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4058 Deerwood TrSEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE A16 L/ 2- G OFFICE USE ONLY METER #V1_3 2 F a PERMIT DATE 11/30/89 CHIP # _a .41Z EK63 PERMIT # 11127 METER SIZE ^ OC B.P. RECEIPT # 4 4865 ISSUE DAT - B.P. RECEIPT DATE 11/30/89 - PRV - BOOSTER PUMP SITE ADDRESS y? ??` ?` woc 7c411 / PERMIT REQUESTED LOT BLOCK -3 SEC/SUB 4 .--, i'?U° ° _ % ' ,1 ? SEWER WATER -TAPS APPLICANT: ' - 7-, ADDRESS: 790 U 'e !,? ?` rf -COMM/IND RESIDENTIAL CITY, STATE A U- ;V /V ZIP Ss L NEW _ EXISTING PHONE: L` 9 Z' 66 ?--3 Lawn Sprinkler Meters are to be Installed PLUMBER: q Ahead of Domestic Meters on Water Line. ADDRESS: Credit WILL NOT be given for Deduct Meters. CITY, STATE Af A) ZIP V PHONE: 2- ' 3 -3 O OWNER: ADDRESS:- CITY, STATE PHONE: ZIP I AGREE TO COMPLY WITH CITY OF EAGAN RDINANCES n SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE /,- y 2 !- OFFICE USE ONLY METER # PERMIT DATE 11!30/?,t CHIP # METER SIZE ISSUE DATE PERMIT REQUESTED SEWER WATER TAPS COMM/IND RESIDENTIAL PRV -BOOSTER PUMP - r SITE ADDRESS LOT J BLOCK SEC/SUB i s _]f'?': -Joe APPLICANT: ADDRESS: ' I !/.??? 1 f . r. , I CITY, STATE ? ??'' ZIP PHONE: PLUMBER: (P- -?; , ! ADDRESS: r CITY, STATE ZIP PHONE: OWNER: ADDRESS:- CITY, STATE PHONE: ZIP NEW PERMIT # 11177 B.P. RECEIPT #`' -"-'5 B.P. RECEIPT DATE 1 1 / 30/89 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 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. RICKTA:ti" 687-9?860?/?/? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT -. To be used for SF l7WCf GAR Est. Value $162.0( Site Address 4058 DEERH00D TR Lot 4 Block 3 Sec/Sub. E'NGSTK01Le) Parcel No. DEERWOOD W Name R A WT HOMES o Address 7901 UPPER 11AMUT CT City APPLE VAI.LBY Phone 892-6633 Name ; &ME, Address City Phone W W Name 3 Address <W City 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 A Building Permit is issued to: R A KOT H(*ZS 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 Receipt # 1! 17344 19199 OFFICE USE ONLY Occupancy R-3 M- I FEES Zoning R-1 V N 856 00 (Actual) Const - N VV Bldg. Permit . (Allowable) # of Stories - Surcharge 81.00 72' Plan Review 428.00 Length 9 Depth 46 SAC, City 100.00 S.F. Total - SAC, MCWCC 575. 00 S.F. Footprints S80 Q0 On Site Sewage Water Conn . On Site Well Water Meter 90.00 MWCC System 30.00 City Water Acct. Deposit PRV Required S/W Permit 20.00 Booster Pump S/yy Q h h r 1.00 APPROVALS Planner Council - Bldg. Off. Variance uc age Treatment Pl 228.00 Road Unit 340.OQ Park Ded. Copies TOTAL 3.329.00 Permit No. Permit Holder Date Telephone # WATER ?c7? / ?( GAO !/c //,? 3 7' SEWER PLUMBING ?? SD kplz "-W /- H.V.A.C. Ot?C,i it /?/?yL7 ELECTRIC 715 ?t> Inspection Date Insp. Comments Footings l 3 Foundation Framing Rooting Rough Plbg. -Zy gt? !?/? y o /i. / ?` U ?? l Rough Htg. Isul. Fireplace 6 Final Htg. ?? lL' Final Plbg. - L' 6 Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan I 0 L -I- Bldg. Final t/./00 Deck Fig. D,c ! _ 8 3! Deck Final L x OGc?? t uo? i-r? oN /L Well Pr. Disp. , ' 3 ' PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454.8100 For Office Use Only: Site Address Lot Block Sec/Sub BLDG. TYPE WORK DESCRIPTION Res. New T 14 Mult Add-on m Name . Comm. Repair c Address Cit f ` Phon Other y . e FEES Name C RES. HVAC 0-100 M BTU -$24.00 c j Address ! ADDITIONAL 50 M BTU - 6.00 p City r Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 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 A ? FEE: SIGNATURE OF PERMITTEE S/C: TOTAL FOR: CITY OF EAGAN CONTRACT PRICE Site AOTSS Lot --- PLUMBING PERMIT For C CITY OF EAGAN PERMIT # - 3830 PILOT KNOB ROAD,,EAGAN, MN 55122 RECEIPT# PHONE 454.8100 DATE: - Phone Phone FEES COMMAND. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLUES` - MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) z Res. New Muff. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NC, `? FIXTURES TOTAL / Water Closet - $3.00 Bath Tubs - $3.00 , - $ - 7 T Lavatory - $3.00 Shower - $3.00 01> IGtchen Sink - $3.00 -? Urinal/Bidet - $3.00 -- ?- Laundry Tray - $3.00 - _T Floor Drains - $1.50 Water Heater - $1.50 -? - Whirlpool - $3.00 - j 0-- ? Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 PERMIT FEE: `-IS. U STATES S/C: D, GRAND TOTAL: `??' Trrtifirotr of Werruponry Citp of (Eagan 1rparbum of lhdh ng Jtcs ration 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 ci wfiotw. SF DWGI AR Bldg. Permit No. 17344 O-P-Y Type R3/M1 Zoning District R1 Type Caatt VN Owner of Bwldim R A K OT HOMES A&k=7 01 TR ASE VAUM 4058 PM" to?4t,,19 B3. flOM06 7t11c : - -(? Data 19% B.1ding lBciW POST IN A CONSPICUOUS PLACE CITY OF EAGAN N2 17344 3830 Pilot Knob Road, P.O. Bdx 21-195, Eagan, MN 55121 PHONE: 454-8100 G 78 5 7 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $162, 000 Date NOV 2 9 B9- Site Address 4058 DEERWOOD TR Lot 9 Block 3 Sec/Sub. ENGSTROMS OFFICE USE ONLY Parcel No. DEERWOOD Occupancy R-3 M_7 FEES RR1 Zoning X Name R A KOT HOMES (Actual) Const VN Bldg. Permit 856.00 Address 7901 UPPER HAMLET CT (Allowable) VN S 81 00 o urcharge . City APPLE VALLEY Phone 892-6633 # of Stories 428 00 721 an Review . Length Length p Name SAMR Depth 461 SAC City 100.00 } , ¢ O Address S.F. Total 575 00 u • City Phone S F. Footprints SAC, MCWCC . Water Conn 580.00 On Site Sewage r ww Name On Site Well Water Meter 90.00 is Address Mwccsystem 30 00 ui aw City Phone City Water -C2L Acct. Deposit . S/W P t 20.00 PRV Required ermi 1 hereby acknowlege that I have read this application and state that the Booster Pump S/N/ Surcharge 1.00 information is correct and agree to compl",h all applicable State of Minnesota Statutes and City o a an di ances/. ? Treatment PI 228.00 4L,,?-? L.?l Signature of Permitee APPROVALS Road Unit 340.00 R A KOT HOMES A Building Permit is issued to: Planner Park Ded on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg Off Copies Budding Official 'L niShc-L]Y1LA?J , Variance TOTAL 3,329.00 9 0642° Request Date ? Ready Now?W?ll Notify Inspector When Ready' X1/2-11-89 ?Yee 10 1 - icensed contractor El owner hereby request inspection of above electrical work at: IId, I City Job Address (Street Box or Rqu,e - ) Eagan 4058 Deerwood Trail (Range No County Section No Township Name or No Dakota A. Kot Homes 892-6 pwer ou" el Dakota Electric Farmington, MN 55024 Con,ractorh License No iednwl Co,,,a,,er (Company Name) Midland Electric Inc Q41610 daihng Address (Contractor or Owner Making Installation1 14055 Grand Ave So ; te_-E'-,--B-jLrn-a? i M TIC Phone hinder wnerMaem s,alla,i_ >, lutnonz g?eleel r 892-6688 ? J ( THIS INSPECTION REOUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY m S-170 BE ACCEPTED BY THE STATE BOARD LESS PROPER INSPECTION FEE IS Griggs-Mldwey Bldg. - Roo UN 1821 University Ave., St Paul. MN 55104 ENCLOSED Phone (612) 642-0800 REQUEST FOR ELECTRICAL INSPECTION r? 0, see instructions for completing this form on back of yellow copy n 0 6 4 /,. 9 "X" Below Work Covered by This Request ?eol Budding ApphancesWVed V FaowI Arid I Red I TYP Heater Farm Inspection Fee Below: Other Fee mina Pool Booms Other Fee 1, the Electrical Inspector, hereby certify that the above inspection has been made. JFFICE USE ONLY rhls request void 18 months from Furnace Remarks ern'. 'A•u EB-00001-07 ?'r?? ?`lololy i Service Fee # Fee # Entrance See Service ice 0 to 100 Amps & * 0 to 200 A Above 100 Amps Amps 200 Above OTAL ispector's Use Only HIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT T ......el crcn WITHIN IS MONTH-S---- ----------T,-.. - --J //s i' 90 5-5/,;L_ 0643529,3 Repuesl Date a No Rough in Inspection *" 1-3-90 Re wretlz 71 Ready Now W"' Notify Inspector v Yes GNO hen Ready I licensed contractor ? owner hereby request inspection of above electrical work at Job Atltlress (Street Box or Route No) pty 4058 Deerwood Trail Eagan Section No Township Name or No Range No County Dakota Occupant iPRINT) Phone No R.A.Kot Homes 892-6633 Rawer Scrubs, Address Dakota Electric Farmington, MN 55024 Electrical Contractor (Company Name) Contractor's License No. Midland Electric Inc. 041610 Maiing Atltlress (Contractor or Owner Making Installation) 14055 Grand Ave So, Suite E, Burnsville, MN 55337 Autnor2 re ontreaoNOwne'm aking Ins latipni Phone Number - 8 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Room B-11 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Preppie (612) 6424f800 ENCLOSED ? ; G ? REQUEST FOR ELECTRICAL INSPECTION EB-WOOI-07 Is See instructions for completing this !arm on beck of yellow copy 2,06435 "X" Below Work Covered by This Request e Add R'ep. - Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm 11 Air Conditioner Other (specify) Contractors Remarks Compute Inspection Fee Below: # Other Fee # Serves Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200Amps Above 00 Amps Signs Inspectors Use Only TOTAL Irrigation Booms ?? ??• S? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD R ONNECTED IF NOT Other Fee COMPLETED WITHIN 18' MONT I, the Electrical Inspector, hereby Rough-in Dat ^/ 7 pF certify that the above inspection has been made, Final jj •f+/T,[J Lf Dare OFFICE USE ONLY This request void 18 months from RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 2 (' 3830 PILOT KNOB RD, EAGAN MN 55122 to J 'T 651.681-4675 New Construction Reouiremerns • 3 registered site surveys showing sq. ft. of lot, sq. it of house; and gill roofed areas (20%a maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan 9lct platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE J D( 1?1 I b SITE ADC TYPE OF APPLICANT IULTI-FAMILY BLDG _Y KIN? FIREPLACE(S) _ 0 _ 1 _ 2 VALUATION (q". STREETADDRESS 1._)q61 P\r r,&CY rC CITY __u STATE Ajd7JP -7 TELEPHONE CELL PHONE #q,5Q-_Qq2- IgLJ I FAX # q5D-RC 25D ` I`499 PROPERTY OWNER taCyLQ.Y TELEPHONE#tn5I'Lg?2 COMPLETE THIS SECTION FOR °NEWff RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Fee: $90.00 Phone #' A I , Fee: $70.00 LEI, Phone-t, 1 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Water Softener Water Heater No. of Baths Remodel/Reffer Reoulremems • 2 copies of plan • l set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate d home served by septic system for additions _ Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4102 .?; t 1-988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 11s4q INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: (J&.) Valuation: t -fr7VZ l'S' Date: /1/20/81 Site Address L{OS& Dearwoo?Q OFFICE USE ONLY p 2 ODO Lot / Block 3 Occub ej? lZ-3 M-t Parcel/Sub DoteA W©O& _ - - ?`^qt fi ?^ Owner R ' &- I -. C 1 Address -7010 to A ? City/Zip Code MTV rStLy Phone S-) ?- - 66 33 Contractor -Se-,^c 0-S /a L o,lL Address City/Zip Code Phone Zoning R-1 Actual Const \I- N1 Allowable V-P # of stories Length q2 Depth 4(0 S.F. Total Footprint S.F. On site sewage On site well MWCC System City water ? PRV required Booster Pump _ APPROVALS Planner FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acet. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL Arch./Engr. c ,'-te .a "t Council Bldg. Off. II(Z$ rr Address Variance ? IUO??+??^q?0?? . City/Zip Code S e i -sG `/a Phone # vtJ ?? 1 __' ...r ._a m+l .?-'--" - .... ............. ..,,..,. -s..rv.c ,.?.. ..a{.t.:H.? s.......«M ...«.R.4+....+.+r :am.,...ark?f,ew.ewrfiudw'?_"%?nm 14691 V? T ? A%? A,C6e VRLU AT•! o Jj y 3ZXZ? 7GS I LX zz 101(,Ox Is= 1,5240 6Srn- 38 x3z= IZiro Z )< (l ?? ?-1 X Z 4 8W J?X/j"= JSO l ?l l >c l4 )9e?-4 15 r FL „a,z ,''+qT = ! Y / f? / Y$ _ tr /42-4 >< Sb 71 Zoo ZVOv FLoc,y,?, 3'/z ?c 13 = 3 t'/z X of Ib ? ?8 a''Z Ll = Gov ? to Z?y Igo 10 I ? o13 x5r7= S s one I EXTERIOR ENVELOPE AVERAGE "U" GOi`I!'UTOT'ION OWNER THE I_ACHER RESIDENCE L..AN NO. 8--1023--9 t' SITE. ADDR Lo r G ?Loz? 3 ?U6$742aM ESS ? dJE$l?wa04? {4 r! , ._...._...._ CONI'RFtC'rO R..........................ri.&A6T HONES DATf......lI QU-89.... PNONfi. DEf ERN I ME WORKING SQUARE: F OOTAGE 3693.763 1. Total exposed wall area:374 ". i._,6 sq. ft. : . J J X412. 1.849 2. Total roof/ceiling area 1589.32 sq.ft .. .026 41.3223.2. _. Total floor rant. area N. :b sq.ft. ;, 0.026 4.66376 4. Total !over unheated nc areas) floor rant.. art:>a 31.5 sq.ft. 0.C (over unheated a,',n=_ed areas? 5. Total expose=d wall area above the floor. 64.76.' a. l'otal wall window area .................... 4:3.5£34 b. Total door area......... ................... 37.8189 c. Total sliding glass door area ............. 71.1022 d. Total fireplace area ...................... J e. Total w.:>.L1 framing area (ave. JU'%) ...... ...:.•,.;L(.4'76: f. Total net wall area above the floor-....... 2495.782 g. Total rim joist area ...................... 129 °I'(':1'TF14... E:xPOSEU Ptal11'dl)Fd'fICJI'.I AREA ........ . ...... . 53.372...! h. Total foundation window area ............... 0 i. Total net +?Lndati on area ...... ... . ... . .. . ._.:_. Determine "U" value of each wall segment a. 423.584 ., "U" 0.39 = 165.1977 b. 37.8199 x "U" 0.06 = 2.269134 R. 36.4763 .. "U" 0.091334 = 0.59537, f. 2495.782 „ "U" 7.043215 - 107.8557 329 x "U" 0.040683 - 13.38486 h. 0 •. "U" 0. -.',9 to 1. 53.3722 .. "U" O. u76161 = 4.064904 6...........,.,. ........................'Tot:al 350.8976 If item #6 is the same as or less than item #1 you have met', the current. energy codes. 2 MCAR 1.16008 A AND O. :O'TAL. EXPOSED ROOF/CEILING AREA 1.59x.: .1. Total skylight area ....................... 0 k:. Total flair root/ceiling framing area...... 159.93:2 1. Total net flat roof/ceiling area.......... 1410.388 Determine "1" value for each roof/clq. segment. J. 0 .. "U" 0 Ct k:. 15B.932 .. "U" 0.026925 == 4.2792&7 1. 1430.388 x "U" 0.022194 - 2.50515 7............... .......................Toga) 36.99441 If item 467 is the same as or less than item kk2 you have met the energy code. I"i(:AR 1.160% A AND 0. TOTAL. FLOOR CRNT. AREA (enclosed). 179. 36 o. Total floor rant. framing area (ave. 10%). 17.936 p. Total net insulated floor/cant. area...... 161.424 Determine "U" valise for each floor/rant. segment. 0. 37.93b "I," 0.064141 = 1.150401 P_ 161.424 x "U" 0.029585 = 4.7475779 8 ....................................Total 5.=394060 If item 48 is the same an or less than item 41 you have met the energy code. 2 MCAR 1.16008 A AND 0. TOTAL F'LOF.)RWANK AREA (exposed) q. Total floor/cant. framing area (ave. 101). rTotal not insulated flooricant. area...... Determine "U" value for each floor/c q.. 3.15 g "U" O.W74SB r. 28.35 x "U" 0.027894 9 ...................................Total t.5 1 ` d8.'5 ant. segment. 0.790794 U. 971725 If item l49 is the same as or less than item #4 you have met the energy code. [ MCAR :1.7.6008 A AND 0. I HEREBY CERTIFY THAT I HAVE. CALCULATE THE "U' FF, 'ORS AND "R" VALUES HEREIN AND THAT THE BUILDING HER:: 7.)-' 't:- .0 MEETS OR EXCEEDS THE STATE: OF MINNESOTA ENERGY CONSERVAT C.N AC (signature) _,. '..-_ .......... _....... _ ....... . . .... (date) DEJE1=MINE "U" VALUES'' THRU STUD WITH SIDING & R. Interior Air...... 0.65 Sheet_ Rock..... ,... 0.45 Thermo-Preal::...... 0 Stud .............. 6. 9_* Sheathing......... 2.06 Siding............ 0./0 Exterior- Air...... 0.i7 Total "R" Value..... ....... 1L.07 1/R -= "U" Value ..... ....... U.u903"=4 THRU INSULATION WITH SIDING & S.R. Interior Air...... 0.68 Sheet Rock,. ..... 0.45 Thermo-}heal.:...... 0 Insulation........ 19 Sheat.h:ing......... 2.06 Siding............ 0.716- Exterior Ai.r...... 0.17 Total "R" Value............ 14 l/R =- "U Value ............ 0.041215 THRU CEILING MEMBER Interior- Ai.r...... v.68 Sheet R.ock........ 0.58 Ceiling Member.... 4.35 Insulation........ 30.92 Still Ai.r......... 0.61 lot.al "R" Value............ 07.14 I/R _ "U" Value ............ 0.026925 THRU CEILING INSULATION Interior Air...... 0.65 Sheet Rock........ 0.50 Insulation ........ 422 Stijl Air......... 0.6[ Total "R" Value............ 43.97 I/R "U" Vaiue...... ...... 0.022794 THRU CONCREJE BLOCK Interior Air...... Q.68 conc. :Blk.......... 1.?-.9 Insulation ........ 1i Sheet RL::. -.opt.:. Exterior Air...... 0.1? lot.al "R" Value............ 1 1:i• 7R = "U... ..................0761.6:1. THRU 8111 jOlSI fnt.eer-i.or Ai.r..... . Insulation . ,....... . Rim Joist.......... Shwathing........, Siding............ Exterior Air'...... 0. WE 1'a J.f34 03 Total "R" Value-- . .... 24.58 1/k = "t)" ............ „ .... 0.04068:--S U" value:: for window........ .79 C1" value for door%......... 0.06 U" vale for Patio Dr--=-...... 0. 69 T'HRU CANT. to MEMBER (enclosed) Interior air...... Finish Flooring... E.lr-' der l mme,-nt .. ,.... . Plywood ........... Joist....`......... Sheer Rock........ Still Air.....,,... V. 6S 1...2; U.43 11.`6 0.58 0.61 lot.al "R„ 'va=lue............ 15.59 1. /R = "!.J" . . ................ Q. 06414°;: THFiU CANT. @ INSULATION (enclosed) Inter'i.or Air...... Finish Flooring ... Llnderl. ament...... Plywood ........... Insulat.ion,....... sheet Rock.......... stall Air......... ti ti. 4. 0 0. -3 Q.bi Total "R" Val qua............ I/R = 'U' ..................ti.n C'HRU C;AN i . @ MEMBER teNposed) Intewaor- Aar...... Q, W 'r'i.nimh F=loor-inq... L.: Underl;i'vment...... r) Plywood........... C;.? Joi.ut ............. 11 0 Sheathing......... . 2.06 soffit............ 0.701 Exterior Air...... Q.17 ('otal „R Value.,.. ........ 17.E+:1 l/R = 'U" .......... ........ 0.05'=3:0 TH1111 C=FtNK @ INSUL.Ari ON (E•:poRmd) Interior Air...... 0.63 - Finish `Floor ing... I. a7., tinder iayment...... r.t ywoou............ 1nsuIati.on........ So f fit............. E::;:teri or ;Air...... 06 0.78 ,, 17 Total "R" Value ............ _5.9:5 1/R = "f ......................0} 027894 17 ? 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 ?2 PG-R 4.aa-C -z'. ION 14pj?cd COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS 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 MUST SHOW A LICENSED PLUMBER. To Be Used For: -DC o- Valuation: Date: 5 Site Addkess UtcCwocd x/24) ? OFFICE USE Lot Block -3 Parcel/Sub 0 ODD Owner RyctL t &At LAC?Pf Address 4040 e(Vbnca7?ctt 1 City/Zip Code ?clctc n r Fl - SSIaQ?- -T Phone YY O LOD Contractor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S. 1 G.' IN' F. On site sewage_ On site well _ MWCC System _ City water PRV Booster Pump APPROVALS Planner Council Bldg. Off. WLI Variance JUNI 4 I', FEES 'Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL .... ..,.? a . a,? ?r r1'+` RSA. Kar. CYA6Z F ?. ,,,,_, F •i_7 .t ?. q._ bo tort. 1Li6E UnLi 'f ??? ,_'?a#@MSwr ?€(L bac. uo saa:L4"'?? l a. ynYi V _ V €•.` 'b0. ?. ad1? V ? 1 s? ,'-p'?X ?y d t r y,y ,- ?x Q(, yy rf, b?M+f ?+? ? y?sb? F??.h P r?? ax,?n y . r- ??? ? ? tai a? CV??? 1 ?? ?l I? C ?qy??y 1 1 y sv s. jt yy7e fF .? k 4y1?6 'lam !d1 YaY,. ?Y.S-ay ???? ?tl?'0 Ol[rG ? ?2.? if a Y' '?'u? rg?Ola `•yi e t 'y t ? r., x t f.?S3us 9? s?"3`.r^?L` & ? ?1 v `b/ ir"*A.' f 5 i f .k Q4 yt x a. .i {3 ?tb SUh#ACE bhAlNAQE ' fC li ?i iVT Safi n §bkti i INCH is 16 FSET #u?(ukNtlT`N XC7b0.CY.r ? L lll?i 3. y V 1 LC)Cji $b?.A _ FEET (000.1y [ PL7 t6?LtvkiaN' BEET yyyr a. i RE•t, n 4 W a .i Wt HtMEbti , s , is ?+?r++r?s i iAt iNi IS,A fhbt AWb c hAtcT REpht§ENTATI FlRV?v 0? THE ?bUIdi7Ak 1 S b? _ bosh oAh?Y i7 1 vi 3. A ? it3i?i ? ? iR? fb k tetbtdod. odd IT I))Ot IVCi ?1 VIi itu1? VEM Ni§ CS t hi C A f vfi@ i , OUPT AS SHOWN. AS susvtVtb lvl ci EC §UPS VI ft Til i bA ?F Nt s f 1S `fi. 2005 RESIDENTIAL BUILDING PERMIT APPLICATION 4- 7 C) City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office tfse only 3 registered site surveys showing sq. 4. of lot, sq, ft. of house; and all roofed areas 2 copies of plan Cad of Survey Recd '_Y _N (20% maximum lot coverage allowed) l set of Energy Calcualons for heated additions Tree Pres PlariRecd", Y>"rN 2 copies of plan showing beam &window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required''',-- Y _N I set of Energy Calculations Addition - indicate if onsite septic system On-site Septic System - - -Y -N 3 copies of Tree Preservation Plan If lot platted after 7/1193 - Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date 01 / 1 1 l , Construction Cost 2-1445 ? Site Address `ICf ?y Vl C?? t t / Unit/Ste # Description o f Work E- ?i?N?'I'eYYyNai sld?f?1'? re +i rcnj ern?x? -- ?errwo1 - ?-y ? Wr i l rx-r 2 ffi N ulti-Family Bldg _ Y NN Fireplace(s) _ 0 _ 1 - 1 P t O ner 1 R f c I c t(Jb ! ? ? I) Telephone # ? roper y w L Contractor Address 4700 EXCELSIOR SIVO City ST. LOUIS PARK, MN 553tt State IS 001}91851!"' Zip Telephone # (yam) /S- ?? tnn 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 #( Telephone #( K- 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-Name App tcant's Signature '?bl9 City Of Eagan 3830 Pilot Knob Road, Eagan MIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 1y5-,m jg 6?k-- New Construction Reouirements RemodellReoair Reouirements Office Use Only 3 registered site surveys showing sq. ft of lot, sq. ft. of house: and all roofed areas 2 copies of plan showing footings, beams, joists Cad of Survey Recd _Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _Y _ N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required _Y _ N 1 set of Energy Calculations ? On-site Septic System _Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Jost Detail O tions selection sheet (buildin s with 3 or less units) a p g Minne asco mechanical ventilation form g ' Plans are considered public information u nless you state the are trade secret and the reason. Date / O Z / Construction Cost 1 S, ao o m Site Address tqyS 'F!? 1S'V' w Q-lh 1"P A I L Unit/Ste # Description of Work Mmi" t to IA 1 rya o"t. Multi-Family Bldg _ Y A N Fireplace(s) .( 0 - 1 _ 2 Property Owner St, f. FU LLU Telephone # (U 1 9 °EL - f11,7 ?10L ?t T d`tKw, SON Contractor Sr. /N( - n n ZS+) buDon VR-r Address City AF-AJ6-.);m 1Jfyc1J7S ^ State zip SS d 2:0 Telephone # (lam S I) 2to f 9 4 8 Q 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 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 I hereby apply for a Telephone # ( Telephone #( Telephone # ( and acknowledge that the information is complete and accural e; 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 ap lofplans. Zrovay-, ?I KCU NIN Applicant's Printed Name Applicant's gnatur 2007 RESIDENTIAL BUILDING PERMIT APPLICATION DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg 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 08-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 ?t ! % ] )?L A?j(+T'i(at prJfi L ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water DamageYes Valuation ! O D Occupancy MCES System Plan Review 00% or _ 25% Code Edition Census Code qau Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) - Footings (deck) - Footings (addition) _ Foundation _ Drain Tile Roof - Ice & Water _ Final Framing _ Fireplace - R.I. -Air Test -Final 1 Insulation REQUIRED INSPECTIONS Sheetrock Final/C.O. FinaMo C.O. HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath _ Stone Lath -Brick Windows Retaining Wall Approved By: ::m i , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ft W67WfA f 7V73 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings; Do not combine inside and outside plumbing on the same al)Dlication; separate applications and permits are required. Date 1 1, / (?) 7_12- -( Site Street Address ©S? e cro* .yd d ` 7-r Q f C_-- Unit # F-4 (e e yz? Telephone # ( ) Property Own ` err - te -? 7 Contractor T lephone #07)) Address Ci _ ? States Zip The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor Refurbished Submit 2 sets of plans and MPC license Septic System New includes County fee _ - $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee applies when extensive lumbin re airs are made to a building. Alterations to existing dwelling $ 50.00 Y Add plumbing fixtures to _ main level _ lower level. 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 place a checkmark next to the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 new _ replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 l T t o a I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; tnat me work win 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 approved. dr J ? C? Applicant's Printed Name P Applicant' ignature i 4b, City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 RESIDENTIAL Date: c? !I d Site Address: Tenant: Suite il: RESIDENT / OWNER jJ/ Phone Name: 5 (./kS?? p { p I?/?7/?ll/? r ??/? -5? ?a //J Address/City/Zip: , ..,,// A mil C li O pp ontractor cant Is: - wner TYPE OF WORK Description of work: halla Construction Cost: /?f%• Multi-Family Building: (Yes / No-) /D _ CONTRACTOR Name Lice e» . LJ Address 1 ? CJ Zlp Cit Stitt . y _/ ? J ? ?ntal;t Person: Phone COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledg that I Is information is complete and accurate; that the work will be in ccniorrnance ordin c s and codes of the City of Eagan, a*tand not a permit, but only an applicat ion for a permit, and work not t t. that the work will be In accords a n in the c f work which requires a review and approval of x Applic n Applica 's ignature Page 1 of 3 _-r Office Use I Permit #. _ I Permit Fee: 0 Date Received, j I I Staff ----------------- LDING PERMIT APPLICATION 617A ----------------- 1k I Fo"%Offi'ceY7se cF 0-7 7 Permit #. I eb I Permit Fee. ?? f O I I I Date Received: I I I Staff. I 2009 RESIDENTIAL BUILDING P?QERMIT APPLICATION Date: 2 O 9 Site Address: V? us:) d " Tra l Tanant: _S t/Q -4 daD Suite #: RESIDENT J OWNER Name: Phone: yC S? ° zV 7r Address/ City /Zip: Applicant is: _ Owner J?l Contractor TYPE OF WORK Description of work: a h57?? y? a t S h d Multi-Family Building: (Yes No t C : os Construction CONTRACTOR Name: L P ?j vrS s ?/r S 0 License #: Address: g ,.l S C ??' ?I 5 /- >7/nom SS 2! State: ZIP: h 4" ' C City: 5 n 6 - - Phone: (0/ 2 36`6 Contact Person: Da'-? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 _ Energy Code • Residential ventilation Category 1 Worksheet • New Energy Code Worksheet Submitted Category Submitted • Energy Envelope Calculations Submitted submission type) 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: Phone: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: NOTE:' Plans and sup'porting'documents"that you submit are considered to be public information, Portions of reasons that would permit the City to cifi c the information maybe classed as non-public if. you provide spe ' ---= conclude that the are trade secrets... ' ....A ...nee of fhe Cifv of I hereby acknowledge that this information is complete and accurate; that the work will be in contormance wnn 11-- ?,? e••- ----- - - -- - , 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 acto7ce i th the roved plan in the case of work which requires a review and approval of plans. Qa 17 ?Eb6hS x pew x Applicant's Signature Applicant's Printed Name Page 1 of 3 R.A.KOr Home. SURVEYOR'S CERTIFICATE r, OF ?OFT. WIO6 UIR.IT-( , FA%MCKIT FE2 DO - Ab 594-fe9Z\ /alg 6A T i I ? 9 o r^ I ' LO In lO 10 ? hk.0 I I I /°T z \ 9 ? I I S? \ aR,.l I ? I I n d / F cF Z? W A GT \O -o ? ?? Sp 8p I I / ?? o ? I I PR7 u \\ I I/ by fBBD? \ o q \ w 1 n 10;P0 .- p ?r Ao, R \ ?ls o _ (dv \ roP - Y \ y?'Lu ? DENOTES PROPOSED SURFACE DRA EAGAN INAGE O DENOTES IRON MONUMENT SET 0 DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.01 DENOTES PROPOSED ELEVATION r? / T u. WE HEREBY CERTIFY TO R. A, KOT HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 9, Block 3, ENGSTROMS DEERWOOD ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT 1'0 SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 14711 DAY OF No-je tp-p- .11-1311. PROPOSED GRADES S1100M WERE TAKEM FROMTIIE DEVELOPMENT IMAM FOR ENGSTR01446 DEERWOOD AWATIOFI PREPARED 81 13RoJ1 INC. IN ID1.AST DAZED 6-28.88. «I S SIGNE[Y---jAMFS R. HILL, INC JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 N S m -n 00 p a1 W O m 0 _ - I 7J (, V Z q M < ? N o S -I > O z F zz m ? a N James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 `"v •1? O `l AF< 0 ?? o °C C "x tio? 1?e o, --, c 5= ?e4 r SCALE: 1 INCH - 3C, FEET PROPOSED GARAGE FLOOR - 89(@.o FEET PROPOSED LOWEST FLOOR - 888.3 FEET PROPOSED TOP OF BLOCK - gga.4 FEET r - - - - - - - - - - - - - - - - i I For Office Use I r t 7~ r Permit e 7 City of Eapfl I Permit Fee: c 0 V I J I I 3830 Pilot Knob Road Date Received: Eagan MN 55122 Phone: (651) 675-5675 I Staff: I Fax: (651) 675-5694 I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: J' Site Address: Tenant: Suite RESIDENT/ OWNER Name: Phone: Address / City / Zip: -l CC; e' Applicant is: Owner Contractor TYPE OF WORK Description of work: "'S 7rZ° t~ i u , z= ~c~_cC~ e Multi-Family Building: es / No Construction Cost: CC y g' ~ CONTRACTOR Name: License Address: j~ city: <J[x i'~e State: Zip: S > j j LSj Contact Person: Phone: r~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Residential ventilation Category 1 Worksheet New Energy Code Worksheet Submitted Category Submitted (4 submission type) Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _.No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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 actor ce with the roved plan in the case of work which requires a review and approval of plans. X Applicant's Printed Name Applicant's Signature Page 1 of.3 Use BLUE or BLACK Ink I---- ti I For Office Use j Permit ~1~ of EaEd~ Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I l Fax: (651) 675-5694 Staff: I 2010 MECHANICAL PERMIT APPLICATION Date: nd&XJ_--d10 Site Address: Y058 Q~.►r-woo d Tn&_'d Tenant: Suite RESIDENT / OWNER Name: 54e- ro l Phone: Address /City / Zip: YO /23 CONTRACTOR Name: /m License Address: Q4_e A -k ll fl 9^ City: r4ffu State: -t*J Zip: 5%-j L'3 Phone: &7-`I°d s Contact: /,04",/ ~+~i►~.-~ Email: r•.%, o TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace New Construction _ Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install / Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1%a $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 Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE 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.ora 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance v✓ith 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 thWlAeLll n in the case of work which requires a review and approval of plans. x x / I U Applicant's Printed Name Applicant's Signature, FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test In-floor Heat -Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA099355 Date Issued: 06/01/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4058 Deerwood Tr Lot: 9 Block: 3 Addition: Engstroms Deenvood PID: 10-23900-03-090 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 Susan A Fuller 1920 County Road C West 408 Deenvood Tr Roseville MN 55113 Eagan MN 55122--188 (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 PERMIT City of Eagan Permit Type:Building Permit Number:EA116846 Date Issued:10/11/2013 Permit Category:ePermit Site Address: 4058 Deerwood Tr Lot:9 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-090 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 . Kelly Meyer 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 - Susan A Fuller 4058 Deerwood Tr Eagan MN 55122--188 Hause Construction, Jg P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119627 Date Issued:12/10/2013 Permit Category:ePermit Site Address: 4058 Deerwood Tr Lot:9 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Susan A Fuller 4058 Deerwood Tr Eagan MN 55122--188 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159967 Date Issued:02/03/2020 Permit Category:ePermit Site Address: 4058 Deerwood Tr Lot:9 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Susan A Fuller 4058 Deerwood Tr Eagan MN 55122--188 (612) 986-1167 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature