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4110 Deerwood TrSEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-185%7 DATE Alir r% OFFICE USE ONLY METER # PERMIT DATE - i 1 CHIP # d as 4/ PERMIT # 1 915 METER SIZE _ ?°? 4C S B.P. RECEIPT # r 1 U/_4 1. ISSUE DATE B.P. RECEIPT DATE C8/28," PRV -BOOSTER PUMP WE SITE ADDRESS 41 10 OF1, 11,2000 R r LOT U BLOCK ' SEC/SUB ENGSTROM' S DEERWPC)D APPLICANT:. ADDRESS:- CITY, STATE PHONE: _ PLUMBER: r' . 10 ALD P1.1; ADDRESS: 18271 KENWOG CITY, STATE LAla'iILLE MN PHONE: 435-3334 OWNER TTEL.STAFDT Lawn Sprinkler Meters are to be Installed 41RTN , S ST MS I Hli Ahead of Domestic Meters on Water Line_ Tz: Credit WILL NOT be given for Deduct Meters. ZIP 5,501,14 I AGREE TO COMPLY WITH CITY OF gRpT1 ;;Rg EAGAN ORDINANCES - I ADDRESS: 785 SUNSET DN CITY, STATE EAGAII MN ZIP 55123 PHONE 5 JSIGNA7 PLEASE ALLOW TWO WORKING DAYS FOF? PROCESSING CALL 464-5220 SEWER PERMITS, CONTACT ENGINEERING DEPT. ZIP PERMIT REQUESTED SEWER I WATER _ TAPS - COMM/IND " RESIDENTIAL X NEW EXISTING I INSPECTIONS. FOR STORM if DATE: AUG 28, 1991 R 4110 DLERNOOD TR (MITTELSTAEDT BROTHERS) Your Sewer & Water Permit for the above property has been completed. It will be held at the Public 'forks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. SEWER & WATER PERMIT CITY OF EQ0AN 3830 Pilot Khob Ad. Eagan, MN 55122-1097 DATE Alid 29, lag' METER # CHIP # USE ONLY PERMIT DATE tFJ!IE/')] PERMIT # 1223' B.P. RECEIPT # 51 B.P. RECEIPT DATE V 1 k /')1 METER SIZE ISSUE DATE SITE ADDRESS 1: 1 ::i I]FLLW( Ji) TR LOT f >BLOCK : SEC/SUB ACSTROMIS DEERWOOD APPLICANT:. CITY, STATE PHONE: ZIP PLUMBER: 1CDONA .L1) PLUNRING SY.TL_MS 1NC ADDRESS: 13271 KEN` 001) TR CITY, STATE LAKEVILLE NN ZIP 5.5044 PHONE: 4',rp-3334 OWNER: NITTELSTAEDT BEOTHERS ADDRESS: 795 SUNSET DR CITY, STATE LAGAN '1N ZIP 55123 PHONE: 454-9125 - PRV -BOOSTER PUMP PERMIT REQUESTED a _'i SEWER I WATER TAPS COMM/IND X NEW X 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 METER ISSUED I PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. 'j ice CITY OF EAGAN • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 L` BUILDING PERMIT Receipt # I ' { To be used for SF "DWG/GAit Est. Value 1180.000 natP AUG 28 ?a 91 Site Address ?110 D RIMMIM TR Lot 19 Block -3- Sec/Sub. FNGSTI31' M1 S Parcel No. DEERWOOD W Name N1'rE91.S=DT 1120Ti1( M Address 785 SUNSET DR G City RAGAN Phone 436-9123 Name SAME Address Phone Name _ Address Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances._,. 0 Signature of PermiteA` ' LZ:' f f-'-- ?`' ?' ?" ?.1?.. A Building Permit is issued to: n ` • a c.a.v • A°" • awv s XI&" on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY Occupancy R-3 lle-1. FEES Zoning Ilem- I (Actual) Const -V=D Bldg. Permit 920.00 (Allowable) V-D Surcharge 90.00 # of Stones Length AD-, Plan Review -32&.M Depth 43'- SAC, City 100.00 S.F. Total SAC, MCWCC 650.00 S.F. Footprints On Site Sewage Water Conn b0•00 On Site Well Water Meter 95.00 MWCC System 30.00 A t D it City Water cc . epos PRV Required S/W Permit 30.00 Booster Pump S/W Surcharge _i5 Treatment PI 276.00 APPROVALS Road Unit 97A_AA Park Ded. Council Bldg. Off. Copies Variance - TOTAL 3,819.50 Permit No. Permit Holder Date Telephone # WATER iaa3? 4 SEWER PLUMBING Z e H.VA.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roo ting Rough Pibg. Rough Htg. K ip Isul. Fireplace Final Htg. Orstat Test Final Pibg. /Cf Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. . t 41 ;A 1t 1 % is Terfxf tratr of (Orrupaury Citp of Cagan lorp bum of %flb-mg luwrtwu This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that ai the time of issuance this structure was in compliance with the mhous ordinances of the City regulating building construction or use. For the following.• Oaupncy Typo Owner of Ruildin SF Fhrzw1; No. lg605 T?vg cmg VN Er DRIVE. EAGAN BoMm Add= 4110 DEEMCM NtAll ty L18, B3, ENGSMCWS DEERWOM 11/15/41 POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 1 i, I I ? ,; 1i1 I. I?t?l?i?Ii M: I W140011 PERMIT SUBTYPE: . .11 ()I + I I4 I .11 1 Ni, 16 If 1 N 111 It (A INSPECTION RECORD PERMIT TYPE: Permit Number: I ' Date Issued: ?, 1t1 APPLICANT: t k Ili + . 1 k J L iM'. 1 (61.' ) 9/9 •I1 + t TYPE OF WORK: 6-.111 A I t 1) N I N A I IL IFRAI IllN ?I(FMARYSs fit. PARAIf PI: k11111 Ib ARE. 1troijfI<II) 1"pti ANY €>1IINH 1N6 01+ t'II (:1RICAI 14411? - - - - - --- - - - - Permit No. Permit Holder Date Telephone # SNV PLUMBING AQ-07,25 HVAC ELECTR O? Q i3 ?D ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing p G? Rooting Rough Plbg. Rough Htg. i [Sul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. Deck Final C? S Gtpfru Well p? ??? I? 1?' ,PaW rv or- r, 7ta qv. Pr. Disp. f 4r INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: I t tt t ???? 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i u f 1 s. li l i++ r f?f f V1411oft 1 R i t; . i i s'f + I r?l I I ? I Fl +, l is t?Pl ' ? Ltl' f fltJillJh ? ( t, f + ?l'. I ! 't N 1 A( F, TYPE OF WORK: I11'7tV1VIiON 1,11 1 N ( 11`4 11 Nf 41 r J - - - - - - - - - - - - - Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace 7 Final Htg. Orsat Test Final Plbg. Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN ND 19605 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5/n5121y?- / BUILDING PERMIT a PHONE: 454-8100 Receipt # [ , I , 14 I To be used for SF `DWG/GAR Est. Value $180,000 Date AUG 28 19 91 Site Address 4110 DEERWOOD TR Lot 18 Block 3 Sec/Sub. ENGSTROM' S Parcel No. W 30 W Name MITTELSTAEDT BROTHERS o Address 785 SUNSET DR City EAGAN Phone 456-9125 Name _ Address Phone Name _ Address City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanceess.. Signature of Permit"`-` A Building Permit is issued to: MITTELSTAEDT BROTHERS on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY occupancy R-3 M-1 Zoning RR=1 (Actual) Consl V- Bldg. Permit (Allowable) V-n Surcharge # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance 43' X X FEES 920.00 90.00 598.00 Plan Review SAC, City 100.00 SAC, MCWCC 650.00 Water Conn 660.00 Water Meter 95.00 Acct Deposit 30.00 S/W Permit 30.00 SW Surcharge .50 Treatment PI 276.00 Road Unit 170 nn Park Ded. Copies TOTAL 3,819.56 A¢dregs: 4110 DEMMD TRAIL Lot 18 Blk 3 Sec/Sub EWSTRO IS DEpOD These items wet'e/were not complete at the time of the final inspection. Yes No S Final grade (6" from siding) Permanent steps - garage tl? Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Z Shpw Porch Basement finish Deck V 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. xec?c?o nxn White - City copy Yellow - Resident copy Pink - Contractor copy INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOT: 4110 DEERWOOD TR ENGSTROM'S DEERWOOD PERMIT SUBTYPE: BASEMENT FINISH BUILDING 024529 09/14/94 ALTERATION INSPECTION TYPE FRAMING DDATE INSPTR. INSPECTION TYPE INSULATION DATE INSPTR. ROUGH IN PLBG FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK F x L 16 BLOCK: 3 APPLICANT: DIVERSIFIED CONST (612) 929-7233 TYPE OF WORK: 7 J IDENTIAL.?? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 ?lECHANICAI:,; FERMI' FOR CITY USE ONLY PERMIT # RECEIPT # DATE: /oZ e'L PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE I TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME : -J I d- aa -f-{-K% 4 ; &C SITE ADDRESS: ?/J/ 0 _7)-Ee K tJ 000l -tiYR% I LOT: BLOCK SUBD.!? INSTALLER: Burnsville heating nc. ADDRESS: 12481 Rhode Island Ave. So. Savage, CITY: 894-00O?p: PHONE # ------------ FEES DWELLINGS & ----------- ADD-ON MINIMUM $15:00 HVAC 0-100 M B4 OO? ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: Do ?. 50 SVgNATUR) OF PERMITTEE Ale_ bOMMERCIAL/INDUSTRIAL;' 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: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - S25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x It $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN REpUEST FOR ELECTRICAL INSPECTION '?`101111"N' Fe-oooot oa See msvdclons for completing efs form on back of yellow copy i-p MM N (? p B 392 8 1 _ "Y' Below Work Covered by This Request New Type of Building Appliances Wired EgmpmentWlred Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Load Management Comm /Industrial Furnace Other (Speedy) Farm Air Conditioner Other (specify) Con actor's Remarks -^ Compute Inspection Fee Below T'?n 'vull I?GLJ? Wt -e/I{?- # Other Fee # Service Entrance Sze Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0' 100 Amps Transformers Above 200 Amps bb 100 Amps Signs , Inspeclor's Use Only TOTAL Irrigation Booms -? C r S G Special Inspection K Alarm/Communication THIS INSTALLATION MAY BE EQ DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 MO Y I, the Electrical Inspector, hereby Roaeh-in / / ? V oale?-(.7_Y? certify that the above inspection has been made Firel 0 Date ?Q fp-7 ' 9FFICE USE ONLY °,a request led 18 months from C139281 J Fee t Date v No Raugh-In Inpsecbon Regmred (YOU m ust?call mspe or when ready) Ins Oeclion Other Than Raugh-In" ? Ready Now f? Wrll Nofrty Inspector ?'\ 9 t r r?l Yes ? No Oate Ready I -Lelicensed contractor D owner hereby request inspection of above electrical work at. Job Address )Street B. or Roue NO) City 6 ! Ir Section No Township Name or No Range No County Occupant lPRINT) 7? m IF _e? ' I ? Y T Il yv Phone NO It Power Supplier Address Electrical Contractors Company Name) 1IV Contractors License No CAQO lZ? Mailing Address (Com acipr or Owner Making Instenatron) 3 o S v- r 1a , wLU1 5 2 Authorized Signature 1C nI actor/Owner Making Inst t(o A, n i fi n) ) Phone Number '41L7 - 11945 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg, St Room BE ACCEPTED BY THE THE STATE BOARD 1821 U 1621 University Ave SL Paul. MN MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 642-0600 ENCLOSED CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # C I _ rJ DATE : 3d 99 RESIDENTIAIr PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & H. ....<. TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR 3 WATER CLOSET 3.00 ? / BATH TUB 3.00 3 LAVATORY 3.00 a OWNER NAME: U / KITCHEN SINK 3.00 3 / LAUNDRY TRAY 3.00 3 SITE ADDRESS: Q ?I11L2 ? HOT TUB/SPA 3.00 3 p L WATER HEATER 3.00 LOT: IO BLOCK SUBD. L FLOOR DRAIN 3.00 GAS PIPING OUT. 3 INSTALLER: l (MINIMUM - 1) 3.00 61 ROUGH OPENINGS 1.50 `+,s_(D ADDRESS: OTHER _ 7 WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 y / z U.G. SPRINKLER 3.00 PHONE #: S ?r Z/ SUBTOTAL $ '44q so ST. SURCHARGE .50 TOTAL: S 50 -00 O?MMERGALjINDtISTRAI;: 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: FEES OWNER NAME: SITE ADDRESS LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: 18 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) FOR: CITY OF EAGAN 7/a3/9a /a& 9 S'i J 2 3 4 0 5 3 ; 5lp'' Request Data Rre N Rough-m Inspection ' Required' ?Aeady Now 0 Will Notify Inspector 5 Z z Dyes XNo WhenReady+ IA licensed Contractor ? owner hereby request inspection of above electrical work at: Job Address (Street Sox or Route No) City yi/o 6- kzvocD Te ZiOC" ,1-. Section No, Township Name or No Range No County & K0 TA _ Occupant (PRINT) - T N Phone No `ice im Power Supplier Address Electrical Contractor (Company Name) Contractors License No Zest C re.c ?^re. /} G?/v3Z Mailing Atldress O.mractoyl Owner Making Inslallat'.M Jr6 1Zz IY62 Cvurn. -L/?nc ?/tG/3v /141 Autbonz Signature (Contracto??wa er Making Inslallaaon( Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS WSPECTION REQUEST WILL NOT Griggs-LLJway Bldg. - Room 5473 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., SL Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION p ° EB-ooo01-08 0, See instructions for compleLng this form on back of yellow copy ti-I x' /?&9 J23405 X" Below Work Covered by This Request P ew Add Rep. Type of Building Appliances Wired EqulpmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm /Industrial Furnace Farm Air Conditioner Other (specify) Contractor's 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 TOTAL Irrigation Booms 45 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN IS MONTHS. I, the Electrical Inspector, hereby Certify that the above inspection has been made Rough-in Fnal /f_7 al, 1 Date 0" y . ! OFFICE USE ONLY This request Vold 18 months few 3q ?J CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD ' EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # 02 G.WICAV1'AX DATE: R?SII3ENTIAL;,, PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS ! TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ----------------"-'-------} ------=-------------------------------------_-____-_-_- WORK DESCRIPTION I FEES NEW CONST ADD ON _ REPAIR _ OWNER NAME : '"h I r7_64 ST?f C? SITE ADDRESS: '{"° Dfec?-v -rte LOT: /0 BLOCK 3 SUBD. &. ST_c-Ars E O?7-t- "' INSTALLER: ADDRESS : Burnsville 12481 Rhode Island Ave. So. CITY: Savage. MN 5-53:19114 PHONE # 894.0005 --------------------------------------- FEES 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. LOMT4CSCYALJIIT3UST.lZAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARI NOT REQUIRED FOR EACH DWELLING UNIT -- -- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN CONTRACT PRICE x 18 STATE SURCHARGE $ TOTAL: ADD-ON MINIMUM $15.00 HVAC . 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM 3 OF 1 PER PERMIT SUBTOTAL: $ STATE SURC : nc) 50 TOTAL: 33 $XV 5 SIGNATURE OF PERMITT $ (SIGNATURE) Y,/ /40 9 /Ua y,!!7 p 4 0 _ Request Date a no( Rough-m Inspection Peru, ???www'''''' ? Ready Now r?/vviII Notify Inspoctor des L No / When Reau" IX, licensed contractor ] owner hereby request inspection of above electrical work at Job Address (Street Box or Route No ) Gty Section No Township Name or No Range No County Occupant t PRINT) Phone No Paw., Supplier Address Electncel ?omractor (Company Namei ontractor's License No 1 SQ if h ninq Adcrass IGOnireaor or Owner Making Ins4311a0om a / f/\-/ Auth°onz?e?o/$/nature Ccpn/ltacm•'O,ner Making ngslaanaatiorn / /iL? Al Phoonnee NU nber f LO_1V 0,0-0 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Room S-173 r BE ACCEPTED BY THE STATE BOARD 1821 University Ave St Paul MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED gum°'iTT EB-00001-03 G/w /4r REQUEST FOR ELECTRICAL INSPECTION 7 ( 0. See mslreclions br compealing this form on book of yellow mpy X30[ l?'?'p? ---------- n n n O '7 - X" Below Work Covered by This Request ?. Home Service Heater Farm IAir Conditioner - Other Ispecdyt Contractors Remarks inspection Fee Below CtrcunsrFeeders Fee Fee # Other Fee # Service Entrance 52a 0 to 100 Amps Wing Pool D to 200 Amps Qj© 700_Amps ormer5 Above 200 -Ames Inspector's Use Only TOTAL ?J, ? J Ion Booms al Inspection BE ORDERED DISCONNECTED IF NOT dCommunication THIS INSTALLATION MAY Other Fee I, the Electrical Inspector, hereby certify that the above inspection has been made )FFICE USE ONLY his request ,,it 18 months from PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES SHOWER WATER CLOSET k• BATH TUB LAVATORY KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • minimum - t ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • nak cty. tic. U.G. SPRINKLER • home under cont. ALTERATIONS • to adsting WATER TURN AROUND STATE SURCHARGE TOTAL- Q / SITE ADDRESS: `f' / `0 ?.L?P/?-/.IXID-?P" 1 A OWNER PHONE #: ( EACH TOTAL 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 20.00 3.00 20.00 20.00 .50 S STATI z-2 ? 7 Z-J ZIP CODE: ?DVO SIGNATURE OF PERMITTEE 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 page 2 of 2 Total exposed roof/ceiling area - 153q J. Total skylight area ........................... O . k. Total roof/ceiling framing area (average 101).. 9 &, 2 1. Total net insulated roof/ceiling area ......... JAI q 2,1? Determine "U" value for each roof/ceiling segment. i• o x 'lUIV o 0 k. 91,, Z. X Ilull , LO) Z5D ° 2, r, 1. i4R/2. x Ilull , 02.1 345- 4 ....................................... .Total ,t If total of 04 is the same as, or less than 92, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items A3 and A4 shall not be greater than the sum of items d1 and 62. , 1. + 2. 3. + 4. -2- gi EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION DATE _ j pla OWNER n TH 6 J 6IL ?+?16 _ SITE ADDRESS /JQ t)EE2r1n• 72AiL CONTRACTOR?7?Er_c,YArnr !?/lg(11 s ?rytsT ?rt1? ADDRESS_745 suns SFr DQ wJ PHONE tj(? q? 2.S DETERMINE WORKING SQUARE FOOTAGE OF EACH 1. Total exposed wall area ... '; 3 29 sq. ft. x .11 - 2. Total roof/ceiling area ... I !5 3q ^ sq. £t. x •026 B,O Total exposed wall area above floor - "? 2Z 7 a- Total wall window area ' '2,0,''7 b. Total door area ... 3 g. 7 C. Total sliding glass door area .................. -4 L d. Total fireplace wall area p e. Total wall framing area (average 102) .......... 22 .7 f. Total net wall area above floor ...... g. Total rim joist area !?....... NH?l. S Total exposed foundation area - I Q 'Z h. Total foundation window area ..... ........... i. Total net foundation area above grade .......... q ?, ry Deter--!no. "U" value of each wall segment. R /lull 4'7 S - 1 2. 3 b. 3lx7 x (lull -07 - 9. 7 C.. 3fn x nun _d2 - 15, / d. x hull - 0 e._ 3?z.7 x null 35 5 f. 11/0-2. L, x hull r 04 L - S'Jr x null . y75 i. 92.7 x hull . 077 Lem A3 is the same as, or less than item A1, you have met the intent of SBC 6006 (c)2. 3 . ...............................Total If i -1- VA tr V? G A R A4ia 31 ?? s ?Z ?l. Z- (z?) vKS 15-g`l50 22X5Z= 114( y xg? 37 Z x 2 . ?y? ? K23= 11x8 38?.1< 14-. l9?4S 6sMT = 13'3'2 ! ?( {3 d K,s3= Zap ??d? ?-7 ?v kK13= SZ J?38xs3= oYL 991 '300, l yo, oos -' . ? two 1991 BUILDING PERMIT ICATION 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 RITTT.DTNC PF.RMTTIE9 T-i'RART) PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS C PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: b t'a I-, r74L*e Valuation: Site Address u r ?D 62? A fL4j Z OFFI Lot Block ?y 11600400 Occupancy 3 -I Zoning R -1 Parcel/Sub EKJt?cyrCsK.`? &ent, ctual Const V- F( Allowable V-N Owner of of stories Length ?P Address Depth y 3' S.F. Total City/Zip Code Footprint S.F. Phone Contractor M1TT&-5n 39M-r-&9?% Address -7C5 4ux--ew City/Zip Code ?p(?Jg,,F M.y 'SSJa3 Phone 0 SL qJ 7-5 Arch./Engr. Address City/Zip Code Phone # On site sewage On site well MWCC System bl? City water PRV Booster Pump 2KI FEES Bldg. Permit `?W'00 Surcharge 90,00 Plan Review 598,ao SAC, City 100'aa SAC, MWCC 50,0 0 Water Conn. O,C'b Water Meter q$.OJ Acct. Deposit 30,0v S/w Permit 30,00 S/W Surcharge ,5O Treatment Pl. 2R P76,00 Road Unit O,aJ Park Ded. Trail Ded. Copies SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL Bldg. Off. b5 2.z39/ Variance S -?'-j L-- A RL/ _ agrees that all work shall be done in accordance with (Signature of-Con'lractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ??z9 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 441.00 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site sur eys, c foe gy talcs. SEP .?c, 12 199? COMMERCIAL 2 sets of architectural & structural p aai, l set of specifications, 1 copy of energy talcs. ------- Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work ij1.\)T-JQ ( Site Address: S ?M STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUED. P.I.D. # Description of work: The applicant is: ? Owner Contractor ? Other (Describe) Name _ `VV gg'k N __V, Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company re?s,? 7 Phone ?a9 - Contractor Address 'O 111w. `? License # MM Exp. C City St. Lo :S State Zip S5 2., Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber 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 ppli able a of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck WORK TYPE ? 31 New fir 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing 0 Final ? Framing ? Draintile C F 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish C System y Water Required ster Pump e Sprinkler sus Code Code sus Bldg sus Unit ssments T g 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 Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: . SD valuation: $ SAC % SAC Units CITY OF EAGAN 3830 Pilot-Knob Road Eagan, Minnesota 55123 (612) 681-4675 BASEMENT FINISH ALTERATION PERMIT TYPE: Permit Number: Date Issued: o'52 BUILDING 024529 09/14/94 SITE ADDRESS: P.I.N.: 10-23900-180-03 DESCRIPTION: PERMIT 4110 DEERWOOD TR LOT: 18 BLOCK: 3 ENGSTROM'S DEERWOOD Bpiilding'-.Permit Type Building Wc;rk Type l h f jJe }1 REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee Surcharge Lic. Search Subtotal $35.00 $.50 Fee $5.00 $40.50 COPY Total Fee x.50 $41.00 CONTRACTOR: - Applicant - ST. LIC. OWNER: DIVERSIFIED CONST 19297233 0003641 MIDTLING JIM 7010 HWY 7 4110 DEERWOOD TR ST LOUIS PARK MN 55426 EAGAN MN (612) 929-7233 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and y of Eagan Ordinances. n? AP ICA T/PER I S NATURE application, and state, that the with all applicable State of Mn. TURF 1 Y V -Adf,4 T ISSUEDEA URA CITY OF EAGAN P44 1t1994 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: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work O ?- Site Address: Lj / I D i?L c(/r7or ?L STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. 6? {1 C? Y.I.D. # v Lab_ Description of work: 11? .0 The applicant is: ? Owner 42-f?ontractor ? Other (Describe) Name ?1 0911z_ r rvc, ?1-- Phone Property LAST FIRST Owner Address `/ / /O _o_a t STREET STE # City State YM 1'tJ Zip S Company SitJ? ?+ Phone X151- l ?? Contractor Address ?a00 cvwz Se License # _7> a Exp. City 5' t,? ? State Y'l 12.E Zip S56 Company Phone Architect) Engineer Name Registration # Address City State Zip Sewer & water licensed plumber 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. n ?r - - ? Signature of Applicant: --? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: BUILDING 024522 09/13/94 SITE ADDRESS: LOT: 18 BLOCK: 4110 DEERWOOD TR ENGSTROM'S DEERWOOD PERMIT SUBTYPE: FIREPLACE 3 APPLICANT: FIREPLACE SPECIALIST (612) 451-1970 TYPE OF WORK: NEW DESCRIPTION (GAS) INSPECTION TYPE .DATE INSPTR_ INSPECTION DATE INSPTR. ROUGH-IN FINAL F 7 J PERMIT -Fy 3 <34s' CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 0 2 4 5 2 2 (612) 681-4675 Date Issued: 09/13/94 SITE ADDRESS: 4110 DEERWOOD TR LOT: 18 BLOCK: 3 ENGSTROM'S DEERWOOD P.I.N.: 10-23900-180-03 DESCRIPTION: (GAS) Bdilding'_P?ermit Type Buildin,g trdrh Type -ti ?? bl FIREPLACE NEW REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge 50 Total Fee $25.50 CONTRACTOR: FIREPLACE SPECIALIST 1200 9TH AVE S ST PAUL MN (612) 451-1970 - Applicant - ST. LIC 14511970 0003924 55075 OWNER: MIDILING JAMES 4110 DEERWGOD TR EAGAN MN (612)452-4752 I hereby acknowledge that J have read this information is correct and agree to comply Statutes an City of Eagan Ordinances. APPLICANT/PERMITE SIGNATu application and state that the with all applicable State of Mn, two' 4A - rn - -? ISIS ED B SI URE I RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN U d 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New construction Requirements • 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 sizes, poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE -?- ? SITE ADDRESS TYPE OF 9? ? ') (3 0 --7 4 RemodegRegair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for extenor additions & decks • Indicate if home served by septic system for additions VALUATION \0'?- ` Q , ? -7--c- MULTI-FAMILY BLDG _ Y Y- N - FIREPLACE(S) s 0 _ I _ 2 APPLICANT aaS? .rrSyl?n K? S? Gca? c , STREET ADDRESS 2_'-k>9 ?icsz SN- S?Vlkza-_ CIT&F ?.STATE?ZIP TELEPHONE # ?Zk `3A- 9 ELLPHONE # FAX# l0?1-11 L?Zi? PROPERTY OWNER\> _ TELEPHONE# COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (,'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 # Phone # ----------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is Fee: $90.00 o !? .o MAY 0 8 2002 D ray - ------- -- c c'ra-n agree o comply with all applicable State of Minnesota Statutes and City of Eagan Ordin Signature of Applicatri ?-? OFFICE USE ONLY Water Softener Water Heater No. of Baths Phone # Iawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 LOT l ff BLOCK SUBD. L4 DO dSJ? , RECEIPT #?3 DATE 1995 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: 7 a0 -`7? Area/address to be installer: Street add GPM GPM Owner ? Plumber M--? City, state & zip code: cl? L 7 hone #: Owner Street City, state & zip coder U Phone #:s o =_ ??? `?7Sa Irrigation contractor, if different than installer Telephone #: S 9,(- _49 / 61 I hereby acknowledge that I have read this application, state thatthe information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for anv damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. Applicant's signature Title _ Approved by: PRV ? Yes ? No Meter Size & Cost Date: New service ? Yes ? No Commercial ? Residential (boulevards) Existing residential Fees due: Calculated by: b) G k/" 3 7Z0-9 ??V/S ,T PROCEDURE FOR IRRIGATION SYSTEMS - 1995 An irrigation permit is required - please contact Protective Inspections at 681-4676. Fees Commercial project: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee only if new service is installed. $300.00 per tap if installed by City. Residential project: $20.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee if new service is installed. $750.00 per connection - WAC. $372.00 per connection - water treatment facility. Existing residence: $20.50 irrigation permit to cover installation of backflow preventer - (not required if backflow preventer previously installed). Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of $170.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $800.00. This information is to be supplied by the designer of the system. No meter will be sold before all sewer and water inspections are complete on anew service. If new service lines are not required, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside waterline and backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. SURVEYOR'S CERTIFICATE MITTELSTAEDT BROS, CONST. REVISED 8-26-91 I FLIP "OUSE) TTi 01! 1'? I 0\ n. Ant :A /g9 Tg r IY-s ar 1 BENCH MARK TO P OF PIPE ELEV. • N01?. NOW, 00 N ~ ' 7 ? ? ?? a ^?, i^ 7 O ' 1 ? w In a) 0 u/611u) ?- 3 0 ? a 0 \ r- I BUILDING DIMENSIONS SHOWN ARE FUR HO MZONTAL A Vp1TICAL LOC- ATiON OF iTR1JCTW1! ONLY, SEE ARCHITItCTVAL PLANS MR BUILDING S FMMATION DiMENpOHB. ? q 2. ^ Q ? 1 q Q f +n / ?30 r IJ / eeO a C' 9 ? rs° 4'is - ereE? ? .7/ EXISTING / OUSE BENCH MARK.-? NOTE: NO SPEC ?K: SOILS INVESTOATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF BOILS TO SyyPPORT THE SPUIPIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. me DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET * DENOTES IRON MONUMENT FOUND XOOO.O DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOStU ELEVATION Fa e91 9 j/0 n Iw : f ? -s ?I EAGAN ? Y 0-, h ??-QQQQ B q.rE lcN art stsa SCALE:IINCH - 30 FEET PROPOSED GARAGE FLOOR - 8814- FEET PROPOSED LOWEST FLOOR - 675, I FEET PROPOSED TOP OF BLOCK - 001.1 FEET WE HEREBY CERTIFY TO MITTELSTAEDT BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 18 Block 3, ENGSTROMS DEERWOOD ADDITION, according to the recorded plat It,ereol, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 15 TH DAY OF AUGUST , 1991. R. HILL, INC. PROPO D GRAOEB SHOWN W71t N PRAM TM OIMpINo PLAN FOR {NgITROMB DlRRM00D ADDITION Mwpm-to my an.*, LAST DA D B-2B-BB. -n X o wCD a ? m ?p7 _ r rn -o Ln a ?D M? O ?t M0 0 Z a 0 M O m y JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 a BURNSVILLE, MN. 65337 a 612-890-6044 91-08-26 14111 PAGE = 01 PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA096523 Date Issued: 10/18/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4110 Deerwood Tr Lot: 18 Block: 3 Addition: Engstroms Deenvood PID:10-23900-180-03 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to concealin,. Carbon monoxide detectors are required bn law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 5.200.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Heath and Home Technologies David A Deranev 2700 N. Fairview Ave 4110 Deenvood Tr Roseville MN 55113 Eagan MN 55122 (61)633-261 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA096524 Date Issued: 10/18/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4110 Deerwood Tr Lot: 18 Block: 3 Addition: Engstroms Deenvood PID:10-23900-180-03 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to concealin,. Carbon monoxide detectors are required bn law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 5.210.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Heath and Home Technologies David A Deranev 2700 N. Fairview Ave 4110 Deenvood Tr Roseville MN 55113 Eagan MN 55122 (61)633-261 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink r For Office Use (f PermitM A City of EaRd Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit M vLJ Name: DA lfj ~ ~~e7q Phone. 6242 -a62111(0 RESIDENT I Z/l~~~ OWNER Address /City /Zip: Applicant is: A_ Owner Contractor TYPE OF WORK Description of work: R`P~ /C?-, "-,w Construction Cost: Multi-Family Building: (Yes / No Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License m Lead Certificate 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: i 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 o lans. Exterior work authorized by a building permit issued in accordance with the Minnesota S to Build g Code e completed within 180 days of permit issuance. x / x App icant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type: Building Permit Number: EA107361 Date Issued: 10/09/2012 of 3 a R Permit Category: ePermit Site Address: 4110 Deerwood Tr Lot: 18 Block: 3 Addition: Engstroms Deerwood PID: 10-23900-03-180 Use: Description: Sub Type: e-Reroof & Windows/Doors Construction Type: Work Type: Reroof & Windows/doors Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Windows/Doors: If altering the opening size, a framing inspection is required. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, Fee Summary: BL - Base Fee $8K $162.25 0801.4085 Valuation: 8,000.00 Surcharge - Based on Valuation $8K $4.00 9001.2195 Total: $166.25 Contractor: - Applicant - Owner: Sela Roofing Remodeling David A Deraney 4100 Excelsior Blvd 4110 Deerwood Tr St. Louis Park MN 55416 Eagan MN 55122 (612) 823-8046 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink ANN6 I For Office Usje) I Permit ~Lj j City of Eagan Permit Fee: 3830 Pilot Knob Road Eagan MN 551221 ti '4~% j Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: ' 2012 RESIDENTIAL BUILDING PERMIT APPLICATION / f Date: SiteAddress: L iia Dee( u.)o✓ CL Tr Unit Name: t. C ~L ~t t S i J L cc! n v Phone: RESIDENT / OWNER Address/ City/Zip: L4l 4 ,e V-W V ic1 r - Z Z- Applicant is: Owner Contractor TYPE OF WORK Description of work: d 1_ t\2 t'`.°~ vvr Construction Cost: C}} l Multi-Family Building: (Yes / No Company: c-Ac~.. IC Crc $t no d- &vnr,,ACJ t 9C Contact: CONTRACTOR Address: L{10u e..XCz `mot a t° )i y City: -St: f L u,,k} Ph r State: Zip: 5 J~f Phone: GJ~ _q I L License I J Lead Certificate VAT 5 0_-~ t/ ° 1 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 they 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.gooherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. ) x[i~ x Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE 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) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous _ Accessory Building WORK TYPES L) Vre, &I 6(04A TG h L° 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( Occupancy MCES System Plan Review Code Edition j~,q SAC Units (25%_ 100%. Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) x Final / No C.O. Required Foundation T 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 ~-t Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant A Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA111821 Date Issued:07/12/2013 Permit Category:ePermit Site Address: 4110 Deerwood Tr Lot:18 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Charles Kes 7401 Central Ave. Ne Fridley, MN 55432 Fee Summary:PL - Permit Fee (WS &/or WH)$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 - David A Deraney 4110 Deerwood Tr Eagan MN 55122 Northern Plumbing & Softening 7401 Central Avenue North Fridley MN 55432 (763) 502-8228 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118515 Date Issued:11/04/2013 Permit Category:ePermit Site Address: 4110 Deerwood Tr Lot:18 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-180 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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 . 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 - David A Deraney 4110 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