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4101 Deerwood Tr Use BLUE or BLACK Ink ------------i For Office Us , City of Ea an i Permit I Permit Fee: GQ , 3830 Pilot Knob Road Eagan MN 55122 I Date fRived , Phone: (651) 675-5675 StaffFax: (651) 675-5694 2011 RESIDENTIAL PLUMBING PE IT APPLICATION Date: Site Address: _A.~tii Tenant: Suite RESIDENT / OWNER Name: 1 rC~ Phone: uGv ^ I.Ac~sv` • Address / City / Zip: 7txm 4 CONTRACTOR Name: G' G License Address: `lam City: State: -nk~) Zip: Phone: ~✓a' `a3 Contact: Email: OC'~`~ r' TYPE OF WORK _ New - Replacement _ Repair - Rebuild Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ / _ PVB) Add Plumbing Fixtures Main Lower Level) A Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) 'Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. 11 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall'or I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wit the or ina ces an des of the City of Eagan; that I understand this is not a rmit, but only an application for a permit, and work is not to star ithout a ermit; t t the work will be in accordance with the appr ved pl in th case of work which requires a review and appro of ns. xS~ ~ x Applicant's Printed Name App icant's ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-in Air Test -Gas Test -Final Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - t I For Office Use q 1 Permit / 1 City of Eap I Permit Fee: C 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: j R I I Phone: (651) 675-5675 AY Fax: (651) 675-5694 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Lill t d I-) t-~ ,L-,,. t.- ,*-N Unit Name:, A ~,4 a~~ k~ Phone: RESIDENT / OWNER Address / city / Zip: LI-~,()/~ Q L&UX)A SS-rl A-) Applicant is: Owner V /Contractor TYPE OF WORK Description of work: a2St d9 - / Construction Cost: ~ Multi-Family Building: (Yes / No ) Company: L;a Y2, TZ,-, +M,7_4110>~ Contact: JJ CONTRACTOR Address: ~Lz✓~-,Vr City: 1- State: MIJ Zip: (O Phone: 612e_-363-:3_-G1'5 License M-2-0 (P3 -q- Lead Certificate i W i.•"~ l If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 1 <_E~y - rl~ E\Q 6, LUQ J b x c Applicant's Printed Name Applicant's Signatu Page 1 of 3 q10 / -f~D/ I DO NOT W I BE W TdS LINE I SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) J Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding - Demolish Building* Addition _ Move Building _ Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION _ Valuation 0 6w0 Occupancy -MCES System Plan Review Code Edition lc r? SAC Units (25%_ 100%-e) Zoning City Water Census Code 3Y Stories Booster Pump # of Units Square Feet _ PRV # of Buildings Length /3 Fire Sprinklers Type of Construction Width ; of , REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: Ice & Water Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector r,-may` t9 rl,t Me 3 O fO 64 9 RESIDENTIAL FEES Z 14 l Base Fee 3 39 y g'PO v owe 3~ Surcharge )V Plan Review Z 0 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 9~ AL 7 lrn ``3,-"t III 0 ..z t • cfj L q r f 1 -X31.14 rri > N 00*2$11"YY ~ rn 231,14 ,r 4' 6 z 96.37 ft t can fit s co OD C.~ IFNYED 0.Oyoo=/4f D/. 07 -:2 ,SONS DIVISI /-v ti 4 81.36 ,co II'~G I 0>Z > N ~e %-j M J co U) C, f m ! z I f 7- /N f I 101.11 71.13 L 62.E t A - co 0 'o _ COUNTY STATE AID- ~ -T ~ 127?.2( 4 Use BLUE or BLACK Ink F-Fo-r --ce-U-se 4110~ Offi--'7 I j Permit ( -7 -3 j City of Evan I ' Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 1 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: t(110. Phone: RESIDENT / OWNER Address / City / Zip: ~tj o( Y? +~JOt ~'io > r' . Applicant is: Owner i~ Contractor TYPE OF WORK Description of work: V ft rk>..J Construction Cost: 4 O~X) Multi-Family Building: (Yes /No ) Company: at C(-:I: in k i` 'fit,. a s(1J.~ Contact: 11. k°,i/i to n&, l,-=V4 CONTRACTOR Address: }e~5?~~. ~'irf4.- City: State: A /A Zip:i Phone: License Lead Certificate Does this project require Lead Remediation? ❑ Yes 0'No (see Page 3 for additional information) , If no, please explain: N to 0-"z , ova Li: r ;u 9 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 plans. Applicant's Printed Na a Applicant's Signatu e Page 1 of 3 SEWER & WATER PERMIT CITY OF EAGAN ' 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE OFFICE USE ONLY METER #L a F 16 PERMIT DATE c-6! 19r 91 CHIP 4.17 ' oyV PERMIT # 12076 METER SIZE r e Y S B.P. RECEIPT # C 14040 ISSUE DATE B.P. RECEIPT DATE 06/181 91 PRV -BOOSTER PUMP SITE ADDRESS .'+101 111 LOT 19 BLOCK ! SEC/SUB 1'.NGSTROM' S DE1;RWCO APPLICANT: ADDRESS:- CITY, STATE PHONE: ZIP PLUMBER: k C PLWBING ADDRESS: `)910 CHESTER AVE CITY, STATE 7,l?'-,T13F1ELD Mlv Zip 55057 PHONE: L11-2096 OWNER: SONS CONSTRUCTION ADDRESS: 4600 FAIRWAY I1 LS Dr PERMIT REQUESTED X SEWER X WATER TAPS COMM/IND RESIDENTIAL X NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Oomestlc Meters on Water Line. 'Credit WILL NOT b? givgn for Deduct Meters. I AGREE TO COMPLY WITH CITY OF E7N,ORDINANCES CITY, STATE EA AN MN ZIP 55123 PHONE: 452-53' IGNATURE WHEN METER ISSUED PLEASE ALLOW 'flj?O WORKING DAYS FOR PR6&ki §s N&'"CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EA'GAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE JUN 18, 1991 OFFICE USE ONLY METER# PERMITDATE 06/19/51 CHIP # PERMIT # 12076 METER SIZE B.P. RECEIPT # C 1404E ) ISSUE DATE B.P. RECEIPT DATE l?b / 1 i /' ! - PRV - BOOSTER PUMP SITE ADDRESS 4 , G 1 uti !.:WLWL TR LOT -1y BLOCK ? SEC/SUB I' NGSTROM' S DEERWOOD APPLICANT: ADDRESS: CITY, STATE ZIP PHONE: PLUMBER: R. C PLUABING ADDRESS: 5910 CHESTER AVE CITY, STATE PHONE: NORT11FIELD 101 ZIP 55057 461-2096 OWNER: SONS CORSTRUCTIOW ADDRESS: CITY, STATE PHONE: 4600 FAIRWAY HILLS DR EAGAN HN ZIP 55123 452-5355 PERMIT REQUESTED -K- 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 CALL 454-5220 FOR INSPECTIONS. FOR STORM Iv A. _ IJ?WS (H)454 °5636 CITY OF EAGAN [/ A66- 6 - ` - WJ •; .? ?., . 1830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 PHONE: 454-8100 ' BUILDING P15AMIT Receipt # : +` - i t , To be used for ST DRiiG/GAR Est. Value $149 WO Date MIN 18 1941- Site Address 4101 DEERWOOD TE Lot -19 Block 2 Sec/Sub. EIVGSlR04lt 3 S OFFICE USE ONLY Parcel No. 4 DEERVOW occupancy R-3 M-1 FEES Zoning ? JL- W Name SONS COIdST8UG7IDN (Actual) Const Bldg Permit 811.00 . Address "00 FAIRWAY HILLS DR (Allowable) 74 30 Surcharge . City EAGAIII Phone 452-5333 * of Stones 3 Plan Review 527.00 Length $ Name SAME Depth AL3 SAC Cit 100.00 . y q0j Address S.F. Total SAC, MCWCC 660.00 City Phone S.F. Footprints t C W 660 00 On Site Sewage a er onn . W Name On Site Well W 95 00 ater Meter . ?u Address MWCC System X _ Acct. Deposit 30.00 W City Phone City Water X 30 00 PRV Required SAV Permit . I hereby acknowlege that I have read this application and state that the Booster Pump SrW Surcharge • 50 information is corrtb and agree tq Comply with,all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI 276.00 Signature of Permitee APPROVALS Road Unit 370.00 A 'Building Permit is issued to: SMS MISTRUCTION Planner P D on the express condition that all work shall be done in accordance with all Council -- ark ed applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official r , , 4, , Variance TOTAL 3.624.00 - Permit No. Permit Holder Date Telephone # WATER ? •J .e, a SEINER PLUMBING H.V.A.C. 9? 'YUfo?' ??? ELECTRIC Inspection Date Insp. Comments Footings I 711D f Z f 6// 102 ((J? // ?3l?t Foundation 71 Framing Rooting Rough Plbg. Rough Htg. St Isul. SS 9? SZ S/ IG?!/ U Fireplace Final Htg. -/ j Orstat Test .LUt? 9- Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final /,? 9l /? Deck Ftg. s 2 Deck Final Well Pr. Disp. NEAT. - - - - ?, &rttfiratt of (Orruvaury Citp of Cagan Marva mu"W of Who inwertwu nis Cardficale issued pursuant to 11e requirements of Section 306 of the Uniform Building Code certifying that at the lime of issuance thiss"xWre was in compliance wish the w 1bus ordinances of the City regulating building conn"x4on or use For the following. tbeasswmfm SF DWG/GAB BIi6a.?a Nm 19280 0=ws y Type R3 - za,t mwi R 1 Tree'-- Vn o,..wacs,wm SONS GONST Add= 4600 FAIRWAY HILLS DR., EAGAN &.mi„sAea,.-4101 DEERWOOD TR L.&y L19. B2. ENGSTROM' S DEERWOOD POST IN A CONSPICUOUS PLACE CITY OF EAGAN Np 19280 3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121 PHONE: 454-81 00 ?? tt , l ?? BUILDING PERMIT Receipt # _ , ??t ? o `? To be used for SF DWG/GAR Est. Value $149,000 Date JUN 18 tg91 Site Address 4101 DEERWOOD TR Lot 19 Block 2 Sec/Sub. ENGSTROM' S OFFICE USE ONLY Parcel NO. DEERWOOD Occupancy R-3 M-1 FEES 1 R Zoning - w Name SONS CONSTRUCTION Actual) Const ?!-N Bldg Permit 811.00 Address 4600 FAIRWAY HILLS DR (Allowable) V-N . 74 50 o City EAGAN Phone 452-5355 a of Stories Surcharge . 52' Plan Review 527.00 Length Name SAME Depth 42' SAC Cit 100 00 u o< Address SY Total . y . City Phone S.F. Footprints SAC, MCWCC 650.00 t W C 660 00 On Site Sewage er a onn . w W Name On Site well W 95 00 is =6 Address MWCC System % ater Meter . 6 X Acct Deposit 30.00 a City Phone City Water 30 00 PRV Required S/W Permit . t hereby acknow'age at I have read thi ppucation and state that the Booster Pump S/W Surcharge .5 0 information is correct n gr t c ply t all applicable State of Minnesota Statutes an of n in c Treatment PI 276.00 Signatu to of Penn it" APPROVALS Road Unit 370.00 A Building Permit is issued to SON ONSTRUCTION Planner Park Ded. on the e.piess condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and C y of Eagan Ordinances. itt Bldg. Off. Copies 1 ?? Building Official nnn Rgrd ( D l Variance TOTAL 3,624.00 Address: 41 01 DEERWOOD TR Lot 19 Blk 2 Sec/Sub ENGSTROM'S DEERWOOD These Items were/were not complete at the time of the final inspection. 4?--13 - Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry 1.? Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish L/ 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. PfCKfF?NKR White - City copy Yellow - Resident copy Pink - Contractor copy ? "i"8 2 3 ? /e>a2 as g? Roques Date 7 ve Rough-In Inspection /22/91 Regwred9 AReady New ?WtlINoLty Inspactar Yes - No When Ready? I # licensed contractor ] owner hereby request inspection of above electrical work at: JoD Address IStreat Brx or Route No 1 4101 Deerwood Trail City Sallie, N. Township Name or No Range No County Eagan Occupant (PRINT) Dakota Sons Construction Phone N. Pewer Supgher - 452-5355 Dakota Electric Co. Address EleCtncal conladrfDO Name- 4300 W. 220 St mpany I . Farmington, MN BOOS Electric Co, Contractor's License No Medmg Atloress "d1,rn1tor or Owner Making Inslaliatigni AM01895 2104 Great Oaks Drive, Burnsville Anhonied s.7dre lCpq(ractq., - MN 55337 Owner Making Instal nl Phune Number 431-4755 MINNESOTA STATE BOA R. OF ELECTRICITY Griggs-Midway Bldg - Room 5-173 TH 1801 University IS INSPECTION REQUESTWILL NOT Phone (610) 64 42-Ave.0800 St said. MN 551114 BE ACCEPTED By THE STATE BOARD UNLESS PROPER INSPECTION FEE IS - / ENCLOSED 9? REQUEST FOR ELECTRICAL INSPECTION ;•?"" - ?? 77 ? See insrucoons for Completwg this form on back of yellow copy /EB- Dl 08? 11 X` Below :Vdrk Covered by This Request e? Home Comm /Industrial Farm Other lspealyi lnspechon Fee 8e1ow Other Fee nng Pool Irngaaon Booms -- Specaal Inspection AlarmfCOmmumcatlon Other Fee I, the Electrical Inspector, hereby certify that the above Inspection has been made )FFICE USE ONLY his request I'd 11 months Irom Service Furnace Service Entrance 0 to 200 Amps 7 5 Above 200 _ -ors Use Only Circuits/Feeders Fee to 100 Amps LbQ 9 Amps 0TAL - $65.50 THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MOATM,S. augh-In ? . rat 65912 Lc-,Y- I9 3CK -2 ?3- Eifl_26_nn Request Date Fire No 81 (/ G7 Rough-in Inspection Regmreds ? Ready Now krWIII Notify Inspector Yes ? No When Ready? I,? licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City Section No Township Name or No Range No. County k IY (??? Occupant (PRINT) Phone No. Po Supplier ? (ec f? « Address n ?cz ? ? ? l ? ? z Electrical Condyad tractor (Company Na ) _11 1 I --, ? 1 Contractors LicenseNO. . iC LkIf?,-3 8 Mailing Address (Contractor or Owner Making Installation) Authorized Signature (1O,ntrac.r1Owner McNln Installation) Phone Numb., MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-1]a BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)1142-0900 ENCLOSED $3' REQUEST FOR ELECTRICAL INSPECTION EB-Doom-07 P. See Instrucuons for completing this form on back of yellow copy ?- y• Sad LS 6 5 91 2 'X" Below Work Covered by This Request ew Add Rep. Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 -Amps Above 100 Amps Signs Inspectors Use Only, TOTA L Irrigation Booms 1 Special Inspection U Alarm/Communication ?/ 6 Other Fee I, the Electrical Inspector, hereby certif that the abo i t h Rough-,n r Da y ve nspec ion as been made. Flne1 I ea -o OFFICE USE ONLY This ra.-- 6 04 s g ??416.7-- - 4 ?, av Request are /? F,re N / Rough-In Inpsecimn Pegwretl (YOU must call inspector whe atlyl Inspecteo her Than Rough-In qtly Now ? Will Notify Inspector ? Yes No Date Ready nsed contra t ] c or owner hereby r equest inspection of above e lectrical work at: Job Address Street Bo or Rout o-) City LIW Wr ?? Section K. Township eme ar No Range No County Occupant (PRINT) Phone No ,..or Supplier Address (/ n Electnc I,C tee Iompany el Contractors License No J Mal- g An ress iCOnrr c t or or Ow e ng Instaim,cmt y ? Authq tl S ConlractonOwner Making Ration, Phone Number ?? MINNESOTA STATE BOARD OF ELECTRICITY Gd THIS INSPECTION REQUEST WILL NOT 1621 Griggs-Mrdway aid, St Room BE ACCEPTED BY THE STATE BOARD Phone (612) (61P1 64A AYe ve, , 6d4e860 St Paul MN N S 65104 UNLESS PROPER INSPECTION FEE IS ENCLOSED ?/ QGL REQUEST FOR ELECTRICAL INSPECTION `rT x'qa, EB-oooot.oa 7 ? See fiybtrucliops for completing this form on back of yellow copy c-- Gil rP 0 6 tlU `' 'X" Below Work Covered by This Request ew Add P Typeof Buiding Appliances Wired EquipmentWlred Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Load Management Comm /Industrial Fu P46e Other (Specify) Farm it Conditioner Other(apedry) Contractor Remarks Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ( 0 to 100 Amps Transformers Signs Above 200 _ Amps Above 100 Amps Inspectors Use Only TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCO Other Fee NNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 1 the Electrical Inspector, hereby Rougn-In Data certify that the above Inspection has Final been made to OFFICE USE ONLY This request vold IS months Nom 7Iq 7 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. 60.E Date 8 / 23 I o7 _ Site Street Address `rya l7ce. cJOOCJ ?-r?1? rl Unit # Property Owner ?ow? Telephone # (Io5!) to88-716f Contractor I?orbv7{ lu Mn?ot? Telephone # (6tt) ?27- q033 Address z9oS Liar e%? gve. So. City ILRCL State__140J Zip &S-qoeF_ The Applicant is: _ Owner KContractor -Other New _ Refurbished Submit sets of plans and MPC license Septic System Includes County fee _ $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures This fee includes installation of a water softener and/or water _ heater at the same time. if you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment 5/8" meter is required) Water Turnaround (add $136.00 if a - f Other: Q,4w+oJe, [ 2"? F /oar (oc-bt row, - &k im"i ll 4 ? Ij _ Water Softener _ Water Heater $ 15.00 new _ replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 $ Total and nnnnrate- that the - • - --• - - - - - I hereby apply for a Resioentiai Pwmoing Permit anu auKnuwmuyc u- tilu work will be in conformance with- the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved, je-t} OUOdb? Applicant's Printed Name 's ignature 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes(condos when permits are required for each unit ?-o0So Date / / ()( 0 ' Site Address Unit # Property Owner :T Dm l Telephone # ( ) Contractor bf- 1(.. Vl? 1 . ' ?? '' \\ t}} i ''ll nr-\ ` 11 f ` , n Street Address a%VV V V - L I VVV 1 y ^ ' `J City `a yi L State Zip Tel ep h o # nee Bond#: ??- 1 l lXl? le ?I / ?? ?? Expires: ?J Il I J The Applicant is Owner A Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 _ furnace -Additional -Replacement New air exchanger air conditioner heat pump other State Surcharge $ .50 T t l $ ? a o I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 t/hg ?work will be in accordance with the approved plan in tj "ale of work which requires a review and approval of plan] 1 1 f Applicant's Printed Name AVplidant's Signature 71fg3 (a 2006 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. 5D 1,5 D Date S I 2'? f 0(o Site Street Address 17e?r4ToOCI -7-ra. I Unit# Property Owner w ?t . Tows Telephone # ( ) Contractor Nprblm-n Plf.(mL-)(n Telephone# ((oly) ?67?1-u0?3 Address 2aD5 C-ar-f i,fw A-V.. so. City mpts Stater ill Zipr.?1?g / The Applicant is: Owner V Contractor Other Septic System - New Refurbished Submit 2 sets of plans and MPC license Includes County fee _ $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. IC;t c1r.?vt 1Zew?odal -Septic System Abandonment -Water Turnaround (add $130.00 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 Total $ '30. 90 1 h b I f Residential PI mbin Permit and ecknowled a that the Information is comple te and accurate; that the are y app y or a u g g work will be in conformance with the ordinances and codes of the City' of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan In the event a plan is required to be reviewed and approved, jef-fret/ L. morblor>1, /. ? Applicant's Prin d Name Ap an s Signature PLUMBING (RESIDENTIAL) ' Permit Application City Of Eagan 323311 Pilot Knob Road, Eagan Mn 55122 Telephone ? 1,51-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwel;:ngs Townhomes and Condos when permits are required for each unit Date /o/ / 03 WHITE, KATHY 4101 DEERWOOD TRAIL Site Address EAGAN, MN 55122 Unit # (651) 405-9474 Property Owner - Telephone # ( ) Contractor NMLOM PL1 3ONG CO, Y 692 "`i' ----- to Address e 2905 GARFIELOMM -w City State MINNFAMA ip _ Telephone # ( ) The Applicant is Owner Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ SO DO Adding fixtures to lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system Water turnaround (+ 518" meter if needed - $121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system - Water softener Water healer $ 15.00 X replacement _ additional ?n rn'i. $ .50 State Surcharge Total ?`/ -- -""---- "" -"' $ Is-, EO I hereby apply for a Residential Plumbing Permit and acknowledge that the mformation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a p, ,At, rnd 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 rcyu.r„s a rcview and approval of plans. Applicant's Printed Name A_ 's Sig-nature RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 2n ?/ Il 3830 PILOT KNOB RD, EAGAN MN 55122 L 651.681-4675 New Construction equirements • 3 registered site surveys showing sq. R of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE SITE ADDRESS" I I V I LX TYPE OF WORKI' 10 L APPLICANT STREET ADDRESS TELEPHONE # I' PROPERTY OWNER 1 y t ALTI-FAMILY BLDG _Y '`ZN VALUATION -1000 FIREPLACE(S) _ 0 _ 1 _ 2 tQ STATE W ZIP FAX#605( aQQ-62C)5 TELEPHONE# fikUV5-9WN COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: -- Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: - Air Conditioning - Heat Recovery System Phone # NT `w Fee: $90.00 Fee: $70.00 Phone # -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and gree to comply with all applicable State of Minnesota Statutes and City of Eag rdinances. Signature of Applicant OFFICE USE ONLY Water Softener Water Heater _ No. of Baths RemodelfRegair Requirements • 2 copies of plan 1 set of Energy Calculations for heated additions • l site survey for exterior additions & decks • Indicate if home served by septic system for additions Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received - Not Required Updated 4102 CITY OF KAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 vogg"M FOR CITY USE ONLY PERMIT # RECEIPT # DATE: c)PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS b TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST R ADD ON REPAIR OWNER NAME: Sons CoRstruction SITE ADDRESS: 4101 Deerwoood Trail LOT: ?L BLOCK _,2- SUBD.Qa Ira?njQ INSTALLER: R C R C Plumbing (fJ ADDRESS: 5910 Chester Avenue CITY: Northfield ZIP: 55057-4743 ------------------------------- COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 3- WATER CLOSET 3.00 J. a. BATH TUB 3.00 /i. - LAVATORY 3.00 /.2 KITCHEN SINK 3.00 L LAUNDRY TRAY 3.00 3. - HOT TUB/SPA 3.00 WATER HEATER 3.00 3 - FLOOR DRAIN 3.00 3 '"' GAS PIPING OUT. (MINIMUM - 1) 3.00 3• ROUGH OPENINGS 1.50 RS D OTHER _ _ WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL ST. SURCHARGE .50 TOTAL: $ Ste. 002fMERGTAIj7I1TjSTRZATs PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUED. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE $ TOTAL: (SIGNATURE) PHONE #: 461-2096 CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 MEG?NICAI:' 1'EEtEtI'? FOR CITY USE ONLY PERMIT # RECEIPT # A9 DATE : PSIDEI;Mf? PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST ADD ON _ REPAIR OWNER NAME: Sons Construction SITE ADDRESS:4101 Deerwood Trail LOT: BLOCK oZ SUBD. INSTALLER: GENZ-RYAN PLUMBING & HEATING CO. ADDRESS: 14745 So. Robert Trail CITY: Rosemount ZIP: 55068 PHONE #: 41,2 3 °I/ it y DWELLINGS & ------------------- FEES -----'------ ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT 9 SUBTOTAL: $Q i STATE SURCHARGE: .50 TOTAL: sv $? 7 SIONATURE OF PERMITTEE COMMERCIAL/INDUSTRI`AS.L 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) 1991 BUILDI? APOPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS !# OF FOR SALE UNITS 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 AA $-4-EENU60MPLETE PERMIT MUST SHOW A LICENSED PLUMBER. J ' / 41991 J1 To Be Used For: ?/ 07 'A i t Valuation Da Site Address {Q{ Npmm-04 J1 OFFICE Lot y Block L ???? ?a0 FEES' ,?y Occupancy ;?-'3 M-1 Bldg. Permit 811,00 £N GS 1 PUPI Zoning VI-{ Surcharge '7N,50 Parcel/Sub 0 e Nh 4? Y Actual Const V- N Plan Review 5Z17, OLD Allowable V-N SAC, City /0010 Owner SG 7 s 90 *? # of stories SAC, MWCC 6,5701 [}? Length .171 /yj_ Water Conn. (y Ad Address ??G ?/QG?? j?•LE' ?4 Depth r/2.' Water Meter 95, QV S.F. Total Acct. Deposit 0,00 City/Zip Code _. v Footprint S.F. S/w Permit O,(JJ / S/W Surcharge 150 Phone Ll 2-- J ) jS On site sewage- Treatment Pl. 2r)6,0 On site well Road Unit (), po Contractor MWCC System Park Ded. /, City water J4 Trail Ded. Address 146 ?f PRV Copies Booster Pump _ City/Zip Code yr? SUBTOTAL APPROVALS Penalty Phone J?> >_ Planner Lot Change Council TOTAL Arch./Engr, r3Y/f1.J I?57/N? Bldg. Off. Variance Address PA City/Zip Code 2-4 ;2,4/7 Phone-,# L/ 1-5-3-)-j- agrees ? r•-1? that all work shall be done in accordance with (Signature f Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances, . ow- ? A 2AG? ZIY2uZY. SIb?c15<<1rg0 6sMr, 32x3 _ ?6 0 (0'12x!5 ; 158 ((I S x !4= 15652 1ST(.oo ?3Sr?T= 111 ? 2 ?c q, 1136 k 53= Cl ZNr) ?i. uo92, 3o x3z. ? 96? a?!?x l2yZ , Z? bcz? x 5? r ?sog? f'?n <l V' ??71 EXTERIOR. ENVELOPE ENERGY CODE COMPUTATION WORKSHEET To Determine Ompliance with the Minnesota Energy Code (Section 502 of the State Amended 1983 Model Energy Code) Project Title Rasmuggen Job- Franklin Model Site Address o 9 lock Deerwood n?P rg d Drive 1. EXPOSED WALL CALCULATIONS A. Cpaque Wall 1. Masonry/Concrete a. be C. 2. t C Wa a. be 3. Woo Wa rF a. Insulated Area b. Framing Area (Ave. 158 at 16' cc) c. Framing Area (Ave. 10% at 24" cc) 4. Peripheral Floor Edge/Rim Joist a* be Be Glazing 1. Windows a. be 2. Doors C. Doors 1. Wood a. Solid be With storm door 2. Metal 3. Overhead 4. Other AMR 'U' V= AREA x "U" x x x = co'-15 x . 0-7 ¦ . 4-01 x x0+ ¦ ?s4 . o x j Q x 21A x -0+ ¦ 8. P. x x --- = 14(0.1"x= 40 x 47 ¦ x X .0(0 I•?- x = X' x = x = D. TOTAL. WAIL. AREA, sq. ft. e - * * 9 e - ............. ?,lip) E. TOTAL of AREA X 'U" ................................................... 2c' Z .i0 IL ROOF/CEILING CALCULATIONS A. Roof/coiling Insulated Area J(014 .(a x OZ Z. Z-9 Be Boof/Ceiling Framing (Ave. 158 at 16" CC) x C. Roof/ceiling Framing (Ave. 10% at 24" 00) 111.4 X o ? . 'S - 58 D. Skylight E. TOTAL R(OF/tEILIG AREA sq. ft .............. 1'194 F. TOTAL OF AM X "U' .................................................. J • S 7 III. BUILDING ENVELOPE REQUIREMENTS "Ua ALLOWABLE (From I.D & II.E) (From V.)• (Area Y "U") A. Exposed Wall; 2:7 16 X .11 Z98. 8 B. Roof/Ceiling: I1cl4- X e) 2(o ' .., 1. _, ,,?,?,.?lt ..-: .. •[.. ,,.. C. TOML Ar.r[T. Xz BUILDING 34YEWPE ('total of A & B above) ... s . L - Z-IV. ACTUAL BUILDING ENVELOPE A. Exposed Wall (From I.E) B. Hoof/Ceiling (From II.F) ACTUAL (Area X "U") 2(-02. 10 ?5. R7 C. TOTAL ACIWL BUILDING ENvE[APE (Total of A & B) ............ 291.91 '(Meets code requileaents if less Use III.C) V. REQUIRED "U" VALUES -aal Y I Detached one and two family dwellings .1.1 .026 * Mlti-Family Residential Buildings .238 .033 (3 stories or less in height) * A11 Other Construction Types (3 stories or less) .238 .06 • All Other Construction Types (More than 3 stories) .28• .06 • Based on 8007 heating dogma days (Ipls/st. Paul) Adjust •B' values accordingly for other locations CERTIFICATION I hereby certify that I have ocapleted the above information and that it ocaplies with tt. Minnesota State Energy Code. (\ BCSD 3-89 CC/SAi/6574 PERMIT t (J+? ?/ D CITY OF EAGAN // Q 1992 BUILDING PERMIT APPLICATION 681-0675 HAY 1 8 RED SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural.& structural plans, 1 set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re guest is made or lot change is re guested once permit is issued. Date /S / 492- Valuation of work be. J( 6" /A04K o? .?ou5 Site Address: 9)0) Aer1UPA Tal? 1I67,1d) ?J !E)ZZ. STREET STE / Tenant Name: (commercial only) LOT ?I G .. SLOCK SUBD. cfl?? P.I.D. M Description of work: The applicant is: CW Owner ? Contractor ? Other (Deseribe) Name Rnsmll Alte2 Phone G/5?i'-r6 3l0 Property LAST FIRST 6 - Y6 lO_j Owner Address L?/Dl A,lw,,,Oj T u i l STREET STE 0 City 'Ell uah State AM) Zip _!?_)22 v Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect) Engineer Name Registration _ Address City State Zip Sewer & water licensed plumber /1//`? Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I,have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: /0 1Aaj 'a_0 4 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish ? 02 SF Dwg. 006 Garage/Accessory ? 10 Swim Pool ? 03 Two family ? 07 Fireplace ? 11 Res. Add. ? 04 Multi-fam. T.H. ?8 eck ? 12 Res. Porch ? 13 Comm/Ind New ? 14 Comm/Ind Add ? 15 Comm/Ind Rem ? 16 Public Fac. ? 17 Agricultural WORK TYPE 19 31 N El 33 Alterations E3 35 Move 2 Addition ? 34 Tenant Finish ? 36 Demolish GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy K?3 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump i of Stories Footprint Sq. ft. Fire Sprinkler Length Igo On-site well Census Code Depth ?s,??• On-site sewage SAC Code APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site lp:Footing ? Framing ? Wallboard IS Final ? Draintile ? 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: S Assessments SAC % SAC Units PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT., - - - - ----------------- ----- - --- - --------- NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE a FEES HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExlsT o coxsTRucriON) STATE SURCHARGE TOTAL SITE /-LC- OWNER NAME: ED/ l S,reg /L) TELEPHONE #: VS* 3? ? a- 1 C_ $ 24.00 6.00 $ 20.00 .50 CITY:L STATE: 2WIC-1 it ZIP CODE: ?2 TELEPHONE #: ?? - 76P /` SIG A E O RMITTEE 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 YLE ASE OMPLETE FOR ALL COMMERCIAUINDUSTRIAL FOR AP TMENT BUILDINGS OR OTHER MULTI-FAMILY PERM E NOT REQUIRED FOR EACH DWELLING UN -------------- DATE• Y CONTRACT PR y NEW BU G INTERIOR ROVEMFNT WORK FE 1% OF Cp FEE $, PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 ALSO COMPLETE WHEN SEPARATE $ 4190 o OF :M FEE. TOTAL SITE OWNER NAME: IYn-j TENANT NAME: (WRO NTS ONLY) 0 #: 337a- CITY: CODE: 3 TELEPHONE #: 61j-266-7611' SIGNA R F PERMPITEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 3-(G-q9 1999 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 Date: Description of Work: - Construct new fireplace - Alterations to existing Install Eras insert only - Install Eras line only Other Job address: eec-t_.9p?r? e Lot: Block: ?- Subdivision/P.I.D. #: V SAYO VUiS (?(V?GZ8 Applicant (circle one only): Owne Contractor Permit Fee: $60.50 Name: Ae' l tlWl Phone #: ? PROPERTY Last First OWNER ,p Street Address: LA -%q e? l t ??Y Y u ` City State: Zip:a t,0 I-2- Company ? M 12 Cit ?. l OL Phone #: -N FIREPLACE ,,J_ INSTALLER Streets Addddress: 1:2 Q'je 't1 City '?[ A State. Zip: Company J 9 Phone #: 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 Statutes and City of Eagan Ordinances. -V Signatur >x'x?????m??>x?m>?r???>x>K>KZ?>x??>K????z?mm?>xm??>x CITY OF EAGAN CASH.f.E.R: S TERMINAL NO: 935 DATE. 03/1.6/99 TIME: 15:39:29 ID", NAME-. STOVE & FIREPLACE GALLERY 32210 9001 4101 DEERNOOD T 60.00 21.55 9001 4101 DEERWOOD T 0.50 Total Receipt Amount: 60.50 CR1.03994 USER ID: NANCY >K%-.? ?ckcXc m ?X?X?X??X#?kYC:K?>K??%?X??n?k?X>X>X # %?>x>X?k# ?>K??X?k# City of Eagan 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 Site Address: 4104 Deerwood Tr Lot: 19 Block: 2 Permit Type: Building Permit Number: EA034680 Date Issued: 03/16/1999 Addition: ENGSTROMS DEERWOOD ADDITION Description Sub Type: Fireplace UBC Occupancy: Work Type: Alteration = Construction Type: Description: Gas Insert Zoning: Census Code: Sq rp Fe_ w{? ,6:uu?na,tt Ate,..., Remar Chimnev/flue must be inspected before concealing. Fee Summary: State Surcharge - Fixed Permit Fee - Fixed Contractor: - Applicant - FIRESIDE CORNER INC St. Lic.: 2700 NFAIRVIEW AVE ROSEVILLE, MN 551130000 6126331042 I hereby acknowledge that I have read this application and state that t t applicable State of Minnesota Statutes and City of Eagan Ordinances. PERMIT 0.50 60.00 $60.50 Owner: Tom White 4101 Deerwood Tr Eagan, MN 55122 agree 651-405-9474 Applicant/Permitee: Signature 'Issued By: Signature City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 RESIDENTIAL BUILDING PERMIT Date: -1 '22)'08 Site Address: Tenant: RESIDENT / OWNER Phone: 425 `fog Name: 10 N1-M K?VUA (A) kS C'E rr?_ L A I I t Address / City / Zip: " I V xu_ wObD -R2Zl / Applicant is. Owner V Contractor TYPE OF WORK Description of work: .&SbL MLk* t L ?'I7ti IK7N?i11?' 1 Construction Cost: IS'jbbb` Multi-FamilyBuilding (Yes/Nom CONTRACTOR Name. 1CVl1J ??D`1L-1AA1? License#: Address: ?L $(j St. C6titt. AK MIN ZI : 1607 t L St V p a e: City AAA Phone ?(p)I,) W)-15 11 Contact Person. KF-VI 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 (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. Rlans and supporting documents that. yoir stibMit are considered to be public.inforinationt Portions;oi the information may be `classifi'ed as non-pu&ic ri you providespecffic reasons that iyou!d permft#he City ro;: °conclude;thatxthe 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 accordance with the approved plan in the case of work which requires a review and approval of plans. '` r c??u\?? ?A X ???11 fJ i'18 LU,iJ 15 J ? D x -NC1 L Applicant's Printed Na a Applicant's Signat e SEP 2 3 2008 Page 1 of 3 --- I Fo`Q??5? --y Permit #:? 3z / I Permit Fee: I Date Received I /1 I I Staff lj/ I I g_ A4 _q PPLICATIONOT6 "??,1 Suite #: DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? Single Family ? 01 of _ Plex ? 02-Plex ? 03-Plex ? 04-Plex WORK TYPES ? New ? Addition X Alteration ? Replacement ? 05-plex ? 16-plex ? 06-plex ? Fireplace ? 07-plex ? Garage ? 08-plex ? Deck ? 10-plex Lower Level ? 12-plex ? Accessory Building ? Porch (3-season) ? Porch (4-season) ? Porch (screen/gazebo/pergola) ? Storm Damage ? Miscellaneous ? Pool ? Ext. Alt. - Multi ? Ext. Alt. - SF ? Multi Misc. ? Interior Improvement ? Siding ? Demolish Building* ? Move Building ? Reroof ? Demolish Interior ? Fire Repair ? Windows ? Demolish Foundation ? Egress Window ? Water Damage * Demolition (entire building) - give PCA handout to applicant Valuation 3?o Occupancy Plan Review Code Edition (25% 100% Zoning Census Code Stories # of Units Square Feet # of Buildings Length Type of Const e3 Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof: -Ice & Water -Final Framing Fireplace:-R.I. _AirTest -Final Insulation Reviewed By: W1 MCES System ,W4? SAC Units P,t) City Water Booster Pump PRV Fire Sprinklers Sheetrock Meter Size: Final/C.O. Final/No C.0 Building Inspector Base Fee J 3d Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total HVAC Other: Pool: -Fo Siding otings -Air/Gas Tests -Final : -Stucco Lath -Stone Lath -Brick Windows Retaining W all Page 2 of 3 City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 For Office Ilse Permit #. ` _(// ? ? ITT Permit Fee: Date Received: Staff: ------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: rte' J I o t /Site \Ad/dress: qI (j l ?eCf V wood Tree, Tenant: ?U k y, Li vi 14 C Suite RESIDENT / OWNER Name :TD hn l -0 (A c I Phone: Address/City/Zip 4110 V?Ctt?ac c( Tr!L'A CONTRACTOR VO c?e ns n t LoHt 5 3 3 -sP+? Name: ? r ? r S Cr H `L( K,,-b Address: J 3I'/ 7 "h e r L-Sc" City: (?'s V O c, `K o t c State?h Zip: 5c5 ( Z Phone' iS4 - -LOS Z Contact Person: TYPE OF WORK ')( New Replacement -Repair Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMITTYPE RESIDENTIAL Water Heater Water Softener - Lawn Irrigation _Add Plumbing Fixtures C- RPZ / _ PVB) Main C Lower Level) Septic System Water Turnaround _ New ~? X"?Se ? Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge) `Water Turnaround (add $136.00 if a 5/6" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in oontonnance wim the ordinances and codes or the Giry or 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. .T-- x? Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Renuired Insnectiens- Ilndar Ground Rounh-in Air Test Gas Test Final •.,. Cerfificafe o f Surue for. . IQW§6f I'n y SONS CONSTRUCTION LEGAL.. 'DESCRIPTIONs LOT.MjfiL0C9.Ls ENGSTROMSB ERWOOD ACCORDING_TO -T_NB AECORDED PLAT THEREOF OAKS COL+NUMMESOTA PILOT KNOB ROAD (CO. ROAD 31) 101.11 S 0' 28411" E 8 DRAINAGE i UTILITY EASEMENT SCALE' 1" . 30t o f I It?wT ty onolki 1 P 1 p Co 1 , fln 6 LOT 1,9 1st t ' r? lp7- M w? Jc I s • .>¢ I • l+ ° 1 p , ,» ,,} 2 LOT ?M r s,. 1 V e o, f I 15 ITAR 6 w EAi i?At?. s w a, art * tr ei,•t 4 OCU ENT N0. 401`i2I 1 I i0 _ al 0: ` • 6, P N E s 6 .46 t r +9 DEE 1zZ. ` N 1E:NG Rw00? rRq1a'y INEERING DE 6A5f?/i•lr y?payyor Il+tl?? roopmAl) A. LfGfND VFRT (L&%AT4w AT WAWA lx 0 DEMOTES IRON MONUWENT 60 &MW RM tltt1AT10Ne • DENOTES WOW Ma SET PDOPOi FdW /CODA ILgVaift? ;?6,q DENOTES 9XIST1ATIWIpT tLit1ATlOlr~ ?IIAOA ..??ii.. t"l) DENOTES PROPOSED SPOT I ELEVATION OT VENIPII ALL PLM Ttt11 NATO r DENOTES ONN1tAfi,E 06W=ION fi T fY1AL WA raw ?. 1 n•r•q coolly that this utay,Nea Of &Aal report was IWGPWOA by ttd or time/ of A 06 94 direct wpetyitvaa ono IMt 140 d 44 M? M1 Rea•teted Land Srtwolo/ WAIN W 07 zuql Lau of the State of riaaaaals ?I rnlC. f? &w Certificate of Survey for SONS CONSTRUCTION LEGAL. •DESCRIPTIOW LOTAiSLOCd.2, ENGSTROMS DEERWOOD ACCORDING?TOT?mEg AEOORDED PLAT THEREOF .,?A5sZi9.,._ CO?wTr,MMESOTA . PILOT KNOB ROAD (C0, ROAD 31) % 101,11 S 0e 28' 11" E $ DRAINAGE A UTWTV EASEMENT ?w www?w--"rY SCALE 1" • 30' o i Po?iµ6 E''T s a N 1 ?a tr?+ o? ??. I lOT 19 3 ,?;11,p 1 gy,?' Rrr -?.. (6715 t r C) -r L Q al 4 V. +.? :611 IM MI ?SY 'I ? 1q I ? l?iS A °h Apr . 5 ITAR 66 EAST Allp - 4! 16 N o• *1 r to K,>t7 2 3 OC ENT N0. 401262 _ ?- I 10 I ` I 1 QO I? r 'rr N N .6'1434, fL+6 gs s ! r L I a 9? a? ERw°0u r l G a o DENOTES IRON MONUMENT a DENOTES WOOD MA SET pENOTES EELEVATIONpT Ill. ("S) DENOTES PROPOSED SPOT ELION DENOTES 0 WMte Ow"T1014 Rq?L prioP?D fi11a asi+56+'* rJIaM?•» ?• --. t 40 NvERT tLiw am AT ORA CAT ID 404 sst'g_ 660 A PNDr0it0/1"h /LOOS [L?111110r MiliMA1141~mp MI ,pr . VfWV ALL PLOW 06ATS WITN F"6 w" pow nuow certify shot two owray,da or rNpal Was prepared by me of 0 ? ditecl wpwvwa aM 111411 SIR A Wly Reonlered Lone SOVS141 VW 164 LO01 of the State e1 Ilhrtleels w? ?w1w? . .. i1 I 41 /)P - cw- 1-o S J 1,cPc 1 i1 =3 c) S, YY la i I of ? of I C? 'I 2' I I rr11 6<rv,rc,,,- I of ? al .I i J / o, I I i o(I I I nI - _? J lr= lo/ Use BLUE or BLACK Ink I-- ---------------i Nam= City of Eajan REcE\vell Permit Z z clp- 3830 Pilot Knob Road ,AN 3 1Q1't Permit Fee: Eagan MN 55122 1 Date Received: ' 3~ -/Z ; . Phone: (651) 675-5675 Fax: (951) 6754694 ; StatF. 1 2011 RESIDENTIAL PLUMBING PERMIT PLICATION Date: I a Sito Address- 4101 Tenant: suite p: RESIDENT I OWNER Name: y-4 Phone: Address / City / Zip: //)A/ - CONTRACTOR Name: MILBERT COMPANY INC.dba C=GAN WATER Address: 1801 50TH ST EAST city:_ : INVM GROVE'HGTS State:-- MN__.Zip: 55.077 phone: 651 .::451-2241 Contact BILL.MILBEkf . Email: TYPE OF WORK _ New Replacement _ Repair _ Rebuild _ Modify Space _ Work iq.R.O.W. Descri tlon of 'ork:, Rd IDENT/AL PERMIT TYPE Water Heater Water Softener Lawn irrigation RPZ / _ PVB) Add Plumbing Fixtures Main Lower Level) - Septic System Water Turnaround _New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater E4 Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround' (includes $5.00 State Surcharge) "Water Turnaround (add $166.00 If a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) ancludes $5.00 State Surcharge) TOTAL FEES $ 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.oooherstateonecall.om I hereby acluxWedge that this Intomhation Is complete and accurate; that the work will be in confoananoo with the ordinances and codes or the City of Eagan; Mat I understand this is riot a permit, but only an application for a permit, and work not to start without a permit; that the work will be In • accordance with the approved plan in the co" of work whit h requires a .review and app 1 of s. x ~414111 )1A A.P 194- Ji x Appl ant's Printed name a t's,Signa r• fi0R OFFICE'USE Rev ewea " 13 F2eqij)redspe s' fiy U,d r t,' s _u91_' . ~eS al i t r PERMIT City of Eagan Permit Type:Building Permit Number:EA116142 Date Issued:10/03/2013 Permit Category:ePermit Site Address: 4101 Deerwood Tr Lot:19 Block: 2 Addition: Engstroms Deerwood PID:10-23900-02-190 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 - Thomas White 4101 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 Sao, o�a0 a i Name: J� ,� �(�,�- Phone: SIn ' 01 a d Owner E AGA N For Office Use jPermit #: � Permit Fee: I L D t R d , Cj -/ t a e eceive I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 EC E IVE (651) 675-5675 1 TDD: (651) 454-85351 FAX: (651) 675-5694 1 Staff: 1 buildinginspections a)cityofeagan.com NOV 2 0 2018 L 2018 RESIDENTIAL BUI ING PERMI APPLICATION Date: \\ Unit #: — T)-ewA6=4 T.\ �\S �` Site Address: �'' 10� 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.cltyofeagan.com/subscribe. Exterior work authorized by a building permit Issued In accordance with the Mlnnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you Intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; that I understand this Is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of g1a`ns. x - �f_Z_w �_,_ Applicant's9i3rinted Name Applicant's Si nature Name: J� ,� �(�,�- Phone: SIn ' 01 Resident/ Owner _ Address / City / Zip: y1 O� 4_.WZ��?c� �,� , �L t N�� SS \ -2 -2 - Applicant is: Owner Contractor Type of Work Description of work: Wf� ia�y6m C�gaV'I. :S 1'� ter Ql; to �CCa Q_0 , Construction Cost: Multi -Family Building: (Yes /No '� ) Company: CIYr11c.� s � U� 12 Contact: (", Yu�K') Address:UC) ROCity: Contractor State: N) Zip: S�cA Phone:�U--_) ,� 3 i mail: (c��iGLxy��r►C(Un- W10—kyV y" - GUm License 4:7, 7!3,%"J 1-R� Lead Certificate 2_ If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the Information maybe classified as non-public if you provide speclflc reasons that would aermit the City to conclude that theZ are trade secrets. 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.cltyofeagan.com/subscribe. Exterior work authorized by a building permit Issued In accordance with the Mlnnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you Intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; that I understand this Is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of g1a`ns. x - �f_Z_w �_,_ Applicant's9i3rinted Name Applicant's Si nature DO NOT WRITE BELOW THIS LINE Ci iQ TVDCQ Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall Valuation Plan Review (25% 100% ) Census Code # of Units # of Buildings /�2)1-42 Fireplace Porch (3 -Season) Exterior Alteration (Single Family) Garage _ Porch (4 -Season) _ Exterior Alteration (Multi) Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous Lower Level Pool Accessory Building Interior Improvement Siding Demolish Building* Move Building Reroof Demolish Interior Fire Repair Windows Demolish Foundation Repair Egress Window Water Damage *Demolition of entire building — give PCA handout to applicant Type of Construction F2 Occupancy -1 Code Edition 4224110/& Zoning Stories Square Feet Length Width MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Hood Roof: Ice & Water Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: / Reviewed B y: ,Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2of3