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4109 Deerwood Tr (Urtif irotr of Orrupaury titp of Cagan rblent of ihdwm jwtrtwu This Cenrmte issued pursuant to the rsegru?ements of Section 306 of the Unifonn Building Code certifying that at the time of issuance this structure mw in compliance with the various ordinances of the City regulating building construction or use. For the following. Uw aLLeaeoO S FF nwc,IMR W Ranh No, 515 Oa-pa-7 TM RMAI Zooiss DiWW R1 Ihm cowl VN Oww of fold " qW OrIISTRITf'.T ON Add=4600 FAT-- A n.T-q TIR, EAGAN 4109 D TRAI, 1..?I.2 I . B2. REST.RMS DMYQQD n.I« 8/3/92 Bum Oesoa,'/ POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: L01: 21 "Lock: 2 APPLICANT: 4109 OCLR14000 TR OMSS CQNST CHOSTRON' S DEENWVUU (612) 462-53%6 PERMIT 6,yBTYPE: TYPE OF WORK: Control No. 0473 N1! 1 I [? 1 HH 111a1AF? 1 R 11 f./Tii/9:t. INSPECTION TYPE I ill, I f 1v1, DATE INSPTR. INSPECTION TYPE FRA"ING DATE INSPTR. I N`;U1 A I I IIN I'7RA L i f IRT-T1.AI.f IRIFNARKSc :i & W CO(TRACTON! - R C PLBQ Permit No. Permit Holder Dots TMephone t SJW PLUMBING KVAC ELECTRIC ` r> ELECTRIC Inspection Date Insp. Comments Footings 1 Sl p/y, Foundation O 2 G p? - Framing ?u -17- / O / Roofing Rough Plbg. --f 9-4w t G Rough Mg. Isul. 4? - ?- Fireplace v? Final Mg. _4 ll ?}f(, ?;+ Orset Test / Final Pft. ?js, ` Plbg. Inspector - N 'ty Plumber Const. Meter EngrJPlan Bldg. Final 0131912 Deck Fig. Deck Final Well Pr_ Disp. l? 0 Address: 4109 DEELbMD TRAIL Lot 21 Blk 2 Sec/SubENGSTME DEM-MD These items were/were not complete at the time of the final inspection. Date: 8/3/92 Yes No Tnspprrnr, PIP Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage ? Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. eccrciEOwnx White - City copy Yellow - Resident copy Pink - Contractor copy PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date / P / O'? ` Site Address 4! Q Unit # Property Owner Telephone # ( ) Contractor &ddbf44 AlfCdlA-1 l1 Address 44S1 0, City ZGC! !l? State /VI N Zip 5513 S Telephone # (qg21 g3 S- 3810 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 $ 50 00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater . - Abandonment of septic system - Water turnaround (+ 5/8" meter if needed - $1 21.00) Other: RPZ new installation repair / rebuild Sti7?IA 9b? _ _ $ 30.00 - Lawn irrigation system Water softener Water heater - - °C \?; V \\ 2 $ 15.00 \ p \\ replacement _ additional U a } State Surcharge $ .50 Total ey $ 0-0,50 I hereby apply for a Residential Plumbing 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 Plumbing 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 the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 14t' Sk'gil'J44e G 4 Applican's Printed Name Applica 's Signa e >( CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ,,Building Permit Type SF. DWG Building Work Type NEW UBC Occupancy R-3 M-1 Construction'Type V-N Zoning R-1 Building Length 44 Building Width 47 4109 DEERWOOD TR LOT: 21 BLOCK: 2 ENGSTROM'S DEERWOOD BUILDING 000515 05/20/92 DESCRIPTION: REMARKS: Co j $ QD3 S & W CONTRACTOR - R C PLBG FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal f "t PERMIT PERMIT TYPE: Permit Number: Date Issued: VALUATION $695.60 $452.08 $58.00 $700.00 100 1 $1,905.58 $116,000 MISCELLANEOUS $1,610.50 Total Fee $3,516.08 CONTRACTOR: - Applicant - ST. SONS CONST 14525355 000 1091 TIFFANY OR EAGAN NN 55123 (612) 452-5355 4600 FAIRWAY HILLS OR EAGAN MN 56123 (612)452-5355 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statu e d