4074 Deerwood Tr
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA079494
Eagan, MN 55122 . Date Issued: 08/28/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4074 Deerwood Tr
Lot: 12 Block: 3 Addition: Engstroms Deerwood
PID 10-23900-120-03
Use
Description:
Sub Type: e - Air Conditioner
Work Type: Replacement
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840.
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Controlled Air Deboer Gretchen
21210 Eaton Ave 4074 Deerwood Tr
Farmington MN 55024 Eagan MN 55122
(651) 460-6022 X253
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
SEVVER &WATER PERMIT •
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55 1 22-1 897
i
rJ
DATE
SITE ADDRESS Y ??
LOT _/,;?2_13L9,CK __?__SE
4,1
APPLICANT:
ADDRESS:
CITY, STATE
PHONE:
PLUMBER: ~-?
ADDRESS:
CITY, STATE
PHONE:
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
dit WILL NOT be given for Deduct Meters.
f "/ I AGREE TO COMPLY WITH CITY OF
OWNER: f? f,U; ". EAGAN ORDINANCES
ADDRESS:
CITY, STATE ,?? • ; `? ZIP 55122
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
METER #
CHIP #
METER SIZE -
ISSUE DATE -
OFFICE USE ONLY
PERMIT DATE03/20/9C'
PERMIT # 1 1 2 78
B.P. RECEIPT # c 5819
B.P. RECEIPT DATE -1 18 90
- PRV BOOSTER PUMP
PERMIT REQUESTED
ASEWER
COMM,%IND Z RESIDENTIAL
WATER TAPS
ZIP --_7 r 3: NEW
ZIP
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE Q ?Q
SITE ADDRESS
LOT .1,?2-BLPCK
APPLICANT:
CITY, STATE 1?LC 1L
PHONE:
OFFICE USE ONLY
METER #63? 30 0 C PERMIT DATE 03/20/90
CHIP #CL4Flo 'Q8 SEY PERMIT I, 11278
METER SIZE O e% B.P. RECEIPT # C 5819
ISSUE DATED Q!1 B.P. RECEIPT DATE 01 18190
ZIP
PLUMBER: S A /'Y) e
ADDRESS:-
CITY, STATE
ZIP
PRV BOOSTER PUMP
PERMIT REQUESTED
.SEWER X WATER _ TAPS
COMM;'IND
X NEW
X RESIDENTIAL
- EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Qradit WILL NOT be given for Deduct Meters.
PHONE:
I AGR CbMPLY WITH CITY OF
OWNER: EA N 0 DINANCES
ADDRESS:
CITY, STATE Qe-4J ZIP 55122
PHONE: /,-7 ? L SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
?. , •. ,p+t t.y r +n?Jc.?w?ca++?frs:.? "' sa.. ,•."7-7
CITY OF SAGAN
(MODEL HOME) 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 =144111000 Date_ JA
Site Addris "
Lot Block
Parcel No.
W Name MANLEY CONSTRUCTION
c Address TR O 80
City Phone _
Name SAME
oo
Q Aririrocc
Minnesota
Signature
A Building
on the exo
Address
City
Building Official
rpplication and state that the
with all applicable State of
nces.
If CONSTRUCTION
e done in accordance with all
ity of Eagan Ordinances.
17429
10 1990
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning R-i
(Actual) Const V-N Bldg. Permit 794.00
(Allowable) V-N Surcharge 72.00
# of Stories
57• Plan R
i
516.00
Length ev
ew
Dept SAC, City .
S.F. Total 600.00
S.F. Footprints SAC, MCWCC
623.00
On Site Sewage Water Conn
On Site Well Water Meter 90.00
MWCC System XX
-XK-
Acct. Deposit 30.00
City Water 30.00
PRV Required S/W Permit
Booster Pump S/W Surcharge 1'00
Treatment PI 252.00
APPROVALS Road Unit 353.00
Planner Park Ded.
Council -
Bldg. Off. Copies
3,465.00
Variance
TOTAL 100
00
h
Permit No. Permit Holder Date Telephone k
WATER / y 6 ?? 1 O
SEWER
PLUMBING 3_J %. 7 r 9G'
H.V.A.C. Ca YC-??r j cy ?G ?U Sc7
ELECTRIC ,/
'f ?:1GtL 1
IrLll.tcl ??, ''. ( /
?/? /SC/'
Inspection Date Insp. Comments
Footings I /a2a LGJ
Foundation
Framing 2
Roofing
Rough Plbg. Q -l z C h
Rough Htg. /ojU O
Isul.
Fireplace
Final Htg. G J - (?
Final Plbg. - c" W
Const. Meter PI nspector- Notify ? ber
Engr./Plan
Bldg. Final / L `c °l - ?' Z ?o go pS C O?° ?C f i 0k X
Deck Ftg.
Deck Final
Well
Pr. Disp.
Block
Name
Addre
c City _
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN
PHONE: 454-8100
BLDG.TYPE
Sec/ Sub Res.
„ Mult
Comm.
oh t-r1 Other
}y-
v Name r!
_
C Address .
p City Phone
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE:
S/C:
TOTAL:
PERMIT #
RECEIPT #
DATE:
WORK DESCRIPTION
New -'?
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
II FOR: CITY OF EAGAN
PLUMBING PERMIT For C
• CITY OF EAGAN PERMIT # -
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE PHONE 454-8100 DATE:
FEES
COMMAND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COkffT ND.IFEE $20.00
STATE SUfilGHARGE PER PERMIT i, .50
OF PFfMIT FEE)
Only
BLDG-TYPE WORK DESCRIPTION
Res.. x New X
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQ FIXTURES OTAL
Water Closet - $3.00 $ D
"
Bath Tubs - $3.00
Lavatory - $3.00 o O
/ Shower - $3.00
- -360
Kitchen Sink - $3.00
? 3,00
Urinal/Bidet - $3.00
Laundry Tray - $3.00 °d a
Floor Drains - $1.50 a
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
-a- Rough Openings - $1.50
U. G. Sprinkler System - $12.00
PERMIT FEE: L ?'
STATES SIC: 5
GRAND TOTAL:
CITY OF EAGAN
454-8100
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at 1i?' 7 Z ?e
I have this day inspected this structure and
these premises and have found the following
violations of citv codes aovernina same:
r1?p
Date ?- -'1- -10-
le ?
Inspector City of Eagan
DO NOT REMOVE THIS TAG
When corrections have been made, please
call 454-8100 for inspection.
. 6 ?. 0', ;
T ertif irate of COrrupaury
citp of (Eagan
#eliutment of JIMMM , ertion
/ r 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 QeaiBntioo SF DWG/GAR Bldg. Pemti1 No. 17429
O-weay 7* 1 Zooing O;svia R 1 Type Corot. VN
Oww or Bu kbng MAAILY lMON Addteas 45% 9= MkM, EAGM
Buldotg.A&Ii 4074 DEENOW TRAM [.oalky L12, 133, ElgSTRMi'% BORM
JILY 26, 1990
Building OMCW
POST IN A CONSPICUOUS PLACE
4 y5goa-
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
Now Construction Reguirements
• 3 registered site surveys showing sq. ft of lot, sq. R. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy calculations
• 3 copes of Tree Preservation Plan ti lot platted after 71%3
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE /O/'a0O /
1 ?6 0o
ealw 5 d!-ol
Remodel/Repair Reaulrementa
• 2 copies of plan
• 1 set of Energy calculations for heated additions
• 1 site survey for exterior additions & decks
Indicate if home served by septic system for additions
$/ &0-
VALUATION Ir_)DO
JOB SITE ADDRESS x/67 t/ -1) e P 2 t,u o d p TR .
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
TYPE OF
ki d OVJ FIREPLACE(S) _ 0 _ I _ 2
APPLICANT bau-c PHONE#gc-2-992-1PKK
ADDRESS 17Cf 3g D . Ju 6i f ne Qe, - yi lie _ZIPCODE s 5-UVfI
'
PAGER # CELL PHONE # bl2- -S V-0 770 FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Contractor:
K
Water Softener _
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
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 Ordinanc
Signature of Applicant G
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
_ Phone #:
Lawn Sprinkler
No. of R.I. Baths
CITY OF EAGAN N2 17429
(MODEL HOME) 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8100
BUILDING PERMIT Receipt # (??5Srq
1 l
To be used for SF DWG/GAR Est Value $144,000 Date JAN 10 , Ig90
Site Address 4074 DEERWOOD TR
Lot 12 Block 3 Sec/Sub.ENGSTROM IS
Parcel No.
w Name MANLEY CONSTRUCTION
o Address 4590 SCOTT TR
City EAGAN Phone 683-0580
c Name SAME
8i Address
City Phone
r
Ow Name
? Address
aW
I City Phone
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 aril City of EagaryOrdinances.
Signa(ure a ae
9
A Building Permit is issued to: MANT FY CQNSTR!I ?e!
on the express condition that all work shall be done in accordancith all
w
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official 11 t? I I_\,1L!
OFFICE USE ONLY
Occupancy R-3 .M-]. FE ES
Zoning R-1
(Actual) Const V-N Bldg Permit 794.00
(Allowable) V-N Surcharge 72.00
# of Stories
Length 71 Plan Review 51 6 - 00
Depth 46r 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 Ax
City Water XX Acct. Deposit 30.00
PRV Required S/W Permit 30.00
Booster Pump SO Surcharge 1.00
Treatment PI
0
259-0
APPROVALS Road Unit 4 5 S _ nn
Planner Park Ded.
Council --
Bldg. Off. Copies
Variance TOTAL 3.465.00
s1?6
RESIDENTIAL
7 BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reoulremerds
• 3 registered site surveys showing sq, ft. of lot, sq. it of house; and ALI roofed areas
(2ft. maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• l set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
DATE '" -?;s 0 Q
SITE
TYPE
APPLICANT
STREET ADDRESS J ?J `-t I Ab cn[(eT
TELEPHONE (5 7QZ--(,cI SCI CELL PHONE #
1ULTI-FAMILY BLDG Y
FIREPLACE(S) L 0 _ I
+U l STATE ZIP .6?37
FAXt?9?a1 ZOZ-9`?a?
PROPERTYOWNER LCG?Ck? 1 JP n , f- TELEPHONE Y( .6069 7 - o
COMPLETE THIS SECTION FOR "-REWee RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINN]
(,f submission type) • Residential Ventilation Category 1 Worksheet Submitted • New
• Energy Envelope Calculations Submitted
Plumbing Contractor: --
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
Heat Recovery System
Phone #
Phone #
JUN 0 5 2002
Fee: $70.00
------------------------------------------------------------------------------------------------------------
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 Ord pancses. ,/)
Signature of Applicant
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
RemodelfReoaff Reaultememe
• 2 copies of plan
• i set of Energy Calculations for heated additions
• 1 sae survey for exterior additions&decks
• Indicate I home served by septic system for additions
VALUATION
Certificates of Survey Received _ Tree Preservation Plan Received - Not Required _
Updated 4102
:.
1989 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALLS.
MULTIPLE DWELLINGS RENTAL UNITS
FOR SALE UNITS
COMMERCIAL
2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS.
it OF UNITS
NOTES ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED..
SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH 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.
-DEC 1 ° 1989
io ne used tor: Model/Spec Home Valuation: ,84, Late: 19/13/R9
Site Address 4074 Deerwood Trail
Lot 12 Block 3
F'n5slrom S
Parcel/Sub Deerwood
Owner Robert Engstrom
Address 4801 W. 81st St. #101
City/Zip Code Minneapolis. MN 55437
Phone (612)893-1001
Contractor -]anlev Cons r,rt;on
Address 4590 Scott Trail
1414 D"J ur r a?a uu1
Occupancy k-3 M-1
Zoning (Z-
Actual Const
Allowable V- W
# of stories
Length 5'1'
Depth yro'
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System V
City water ?
PRV required _
Booster Pump
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
City/Zip Code Eagan. MN 55122 SUBTOTAL
APPROVALS Penalty
Phone 612)683-0580 Planner TOTAL
Council ((S-
Arch./Engr. Planco Bldg. Off. _6l?1 ?S
Variance
Address 3435 Washington Dr.
City/Zip Code Eagan. N 55122
114 0
MULTIPLE DWELLINGS
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG DIV.)
1 SET OF ENERGY CALCS.
IYN'00
q z.06
loodC
;00.00
;25.00
9D.&0
3a.D0
364.00
1.00
.0o
Phone # (612)452-0724
`' ? VA-Lu??oN
GAQACsE ?1? *.
ZC7 x -Z ? Lq o
? ?? ?' Lam- /O?.Op
&5m -r
-2 W ,L q o
?t6 d
6p
I3K Jro ? ?d?
22'3 %K ru ;.
I n I di 2
Z x "1 = i ?
1290 Kb,= 63s-av
2-rin Fi-oor`
G = I2
lu S ? S
?XYlz , ZI
Io6z x60-r- ?o
?i
I LI 3
owr?Eai •N
SITE ADDRESS: L-0`-I { J EE?vw?c??¢ ?L ?.i rv?t?l. 5 1?
CONTRACTOR: ??Lt? y
coNSTe.,c?c?? DATE: a 11 Bq PMONE: a??g3 css
DETERMINE WORKING SQUARE FOOTAGE OF EACN:
1. TOTAL EXPOSED WALL AREA,,,,,,,, 2 7 37 sq ft x "U"
2. TOTAL ROOF/CEILING AREA,,,,,,, Z? sq ft x "U"
3. TOTAL EXPOSED WALL AREA CALCULATIONS:
Total exposed wall
area above floor..,,,,
lzo44 s
ft
K
,
q
a) Total wall w indow area:
glazed,,,,.. 5 sq ft x "u"
glazed,,,.„ x sq ft x "U"
b) Total door area ,,,,,,,,, sq ft x "U!'
c) Total sliding glass door area:
glazed...... - i 2 sq ft x !'U"
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
;4o..
glazed...... sq ft x "U" ..
d) Total fireplace wall area sq ft x "U"
e) Total wall framing area
(Average 104)
f
"
"
.......... sq t x
U
f) Total net wall area above
floor (Insulated) 21Sfz ft "u" 04 - 9727
....... sq x ,
q) Total rim Joist area..... sq ft x "U" _ ®? - ?.???
Total foundation
area (Exposed)......... k? sq ft
h) Total foundation
window area............ sq ft x "U"
i) Total net foundation
area above grade........ sq ft x "U" ?
?,
•
3. TOTAL a) thru 1) ??
9
If item''F3 Is the same as, or less than Item P1, you have met the lntenf of
2 MCAR 1.16008 A and 0.
Page 1
9o * 1.1,k
.
b. TOTAL.EXPOSED 'ROOF/CEILING CALCULATIONS:
Total exposed `
roof/ceiling area...,... sq ft
.1) Total skylight area......, sq ft x "U"
k) Total roof/ceillnq framing -7 S
?f e
' area (Average In9,),,,,,, I v / sq ft x "U"
1) To sulated
((? sq ft x "U`r Z4 '
TOTAL J) th ru 1)
r-?
If total of BII Is the same as, or less than R2, you have met the intent of
2 MCAR 1.16008 A and 0.
i
II
• I
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum
of Items p3 and 0 shall not he greater than the sum of Items RI and w2.
1. + 2.
3• + 4.
t?
?i
V
C E R T I F I C. A T 1 0 N i
hereby certify that I have calculated the "U" factors and "R", f
values herein,and that the huildinq here described meets or exceeds the State !
of Minnesota Energy Conservation Act.
i?
' I
S nature
ti6'<iI ZED BUILDING CENSERS
LAKEVILLE, MINN. 55044
?HONE 465-2116 (Date)
- Page 2 F>
?J
I?
r,
HSTRUCTION
R VALUE
WALL FRAMING SECTION:
Interior air film 0.69
. 47
Inches sot wood l.•87
z b,
' •b7
Exter or a r m 6.17
TOTAL. R - /U, SD ~:y
U 1/R
WALL SECTION (INSULATED)
(I Interior air film O.6R ..,•
--(2 q,S
-(3 :4.
-15
--(A Exterior air film
TOTAL R -
t
3.0
U-
RIM JOIST SECTION:
I Interior ai r film n•6R
2 ?, OD
'3 l. g7
C y Z•ob
5
6 Exterior ai r m
,
n-17
TOTAL R R ?A
7
FOUNDAT ION INSULATION REQUIRED: -
" ; ' 1 ', r' ;• ,
;!
Min. R-5 on entire wall OR ,
U 1(R
4 Min. R-10 down to frost depth :`:..... "
- q. FOUNDATIO14 SECTION:
1 Interior ai r film `6.68
••.4.?• 2 jla? r
:•A r
n . ..
A
G 4 Exterior ai r film 0.17
,
••4• (S
4 r•
`
a• 4 TOTAL R /3
SLAB ON GRADE
: 4
:
d
w
Heated Slabs: ?'
.
q? _
Minimum R 8.5 ..4. tj
.•
•
4; ?•-q Unheated Slabs: 4. • •d, iv
Minimum R = 6.2 4 Q•,
A 46
1
?
4 Page 3
Q
r
.
.
f1 3
F
VENTED
CONSTRUCTinN 1; 'VAIUr-
CEILING SECTION (INSULATEn):,
1 Interior air film 0 Al
2
R'
3 D.D
4 Exterior air film still n,Fl
TOTAL R -
CEILING FRAMING SECTION: "
1 Interior air film 0,61
2 _
3 Z 3
4 Interior air m. st 0, 1
5 Inches sort wood 4 •3s
TOTAL R.- 34' 55
U`-'1/R.-
CEILING SECTION (INSULATED)::'•
I' Interior air film 0,61
2
3
4 Fxterlor air rIlm (still) 0.61
TOTAL R -
U- 1/R -
CEILING FRAMING, SECTION:
1• Interior air film 0,61
2
3
4 Exterior a r m st 0,
5 Inches soft wood
TOTAL R -
U- 1/R-
1 Inside air film n.61
2
3.
4
5 Outside air film n,17
TOTAL R -
u- I/R -
Page 4
i
GUIDELINE TO (R) FACTORS FROM ASHRAE MANUAL
OF TYPICALLY USED PRODUCTS
AIR FILMS
Interior Air Film (Walls)
Exterior Air Film (Walls)
Interior Air Film (Vented Ceiling)
Exterior Air Film (Vented Ceiling
Interior Air Film (Non Vented)
Exterior Air Film (Non Vented)
BLOWING WOOLS
Approx. 3"
Approx. 4 112"
Approx. 6 1/4"
Approx. 7 1/4"
Approx. 14"
Approx. 18"
All other insulation materials must
be verified (R Factor)
INSULATION
Insulation: 2-2 3/4" Fiberglass
Insulation: 3 112" Fiberglass
Insulation: 6" Fiberglass
Insulation: 3 5/8" Fiberglass
Insulation: 9" Fiberglass
Insulation: 12" Fiberglass
Insulation: 8" Cellulose
Insulation: 10" Cellulose
Insulation: 12" Cellulose
Insulation: 1 1/2" Thermax
Insulation: 2" Thermax
LZ SHEATHING
0.68 3/4" Wood Subfloor or Sheathing
0.17 112" Plywood Sheathing
0.61 112" Particle Board
0.61 Gypsum or Plaster Board 3/8"
0.61 Gypsum or Plaster Board 112"
0.17 Gypsum or Plaster Board 5/8"
Plywood 3/8"
Plywood 1/2"
Plywood 3/4"
9
00 Sheathing, Reg. Density 112"
.
13.00 Sheathing, Reg, Density 25/32"
19.00 Nail-Base Sheathing 112"
24.00
30.00 ROOFS
40.00
Built-up Roofs
Asbestos-Cement Shingles
Asphalt Roll Roofing
Asphalt Shingles
7.00 SIDING
11.00 Aluminum Siding
19.00
13
00 Aluminum with Backer
.
30
00 Aluminum with Backer & Foiled
.
38
00 112 x 8 Lap Siding (Wood)
.
29
00 7/16 x 12 Hardboard Siding
.
37
00 Asbestos Sidings 1/4 Lapped
.
44.00 Stucco (Brown and Finish Coat)
12.00
16.00 DOORS
Iq
0.94
0.62
0.66 .
0.32 ..;;as .
0.45;;.:':.
0.56.
0.47
0.62
0,93 i
1.32`
2.06
1.14
0.33
0.21
0.13
0.44
0.61
1.82
2.96
0.81
0.67
0.21
M
WOODS 1 3/4" Solid Care Door .46
Fir, Pine & Similar Soft Woods w/Storm, Wood
w/Storm
Metal .31
1 112"
1,89 ,
Pease Steel Door Insl/N/GL 7.45R ,26
.13
2 112" 3,12 Sliding Glass Door, Wood .65
3 112" 4.35 Metal ,72
5 1/2" 6.87
CONCRETE BLOCK WINDOWS
B" Concrete Block (S & G Reg.) 1
11 All Windows
(Filled with Vermiculite)
" .
1,93 (w/Storms 1" to 4" Space) 56
12
Concrete Block (S & G Reg.) 1.28 Removal Double Glazing (ROG) .
55
(Filled with Vermiculite)
" 3.15 Thermo or Welded 3/16" Air Space .
69
8
Light Weight
(Filled with Vermiculite) 2.18
5
03 1/4" Air Space
1/2" Ai
S .
.65
12" Light Weight .
2.48 r
pace
(Other windows specifically tested .58
(Filled with Vermiculite) 5,82 can use better ratings)
Page 5
al/DSO 11
Request Data Fi o. Rough-in Inspection
Required? E) Ready Now Will Notify Inspector
hen n Ready'
s ? No
?p,
I ys?llcenSe contra r ? owner hereby request inspection of above electrical work at.
on A es ire or Flours No I py..? '`'fi'r
/ City fr . l a
?'!7
Section No Taxnship Name or No Range No County
occupant (PRINT) Pmme No.
Power Supplier Address
Elecur at Cpntr (Company Namme-)g .?!-?,, Con/ir?a?wtor$ L??Jntee/N?o ?y
Madmg Address (Coniraciw or Owner Making Installation)
/57
Autlwriz Nre (COritre l ar kinstbon? Phoned Yr
NESOTA STATE ARD ELECTRICrrY THIS INSPECTION REQUEST WILL NOT
Griggs-MWway Bldg. - Room S473 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paid, MN 55W0 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
111 ?C REQUEST FOR ELECTRICAL INSPECTION /EB-00?0,0/01-07
J? See ipsrmchons for completing this farm on back of yellow wpy J4=•.yv ??
n Z q n X" Below Work Covered by This Request
Building Appliances Wired EquipmenlWired
Range Temporary Service
VJaier Heater Electric Heating
i
g
WApt. Dryer Other(Spec
ify)
strial rnace
K r Conditioner
) Remarks
ai
Compute Inspection Fee Below.
# Other Fee # Service EntmnceSill Fee # Circuits/Feeders Fee
Swimming Pool
Transformers 0 to 200 Amps
Above 200 _ Amps 0 to 100 Amps
Above 1.00 _. Amps
Signs inspectors Use Only
yyyJJJ _ LU
TO ?.
Irrigation Booms ,,,???
Special inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
Rough-in Date
certify that the above inspection has
been made Final r'
C Date
OFFICE USE ONLY
This request void 18 monlhS from
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
b? CITY OF EAGAN
1 3830 PILOT KNOB B RD RD -
55122
1
651-681-4675
D 3 registered site surveys showing sq. ft, of lot, sq. 0. of house
and gE roofed areas (20% maximum lot coverage allowed)
> 2 copies of plans (show beam R window sizes; ported fnd design; etc.)
> 1 set of energy calculations
> 3 copies ofS' free preservation plan It lot platted offer 7/1/93
DATE: 'S_ C) O
DESCRIPTION OF WORK:
STREETAID-'DRESS: ZL> % y f .1e-42- r+-J
LOT: BLOCK: SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
d
Name: opt" ?rY ? Phone #:
Lad First
Street Address: IT U I r %--7MK (
City State:
Zip: SS! 22?
Company: ?L Phone #• _
(area code)
Street Address: License # Exp.
city
2 copies of plan
1 set of energy calculations for heated additions
t site survey for extadm addltions a decks
CONSTRUCTION COST:
e
State:
Company: Name:
Telephone C (
Street Address: Registration C
City
State:
Sewertwater licensed plumber (if installing sewer er): Phone #:
Zip:
Zip:
I hereby acknowledge that I have read this application, state that the information i otract, and agree to comply with all applicable 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 - Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
? 31 New
? 32 Addition
? 33 Alteration
P 34 Repair
? 13 16-plex ? 21 Porch (3-sea.) ? 31 ExL Alt - Mufti
? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
%P 18 Deck ? 23 Porch (screened) ? 36 Multi
? 19 Lower Level ? 24 Storrs Damage
Pibg _Y or_ N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code Dl
No. of Units
No. of Buildings
Const. (Actual) 5 ?I
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building UIX
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
11 '
CITY OF EAGAN
Permit Fee Value
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
CASHIER: JS TERMINAL NO: 256
DATE: 08/08/00 TIME: 15:56:46
ID:
NAME: GRETCHEN DE BOOER
3210 9001 4074 DEERWOOD T 60,00
2155 9001 4074 DEERWOOD T 0,50
Total Receipt Amount: 60.50
CR135573
USER ID: JAN
,-I D-) ? 5
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
6 6Gz so
Date:
Description of Work: Construct new fireplace XGas -Masonry Alterations to existing
Install pas insert only Install gas line only
7 _ Other ?7?
Job address: :12,LEW?C? --l r ?
Lot: I d Block: J Subdivision/P.I.D. l 10
KIL O ? I JO(
Applicant (circle one only): Owner Contractor Permit Fee. $60.50
Name: tybpe? ,q,`I (i? u2 Phone #: U/SI tY ??! Gz-??
PROPERTY Last ? j ?if? First , py
OWNER Street Address: I?V W T&v-rat66,j 7- -
City (/ State: ?j Zip: Sl Z
Company: Phone #:U12_- K ()-075
/ (area code)
FIREPLACE
INSTALLER Street Address: lJ L1YV 1111
City S State:- Zip: Sr-3 3 -7
Company: Phone #:
(area code)
GAS LINE
INSTALLER Street Address:
City State: Zip:
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with all applicable State of Minnesota S to es and City_af-EaW Ord4iances.
S n ture
C E I V E D
AUG 11 2000
IY:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New
? 32 Addition
? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
? 34 Repair ? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 765
DATE: 08/14/00 TIME: 07:21:24
ID:
NAME: FIRESIDE CORNER
3210 9001 4074 DEERWOOD T
2155 9001 4074 DEERWOOD T
Total Receipt Amount:
CR135697
USER ID: JAN
60.00
0.50
60.50
Prepared by
MAIN OFFICE (612) 544-7619
_ LAKEVILLE (612) 892-5200
LAND
SURVE"AMS Certificate of Survey for
PC. SURVEYING 8 LAND PLANNING QUA L / T Y WORKS
-5905 GOLDEN VALLEY ROAD, GOLDEN VALLEY, MN 55422 CONSTRUCTION
10880 WEST 1751h STREET, LAKEVILLE. MN 55044
tyv k?
'
e - Q96T- ?s°
4?,?- s l-- - - - - - - - -So\
s
P I
D RA/.vacE A.ro I
(/T/</7y ER SE MEN TS
' I
1
I
I
?C4LE -=.20,
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y 3?
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?'1( I I /VOTES
p' ? e
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4
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oo .o E.cE t/q 7-low/
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f ??? `? /apse a .ta??911
f ? M / ?oo y 5? I
a) M ib op LeyV
1
f 9
Tor o = /RaN . L2 00
APE =89/.03 ?_ -?e 2? - _ _ ^, t
I
f
?
?r Q, 7I II
M R
! _
_ 14
_
po
l?
i
ea - /O 99 _
l n
'e- 3zo
I (a
iLa ?
dL
a
`ae
0
h b't3c. ° QE../aTEs PRORoSEd
ExEV,4Tio.?
-+ QENO TES SvRFACE QRA11/A6E
J,P OF IRo/
P/?E = 886 '0
f/N/s NEa ?iNFs7GE
F.G OOR E.CEti - t?9/30
,(or.?ESY /V/osT F<ooR
TOP aF C?.[o[/l E.(Er/ - 8?/ 97
A? m^
?a
`h
'Ae l
n oM
0
M
/ DES C.4/PT/ON OF 10RORZR-ry
.COT ?.2 , B,C O CL( ,3 ENr 5 ?5 9eA1CHMARK - Boo r /.? 7wf C3RsE of
?I tP`o ?4 ?f ,?oWER PdtE Ar 7NE S E OoAtlRA?T
QEERW006 Aoo1 T101V , afro ???¢¢¢ f
DEeRC./oao V R/vE AHa P<oN' b(n/og
CodN7y/ M?n/n/ESDTA. B O. E<EV = 883.32
Date
54 -
EAGAN ENGINEERING P?
We hereby certify that this is a true and correct representation of a survey of the boundaries of the land described above DESIGNED _ CHECKED
and of the location of all buildings thereon, and all visible encroachments, if any, from or on said land, that this survey was d9
prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State DRAW" 7R DATL /
of Minnesota. As surveyed by me this 7Y^ day of yvF?B?P tg 6PP. BOOK PAGE -Z/
/-W2S173 SEC Z/ T Z7 R Z3
sy mmnesota Negistrenon No. 623"9 O/
JOB NO
n
c
"KI n1v till "N" n" '$i rm r.rr.v "T r.Auan rrh evil re'll-YI'l~'Ir1YLL r rent inrey
2012-06-1811:07 » 651975 5694 P 317
We OLUr- or 11I.ACK Ink
I For Office Use i
My Permof Eap I I~~
I Permit Fee. (fo' C / - I
3830 Pilot Knob Road
Fagan MN 55122 j Date Received: ~
Phone: 661 575-5675 I I
Fax. (861)675-5N4 I Staff; I
r.--------
1
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
pots: I She Addreat: v e~-r'W cxV~ t
Tenant: suite 0.
Name: C Phone: C `2L~'~7LjL
Address I C t'\Q
P~ V
r
Name:
Lkense ff:
Address, J . l
Clly:
state: Z1): Phone: K109 ~1 I LQ-
Contact: Email'
a
New Replacement -Repair --Rebuild Modify Space Work in R.O.W.
Daacrl lon of work;
REGIDENTIAL
Water Heater
Lawn Irrigation RPz 1 PVB) Water Softener
Y
Add Plumbs
xtures
_ Main I Lower Level)
S np Fiseptic em
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 mgt Waver Heater, Water Softener, or Water Heater Bpd Softener (Includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (indudes $6.00 State Surcharge)
$60.00 Add Plumbing Fixtures, ftfig System Aba_ ndanmeM Water Turnaround' (includes $,5.00 State Surcharge)
'Water Turnaround (add $189.00 if a 518" meter Is required)
$105.00 Septic yetem New ($10.00 pores built) (huludes County fee and $5.00 State Surcharge)
TOTAL FEES $
BALI. BEFORE Y0 DIG. Call Gopher 8tals are Call at (661) 4544001 for protection against underground utility damage.
Cali 48 tours before you Intend to dig to recelve locates of underground utflMes.
I h
ereby admWedge twat to iMamapon 's complete and accurate; that the work vAN be in conformance vA%h the ordnsaces and Codes of to city of
raw 1hal 1,
aooorv vrilh ~pplinUoa_Aor~.}ierrpIt OW M" ink *-Wl eift - -
ft approved plan the case o/Work
~.~l~L~l.~r• \ "fires a ravtew and eroproval of
x
Applicant's Printed Name Applica Signature
:i•arty.!"ts:.) f•'•. -f.,.: F: s:
J , e J:~' . ,lsY.. ,,Pte' • ~ . Xsl'•, - ~ r4
^~`ii; .'1 "D: ;i`.:r. .4'•
:RRgtilnid l40s;ial06 ::Fln • .
Urlder.Groiind:' Ralf
_ 91r'.( ,;.~1~;:Tesf':~;.::;~a<~ed•Teat 'Y:,;:~. 1.,:,.
v
2012.01-3016:0 651975 5694 Pop 1
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA115581
Date Issued:09/27/2013
Permit Category:ePermit
Site Address: 4074 Deerwood Tr
Lot:12 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Renae Frienwald
2200 Hwy 13 W
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Deboer Gretchen
4074 Deerwood Tr
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
m i For Office Use
er` ® ° �o ::::
E AG
�sA : V
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: 7 - `
0
(651)675-5675 I TDD: (651)454-8535 FAX: (651)675-5694 Staff:
buildinginspections(a�cityofeagan.com JUL 0 2 [0181 L ------Q1-,, ,
2018 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2)sets of plans with all commercial applications.
Date: L/2(o ./
I Site Address: i 0 ill. Vter wood.d. 1f,
Tenant: 'fl vv mob
Suite#:
it
--Iiv. Name: I 1 v'1 ,4)JAI Phone: (JiSi) 3311— )SS 1
dei ��>
4 ,£ ,,�y a Address/City/Zip: L D 7� DetfLutt.2 t rJ i=A q�lYl /�;(1/ 5$ I d2�
: Name: Ray N Welter Heating
1 License#:
Address:4637 Chicago Ave City: Minneapolis
MN 55407 612-825-6867
State: Zip: Phone:
V Contact: Gerri Email: rickw@welterheating.com
New /
Replacement Additional Alteration Demolition
, •'• '';‘t:',1171,
t_- Dr.es®cription of work:
-_ - �' aw . � $ . s ® bu 4 � . ae ,,-7.:-,.0a ® tersaat -s.--;,-,,74,- a34a �a; it F . t.. ''.''''..-.,1,-.1144145,:'
k. 8.
h: ` 36 ® a ' --,;441,-,:144,4i:
,&` ,,, rt-iii:
. ' - :C, 4f
NN
. RESIDENTIAL COMMERCIAL
gi- _Furnace New Construction Interior Improvement
'`- ,Air Conditioner Install Piping Processed
., • T• A" _Air Exchanger _Gas _Exterior HVAC Unit
, _Heat Pump
q- Under/Above ground Tank (_Install/_Remove)
~. _Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ (S(�- TOTAL FEE
COMMERCIAL FEES
$60.00 Permit Fee Minimum
Contract Value$ x.01
$75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee
Surcharge=Contract Value x$0.0005 =$ Surcharge
If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeacian.com/subscribe.
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x QG.y N, W t k.' )i, x iii liell
Applica4it's Printed Name
Applicant's Signature
41,1401. A- -,V
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162260
Date Issued:07/06/2020
Permit Category:ePermit
Site Address: 4074 Deerwood Tr
Lot:12 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-120
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Timothy L Abbs
4074 Deerwood Tr
Eagan MN 55122
(651) 336-1551
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:EA162260
Date Issued:07/06/2020
Permit Category:ePermit
Site Address: 4074 Deerwood Tr
Lot:12 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-120
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Timothy L Abbs
4074 Deerwood Tr
Eagan MN 55122
(651) 336-1551
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature