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4045 Deerwood TrS d- ?S- ? CITY QF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE? 454-8100 BUILDING PERMIT To be used for • . Est. Value Lot Receipt ` OFFIC 1? S On Site 3ewage ?- MWCC System On Site Well ? City Water PRV Required Booster Pump . • -+- ? . , Name Address City Phone I hereby aCknowledge that I have read this application and state that the information is conect and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable Stafe of Minnesota Statutes and City of Eagan Ordinances. Building Official Zoning _ (Actual) Const _ (Allowable) _ * of Stories Length - Depth - S.F. Total Footprint S.F. APPROVALS FEES Engr.lAssess. Permit Planner Surcharge Council Plan Review Bldg. ON. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 _ ??? • ? Parks TOTAI - ' Permit No. Permit Holdsr Dats Telephona ? Plumbing H.V.AC. Electric °'' Softener Inspectian Data Insp. Comments Footings I Footings II Foundation Framing /?? " C ? ?s -.1•,?. ry f. Roofing L-11 Rough Plbg. Roug h Htg. Azz Isul. k Fireplace ,f i-e/? ev'f Final Htg. Final Plbg. Bldg. Final lz,? i cert. oco. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. BUILDING PERMIT To be used for ; r pWG/W, Est. Value ; 154 10 Receipt 134, QCjs Date ALFCUST Site Address '?045 DEERFaO()ll 5'kAIL Lot I f Block ? Sec/Sub. ?' Parcel No. DW00O ADD. a Name J?ONTG()ME1tY DESIvN z Address ''•ISY ?CNOB DRIVF d City ..AGAN Phone 681-4260 Address City _ ?rz ?W W W Name_ i ? Address v Q W City - 1 hereby acknowledge that I have read this application and state that the inlormation is correct and agree to comply with all applicable State of Minnesota Statutes 6d City of Eagan Ordinances. SignatLlre of Permittee A Building Permit is issued to: 'Cr'Ti,.7P;:.T;Y Li:S?.f: Pj on 2he express condition that all work shal I be done in aCCOrdance with all applicablq State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY On Site 5ewage Occupancy li-a 71--1 MWCC 5ystem `e Zoning R-1 On Site Well (Actuaq Const V-h City Water X (Alloweble) V-h PRV Requlred # of Storfes Booater Pump Length 62 Depth 42 S.F. Total Footprint S.F. CITY OF EAGAN 3830 Pilat Knob 14oad, P.O. 8ax 21-199, Eagan, MN 55421 PH ON E: 454-8100 APPROVALS FEES Engr.lAssess. Permit t ??+00 Planner Surcharge 69•50 Council Pian Review 350•M BIdg.Off. SAC,City 100•(X) Variance SAC. MWCC 550•00 Water Conn. 0 .550.0 WaterMeter ?. 67,? Road Unit 325.Ot3 Treatment P1 "• jO Parks TOTAL 5! 50 19 t& ?-,•?.-?•?.?....?..?...?... ? .? a• ?y y $ite Lot. m Name ? Addre ? Ciry _ PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: - ? Name • ' c Address > O City TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other MBTU M BTU M BTU M BTU CFM FEE: SlC: TOTAL: BLDG. TYPE WORK DESCRIPTION Res. ? New Mult Add-on Comm. Repair Other 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 PERiIAIn 50 EA - 1 . . COMMlIND FEE - 1% OF CONTRACT FEE ^ APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON S REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 - STATE SURCHARGE PER PERMIT - .50 - (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) , c.. , ' ? SIGNATURE OF PERMITTEE ? FOR: CITY OF EAGAN .- ?... . • - PERMIT 1t _ PLUMBING PERMIT ?Y CITY OF EAGAN RECEIPT # - ' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: iACT PRICE: PHONE: 451-8100 Address City Phone rvame Address Ciiy - Phone FEES IM/IND FEE - 1% OF CONTRACT FEE BLDGS - COMM RATE APPLIES 'NHOUSE 8 CONDO - RES. RATE APPLIES MUM - RESIDENTIAL FEE - $12.00 VIUM - COMM/IND FEE - $20.00 'E SURCHARGE PER PERMIT - .50 ?$30 S/C IF PERMIT PRICE GOES CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. ? New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES = Water Closet - $3.00 : TOTAL $ ? + Bath Tubs - $3.00 Lavatory - $3.00 ° t Shower =$3.00 - ?-Kitchen 5ink - $3.00 Urinal/Bidet - 53.00 1 Laundry Tray - $3 00 . _J Floor Orains - $1.50 ? _?Water Heater - $1.50 ? Whirlpool - $3.00 ? =Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $1 0.04 Private Disp. - $10.00 ?Ro h O enin s - $1 50 . p g ug FEE: j ] STATE S/C: GRAND TOTAL• (gtrtifiratit uf (Orrupanry titp of eagan appulmmt ? lidiaing .?ertim This Certificate issued pursuant to the requiremenu of Section 306 of the Uniforrn Building Code certifying that at the ume of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the foUowing: ux clanirintion SF DWGV.;A?? sldg. lt?mu No. 15410 OctuprcY'f)'Da R3M 3 ZoniigDiftria ' TypeCOmt. ??< Owxtof Bw7diug Add= ?i 1_`} I'??i..'-? !?:; ?il!'•: audding nadrzas 4{J'=5 T!??r,iCW [.aaliry LI2, Date: ? - - Buildwg OBdd POST IN A CONSPICUOUS PLACE "Opri -pr . CITY OF EAGAN Permit No: Data ??' '? ' 3830 Pilo1 Knob Road Meter Na -410 74/6 a/ giZe: P.O. Box 21199 Reader No: OL[C .35-a 32 Date: J6 -aej -9k Eagait, MN 55121 Owner. Site AOdress: Plumber Conn. Chg: , ? 1-' 1? Zoning: ^ Acct Dep: No. of Units: Permlt Fee: r S Ftl urcharge, I agree to comply with Ihe City of Eayan Tr. Plant Ordinances. Meter. Misc.: ey WATER SERVIC PERMIT Pllot Knob Road Rox 21199 in, MN 55121 Address: Permit No: 14i 9 9 r e/P Na 6334 I'Jon t ?J\J. `. _/lJ . '../Opd Chg: 1. . Dopd . Dep: -- nit Fee: ' Date: 8 -16-88 Date: 3-$ -8 g Zoning, - No. of Units: L t agree to comply with the City of Eaqan Ordinances. sy RESIDENTIAL BUILDING PERMIT APPLICATION t-, CITY OF EAGAN U ? ' T 3830 PILOT KNOB RD - 55122 657-687-4675 ?i a? NewConstruction ReauiremeMs RemodeVReoairReauirements CJ t . 3 registered site surveys showing sq. ft. of lot, sq N of house; and all roofed areas • 2 cropies o( plan (20%mazimum lol coverage allowed) • 1 set of Energy CalculaGons for heated additbns • 2 capies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for eadenor additions & decks • 1 set of Energy Calculations . Iridicate if hane served by septic system tor additiore • 3 copies of Tree Preservation Plan'rf lot platted after 711193 • Rim Jaist DeNail Op6ons selection sheet (bidgs with 3 or less units) DATE )Zl /' y0/ VALUATION JOB SITE ADDRESS j1OV5-- &eeD^uJ d m CP 7-?-a-r C_ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ?IrD 11/l.) ZE t1^ TYPE OF WORK [3a-57(2vw2aU7_ FIREPLACE(3) _ 0>C 1_ 2 APPLICANT 7-6Li /l-) PHONE# fo, S?I_ySd ADDRESS ?'0-117 0e'PYW00CQ JYCc_!G._ ZIPCODE JS?LZ PAGER # CELL PHONE # FAX # NIEV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: Phone # All above information must be su6mitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is coil ect, an _tY"g"r o with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? _.- Signature of _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submftted - Energy Envebpe Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: _ Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Phone # Air Conditioning Fee: $70.00 _ Heat Rccovery SysCcm Certificates of Survey Received , Tree Preservation Plan Reeeived _ Not Required _ Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 OS-plex ? 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex y 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ?[ 33 Alteration / ' ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Jf? Occupancy 44- MC/ES System Census Code Zoning City Water SAC Units ? Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs r Length Fire Sprinklered Type of Const I/P W idth ?v -P Other _ Pool Ftgs A'u/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By 11-2- , Building Inspector REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Plumbing Foundation HVAC y Drain Tile ? Roof Ice & Water Final Framing Fireplace 4 R.I. )(Air Test y Final Insularion Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total FinaUC.O. ?( FinallNo C.O. ? ?L ?.h7,s/? ' ,17D ? CITY OF EAGAN N2 15 410 3830 Pilot Knob Road, P.O. Box 21-199, Eagan,•MN 55121 PHONE: 454•8100 BUILDING PERMIT To be used (or SF DWG/GAR Est. Value $13 Site Address 4045 DEERWOOD TRAIL Lot 12 Block l Sec/Sub. ENGSTROM' S Parcel No DEERWOOD ADD. . QlName MONTGOMERY DESIGN I Address 4151 IINOB DRIVE City EAGAN Phone 681-9260 °C Nan 0 oQ Add ? Clty r? U?y WW x? aw Name_ Address CrtY- I hereby acknowledge that I have read this apphcahon and sta[e that the mformation is correct and agree to comply wdh all apphcable State of Mmneso[a Statutes and C/itfyof Eagao Ordmances Signature of Permittee (NLn.(? 'J71?iq?r ? A Building Permit is issued to: MONTGOMERY DESIGN on the express condition that al I work shall be done in accordance wdh al I applicable State ol Mrnnes Statutes and y of Eagan Ordinances. ewidmg OHiCial l Receipt # 2 Date AUGUST 1((` ?J3u 3 - 1g $$ OFFICE USE ONLV On Sita Sewage - Occupancy R-3 M-1 MWGCSystem X Zoning R-1 On Site Well (AC[uap Const V-N City Water X (Allowable) Y-N PpV Required _ # of Stories 8ooster Pump _ Length 67 Depth 49 S.F. Total Footpnnt S.P. APPROVALS FEES EngrJASSess. Permit 70 0 Planner Surcharge 69,50 Counal Plan Review 350.00 eldg Off SAC, City _1.OQ,QO Vanance SAC,MWCC 550_00 WaterConn. _350.10_0 WaterMeter 67_[l0 Road Unit -32$. QD TreatmentPl ?_44-00 Parks TOTAL $2915.5 O Z) Euiid.r:r 5areiu G_,arimen*. C"itu - E?GA!t ?zTC ?5-5en_-6ii Joo Address - 4054 DEE+kOGD 4?ai ir:a Centracter - '?erit HVAC, =nc. ;hane 434-0926 vuii dins Contrartor ce r,wner - Ma?K EKLp HOMc= Phone 431-6430 <+ T ha oasir informatior below 1?ust be dSrEp?a;qed irom '.ire enereu _aicuiatians and olan=_ apor aved b+a the Buiidna Deozrimen* fr,r the =_tuccu;e te be buil*.. nmcun*. Delta T r"actor Fartor 1. Souare feer of exoosed wa11 ;rea a6ove crade. 21<+2 0.05 9M Sauar= Teet oT P-,aosed wiriu?iy ar=a. 336 oS5 93 3. 5ouern t2et of reiiina area. 1125 ,1•.02 >u 4. Sat!3 rc feei oT 4asement iioar aree a.na ='^awi space 1126 5110 . 5. 5ouar- f?et oP eall area beiuw arade. 901 0.'u9 °o 6. Linea^ feet o" i^f?ltratior rer window=: 352 427 0.1E 11085 7. Linear feet of :rfiitration ror doors. Q 915' 1.25 1.0851 5. Lia=e:• `eet or i:fi1{;atiar, for ;lidin, dor,rs. 6E 9a 0.75 1.065 t,iiewance for 4:it.r?hen anu bath fans. iiic, ea :ar.= @ 600 BT-jH aach. 1 500 hath fan=_ n:100 SiUH each. 3 200 10. ni1err=rces for rt;ture fireaiaw=. 34' to 4_" a?30@ BT',i'r. eacn. 1 13?0 11. Te±ai B-TUH loss far aii a?o:e items. 12 rlui for comhu=t=on air 7722l -(,001) >; net 4'993.55 e .. r. (.E??) ri 90. 13. ALD 14. i•i;e.ln,am incrFaae allowztle hu SRC 500? - answer ?tov? x 115%. "u±;ur nf furnece shali fail beiweer ii'•: & 14. (7'ris ts the size turnaw deu =_houle -.se in this s*racture. Tr= code ooes a11ow uou to us tne ne:.+ size availn?lle providine tha` aperepriate eqs.:arent is nori 'B3GItq dVdileFF..' T'Iz undersioned, as a.ppiicact far a heatinq perrtr.'. herebu af`irma the aeave infor- R,aiimn has 6ee,* preared h!ir andior fer -.mself. o; urder hi_ c;rec±ion; herebu Inou;edoes the iniormation !o be corr•=c+ anc accurate: anh nereou preserrs ;1his uirep clarss in supoert of t1e ' aLing Fer,,,i± Appticntinn. w,.i re ti i - ` : q orma en , , Barp; vignarure: ? B?UH Lass t-1116.8 ib%3i.F1 3 22523 3378. 0 t:?Z 7 51=2.0 4da"2.5 48?-7.7 xev. e hri¢. a iaa0. m 59?c3.7 7051.1 65044. 8 748'"i.5 ?/?/sv C? 3 3579,l /0?"?/ uo°0 S Requesl Date f N ! J I /? Rough-in Inspection Reqwretl'+ ' . ?_.Afleatly Now ? Will Nobty Mspecror Yes ? No ?? When Ready? I O licensed con2ractor _Lt0owner hereby request mspechon ot above elecirical work at: Joh Atltlress (Sireet, Bax or Route No ? D v wo v?-? '? C'ry ? ?,v Section o Towns ip Name or No Range No County Oocupant (PR T) - Phone N ? Pawer Supplier J% Atltlress Elacincal onlreqtor (COmpany Name) Contreotor5 Lsense No Matling /tldress iGOnVamor or Owner Mekinq InstallaLOn) ? ?e Authorrzetl Si na re[Convactorl0 Making Inslgi tion? Ph "ber d ? s MINNF,¢OW1 STATE BOARD OF ELECTRICITY THIS MSPECTION REQUEST WILL NOT Griggewrtlway 81tlg - qoom 5-113 6E ACGEPTED BV THE STATE BOqqp 1821 Univereity Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Vhone1812J6G2_p8pp ENGLOSED REQUEST FOR ELECTRICAL INSPECTION ee-oooai-m ? 0- See insn mtions (or complelinq Nis brm on paok ol yellow copy ? 5 C? y4?4?2_ C?js 33579 "X" Below Work Covered by This Request -Aal ew 7Apt. TypeofBwldmg ApphancesWired EquipmentWired ome Fange Temporary Service uplex Wa[er Heater Electric Heatmg Bwiding Dryer Other(Specify) omm /Industnal Fumace rm Air Conditioner har(spaoiry) Conkaotor5 Remarks Compute Inspectron Fee 8elow. # Other Fee # Sernce Enirance5rze Fee # CuCwts/Feeders Fee Swimmi Pool 0 to 200) mps 0 to WO Amps Transtormers Above 200 _ Amps Abol Amps S190S Inspecmr's Use Onty TOTAL , 7j' Irngation Booms ? ? SpeCial Inspecllon Alarm/CommumcaLOn THIS INSTALLATION MAY BE ORDERED DISCONNECTEE) IF NOT Other Fee COMPLETED WITHIN 18 MON I, the Electncal Inspector. hereby td ih t th 6 t h Rou9n-m oaie cer y a e a ove inspec ion as been made. F,,,ai ? !/ ' v D.I. OFFICE USE ONLV Thl6 fBqll2biV0id 18 010n1h51101Ii This request void V ry 18 nwn[hs fmm C? 49798 ? Pequest Da?e re No. qeuyhe??lnsuecuon DReadY Now Will NoUfy Insvec' Ves ? No ??or When Ready I? licensetl Elec[ncal ConVactor I hereby requast inspection oi ebova a -i ,.,..m mslalted at. U Uwner Sveet Address, Box or Po e No. shiName No. To t ???? Cou? Occuu.rntIPRINTI fJl ?r n1 'r Phone No. Power upoloer ? /? Add,ess ?C Eler.tncal Convector ICOmpany Namel_ Con<ractm'S L?cense No. Mailing Add ess ICOnVactor or Owner Mabng Instaliabonl ? Cf l ? - Scru? ? °P !?/?1?1. ?L7? Author?ed S?B??T?ure IContractor O?+ne? , ine ????talla??on? Phon• Number / Twc uasccennN RfQUEST WILL NOT MINNESaTA STATE BOAND OF ELECTflIGITY GnAps-Midway Bldg. - Aoom N•191 1821 lJmvarsitv A,ox.. SL Paul. MN 55704 Phone (612) 642-0800 BE ACCEPTEO BY THE STATE BOARD UNLE55 PXOPEft INSPECTION fEE IS ENCLOSED. EB-00001-0 REQUEST fOR ELECTRICAL INSPECTION „ ' ' See msvocLOns tor completinu this farm on beck ol Vellow caOV' Q7 (??( "'X" Below Work Covered 6y This Req+?es1 /A' ? T v 1- V WveA Aoolmncxs Wrted Hdd ReD Tvpe ot 6w1d:'^e TBRI(lOY2ry SENICB H e Range ------- Fixttne? ?, ..a«1-.gt.- y.: Commercial 81dy rumace Bulk Milk T&nk Industnal Bldg. Air Conditioner p i??, isn„uivi On Sa?iN r Parm I I I ? i 1 om?? ' rte lnspect'on Fee Below Feeders/5ubieeders a Fae c,,,;=??s Fee ServiceEntrence5ixe tt Fee 0 to 30 Am?s ? 0 tn 30 !1n`D5 U ro 200 Amps 31 to 100 Ainps 31 to 100 An Above 200 Amps Ahove 100-Amps Above 1 00- Swimminy Pool Irngebon RoomS ?Z p?rual, Othe? < TranStormer5 ns S SVeciallnspecLOn TOTAL FE ig ? ks f-7 /y Final rnia r I, the Electnwi Inspactor, her06y 001111y <hat tM1e above ?nle inspection has been y ?/ - ,,,,ae. RESIDENTIAL BUILDING PERMIT APPLICATION , CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 l 851-681-4675 q? • a New Conetructkn Neaulremenh RemoaeVNeoalr Neaulrements • 3 registered she surveys shaxing sq. fl. af bt, sq.8. of house; and all roofetl areas • 2 copies of plan (20%maximum bt coverage allowed) • 1 set of Energy CalwLationsfor heated atltlitions • 2 coplas of plen showing beam & winGOw sizes; poured found design, etc.) • 1 stte survey tor enterar addAbns & decks • lsetofEnergyCakulalbns . Indaate'rfhomeservedbysepticsystemforaddttions • 3 copies of Tree Preservalbn Ppn M bt platleG atter 711193 • Rim Joist Detail Options seledbn sheat (hltlgs with 3 or less unMS) DATE cl(a 6 Lo2 VALUATION SITE-(-ApD(?D?R-? ?D ?/ ?oeP/'wos? ? MULTi-FAMILY BLDG _Y N TYPE ?5?'VVORK k 0e rocd FIREPLACE(S)-e'?S0 _ 1_ 2 APPLICANT AK^ce• c,,... Q ?• I?? ?. eo.--F?.. cfa? s SiREETADDRESS fZZY? N.'collef' Av• S• CITY 9,-vhsu,Ik STATE ± ZIP 5-?°I3 TELEPHONE #`i Sr 7o7•G'Is9 CELL PHONE # --- FAX # rR5-?) $08 - 88W- PROPERN OWNER TELEPHONE #??? ---------------------------- ----^--------------------------------------- °--°--------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ bIINNFSOTA RiJLES 7670 CATEGORY 1 MINNFSOTA Ri1LES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted E --Cq?? e!!!???{{{yyy rkah etISubmitted • Energy Envelope Calculations Su6mitted I D? 1?I ? OCT 0 1 2002 Plumbing Contractor: Phone # Plumbing system includes: Water Softener Y? Iawn Sprinkle?iBy FPP:_$9200 Water Heater No. of R.I. Baths No. of Saths Mechanical Confracfor: Mechanical system includes: SewedWater Conhactor: _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee: $70.00 I hereby acknowledge ihat I have read this applicatlon, state thaT the Information is correct, and agree to comply wiih atl applicoble State of Minnesota Stafutes and Ciiy of Eagan Ordinances. % Signature ofApplicant ? WV?'?L?(?L????-e'/?ti -- - OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4/02 _ _ _. _ _ , ?...i_...:'??1It ?:.?,.I?'I_I._CII''I:°: r!'=ii_„t=i?._?i. "l..l" i._fii`..I'I'i.}I.i h+i:t;v.'i1:{:il°il::l=('Y Di, 1',:I (=,N . ,"r,ii_Il.l.l.r !:.'?:) 4151 i';Ni-)B oR El:71;iF1N,. NN ;°J:`.l.,.:i' 6ia y .`J',j3f 1 if.Yi.il=.l... Fo`_:lf_.FZ i-)i:Fiii ii il i•: i-d,01 I;F.4;?i..ll. ;H.% . - , I. I?i.+IFd1. 4:?(-il.l_. f?iYiL:h.., ....::1:}:7 ..LI 277 ' ..,-..,...,. - , _ .>.- :.. : , t'? ?...., i .. ? ? .., i ??, it=c-i 1205 : .'... ..il.f I :.Ir.'.ij..ii H 6UifHd)I.iIFl F?rw:CFW 1i')3 .,:_75 10.1. i:; Drit_)R A1':.¢t:i .±li .I3 :'i f; ALE7JINB IiLnji:{try At^:R(-1 ..._ ?C+ri .'..G P, F1:PF-;.ni.fitf.ll;- a:,Rii::(-1 5A .^ 11 f'. i,.pr}I, ;._ I':.p,f:iT°it. f=tRC!1 2510 .095 24 ?" ,I::i IAI "t ???::... ??7L._ (=7?:?:.h 1957.0 1032 71 ra it;ri ..,u:rGr Aitt.n ;.,•c; .04.::;6 -r H F-lJi.;i•d1J i.;i;.l`.!1)i)I:! f1RE{:y S'? ,._ '1") GR(:l!},)i_'. 6 .i„ T['i"i't-,i., W(ll...l.. AF;i_rtt 251 3 :.iVYL. ??.::.. ? l? t,; Pi'rr7F... rRral°ii:. 120„5 ,U:.:.s. 4 I.... NPr`i ii(:.tE:J'r- AkI:pa i:I.`:js..a.'; 1022; :::'!.., i t.11 f;l._ i;OOl= HRF=A >t? t3llf°I t.=1t= :i .:+;;.. ;':I.'I. Ai_I?I Up? .1-1. 2L l. i/ ... 1988 BUILDING PERMIT APPLIC9TION'- CITY OF EAGAN SINGLE FAMILY DWELLINGS /5 ?/l b INCLUDE 2 SETS OF PLANS, 3 CERTIEICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS A NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESZRED, NO CHANGES WILL SE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS On site sewage_ MWCC system v On site well City water ? PBV required _ Booster Pump _ INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COhA7ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Site Address g,F. Valuation: Oou- 410 H SL, y.P/uqJnd ?/tQa. OFFI Lot 1.2 Bloek I Parcel/Sub Owner .? F?'? Address City/Zip Code Phone Contractor ' , 4? Qe??m Address GJ 15 f lL?4 City/Zip Code Phone / q1 - Areh./Engr. Address City/Zip Code Phone ll APPROVALS # OF UNIT3 nate: eu ,U1- 2 81988 Oecupancy R-3 M -? Zoning R-1 Actual Const V-AI Allowable t/- N_ _ # of stories Length ? Depth ? S.F. Total Footprint S.F. FEES Permit 1?00,00 Engr/Assess Planner Council Bldg. Of f ARM7-Z`I Variance Surcharge ,50 Plan Review 3$0,0? SAC, City I00,00, SAC, MWCC S>'^> 01?1 Water Conn 5t,-V. ou Water Meter ?,r] • J, Road Unit 0a Treatment Pl tt . o? Parks Copies TOTAL ? lS,5 O . VALUA-1 1oN . . ?A ".. 19,E- a6uAY _ -72Y _--- ?sZ X ,q: ,oyye 13 AS??'?1 E?-?T 3?,X 93L `I y (.- - S ? I 11 X `? ' i i Lt g?/? i, t3? I X l3 : 1695Z , I ss z ND R ou12 3(? >C Z(? = 513? q .- 61-1S8 z L)sS6 Y 34 ` ?? APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIQN : . i N3PE: PAYMENf OF EEE AT TIME OF *x* ; n2eLiCnTTau ooFS Nar cON- ; ? 51'INl'L' APPRGVAI. OF PET7MPf. y e t R INSPDCPION OP SEZdIt 1@ID/IX2 WA1EH ,*k IraSmatsaT10NS WIIM NOT BE ci^cnn.cn ? ONPIL Pf7tFIIT HAS BEES] APPRWID. ? ll?W •xnr++rf w??tfst» wxwx?tt?r»s?:tttr?+++ ity OF eC9gan IPLEASE PRINT 1) PROPERTY ADDRFSS: 4?0CF S OterwanJ Trai I T,FY;AT, DESCRIPTION; IF EXISTINGG STRL'CTURE, DATE OF ORIGINAL BUILDING PERMIT ISSLANCE: PRESENT ZONING/PROPOSID USE: Q COhIIMERCIAL/RETAIL/OFFICE Q INDUSTRIAL a INSTITUTIONAL/GOVERNMENT Mon Year ?J R-1 SINGLE FAMILY ? R-2 DLPLEX (3WO Lnits) ? R-3 TOWNfi0U5E (Three + Uiaits) ( Lnits) Q R-4 APARTMENT/CONDOMINILM ( C'nits) 2) NAME: Cvw; rA CQ.,,n,?t ADDRESS : L{ 151 j<n o d n r. CITY, STATE, 2IP: 6? 9_¢ h ? 1 Z 7.- PHONE: („ SI - R?lLoio 3) • NAME: 7YlURR PLum b;,i a ?DREss: I kd 3 AI flv fkI0.hrj O Y. 5,u:f?. L403 crTr, STATE, zzP: M+ndota F+al.-rs PHONE: G R A- G S 7q MASTER LICENSE #Q 03 5 -70 M 3 4) m " • ?' NAME: ?at+ tv' ADDRESS: CITY, STATE, ZIP: PHONE: I? •Active Expired Not recorded Sta Initia 5) w•v R • o I ra e fET'CONNECTION TO CITY SEWER F,--rCONNECTIO[V Tb CSTY WATEEt a OTHII2 61 *?*,?*?****?**??***?*?*,:****????**?***************+**+?*******???*??*****?***********?********+*+*??? * * THE GOLD COPY OF 7M PERMIT WILL BE SENP DIREC'1'LY TO PUBLIC WORKS 70 FACILITATE ME:1'ER PICK-OP. * ,,*k PLEASE ALIAW ZWO WURKING DAYS FOR PROCESSING. SOHIDONE F'ROM TfM CITY WILL CONPACT YOU IF TFIERE * * P12E ANY PROBLEMS. ? ?****??x*****:??**+e??*t**?*??*****x*?**?**********?****t****,t*x,r,r*******??******,r??,t?*+++*+,r****?*:? FOR CITY USE ONLY PERMIT # ISSUED .?? Pd w/Bldg. Permit FEES: $ $ /b ' 5-D $ $ $ -7'!f d $ $ $ $ $ $ $ $ $ lT-D s ,5-ra -0-v $ $ e???•?d $ $ S $ $ $ $ $ $ $ $ $ $ $ `y.V, ?o s RECEIPT RECEIPT SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SDRCHARGE) WATER METER/COPPERHORN/OL'TSIDE READER WATER TAP (INCL[!DE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRLNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER , LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGILVEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO TAE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: el1(?- ld4-,a Install gas insert onlv <1 G o .? ?-a-9 ? Alterafions to existing Install 2as litae onlv ,2L Other o&,4CTD9W ,Q?j(T F/oPrRncr Job address: qS b ??--?wrcb TR. Lot: Block: Subdivision/P.I.D.#: ?CVLaSNy () VvA S V?'?(lJ?,?B?Q 3?0?3 Date: , ?2 -Yy, 1999 FIREPLACE PERMIT APPLICATION CtTY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Description of Work: _ Construct new fireplace XGas _Masonry _ Applicant (circle one only): Owner Contracto Pernrit Fee: $60.50 PROPERTY OWNER City &-A (-N/,? State: im ? Zip: S'S') ZZ FIREPLACE INSTALLER GASLINE INSTALLER Name: ?"o57?7E' J-d N'J Phone #: Last First Street Address: Sv4??S- bi--veL..r? 7r- Company: A?,n,g7t ?AXA6r? b064? E? Phone #: d12- 3?1 = 7 s`?? (area code) c-Hr'o?i?? /g ?r' Street Address: 9110 City State: J41,?J Zip: .57S?d--J-- Company: Street City Phone #: (area code) State: Zip: _ I hereby acknowledge that I have read this application and state that the information is correct and agree to ? comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature I ( ' AW L SJJ PERMIT# tff5/ ?; RECEIPTDATE: Please complete for: SITE ADDRESS: OWNER NAME: US1DFNTLAL PLUM$IAH PFAMiT APPLICATION CI7'Y OF EAfiakN s$so Pu.or xxoa itn EP1fiRA,1HP 55122 651-691-4678 ? S single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system e if- v?-Uj L7 Q a? `? re y„l Jo v\- 'ru .5 TELEPHONE #: (AREA CODE) INSTALLER NAME: TELEPHONE #: k S j(fl` Ci' QD STREET,4DDRESS: 70-0 ?L(AREACODE) CITY: iv&0L (f/f -a l`'GC5 wb S STATE: (/4ttL ZIP: ,/ r Place a check mark neut to the oermit work tvoe Modifications that alter living areas, such as adding new fixtures to lower level $ 50.00 areas or additions Modification/alteration to existina dwelling unit, inciuding: $ 30.00 • new installation/repairlrebuild of RPZ • lawn irrigation system • water softener, water heater, air conditioner Nature of work: Septic System, newlrefurbished - $ 225.00 • includes County & Consulting Inspector fees . requires two sets of plans • requires MPC license Abandonment of septic system $ 50.00 Water turnaround - existing dwelling unit $ 50.00 • 5/8" meter (if required) 118.00 State Surcharge $ .50 Total ?o $ rj Q ? I hereby acknowledge that I have read this application, state thatthe information is cortect, and agree to complywith all applicable Cityof Eagan ordinances. It is the applicanPs responsibility to notify the property owner fhat the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance ac6vilies W the facilities wnsW cted under this pertnit within Ciry propertylrightof-way/easemenj. . SIGNA U E OF RMITTEE 1/02 tiz7;)o? 3830 Pilot Knob Road Eagan MN 55122 Phone:(651) 675,5675 Fax:(651)675-5694 ?----------------- ? ? Permit#: j Pertnit Fee V i ? ? /.rtl!/ 1 ? Date Received: C I ? I ? Stafl I i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Ll _?- J ?() 8 Site Address: _( Q HS 1) e-er L,,,*O o 1 r"l I ` L Tenant: Suite #: 6 51- C,Sa` Lf 0o _10 hA IF65-t'e/? RESIDENT / OWNER Phone: Name: Address / City / Zip: L?O / 7 b-2erwOQ 17 79`ol,tt Applicant is: _ Owner 15( Contractor TYPE OF WORK Description ofwork: kqr--rQC5- Construdion Cost: 33 5o• 1 Multi-Family Building: (Yes _/ No /K-) CONTRACTOR Name ??'Yl'2r I C(? ?ui/? (? tpyi`?aC Sy ? j b9383 l /'1 ? License # Address: _D1,76o CAe:(_ * lbO i?Wn 5V,'(1 °U State:'i/"i Zip: Ss 341-7 Cit y: Phone: CI r7)L -707-6 I5g' Contact Persorr. 6V ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission typeJ • Energy Envelope Calculations Submittetl In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planT _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: ==:NOTEi Plans and s'appoRing document§ thaf you submit;are consideied to be,public.ittformation., Portions?of _-the informatron may be classifred as.non putilia.tf you provide speafic reasons fha?twould permit the Crty, to , that the „are trade:secrets, I hereby acknowledge that this infortnation is complete and accurate; that the work will be in confonnance with the ordinances and codes of the City of Eagan, that I undersfand Ihis 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 antl approval of plans. X???`7 l6l_ 1??(dv ApplicanYs Printed Name X 0w/l?4 9 ApplicanYs Signature Page 1 of 3 . • - -- ?c+ i"lu#v 1u+YO IumJH19eD R PIILi.. 1MG . . ._ _...__....? SU"RVEYOR'S CEnn1'1F9CA1'E 'w+oavooiNltv aE*IQa a aviLo co. -- ?Wooo T???-- . o M ° . ' 'EAGAN ' 430.00 "1„"? REdIEWED I.Y4nS'.:G?i'Y?1?YYY`*G i .l ryi ' y 88A 'n ? 1 ,+ ? m ? • Q? m __ M N 0 AR4GE? 24.0 . PRO OU$E` . .,. W ? N . Z' ,$OJb p0. . J C?99•g7 . r w • tc ?'?-...` Q11ry3.?'? as i" M C 7 (.? _ J 5 ? ? ?AINACE A U71LlTf g ?'ASEM6N1' AER ALAP 1 R (r D C9os. ° $ s ?107.20 N 0°29'20" W'L`a rAG?iN E?' Gliti;,,;;t-?ING DEPT nENOTES PROPOSED SURFACE DRAINAGE ,Q DENO'TES IRON MONUMENT SET SCAIE: 1 iNCH - $Q FEEf 0 DENOTES IRON MONUMENT FC')UNO PROPOSED GARAGE FLODR - 874-3 FEET X000.0 DENOTES EXI571NG ELEVAl1QN PROPOSED LOWEST FLpOR -$04-d, FEET (000.0) bENOTFS PROPOSED ELEVATION PROPOSED TOP OF BLOCK •- f14• y FEEI' WE HEREBY CERTIFY TO MONT60MERY oESicN a euiLo co.THAT THIS 15 A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNOARIES OF: ).ot 12, 91ock 1, ENGSTROMS DEERWOOD ADDITTON, according to the recorded plat thereof, Dakota County, M9nnesota: (TH%5 LEGAL DESCRIP7T010 YIILL 6ECOME VALIp UPON FILING THE PLAT OF-ENGS1'ROM5 DEERWOOD AbDITIQN.) I7 DOES NQT PUFPpR7 74 SHOW IMPROVEMENTS OA ENCRQACHMENTS, EXCEP7 A5 SHOWN. AS SURVEYED BY ME OR UhaEfl MY DiRECT SUPERVISION TW1521PE DAY OF ;r"•L, x ,18" TAKHNgRROM7HE6EVEL PMEN7E SIGNED: JA L,{NC. aLawtpoosr EpNpGSTR DEERwO0D LA?7?DA?BDEP?R?OMS ?B BRW, . BY: 4. HAROLp C. PE7F.R50N, LAND SURVErOR MINNESO7A LICENSE NUMBER 12294 Jarnes R. Hiil, tnc. PlANNERS / ENtalNEEF$S / SURVEYORS 9401 JAMES AVE. S. 9 BLOOMINf3YAld. MN. 66431 r 812-884-3029 'TEL M71Ei12 CPd4-`J?nltS A?J.Sb Yl'Jl f5) [ G [ M [ For Office Use- JUN 2 2 2009 , Permit City of Ea au Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax; (551) 675-5694 start: 2009 MECHANICAL PERMIT APPLICATION Date: o _ Site Address: M-5 W,r Tenant: Suite RESIDENT / OWNER Name: . n FOS Phone: qs L T Address / City / Zip: [ .i CONTRACTOR Name: y;~J - License Address: City: State: Zip: o Phone: _ f L1l Contact Person: d~ kY' -j r TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: i ' !A- bY\ r i r , (ti'' r1i; k f NOTE: Both roof mounted and ground mounted mechanical equipment Is required to be screened by city Code. Please contact the Mechanical Inspector or one of the Planners for Information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction Interior Improvement _-Fumace 'Air Conditioner Install Piping , Processed Gas Exterior HVAC Unit Air Exchanger Heat Pump Under / Above ground Tank Install / _ Remove) When installingtremoving tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ J TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _ Rough In _Air Test _Gas Service Test _.,In-floor Heat Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type:Building Permit Number:EA106880 Date Issued:09/14/2012 Permit Category:ePermit Site Address: 4045 Deerwood Tr Lot:12 Block: 1 Addition: Engstroms Deerwood PID:10-23900-01-120 Use: Description: Sub Type:e-Reroof Work Type:Replace Description:House & Garage Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John E Foster 4045 Deerwood Tr Eagan MN 55122 Lakewoods Remodeling 9001 E Bloomington Freeway #144 Bloomington MN 55420 (952) 888-5550 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA122642 Date Issued:05/14/2014 Permit Category:ePermit Site Address: 4045 Deerwood Tr Lot:12 Block: 1 Addition: Engstroms Deerwood PID:10-23900-01-120 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Scott Rise Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John E Foster 4045 Deerwood Tr Eagan MN 55122 Lakewoods Remodeling 9001 E Bloomington Freeway #144 Bloomington MN 55420 (952) 888-5550 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA179297 Date Issued:09/27/2022 Permit Category:ePermit Site Address: 4045 Deerwood Tr Lot:12 Block: 1 Addition: Engstroms Deerwood PID:10-23900-01-120 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John E & Joyce M Foster 4045 Deerwood Trl Eagan MN 55122--188 (651) 707-7378 Solaris Roofing Llc 1324 Forest Cir Burnsville MN 55306 (651) 675-8486 Applicant/Permitee: Signature Issued By: Signature