4117 Deerwood Tr
Use BLUE or BLACK Ink
For Office Use
I
Permit City of Ea ~a~ 010
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
I
Phone: 651 675-5675 I
I I
Fax: (651) 675-5694 I Staff:
2011 MECHANICAL PERMIT APPLICATION
Date: Site Address: 1~\Vl 11,.5 0= TY i,
Tenant: Suite
RESIDENT / OWNER Name: \VN~ NAcy15;U Phone:
Address / City / Zip:
~y\9 License
CONTRACTOR Name: C<)O,~
vy I -tom
Address:°AUG ?CkV-,c4-M~~ ~ ]1/'. City F=5-AG 4^Al-\
State: y Y \1'\ Zip: 5Sta3 Phone: 1~> 5 4-4-k- k -`3 '38~
Contact ~cO~Y~n~\ Email: k p' Yv\ ~r Ir` n~rqT
TYPE OF WORK New/V___1_jReplacement Additional Alteration Demolition
III
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Air Conditioner Install Piping _ Processed
Air Exchanger Gas _ Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
" When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ X1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x \d\yy\ Vl x b A&,,
Applicant's P ted Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground _ Rough In -Air Test -Gas Service Test -in-floor Heat -Final
Exterior HVAC Screening Inspection
I
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 551 22-1 897
DATE
OFFICE USE ONLY
METER # 4 o 1 PERMIT DATE04/30190
CHIP # Q-KT39-5- PERMIT # 11355
METER SIZE S RC G B.P. RECEIPT # C 7400
ISSUE DATE Ja --7--96- B.P. RECEIPT DATE 04124 90
- PRV - BOOSTER PUMP
SITE ADDRESS 4117 DEERWOO D TR PERMIT REQUESTED
LOT 23.BLOCK
Y 2 SEC/SUB ENGSTROM ' S DEERWOOD
4 SEWER &WATER TAPS
r
APPLICANT:
ADDRESS: COMM/IND X RESIDENTIAL
CITY, STATE ZIP - X NEW EXISTING
PHONE:
)
'?
'?
?
`
' Lawn Sprinkler Meters are to be Installed
i
PLUMBER: /f f '
•
` r
?G Ahead of Domestic Meters on Water Line.
ADDRESS: Credit WILL?IOT be given for Deduct Meters.
CITY, STATE ZI P ?f?
PHONE: r
OWNER: -? '
ADDRESS: 7
CITY, STATE
PHONE: 452-5355
[/-p 4?-v 1--
SEWER
ZIP `5123
TO COMPLY WITH CITY OF
'SIGNATURE WHEN METER ISSUED
FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
NG DEPT.
SEWER"&"WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE "
SITE
LOT
METER # -
CHIP # -
METER SIZE
ISSUE DATE
- PRV _ BOOSTER PUMP
'R PERMIT REQUESTED
STOOM' S DEERIiOOD
i SEWER WATER TAPS
COMM/IND
CITY, STATE
PHONE:
J
PLUMBER:
ADDRESS:
CITY, STATE ZIP -
PHONE:
OWNER: -
ADDRESS-
CITY, STATE ZIP 5 51 >'?
PHONE: 452-5355
ZIP X NEW
OFFICE USE ONLY
PERMIT DATEQ4130 190
PERMIT # 1 1 ? 5 5
B.P. RECEIPT # C 7600
B.P. RECEIPT DATE l ? 41 Q
_L 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
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
V
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
.40 17.'43
BUILDING PERMIT
To be used for SF
Site Address 4117 DHBRWOOD
Lot 23 Block 2 Sec/Sub.
Parcel No.
W Name SONS CONSTRUCTION CO
c Address 46W FAIRWAY DILLS D6
City EAGAN Phone 452-5355
s Name SAME
0
Address
City Phone
Name
Address
1 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.
Signature of Permitee
A Building Permit is issued to: SONS CONSTRUCTION CO
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances
Est. Value
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning R-1
(Actual) Const V -N Bldg. Permit il1.00
(Allowable) Y-N Surcharge 74.50 7
# of Stories t
Length 5? Plan Review 527.00
Depth SAC, City 100.00
S.F. Total SAC, MCWCC 600.00
S_F. Footprints -
W
t
C
625.00
On Site Sewage a
er
onn
On Site Well Water Meter 90.00
MWCC System 30
00
City Water
Acct Deposit .
.
PRV Required S/W Permit 30.00
Booster Pump S/W Surcharge 039
Treatment PI 252.00
APPROVALS Road Unit 355'00
Planner Park Ded.
Council
Bldg. Off. Copies
Variance TOTAL 3.495.00 J
Phone
I
Permit No. Permit Holder Date Telephone #
WATER ?t / te?'Qi1/' C7
SEWER
PLUMBING
H.V.A.C. ?? D r SI D
ELECTRIC L? 9 // Q , Ga
Inspection
Date Insp. Comments
Footings I ?//
r? Yg j
Foundation
Framing
7I f? 11
V 5' / / /p
f 2 Te ?b (? r? / i? e l
Roofing
Rough Plbg. p
Rough Htg.
[Sul. S J/
?t
??
Fireplace
Final Htg. t-
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final G S M /v
Deck Fig.
Deck Final
Well
Pr. Disp.
` PERMIT #
MECHANICAL PERMIT /
CITY OF EAGAN RECEIPT # ( r
3830 PILOT KNOB ROAD, EAGAN, MN 55122
DA
CONTRACT PRICE: PHONE: 454-8100 TE:
Site Address i 7
BLDG. TYPE.' WORK DESCRIPTION
Lot Block Sec/Sub Res. New _
T
Mult Add-on
Name y
Comm. Repair
Address -
Other
c City Phone
- FEES
Name 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) - 1.50 EA.
TYPE OF WORK COMM/IND FEE -1% OF CONTRACT FEE
Forced Air f ? M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Air Cond. M BTU REMODELS 12.00
MINIMUM COMMERCIAL FEE 20.00
Vent - CFM STATE SURCHARGE PER PERMIT - .50
Gas Piping Outlets # (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other
_5z)
PERMIT FEE:
SIGNATURE OF PERMITTEE
S/C: '
TOTAL: ??'rYD FOR: CITY OF EAGAN
CITY OF EAGAN PERMIT # -
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#
PRICE PHONE 4548100 DATE:
Site Address 411
Lot 2 ? Block
N
C
FEES
COMMAND. 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 SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
FOR: CITY OF
W/
BLDG. TYQ,E WORK
Res. New_
Mult. Add-on
Comm.
Other Repair.
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
-Water Closet - $3.00
Bath Tubs - $3.00
Lavatory - $3.00
-4- Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00 fto
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
PERMIT FEE: ?'?_
STATES SIC: , -'5 -p
GRAND TOTAL: } e--V
a' ` 4 F
(9trtifiratt of Orrupaury
titp of Cagan
wpa rtmnd of %tiwM jna ration
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.
uu ck i&,dm SD W BM ftra9t No. 17743
O-w-Cr Type RUM! zaM D&W RI Type Cow VN
o,,, .f e scm ODI+Ib1lal cN co. Ads,. 4600 FAIRI+IAX RU IS DRIVE, EAGN
Building 4118 HERWOOD (PAIL IM"ty L23, B2, MCSM M' S
f r »,?: JOE 27, 1990
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN NQ 17743
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 /1 _ --y ?y ) ??
BUILDING PERMIT 4 > Receipt # , 1
for SF DWG/GAR Est. Value $149,000 Date, APR 20 19999D-
Site Address 4117 DEERWOOD TR
Lot 23 Block 2 Sec/Sub. ENGSTROM' S
Parcel No.
Name SONS CONSTRUCTION CO
W
3 Address 4600 FAIRWAY HILLS DR
o City EAGA N Phone 452-5355
'
0 Name SAME
Address
City Phone
WW Name
w
u' Address
W City Phone
I hereby ackrimlege that I have read this application and state that the
information is correct a agr a t ompJy with all applicable State of
Minnesota Statutes and 1 o O nces.
Signature of Permitee
A Building Permit is issued to. SONS CONSTRUCTION CO
on the express condition that all work shall be done to accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official ,'r I LY??1 k1 in i m j
OFFICE USE ONLY
Occupancy R-3 M1 FEES
Zoning RR1
(Actual) Const VN Bldg Permit
$11.00
IAlbwabte) V -N Surcharge 74.50
M of Stories
30
Plan Review
527.00
Length
Depth 44' SAC, City 100.00
S.F Total SAC, MCWCC 600.00
S F. Footprints
On Site Sewage Water Conn 25. 0
On Site Well Water Meter 90.00
MWCC System Acct Deposit 30.00
City Water
PRV Required SAN Permit 30.00
Booster Pump S/W Surcharge
0
-5
Treatment PI 252.00
APPROVALS Road Unit 355.00
Planner Park Ded.
Council
Bldg. Off Copies
Variance TOTAL 3.495.00
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER: -tJS Cdrl?1 [_'SC"f"Ib? Cn
TE ADDRESS: CZAtoV ).J 41117 Pj;EA4, b T/L
?,NTRACTOR: SOh 5 DATE: ?O PHONE: ?$2^5 35
DETERMINE WORKING SQUARE FOOTAGE OF EACH:
TOTAL EXPOSED 14ALL AREA,,,,,,,, LL) Ici. iS sq ft x "U" .11 L}?
2. TOTAL ROOF/CEILING AREA,,,,,,,, cl37.75 sq ft x "U" .026 2? 38
3. TOTAL EXPOSED WALL AREA CALCULATIONS:
Total exposed wall
area above floor,,,,,,,, 11 53 sq ft
a) Total wall window area:
glazed,,,,,, 144- sq ft x "U" , !5cf -P ';'4'9t0
glazed,,,,,, sq ft x "U" °
b) Total door area Q(? sq ft x "U" 23 LP 40
,,,,,,,,.
c) Total sliding glass door area:
glazed...... 4-0
glazed......
d)
e)
sq ft x "U" .59 ... ° ?3.too
sq ft x "U"
°
Total fireplace wall area 43 sq ft x "U" 110 4 iGo
Total wall framing area
(Average 109.),,.,,,,,,,, I Lpo
sq ft x "U" .ID = IG 00
f) Total net wall area above
floor (insulated)....... sq ft x "U" Q Y
q) Total rim Joist area...... /-40' sq ft x "U" Q _ (o
Total foundation
area (Exposed)......... 9ta sq ft
h) Total foundation
window area............ sq ft x "U" °
1) Total net foundation
area above grade........ CI(y sq ft x "U" p 7 (,,.-72
i. TOTAL a) thru 1) ISO•
If Item M3 Is the same as, or less than Item fl, you have met the intent of
2 MCAR 1.16008 A and 0.
Page 1
4. TOTAL EXPOSED ROOF/CEILINn CALCULATIONS: ` '
Total exposed
roof/ceilinq area ........__q 7 •? S sq ft
i) Total skylight area......, sq ft x "U"
k) Total roof/ceilinq framing
area (Average 109,')...... Y31>.G sq ft x "U" •,_?7 ' ? 2?J
1) Total net Insulated r. "
roof/ceilinq area....... I?? •"I sq ft x U
4 TOTAL J) thru 1) 2C1.2?"
if total of e4 Is the same as, or less than M2, you have met the intent of
2 MCAR 1.16008 A and 0.
1
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum
of items #3 and #4 shall not be greater than the sum of items NI and a2.
1. + 2.
3.
+ 4. °
C E R T I F I CAT I O N
I hereby certify that 1 have calculated the "U" factors and "R"
values herein and that the buildinq here described meets or exceeds the State
of Minnesota Energy Conservation Act.
Signature
L/ -A
(Date) page 2
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
fI SETS OF PLANS
REGISTERED SITE SURVEYS
SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCULATIONS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: 1l6hse Valuation: TfsT??? Date:
-T
Site Address yJ /7 .DEIIL4i00b 1R.
Lot L7i Block
?.rvC?'ti 14?'gS ,( /?//
Parcel/Sub Deey¢wOO-P A WV rI6„
Owner 50- S' NS Ut`cLCnl (-e>.
Address '1600 F41114 c.l W CLr D)L
City/Zip Code Zc-qc." Sj-/ 2 ;?
Phone -/)-,2 - S 3) ?-
n 1 //'
ContractorL1404' SOh S ?-t%YI$?1 -Y. `-0 ,
Address F,4&4,4y #.L(r A&
City/Zip Code E4.6tii) 55IZ 3
Phone I/)) - r3 ?- S
Arch. /Engr. )3/L/..H fr 7,t&
Address '' &60 FAmr.,4v 9,(Cf bk
City/Zip Code C G Tq i S-T/1' ')
OFFICE USE ONLY
/ 49, 000
Occupancy R-3 W
Zoning
Actual Const V?
Allowable V-
# # of stories
Length 5
Depth
S, F. Total
Footprint S.F.
COMMERCIAL
2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS
FEES
Bldg. Permit 811.0o
Surcharge rJ?o
Plan Review .5'27,00
SAC, City I D0,
SAC, MWCC (0 0 0.Qa
Water Conn &Z-6-1-00
Water Meter 90100
Acct. Deposit 30,oa
S/W Permit a,co
S/W Surcharge -140
Treatment Pl. Z62. i00
Road Unit X55,00
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
On site sewage_
on site well _
MWCC System
City water -
PRV _
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
Phone # Vs-)- > > rr
VA W?;Q Q r
r w? s
zyY-Zo =
ZX/o=
gsrnr,
CzJ)
?6o X ?5 = GRov
10?z ? IS= 15$
b ? So ? to ?
I??tax tN = I6Wgr2
lsr ??
BSmrr? ?1-4
2?In- ?-
1196 x 5)= ?? oqs
2 Ft
3o x32 9100
l> x ? y'li ? 2 R ?-
r
?2s2?s?= G3??Y
bcwo WyIi a n.
EGn Nau?e. wo ma la 5..-
(612) 9J4I _: W ??? /
Surrey for %?!Y
CERTIFICATE
Engkuwng
?+ yV y W Il Land Skawymg
-J V Landscape AtcA4b Au(P
??rr Planniag .
Job No. %090 Sk. 5!5 P9, 3
9EAY.9 rhtBK: IJ J27 Snr.i ?.a. Lot L5 pLacn'1 9,6 S. A. TlH - BSO. 7- 1C4bo-5)
4
^? sa ibb.9
? y f
Hti ;°?e~w v 96?
v /
?qP' io
ic CIO
fo ? q u 7F `n \ , ? t 10
of lop a N
lOP?bp q9 --_ //dlit
fr a?lt? `E; j
y
PROPOSED ELEVATIONS XXX - DENOTES EXISTING ELEVATION
LOWEST FLOOR- 514.%3 vu;%ff (XXX) - DENOTES PROPOSED ELEVAT t
GARAGEFLOOR- 382.5 r+ - DENOTESDWECTIONOFFLOwOF,,; q +T
TOPOFFOUNDATION- W 83 drR,Fy `7 ?1 ? E ii i'i 1i hI
SURFACE DRAINAGE
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES OF LOT Z3? aCoG/t Z
E1Vb.ST1?0M5 P60Eq JOOO f10Oir/OAI Alva MINNESOTA.
SURVEYED By i.;E THIS DAY OF . APQ lL ru 90_ C?m, L -
NALD L. RUEGE
STATE REGISTRATION NO. 14374
,,, ? 99os3 ?
J/,f1 7_`''
Ott
7
C9 35 754 Xmp
,
Request Date it Rough-in Inspection
Required? ? Ready Now Will Notify Inspector
'
5/9/90 Yes ? No (ten Ready
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street Box or Route No ) C^ry
4117 Deerwood Trail Eagan
Section No Township Name or No Range Na County
Dakota
Occupant (PRINT, Phone No
Sons Construction Co. 452-5355
Power Supplier Address
Dakota Electric Farmington, MN 55024
Electrical Contractor (Company Name) Contractors License No
Midland Electric Inc. 041610
mailing Adtlress (Contractor or Owner Making installation)
14055 Grand Ave So, Suite E, Burnsville MN 55337
Aulhon e (Cmc amor/Owner Making Insi.,Luum, Phone Number
892-6688
MINNESOTA STATE BOARD OF ELECTRICITY C THIS INSPECTION REQUEST WILL NOT
Griggs-MlEway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave. St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612j 642-0800 ENCLOSED
? 'p!^ -]7
!?REQUEST FOR ELECTRICAL INSPECTION ED 00001 0
s
ji? See inslrudro^s for compLling this form on hack of yellow copy
p
?-??-
((s ? Fi 7 5 4 X' Below Work Covered by This Request e7
ew A8d Rep - TypeofBWding Appliances Wired EgwpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm Rndustnal Furnace
Farm Air Conditioner
Other (specify) Com actor's Remarks
Compute Inspection Fee Below
# ther Fee # Service Entrance Size Fee # Circwts/Feeders Fee
Pool
Transformers o to 200 Amps
Above 200 _ Amps 0 to 100 Amps
- -Amps
Inspector's use Only
! TOTAL
oms
% 7 S
pection
munication
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby
Rough-in Date
certify that the above Inspection has
been made Final ate
OFFICE USE ONLY
This request void 18 months from
? C"
(3's RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651.681-4675
New Construction Requirements
registered site surveys showing so it of lot, sq ft of house, and all rooted areas
(20'/ maximum lot -overage allowed)
• 2 copies of clan showing beam 3 wtrmd" sizes; poured found design, etc )
1 set of Energy Calculations
• 3 copies of Tree ?reservation Plan if lot platted after 711193
• Rim Joist Detail Option selection sheet (bldgs with 3 of less units)
DATE
RemodeVRepau Requirements
2 copies of plan
1 set of Energy Camulat:gns for healed additions
• 1 site survey for exterior additions & decks
Indicate If home served oy septic system for addlhons
VALUATION
SITE ADDRESS t 01 WOOS 7-1/ L
TYPE OF WORK-A e- -4.ltf D W I k ,OVkAk+ <V
APPLICANT (2 ?T j IA-4,Fz, W i N D? d- S, ) o
STREET ADDRESS 1.4 (DSO C,L: is Io.-A it CITY Weyq ATE MnJ ZIP Vz?-O`'
TELEPHONE # 9sz K J' 2)`I°3CELL PHONE # FAX # 40?
PROPERTY OWNER'JeyitSYVJE f`Jk7'dC/4 \I TELEPHk 4) V&?? 0"o
--------------------------------------------------------------- ^---
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNE.Sl RULES 7670 CATEGl I _ NfI-ANESOT A RII 7672
(v submission typeI . Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor;
-------------------------------- Phone #
Plumbing system includes: _ Water Softener Lawn Sprinkler
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
? -7 MULTI-FAMILY BLDG _ Y 'y N
A FIREPLACE(S) - 0 _ 1 _ 2
Phone #
Phone #
Fee: $90.00
Fee: 570.00, ?i ?I
l' 0 9 7002 l!
JI
t
t
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appllcant /_ Iu? 0^
OFFICE USE ONLY
Air Conditioning
HI Rccoverv System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
Permit*
v j
City of Ea R~c~ tVE® I Permit Fee:
3830 Pilot Knob Road 8 ZQ12 I I
Eagan MN 55122 FED Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff: 1`T
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: N2 t\) (x-,\ !.:-J~-AA Phone: l- (.86-oOL6
RESIDENT / )
OWNER Address /City /Zip: L4 ~ 1- .rz -2
Applicant is: Owner Contractor
ll
l Description of work
TYPE OF WORK
Construction Cost: oc) ' Multi-Family Building: (Yes / No
Company: a-, CLZIVI T t u►2z V u-~ -4- 2~r~ , Contact: YF.V iA~ k06a 't4,l`)T_->
CONTRACTOR Address: (kb& C-t, Cu7m>? City: `It. Fes(, M.,J
State: f\A&) Zip: t U 1 Phone: 1,2D
License tl(_ 6-~,-4 - Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.popherstateonecall.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.
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Applicant's Printed Name Applicant's Si ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114294
Date Issued:09/13/2013
Permit Category:ePermit
Site Address: 4117 Deerwood Tr
Lot:23 Block: 2 Addition: Engstroms Deerwood
PID:10-23900-02-230
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
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 -
Jerome A Hengy
4117 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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124958
Date Issued:07/15/2014
Permit Category:ePermit
Site Address: 4117 Deerwood Tr
Lot:23 Block: 2 Addition: Engstroms Deerwood
PID:10-23900-02-230
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 or installing Bay or Bow
windows, 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 -
Jerome A Hengy
4117 Deerwood Tr
Eagan MN 55122
(651) 688-0940
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153100
Date Issued:11/21/2018
Permit Category:ePermit
Site Address: 4117 Deerwood Tr
Lot:23 Block: 2 Addition: Engstroms Deerwood
PID:10-23900-02-230
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Jerome A Hengy
4117 Deerwood Tr
Eagan MN 55122
(651) 442-3492
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153106
Date Issued:11/21/2018
Permit Category:ePermit
Site Address: 4117 Deerwood Tr
Lot:23 Block: 2 Addition: Engstroms Deerwood
PID:10-23900-02-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Jerome A Hengy
4117 Deerwood Tr
Eagan MN 55122
(651) 688-0940
Mnp Mechanical Llc
452 8th Ave SW
Lonsdale MN 55046
(952) 513-2161
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153380
Date Issued:12/14/2018
Permit Category:ePermit
Site Address: 4117 Deerwood Tr
Lot:23 Block: 2 Addition: Engstroms Deerwood
PID:10-23900-02-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Jerome A Hengy
4117 Deerwood Tr
Eagan MN 55122
(651) 688-0940
Perfection Plumbing
9633 211th St W
Lakeville MN 55044
(612) 867-1192
Applicant/Permitee: Signature Issued By: Signature