Loading...
4057 Deerwood Tr Use BLUE or BLACK Ink r For Office Use L~ Permit#: City of Ea a~ d R I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7- tp --73 - Site Address: L40 :z d V,) E:> 0 C) Tenant: C C1~ L Y~ I Suite RESIDENT/ OWNER IDCJ L Name:_ ( Y ~fC C(3~J-~.r cA:► Ph o in e•. In ~ Address / City / Zip: 4co c~ cs_ -'r v ~ Applicant is: 4 Owner Contractor TYPE OF WORK Description of work: eje~ Construction Cost: fly DO Multi-Family Building: (Yes / No 4) CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: 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: 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 the 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.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of lans. X X Applicant's Printed Name Applicant's Signature Page 1 of 2 SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE OCT 1, 1990 OFFICE USE ONLY METER # CHIP# 4467 C/O -3 METER SIZ e- ISSUE DATE JO - a -,?-o PERMIT DATE 10/11/90 PERMIT # 11676 B.P. RECEIPT # C 10508 B.P. RECEIPT DATE 1 ` 90 _ PRV _ BOOSTER PUMP SITE ADDRESS 4( ' L r''' TR LOT 15 BLOCK 1 SEC/SUB EHGSTROMS DEERVOOD APPLICANT: ADDRESS:- CITY, STATE ZIP PERMIT REQUESTED X SEWER --X- WATER TAPS COMWIND -? RESIDENTIAL X NEW EXISTING PHONE: ' Lawn Sprinkler Meters are to be Installed PLUMBER: ? NICKELSON PLUMBING Ahead of Domestic Meters on Water Line. ADDRESS: 7540 FOURTH AVE Credit WILL NOT be given for Deduct Meters. CITY, STATE LINO LAKES, M`] ZIP 55u14 _ PHONE: 785--1449 , - ' I AGREE TO COMPLY WITH CITY OF OWNER: ' '"ER Ct,RCI;r; ;1 ;9. ORDINANCES ADDRESS: P O BOX 16113 CITY, STATE ST PAUL, MN Zip SS] lt? " m"?.1cf. 688-209_ SIGNATURE WHEN METER ISSUED DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM VG DEPT. SEWF,R $44TER PERM)T CITY OF EAGAN 3830 Pilot Knob Rd. % Eagan, MN 55122-1897 DATE OCT 1. 1990 ? SITE OFFICE USE ONLY METER # PERMIT DATE CHIP # PERMIT # 11676 METER SIZE B.P. RECEIPT # C 1 t3 c ; ISSUE DATE B.P. RECEIPT DATE 1P rS<< PRV -BOOSTER PUMP ;K ' SEC/SUB 4I{ ` TRDS'? VEI?RWOMD APPLICANT: ADDRESS: CITY, STATE ZIP PHONE: PLUMBER: NNICKELSOK PLUMBING ADDRESS: 7540 FOURTH AVE CITY, STATE LIND LAMS. ALAI ZIP 35014 OWNER: PETER CARCHEBI ADDRESS: P O BOX 16113 CITY, STATE ST PAUL. HN zip 5 S 1 1 PHONE: 688-2004 PERMIT REQUESTED _1L SEWER X WATER - TAPS - COMM/IND ', RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. • CITY OF EAGAN 18413 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?`• PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value :144,000 Date OCT 1 19 90 Site Address 4057 DEERWOOD TR Lot 15 Block 1 Sec/Sub. ENGSTROMS Parcel No. L)EERWUOD OFFICE USE ONLY Occupancy R?5 ?? FEES Zoning W Name PETER CARCHEDI V-N . (Actual) ConSt Bldg. Permit 794.00 P 0 BOX 16113 . o Address (Allowable) Surcharge 72.00 City ST PAUL Phone 688- 2094 # of Stories 516 00 ?? L Plan Review . Name SAHE ength oeptr, _ SAC, City 100.00 2 Address _ S.F. Total _ 60000 . Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee PETER CARCREDI 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 S.F. Footprints SAC, MCWCC 625.00 On Site Sewage Water Conn On Site Well Water Meter 90.00 MWCC System -? Acct. Deposit 30.00 City Water 30.00 PRV Required S!W Permit Booster Pump S/W Surcharge .50 131.00 Treatment PI APPROVALS 355.00 Road Unit Planner Park Ded. Council Bldg. Olt. Copies 3,464.50 Variance TOTAL Permit No. Permit Holder Date Telephone # WATER / // SEWER PLUMBING ? /?-/?/r? H.V.A.C. 7Ci??? C ?/ L??? ?C' J'?'• D A ELECTRIC Inspection Date Insp. Comments Footings I Foundation pt / 2?ac /O %f' yh0 Framing /1 Roofing Rough Plbg. ?, • ?d /. ' s A2 1"Z l wv, z Rough Mg. 11-,? 3 / 4 e c C? r C Isul. Fireplace o "- do 4 , i tc Final Htg. % -? Final Plbg / /?-?? • Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final ZL'? DS NO Ftg. Deck Final Well Pr. Disp. ---------------- - -------- CITY OF EAGAN PERMIT# 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #?1?1 3 DATE - G PHONE 4548100 DATE: 16,1-25ZL2 Site Address BLDG. T' WORK DESCRIP Lot J ^ Block Sec/ b Res. New Const Mult. Add-on Comm. Repair Name- O h t er Address c city Phone FEES RES. HVAC 0-100 M BTU - $24.00 Al Ih-f d r A I J A1 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) TOWNHOUSE & CONDOS - RES. RATE APPLIES Forced Air.. ... M BTU $ Boiler M BTU $ Unit Heater M BTU $ Air Cond. M BTU $ Vent CFM $ Gas Piping Outlets # -?- $ Other $ Comm.And. Contrac t Price x 1% $ PERMIT FEE- S/C- MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS (INCLUDES GAS PIPING) - 12.00 ?% GAS OUTLETS (MINIMUM - 1 PER PERMIT- NEW CONST.) - 1.501 COMMAND FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 SIC PER EACH $1000.00 OF PERMIT FEE) Z-1011 I CITY OF EAGAN PERMIT # )NTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # _ PRICE PHONE 4548100 DATE: le Phone Phone FEES COMMAND. 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 SIC PER EACH $1,000 OF PERMIT FEE) Res. New Const. K Muk. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL _ Water Closet - $3.00 $ 00 Bath Tubs - $3.00 40 Lavatory - $3.00 1700 _L Shower - $3.00 -400 -L Kitchen Sink - $3.00 -404 Urinal/Bidet - $3.00 Laundry Tray - $3.00 700 Floor Drains - $1.50 /Ar 0 Water Heater - $1.50 / U Whirlpool - $3.00 -L Gas Piping Outlets - $1.50 / 5a (MINIMUM -1 PER PERMIT-NEW CONST.) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 4150 U. G. Sprinkler System - $12.00 ' PERMIT T FEE: STATES SIC: GRAND TOTAL: ` -? (gertifiro#e of COrrupaury Citp of (Eagan JqrVwftm of Il imi" 3wprfim This Corti. ftwe issued pursuant to the requirements of Secoon 306 of the Uniform .building Code certifying that at the time of issuance this.muctune ww in compliance wish the various ordinances of the City reguladng building construcdon or use- For the following: Ux Ckmacktioa Sp BWAM& Mg. Fawk Nm 18413 O-w-7 'nve --R w,vrrri-- 7a-9 D-kW $a TMK OWN VK o-.cedq-WAR "•'^'T Ad&= F.A. 8=-161 l3, Ozr PAIL POST IN A CONSPICUOUS PLACE "xq I CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS " Correction Notice Located at I have this day inspected this structure and these premises and have found the following violations of city codes governing same: ? ih „r? S a or for // a? /d .:/mss r">v ?PCf •?rn,+: ??n.r inucL ?/ ?Cfc.?VS-P?r?nr c.ei? I D' 4 rH/b 'ft-tc) hI N/o,.-L, lrje-,V/H The", r/?.?rri -1 ?I ?6!! oit- O'St 1lnd?ll ?c? When corrections have been made, please call 454-8100 for inspection. Date /fit- 0 S Inspector City of Eagan DO NOT REMOVE THIS TAG INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: "" "' 3830 Pilot Knob Road Permit Number: 44 Eagan, Minnesota 55123 Date Issued: KI my ' (612) 681-4675 SITE ADDRESS: APPLICANT- lit Jill 1 til fit r t lit 1 1111161111 f p , - 11: ;i i f11 ITI? )? .'• { {z l,t:!'. 1.! i I(W0L10 19.1 Y ,..•;I "')'ii) PERMIT SUBTYPE: TYPE OF WORK: N f 6J INSPECTION INSPECTION TYPE DATE INSPTR. ;11 .!I I it I I I'.. I fII) / IF 7 Permit No. Permit Holder Date Telephone fi SAN PLUMBING HVAC ELECT1111196- ELECTRIC Inspection Date Insp. Comments Footings l Foundation Framing lo, 3 Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well S 7 ir 77, T /Ir S Pr. Disp. AJ/&* 77&-- A6P .k.1 1s MIMIANICAL PE 'r DATE: 6/3/91 `'F". RECEIPT: 101630 SITE ADDRESS 4057 DEERWOOD TRAIT. Unit # Permit # 13070 L 15 B 1 Sect./Sub. ENGSTROM' S DEERWOOD CITY OF EAGAN NO 9413 38-*Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # l J 7 . To be used for SF DWG/GAR Est. Value $144,000 Date OCT 1 1990 Site Address 4057 DEERWOOD TR Lot 15 Block _ 1 Sec/Sub. ENGSTROMS Parcel No. DEERWOOD wlName PETER CARCHEDI o Address P 0 BOX 16113 City ST PAUL Phone 688-2094 o Name SAME u< Address City Phone GW Name Address aw City Phone I hereby acknowlege that I have read this application and state that the information is correct and a ee to comply with all applicable State of Minnesota Statutes and C' E Ordinry".s Signature of Permitee ?- ?e A Building Permit is issued to: PETER CARCHEDI 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 OFFICE USE ONLY Occupancy R-3 M1 FEES Zoning R1 (Actual) Const VN Bldg. Permit 794.00 (Allowable) VN Surcharge 72.00 F of Stones 770 r Plan Review 516.00 Length Depth 40 rr SAC, City 100.00 S F. Total SAC, MCWCC 600.00 S.F. Footprints - On Site Sewage Water Conn 625.00 On Site Well Water Meter 90.00 MWCC System X 30 00 City Water X Acct. Deposit . PRV Required S/W Permit 30.00 Booster Pump S/W Surcharge 0 .5 Treatment PI 252.00 APPROVALS Road Unit 355.00 Planner Park Ded. Council Bldg. Off. Copies Variance TOTAL 3,464.50 Address: 4057 DEMMD TRAIL Lot 15 Blk Sec/Sub ENGSTRCMS DEE_%MD These items were/were not complete at the time of the final inspection. Yes No INSPECTOR: Final grade (6" from siding) J?au? Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage JLE a.v Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. White - City copy Yellow - Resident copy Pink - Contractor copy INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOT: 15 BLOCK: 1 APPLICANT: 4057 DEERWOOD TR CARCHEDI PETER ENGSTROMS DEERW00D (612) 688--2094 PERMIT SUBTYPE: BASEMENT FINISH TYPE OF WORK: NEW BUILDING 922744 12/21/93 INSPECTION TYPE FRAMING .DATE INSPTR. INSPECTION TYPE INSULATION DATE INSPTR. ROUGH IN PLBG FINAL L G' 0 2 4 7 8 --57 Request Dale Fire No Rough-In Inpaection Required (VDU mus II mapeclor when ready) Inspection Other Tha oughdn ? Ready Now ill Notify Inspector Yes ? No Date Read I ? licensed contractor owner hereby request inspection of above electrical work at Job Address (Street Box r le No I o Qty ^1/057 erwoo 9 r Segior. No Township Name or No Range No County 7M) Q?'CVl e i Phone No Power Supplier Adtlress Electrical Con ad r tCOmpeny Namel Contractbr's Ubense No ??f0 wnC? Madmg Add r o m racl s C or or Owner Making Installation) ` on ? 1 ' e ' / J p ' / `? o Qcl..r--- Aulhorized S'g^ trct? ono kmg Installanom Phone umber MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave. St. Paul MN 5510E UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION See in,vuchons to completing this form on back of yellow copy 't EB 00001-0/8 I a sd N N 0 2 4 7 8 "X" Below Work Covered by This Request New Add Rep Typeof Building ApphancesWired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Load Management Comm /industrial Furnace Other (Specify) Farm Au Conditioner Other ispeafy) Contractor's Remark CC Co mpute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # CircullslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps --- AboveM1OD Amps Signs Inspectors Use Only TO LJ"1 Irrigation Booms V . SCE J Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON I, the Electrical Inspector, hereby Rougmin - / Date 7 certify that the above inspection has been made Final Date ?• OFFICE USE DNLY This request void 18 months from ii x/90 9 9-1?11?0 M 9961, Request Date N!" ire Rough-in Inspector, Required? ? Ready Now ?SNJI Notify inspector / _ When Ready? es Li No I %licensed contractor El owner hereby request inspection of above electrical work at: Job Address (Street Box or Route No I city a n 7r- -/ a- Q -J Section No Township Name or No. Range No Co ty Occupa (PRINT) Phone No Power Supplier Address 3UD -- tr' al Contractor (Company Namel -I Co/nlraclate Licanse No e6lrl??- AN" &14& 4E Mailing Address (Contractor or Owner Making Installation) .? G>J 5S 3? Authorrzed atu 1 omractorrOwn akmg in Wish ) JA Phone Number 3 MINNES'OTA STATE BOARD OF ELECTRICITY ` Grigg.-Midway Bldg. - Room S-179 1821 University 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-00001.08 ? See inshoclicns for completing this form on back 0 yellow copy a 0 9 9 61 ,x„ Below Work Covered by This Request e Ado Rep Typeof Building Appliances Wired Equipment Wired Home ange Temporary Service Duplex Water Heater Electric Healing Apt. Building 'Dryer Other (Specify) Comm/Industrial 'Furnace Farm Air CondRloner Other(specify) contractors Remarks. Compute Inspection Fee Below: # Other Swimming Pool Fee # Service Entrance Size 0 to 200 Amps Fee /Feeders ps Fee ,d Transformers Above 200 -Amps mps Signs nspectors Use Only V TOTAL Irrigation Booms Special Inspection Alarm/Communication NECTED THIS INSTALLATION MAY BE ORDIF NOT Other Fee , the Electrical Inspector, hereby COMPLETED WITHIN 18 MO S. r DI RougRin +J certify that the above inspection has been made. Final D OFFICE USE ONLY This request vod 18 months Irom A--CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 0 2 2 7 4 4 Date Issued: 12 / 21 / 9 3 SITE ADDRESS: P.I.N.: 10-23900-150-01 4057 DEERWOOD TR LOT: 15 BLOCK: 1 ENGSTROMS DEERWOOD DESCRIPTION: B Lri 1 Permit Type Type BASEMENT FINISH NEW ?Ry W REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee $35.50 CONTRACTOR: OWNER: _ Hppiicanz - CARCHEDI PETER 4057 DEERWOOD TR EAGAN MN 55122 (612)688-2094 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. .? APPLICANT/PE MITES SIGNATURE $35.00 .- %4 ISSUED eY IG ATURE I REACTIVATE _ PERMIT t 2111114 CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLIV11 GVE 10 DEC 1:211993 sn SINGLE & MULTI-FAMILY 1--------------- 2 sets of plans, 3 registered site surveys-;--; 1-capy o calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when ppemit is typed, but not picked up by last working day of month. 3) lot change is requested once permit d h or ange In which request is made, 2) address is c is issued. Date Valuation of work yo Jo Site Address: 5?????"-? STREET SUITE 1 Tenant Name: (commercial.only) LOT BLOCK SOBD YI?stYav?r? j ? p I.D. N rotn c l Description of work: A t T` o-n-/ ??d v f r The applicant is: Owner ? contractor ? Other (Describe) 4- r Phone 683' 3-a9'-j di t? k C e o:rc,, e Name Property LAST FIRST Owner Address 7 ??rwDa? Try ?? STREET sit Y city ??Qh State ?dl Zip Company Phone Contractor Address License M Exp. City State Zip Company Phone Architect/ Name Registration Engineer 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 able State of Minnesota Statutes and City of li ll c app correct and agree to comply with a Eagan Ordinances. L G3 r L . Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l. WORK TYPE 0 31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging " ?6 Basemefrt F?hish ? 12 Multi. Misc. ? 17 Swim Pool ? 13 GaragA/Accessory ? 18 Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC ccipancy Zoning d of Stories Length Depth APPROVALS Planning Engineering REOUIRED INSPECTIONS ? Site ? Wallboard 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 ? Footing ® Final ® Framing ? Draintile EJ Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Valuation: $ 4y _00 ? 37 Demolish .MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % SAC Units • 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1 y . C) ( L l 651-681-4675 New Construction ReautremeMs Remodel/Repair Reg uiremenh ,i / ? 3 registered site surveys showing sq. R. of lot, sq. fl. of house and all roofed areas (20% maximum lot coverage allowed) ? 2 copies of plans (show beam b window sizes: poured Ind. design; etc.) 1 set of energy calculations i 3 copies of tree preservation plan R lot plaited after 7/1/93 DATE: 10&L,7 DESCRIPTION OF WORK: STREET ADDRESS: LOT: /5, BLOCK: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER oS 2 copies of plan 1 set of energy calculations for heated additions t site survey for exterior additions 6 decks CONSTRUCTION COST: 1 SUBD./P.I.D. #: ?tq Name: , Rr Phone #: 951- Lost T- First Street Address: L 6- n/ od d 7 r City Stater Zip: Company: Phone #: (area code) Street Address: License # Exp. City State: Zip: Company: Name: Telephone #: area code ( ) Stree4 Address: Registration #: City Sewer 5 water licensed plumber (required for new construction only : State: Penalty applies when address change and lot change is requested once permit is Issued. Zip: 1 hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all appllcabl 91ate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant. !?L /a c i OFFICE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received Yes No No - Not Required Jul 5 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace §1 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE Q? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia b 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. _ Booster Pumo APPROVALS Planning Building lt1?? Permit Fee f 3 9 a? Valuatio CITY bF F.ACAi Surcharge T a . 'TrRMTrNAL NO : 733 Plan Review i0/11%99 TIME: '.4:x]9.:34 License MC/ES SAC City SAC NAME PETER M. C:ARCI-ET11 Water Conn. ?1p 9(1[19. 4057 I?EE:WCIi Th 9.39.25 Water Meter 3430 90111 4057 IIEFRW7U TR 0.25 Acct. Deposit 4.05 DEF-PPIc: TR 3.50 S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: IL4 U C? 9.:I.i3lJc:;i 'ER zn: JAN SAC Units % SAC ,o 53-6'f CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 3fififi;YY NA! FOR CITY USE ONLY PERMIT # ISO 70 RECEIPT #Z DATE: Co / RSDA73IFL`<: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE 1 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ ------------------------------ ------ WORK DESCRIPTION FEES NEW CONST ADD ON REPAIR OWNER NAME: SITE ADDRESS: '10S-7 ?/?/?Cf^60,0 V7,z.* LOT:, BLOCK SUBD. 6 INSTALLER: Al'yv _/e- 1h7 L ADDRESS: CITY: /4Of2/ ZIP: PHONE #: DWELLINGS & ADD-ON MINIMUM 5.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $Z45?_ STATE SURCHARGE: .50 TOTAL: $L,L GN TU OF E ITTEE CSMMERG`IATfTNbVST#t3A ;:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. .CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) 4 Q8µ13 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG. DEPT.) 1 SET OF ENERGY CALCULATIONS _# OF RENTAL UNITS # OF FOR SALE UNITS COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALLS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. I44SEP 2 : RECD ,0oC?' ,./ ? / /O To Be Used For: V117 ?-Valuation: Date: p Site Address V25-7 [iLCYwca? ?Ycll f Lot & Block Parcel/SubEw,sTF,oMS DteguoaD Ain-, Owner Te fer CCL1r -Cf?--Cjl Address -FD &X I6 ri3 City/Zip Code ?T P,u Phone i 8? - ?-D q 5 Contractor SG-v ?e_ 0..5 M Li /Z Address City/Zip Code Phone Arch./Engr Address /- n-nl m k? 1 . w? f f City/Zip Code OFFICE USE ONLY FEES Occupancy 3 M- Zoning R -I Actual Const V- N Bldg. Permit Allowable Y - N Surcharge # of stories Plan Review Length SAC, City Depth 14C) SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well S/W Surcharge MWCC System ? Treatment Pl. City water ? Road Unit" PRV Park Ded. Booster Pump Copies SUBTOTAL APPROVALS Penalty Planner TOTAL D Phone # 512-237? VAL.. T a ;, 3 G kz2- '?92 2 X 12= (ZYJ %68 x 15 = 11520 6s m r, 3H u z6 = $cKy 1y k 14 = y? 6 x G x,; = ?`_ Ia s M= ?S7 FLOVYL 135m'r, -©JIig- Ilo? Xsi.SGµS"I Pbee- 44 loxio= goo Cap 3Gtic, 2No M = i'/ 5-1 143?t?? 0K M,+1000 CITY OF EAGAN ErTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: P4te,r SITE ADDRESS: 7 C)4?/ //? J,,?/?YN J? L? ??`?e i' OF L CONTRACTOR: '??Y CL??'C DATE: 7 ?/cJ PHONE' O Determine working square footage of each: 1. Total exposed wall area .. I;k,l sq. ft. x .11 = So (D' 2. Total roof/ceiling area .. 11 H sq. ft. x .026 = °??'1o(O Total exposed wall area above floor = a1?? a. Total wall window area 7rgBa5 b. Total door area .................................. a S c. Total sliding glass area ......................... d. Total fireplace wall area •............ e. -Total wall framing area (average 10%) ............. f. Total net wall area above floor 1019. g. Total rim joist area .............................. 31 Total exposed foundation area = or h. Total foundation window area ....................... i. Total net foundation area above grade .............. 14?r Determine 'U' value of each wall segment: a. b. d. e. f. 9. h. i. x x x x x x x x x ' o' , 3a - g 5. yti. ' U' o? - 'U' ' U' - 014 ' U' 09 - 'U' - 10y ' U' oy - 'U' ra - 3 . ................................................... Total = 'c11i,?q If item N3 is the same as or less than item 01, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = I\y\ J. Total skylight area ........ .... ice' l k. Total roof/ceiling framing area (average 10%) ..... W-A, 1. Total net insulated roof/ceiling area .............. tQ_&W, ol OVER Determine 'U1 value for each roof/ceiling segment: ' J. S8 X IUI er - k. I )64 \ x f u, y3 - 3 ?8. 1. lCGcQ x out o•a _ a©.53 Alternate Building Envelope Design 4 . ...................................................... Total If total of 04 is the same as or less than 02, you have met the intent of SBC 6o06(c)7. To utilize the total envelope system method, the values established by the sum of Items 03 and fl4 shall not be greater than the sum of Items flt and 02. t. + 2. - 3. + 4. - 2 SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U = 0.025 Average 2. Exterior walls & rim joists - R-20 U = 0.11 Average 3. Floors over unheated spaces - R-20 U = 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. CUIDCLIHE TO (R) IACIURS rPOn /S IIPA[ nI!IUAL - of TY PICALLY USCD PDOOUCTS ' (R) Interior Air film platls) r i o r Air Film (Walls) 0.68 CYCSUm or plaster board ]/8" (R) 0.32 101cr f r o 1, if Film (Vented Ceif;nq) 0.17 0 61 Cypfum or plaster board 112" 0.45 OlrrL r A;e Fit. (Vented Cailing) . 0 61 Crpsum or Pls ter beard 5/8" " 0.56 Interior Air Filn (rich Vented) . 0 61 Plywood 3/8 " 0.47 Exterior Air Fit, (Ilon Vented . 0.17 Plywood I/2 Ptywnod 7/4" 0.62 Alumin un SidinO Sheathinq, reg. density 112" 0.97 1.32 Aluminum with Backer 0.61 1 82 Sheathinn, rev, density 25/32" 2.06 Aluminum with Backer B failed . 2.96 Nail-base sheathinq 1/2" 1.14 1/2 a 8 loo Si dinn (wood) 7116 0.81 Built-up Roofs 0 33 x 12 Hardboard Sid;eq Asbestos S;dinnf 114 L 0.67 Asbestos-cement shinq h s . 0.21 apped Stucco (Br,-m and Finish Coat) 0.21 Asphalt roll roofing 0.15 ASPahlt Shingles 0.44 7•1" Hood Subfloor or Sheathing 1/2" Plywood h i 0.q4 Insulation: 2.2 314" Fiberalass 7.00 eath nq 1/2" Particle Bu rd 0.62 Insulation: 3 1/2" Fiberglass If.00 . 0.66 Insulation: 6" fiberglass 19.00 WOODS: BLBtirwr uoDLs Fir, pine G similar soft Woods 1 1/2" 1.89 Approx. 3" 9.00 2 1/2" 3.12 Approx. 4 1/2" 13.00 3 1/2" 4.35 Approx. 6 1/4" 19.00 5 1/2" 6.87 Approx. 7 1/4" 24.00 Approx. 14" - 30.00 Approx. IIt" 40.00 All other insulation materials must be Filled verified (R factor) (R) B" Concrete Block (S G B Req ) -T -11 Vermiculite j 9 . . 12" Concrete Clock (S G C Reg.) 1.28 , j 3-IS 8" light vcioht 2.18 " 5.03 12 light Leigh[ 2.48 5-82 as c'r's* + .-.-me-]-r•nea ea en ne NOTE: (0) x Area Square Feet All Wln HOrt `idle (w/Sto mi 1" to 4•' Space) ,56 _ Removal Double Claming (RDC) .55 Therm of welded 3/16" air space .69 1/4" air space .65 1/2" air Space .58 (Other windows specifically tested can use better ratings) 1 314 Solid core door .46 w/storm, wood ,31 w/storm, metal .26 Pease Strcl Door Insl/Y./CL 7.4511 .13 Slidinq Class Door, Wood .65 metal .715 NiNit-WI "U" VALUL ANU R-kALIUR Al RUUt , WALL, R1P1 AMJ WiA,lttlt bLULI. RooF ? c?.ILfiNC, (p} Vi Q 111TEt:1 A1R FILM (D s/9' GYP ED. Q tNSULAjION C41 O EXjER;o(? A19 FILM 11L)" =1 f tz = _ozS TOTAL ( R)= (1Z) VAI QQ iN IcP{of- A19- FILM X01 Q 112' 4YP.' BD.' ?[5 INSULATION 5 iz'' 19 9Q 7 ?iTc a.b(o .o (vla rONljc SiD{N(a ? u EX;-i !o? HIz FILtj ' 1'U 1 f R = : ?/ TOTAL (R) =a?,w; (ZtM J U _ oy 1L It1TE1'-tor ri?r? t=1u? , ? . 15 5 [?i INSULAT1c,a 1 q G FIF- EIMI CIS-[ i @q ?' Q "TERIDIZ AM FILM . u U'[ ToTA= (R) = W..4 ?oJNDAT1orI - - Ctt) VRLI la INTEVIZ A114 FIL]i O 1" GsYP??vt?1`'i R-5 - v. EX j EP?lo2 AIR FILM U 11 _ Floors over unheated spaces must have minimum R-factor of R-20 (tuck-under garages). Floors over outdoor air (overhangs) must have a minimum R-factor of R-33. 2005 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 Remodel/Repair Reguirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan Carl of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N, 2 copies of plan showing beam & window sizes; poured found design, etc. I site survey for additions 8 decks Tree Pres Required _Y _N I set of Energy Calculations Addition - indicate ifort-sAe septic system On-site septic System _Y _ N 3 copies of Tree Preservation Plan If lot platted after 711193 R'rn Joist Detail Options selection sheet (buidiNs with 3 or less units) Date L / Z$? l D-S Construction Cost fro 0 Site Address L 'i;6.57 Pe- ? W CJd 7-8 Unit/Ste # 0 Pe "? Description of Work 1 • , °'y - Multi-Family Bldg _ N Fireplace(s) 2 Y _ Property Owner q (( ,?, R41 CG TVR 1i• Telephone # (fIla,) d/9' Z 9/ y Contractor LIN G, IN Address City 4100 EXCELSIOR BLVD. State g ID 00001959 56Z1p Telephone # (612) Z 9d • 7 ?/ 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 Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed N e Applicant's Signature RPR 11 '80 18:05 FROM KNOX LITTLE CAN TO ERGAN MX ENERGY WORKSHEET --" to=1: " PRGE.002 R" 1. Insulated Area between Studs 2. Stud/Framing And ffl_ Interior Air Film &8 Interior Air Film 'U5 a Wallboard 1y5 ? Wallboard 19, SIB„ FCo Insulation Insulation Insulation (0, -1 In. - softwood a p(e "3"' b ??N?Ke Sheathing a-olo Sheathing ? Siding %"o Siding Exterior Air Film Exterior Air Film U= , 3 Insulated Area between Studs(Wood Foundation) K Interior Air Film Wallboard Insulation Insulation Sheathing Siding .17 Exterior Air Film R= 5. Rim Joist Area .68 Interior Air Film 19 S'/a" FCo a,ob PS&a b.l}••.tc J, Exterior Air Film IR = 9N,yy 7. Roof/Ceiling Section Exterior Air Film , Insulation 5%'' FCo I9, Insulation &I (--co es Wallboard Sib" ' -% Interior Air Film &L = 45,1-1 1U= 10 8. Floor Sections ,Interior Air FAm &L Insulation In. - softwood Sheathing Siding U= ,oy R= 10,$1 I 1U= , 4. Stud/Framing Area (Wood Foundation) 6_8 Interior Air Film 6. Block Area (Above Grade) M-Interio Air Film IM ff SZ erior Air Film 1H= 1 Wallboard Insulation In. - softwood Sheathing Siding U= Wallboard Insulation Block Insulation U= wOoJ aYy .17 Exterior Air Film 85 X11 rcc Insulation -1_3S 3'1•a" P? In. - softwood Insulation Wallboard &L Interior Air Film IR = Sa,S^d tU = , o'-k I .61 Interity Air Film Flooring _ looring Subfloor Subfloor Insulation In. - softwood Sheathing - Sheathing - X4 eriorAirY`Im?.17 .17 Ext or Air Film U=1 ; R rn M. uv vn n.n .n. .?•??• SURVEYOR'S CERTIFICATE PETER 8 POLLY CARCHEDI Y A Fhb 996.; fa•is - i g?W ?I I house 1 n ?KW "J 896. b lG?? 98.50 N5207 3811E33.ao \ /_.,. . • 35.50 - 115 I? I I 1-7 II W 61 0 In M U) NN N 8969 1 T T v ?,- . -10.00_- j? 954T 20.0 c I w I N Q/t '13.5 .1 lea ?W 1 / L_7f -' I•994.2 ° 76.33w o ,'I w/ ? + N 1 I B:0) ?I P, W/a= _ I v ? N 26.0 894.2 894.8• 15.00-.' I 1 896 0•Q -' BENCH MARX TOP RON a 94.26 p OF IR04 ELEV.- 5 FgSq/? " \FMF" ? Lr \ A?qr ?.op LOT I I D I 1 O 1 1 LA 892.4 7rr,n" 15 ?, ao0 a 7/1 L_? i ib ?2'F \ ?0 30 93.2 \993.1 -,,3 4? ?2 3 cb 3g SCALE: I INCH = 30 FEET Sato WED A jV DEpT On z: M O r -mo (D 0 w COD NO < (Dp ?D N p Z A n co --I \ :-a IS LO 0 N ? m X Z O O N Z - > a z w O m o James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. 4 BLOOMINGTON, MN. 55431 4 612-884-3029 f SURVEYOR'S CERTIFICATE PETER & POLLY CARCHEDI PP`'? r VI] ILRY F-, WAD ?--- DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR- 89 5, 4 FEET X000 0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR- 687,z. FEET . (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 89(p. o FEET WE HEREBY CERTIFY TO PETER & POLLY CARCHEDI THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 15, Block I, ENGSTROMS DEERWOOD ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS26TH DAY OF SEPTEMBER , 1990. PROPOSED GRADES SHOWN WERE TAKEN FROM THE DEVELOPMENT PLAN FOR ENGSTROMS DEERWOOD ADDITION PREPARED BY BRIM, DATED 3-25-88. SIGNE JA ES R. HILL, INC Bl - JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 (n M 71 -n -v N p j O m tD n x 0 F O C_ 0 N < F I o N D ? > - m O Z \ T n 0 M Z M N z U 0 (nn O N O m James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S • BLOOMINGTON, MN. 55431 • 612-884-3029 \ 0? `0 W ti O °n M 0y 1 -7 11 NN N CERTIFICATE PETER & POLLY CARCHEDI 996.zi hON,g ^-i US _?l I 98.50 N52°5 50 Y 0 2 W / b E ?? I in ..... 5Ir I ? 69! I ?1 I OQ Y T W s L m I I I as 6! % 5? 6969' L? 0- 71 ._ 1 ?` fis4.r 20A c In w 1 N I/, 0: 813.5 a t? r 9 oa 194.0 I0 1 C o? p 1 o. ? 6.33 a '? 1 NW r0 'I 0 /o= o v N I 26.0 9_°'z ` -15.00.' fiENCN NIARRK n ??MF? ? ?T TOP Of IRON v E .. 94.26 \ ?R ATr ?4T • sT ? SCALE: I INCH = 30 FEET I I D I N ? 1 892.4 I °m N v LOT \ o X.w \93.2 %1 g 10 69?69s.6 b• ? J da 0 ?. 0>g>- 'c 39* Y _\ 0 < O 0 D E ? ? 7C Z D N m ffl m l 0 l m O James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. 4 BLOOMINGTON, MN. 55431 • 612-884-3029 iG PERMIT City of Eagan Permit Type:Building Permit Number:EA127651 Date Issued:10/09/2014 Permit Category:ePermit Site Address: 4057 Deerwood Tr Lot:15 Block: 1 Addition: Engstroms Deerwood PID:10-23900-01-150 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Elizabeth Hess Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Peter M Carchedi 4057 Deerwood Tr Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature