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4054 Deerwood Tr PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA076948 Eagan, MN 55122 . Date Issued: 03/14/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4054 Deerwood Tr Lot: 8 Block: 3 Addition: Engstroms Deerwood PID 10-23900-080-03 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When w all studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. s heetrock) has to be removed to install a smoke detector. Kara Benson 9 533 367th Street North Branch, MN 55113 651-674-1766 wsandd@peoplepo.co m Fee Summary: Surcharge - Based on Valuation $3K $1.50 9001.2195 BL - Base Fee $3K $88.50 0801.4085 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen Joseph A Rusche 1920 County Road C West 4054 Deerwood Tr Roseville MN 55113 Eagan MN 55122 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature C).-? ` 3830 Pilot Kno PERMIT Al f r 4054 Lot Block - o Name 0 a Address City Phone W W W Name ?y z _ . Address U a Z City Phone 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: 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 OFFIC On Site Sewage MWCC System On Site Well City Water a PRV Required Booster Pump APPROVALS Engr./Assess. Planner Council Bldg. Off. Variance USE ONLY Occupancy Zoning (Actual) Const (Allowable) V-, # of Stories Length Depth S.F. Total Footprint S.F FEES Permit r' Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment Pt Parks TOTAL Permit No. Permit Holder Date Telephone # Plumbing e -Z L.y -;,6 d ; 2? H.V.A.C. D ? 2(p Electric 5' ,52/ Softener Inspection Date Insp. Comments Footings 1 Footings It Foundation Framing Roofing Rough Plbg. yW Rough Htg. Isul. 9/ y ` S Fireplace s Final Htg. Final Plbg. Bldg. Final Cert Occ. ?? ?G G c Temp. LP C` Deck Ftg. Deck Final s Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 551 21 PHONE: 454-8100 BUILDING PERMIT Receipt ?" - To be used for 5F DWG/GAR Est. Value X129,0!0 Date iST h ,fig ?3 Site Address 4054 DEERWOOD TY. OFFICE USE ONLY Lot Block Ei+CBTRUt3 r S 3 Sec/Sub On Site Sewage Occupancy -.3 . MWCC System Zoning d-1 Parcel No. On Site Well (Actual) Const V-N a Name SARK $K1.0 HOMS City Water X (Allowable) V-N z Address 13117 YUGHPOINT CUR"'L PRVRequired of Stories o City `?U::i7^';1 LL : Phone 431-i ?F3+ Booster Pump Length 67, Depth 28' p Name 'A`ds S.F. Total o u Address Footprint S.F. Ua F 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: J?w Ho+S 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 APPROVALS FEES Engr./Assess. Permit 668000 Planner Surcharge 64.50 Council Plan Review 334.00 Bldg. Off. SAC, City 100.00 Variance SAC, MWCC 150.00 Water Conn. 550.00 Water Meter 67.00 Road Unit 325:00 Treatment P1 W4.0U P'oPy .50 TOTAL 29863.00 MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Lot a? c PERMIT # RECEIPT # DATE: d `/ ° BLDG. TYPE Block Sec/Sub Res. Name _ Mutt Address - Comm. City c tits- ?'Cf .1j Phone Other WORK DESCRIPTION New Add-on Repair Name RES HVAC 0=100 M STU -$24 00 -- . . c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) ! 1 PER PERMIT) GAS OUTLETS MINIMUM - 1 50 EA - ( . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other R FEE: SIGNATURE OF PERMITTEE TOTAL: ? ! 1 FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE- PRICE PHONE: 454-8100 I Lot , m Name _ Address c city Name _ C Address p City _L BLDG. TYPE WORK DESCRIPTION Sec/Sub Res. New Mult. Add-on Comm. Repair Phone 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 FOR CITY OF EAGAN Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N4. FIXTURES TOTAL Water Closet - $3.00 4 Lavatory $3.00 Shower - $3.00 Kitchen Sink - $3.00 - Urinal/Bidet - $3.00 TLaundry 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 fgrrtifirafr of (Orrupaury Citp of (fagan ap mt of Ildiaing jw1pttion 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 chi ifiptioo SF Bldg. Rrmit No. 1 Occopaacy Type RS/i`; I Zoning Disuict " Type Come. VN Owxr of &Wdiog MAID HKL O f CZ, 4' .; Addrw I _i I f : Chw L: , cum, B I wT .? Building Addmass 4054 Tom) toWity L8, 93, ET?'? i]E :' S MAR)OM Date: Bwlding Offiml POST IN A CONSPICUOUS PLACE INSPECTION RECORD ?T CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: 1 10 APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION i; t DATE INSPTR. • TYPE DATE INSPTR. R1 MAPF t'f AN REVIfl3F.f? Fly HAM' 1411.1 FR. SF.PV 0A'Ft PF RM T r kF AI(J rRI' It FOR ANY F''t 111414 f NI, (-Jorty. 3 1 Permit Holder Date Telephone # SEW WATE R! R PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING I ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Permit No: Date: 10-5-88 3938. Pilot Knob Road Meter No. 7 `? o /.2 Size: P.O. Box 21199 Reader Nm 5-9 33 Date: 19=.?- Eagan, MN 55121 Owner Site Address: 1 LS B3 .rt st.roms Beerwood? Plumber. ,T-r-fnnka Mecha Icyai Conn. Chg: 550.00 pd Zoning: Acct. Dep: 15.00pd No. of Units: Permit Fee: lOrC. Surcharge: 5 ")Pd I agree to comply with the City of Eagan Tr. Plant 2U4.00Dd Ordinances Meter. F7 nf%-A Misc.: By WATER SERVICE PERMIT CITY OF EAGAN Permit No: 1 LW9 Date: ?'j-5--3 3836 Pilot Knob Road B/P No, 110,64.51 Date: P.O. Box 21199 Eagan, MN 55121. Owner. ?r ;k1o Ii?er Site Address: T eera.nc3 , , MWCC: City Chg: Acct. Dep: Permit Fee: Surcharge: Zoning T No. of Units: I agree to comply with the City of Eagan Ordinances. By SEWER SERVICE PERMIT This request void /h//Q'¢? 18 months from E 3 8 4 75 - Request Date n Fire No. Rough-in Inspection ,?J R ired? QReady Now LJC,wrll Notify Inspec- 16 Yes ? No for When Ready Licensed Electrical Contractor r Own I hereby request inspection of above e electrical work installed at: Street Address, Box or Route No. City 4457 1?eFRw nob -'R, to 6&j Section No. Township Name or No. Range No. County AKomA Occupant (PRINT) Phone No. F_ k ?o is 411- (6430 Po er Supplier ? Address yhINGTbij J:? ' A I A 5 W Electrical Contractor (Company Namel Contractors License No. T?`r aMMAY FAR, 6 jq?-- a Mailing Address (Contractor or O q6 D wner Making Instailation) G 2 2 K- Tauc 51 > Authorized Signature (Con actor/ Owner Making Installation) Phone Number `t(??`Y! w 0 MI$iINESOTA STATE BOARD OF ELECTRICITY Griggs-Midway Bldg. - Room N-191 1821 Universitv Ave." St. Paul. MN 55104 Phone (612) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 11, See instructions for completing this form on back of Yellow copy. '' 81755 0 ')Q A 7 E;- "Y" Rplnw wnrk Cnvered by This Request v Now v v ? Rep. t v Type o1 Building Appliances Wirad Wired uipment Eq Home Ra nge Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heat n Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ther pel-l v 01 er ISp",:ity1 Cher (Specify Other Other L,U1f # jVULC rlla Fee paLLIVll I cc ua+vrv Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits O to 200 Amps Above 200 Amps 0 to 30 Amps 31 to 100 Amps 3 - O to 30 Amps 31 to 100 A s Swimming Pool Transformers Above 100, Amps irrigation Booms Above 100_Am s Partial- Other Lae- Signs Special Inspection Jl/ TOTAL FE „(A Ru. r?.Lc i ? / Rough-in . e I, the Electrical inspector. hereby rtifv that the above 1e inspection has been Final made. This request void 1B monins from v -- - -..-i w/ v1111190 CITY OF EAGAN N_ 15 4 2 2 3830 Pilot Knob Road,.P.O. Bdx 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454.8100 Receipt # Aiii ` 8&L/5:3 To be used for SF DWG/GAR Est. Value $129,000 Date AUGUST S ,19.88-- Site Address 4054 DEERWOOD TR OFFICE USE ONLY Lot B Block 3 Sec/Sub. ENGSTROMI S On Site Sewage _ Occupancy R-3 M-1 R MWCC System X Zoning R-1 Parcel No. V N On Site Well (Actual) Const - s Name MARK EKLO HOMES City Water X (Allowable) V-N w z Address 13117 HIGHPOINT CURVE PRV Required # of Stories c City BURNSVILLE Phone 431-6430 Booster Pump Length 67' Depth 281 . 6 Name SAME S.F. Total o a Address Footprint S.F. City Phone APPROVALS FEES aw Name Engr./Assess. Permit 668.00 ti Planner Surcharge 64.50 x- Address Council Plan Review 334.00 a m City Phone Bldg. Off. SAC, City 194. 00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC -55M0_ information is correct and agree to comply wrt all apphc le State of Water Conn. 550 00 Minnesota Statutes and City of Ea ina e Water Meter --67-OD- Signature of Permittee Road Unit 321.00_ A Building Permit is issued to MARK EK1 0 HOMES Treatment Pi 204.00 on the express condition that all work shall be done in accordance with all O PY ,5D applicable State of M innesota Statutes and City of Eagan Ordinances. --- - n n i i TOTAL 2,863.00 , Building Official ''? it -R-j1r -e 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq ft of lot, sq. fL of house, and all roofed areas (20% maximum lot coverage allowed) 1 Soils Report it proposed building is to be placed on disturbed soil 2 copies of plan showing beam 8 window saes; pared found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan it lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form g0.vd RemodellReoau Requirements Office Use Only 2 copies of plan showing footings, beams, joists Certof Survey Recd _ Y _N I set of Energy Calculations for heated additions Soils Report _Y _N 1 site survey for additions & decks Tree Pres Plan Recd _ Y _ N. Addition - indicate if qn-site sepfic system Tree Pres Required _ Y _ N On-site Septic System _Y _N Date ) ConnstructionCost 3JJJ Site Address / ?" "' !/ tt 6 l dee4C.ct.u,) y /447L Unit/Ste # F/64-1 Description of Work 444"z (r-'his ?? r £ lJ->/?/9LL (,/? t? (3 f?L/?CLS Multi-Family Bldg YN Fireplace(s) _ 0 A,l Property Owner J O A ') IJI? `? 5 L Telephone # (???) y? Z.? f-/)tt"t7 Iftom a llllllleTsomb? Ills Contractor dbe i1111mlde mewh a ft Address m Uaeme 20512080 City State s f?118 Zip Telephone # ( ) COMPLETE THIS AREA Y IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I - Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar pion based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Imo, ?.? Mechanical Contractor 0 6? r r, a - nnn Sewer/Water Contractor Telephone If ( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a case ofwor ich requires a review and permit; that the work will be in accordance with the appVngnature approval of plans. V, Applicant's Printed Name 'e &,Yl( 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 O O 70. New Construction Requirements Remodel/Repair Requirements Office Use Onlv 3 registered site surveys showing sq. ft . of lot, sq, ft. of house; and pit roofed areas 2 copies of plan Cal of Survey Recd -Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for healed additions Tree Pres Plan Recd _Y _N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pros Required _ Y _ N 1 set of Energy Calculations Addition - indicate Non-site septic system Onsite Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Date 10 / Tn /()S Construction Cost Site Address y O S t-1 7>c" W oock "Ti A.1 1 Unit/Ste # Description of Work ! \o u 1O UJ,(\&ows a l 7.yA(.A door W ('J%_-2X' 5 4lN Y1%?- Multi-Family Bldg - Y - N Fireplace(s) - 0 - 1 - 2 Property Owner 00.nryt 1ZUSc t Telephone #((p51) ?jS L---41Sy0 Renewal By Andersen Contractor 1920 County Rd. "C" West Address Roseville, MN 55113 City State 651-264-4777 _ Telephone # ( ) License #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( J Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of workl!wliich-re iru5,,a and l I? I I? .I ?,? hlpl approval of plans. J 2005 '?1ac anSDr? J Applicant's Printed Name pplicant's Signature QY_ ...,...s. <..•.s, iuv 1.<..rv ct1A tOd Oil '4$30 etiRL UYAP(UlSK,7 re al rune 2001 City of Eagan 3836 Pilot &tob Road Eagan, MN 55122 To Whom It May Concern: Elder.Tones is authorized Elder.Tones to provide th dl to l - bliddia$ permits for Renewal by Audersem please allow provide service forua in Bag an date beyond 6I6101; uAtli . Tits and>nrian {a valid for any a to rite city- tGnewal by Andersen manager eapresay revokes it in wilting I request this antliodmdon betua . our building NML to any ? do as to of delay in die processing of i contacted at 763••502-4706_ can MC; if thom am any questions.. I can be Your lmmgd{ate attention to t11is. Mover is arm_ Srnoeialy, nd &-P,= ataiIation Manager Renewal by Andersen CotForWon C:/c?.??/Kara_F.i?Jrier7?}rte?a? U Received Time Jun. 7. 1107pM s W uu PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eayan,. Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: 4054 OE-ERWOO() TR LOT: B BLOCK: 3 ENGSTROMS DEERWOOD P.I.N.: 10-23900-080-03 DESCRIPTION: Bu/f,"i. ding R,kkrn1 t Type B Iildinq Work-Type /ensus Code l PERMIT TYPE: Permit Number: B U I L 01: N G 034 1-56 Date Issued: 1 2/ 0 4/ 9 ^o EASEMENT FINISH ALTERATION 434 ALT. RESIDENTIAL r _I _ REMARKS: PLAN REVTEWEU BY WAYNE I'll LI.ER. SEPERATE PERMIT REOUIREO FOR ANY PLUMBING WORK. r yl n 6_. o-J-P-?P GC.,F, PIC, i A H 6 };IJ-EE138d:,. FEE SUMMARY: Base Fee 9.50.00 Surcharqe _5.50 'Lota-I Fea --- - $50.50 CONTRACTOR: OWNER: - Applicant - RUSCHE JOSEPH 4064 OEERWOOO lR EAGAN [IN 55122 (651)452-4540 I hereby acknowledge that I have read this information is correct and agree to comply Statutes; and City of Eaoan Ordinances. APPLICANTIPERMITEE SIGNATURE application and state that the with all ao'olicable State of Mn- a ISSUED BY. ATUR 11 PC* yF * * *>X **M>S m M Y.t ? iR M PF>k 1?'$'t X Y,(Y,i>n ?Xvx Y,Uk*AY>k CITY OF EAGAN CASHIER,: S TERMINAL NO- 894 DATE' 12/04/98 TIME: 12:26:0 ID: NAME- JOSEPH A F;USCHE CPA 3210 9001 4054 DEF. RWOOD T 50.00 2155 9001 4054 DEERWOOD T 0,50 3430 9001 1 E P FORM i .OO 9 Total Receipt Amount: 5'.50 CRIOC300 USER ID: NANCY >R",c****Y,t:R******?t**k?'-%?: rY,t>ka?+k?ek#*a;k'r„Y,:?'**ks?k#c 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF FAGAN 3830 PILOT KNOB RD - 55122 C? t 7? S-\ ?t 7CJ 681-4675 lJ lJ New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window saes; poured Ind. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7!1193 required: _Yes _ No DATE: ?,? 3,1(7 8 Remodel/Repair Requirements C 0,Xk.2Dr l - ?' rS ? C` copies of plan.- * Isite surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; DESCRIPTION OF WORK: F v? s/1 Q vs? nF' STREET ADDRESS: O S £ /,, wo ,f+ 7-/c-"-* /'L= State: LOT: 8 BLOCK: SUBD.IP.I.D. nn ? s c 1-t ? ? a-run/ ? Name: U S G ? -J ©S £ do # Phone #: ? S/ - yS -2 ?l ? J D PROPERTY Last First OWNER Street Address: V0 t??/ b E w nv n ?i??7 JL CONTRACTOR City F a-:.VU State: M N Zip: ??' J a 2 Company: 1110 ^-i" L Phone #: Street Address: License # City ARCHITECT/ ENGINEER Company: Nd N Z- Phone #: Name: Registration #: Street City State: Zip: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. _ Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received _ Yes - No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 3?16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New J5'33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) VP Basement sq. ft. MCIWS System (Allowable) V/d Main level sq. ft. City Water UBC Occupancy fi3_ sq, ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. N3?/ Depth Footprint sq. ft. SAC Code O i Census Bldg D i Census Unit o APPROVALS Planning Building y ? v Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 5-0,6z % SAC SAC Units 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ' 06 • 11 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 r{ ' FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS; 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS S t1EC? AUG 3 1?9 To Be Used For: S FD ,;4 J ^V?a-luation: Date: Site Address go5`t fl-w?u ?U'o-c? I JiJ Lot Ti Block r Frtcc, s i n yo' /?pd Pardel/Sub?Fcy?p7 YTGiLlN. Owner Address City/Zip Code Phone Contractor Wq&?_G? Address uL n ?i? rlg Olr?sr (JZy City/Zip Code //lnj- ?\tQ5_ G11y 96CL Phone Arch./Engr. Address City/Zip Code fo29, Oao- - On site sewage_ MWCC system ? On site well City water v PRV required _ Booster Pump _ APPROVALS Occupancy 9--3 M-t Zoning R-1 Actual Const V- N Allowable V-N # of stories Length Depth 2S S.F. Total Footprint S.F. FEES Engr/Assess Planner Council Bldg. Off. 8 $ Variance Permit (0&9, O0 Surcharge U,50 Plan Review 12q,00 SAC, City lno,oQ SAC, MWCC ?D, Water Conn ,p0 Water Meter 6r),00 Road Unit ,0 Treatment Pl 2O4,0 Parks Copies TOTAL k (0 3.pQ Phone 6 YA( UAT1onl 3+ox 1? = Z 2 c'7 752 x It/ /?SZs 2? x3? ? ?Sg X 1/ = 56 ?S lob(OX 13= J 3°Ies fDUS? - r sr F'-WorL Z 8 s . 2y llo?? X Lt9- 5?Ja96 - Z"7:) F(-oorL 3,KX2? = I®iG xtjcjf sez?? w Surv?ynr`s ?irtlfTcate SURVEY FOR: Mark Eklo DESCRIBED AS: Lot 8, Block 3, DEER1100D City of Eagan, Dakota County, Minnesota and reserving easements of record. . n'i' toyw? x N J kD esz.o PROPOSED ELEVATIONS Top of Foundation w a95.1 Garage Floor a 895.3 Basement Floor w '8 Sl. G Approx. Sewer Service EMv. ate,-r? Proposed Elevations , Q Existing Elevations r Drainage Directions , ...._r Denotes Offset Stake . O HEDLUND Planning Engineering Surveying MI &W Wo...eI ,-Fw.,. er..rrr YwW Wi wM-?.wM W O'W aje.l MIN. SETBACK'REOIREMENTS Front - 3o House SIRS - pa SCALE: I Inch x 30 Feet Rear - zo Garage Skls-5 I hereby certify that We wrvey, plan or report was, prepared by me er under my direct supervision and that 7 mw a duty Registered Land Suroeyor under Me laws of the Stale Of Mlwwesota. 2 5S Date: ` , 0. JOB NO. 8BQ - 384 BOOK 4? >3 PAGE BENCHMARK, Tep d' R?Ea. e.. L.+ ,e1'i. 4v B. R. U, Elev.=995.or} ieUS EXTERIOR ENVEL PE 'AVFRAGE "U"COMPUTATION OWNER_ Ing"I cc.-o amzc? SITE ADDRESS L&T A C? l _ie a -w "P- aM a-le-a . . CONTRACTOR DATE PHONE Determine working square footage of each. 1. Total exposed wall area ..... Xt sq. ft. X I 2. Total roof/ceiling area ..... Ill?1 sq. ft. X. OzE• - a8, A. Total wall window area .......................... 01,d'6 B. Total door area ................................ 3',! C. Total sliding glass door area ................... 'go D. Total fireplace wall area ....................... 24D E. Total wall framing area (average 10%)........... . 3O s; P. Total Rim joist area ........................... A Aq-k;- O'. Total Net wall area above floor .......•••....••.Z 04tK Total exposed foundation area - 10.O a. Total foundation window area .................... I. Total net foundation area above grade........... If9!, Determine "U" value of each wall segment. a. X "U" i 1 19' 1 .9 b. X "U" 0X wow t , f4•, d. X "U" e• dg? X "U". 1Q? 1.6? f. F W X "U" f 0 &d ° clr $ Q ` 9• Q®tss X "U" 06 ° gg tS?r ?C' 3 ...................................Total 7r? If item N3 is the same as, or less than item N1, you have met the intent of SHC 6006(c)2. Total exposed roof/ceiling area _ J- Total skylight area........ k. Total roof/ceiling framing area (average 10%)...... III 1. Total net insulated roof/ceiling area .............. Determine "U" value for each roof/ceiling segment. j, x "U. k._ 0 I X wU" 1 6? -1 21 I.- OZ I 4 .....................................Total _ Z gr? /, If total of 44 is the same as, or less than R2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items N3 and N4 shall not be greater than the sum of items it and #2- 1. + 2. + 4. c 7. 1 / F,011STRNCTION 1 R VALUE LUE CEILING SECTION (INSULATED): I I terior air film O 61' 2 ll? AFL ICdAU 4? 3 _I k I Li ?' °L AY, o-0 4 Exterior air film (still O,/,1 TOTAL R .Q? U- 1/R-&zi CEILINn FRAMINr, SECTION: 1 Interior air fil 2 3 4 S T7 7? CEILING SECTION (INSULATED): 1' Interior air film O,61 2 3 4 Exterior e r m (still) AL R - U - 1/R-? VENTED CEILINR FRAMINA SECTION- sl`.s ?yvw. '-,shy i• Interior air film fi,61 2 3 4 Exterior air film (still) O.Wr 5 Inches soft wood TOTAL R. - U- 1/R- 1 Inside air film A.Al 2 3 4 5 Outside air lm TOTAL R - - 1/R - U- t/R -f • f ti ! • 111TRUIT I ON AMINC SECTION: Interior air film [Inches so r for air TION (INSULATED) Interior air film I VIAL K • I1,o4 U - 1/R • ,nq a• 1,p 'O •f V' ••a. J i ? % •o 4J.V..4..' `F xx or air film ST SECTION: Interior air film ' + +ti .I ?ui =-1-it.::.c ? t I f - ?t Exterior a r ilm R VALUE O•RR O, f,A I vIAL n •Ua1 e U 1/R • , 4, O, 7ffA-L • U ¦ 1/R ¦ .a ION SECTION: dl. r, ?N Interior air film A RR Exterior air film TOTAL R ,r U ¦ 1/R ¦ ?Q SLAB ON GRADE ' 4 Q 4 BL 3 CITY USE ONLY SUBD. "?. RECEIPT #: / 0 />/oe32 RECEIPT DATE: ?// 7 Z-Y fW,,., V 1999 PLUMBING PE$MIT (RUIDENTIAL) '.S 3 P CITY OFEAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 661-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Minimum fee alterations to existing dwelling 30.00 x = $ 3v O Private Disposal System new/refurbished ' requires MPC lic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Under roundsprinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surcharge .50 > > ----> $ .50 Total --> > ---> ---> $ 30. Reminder, Call 681.4675 for inspections of water heaters, water softeners, alterations, etc. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - I hereby acknowledge that I have read this application, state that the information is coned, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS J/D,.7-V Ze.er aD o o d Tea ,' l OWNER NAME: n e 2A IP-u SCAB INSTALLER NAME: TELEPHONE #: 6 7 V5-a `fSZ/0 STREET ADDRESS: Yo ru 17 ee d 7-/ CITY: 9°-_5 a---- STATE: rn .nl ZIP: $.S/ a 1 TURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1 1) PROPERTY ADDRESS: yCS`i ?eeti?vop? JJ LEGAL DESCRIPTION: C _:r CSIZ 3 -/7 5/72CYr%S be-e,-zLe zQL (LOt/Block/Sutx3lvision or Tax Parcel I.D. NtuTher) IF STRUC LMRE, DATE OF ORIGI:\AL d I. E TG P?:• i ISS?AVCZ: ' PRESS: _.`NIi ,/PROPOSED USE: b - R-1 SINGLE FP_•irLY ? R-2 DUPT= (TWO 17NITS) ? R-3 TCkjNHOUSE (THREE + UNITS)( UNITS) ? R-4 APARu=/CONDCMINILm ( UNITS) ? COMSMCIAL/R=L/OFFICE ? IEDUSTRLAL ? INSTITUTIONAL/GOVERNMENT 2) APPLICAN7 (PLEASE PRINT) NAME: Is ? I L?K nec" r1 ADDRESS. 195 I ( `LJ 1 S / CITY, STATE, ZIP: ?V1oi3. mn L +Q PHONE: LI 1 - Ll 1 a 3) PLUMBER NAME: (PLEASE PRINT) : FOR CITY USE ONLY PLUMBERS LICENSE: ADDRESS: n Q Active CITY, STATE, ZIP: Expired ;, Q Not of Record PHONE: PLUMBER LICENSE N a ni is 4) OCC[TPANT/CtA1NER NAME: ADDRESS: CITY, STATE, ZIP PHONE: - (-L130 5) INDICATE WHICH PERMIT IS BEING REQUESTED: Q--CONNECTION TO CITY SEWER P-?CONNECITION TO CITY WATER E] OTHER (PLEASE DESCRIBE) 6) INDICATE ONE: ErPLFASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PER14IT TO 1, 2, 3, 4 ABOVE (Circle one) 7) SIGNATURE: DATE: - F y PLEASE,PRINT) knsj111 ??ewae?f?-ir i?arRr:?;??.??y?klss+i?a a?r?is?.. :. .aka rrf?:???.y?aat ra pwtsfas?ar F O R C I T Y U S E O N L Y PERMIT u ISSUED FEES: $ SEALER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ 7' ?z WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ /.3 ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT" - -WATER $ a S o c? WAC $ c S C l _Z SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK,SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER e $ TOTAL $ C0 AMOUNT PAID/RECEIPT 57 ?7 9 I DOES UTILITY CON NECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE Id0 ENGINEERING-DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: I ?? L 2? Uz 7L:> TITLE: DATE: /U /?i-/f; (? mom 11?L At?--l? -rjff5' SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 `REGISTERED SITE SURVEYS i ':, En OF ENERGY CkLCS. 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG DIV.) 1 SET OF ENERGY CkLCS. 2 SETS OF ARCHITECTURAL i STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS NOTEi ADDRESSES FOR CORNER LOTS - CONTRACTOR/BOMEOWNER MST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER 8 WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITS THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. To Be Used For: Per-v' Valuation: Date: Qum y , 1, 9 2) (? Site Address Lot </ Block Parcel/Sub Owner ?_seo} v 1or.?NO k???r ?e.e??oo IrQi Address-1/o,5--k/ City/Zip Code I& c a ? Sv a "-)- Phone S/ ,Va - V C-Y o Contractor (1 Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN LTIPLE DWELLINGS COMMERCIAL Occupancy Zoning Actual Const Allowable # of stories Length Depth 14' S.F. Total Footprint S.F. On site sewage On site well MWCC System _ City water PRV required _ Booster Pump APPROVALS Planner Council Bldg. Off. Variance FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL Saffleyor`s eert, vie' ate SURVEY FOR: Mark Eklo DESCRIBED AS: Lot 8, Block 3, DEEM100D City of Eagan, Dakota County, Minnesota and reserving easements of record. r i ? ?.e , ? 1?tiW ?AB• 2 AO„ D 7 i. s LIN 40 LIN ? I s ry f ? ? i.ir N e ,D X J ? 4D f'92.0 PROPOSED ELEVATIONS Top of foundation . x95,1 Garage Floor a 895.3 Basement Floor 0'8 8l, 6 Approx. Sewer Service Ekiv. e rd- r, Proposed Elevations t O Existing Elevations . _? Drainage Directions . Denotes Offset Stake r p HEDLUND Planning Engineering Surveying ea...u.. r....r. rrw rr..,,.. a.arsr ti a ti? Ilk* e"i8.1 s \s y \ B 4 LO 2s / vo„ s- r A \ O 0? 80'? ? C?- L r°r Do e y, we = 893.45 EAGAN DEPT BENCHMARK* Tap d' Re6a.- w L.+ 1613 4v B. R. N, Elw.: 815.04 SCALE: 1 Inch ¦ 30 Feet ?6h MIN. SETBACK -REOIREMENTS Front - 3o Hake Side - to Poor - -Lo Garage Side- 5 1 Mfeay oortlfy that this survey, pros or report was preporod by are JOB N0. air w ter my direct supervbipn ma that I an a duly steyisiare0 68Q - 384 Land Surveyor order the lowr of the State of Mlaaoota. SOOK • 98 Date: = • = 5 ° D. PAGE -74 'AI 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 5? a5 ?j (1 11 CITY OF EAGAN b 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirements - Remodel/Repair Requirements ? 3 registered she surveys showing sq. ft. of lot, sq. fl. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions ? 2 copies of plans (show beam 8 window sizes; poured Ind. design; etc.) 1 she survey for exterior additions L decks ? 1 set of energy calculations ? 3 copies of tree preservation plan h lot platted after 7/1/93 DATE: 0-1-99 CONSTRUCTION COST: -717 6s DESCRIPTION OF WORK: fiu AOFif' ked.oo/G &5;d, % ?fkcA GA(Y41-4 STREET ADDRESS: LOT: 4 oSg- t?za/G BLOCK: J SUBD./P.I.D. #: Name: n- C'5 C- GI'e PROPERTY Lost OWNER Street Address: Su e city State: Zip: ComPanY aMA'OMNG & MODELING, INC. Phone #: 61a 5?9- 3 -3r°l-6 ST. LOIaIS PARK, FIN 58416 (area code) CONTRACTOR ID #0001050 5"D Street Address: License # /° Exp. ARCHITECT/ ENGINEER City Telephone #: area code ( ) Street Address: Registration #: City State: Zip: Name: State: Sewer & water licensed plumber (required for new construction oniv): Pnalty applies when address change and lot change is requested once permit is Issued. Zip: I Wereby 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. /,f, Signature of Applicant: 45 OFFICE USE ONLY ?7 h h?0- Phone #: First Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required --&4?3 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft of lot, sq ft. of house, and all roofed areas (20%ma)dmum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam &windoow sizes; poured found design, at. 1 set of Energy Calculations 3 copies of Tree Preservation Plan it lot platted after 711M Rim Joist Detail Options selection sheet (buildings with 3 or less units) tAnnagasco mechanical ventilation form ,SD, 60 RemodellReoair Requirements Office Use OnH 2 copies of plan showing footings, beams, joists Cart of Survey Recd _Y _N I set of Energy calculations fa heated additions Soils Report _ Y _ N 1 site survey for additions & decks Tree Pres Plan Recd _Y _N, Addition - indicate if on-site septic system Tree Pies Required _ Y _ N On-site Septic System _Y _N Date )_ / Z ?- / 0 -7 Site Address 4142 x-/ D £t Ewa 0 o Construction Cost Ir S-b D T-M-,4- I L Unit/Ste # Description of Work Kf,,+V&q Multi-Family Bldg - Y 3( N Fireplace(s) X. 0 _ 1 - 2 Property Owner f6S&,Ow 441sa ' r Telephone #( `),r2-) ?T? -?3 s}3 Contractor /?y "? ?' Address State Zip City Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calmlations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. S S qW 1u_.s c-# 1- oplican?VsSig t's Printed Name nature Applican DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg X 02 SF Dwelling ? 08 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 06-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair X 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 y?ndows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage- Yes cY' ? Valuation roc) Occupancy Z 3 - 3 MCES System PlanReview 100%or_ 25% Census Code Zoning - City Water SAC Units Stories Booster Pump # of Units Sq. Ft. - PRV # of Bldgs Length Fire Sprinklered if-?5 T f C ype o onst Width REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock Footings (deck) Final/C.O. Footings (addition) Final/No C.O. - Foundation HVAC Drain Tile Other Roof Ice & Water Final Air/Gas Tests -Final Ftgs Pool _ - e4- Framing _ _ _ _ Siding _ Stucco Lath _ Stone Lath -Brick Fireplace _ R.I. _ Air Test _ Final Windows _ Insulation _ Retaining Wall Approved By: Base Fee i Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION / 1 CITY OF EAGAN f? 3830 PILOT KNOB ROAD, EAGAN MN 55122 I ?V 651-675-5675 It Please complete for modifications to existing residential dwellings. Date / Site Street Address L/96-!? 49o I Unit # Property Owner -, 2 r-- ler. 5c4 C Telephone # (qTk) S?'23'- S 57 Contractor r r C.?? plc k di • Telephone # (6'Sf) d/G '3- ?g?<< i Address I ( City errs - .v State Zip The Applicant is: _ Owner 3 Contractor -Other Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $136.00 if a 5/8" meter is required) /Other: r h (?? s?Frk 1® vF o.v Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30 00 State Surcharge $ 50 Total L$-.5 `I2 I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approve . is sJ fi z?s- - !? i??z??.? Applicant's Printed M11 Applicant' ignature Use or BLACK Ink ~ - I For Office Use r. 6 1 I t_l Permit 3 1 City of Eap Fee: 3830 Pilot Knob Road I Permit Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 i staff: 2009 MECHANICAL PERMIT APPLICATION Date: Site Address: 140 a q D erwo,-xi %r?. Tenant: J o c>,. r1 ?Lt,Sc_li-e-- Suite RESIDENT I OWNER Name: J h r ~ Phone: LrG I - L46 - 44S 4c Address /City /Zip: L OGH Oeeri c. c,c( To<.. Ecxc c,,n 5as t 3a- CONTRACTOR Name: 'R£ S 1 C(en+tQ_(_;' }fie ct -t r)!.~ l A t R_ License* 4_093- Address: 1 l 4 • I54 J: Surf A City: rn i n Y.~ La po 1 tS State: M Y_\ Zip: Phone: I }?-;t L1- I ~ 9 ~ Contact Person: ~rnrne t 1 1 t ~Y 1 TYPE OF WORK New 'X\ Replacement Additional Alteration Demolition Description of work: ktj2 x c.~ L'~.r ( 1 ex c: NOTE. Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact dw Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction _ Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank C_ Install / _ Remove) Other When installing/removing tank(s), call for inspection by Fire 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) C $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $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 1 hereby ack edge that this information ' t orri ete and accurate; that the work will be in conforman with the ordina nd of the City of Eagan; that I understand "t-ii is mot a permit, but o appl' ion for a permit, and work is not to start without a it; that the be in arx a with the approved plan in the se work which requro view n approval of plans. x/ x App lic Printed Name Appli ' nY i9natu ' 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 Eagan. Permit Number: EA097744 Date Issued: 01/14/2011 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4054 Deerwood Tr Lot: 8 Block: 3 Addition: Engstroms Deenvood PID:10-23900-080-03 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Joseph A Rusche 1920 County Road C West 404 Deenvood Tr Roseville MN 55113 Eagan MN 55122 (61)264-4777 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink For Office Use j Permit ~J ~ 3 I City of Ea i Ed~ I ~ Permit Fee: $ Ll I 3830 Pilot Knob Road I ~ I Eagan MN 55122 I Date Received: 6-Phone: (651) 675-5675 I I Fax: (651) 675-5694 ) staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION i Date: l /d 30/I Site Address: y0S'`'1 ,t77E 82 ~ooo 7-9-A- L -Unit M - l Name: -JO S 6./4 N lea S yrrrf_ Phone: Gam/ "'rj~S~3 -s/,ry u RESIDENT / OWNER Address/City/Zip: yOSy Z>S kjoea 72ffiL l Applicant is: _)L Owner Contractor l TYPE OF WORK Description of work: p z G - Construction Cost: Multi-Family Building: (Yes No t r i Company: Contact: v CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate r 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 i 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 non-public if you provide specific reasons that would permit the City. to conclude that they are trade secrets. s.~....,...._.,._~~._..a ..t.... _ ~M,:...... 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the worts will be in accordance with the approved plan in the case of work which requires a review and approval of fans. x x Applicant' s Printed Name Ap 'ant's Signature Page 1 of 3 DO NOT TE L Vy~l *H1 LINE M~ SUB TYPES - Foundation _ Fireplace - Porch (3-Season) _ Storm Damage - Single Family _ Garage - Porch (4-Season) _ Exterior Alteration (Single Family) - Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New - Interior Improvement Siding _ Demolish Building* Addition - Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage - Retaining Wall 'Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition - SAC Units (25%_ 100%4 Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: 1 L. , 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 L 'r7 ' + s - ~ . v~~tl~v D'1'`S G'e~tl l~rr~e SURVEY FOR: Mark Eklo DESCRIBED AS: Lot 8, Block 3, DEERVOOD City of Eagan, Dakota County, Minnesota and reserving easements of record. o 1, s G J I ~~v(~ ~t ~z SW- J y s o AD \ ° sa LO Q ~ s L O S ~ ~ ~ ar. ar aa8. a R 0 13 f , r -r- Da e - AGAII Ells I ERING DEPT 1 '31 J $ E92.a PROPOSED ELEVATIONS BENCHMARK. Top of Foundation s a95.~ SOP V,"- L°+ 161; Garage Floor .895.3 Basement Floor u 's 8-1, to MIN. SETBACK' REGIREMENTS Approx. Setwr Sorvico Elev. • Proposed Elevations r Q Existing Elevations s Front - 3o kouq Bids 1Q Drainage Directions Roar - in oar"* Side- 5 Donates Offset Stake O SCALE: i Inch s 30 Feet I Ws by moty that this survey, picot or report was Prepared by aye JOB NO, HEDLUND;ender my direct euoervtsion and that 1 clot o Buhl RseNtered W -364 Land Surveyor under #w loot of the State of Mlnotesota. BOOK Planning Engkumo rV SLirmong S eo•t rw eenor.rA.. F.-.... e~..rMw rr..n. ws f PAGE ►ra... w.a... ear ~ ~ ~ ~ 5 a i1. Dora: 4 .160#6W L roc Licones Mn14376 , . Use BLUE or BLAGK Ink r----------------� I For Office U� � , O� � � Permit#: � � City of �a�a� � �- � � � Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 i Staff: i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: ��G�� �t,ti5��kt Phone: Address/City/Zip: ����i ��e�wG°� �r4� � ��G��+ Applicant is: �Owner Contractor Descriptionofwork: UVGi.t��' i�t��sion �c;�Os:�f" Construction Cost: ! 6D�� v� Multi-Family Building:(Yes /Np�) Company: �'1/�Gt�� �C'�f�C��6�'� Contact� �!�"�yy' l��� Address: �O�b� �`��'K'Sd�.�"'` ,C�� City: —�^utf�rcc,�c � `r(nd�j' State:/��� Zip: �JG�� Phone:���"6��"��E ail: License#: /�C. CJ��0?7� 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: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: 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.aoaherstateonecall.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. Ezterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x�� / '�l,��V�/'�1,<1� X'==i!`�� _. ApplicanYs Printed Name Applicant's Signature Page 1 of 3 ! DO NOT WRITE BELOW THIS LINE C� � t � � SUB TYPES �CaS� c��(.�1c�v . '�r- Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family) � Singie Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building" _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation _ Replace _ Repair _ Egress Window �Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Fi I /C.O. Required Footings (Addition) Final/ No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test �oof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final raming Drain Tile � /F�'replace: _Rough In _Air Test Final Siding: _Stucco Lath _Stone Lath Brick [/ Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: 1��1 C1 �� � \ � , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA129820 Date Issued:03/16/2015 Permit Category:ePermit Site Address: 4054 Deerwood Tr Lot:8 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-080 Use: Description: Sub Type:Reroof & Siding 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. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Joseph A Rusche 4054 Deerwood Tr Eagan MN 55122 (651) 452-4540 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:EA130431 Date Issued:04/24/2015 Permit Category:ePermit Site Address: 4054 Deerwood Tr Lot:8 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Joseph A Rusche 4054 Deerwood Tr Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137589 Date Issued:07/12/2016 Permit Category:ePermit Site Address: 4054 Deerwood Tr Lot:8 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joseph A Rusche 4054 Deerwood Tr Eagan MN 55122 (651) 452-4540 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178463 Date Issued:08/18/2022 Permit Category:ePermit Site Address: 4054 Deerwood Tr Lot:8 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-080 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: 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 - Joseph A & Joanne M Rusche 4054 Deerwood Trl Eagan MN 55122--188 (651) 271-4105 Solaris Roofing Llc 1324 Forest Cir Burnsville MN 55306 (651) 675-8486 Applicant/Permitee: Signature Issued By: Signature