City of Eagan Ordinances. APPLICANT/PER ESIGNATURE ISSUED BY: 9IGNATURE Control No. 0473 I Cl I I LI:I ,' I ?Otar 55534 a? Ion/? -- Request Date ve Roughen Inspection 5/27/92 Required? ?Ready Now FI Will Nolity Inspector ?'Yes E_ No d When Ready? I allcensed contractor ? owner hereby request inspection of above electrical work at: IDo Address (Street Box or Route No ) 4109 Deerwood Trail City Eagan ;earan No Township Name or No R Sons Construction Supplier Dakota Electric al Contractor ICOmDany Neme) Joos Electric Co, Address (Contractor or Owner Making Installation) 2104 Great Oaks Dri red Signature IContrw b.rr Owner MaboD Insialmt MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midway Bldg. - Room S-173 1821 University Ave, St Paul. MN 55100 Phone (612) 602-0800 ange No County Dakota Phone No 452-5355 ddress 4300 220 St. W., Farmington Contractor's License No AM01895 Burnsville, MN 55337 Phone Number 431-4755 ( THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED REQUEST FOR ELECTRICAL INSPECTION J 5 5 5 3 4 See in trucoons (or completing this arm an back of yellow copy N r, Below Work Covered by This Request ', ra ew"Add Rep Type of Building 91- anceswrred Home p Temp Duplex r Electr Apt Building c.,.,..,, riOther 61 rI "o.'^-, EB-1x1001-DB`- `- /Uw/B? utner (speclyl 1Coniractors Remaeks Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee IF Ctrcults/Feeders Fee Swimming pool 1 0 to 200 00 Amps 1 p Transformers 1 1 Above 200 to 1 0Amp, Signs InspecNr4 Use Only Amps Amps Irrigation Booms TOTAL Special Inspection 0C) $65-50 Alarm/Communicatlon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M-'---- it, I, the Electrical Inspector, hereby Rough-in certify that the above inspection has been made Fmoi OFFICE USE ONLY This request void 18 months from -tit 'I rl 11 hl t ? t d i i 1 1 t ra Is - T - ?. n rs cr-,.---T.- - . i.J f ""T f i kill"` ll iJr ICLI i i'L711 I ,t b1Ud (11rai III lair; 1 SL:P {tit4'I IH tl 1111 PERMIT fijj CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 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 uest is made or lot change is requested once permit is issued. Date S _ Valuation of work Site Location: Q9 ?_a_ohI,M4 d 1 STREET STE # Tenant Name: seti, (2P's LOT _0 BLDCK ?i SUBD. LA L-9 rk&a S DEC))- P.I.D. # Description of work: The applicant is: ? Owner ? Contractor ? Other (Describe) Name Son j Co ,g s r . ?0 Phone Ufa -J73 i-3- Property LAST FIRST Owner Address Y?G6 FA IJcti cy ?/ 61j Jb R, STREET STE # City State ?VlN^i zip fT/2-3 Company Sa„ J L`c„ s T Phone `?S 1 53) fV Contractor Address fZ License # 240Y Exp.3 _'3 a? City ?h State k" Zip s T/ Company Fa, "7 J Phone Architect/ // L i t ti # A Engineer ) 'T e? s ra on Name Le e Reg Address 46do FAIYLwt.l N'L i biL City State s ?U Zip 5l /'y3 Sewer & water licensed plumber R-L+ PLC n r??,?r? Processing time for sewer & water permits is two days once area has-been approved. I hereby acknowledge th t I have read this application and state that the information is correct and agree to co w' p ble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: BUILDING PERMIT TYPE ? 01 Foundation 10:02 SF Dwg. ? 03 Two family ? 04 Multi-fam. T.H. ? 05 Apt. Bldg. WORK TYPE 31 New 32 Addition ? 33 Alterations OFFICE USE ONLY ? 06 Garage/Accessory ? 07 Fireplace ? 08 Deck ? 09 Basement Finish ? 10 Swim Pool ? 34 Remodel ? 35 Repair ? 36 Tenant Finish GENERAL INFORMATION ? 11 Res. Add./Porch ? 12 Comm./Ind. New ? 13 Comm./Ind. Add ? 14 Comm./Ind. Rem ? 15 Public Fac. ? 37 Move ? 38 Demolish ? 99 Undefined Occupancy 9-3 M -i Basement sq. ft. Zoning R-1 1st F1. sq. ft. Const. (Actual) y_N 2nd F1. sq. ft. (Allowable) y-N Sq. Ft. total # of Stories Footprint Sq. ft. Length y-i. - On-site well Depth A/17 On-site sewage APPROVALS Planning Building SS ?sy?_ Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee 695.50 valuation: s I Surcharge Plan Review __ffU' -00 SS2? es GtM?tMi 23xz5= 5+15 x License 13x cl . (Sz MWCC SAC City SAC '100,00 0 ! 523 x/6= 836 e$wr. Water Conn. 00,0 64S.00 zsxz,_ 5S'b Water Meter g5,00 5 x? a (10) Acct. Deposit 30,00 C3xy= 52 S/W Permit 30,00 S/W Surcharge 12,E X = 9(. Treatment Pl. 06 a3 )x IW= 3 Road Uni Park Dedt ; 350 o0 _ 1ay8 x rs= l5, Tz 0 Trails Ded. Is-r FL*oR.. Copies $SMT= ,0yg Other s7xn bz l Total: 19 M= iz SAC % 100 ZKj2.= SAC Units -1 IY;= .I - OS'I a 91 A ? 1r) 1.8 A53 ??' i . `- ? 16 Agricultural ? 17 Building Move ? 18 Demolition ? 20 Miscellaneous MWCC System Ye s City Water Yes PRV Required Booster Pump Fire Sprinkler Census Code /p/ SAC Code of Assessments i Dull E R CONTRACTOR: DATE: r' /Z PHONE: •%?!r!- j .,? DETERMINE WORKING SQUARE FOOTAGE OF EACH: :. TOTAL EXPOSED WALL AREA.. ,,,, ?(4 sq ft x "U" 11 Z 4.14 2. TOTAL ROOF/CEILING AREA,,,,,, 14-71 sq ft x "U" .026 3[,25 3. TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall area above floor......,, sq ft a) Total wall window area: glazed...... sq ft x "U" 32 • 9 1.04 glazed...... sq ft x "U" b) Total door area .,,,,,,.. c) Total sliding glass door area:, sq ft x "U" 4(v ?`E glazed...... 1ZO sq ft x "U" 12_ 8G. glazed...... sq ft x "U" d) Total fireplace wall area ISO sq ft x "U" e) Total wall framing area (Average 109.).......... Z 7. sq ft x "U" ZC f) Total net wall area above floor (Insulated)....... sq ft x "U" q) Total rim joist area...... -41 sq ft x "U" Total foundation area (Exposed).......... sq ft h) Total foundation window area ............. n sq ft x "U" • i) Total net foundation area above grade......,. I Lr? sq ft x "U" .0-7 3. TOTAL a) thru I) 25Z.3? if item N3 Is the same as, or less than Item Ai, you have met the Intent of 2 RCAR 1.16008 A and 0. Page 1 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION 4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/telling area........ 4411 sq ft j) Total skylight area......,. D sq ft x "U" Q Total roof/celllnq framing area (Average 10X)...... IJ-j sq ft x "U" O rL Z794 1) Total net Insulated roof/ceiling area....... i' % sq ft•x "U" G 'L, 2U. 4. TOTAL J) thru 1) 211-42 If total of a4 Is the same as, or less than R2, you have met the Intent of 2 14CAR 1.16008 A and 0. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of Items a3 and #4 shall not be greater than the sum of items 01 and 02. 1. 2?14•I`f +2. 3F,.Z5 3 3. ? •?[? + 4. 2-9. 4Z 28(.?P? CERTIFICATION 1 hereby certify that I have calculated the "U" factors and "R" values herein and that the bulidinq here descrlbed meets or exceeds the State of Minnesota Energy Conservation Act. (Signature) (Date) Page 2 L ?? B CITY OF EAGAN , MECHANICAL PERMIT RECEIPT # 1004662 SUBD. iv ? a res c?0 (612) 681-4675 DATE /F 9- - (l RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: F EES SITE ADDRESS: - n -,//O' / y Q ADD ON/REMODEL W[ISTING CONSTRUCTION ONLY) $ 15.00 INSTALLER: GENZ-RYAN HEATING HVAC: 0.100 M BTU 24.00 PHONE 423-1144 ADDITIONAL 50 M BTU 6.00 ADDRESS: 14745 South Robert Trail GAS OUTLETS - MINIMUM 1 @ $3 EA. ?. CITY: Rosemount ZIP: 55068 SURCHARGE I s 50 SIGNATURE S TOTAL: $ „$ L COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCUI41NDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: 1% OF CONTRACT FEE, FEES STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE, $ PROCESSED PIPING - $25.00 MINIMUM FE - W.00 OWNER: TOTAL: $ SITE ADDRESS: TENANT: SUITE #: INSTALLER: ADDRESS: CITY: ZIP: PHONE #: CITY SIGNATURE: SIGNATURE CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # !O 3 5 mtag " DATE: RESIDEA2 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST X ADD ON _ REPAIR OWNER NAME: Sons Construction SITE ADDRESS: 4109 Deerwood Trail LOT:4 BLOCK 8q oL SUBD. Ce& IlY? INSTALLER: R C Plumbing ADDRESS: 5910 Chester Ave CITY: Northfield ZIP: 55057 PHONE #:- 461-2096 DWELLINGS & COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 & ` LAVATORY 3.00 t.;t L KITCHEN SINK 3.00 A 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 ` _ ROUGH OPENINGS 1.50 OTHER _ _ WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL $ ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: OOMAR0TA1"INDMTR,JkLi; 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: FEES SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: 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) CITY OF EAGAN SUBJECT: VARIANCE ?zt APPLICANT. ROBERT ENGSTROM COMPANIES LOCATION: SE QUARTER SECTION 21 EXISTING ZONING: SINGLE FAMILY RESIDENTIAL (R-1) DATE OF PUBLIC HEARING: APRIL 9, 1992 DATE OF REPORT: APRIL 1, 1992 COMPILID BY. COMMUNITY DEVELOPMENT DEPARTMENT APPLICATION SUMMARY: An application has been submitted requesting a 5' Variance' to the 30' front yard setback for /Lots 21; 25, and 26, Block 2, Engstrom's Deerwood _ Addition located south of Deerwood Drive and west of Pilot Knob Road. COMMENTS: All three lots back up to Pilot Knob Road and the developer purposely left the natural land characteristics (slopes, tree growth, and ponding areas) undisturbed to provide a physical and visual screen from the County road. The applicant believes a 5' Variance is necessary to accommodate homes that will not encroach into, or disturb site features and thereby provide a backyard area. If approved, these Variances shall be subject to the following: 1. No other Variances shall be granted to Lots 21, 25, and 26, Block 2, Engstrom's Deerwood Addition. 2. All applicable Ordinances. May 10, 2007 Mike Maguire MAYOR Paul Bakken Peggy Carlson Cyndee Fields Meg Tilley COUNCIL MEMBERS Thomas Hedges CITY ADMINISTRATOR MUNICIPAL CENTER 3830 Pilot Knob Road Eagan, MN 55122-1810 651.675.5000 phone 651.675.5012 fax 651.454.8535 TDD MAINTENANCE FACILITY 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360 fax 651.454.8535 TDD www.cityofeagan.com THE LONE OAK TREE The symbol of strength and growth in our community. GILBERT MECHANICAL PATRICIA ORMAN 4451 W 76TH ST EDINA MN 55435 RE: Refund overpayment of plumbing permit #77100 4109 Deerwood Trail j Dear Ms. Orman: This letter is to advise you that a check for $20.00 will be mailed to Gilbert Mechanical under separate cover to cover the overpayment of fees for plumbing permit 77100. This overpayment was the result of a commercial application submitted for a residential property. Commercial plumbing and mechanical permit fees are calculated at a different rate than residential permit fees. It is important that you submit permit applications specific to the property, i.e. a commercial application for a commercial property and a residential application for a residential property. Effective January 1, 2001, the City of Eagan's Fee Schedule assesses a $50.00 fee to refund permits that have been processed and receipted. As a courtesy, we are informing contractors of this policy and issuing a full refund on a "one time only" basis. If you have any questions, please feel free to give me a call at 651-675-5671. _,Sincerely, t l r- Janice D. Severson Office Supervisor cc: Linda Dralle, Systems Analyst 4b? City of Evan ftlhgocf Make Check Payable to: Gilbert Mechanical Address: 4451 W 76th St Edina MN 55435 Permit # 77100 Receipt #/Date: 124895 3/27/2007 Site Address: 4109 Deerwood Tr Reason For Refund: overpayment TYPE OF REFUND Building Permit Base Fee 0801.4085 $ Construction Meter D Refund 9220.2254 $ Curb Box Deposit Refund 9220.2253 $ Fire Suppression Permit 0801.4096 $ Mechanical Permit 0801.4088 $ Plan Review Fee 0720.4222 $ Plumbing Permit 0801.4087 $ 20.00 SAC (MCES) 9220.2275 $ SAC (City) 9379.4681 $ SAC (Admin) 0801.4246 $ Sewer Permit 6201.4532 $ Surcharge 9001.2195 $ Treatment Plant 6101.4685 $ Water Permit 6101.4507 $ Water Meters & Radio Read 6101.4509 $ Water Supply & Storage 6101.4680 $ Copies 0201.4230 $ Total $ 20.00 , nd is just and that no part of it has been paid. eclare under th enalti s ft aw that this account, claim ma rJ May 10, 2007 IGNATURE DATE "7-7/ca0 ?esi I eiv i ( ??.50 2007 COATNtElt-GIALPLUMBING PERMIT APPLICATION CITY OF EAGAN v p l ( 3830 PILOT KNOB ROAD, EAGAN NIN 55122 f 651-675-5675 Date,3 Site Address y 10 1 ?? ? j rd t ' Unit # Tenant Name Sd r- ,J u -,,;in I Former Tenant Name Property Owner S. lrjcR ?Dorj1 K Telephone #(?S1) 'oOS--7 Contractor ? _ {'? c?•`-{' (7\ C: h,-) n, cd. Address LfyS( (t? . -7C=;' S + City ?ed iS\r b State (y-,i /l, Zip ?5 Li -3 i Telephone # (q$,P-) S3S-3 S'YD License # 9 DO P M Expires: The Applicant is Owner - & Contractor Other Work Type -New Bldg _Modify Space -Irrigation System** _ Yes _ No Work in public r-o-w / easement? ?RPZ _ PVB: New - Repair/Rebuild _ Replace Remove Q Rain sensors are required on irrigation systems Description of Work 1 `40 M c?V> -- ( I ) R P Z V41 yP s I n ?C? y xK To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Call 651.675-5646 to verify that hydrostatic, conductivity, and bacteria tests passed prior to uickine up meter, Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter 174.00 Domestic Size & Type Avg GPM Includes high demand devices? - Yes _ No Flushometers _ Yes -No PRV Required _Yes -No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ j $cJ Cb x 1% _ $ SO . C)d Permit Fee $ Meter(s) Required on all new buildings & boulevard initiation systems $ Radio Meter Read $ c.? State Surcharge ifpemrt fee is less than $1,000, surcharge is $ 50 If permit fee is more than $1,000, surcharge is $.50 for each $1,000 owed. -------------- ----------- ------_------------------ •----------- --------- __----------------- "- ---------- ----------------- --------- _-_-_------- Following Fees apply w t t it stem Water Permit Call the City's Enginceri e?t6??6r}-dr ued fee amounts $ Treatment Plant MAR 2 F 2007 $ Water Supply & Storage $ State Surcharge $ So, EO Total Fee r nereny appty mr a Commercial Plumbing Permit and acknowledge that the information is complete and accurate, that the work wdl 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 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 . -. 7ou6Cita ©rM?? ?[C!/Ul? 691L?? Applicant's Printed Name Applicant's Signature -7514 APR 22 '92 12:34 TO 4525355 FROM PROBE ENGINEERING T-033 P.02 CONSULTING INOINIIRS yr'?p ;. S?f ?USTPVCT/D!V ; Ito-BE , PLRNNBAS and LAND blIVEVOAS "/Z, a/ ?t ENGINEERING 0K• /'p COMPRNY, INC. ?4' IS 1000 EAST l461h STREET, BURNSVILLE, MINNESOTA 55337 PM 432-3000 CERTIFICATE OF SURVEY Legal Description: L.,O T Z/ voce Z E1V697,,e01V9 XMW000 ADO/T/DN, ,OAKOTA CDy17Y, M/A//VFJ.907A, (-1 $'o_o ) DENOTES EXISTING ELEVATION (881,o ) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE 881:33 ; FINISHED GARAGE FLOOR ELEVATION 8)7.83 . BASEMENT FLOOR ELEVATION 885.83 s TOP OF FOUNDATION ELEVATION SCALE : 1" m 40aY- NOTE : ,SAN/TA,??' "WAV/Ce' ANY. = 869.3, .Pee o7Y of e4A4 / AS Bu/tr 0,4V6. ' 2S'C7 ve0N7- 60LDIN6 S 7BgCX GENE a ?• L. ? "?i? l? 26j? ??w ?' ro p48 ???° 1~` ?y s4 hi pp?g ? q ^? BlbN ell all ?" ? r $ ??i? 'h? ^?/ ORA/NACE ?A5'EA!1ENT \ . POND/N6 R/, )WSE4 ?Y Q ?. -Y m! ,ar N y ?B? 23 \ m ? ? 1V ` o g 10 'y ,,, By _ _ Da'a / -Y EASa"mml EAGAN ENGINE RING DEPT T hereby certify that this is a true and correct representation of a traot land as shown and dascribod hereon. As prepared by me this 2.2wo day APRIL r 19 7 14inn. Reg. No. I4c85 NOTE: S'r vAX,mve-- 7D 30' ?s?c?i- ?cs??? caiA3 Gy/ZA7u?® 406' City of Eaton 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Ofllce Use?� �j Porntt l/. « 9 T `� Q Permit Fee: Cate Received; O f a7 ` r ,�Z J sun. 2013 MECHANICAL PERMIT APPLICATION ❑ PleaseC�submit two (2) sets of plans with all commercial applications. Data: U/2 i/ StteAddress: `7 Tenant; Q � Suite s: /2z ,,,: ; :: • ,r.,,..,..•:.::::.,'• -::a ; Resident/, 8r;' 9 -(vdL\ 2�lU 0a i r I� L0 t?_- Lo b5- `1111 Name: Phone: Address / City / Zip: L k 1. 'd l ` .r ea AO d. . - - I►. Ontrat 1. ... :ie ........... Name: t•-)9 a 1� 1 / 1! ..0 t� + ` CWse a \ Address: \ 1` 1: 'a ..■ 11 r_, City: ` le--) r Phone State: 21p: Contactaa-MP (..\--e... Email: '. I ter. 1 _ A& .... rry e�'o1'!W4rkh • ,,.". New R9' lacement Additional „T Alteration Demolition _ NOTE:, oo . mouttte4 atnd raupd moltr111editn''iibertrcrti%g(ilpent;`Is required :bdscreened';y,-ClEy nl; se cotttc.... e;Mechtn�cat`Irispector • °tordntorrr�flon on'; �� tm'rttdd-sctti+e q "tne*oi)s t�t� ';;�;,: ;-: ;, : ,.:. • : ,.+;�..;;,,......wa,�c,.:�...,.,..,�::::;::.;;,'; ILY .V 1. ., .;"1,; .. li.;'`':`'.'. :;,::'.:;:..% ,';, ;::::I:.,;; ` ;.. RESIDENTIAL Furnace Air Conditioner COMMERCIAL Now Construction Interior Improvement Install Piping Processed Alr Exchanger Ges Exterior HVAC Unit —.,._ Heat Pump hor Other 41,4,0b."7_, )/1) Undor/Abovo ground Tank ( Install / Remove) ' _ RESIDENTIAL FEES $60.00 Minimum Add or alteration V (i4 •- to an existing unit (Includes 55.00 State Surcharge) (includes $5.00 State Surcharge) = $ (A6S TOTAL FEE $100.00 Residential New COMMERCIAL FEES $55.00 Permit Fee Minimum • Contract Value $ _ , _ x .01 = $ Permit Fee 570.00 Underground tank Installation/removal -Ir contract value Is LESS than 510.010. Surcharge = $6.00 *-1( contract value Is GREATER than $10,010. Surcharge la Contract -^If the project valuation Is over $1 million. please call for Surcharge .$ _ Surcharge' Value x 50.0005 m $ 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 caso of work which roquiros a review and approval of plans. ZJ\ r� Applicant's Printed Name `'FOROFFICE 11S •.R ulrectlns rrtlo :"Urxlergroultd'•.,,;::'::.:,-..:::., b�4�"Ing;::;:-�.;::--;f+ai:')'e x App - • s Signature T000/T0001RI 2_ Via KV TC:6 CTOZ/L2/80 PERMIT City of Eagan Permit Type:Building Permit Number:EA114726 Date Issued:09/18/2013 Permit Category:ePermit Site Address: 4109 Deerwood Tr Lot:21 Block: 2 Addition: Engstroms Deerwood PID:10-23900-02-210 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dennis D Jandik 4109 Deerwood Tr Eagan MN 55122 (612) 804-4572 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature CityofEaaail 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 676-5675 Fax: (651) 6755694 Use BLUE or BLACK Ink For Office Use Permit#: Gait Permit Fee: ( a Date Received: Staff: L 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Resident/ Owner Type of Work Contractor Unit #: Name: i 1C4'14`$ J* i Phone: Address / City /Zip: WO? bier& oboe M Applicant is: Owner /� Contractor Y ° Description of work; i V1 °2 Construction Cost Multi -Family Building: (Yes / No _J � Company: fli C�on ct: Are Address: 41-67- tiemmiggr to Clt C/4. Ll*t State: /V4VZip: .ri SJ)o Phone: 143 4 73 t O /77, --9g6 `9 License #. SC.dorLead Certificate #. f Z C S7 If tt epcject Is ear ft ftrl-nlead 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 they are trade secrets. CALL BEFORE YOU DIG. Cali Gopher Stam One Call at (651) 454-0002 for protection against underground utility damage. Can 46 hours before you Intend to dig to receive locates of underground utilities. www.000herstateorxcn.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 la 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 rase of work which requires a review and approval of plans. Exterior work authorized by a building permit issued In accordance with the Minnesota Stets 11. g Code must be completed within 180 days of peeIt issuance. x4iv ficr Apnt's Printed Name Applicant's SI, - ure b0/IO 39vd J3SI>I Page 1 of 3 8I90SIEE9L SZ:bt btOZ/ZZ/E0 � . .. Use BLUE or BLACK Ink � For Office Use�-------� I . � �a�3s� � ���� �����ll� ��� �Ll � Pem�it#: � ��IV , / 7�. ��° � Perrnit Fee: 3830 Pilot Knob Raad �Giy' Z „ � �,� J� � Eagan MN 55122 � zQ]/� � Date Received: �7 � Phone:(651)675-5875 I I Fax:(657)675-5694 � S�ff� � V������.`. ��������.J 20�4 RESIDENTIAL BUILDING RERnnir�PPUCATioN Date: 5ite Address: Unit#: .� Name: J �' !� �`A• Q'n Q I � pho�e: �' !7�Q'n Y•y S�:? > Residentl ; .�7� Owner ..,<� ; Address/City/Zip: �� V Q �� � T W C � � / �A l Applicanf is: �wner �—�'Contracfor - ` Description of work: ` �f� d/n � u O V� /�CP aG/� � Ct Q�U Ol' � � W�!? (�tt Type of Work; Construction Cost � �O � � ` ( Multi-Farr�ity Building:(Yes /No ) Compa Pella Northland contact: �t�t`l t 9'y'•?/.�Y�'•G a�r T 15300 25th Ave N. Ste 100 ' Contractar:; �� Addres: Plyxxiouth,MN 55447 Gity: ' • ' Lic#BC645090 Ph. 763/745-1400 : �'::::: State: uN. . ,.,...,.. Emai1: - ;' License#: Lead Certificate#: If the project is exempt from lead certification,please explain why: (see Page 3�for additional information) � �`' $ � '��'�I � COMPLETE THIS AREA ONLY IF CONSTRUC7ING A NEW BUILDING In the last 92 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 rrtaster plan: Licensed Piumber: Phone: Mechanical Contractor: Phone: Sewer&,Water Contractor: Phone: �NOTE .PJans anaFsup'portrng docuinents thatyou submit are:consfdeied to be public infarrriafion: Portions of , . `the r►iformation may;be cTassrfiecl;:as non`publ�cyrf you provrde sp�cifrc reasons=that would permttth�'City fo ,: ,;. ,> , ' , . : . .conclude:'fhat ttiey ars:tr atle secrefs ,'; CALL BEFORE YOU DIG. Call Gopher 5tate One Call at(651)454-Q002 for protection against underground utiliry damage. Call48 hours before you intend to dig to receive locates of underground utilities. www.cLopherstateonecall_orp I hereby acknowledge that this information is complete and accurate:that the work will be in conformance wifh the ordinances and codes of the City of Eagan;that I understand this is not a permit, but anty an application for a permit, and work is not to s#art without a permit;that the work will be in accordance with fhe approved plan in the case of work which requires a re�ew and approval of plans_ Exterior work authorized by a boilding permit issued in aceordance with the Minnesofia State Building Code must be completed within 180 days of permit issuance. � x T �-Y1 � c�t � n �--7. � ApplicanYs Printed Name A plicant's Signature Page 1 of 3 . , � �-I�10`� ���►� �� l�-7 DO NOT WRITE BELOW THIS LINE �`� /��� SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage � Single Family _ Garage _ Porch(4-Season) _ E�cteriorAlteration(Single Family) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Exterior Alteration (Muiti) 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 Wail *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation �� '� Occupancy f�` MCES System Plan Review Code Edition �'�������� SAC Units (25%_ 100%� Zoning ,!�/� City Water —����— Census Code Stori�s Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC 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 Meter Size: Radon Control – Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge �"" .� Plan Review MCES SAC � City SAC � � �� #� �M� � 4� Utility Connection Charge � ,LLA S8W Permit�Surcharge � ��. � G/ � � Treatment Plant � � Copies TOTAL Page 2 of 2 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA131530 Date Issued:06/23/2015 Permit Category:ePermit Site Address: 4109 Deerwood Tr Lot:21 Block: 2 Addition: Engstroms Deerwood PID:10-23900-02-210 Use: Description: Sub Type:Residential Work Type:Alteration Description: 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Dennis D Jandik 4109 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA149995 Date Issued:06/15/2018 Permit Category:ePermit Site Address: 4109 Deerwood Tr Lot:21 Block: 2 Addition: Engstroms Deerwood PID:10-23900-02-210 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 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 - Dennis D Jandik 4109 Deerwood Tr Eagan MN 55122 (612) 900-7767 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA153298 Date Issued:12/07/2018 Permit Category:ePermit Site Address: 4109 Deerwood Tr Lot:21 Block: 2 Addition: Engstroms Deerwood PID:10-23900-02-210 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the 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. Call for final inspection after installation. 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 - Dennis D Jandik 4109 Deerwood Tr Eagan MN 55122 (612) 900-7767 Twin Cities Siding Professionals 664 Transfer Road, Suite 22A St. Paul MN 55114 (651) 255-2844 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA156476 Date Issued:07/02/2019 Permit Category:ePermit Site Address: 4109 Deerwood Tr Lot:21 Block: 2 Addition: Engstroms Deerwood PID:10-23900-02-210 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: 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, 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Sandra Tste P Jandik 4109 Deerwood Tr Eagan MN 55122 Overhead Door Company Of The Northland 3195 Terminal Drive Eagan MN 55121 (651) 683-0307 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA164955 Date Issued:10/13/2020 Permit Category:ePermit Site Address: 4109 Deerwood Tr Lot:21 Block: 2 Addition: Engstroms Deerwood PID:10-23900-02-210 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jacob Christopher Mcpherson 4109 Deerwood Trl Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature