4105 Deerwood TrSEWFFf & WATER PERMIT
CtTY OF` EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE 4,f/ $ I `'?c'
OFFICE USE ONLY
ME7ER #Y351"" pERMIT DA7E 1% 18 / 90
CHIP # ? )1'74 q PERMIT # -iii?8_
METER SIZE B.P. RECEIPT # .5766_
ISSUE DATE B.P. RECEIPT DATE L/ 1.6 4W
? PRV - BOOSTEFi PUMP
SITE ApDRESS `/ 1 (' or
LOT-id-BLOCK =?. SECISUB Pwx-xkY`- FNrcTBr+*+'S
e,N.O r r, DEERWOOD
APPUCW: _A .- 11 e .
ADDRESS: `fib' 1?:
CIIY, STATE r'I L: !L 01-c ZIP `<'' ? c,?
PHONE; 4`?4 " 7
PLUMBER: I?'1Qrh ?6on I? 1t? rn fi? n G
ADDRESS: L zZhf ?'? ir??lvnkG C1TY, STATE k1l, f^i rIe tnn KL , F. ! i-I Z!P 55 343
PHONE: 13 3 - 235ar
OWNER: -
ADDRESS:_
CITY, STATE
PHONE:
ZIP
PERMIT REOUESTED
XX SEWER RX
- COMM/IND
WATER ? TAPS ?
xX RESIDENTIAL
XXX NEW
EXISTING
Lawn Sprinkler Meters are to be Installed '
Ahead of Domestic Meters on Water Line. '
Credit WILL NOT be giuen for Deduct Meters.
I GREE TO COMPLY WITH CITY OF
EAGAN ORpIAANCES n
SIGNATURE WHEN METER ISSUEO
PLEASE ALLOW TWO WORKING DAYS FOR PROCES8ING. CALL 4545220 FOR INSPECTIQNS. FQR STORM
SEWER PERM11'S, CONTACT ENGINEERING DEPT.
SEWER & WA7ER PERMI7 ,
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DArE
METER #
CHIP #
OFFICE USE ONLY
PERMIT DATE l. / 1 q 190
PERMIT #
METER SIZE B.P. RECEIPT # '_ -51156
4SSUE DATE S.P. RECEfF'T DATE I ; j=.; ^f.
? PRV _ BOOSTER PUMP
SITE AD9RESS ' 1 > LOT kOCK SECIStlB I x I Y : _ x
APPLIC#,IVT:
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER:
ADDRESS:
C4TY, STATE Z1p
PHONE:
OWNER: _
ADDRESS:_
CITY, STATE
PHONE:
21P
PERMIT REQUESTED
::{
- SEWER -
- COMM/IND
XXX NEW
WATER , TAPS
RESIDENTIAL
_ 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 METfR ISSUED
PLEASE ALLOW TWO WORKING OAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
,? .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUiLDING PERMIT Receipt #
To be used for y F ?)WGfGAFZ Est. Value 140.000• Date JAN
Site Ad lss '
Lot Block
Parcel No.
W Name
? Addre
Phone
?
W W Name
? ; Address
i W City Phone
I hereby acknowlege that I have read this applicati4
information is correct and agree to comply with al
Minnesota Statutes and City of Eagan Ordfnances.
5ignatura of Permitee
A Buildmg Permit is issued to: LI ".STYU
on the express condilion that all work shall be done i
applfcable State of Minnesota Statutes and City of E.
Building Ofiicial
L_. I
:I° 1?432
' OFFICE USE ONLY
. .R"3
Occupancy H-l FEFS
,, .
2oning
Y-S
.
7?. ?
(Actuai) Const
vwx Btdg. Permit
(Allowable) Surcharge 70.00
+k ol Stones
Le? ?
Plan Review ?7.?
Depth SAC, City 1 ? 000
S.F.Total - 600?(?
S.F. Footprints
- SAC, MCWCC
625.00
On Site Sewage _ Water Conn
On Site weil ? Water Meter 90.00
MWCC System 30.00
City Water xx Acct. Deposit
30' 00
Pav aequirea _ snro Pe.mic
Booster Pump - S/W Surcharge 1.00
252.00
Trealment PI
APPROVALS 355,00
Road Unit
Planner _
Park Ded.
Council 1.50
Bldg Qh _ Copies
? 1. SC
3
Vanance - TOTAL +
Permit No. Permit Holder Date Telephone #
WATER
SEWER r
PLUMBING 1134,
.
H.V.A.C.
EIECTFIIC
Inspection Date Insp. C omments
F??ings I
Foundation
framing a.? nwyU l?? g•,/?.t.
Rooting
Rough PI6g. ?' ? - : (? ? .?',' ? ?? _r? ?! -?'
Rough Htg.
Isul. i CA.2 - ?j
Fireplace 'Y+`7.4 - Q r. zt C
Final Htg. b? ?,Olce -i 10 4PQ -C / [t%
Final Plbg ,j - Q , l t " XItt_
Const. Meter Plbg. Ins ctor - Notify Plumber
Engc/Plan
BIdg.Final
Deck Ft9
Deck Final 3
Well
Pc Oisp. - 2"?7 CO ' Y f.' `?j
. PERMIT #
? MECHANICAL PERMIT RECEIPT #
. CITY OF EAGAN
3530 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE . PHONE: 454-e100 For Office Use Only:
Site Address , BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res, New
Name Mult Add-on
m
21
Address Comm. Repair
aner
c City ' Phone '
?
Name FEES
RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone .??? ?'? (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
; GAS OUTLETS (MINIMUM - 1 PER PERMiT) - 50 EA
1
.
.
TYPE OF WORK COMMIIND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. -COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM GOMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYDND $1,040)
Other $ I
FEE
SIGNATURE OF PERMITTEE
,. S/C: '
` TOTAL• FOR: CITY OF EAGAN
.. .
CONTRACT
PRICE
Site Ad ress y
Lot 0 d.
-2
? Name
m
? Address /o i
? Crty
Name_?
? Address-
? cay
Phone
FEES
COMM./IND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20•00
STATE SURGHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE 4548100
For Offi ? ???y
PERMIT # Z RECEIPT # C (0 3 CO v
DATE: -;?" 11e ' ?t-1
Res. k..." New _
MuR. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE F OLLOWING:
NO. FIXTURES TOTAL
3 Water Closet - S3.00
-2 Bath Tubs - $3.00
- $ 1•
4-40
Lavatory - $3.00
-7 , o
•-Z Shower - $3.00 •C? 0v
Kitchen Sink - $3.00 3•OC
UrinaUBidet - $3.00
? Laundry Tray - $3.00 ?
1 Floor Drains - $1.50 /• ? ?
? Water Heater - $1.50 /. S 0
Whirlpool - $3.00
Gas Piping Oudets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Wetl - $10.00
Private Disp. - $10.00
-
?
Rough Openings - $1.50
U. G. Sprinkler System - $12.00
PERAAIT FEE: ?
STATES S/C: S
GRAND TOTAL: '`
, * .. . . •
(grx#i#tra#t uf (Orrupanry
Citp of (eagan
Erpwbuntt a# lwtd'atg inspertimi
This CaTifraatr issuedpursuart! to the mgubrntattt of Sec[io+r 306 of the u?rijorm Building
Code cem'lyin8 that at Ae tinre ojissuanae tJus strucone ms u complrance with rhe variour
ordirimrars of tlre GYty re8ukzdn8 bugdi8 caonswucOoa ar rse. ?nr rhe followirr,g:
?;,, sF r?ca?/c?t
vw eWP, i rb. 17332
O-Wa--Y TYoe R3A41 zoniag p;tim R I YYa Cwm vN - - -
91
POST IN A COtASP1CUOl1S PLACE
CITY OF EAGAN - t • ?
454-8100 ? . . .
DEPT. OF BUILDING INSPECTIONS
Correction Notice
?
Located at I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governing same:
eA?G L ?? S,,_ iJ sce- i-, / v
w
S
When corrections have been made, please
call 454-8100 for inspection.
,
Date
Inspector City of Eagen
DO NOT REMOVE THIS TAG
n rn. n:t -I
-?/? /S ? `'/? Y v ?'
0 4 4 3 9
???uelllst Oate ire
Req Roug retl lnspec[ian D Reatly Naw Will NoLiy Inspedor
When Reatly'
eee Ves ? No
I[?I licensed contractor ? owner hereby request Inspection of above electncal work at.
Job Atldr ss (Streel Box or Raute No) Cryy
Section No TownsM1ip Name or No Fange No Counly
&Art?L
Ooc ant(PRINT) Phone N.
/
6 ? -
Power up0lrer
c!
Atltlress ?-Qar
'y .??b?
'
EI m al Conlrador ICOmpeo N e) s L¢ense No
Contraotor
M/a?tlm/g? Atla/r?aw, (C/On?Va?cmr or OwnJeJ Making Instellebon? /? / /? /yJ q
AuIDOnz ylur Commcmd0 er ki Installalion)
PTooe Number
MINNESOTA STATE BOARD OF ELECTPICITV
Gtlggs-MltlwaY BIEg - Room 5-113
1821 Univermly Ave, Si Paul, MN 55ID6
Phone (612) 642-000
04439
THIS MSPECTION REQUEST WILL NOT
BE ACGEPTEO BY THE STATE BOARD
UNLE.SS PROPER INSPECTION FEE IS
ENCIDSEO
"X" Below Work Covered by T rs q
2EB-00001-0]
RICAL INSPECTION - ?y 4?
RE?UHST FOR ELECT
?/U,
2
p, Sae mstrurtions for completin9 (his form oo back ol yellow copy
ar
h Re uest ?
?
/{ LA ?
? ? (?. t;. ? L' ' L??L'G7'l ? r
Requesl Dete Pfra N6 Roughin InspecLOn
Reqwretl
? Ready NowXWJl Notdy Inspedor
When Reatly'
?' r Ves G No
I1,hcensed contractor ? owner hereby request inspection ot above electncal work at:
Job Atltlrass (SVeet Box or Routa No )
/ as CtlY. ,?
ur'
Senion N. Townsnip Name or No Ran9e No ?`?(l_[,_
L?
Occ pam (PRINTI
? Phone No
Pow r Supplisr
NecA,-, t- Atlaress
Electn^al Comractor (COmperry Nema)
?-?rte?L C ?C r? Gontraotor's Licanse o
) V (n i -
Mahn/g ?Haeress (Co/n?Vactor or Owner Making Installation)1r +?l'? t y -Gz/ /L A ///? y'?
X/ F- fLF`K 1//? (
Au?t Qi tl?//?SignaWre IContrec rlOwner Making Inslallalion)
?.-t??4? ?v1.1 Prone Number q--7?
? - ?VC? 7
MINNESOTA STATE 60AHD OF ELECTflICITY THIS INSPECTION FWUEST WILL NOT
Gtlggs-Mitlwey Bidg. - Boom 5473 BE ACCEPTED BV THE STATE 80ARD
1821 Unlversity Ave., 51 Vaul. MN 55104 UNLESS PROPER INSPEGTION FEE IS
Phone(612)64Y-0B00 ENCLOSED
RMC??' EB-00001-07 I
REQUEST FOR ELECTRICAL WSPECTION
1- See insdmclions lor completing this lorm on baok ol yellow copy
nA A /I A / q 1 ,V" Qalnui IA/nr4 Rnvarad hV TI715 RBOUBSI
ew Add Rep" Type of Bwldmg AppliancesWired EqwpmenlWrted
Home Range Temporary Serwce
Duplex Water Heater Electric Heating
eaty)
(S
Oth
Apt. Bwldmg Dryer er
p
Comm /Indusirial Fumace
Farm Air CondNOner
Other(specdy) Conlraclore Pemar'y/?yy??J
??.?-n-
Compufe Inspectton Fee Belaw.
p Other Fee # ServiceEntrance5ize Fee # CircurtslFeeders Fee
Swimming Pool ? D to 200 Amps ?f ?lo 0 to 100 Amps
Transfotmers Above 200 _ P.mps Above _ Amps
Sgns Inspectar's Use Only ? ?CG Tp'L
9
Irngahon Booms
Special Inspec6on
OT
uon IS INSTALLATION MAV BE ORDERED DISCONNECTED IF N
Alarm/Communica TH
Other Fee COMPLETEO WITHIN 18 MONTHS.
the Elechical Inspector, hereby
I oae
Rou9n-in --? ?
,
certify that the above inspeciion has F,nai oace ??
a
been made
DFFICE USE ONLY
This request vaa l8 monlhs Vom
CITY OF EAGAN N0 17432
3830 Pilolt Knob Road, P.O. Box 21-199, Eagan, MN 55121
, PHONE: 454-8100 ?
v?
BUILDING PERMIT
To be used tor SF DWG/GAR
Value 140, 000
Receipt #
Site Address 4105 DEERWOOD TR
Lot 20 Block 2 Sec/Sub. ENGSTROM' S
Parcel No.
w Name LIFES YLE HoMs, imr
? Address _987 STRATFORD RD
° Cit MENDOTA HTS
Y Phone 434-7Rhfi
.o Name S?
z?
$Q Address
CitY Phone
?
W w Name
?30 Address
g W CitY Phone
I hereby acknowlege that I have read Ihis application and state that the
Wrmation is correct antl agree to comply wrth all applicable State of
sota Statutes and City ol Eagan Ordinances.
SqnaWre ol Permitee
A ewlding Permit is issued lo: _ LIFESTYLE HOMEIN
on the express condition that all work shall be done in accordance with all
apphcable State of ?Mmnesota StatutIes anyd hCRy?Jof Eagan Ordmances.
Building Official 1 ? IKIC1 Dl/I ' I I I.,,jJ
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning R=1
(ACluap Const V=1`1 Bldg. Permit 780.00
(Allowa6le) V N Surcharge 70.00
;Y of Stones
Length 66' Plan Review 507.00
Deplh 33 ' SAC, Cily 100.00
S.F.7otal - SAC, MCWCC 600.00
S F. FaotprinLS _
OnSiteSewage _ WaterConn 625.00
on Site Well water Meter 90.00
MWCCSystem xx
Accl Deposil
30.00
Qly Waler
PRV Faquired _ S/VJ Permit 30.00
Baoster Pump - S/W Surcharge 1.00
Treafinent PI 252. on
APPHOVALS Road Unit 3 5 S. flll
Planner - park Ded.
CAUncil
BIOg.Off _ Copies 1.50
Variance - TOTAL 3.441.50
Address: 4105 DEEbF00D 1?2AIL Lot 20 Blk Z Sec/Sub ENG5TRQ1''S DERd+KIOD
These items were/were not complete at the time of the final inspection.
Yes No a]$pgC1pR:
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage? x,
Porch X
Basement finish
Deck ?
Pleasa verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
White - City copy Yellow - Reaident copy Pink - Contractor copy
RESIDENTIAL
? ??? BUILDING PERMIT APPLICATION (5- ?j L?
CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675
New ConsW ctian Reauiremeirts RemodellReoair ReauiremeMs
• 3 registered site surveys showing sq. ft. of lot, sq, ft. of Iwuse; and all roofed areas • 2 capies o( plan
(20% maimum Iol coverage allowed) . 1 set of Energy Calculations tor heated addNOns
• 2 copies of plan showing beam & window sizes; poured found design, elc.) . 1 site survey for er,terior addRions 8 decks
• lsetofEnergyCalculations . Indicate'rfMmeservedbysepticsystemforaddiGons
• 3 cupm of Tree Preservatian Plan if lot plaHed after 711193
• Rim Joist Detail Options selechon sheet (bidgs with 3 or less un'AS)
DATE ?h - Zo - C72 VALUATION
SITE ADDRESS LW0Ea MULTI-FAMILY BLDG _Y _N
TYPE OF WO
?
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT C-'-_A'?'5?V"N_0??\°--.
STREET ADDRESS 2-y`6c) CITY ut??-- STATE W ZIPS?\1?
TELEPHONE CELL PHONE # FAX #
PROPERTYOWNER? TELEPHONE# (oS\-t-2_20'LIASS
-°°-°°---------°-----------------------------'------°------------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RUI.r:S 7672
submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contiactor:
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fec: $90.00
Fee: $70.00
------°------------------------°--------------------------------------------°-----°---------------------°-°-----°--
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applica
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _
_ Water Softener
_ Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
JUN 2 4 7U02
Not Re red i
?y., _ Updated4l02
!
1990 BUILDING PERMIT APPLICATION
CITY OP 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 SPEGIFICATIONS
1 SET OF ENBRGY 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/NOMEOWNER MUST DESIGNATE WHICH ADDRE55 IS
DESIRED. NIO CHANGES WILL BE ALLQWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COhfPLETED.
PERMIT hNST SHOW A LICENSED PLUMBER.
REm:
?
To Be Used For: -- FaYn ,? Valuation: ? Date: ljc 0'90
Site Address A tS Q?QS?1po
Lot -?? Block
9.0
?C? n?qeiro rt?'s-I
Parcel/Sub ?hf' '1?3(??1"lo??U Wi?i01
Owner
Address
City/Zip Code
Phone
ContractoY L-k}-r.c,4-tj ? 'l\I (IYY`rPL, T,fK
Address
City/Zip Code
Phone As Q - :1S(D(n
Address CJ ?. ry? ??[?fvY1Lfi1?' '
City/Zip Code .?\? i 1 ? ?•
OFFICE USE ONLY
( L) 01 ODa?'
FEES
occupancy
Zoning R-I
Actual Const \j-}.j Bldg. Permit
Allowable V- N Surcharge
# o£ stories
- Plan Review
LenBth 6- 6- r SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well SJW Surcharge
M4TCC System ? Treatment P1.
City water ? Road Unit
PRV Park Ded.
Sooster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL
Council
Bldg. /A_/?
Of£. °?
?
Variance
7??-00
10,00
S07 ao
f ob_pD
qQ,CY7
_ 3l?, DO
3?,Gb
21 00
3,.,5,'DA
s/,so
3? /.so
Phane # q-C6 3` 1?'I`'1
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22 X 34 ? 748
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z8 x 32- = B 1?
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;.._.._.._1:=..''' l l l]] 1. ]]71.1? 11111111711.1_lll
2 n5' 1111J1 llJl l:l lllll llll1:1111
--....;....__....
...___ _ . ....? .... ............ . .
ii.t:illlllll]]l ;llllll]]ll:1111
.. ............ :.. ... .............. .
' n i 7 ilililillll lllllli1711`illi
F;qp '
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A B C D E
136 ClCP?642
......... ..._ ....................... _........... _........_ ' -'$.rn1 :
. 2.14s 0.47€ 13.05
137
C1r3624
_... .....__.........._ ......... .....
................ _......._-- ......._.....---- ......
.......... ...
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-- .............. -
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- ....... -....._....
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0.47: _.............
ti7.2?
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._
-- _
; 14.00 ,_ _ 2.1 4?- -- 0.47€ 6.524
137 ............ ...... ..... ......................... _. .... .........
1EIFi_CA-<<??
............. .............. ............. _.................... .................. ....... ..................... ......_...... . .. . ...... ....... ...
1ar
: .......... ...... ...... _
`
?? ._............... .....
:
17
4' ...... _.........
c.524
140 ...............
>;CAlll3
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...................................
.. . . ...... ....... ........... .....
......... _............................ .
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1 41 .._...........
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6C202
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............. ._....?...,...
? i70 :
...._.
............_.. ......... ........
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4.5
142 .
_....................................... ,...
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143 .................... _..............................
...._.............................
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..................................?.........-...........,..
TnTAL S`n.FT.: 794.75 :1
............ ....?..
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..._. _............:..
TOTAL U:
_
.................
1^1.1
144 - ..._......
]llJ]]liJll171111]]_]11131]]J1111]1]]]]]1171........................ ........................ ......_ -......_.....__...._._...._ - ._......._,..
... ..............................._..;ll]]]]11]1],1.]]]1]]]lll;] ........... ........
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11111.117
145 OOORS-TA'lLOR
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147
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55.nn: ..._.
TOTAI U:
z U29
r i?S? 4
1991 ? BUILDING PERMIT ? PLICATION
CITY OF EAGAN YAY 1 3
SINGLE FAMZLY DWELLINGS MULTIPLE DWELLINGS COMHERCIAL
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. 130 CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Se Used For: !)(tx-It- Valuation: Date:
Site Address 1?,pykh)bp(f, ,,j' 'L OFFICE USE ONLY
Lot 2,*1
Block
FEES
Occupancy M-Z- Bldg. Permit ozS• va
t Zoning
?
?
? Surcharge •.SD
-
Parcel/Sub
lt/iA,1hhM
J ?,v?h1il{x?77? Actual Const Plan Review
Allowahle SAC, City
Owner ?/Yl e y'# of stories SAC, MWCC
? Length 3 a Water Conn.
Address g) 0,rj J)Cel`(,(kIO 'Tie/}/[, Depth !y' Water Meter
o S.F. Total
City/Zip Code -Ftj?{} A) A N ,-rjSJA A Footprint S. F. Acct. Deposit
S/w Permit
S/W Surcharge
??/a) ?_g
Phone p J On site sewa e Treatment P1.
On site well Road Unit
Contractor Ll? R mQ MWCC System Park Ded.
?-? City water _ Trail Ded.
Address nns PRV _
er?jj Copies
Booster Pump
_
City/Zip Code
SUBTOTAL
APPROVALS Penalty
Phone PlanneY _ Lot Change
Council TOTAL
Arch./Engr. ;[; ldg. Off. flSS/y9/
/VJ- Variance
e/ 2/?,//%7 ?
dd
o
ress
A City/Zip.Codevh6f'flItl.[J I1lN 5b/aM I
Phone [o / o? ' cr )
?
agrees that all work shall be done in accordance with
'gnature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
-Y` \
.?. ?? ?" !?• n
BE11CH MPRK
' TOP OF PPE
.,, ELEV.5880 95 1
f
e7se
L_ I
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cc
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,
/ 5 / /-?,DRAINAGE & UTILITY --
/ EASENENT PER R ATr,-
'j 5
/
?
? LoT 20 l
?
DRAINAGE EASEMENT
FOR FONDING FURPoSES
PER PI.AT-, o
3
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N
I I
a ?
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= I ?
r
P RE PLATWETl1W I
? eI _36 _ ?SSOp'IS"w
c_
a 874.1
OF TREES ) !n
t/-
_ _ (6e , ? ? ----?_ --- _ ?.?)
ryl ? 88?9
I?Z 0 8?9.!
h .1
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26 p
il
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? ?681
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861
P('O{{J? 1
E1yAY I
a
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TOP'CF FOO7ING N dEV, = 869.4
M
BENCH.MARK
? ?TOPOFPIPE
ELEV. .?B8 n22
5
0
20 FT WIDE SANITARY
? B7B.6 v v? 4?6°53' ioSEWER EA?MENT
PER GOC. N0. 401262
e?9.i 56 R-69Q0?0_
B7B.7 o ?
- D- T RA 1 t ? N9o°643,? ?
D
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.
~ ,-T~_I_ T. . _ :
I
f PILOT KNO~ OAD~
COUNTY STATE AID HIGH~IAY N0. 31
~ ,71.13 SO°2~' II°E ~ ~°7
~ o ' ~ -
~ 5~ - _ ~ , ,DRAINAGE a UTILITY
/ EASEMENT PER PLAT~--,.
~S
~
'
/
'
/ ' ~.oT zo
~ l
~ ~ ~ ~ .
L- ' L-' ' ' I'~ i I(l . L_'. I
~ DRAINAGE EASEMENT
/ FOR PONDWG PURR~SES ' o PER PLAT p
0 / m
~ f I wO
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~ / o
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/ ~
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81.36 ' 875.9K ---_~S$ ~'15`_~w ~ ` ~ ~
N ~
' z 874i ~
N /'ED(~ OF tREES ~
eei.7 ~ ~ d`
; ~ ~ (°;~.~j ~
88Q9~a 879.9x~ goo ~J,~3~ 8%8.8 ~
0~ O' : x880.0
BENCH MARK ti /1 26'~ P ` ~ ZUF VP F~rc mr 'f1 ~ . ..RQ' U~iF(1 ~ , , _ ~ _ -----ECEU-s~:yti~ ~ ~ _ ~q ~ l N ~ G.~. , ~N _
~*1 ~i ° -G,~ ~ ttOCf ; - ~ / _ _ - _ _ . _ _ . - - _ _ _ . _ _ _ _ _ TOP UF FOOTING ~ ~ `
~ 34.0 ~ 32.0 ~ m~~ ELEV.- 865.4 _
(~8~• BENCH MARK . ~ ~~~Z,1 ~ ~ 881.1 n TOP OF PIPE
p /I DR~Po~ ~g~tt) 881.9 , _ ELEV:.=68Q22
v S ~AY ~ rc~ ~ ~ i ° I ~
-
, o \ 5 ~s
am.e ~ ` ~ m
0 8~.bg ~ ~L~~~0 FT. WIDE SANITARY M Q.so , o i ia~°~"' SEWER EASEMENT
\ 8'e.s 53~s, ~I PER DOC N0. 401262
a7e.~ R~~~_ ' ei.i
~ ~ e~.o~ ~ g° 3~ a~8.~ ~o ~ ~i 3,83
r "9°~4 , ~
RA Al aeaz 3 ~ ~
~m ~ N
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e \ Z
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vr w. ~d~~ G ~ ~ ~
Q
~~C~a~~~ ~~~I~C~ ~~P~ ~ w ~
~ DENOTES PRQPOSED SURFACE DRAINAGE z~
0 DENOTES IRON MONUMENT SET SCALE:1 INCH = 30 FEET ~ o
• DENOTES IRON MONUMENT F O UND P R O P O S E D G A R A G E F L O O R 2. 4 F E E T ~ n-
X000.0 DENOTES EXISTING ELEVATION PROPOSED I.OWEST FLOOR =~74,7 FEET NOTE: PROPOSED GRADES SHOWN WERE (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = SSZ,~ FEET
TAKEN FROM THE DEVELOPMENT DRAWN BY
PLAN Ft~R ENGSTROMS DEERWOOD G~ K
ADDITION, P(~PARED 8Y BRW, INC., WE NEREBY CERTIFY TO LIFE STYLE HOMES THAT THIS IS A TRUE AND CORRECT DATE LAST DATED 6-~-88.
REPRESENTATfON OF A SURVEY OF THE BOUNDARIES OF: I- 9- 90
Lot 2U, Biuck 2, ENGST~OWIS DEEP,YV~D ADOITION, according Yo ihE: recorded plaT REVISIONS
th~rcof, Dakota Coun9y, Minnaota.
I ~ IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCRQACHMENTS EXCEPT A S SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS BTN DAY OF JANUARY ,19~, E
"~~I~~ I~~O SIGNED: JAMES R. HILL, INC. BOOKlPAGE
307/55
;¢~~j~~ ~ ~ f ~ ~ PROJECT N0.
Ycxi+vV 63C C.SLb6a S9tl1dF : / 7
JOHN C. LARSON, LANO SURVEYOR yFILEo00N0.
MINNESOTA LICENSE NUMBER 19828 I-90-101
SH£ET 1 OF I
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA110106
Date Issued:04/23/2013
Permit Category:ePermit
Site Address: 4105 Deerwood Tr
Lot:20 Block: 2 Addition: Engstroms Deerwood
PID:10-23900-02-200
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fixtures:sump pump w/ line
Josh Mcguire
1424 3rd St N
Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087
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 -
Sangkhy Somsanith
4105 Deerwood Tr
Eagan MN 55122
(612) 382-7897
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118905
Date Issued:11/12/2013
Permit Category:ePermit
Site Address: 4105 Deerwood Tr
Lot:20 Block: 2 Addition: Engstroms Deerwood
PID:10-23900-02-200
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 .
Scott Rise
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 -
Sangkhy Somsanith
4105 Deerwood Tr
Eagan MN 55122
Lakewoods Remodeling
9001 E Bloomington Freeway #144
Bloomington MN 55420
(952) 888-5550
Applicant/Permitee: Signature Issued By: Signature
City of Eag,aa
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
REcENED
SEB 810114
Use BLUE or BLACK Ink
For Office Use ^�
Permit #: G Cmc) 77/
/
Permit Fee:
Date Received;
Staff:
2014 MECHANICAL PERMIT APPLICATION
Please submit two (2) sets of plans} jwith all commercial applic tions.
Date: ala91I4 Site (I'�,Address: I I \Jj ` ��t�� ' �f
Tenant: r1,%II lJ
Suite #:
Resident/Owner
Name: ,r>
Address / City / Zip:
P/ / 5 Phone: l i 2 �'s / 1 77 /
,gtrJ Ilial 'ffiCOTI 55722
Contractor
Name: Ron's Mechanical Inc
Address: 2026 Colburn Drive
License #:
City: Shakopee
State: MN Zip: 55379 Phone: 952-445-8585
Contact: Linda Email:
New ✓ Replacement Additional Alteration Demolition
Type of Work Description of work:
Permit Type
NOTE; Roof mounted and ground mounted=mechanical equipment is required to be screened by City
Code. ° Please contactthe Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL
Furnace
Air Conditioner
_ Air Exchanger
_ Heat Pump
Other
COMMERCIAL
_ New Construction ^ Interior Improvement
_ Install Piping _ Processed
Gas _ Exterior HVAC Unit
Under/Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge)
= $ (2s .00
TOTAL FEE
COMMERCIAL FEES
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
'If contract value is LESS than $10,010, Surcharge = $5.00
"If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
"'If the project valuation is over $1 million, please call for Surcharge
Contract Value $ x .01
_$
_$
_$
Permit Fee
Surcharge*
TOTAL FEE
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 Leda leer nande{
Applicant's Printed Name
FOR OFFICE USE
Required Inspections:
Underground Rough In 'Air Test Gas Service Test In -floor Heat
Applicant's Signat
Reviewed By: Date:
Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146586
Date Issued:11/02/2017
Permit Category:ePermit
Site Address: 4105 Deerwood Tr
Lot:20 Block: 2 Addition: Engstroms Deerwood
PID:10-23900-02-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Sangkhy Somsanith
4105 Deerwood Tr
Eagan MN 55122
(612) 889-7774
J Carver Construction Inc
1345 Schletti St
St. Paul MN 55117
(651) 645-5488
Applicant/Permitee: Signature Issued By: Signature