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4046 Deerwood TrCity of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r � For Office Use I 22,C1)-2/ Permit #: Permit Fee: / V Date Received: Staff: �/ 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - 1' ) 1 Site Address: Unit #: Phone: Resident! Owner Type of Work Contractor Name: `' � r y 1 Address / City / Zip: 10 ' 4. )'QL'r VJ`AO&\ Aron,\ Applicant is: Owner L Contractor Description of work: Construction Cost: Tek_' goof 00o Multi -Family Building: (Yes / No / ) Company: / 'M'XSo I - 5�c t e..9 1(a-< ' uV. s (-Le- Contact: (ftvaS Address: 4' 5 L Or? 7 City: 1:r State: 64?'" Zip: s rz Phone: QSL e7 License #: 13113C1 c 3 6 (Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Mechanical Contractor: Sewer & Water Contractor: 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 you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 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. Phone: Phone: Phone: Applicant's Printed Name I/ri/ was plic-jfj�re Page 1 of 3 //a%?' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT To be used for ` >' 6(" Site Address 4?,46 Lot / Block 3 Parcel No. a Name UA11" BI W Address 5i3Li4 LY3 3 . O City Name .o o a Address City I.- cc UW W W ?_ sz UZ G W i Name _ Address City _ 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 of Permittee A Building Permit is issued to:____ )k-iU BROTHER!, -1 _j M± on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official i S G I "i I Est. Value Z i , -JOC Date Z PT 20 .1966 Sec/Sub. EAA STAWtS OFFICE USE ONLY pn Site Sewage Occupancy MWCC System X Zoning On Site Well (Actual) Const City Water x (Allowable) PRY Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. R-3 tM:-1 R-1 V- ^14 V- IN APPROVALS Engr./Assess. Planner Council Bldg. Off. Variance FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL 521 63, 610.OC 15.50 305.00 100.00 55u.",, 55C.Cv 67.00 3? 5. oo 2.766.30 1 Permit No. Permit Holder Date Telephone e Plumbing lz7:? rct_nxc « ?? .3 R MAX. J??CC C- 11,3 n Electric / C? gut "L ?D/c? ?r ov Softener Inspection Date Insp. Comments Footings 1 i Footings II Foundation Framing ?•, Roofing Rough Plbg. Rough Htg. 1AI.-I,,, 4(KwyjrAU- [Sul. '- L• Z' Fireplace Final Htg. Final Pibg. . f Bldg. Final !y Cert Occ. ?& DS Temp. LP Deck Ftg. Deck Final Well Pr. Disp. 10 C0 PF.R r & ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt * To be used for `F tiV"WG/'C-An Est. Value ' I 1 I w i;C1t; Date SEPT 20 ,19 Site Address 4("46 DURWOOD TA Lot Block 3 Sec/Sub. ENGSTROM' S DEERWO Parcel No m Name DAHIX BROTHERS, I!!C i Address 9304 L'i NLALE AYR S 0 City Ei.Jt NINGTON Phone d ` u3i Ez a 0 Name SAME 0 a Address ?ity Phone W z v z W Name _ Address City- 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 of Permittee A Building Permit is issued to: JALti bROMRS % INC onthe express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building OFFICE USE ONLY )Dn Site Sewage Occupancy MWCC System X Zoning -1 On Site Well (Actual) Const V-N City Water X (Allowable) Y-iJ PRV Required # of Stories Booster Pump Length 52' Depth 63' S.F. Total Footprint S.F. JJ APPROVALS FEES Engr./Assess. Permit 60.00 Planner Surcharge 55. S0 Council Plan Review 305.00 Bldg. Off. SAC, City 100•00 Variance SAC, MWCC 553.00 Water Conn. 550.00 Water Meter 67. 170 Road Unit 325.00 Treatment P1 204.00 Parks TOTAL 2,766.5c PERMIT # MECHANICAL PERMIT ` CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ' ' - BLDG. TYPE WORK DESCRIPTION Lot Block - Sec/$ub Res. New Mult Add-on Name Comm. Repair Address Other i City Phone r U FEES Name RES. HVAC 0-100 M BTU -$24.00 a Address - ?_ ADDITIONAL 50 M BTU - 6.00 1 ` TYPE OF WORK Forced Air F ; M BTU f Boiler M BTU $- Unit Heater M BTU $?- Air Cond. M BTU $ Vent. CFM $_ Gas Piping Outlets # I $ +=•? Other $ FEE: '• SIC: ?. TOTAL (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 SIC IF PERMIT PRICE GOES BEYOND $1 000) s , . SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: TRACT PRICE: PHONE: 454-8100 Site Address Lot Block Sec/Sub m Name Address C City Phone Name Address O City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1.000.00) SIGNATURE OF PERMITTEE I FOR: CITY OF BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES t Cl $3 W 00 TOTAL $ - ater ose . Bath Tubs - $3.00 f? Lavatory - $100 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ' Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1 50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: (9Pr#ifirate of Mrruvanry citp of eagan OrprbuM of wing Ampprtimt This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use ckmrCadm 1 Bldg. Permit No. Oac"-y Type i Zoaiog District Type r- Owna of Busd&q 1)&U., Wks, ;N? `)?04 t:llvUIE W11, ;; 111'1,.?-i, BuMngAAdKes loaUtyll, B?,, C3GMTt' Date: DOMM 2 Buflft OMCW POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: I „ I te'i•if. 111 11'1.,11116111 111 i Id?_?.. I f.UIM'. t?i ! IiWt)ljl3 PERMIT SUBTYPE: . H, P11 , 111 c' 1I RAM 1 NI, 00611 IN III III$ I '%p p ON RECORD PERMIT TYPE: Permit Number: Date Issued: it 1 01 1, : APPLICANT: ,,.; . TYPE OF WORK: 1141101 1S 11 (11`1 f 1 NIt I 1'11t111t, Al. 11 I<A I 1 t1N I PARAIV I'f 14M1 I'-, Ai+F 141:011 V1 It V01i ANY P111114141N1, ok I I I I. IRII.AI fit) VI- Permit No. Permit Holder Date Telephone N S/W PLUMBING HVAC ELECT R ?? D $ ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing ?? f+ Roofing Rough Plbg. Rough Htg. Isul. Zl ' Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final - Deck Fig. Deck Final -7 OW- Or- 77+S Well b F `Itit? S!? . 1&t-Abr. t NSR Wl Pr. Disp. 1 J W7 NO CO PER S & W CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551 21 N? 15615 PHONE: 454-8100 -7 C n / / BUILDING PERMIT Receipt a To be used for SF DWG/GAR Est.FValue $111,000 Date SEPT 20 _ ,19 88 Site Address 4046 DEERWOOD TR OFFICE USE ONLY ENGSTROM' S DEERWO Lot 7 Block 3 Sec/Sub IPn Site Sewage Occupancy R-3 M-1 . MWCC System X Zoning R-1 Parcel No. V-N On Site Well (Actual) Const jx Name DAHLE BROTHERS, INC City Water ) (Allowable) V-N z Address 4304 LYNDALE AVE S PRV Required # of Stories o City BLOOMINGTON Phone 888-6866 Booster Pump Length 52' Depth 63' o°C , Name SAME S.F. Total o a Address Footprint S.F. City Phone APPROVALS FEES v m W Name Engr./Assess. Permit 610.00 Planner Surcharge 55.50 z Address Council Plan Review 305.00 6 W City Phone Bldg. Off. SAC, City 100.00 I hereby acknowledge that I d this application ate at the Variance SAC, MWCC 550.00 information is correct a agree t plicable S to of Water Conn. 550.00 Minnesota Statutes a Cit I Water Meter 67.00 Signature of Permi ee F Road Unit 329-0 n 161 M-B" A Building Permit is issued to: JAA _LE B1ZOT_ INC Treatment P1 204. nn on the express condition that all work hall be done in accordance withal I applicable State of Minnesota Statutes and City of Eagan Ordinances. + " Parks T 2,766.50 (? IM Building Official f f I t ? OTAL CITY OF.FAQAN Permit Na. 9 7 ^ Date: 10-11788 3830 Pilot Knob Road Meter No: q141 -7-1Z4 Size: P.O. Box 21199 Reader No: Date: ' Eagan, MN 55121 Owner Pale Bros Inc. Site Address: 4046 Deerwood Traii L1 E3 F:rtg6 s Deerwood Plumber Star "1S=robing Conn. Chg: 550. JfJpr Zoning: R? Acct Den- 15.OOpc' No. of Units: 1 Permit Fee: 10.00pe Surcharge: . 50pd I agree to comply with the City of Eagan Tr. Plant "64 • OOpd Ordinances. Meter. 67.0 rljk? / (I h. Misc.: BX ' WATER SERVICE PERMIT CITY OF EA.GAN 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 Owner. Site Address'' I' Permit No: 111'_ Date: In-11-88 B/P No: X7694 Date: 9--26'-88 Trait U B3 EnZstrams MWCC: Zoning, '- .. .p City Chg: No. of Units: Acct. Dep: ` I agree to comply with the City of Eagan Permit Fee: Ordinances. Surcharge: Misc.: BY SEWER SERVICE PERMIT l/ate/pfd S s it 64722 3°v Re0vest Date ire 1 •? O ?y v'?b f Rough-In Inpsection Regwretl (You must call Impactor when reetly) OUgh-In Ins ecaon Omer T k," geatly Now otAy Inspector Yes ? NO ' pate Ready 1 ? licensed contractor owner hereby request inspection of above electrical work at: Job Address (Street Bogor Roule NO) _4/ay(o & lece l pl City e' vwi 0.w Section No TOwnshrp Name Or No Range No County Occupant (PRINT) {Pt Ill R k g Phone No 'D (y>? y O " t . rw u ksYr 9 Power Supplier Address Electrical Contractor (Company Name) Contractors License No Sci,yy) e-- Mailing Address (Contractor or Owner Making installahonl S Ck, Y-n e - Aumonzetl e contracto her Making Installation) Phone Number IuGG ' is L S ?l ? 1 f- MINNESOTA STAT BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room Fr1T3 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(612)662-0800 ENCLOSED CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: INSPECTION RECORD PERMIT TYPE: Permit Number. Date Issued: LOT: 4046 DEERWOOD TR ENGSTROMS DEERWOOD PERMIT SUBTYPE: BASEMENT FINISH 7 BLOCK: 3 APPLICANT: BROOKS (612) 672-8606 TYPE OF WORK: BUILDING 024086 07/15/94 PHILLIP ALTERATION INSPECTION FRAMING DATE INSPTR. INSPECTION INSULATION DATE INSPTR. ROUGH IN PLBG FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK F- L ?64?22 2 REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on back of yellow copy X" Below Work Covered by This Request i?'189y$ ES-OW01-08 ew Add Rep. Type of Budding Appliances Wiretl EgmpmenlWired rvice S Home Range e Temporary Duplex Apt. Building Comm /Industrial Water Heater Dryer Furnace ElectriC Heating Load Management Other (Specify) Farm Air Conditioner other (.Pty, comu.ciiu§Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps _ O,to WO Amps Transformers Above 20)-Amps / Above 100 _ Amps Signs Inspectcr5 Use Only TOTAL r SO Irrigation Booms ^ b I_ C M C Y ) Q Special Inspection , YYY ??\ DC1 S e Alarm/Communication THIS INSTALLATION O ORr:?,,??? ?q DI§CONNECTED IF NOT Other Fee COMPLETED WITHI jjjdNTH! _X by I, the Electrical inspector, here Rough-in 0 !? Date, 1 certify that the above inspection has been made Final /?; a .??? °'' O OFFICE USE ONLY This request void is months from This request void 18 nwnths from J?)/S/py? $? f3, f rj O u E 140051-,213& u.t-6-t-,?' o v Request Date Fl o. Pouch -in Inspection U p??y Requ ned? ?Ready Now.WNWhePtnity Ins PPC' D g `' ?Ves ?NO l.1: Ready Licensed Electncal Contractor I hereby request inspection of above ? Owner electrical work installed at Street A'd/ddress Llin 4/6 . Box or Route No. D /- tv00 / City )151:? Q,w action NO. Township Name or No. Range No. County 1 Ca d/ Lt_ occupant (P TI A l ce- Phone No. - ?? Power Su Ppher Dafflo7'+5. /l e7?.i'e SN Address ?:x+sC?4 Sf a?.1.re1- o , Contactor ICpmpany Name) El;4: F/ ? : mo Contractor's License n. c?Y? E / e ir -« ?Et ' o, 6 - Mailing Address (Co ott 'to, or Owner Making Instailatmnl ?J O / 27 7(l. ??G - ?G r L / /mar' G? _ S.Sy t a (Contractor/Owner Making I siallatlon) Author Sig Phone Numb.r . Q•_ - l? 4a MINNESOTA STATE BOARD OF ELECTRICITY iota irvartC nurv ncuursi mu nut Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0600 ENCLOSED /ell y/?? REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 2 n- I] See instructions for completing this form on back of yellow copy €S 1 4'J 0 5 "X" Below Work Covered by This Request .? --1 Add Rep Type of Building Home Appliances Wu-0 Range -- Temporary Service Duplex Water Heater Lighting Rztwes Apt. Building Dryer Electric Heatoi Commercial Bldg Furnace Sir) llnloader Industrial Bldg Air Conditioner Bulk Milk Tank Other Pee.lY .ih, Isunulyl Farm nmci t er sper.irvi Other de Inspection Fee oeluW Fee Service EntmrreSae '7.M 0 to 200 Amps 0 to: 31 to 1 gns 1 °n $ r TOTAL FE€,, czk? lc? _ E?. Rough the -in Inspect. , hereby car if, that the above spetion he een FinaI made. 3 This requestvoiq i ommiii.......• K A„- -----------------, I For Offw Use I +?r Of ?rt ?rtn j Permit#:????^?? ? `Jp 1 Q Q1111 % ?(J. O 6 I Permit Fee: 3830 Pilot Knob Road 1 i Eagan MN 55122 Date Received: 3 Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: ---?-/ ?? j 2008 RESIDENTIAL BUILDING PERMIT APPLICATION yI 6-C6 b? C 1' I' ,?? W 66/7 Date: 3 1 1 D) cS site Address: 14 o ?1(c Deenot7c-6 '\fM l Wan -P» K S I ZZ Tenant: ??1 t ?t p Y ?2AhX'a7lGS Suite #: RESIDENT / OWNER & ( 146110 Name: Ar(("J ?COOVL Phone: ? / c Address/City /Zip:` ?'{o4(. 1)eef?U-wc( Applicant is: V___ Owner Contractor ? " e (a51- 7 - 2267 TYPE OF WORK Description of work: ?^ Axr- IL' V c. 1 I yi%,sk Construction Cost: Multi-Family Building: (Yes No ? ) CONTRACTOR Name: ?m License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Cateaorv 1 _ Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information, Portions of the information may be classified as nonpublic if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 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 apprrtz,441 ?[ O o x ktIl, ) Applicant's PrintName A icants Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-piex ? 16-piex ? Accessory Building ? Pool ? Single Family ? 06-pfex ? Fireplace ? Porch (3-season) ? Ext. All. - Multi ? 01 of _ Plex ? 07-piex ? Garage ? Porch (4-season) ? Ext. Aft. - SF ? 02-Plex ? 08-piex ? Deck ? Porch (screervgazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-piex -71 Lower Level ? Storm Damage ? 04-Plex ? 12-piex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior -t Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ` Demolition (enure building) - give PCA handout to applicant DESCRIPTION: lL MCES S t Valuation Occupancy Y ys em Plan Review Code Edition Q( ?(? SAC Units (25%100%x-j Zoning City Water Census Code c Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const Width _ Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) -mac Final[No C.O. _ Foundation x. HVAC _ Drain Tile Other: _ Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Flreplace:41R.l. -"OrTest Final Windows -- Insulation Retaining Wall Reviewed By: Building Inspector ---------------------------------------------------------------------------------------------------------------------------------------------------------- RESIDENTIAL FEES: Base Fee / ?i Surcharge U11 Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 RESIDENTIAL Sk'? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 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 saes; 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 (bldgs with 3 or less units) DATE // h /oz SITE ADDRESS 41oY4 Jeerwodc( T6rG-'/ # '7000 VALUATION MULTI-FAMILY BLDG _Y rvN -1 C) QS TYPE OF WORK %?ecy FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT Pktli. /I Brook=j- Qee?w?oo( fr a SSizY STREET ADDRESS 410yG CITY STATE Mk ZIP TELEPHONE# G5/YS'Q1*0 CELL PHONE # 6S1-Lao-/r-/77 FAX# PROPERTYOWNER f ki,ll,p 12_e"-k! TELEPHONE# /r S/ 4ry 9.80 COMPLETE 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: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Fee: $90.00 Phone # p,.,ryFeej 479.00 J L u? Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. y r Signature of Applicant ?GUG+ o ?` ?° OFFICE USE ONLY Water Softener Water Heater No. of Baths RemodegReoair Requirements \?? \ 2 copies of plan \ Lu- • 1 set of Energy Calculations for heated additions 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions _ Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4/02 OFFICE USE ONLY i ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex '* 18 Deck ? 11 10-plex ? 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. Aft - Multi ? 33 Ext. Alt - SF ? 36 Multi 19 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 y Occupancy /Z-3 MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) ?o Final/No C.O. Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof _ Ice & Water - Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing - Siding _ Stucco _ Stone - Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) Insulation - Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total .. as Approved By , Building Inspector BLOOMINGTON. MI R 0 4c W A_? W x Survey for: DAHLE BROS., INC. +x y W Scale: 1"=30' DESCRIPTION: LAND SURVEYORS -I^ AGAI1 JNGINEERING DEPT. Lot 7, Block 3, ENGSTROMS DEERWOOD ADDITION Proposed Grades: Top of Blocks B9$- Garage floor ? Basement floor BB7? We hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon and all visible encroachments, if any, from or on said d. Dated this 22nd day of August , 19 88 , ?y ' / Min sota Registration No, 9018 v 10j hkD o? i4$ ?/10, 5'71 Z F . Z90--'T RESIDENTIAL BUILDING PERMIT APPLICATION S S 5 CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681.4675 New Construction Requirements • 3 registered site surveys showing sq. R of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage mowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) 1 set of Energy calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Jost Detail Options selection sheet (hldgs with 3 or less units) DATE / °/ i/O' 1 RemodelfReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate a home served by septic system for additions VALUATION O, S( SITE ADDRESS 1 1c,44 l l?c¢sa?oo 4 R#ti MULTI-FAMILY BLDG _Y _L1 TYPE OF WORK ?? - ?oe t= FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT STREETADDRESS 5P20 7-Y' ASE !'3a CITY$ecer...ywl?TE P(?-' ZIP P2V TELEPHONE CELL PHONE A3.3sb .31 6 I FAX #-W5. 5b3, ;LOS-5- PROPERTY OWNER `? F1 A-It ?ed^t?S TELEPHONE# 6t!• `?fy Z/Ba COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: A_ Plumbing system includes: Mechanical Contractor. _ Mechanical system includes: Sewer/Water Contractor: Phone # nee: -70.00 I hereby acknowledge that I have read this application, state that the infor ti f o t, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi n - Signature of Appl OFFICE USE ONLY Phone # Water Softener _ Lawn Sprii Water Heater _ No. of R.I. No. of Baths Air Conditioning Heat Recovery System h??fJ OC7 01 2002 ' # E?i Certificates of Survey Received - Tree Preservation Plan Received - Not Required Updated 4102 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B LDING Eagan, Minnesota 55123 Permit Number: 024086 (612) 681-4675 Date Issued: 07/15/94 SITE ADDRESS: 4046 DEERWOOD TR LOT: 7 BLOCK: 3 ENGSTROMS DEERWOOD P.I.N.: 10-23900-070-03 DESCRIPTION: Building--Permit Type BASEMENT FINISH ;Building Wd,r.k Type ALTERATION ? J m ? REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - BROOKS PHILLIP 4046 DEERWOOD TR EAGAN MN 55122 (612)672-8606 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 Mn. Statutes and City of Eagan Ordinances. L Al 01-- APP ANT/PERMITEE SIGNATURE -fiat) n lkmr . I rh 1? ISSUED B : SIG MATURE J 14 401 (' CITY OF EAGAN 1994 BUILDING PERMIT APPLICATIONS t? 681-4675 SINGLE & MULTI-FAMILY ic CH 2 sets of plans, 3 registered site surveys, co y of energy cal cs. '? FJ ? 7 1 1994 COMMERCIAL 2 sets of architectural & structural__ Dlans. 1 se of specifications, 1 copy of ene V.Y 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 9 Valuation of work Site Address:_ I-APY(o j6e~oaaP / w'? _ STREET SUITE # Tenant Name: (commercial only) LOT _ BLOCK SUBD. G I ?J 11__„_, ,,f P.I.D. # Description of work::RS-(V_1'+' The applicant is: 0-Owner ? Contractor ? Other (Describe) Name /2oolG .//1 Phone Property LAST FIRST DRy ?ra?s?? Owner ? Y 'wv LXE ?o`/? i ? v Address STREET STE # City State Mik Zip S5/zZ 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. Signature of Applicant:/( ?? OFFICE USE ONLY BUILDING PERMIT TYPE + ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-flex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck WORK TYPE ? 31 New JO 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual (Allowable; UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS Basement sq. ft. 1st F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance • 'ii ti• MS..? ,?Y 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code p Census Bldg Census Unit Assessments ? Site ? Footing -D Framing 0 Insulation ? Wallboard p Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: vatuat;m: SAC % SAC Units 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN. SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL V INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: SI??LE :f iW L'( Valuation: /it ;0 600 - Site Address t1(' '+ Lot rL Block 3 Parcel/Sub Owner (Ai i .F Cf?. 1kic Address - 5Qq Lf N(?ALE- -Aue, „0: City/Zip Code Phone Offi - (0r9(C('-j Contractor QAHL .- LE J , 10L, Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Im' On site sewage- Occupancy MWCC system ? Zoning On site well Actual Const City water Allowable PRV required # of stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS Engr/Assess Planner Council G Bldg. Off. // 9 ?9 Variance Date SEP FEES Parks Copies TOTAL R3 M-I R-1 y- NI V-nl --31- 63,.0 Permit 6 10 , 00 Surcharge Plan Review 0o SAC, City I a0 , 00 SAC, MWCC 0, 00 Water Conn 50,00 Water Meter .0 1 C0 Road Unit P5"00 Treatment P1 20 00 . SO Vet qua-r?ON CTA?AGE 22x22= 4V;< 14= 6??? BSw,T ??x ?3 = 33X 1747,/ AiS 3 4?0 13, y( 9= III 3 6'6 )4 21:- 66 Z- Oz X Mz = 114 it ? /3 = -Z0,Ty3 H ok5F ?z ?A,• T ?Y ? I b 333 Q&TIFICATE OF SURVEY ? .RLSOM iR` MLSgi 1 LAND SURVEYORS Survey for: 8713 DUPONT AVENUE SOUTH BLOOMINGTON, MINN. 55420 888-2084 DAHLE BROS., INC. b Wo ?a ?x h v m Scale- 1 "=30' DESCRIPTION: Proposed Grades: °AQAN 10, II o? Dom. Lot 7, Block 3, ENGSTROMS DEERWOOD ADDITION Top of Blocks 895 Garage floor Basement floor 887- We hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon and all visible encroachments, if any, from or on said ]mod. Dated this 22nd day of August , 19 88 // /te this R911'??I88 ;y 10 2X/? - •J'' ' EXTERIOR !ELOPE AVERAGE "U"'COMPUTATIOC CgNER D A I-t L ?E=0 ?? . SITE ADDRESS LOT 72 &6CK ?N ?NG?RA'ktS ?E/Zu100D ?DDIT/OAl CONTRACTOR DATE PHONE Determine working square footage of each. 1. Total exposed wall area 24-16 sq. ft. X )? 2 7 2,2 5 2. Total roof/ceiling area ...... l(o'T7 sq. ft. X •024 - I 4 ?i,GO A. Total wall window area .......................... 14.4- B. Total door area ................................ p C. Total sliding glass door area ................... D. Total fireplace wall area ....................... E. Total wall framing area (average 10%)........... 1 9.1 F. Total Rim joist area ........................•••• tF? 4 G. Total Net wall area above floor ..............••• t5 4 0 2.19 5 Total exposed foundation area - .260 2415 H. Total foundation window area .................... 'Z.a I. Total net.foundation area above grade........... 2 y O Determine "U" value of each wall segment. a. 1(*4 X "u" .158 96,17- b.-- 60 X "U" .23 a 15.4.0 C. X "U" M d. X "U" e e. ? -19 X "U". 110 1-1.10 f. i 84- X "v" 04 l,3(, g• 159 o X "U" ,o¢ a ?3,Gc h. 2 0 X "U" .56 1(.0 i. 240 X "U" t0 2L,p0 .. ...................................Total 23 `l ,n P7 item #3 is the same as, or less than item #1, you have met the intent of ssC 6006(c)2. 4 Total exposed roof/ceiling area - f ( -71 J. Total skylight area .............. ................. k. Total roof/ceiling framing area (average 101)...... lc $ 1. Total net insulated roof/ceiling area .............. 1 5 0 9 1 G '1 11 Determine "U" value for each roof/ceiling segment. j- . X ¦UN s k. I G 6 X SUN 02-1(o 4.(.4 1. I SO 1 X "UK . 02.5 IN 31.1 3 ` ..... Total i 4 2 , 3 '} If total of #4 is the same as, or less than #2, yoti7.6ve 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 #1 and #2. 1. 3. + 2. IN + 4. WALL SErTiONS 1rP 15% of opaque wal( area for frame construction i?ic ?,LL FIG. !3 . 4 FIG. 42 Construction R-Value' 1. Interior air film 0.68 2. 1h." DRYINALI .45 3. 5I/t inches soft wood &.I L 4. !:PFIEATHIWG Z.OG S. Slcl?IG .G? _ 6. Exterior air film 0.17 Total 10.15 U-.lo 1. Interior air film 0.68 2. /Z" bLYWALL .45 3. SYz' IW3UL. 19.00 • -4. 5HED,TH IN c+ 2.OG 5. 4:7,V11 4 .67 6. Exterior air film 0.17 Total •Z;,o3 1. Interior air film 0.68 2. Iu5UL• 19,00 3. 1I/t" woop 1.89 4. 541EAT9jWCg 2.oG 2i : al ? 5. SID11.14 .67 ,,11 ! -0 6. Exterior air film 0.17 Total 7-4-AG V= .0or 1. Interior air film 0.68 iCN ?` • 1 0 3 2. _111SUL• Aup CR1Y W6LL B.Ore 0'6' 3. 12" DLoor- 1.28. 4. 0 -"'?"0 •w rb ;i''/,• 6. Exterior air film 0.17 ? -.--? .. Total 10.19 U -.IC SLAB ON GRADE ?y It I _. I - ' lit .. FIG. 44 /!r !(1 6 o 43 \ o _ « NOTE: Indicate type, "R" value, denth and FRAME WALL - 'R=- /CEILING VEINT'/ C C` 'Construction (Use for Item Q It-Value 1. Interior air film 0.61 2. _? SHEf?TRacK 56 - 3. u.avL . 38.ao "Y.4. Exterior air film (still) .61 _ Total 1q.16 0 7_%B E'cnted Beat flow up FIG. #5 .-CLG. FRAMING(Use for Item K) I. Interior Air film 0.61 3. Inches soft wood 5'/Z" 4. Inches insul above framin 30.00 5. Air Film 0.61 Y`aE-al ?? . ? L 1. Int?"or air film 0.61 2 3. 4. Exterior air film (still) 0.61 Total Heat flow up. vented 1. Inside air film 0.61 2. 3. 4. y 5. Outside air. film 0.17 Total PUN-VENTED Heat U flow up FT.r.. 017 Note: Use additional shouts if more space is recded for dotails and calculations. -FIG. #6 0 9-?s EXHIBIT B: SPECIFIC CONDITIONS 1. The lots shall comply with the minimum lot requirements -? including setback on the lots at the southwest corner. ?_Ioe 2. The sales brochure for the single family lot shall indicate that there are townhouse homes being proposed in the northeast corner. 3. That the center island at the entrance will be allowed as an ??JJ exception only. 4. All standard platting conditions shall be adhered to. 5. The cul-de-sac in excess of 500 feet shall be permitted. 6. That development shall submit a grading and drainage plan acceptable to staff which addresses but is not limited to the issues outlined in the staff report. 7. The development shall assume full responsibility for all damages which may result and/or any reconstruction of the existing trunk facilities which may be necessitated by the grading and construction activities within the proposed development. 8. Future homeowners of this development shall be advised of the Williams Brothers pipeline. 9. The Development Agreement and Planned Development Agreement shall provide for a maximum of 22 units of townhouses and 84 single family lots. 10. This plat shall be subject to a cash park dedication. 11. A trailway on Pilot Knob Road shall be installed at the City's expense. 12. A trail connection to the Deerwood Elementary School site from the residential development shall be installed at the developer's expense. CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE:' PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTr 1E APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WA0M TNSrArramrONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. / triease Print) -- 1) PROPERTY ADDRESS:,_ "5'0Z LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mon ear PRESENT ZONING/PROPOSED USE: ? COMMERCIAL/RfiTAiL/OFFICE ? INDUSTRIAL n INSTITUTIONAL/GOVERNMENT 2) NAME: L1 ADDRESS: CITY, STATE, ZIP: PHONE: .:• 3) NAME: ADDRESS: m? 14 c__ L CITY, STATE, ZIP: O . PHONE: S? ja. y??i 1 4) o • is NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 01-41 SINGLE FAMILY ? R-2 DUPLEX (Two Units) ? R-3 TOWNHOUSE (Three + Units) ( Units) ? R-4 APARTMENT/CONDOMINIUM ( Units) r.L unuwers incense: Active Expired Not recorded LICENSE# St Initial •5) " a• ' x' a - ?? ED--bONNECTION TO CITY SEWER L 1 5NNEC`ION TO CITY WATER Q OTHER 6) ffi?i ? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ? PLEASE MAIL APPROVED PERMIT TO 1,dD3, 4, ABOVE -1 ?J (Circle one) FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ /6-5 G SEWER PERMIT (INCLUDE SURCHARGE) $ $ ?L ,5 U WATER PERMIT (INCLUDE SURCHARGE) $ 7 c? $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ '?r ACCOUNT DEPOSIT - WATER $ 5- 5 « r? $ WAC SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ?? 11 $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 0 $ v TOTAL RECEIPT RECEIPT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A " PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE DI ISSUED BY THE ENGINEERING VISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: 410, City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ---------------- For Oihce U,9- I S/(v I Permit I xx Permit Fee: jQ' JV I I Date Received: I Stan: ---------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: V 1-4 S Site Address: 7 4O 114 Peerwoo d r. Tenant: Suite #: RESIDENT/OWNER Name: I_lk I Proo 6?3 Phone: 651-5151-7/80 Address / City / Zip: <4 r 1- - CONTRACTOR Name: to te /(le- r /r/ w t:w5 License #: G 7 ys e f 17( 1441 s$ (a %e Address: : // Zip: q :;Lo City: l?1ScN. <<..r fe State: / Phone: O -I-- Contact Person: TYPE OF WORK Q?t-New Replacement Repair Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMITTYPE RESIDENTIAL Water Heater _ Water Softener - Lawn Irrigation Add Plumbing Fixtures (_ RPZ PVB) Mainower Level) _ Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System, Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 Slate Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ d f th of I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and co as o the C qty 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 yin the case of work which requires a review and approval of ans. x bTt--fi '! V ?r.A x 2 Applicant's Printed Name Applic ignature j? FOR OFFICE USE Reviewed By' Date: Required Inspections:- Under.Ground hough-In ?jlr Test _Gas Test Final SMOKE DETECTORS ARE REQUIRED ON EVERY LEVEL OF THE HOUSE AND IN EVERY SLEEPING ROOM AND IN EVERY HALLWAY LEADING TO A SLEEPING ROOM FOLINDAT101,-. BARRIER NSULATION AND FOUND1,1li,,.. EGRESS WINDOWS ARE REQ. ALL SLEEPING AREAS. - MINIMUM 5.7 SQ. FT. NET CLEAR OPENING - MIN. 20" NET CLEAR OPENABLE WIDTH - MIN. 24" NET CLEAR OPENABLE HEIGHT - MAX. OF 44" FROM FLOOR TO HEIGHEST PORTION OF THE SIU. NOTE: MINIMUM HEIGHT AND WIDTH WILL NOT ADD UP TO THE REQUIRED 5.7 SQ. FT. 0 Ifireplace -.+.- 0 wing Room Furnace Room BathroOM,1 /0 E;\ GAN LUNG INSP CTIONS DIVISION From: Jennifer Wnke Fax: (866) 697-0768 City of Fagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 To: Fax: +1 i651) 6755694 Page 2 of 9 07/26/2016 2:09 PM Use BLUE or BLACK Ink 30_16 1616 For Office Use pernut#. Permit Fee: / c2 • 6=2 Date Received: —7' Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: tti Site Address: Li 0 4 pbLL.rcccTr, Unit #: Ccitritractcw Name: Phone: &s I - LIS-L./L in/go Address / City / Zip: '1/4-(0 4 u burvo 0 C7 CI '-ir- 1 Applicant is: Owner V . Contractor -c, ..4-1 r -Z rrk C 4 L . t ...1-n-wy7C73;7757.71777;-: 1 •M.C.C....1.110.........Mar Description of work: C'er's-S.. IC*4....(3,11•Gt. d (-6),itittif acri.e,...)ket.1,14,41 It e..,,i e4-10,13: a:. s,,,e. (0,-,•>, d.p.,...ge-L,--ire o.—a 4 , 1 z be-c-k—f.pk,sh ., pb,..64r in-i-cf leo-I Construction Cost: ;)-1 1 G,• LI. c Multi-Fa.mily Cs • .- Company: L Ct 1-te'rrit ..T-14%-prN.A.'id Contact: Address: lid <P1- torT eic-CLI -•=41C'et—e 1k-,4,2( City: State: 7L. Zip: &VSO Phone: Str,0,--6----(111-1 Email: .4.7.,e etti0114441/1102 License#: ° Lead Certificate #: 1\3 T- '408 if the project is exempt from lead certification, please explain why: (see Page 3 for additional information) *W. 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 Number: Phone: Mechanical Contractor: Phone: ewer & Water Contractor: Phone: NOTE: Flans thaiiiWiTh31;itai.cariSidereirt10 bePt0110.1106in2PtiOk:-.P6090s. Of • - the iitioneetion.iey be .0Weitied as nah,ppbtfcifyou piovicle epcclific*s91* tiatwagid Pf.AFPN-Me -City . conchs; e that they pre tradeseviete... . . . CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 454-0002 for protection against underground utility damage_ Calf 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.ora 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 sten 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. fv•-a .0"A Applicants Printed Name x .4 Apollo s Signature Page 1 of 3 From: Jennifer Winks Fax: (866) 697-0768 To: -/O 4/66f-- W OefeCi / I DO NOT WRITE Fax: +1 051) 6755694 ELOW THIS LINE Page 3 of 9 07/26/2016 2:09 PM /7i93 SUB WPES • Foundation - Single Faint! Multi 01 of Plex WORK TYPES New Addition lc Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%__ 1 00% Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) - Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Occupancy Code Edition Zoning Stories Square Feet Length Width Foundation Roof: Ice & Water _Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant IN)W7 OK' MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: Footings Air/Gas Tests Final Drain Tile Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA158037 Date Issued:09/23/2019 Permit Category:ePermit Site Address: 4046 Deerwood Tr Lot:7 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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 - Phillip R Brooks 4046 Deerwood Tr Eagan MN 55122 (651) 470-1257 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature