SAC Units
1490 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCULATIONS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LAT 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: GFZ GAR Valuation: 13 "10CCJ7 Date: MAR 26 RECO
Site Address 410fa
Lot &- Block ^3
Parcel/Sub
?
Owner
Address
City/Zip Code
Phone
Contractoi 477-?
Address 45 Lt o I x ?
City/Zip Code a/ (A,? J Sy?O
-?,
Phone -` Scj-C)
Arch./Engr.
Address
City/Zip Code
USE ONLY
Occupancy
Zoning R -l
Actual Const V-N
Allowable V-1J
# of stories
Length ?T
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System V
City water ?
PRV _
Booster Pump _
COMMERCIAL
2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS
FEES
Bldg. Permit 793,'DO
Surcharge !',OD
Plan Review ,50Z ,DO
SAC, City IDD,00
SnC, MwCC 1?001vO
Water Conn ?o25,Df7
Water Meter
o
90.0
Acct. Deposit 3D,00
S/W Permit 0.0?
S/W Surcharge 5o
Treatment P1. 2.00
Road Unit 35b. 0'a
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL 3.4U
?s$?d
APPROVALS
Planner _
Council ?
Bldg. Off. 312-7
Variance
Phone #
VA1-UkAT?Qtr4'
-a• ? '?a""i' r a ? .
.00 ? •? ? f :r
GaR,aU? ' ,
ZZ x2Z : 48y x Is -?Z?n
gSrl-,'T;
3ti xZ(. = 88?{
)4,X ?4
6 ?c? xs- l?d
Io98 x ?y= 15317 Z.
I?T FL?a2
BsmT ? lo9s
II yZ _ ZZ
I xg = ?
+-?
i?zA x si? s?1s2g?
2 n+a T7L002
Q'-? m7
a`I x
1--
11 2 Z x 5 l? Sr)222
13 '7 32? Z.
I - .
? * * * 2422 Enterpt8e Orive
* -PIO uHU'anwt.o?a•aVi«r+akUas Mendote 14el9hte, MN 55120
eng ed ?AND KAWMamb -
** ? (81216Af-1914
?*
CertHloetd of Survey lor: -WLc.st'C-Y l.oySr
4
NOaM
0
?v
w o
j9.o
-/Bg23 e
zo•ee -? ?Z,SS
co I a ? ,
?
w I ? h
? e t,% T-- q.•A ? o 04 o
? 1tll Q 72.er V4_------------,s•-i
? t9.ei ? ?lS?9i - °?T
?A
v ?.?
? g.85°5f?lt"lit!3,"?Y ? .O
I MI /S L ? ?
Eti
. 900.0 Denofes exisfj? flevalion
. sno.o perivtts p?tip ed Fleval»ri
semenf
06nv p4 U?ainat¢tUlflrMW.;
=--•- denc?e9 Or?tfJlk??t tloW ? be?rvles md?tumenf
Bedrfrls dvwn ore ossumed
??CAAN
G DEPa
SE E ELEVA N
?s Fvor ?eva iw1 885:7
Tap o; Black ElevaIivn 99 3.7
Garo?t S/ab flevation 89 3• 1
Su Jecl to Easemerrls oi-' Recowd
l or b;8caCk 3, EN6'S1'i?OM5 DEEeW000 ,4D0.
DAHOrR CO(/Ntr , MINNESorA
1 hprfiY r.rrUly tMn1 IbN ImveY, dten ni rryiorf wei PrlmrM bY ms et ?ntler my dlrpcl tupn.vrylan and dint 1 em tdy 11?ete.ed lend Su.veYm
unAr, thp lews ol 1M Eleh ef AIIiiM?oN. Deled thlt ?? c1eY et ?'f? N A.b. 19 _ - J.---,
a? . ?--- , -?-----?..
? I _? _? HewARO W. 9?OK4 [.S IIF/i. Nrf. 1e9VS •
,
,?-
EX7ERIOR ENVELDPE AVERA6E "U" COPIPUT/1TION
OVINER
SITE ADDRE55 L?7- .? • L -? ? ??C?
7Ln'14?c
??
/ --
- --Z`--
- _
a? ?TSD N
.
{?
?
CONTRACTOR _ U.?E,r(?' CC?Y.ST DATE PHONE
Determine working square footage of each.
1. Total exposed wall area ...... s ft. x -
q' rll- `'
2. Total roof/ceiling area ...... sq. ft. x-026_
Total exposed wall area above floor = 26
=
a. Totat wall window area .....
?•?S
j I
........... .
„
b. Total door area ,,„, - -37, 7
c. Total sliding glass door area ...
-
p
......... ....
1
10 _
d. Total fireplace wall area.... ,.
:
. .....
.
e. Total wall framing area (average 10%)...:........ ? p
f. total net watl area above floor ................
g. Total rim joist area ................... . .
Total ezposed foundation area = e?50
h. Total foundation window arca ................
'-
.....
1. Toal net foundation area above grade ............ ..?,?p
Determine "U" value nf each wall segment.
a. 1.25.37 z °u" , ?4?_ = G/ y3
b. 77 Xliull ,123 G,{."
c. 90 •x sou„ 1? 5 -,
,.
d. ?p x "U'l 41d
e. aS,(o X ?,U,, ,08 = .21, 25
i.26 x„uil
y, -2U0 X Hull
---L-- -
h. ?
1. . r?
x °u°
X JIU14
rel. 6 9
?7. (? o
?e
3 ................................. ...Total =
If item 03 is the same as, or less than item #l. you have met the intent
of 58C 6006(c)2.
ConstrucFion R-Value
1. io 1 6
2.. oyz` ,v'S"
1n e soft wcwd `
1. 1t% ? .?i s,:.- _•-fVG ?•GG
s. .2. y3
6.. Exterior air film = 0.17
Total ?? ? -
G.' - , CF
S,tc
Pe:ia
FRAlfE WALL
1.
2.
].
4.
S.,
6:'
AY
1. Interior aiz film 0.68
2.
3
.
4. ? ; z r3'icr ; 'r ? G ?
6. Exterior air film 0.17
7bta1
ell -7 .
FOONilASION
S7A1.L
1. Intorior air film O.GB
4.
• 3. /-?••..GR .,.r:;,- ?.nc:( ?--
. 4, r/ • ?77nr)' ? 1, -? `4
s' 0.17
• 6. Exl:erior air film
ota ,.
' :. .
SI,AB ON GINDB
.
?
' • ?
? ? •
?%1L . ?
• ? ?
= trrr . •
I( f v 1 ,
'
e ,
• I I I v
"
i?i ••
: ' if?
?
• • ?
. r •??r
YIG. i14 I (t
?, o • // I ?
-
• Icl ?r ( - ?r ? : ?7i `
NOTEs Indicate type. "R" value, denth and
placenent of insulation.
. • WALL SECTiON3
•NOTE: Uce 15% of opaquc wall.area for
irame construction
Paqo Three
ROOF/CEILING ,
, . • • ? ' . . .
• ` r?!"?? CO
2.
???'. ???_ ?'???(??,i`i I ;:
VF1iT ?,... ??... ??,
natruction _ R-Value
Interior air film 0.61
Aw 151
o !ll?1'OI ?GO
Fxtcrior nir film (still O?I
To`al 39, £>
• . ?' . ?vs
? - - -. .
VQI1C8d H@11C f.10v
uP
.
FIG. #5
1. Interior aiF film A 0.61
1.
3. ?r.
4. Er.teY ur ai 1 st
- tal
FIC. !6' . . . ?
1•
2.
3.
4.
5.
.. 11
Noto" Vse ndditional shects if more spacc
needed for details and calculal•ions
f Heat tlou up . •vented
' ' . ? Heat ? U
. flov up '
Fr.A. 47
? ? '
Total exposed roof/ceiling area a ///`-Z
J. Total skyllght area .... ........ ....... ... ... '-
k. Total roof/ceiling framing area(average 10%)...--777?
---
1. Total net insulated roof/ceiling area........... 10U?, 0
Oetermine "U" value for each roof/celling segment.
k. 111"2 X .,u„
t: /a-) a•b z °u,l
4 ....:.............................Tota1
Vs
: ?2s . 02
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
J.
1 1 11 " Z
x .? I1Y
system method, the values established by the
iot be greater than the sum of items 01 and U2.
+ 2.
- ?
_+ a. 2?.9/ 03?
?
To ut111ze the total envelope
sum of items 03 and Y4 shall
1. 3-/'31 ?G
3,
?-
, o.7G
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIl2ED FOR EACH UNTf.
NO. k'IXTURES EACH TOT?
SHOWER 3•00 -&_&n
? WATER CLOSET 3.00 }: o a
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3•00
LAUNDRY TRAY 3•00
NOT TUB/SPA 3•00
WATER HEATER 3•00
FLOOR DRAIN 3•00
GAS PIPING OLTTLET ro;,,i-um -1 3•00
ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVATE DISP. • Dak.Cry. lic. 15.00
U.G. SPRINKLER • eome under consi.
ALTERATIONS • to afisting
?
5
P
TURN AROUND
WATER 00
STATE SURCHARGE .50
? Y' 5p
TOTAL:
SITE ADDRESS: y 6 4 oL l7CeYt-w o oC) +i'L
OWNER NAME: M artJl<
INSTALLER:
ADDRESS: ? d 41 2
Crry: e STATE: ZIP CODE: \515-1a2
PHONE #: ( ) C(?; ? n^17 LF -1
f
'z 4,; jazn
SIGNAT RE OF PERMITTE
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KVOB RD
EAGAN MN 55122
(612) 6814675
III 1991 SIIILDNG )LIGATION 2 7• 0 0 t
CITY OF EAGAN 0' 5 0'
? 3•00+
SINGLE FAMILY DWELLINGS M[TI,TIPLE DWELLINGS I 28.50.-1
2 SETS OF PIANS 2 SETS OF PIANS ?
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CAI.CiTIATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WEiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF HONTH IN W1iZCH REQUEST SS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE SUILDZNG 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: AZ°el' Valuation: FJ ?0
Site Address OFFI
Lot ? Block 3
L ?,?
Parcel/Sub Vr? ^ -?
Owner _/%r k (? ??vh
Address y6 ?Z,2 rJr e r woo / %/(?
City/Zip Code ?R q ?q
Phone % S 'V -
Contractor/Ia.c./y
`
Address /V??3 Zh/ Cat v d A?
City/Zip
Code '/ ?r/ r •'3
/Lj/[l•
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Occupancy
Date: - /
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. /0"3-g/DS
Var3ance
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.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL
';?s'' O4
-- I i5d
?
as.sti
Sewer/W icensed COILt
r.
agrees that all woTk shall be done in accordance with
(SS ture of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
J.. wC7,(3
sl K hBf, = ZZx Z2
* ..b.S.ov¦-n?.? ----__......_... ...?.,.,.,?................ ? 161216814914
* *it
__
CerHlicets of Su?vsy tor. -WESLE-Y C.0A1s7.
4
rvvprH
0
?
N ?
u ? ? i 1.-o s.73 ?,s
? ? ze•?S ^? ?Z,BS ?
A
? ?d a-? ----- :? ----- --- N
? e t9•e? ? l?9L - L u? °?
°I sy ?17.28:? v?
- ?. ? -? u
EAGAN ENGINEERING 1)EI'T
. 900.0 Dtnofes exisf?n Eltvafron E u,sE EVAT- N
-?? perlv t9 phnp ? f/eYUl?v?1 Lowe4 Oor ?eVarWi 885.7
--'--- l?ano?e.e Uncii?rq ?' Ulilrl?! EUSemenf T?? o; 8/ock Elevafion iq 3.7
'-? Uenote9 Dr?1lrk?t t1oW ?lmnws C;ar?e S/aG flevaHort 89 3•
0 betivfes murtumenf
Bpdrins shdwn are assumeal Su Jecl Fo Eaasemerr/s ol"Recard
LOT b;SLaCK 3,ENa1'RaMS DEEvW000 ADD.
DAHOrR COVNtr , MINN!!o-rA
1 hrtpfiY e0v111y thnf IAl/1mMy. p16e nr rrporl we/ PrigoM bY me a LbAer my dhrcl fnprrvNlmi end tLnl 1 nm uty flrtgteteved Land Surveynr
uI the Inm of the EUh ol MlnnMOls. Ooted IhbWL My ol _ t4441-5 n' A.D. 19.---' ?
e inch, 40-
C Ca
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4
5? 3 S
CITY OF EACAN
3830 PILOT KNOB RD - $5122 ?/ 7 S
651-681-4875 1 5New Consiruefi n Reaulremenh Remodel/Reoah ReaulremeMs y0
! (
D S reghlered aMe surveys showtng sq. H. of IW, sq.1f. of house 2 copla of plan
and all rooted arcas (209G maximum lof covercae otlowed) t sef of energy calculaHons for heafed atldiHons
D 2 coples of plana (ahow beam b wlndow sKes; poured fnd. design; etc.) t sXe:urvey for exferlor addltions S. decW
D 1 set of energy calculaNans
D 3 coples of hee preaervaNOn plan 6 bt plaMed aHer 7!1 /93
DATE: f O - :3 •q 1?
DESCRIPTION OF WORK:
STREET AGDRESS:
LOT: ? BLOCK: ?
CONSTRUCTION COST:
1 ?S 7 O
6
30
. SUBD./P.I.D.
Name: "o JC.?-t 1n fnctj Phone #: ? S?-
PROPERTY Last FIm
OWNER h
Street Address: Z-/D L/ ? dDSLQ n ' ?sc9*k ?--b? Xcity state: M N zip: 55; a?
Phone#: (I I a $8! -?a 3 a
(area code)
CONTRACTOR
Street Address: 9 ? d i T ,)Vnt Q/",p j Ucense 1k ?La S-9 Fxp-
City L? &MuL nt.tn1 State: M A1 Zip: SS e)31
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
StreeR Address: RegistraNon t.
City
Sewer E water Ucensed plumber (reauired for new conshuctlon onlvl:
State:
Penalty applies when address eMange and lot change is requeated once permit is issued.
Zip:
1 hereby acknowledge thaf I hwe read lhis applicaFbn, siafe that the Informalion Is coneci, and agree fo comply wffh all applicabl
Stabe of Mlnnesofa Statutes and CiFy of Eagan Ordinances. .
Signature of Applkant:
OFFICE IJSE ONLY
Cert'fiicates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
U'` (S 36 PLUMBING (RESIDENTIAL)
Permit Application T50,se)
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date?l?/
Site Address ?y? ?,? e er ? o d c ? ?? Uoit #
Property Owner Teiep6one # ( )
Contractor
Address 10 leo''? / ?e
State lpR Zi? Telephone #
The Applicant is _ Owner _ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
{nc{udes County Tea. Addkfonal consuNant fees may apply.
Alterations To Existing Dwelliog Unit, Including
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment oi septic system
Water turnaround (+ 518" meter if needed 121
Other. u . 0 ?
? C
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ add'Rional
StateSurcharge SEP 2 S 2003 ?1 $ 50
Total
. - - I
I hereby apply for a Residential Plumbing Permit and acknowledge that the inYOrmation is wmpiete ana accurate; mat me worK ww
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plum6ing Codes; that I understand this is not a
permit, but only an application for a permrt, and work is not to start without ermir, that the work will be in accordance with the
ap oved plan i Vth
a
se of wotk which requires a review and approval of plan? 6-tc?l
Applica 's Printed Name Applicant's Signature
RESIDENTIAL BUII.DING
-tQ Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
i
N 9?. zS
,Q?-? 9??.3
,_ _U
New Construclion Reauirements RemadeVReoair Reawrements Office lJse Onlv
3 registered site surveys showing sq. ft. of lot, sq ft of house; and all roofed areas 2 wpies of plan Cert W Survey Recd
(20%maximum bt coverage allowed) t selof Energy Calculations for healed additions 7ree Pres Plan Recd
2 copies of plan showmg heam 8 window Sizes; pauced found desigq etc. 1 site Survey for additlons 8 decks Tree Pres Not Reqd
i setof Energy Calculations Add'Aion - irMkate i/wrsde septic system _ On-site Septic System
3 cop'ie.s of Tree Preservation Plan if lot plaked after 711/93
Rim Joisl Detail OpGons selecUon sheet (bldgs with 3 or less unifs
Date _Y / /S-- / e73 Construction Cost T° .-o
SiteAddress -?f042 Unit/Ste #
Description of Work
Property Owner OL/? N AC Telephone #3 I) Z 7¢ 7
. ,
Contractor
Address ?2-9 7h???-?S /0-/U6E City
5tate 2!?46? /-V?u - Zip SS123 Telephone # (6S1) 316'J - C 640
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission rype) Submitted Submitted
• Energy Emelope Calcul Submitted
Licensed Plumber
Mechanical Contractor
SEP 18 2093
Telephone #(
Telephone #(
Sewer/Water Contractor
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, Uut only an application for a permit, and work is not to star[ 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 ofplans.
ApplicanYs Printed Name
Applic-?ture
OFFICE USE ONLY
sub Typeg
? Ot Foundat ion ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
/k 02 SF Dwel ling ? OS 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 OS-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 Pibg_Y or _ N ? 25 Miscellaneous
Work Types ? l?• Gvi c1LrY,? ,{?? 650j-7" j,d f2.0«)•°y
? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (FOUndation) ? 45 Fire Repair
?" 33 Alteration ? 37 Demolish (81dg)' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demolition (Entire Bidg) - G ive PCA handout to applicant
Valuation &0 V Occupancy MC/ES System
Census Code 2oning City Water
SAG Units Stories Booster Pump
Nbr. ot Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_X Framing
Fueplace R.I. Aix Test Final
?( Insula[ion
REQUIRED INSPECTIONS
Final/C.O.
? Final/No C.O.
_ Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By -1-7i , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other '
Total
t'? ?;?1? r7Lf1r?L
p
0 ? ?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124587
Date Issued:07/07/2014
Permit Category:ePermit
Site Address: 4042 Deerwood Tr
Lot:6 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-060
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:BL - Base Fee $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 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 -
Mark A Oldyn
4042 Deerwood Tr
Eagan MN 55122
(612) 770-1660
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142290
Date Issued:04/25/2017
Permit Category:ePermit
Site Address: 4042 Deerwood Tr
Lot:6 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-060
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
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 -
Mark A Oldyn
4042 Deerwood Tr
Eagan MN 55122
(612) 770-1660
Glowing Hearth And Home Llc
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature