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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) ;Oyaor, /9,T0 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. K)E.,V4~J a, 6LGv~~ x `°'(/-L C-x 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