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4121 Deerwood Tri. , i (Urtifirott of Mrrnvanry Ctp of (Eagan Wprarbund of loom . rrttmi This Certef ow 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. ume p--n;o'oo S F D W G f a A R V* R mk No. 408 O=MM,Y rya R3/M 1. Zw?q DWxict R 1 Type Coon M 11 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: I a t: R I~I f.l ft' PERMIT SUBTYPE: „ ON RECORD PERMIT TYPE: Permit Number: Date Issued: '?4 Al o c K a APPLICANT: TYPE OF WORK: At Tf (•A11 ON INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. t IAN RE V1EWE0 BY INfkI HARf'K. SF PARAt Pr OMIT Pft)llIRV0 V(114 ANY PI 41104tN' Ai..t 446-1E148 ftFGAR111NO F.I.ECTPI£At F'FRMfI' AMC) TNtiF'F+;'#„10011 E Permit No. Permit Holder Date Telephone N ELECTRIC 54. PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL k/ DECK FTG DECK FINAL INSPECTION RECORD Control No. 036 CITY OF EAGAN PERMIT TYPE: BU 111.01 NH 3830 Pilot Knob Road Permit Number: *0040" Eagan, Minnesota 55123 Date Issued: Nb Jil4 !y?' (612) 681-4675 'y SITE ADDRESS: 1011 24 lit o1LK s f APPLICANT: ? l :t>, p?eawc?oa TR traij?t? w t EHAf,,TR0N'`a ffrlt oon (612) 136-6686 PERMIT SUBTYPE: i DWI, TYPE OF WORK: M INSPECTION TYPE t I i .DATE INSPTR. INSPECTION TYPE F,tt? f t Nl? DATE INSPTR. f-VAMI INSWATI€IN f l NAt FIFtEPt ACC I RL14ARV i t RECF-11'1 # SIPW PLnR.. L Permit No. Permit Holder Date Telephone # S/W PLUMBING r.'je ( ` ?` Ca?'r 4411P 9f(? 11; 61 ? HVAC f f?; d r' •0 ELECTRIC ELECTRIC inspection Date Insp. Comments Footings I Foundation Framing Roofing 60-z all Rough Plbg, ( - t Rough Htg. q 91 ,8111. / ?d1r?2t??rS?"3S /I++KS?G d`W?G?SO'E c? ?•(/ Fireplace Final Hill. Orsat Test Final Plbg. Plbg. Inspector- Notify Plumber Cont. Meter EngrJPlan Bldg. Final !?? `- ,.YL ???'CCC???EEE 777 Deck Fig. Deck Final Well Pr. Disp. r, *5 44ja 3 0%*f 4ed'f pcv % G9 'ter Address: 4121 DEMRSvl)OD TRAIL Lot 24 Blk 2 Sec/Sub EWSTRM DEEF&M Th€se items were/were not complete at the time of the final inspection. at : 8/3/92 Yes No , Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas r? Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists.] aevueo wrtx White.- City copy Yellow - Resident copy Pink - Contractor copy PERMIT CITY OF JEAGAN 3830 Plot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: Control No. 0369 BUILDING 000408 05/04/92 SITE ADDRESS: DESCRIPTION: 4121 DEERWOOD TR LOT: 24 BLOCK: 2 ENGSTROM'S OEERWOOD Building Permit Type SF DWG Building Work Type NEW 'UBC Occupancy . R-3 M-1 Construction Type VN Zoning R-1 Building Length Building Width 58 36 REMARKS: RECEIPT M a vY60 ; S&W PLBR. a S7A+2 QLl%, FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $150,000 $814.50 $529.43 $75.00 $700.00 100 1 $2,118.93 MISC FEES $1,610.50 Total Fee $3,729.43 CONTRACTOR: - Applicant - ST. LIC. OWNER: EDGELL M T 17355666 0002667 EDGELL HOMES 2712 HORSESHOE LN 2712 HORSESHOE LN WOODBURY MN 55125 WOODBURY MN (612) 735-5685 (612)735-5685 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. AATURE 'Rot Q 1 ISSUED BFY. GSIGNATURE t 'll+i. tl I'II.. ? {!J ;•rr)0 r087 5 e , iequest Dale Fire N OugM1-in Inspection Regwretln Ready Now Will Notify Inspector When Ready' 2 Yes G No IV licensed contractor ' I owner hereby r equest inspection of above electrical work at: Job Address (Street Box or Route No) t(11 City 4 ce..?.,.? Nn Township Norte or No Ran9a No County qn? A ? ,>I AJA F pplier Comum or iCOmpany Name) n Inspection Fee Below: Other Fee Address ICOmractor or owner Making Installation) /4R3© 704 S}-i?fo MINNESOTA STATE BOAeO OF ELECTRICITY Griggs-Midway Bldg. - Room 5-173 1821 University Ave, St. Paul MN 551D4 Phone (612) 6A2-08001 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED ? ?/9 REQUEST FOR ELECTRICAL INSPECTION 0 See msirucitens for completing this form on back of yellow copy j "X" Below Work Covered by This Request ew i4dd Rep.` Type of Building AppliancesWired Home Range I, the Electrical Inspector, hereby certify that the above inspection has been made. )FFICE USE ONLY his request void 18 months from No Furnace Air Condition actor's Remarks CoMractor5 License No CEO X710 ? /11ti ss?33 Service Entrance Size to 200 Amps )ove 200 _ Amf nH Use Only THIS INSTALLATION o"'s g ? at., Electric Heating ) Other (Specify) { I , I li I'•.. Circuits/Feeders Fee I U i, 0 to 100 Amps 0 _ Amps T TAL ),4 bS?5D rnSr`nNNECTED IF NOT 'i ii l,)ti Off 1!6J ?? t Irli flJJ i t I [t .1, I•it•. f:U ? 1., ,' 1 t' ,? ,. (I; 1 1 ? i s it l 1'., 1 'i!'I q L'Jirll I )i, '? !') f '.I r rah io J4r,t ?L-"?, r. ,r, I f, li.i w l l 1 , ? f, '.1 1 ??•_, .,,i r fill-. 11,1 r PE.RMIT `# CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested,-but not picked up by last working day of month in which re uest is made or lot change is re guested once permit is issued. Date Q 4/ / 62 Y / Valuation of work Site Addressdil),/ .,,Z?eeA?Ct VOZ Ti?i4 L STREET STE ! Tenant Name: n Ay LOT C>C 7 SLOCK P.I.D. / Description of work: The applicant is: ? Owner ? Contractor i9 Other (DOSCH Name Phone Property LAST FIRST Owner Address STREET STE / City State Zip Company mid CTS /?D?l7 PS Phone Contractor Address License X407 Exp. Pk City State 17)Al ip 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 Statutes and City of correct and agree to comply with all applicable State of Minn es ottaa ?. Eagan Ordinances. ?.-- ? ' Signature of Applicant: vrriat Uat UNLr BUILDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish 9 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 04 Multi-fam. T.H. ? 08 Deck ? 12 Comm./Ind. WORK TYPE 31 New ? 34 Repair ? 37 Demolish ? 32 Addition ? 35 Tenant Finish ? 99 Undefined ? 33 Alterations ? 36 Move - GENERAL INFORMATION Const. (Actual) M - N Basement sq. ft. (Allowable) V- -N 1st F1. sq. ft. UBC Occupancy .312nd F1. sq. ft. Zoning Sq. Ft. total # of Stories Footprint Sq. ft. Length 3 y r On-site well Depth On-site sewage APPROVALS Planning Building S c.??j.ga Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile ? 13 Public Fac. ? 14 Agricultural ? 15 Miscellaneous MWCC System YrS City Water ',ee 45 PRY Required Booster Pump Fire Sprinkler Census Code LOf SAC Code of Assessments ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % l00 SAC Units 1 91 w. SC v.tuettan: s 15-0,00a 0 GIARAGE", a9 Y 2z.= 63Z 156 IF, y 1z - G2 00) 00.00 100,80 y 3 ;?c I !12-5, oo 30x3H I ago 0.40 ?400 18x r?/ = Z 52 50 ' ?? 300?po ,.. ? Z Sn K = 3 SO, DO ? f?T?R: I ZNiJ?too?.? '7008 18;750 BSMTX I si7 Z'I V? )2$2 xS3- G-7ggf 3` ?c 1050 x53= 556Sb MINNESOTA-STATF, ENFitu CO CALCULATIONS BASED ON CHAPTER 5 OF THE / 2 MODEL ENERGY CODfecti 3 EDITION / / ?? Adoption Effective Site Address--LOTZLI. Contractor Building classifications Type Al (Single Family & Duplex) Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other) HOmE: comp: ? Dao s 4 and 4 first, 1. Building Perimeter 4? GU??G ft. 2. Wall height (ground to,eave) /I ft, 3. 1. X 2. (above) gross wall area eq.ft._ 4. Building dimensions (L) .x (w) sq.ft.roof & floor area 5. Sq. foot area of rim joist - Flop_r joist size (2 X/C ) X (Perimeter) m sq.ft. ? 12 6. Doors - Area i ) 4 &' q Thickness in U. factor Type of Construction Perimeter ft. Manufacturer 7. 'Total door's perimeter ft. e. Windows! Manufacturer__Gdll j p? State approved U factor TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL UNITS SQ FEET YCL SNf??r EACH `? W( 9. Total sq.ft. Glass 131 lo. Fireplace areas Width X Height X ?1s sq.ft. 11. Exposed foundation: Height X Perimeter .? X /C? ._ /a7J sq.ft. COMPLETION OF THIS FOR" IS REQUIRED FOR ALL NEW UONSTRUCTION, MAJOR REHODELING AND BUILDINGS BEING HovED "HERE ENERGY, THER THAN THE HINIHAL CODE ALLOWANCE, IS USED. -1- naming area - lot of gross wall area. Gross wall area 7 P [ Z ?Jj 9q.ft. WLldow area A eq. f E. U windows d 5? //- Vl7 O //''? //'' Ri i t Z` ` _ r URA . f i m fo s ? area A / sq,ft. U rim joist-.. 4/ o UxA - L o Door area A- 4 Z nq.tt. U door area-_ _ UXA d Other doors area A4;7- sq,ft. U other doors=- *,4Z UxA e Exposed fndn A_ 1U?9 7?7 sq,tt. U foundation- 0 L UxA d C Z• Framing area A 'j 9/o J1 q.tt. U framlrtg area= ,27,5 UxA - 0 Ilet wall area A ?pv sq.ft. - U wall=_ 1043 , ?a UxA - 1j. 110) TOTAL . . . . . . . . UX d Gros" wall area x U.11 (A-1 911,910 family & duplex) d allowable UxA/CJ (13. above) X 0.29 (A-2 other teeidential) x .29 (Other buildings) X .20 (Over 9 atories) 2 U'1'Ull must be larger than or same A X U code / e or. an 1913 above ceiling framing area (At) equals lot of ceiling Stan .. Gross ceiling area (L) x (11) ? 17,61 ? sq.tt. 1. Joint area (At) s lot calling area d /3?D sq.tt. flat ceiling area (A c) (15A - 1513) d -,LZZ-6e s tt. U Callitlg x AC t+'• ?()7,z- x &I U framing x At x --z2&, 1. TOTAL U x A ............................. d ^ Ceiling urea (15A) x 0.026 (A-1 single family R duplex) allowable UxA/Coda x 0.03 (A-2 other residential) /?, x 0.06 (other) A115A)?ZX U code ??Z(D e? OTUII must be- larger than of some 3 OF. an 15U above rEt Use U and A values obtained from pages it 9 and 4. ME11'ATS_11I I hereby certify that I have calculated the "U" factors and values herein and that the building here described Mesta or exceeds the ?te of 111rlnenota Energy Conservation Act. to g gtlature -2- ??osy WAS 44fA 5-X ?? -z- ICI 19b g. '? 3 X ?o?- 7 a Vl??fs. loo 17zq h49 11to 4 qZ-z73 ;? Z? 1 (a4 s> W". ?? ? (orb ? 3 $-f?1 Z -f-ZS Z ?? z ?? Z tlcus l?Jo X A4i,-A, 'F674A-? ? Zw Z? 11 Z ,? (? y ?4 I?Xv& M1 4 k L 3z ?5zm old Ya Z- 3d z4?J3 P9 ll Z, X lZ z? ?Z-x10pN I I k q Z. 9 T( P41w 1 I x ?Z Zia Illllll 7 k /5' /ds' 4 POP I 1 L I ??s zd eI 42 ?? ZI WALL SECTION .?LVL Vl.LVVLIII IVLQ VALUE U VALUE Inside air film .68 Interior wall (Wall) U R Insulation `q ,0 I D2 Sheathing 2.0(p Siding LO"i Outalde air film .17 R TOTAL Z3 OaJ I id i fil i 68 STUD SECTION RIM JOIST ns e.a r m Interior wall * stud \(p") Sheathing Siding Outside air film • ?S R= 440t•(p,I5 (Framing) U . R Z . OCO . coq g5 .l7 IfJ•?J3 R TOT interior?air film R= .68 Insulation 1q.0 lli inch soft wood M.88 (Rim Joist) Sheathing Z r0(0 Exterior wall covering .L4-1 1 Exterior air film R= .17 R TOTAL 7-4.4(o Interior air film R= .68 Insulation S•o Foundation II 2'TJ Exterior air film R= .117 R TOTAL l•1 3 -.11 1 Exposed Block w. rrade U=$= ?T I 1 (Fdn.) U = A = 7Ft1.rNG WITH VENTEb ATTIC SPACE ABOVE R VALUE FRAMING R VALUE CEILING 0.61 Air Film 0.61 NO. 0 Insulation • 0 4.38 Joist ------- 0.56 Ceiling 0.56 0.61 AirFilm 0.61 Tota1R 45.1g7- -U 2?j - I/R 07 Z. Window infiltration 0.5 cfm/lineal foot of crack Residential door infiltration 0.5 ofm/square foot or door and minimum code requirement Non-residential door infiltration 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulation - _ .47 R 2.1 Ub 12" concrete block insulated cores - .26 R 3.8 Ub 12" lightweight block a .32 R 3.1 Ub 12" lightweight block insulated cores = .12 R 8.3 U single glass = 1.13; with storm window .54 U double glass = .55 _ U triple glass - .41 All exterior walls and:ceilings must have a vapor barrier (0.10 perm max.). Vapor barrier must be on the inside (heated side) of wall. Vapor barriers of the polyethelens thin film have no R value. A PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-23900-240-02 DESCRIPTION: PERMIT TYPE Permit Number: Date Issued: 4121 DEERWOOD TR LOT: 24 BLOCK: 2 ENGSTROM'S DEERWOO Permit Type BASEMENT FINISH F4 rk Type ALTERATION itr 434 ALT. RESIDENTIAL z p 33g? 9 t IL yy (7 Cf. C111,, (3 n M' Z BUILDING 031388 02/03/98 REMARKS: PLAN REVIEWED BY MIKE BARCK. SEPARATE PERMIT REQUIRED FOR ANY PLUMBING. CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS. FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC OWNER: TT4MBERWORKS BLDRS INC 16860911 0006352 STEIN RONALD 829 TROTTERS RIDGE RD 4121 DEERWOOD TR EAGAN MN 55123 EAGAN MN (612) 686-0911 (612)454-5469 I y ?. s ,r In 0;r a'b? , •a,C,k rr a, S'Ca:tute.s'„ axid C= I II .l l w N W AN . , V . , A5; . .. 1.41 1 . in .r. .. CTTY OF' FAOAN CA13HTFR" 3S TEPMINAJ... NOr h94 s DATE:, Ch/03/98 TTMEI 14:5047 )rr? :Cis r HAMEe 1:I:MftFRNOFiKS BLDRS INC 3:'..1.0 900:1 41.21 DEERWOOD T' 50.00 205 51001. 021 IIEERl OOD T 0,.50 T 1 rip: I I ,'ilnl'. ... r F' Tc5tal Receipt AmauW 50.50 FEP O JAN .,?? ? -,?,.• ,? ' ?? .. ,, ? ?, :; ? ".? ? ? ? ####+K#iY7K:tt??#ik#iK#######.?„?#'k-##9F##dE:?l'###.h'?tltR?:? i.. 1997b BUILDING PERMIT APPLICATION (RESIDENTIAL) 13 A $ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ,3 .4675 New Construction Requirements 681 RemodeVReneir Reouirements ? 3 registered site surveys ? 2 copies of plan e 2 copies of plans (Include beam & window sizes; poured fnd. design; etc.) e 2 site surveys (exterior additions & decks) e 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 711193 required: _Yes _ No gr ' DATE: 1- Z7 --?'B CONSTRUCTION COST: / Z 4-. 4947 0 DESCRIPTION OF WORK: 411O?41C STREET ADDRESS: ?L •oo ?i7.r4tL 1-1 OT C BLOCK SUBDJP.I.D. * PROPERTY Name: _ ` yj ?. ? Phone #: Vrr - 5-Y6 f OWNER .. ..? Street Address: yiai ?A/l City: AreA..? State: r1AI, zip: ,SS/13 CONTRACTOR Company: `?1.s?8aror.•r•.?.?cs 4<444S Phone M is 8'd -D9// .S.?c. . Street Address: B?A ??. a s1.+o?c License #: M535-4 City: State: /'YEN Zip: 537/-.Z3 ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Applicant: Yes No Yes No with all applicable OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging :erg 16 Basement Finish ? 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool ? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-piex o 14 Fireplace fl 21 Miscellaneous 105 SF Misc. o 10 4 piex ? 15 Deck WORK TYPE o 31 New P--"33 Alterations , 36 • Mq% q1 • 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION „Conn. , (Actual,, Basement sq. ft. MGWS System (Allowable)' Mairnlavel.sq. fitr t;; ' , .: City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning . ' :.sq.,ftc= PRV # of Stories sq. ft. Booster Pump Length ; . : - ; .. sq. ft. " Census Code. ? Depth Footprint sq. ft. ' ` SAC Code o Census Bldg I ".? :}`.i t: . •'.`?= ?`^?a .? ?. <.?• Census Unit O APPROVALS. Planning Building,` - ti AA6 Engineering Variance Permit Fee Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies- Total:.' r ?! ? Valuation: $ r. % SAC SAC Units t , _ 11999 BUILDING PERMIT APPLICATION (RESIDENTIAL) f CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauire > 3 registered site surveys showing sq. H. of lot, sq. it. of house and Qy roofed areas (20% maximum tot coverage allowed) > 2 copies of plans (show beam b window sizes; poured Intl. design; etc.) v 1 set of energy calculations > 3 copies tree preservation plan R lot plaited g@e AVIAV? DATE: - 6 ! DESCRIPTION OF WORK: STREET ADDRESS: 611.J(] 0 Rr LOT: 2- L? BLOCK: SUBD./P.I.D. PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Remodel/Reoair Reaulrements 2 copies of plan 1 set of energy calculations for heated additions 1 she survey for exterior additions S decks COST: /, Name: / 1 " Phone #: Last Street City State: n 1 Company: r-) G? /dGl-U'Q ?i ^?4i Zip: Phone #: 6(,?- Q.2-'3 A (area code) ? ? 3 ?3/'Zvao Sheet Address /?7r y Ucense # Q S Exp. City ?7 ?•t r S ?ct. State: dh ? Zip: o Company: Name: Telephone #: area code ( ) Street Address: Registration #: City State: Zip: a4 Sewer L water licensed plumber (required for new construction onlvl: Penalty applies when address change and lot change is requested once permIt is Issued. n I hereby acknowledge that I have read this application, state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received -. Yes _ No Tree Preservation Plan Received _ Yes - No Not agree am ly with all applicabl 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) O ' CITY OF EAGAN 3830 PILOT KNOB RD - 55122 S_ a g - °7 651.681-4675 New Construction Requirements ? 3 registered site surveys showing sq. ff. of lot, sq. ff. of house and all roofed areas (207. maximum lot coverage allowed) > 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.) 1 set of energy calculations > 3 copies of tree preservation plan lt lot platted after 7/1/93 DATE: L?A(a r l? pp DESCRIPTION OF WORK: CLO tA- n.,.) STREET ADDRESS: Remodel/Repair Requirements 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior addRlons & decks CONSTRUCTION COST: Name: LOT: a-y BLOCK: SUED./P.I.D. #:-¢?0 Yw? L1 SCS r'T6? Name: 6 Phone #: 454 - -! PROPERTY Lost Fi OWNER Street Address: city C a12??? State: Zip: 'S'S) 22 SELA ROOFING & REMODELING, INC. / '? 7?3 _ o ^,t f Company: At fin EXCELSIOR BLVD. Phone#:I C?`71o ST. LOUIS PARK, MN 55416 (area code) CONTRACTOR ID 00001050 Street Address: License # / Exp. City ARCHITECT/ ENGINEER Telephone #: area code ( Street Address: Registration #: City State: Sewer L water licensed plumber (required for new construction anlv): Penalty applies when address change and lot change Is requested once permit is Issued. I hereby acknowledge that I have read this application, state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received _ Yes - No Tree Preservation Plan Received Yes No State: Zip: Zip: Lion Is correct, an ogt a to omr i Not Required all applicable CITY L ? BL USE ONLY RECEIPT* 95 / 7?P A {-- 'I/ SUBD.(_•pM?olS?w1N' tuft tydD-OC RECEIPT DATE: / ? / Q 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3630 PILOT KNOB RD EAGAN, MIN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet • minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener "for dwellings under construction 5.00 x = Water Softener ' for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler ` for existing dwelling 20.00 = Alterations • to existing residence 20.00 = a Water Turn Around 20.00 = Private Disposal System ' MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems ' Abandonment 20.00 = STATE SURCHARGE .50 5 ? TOTAL - ---------------------- --------------------------- I hereby acknowledge that I have read this application, state that the 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 any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City properlytright-of-way/easement. SITE ADDRESS: ?? , ?J2ar t. l f 1 / OWNER NAME: \ r? rr r , r. INSTALLER NAME: V 9- 11, -r O t l- STREET ADDRESS: '-k Lo N_ Lam" e., Y? - TELEPHONE* /4 a-J 1 1 CITY: :1? )r r I STATE: r•'\ ZIP: SS 3 '- SIGNATURE JSIFORMS BLDGIPLBG PERMIT (RESIDENTIAL) 1998 LC?W BL oL CITY OF EAGAN PLUMBING PERMIT SUBD. /ort?+!tsp+ yy?eu _ _ _ (612) 681-4675 RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ADD ON _ REPAIR OWNER NAME: /?'. T C.d Q y SITE ADDRESS: `]?/?l I?ee/?nrsc? T2 INSTALLER: Ale-+ A ADDRESS: / f/ dz,5 AV /?'L/ '?w CITY: aL9 t^f ZIP: ul?rl 2-3 CITY USE ONLY RECEIPT #-? DATE ll 9 ?f ALSO, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 3 LAVATORY 3.00 1- 2-KITCHEN SINK 3.00 -3 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 y GAS PIPING OUT. (MINIMUM - 1) 3.00 A_ ROUGH OPENINGS 1.50 il, J _ OTHER _ _ WATER SOFTENER 5.00 PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 W, TURNAROUND 15.00 STATE SURCHARGE .50 TOTAL: S S;1. 0.0 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: PHONE: FOR: ZIP: CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN PHONE #: dgg? - `ild4f CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 i4itiCHANICA;taae??RM??; ZIP: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE I TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESC$IPTION NEW CONST _-/ ADD ON REPAIR OWNER NAME: SITE ADDRESS: `-I IoZ I)miIuV)f)f? IIW_tX LOT: CAI BLOCK' A, SUBDD. INSTALLER: I f1nlQ?l ?6 ADDRESS: n( -?QJ\6L1YM??1 N' CITY: \! ?O /, n4R- - 'A?rX?.pk'n ZIP: S?b7 S PHONE #: 4; /- f7O J FOR CITY USE ONLY PERMIT # RECEIPT # 5 DATE: FEES ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT DWELLINGS & $15.00 24.00 6.00 3.00 SUBTOTAL: $ 33.00 STATE SURCHARGE: .50 TOTAL: $ 33 S v S ATURE OF PERMITTEE -tj uvv-p- 12o , c O_,6 1-rc?, C_OYfMEIIAI%tIbIIST,KAI 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 INSTALLER: ADDRESS: CITY: PHONE #: FOR: SUBD. FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN 07/07/2006 11:12 -?Lq l q 8 7634344933 7634344933 HARMONY HOMES INC 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 't'elephone # 651-675-5675 FAX # 651-675-5694 PAGE 01 Raw G,^ ?r?! * Reo?mements RmmdesReoalr Reoueenents Ofiloa Use OM r 3 naglstarad sits surveys shawhg sq. ft of lot, sq. If of house; and a rolled areas 2 copies of plan Cod W surf-Recd =Y _N (20% rnwhorn lot coverage allowed) t set of Energy Cekdefiw for heeled addbons Tree Pres Plan Recd _ Y -_ N. 2 ooples of plan showing beam & wirdow slid; poured found design, ate. t ste survey for addlions & deft Tree Prey Required Y,'_ N Iset of Energy Calculations Additn-Wcehe9046septicayakm Ork4bSimsirldam -'_N 3 copies of Tree PmsefW= Plan a lot plefted after 711M , Rtrn JoW Oeta90ptions seleclion sheet (butdhrgs wah 3 or lees unbs) ' Date --k- t ?T / C./ Construction Cost' y? 5z ^^ Site Address Q12 J r )O il^,`` t rrod JEOLQtlr?. Unit/Ste # Description of Work =y sic-LLL4 1 Enir Door /U PGN. 5&an dDn r' t l i F il Y N M Bld 2 1^1 h q 0 1 l u t - am y g _ _ _ Firep ace(s) _ _ J Property Owner f r i a-r 1 P.,+ 4* 1 ( Telephone # (??) (] 63 t? Contractor Address 3151 / City State rn N Zip 55oq2, Telephone # ( 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateeory 1 _ Minnesota Rules 7672 (J subm "ion type) • Residential Ventilation Category I Worksheet New Energy Code Worksheet 3ubmkfed Submitted • Energy Envelope C9lwlaWns submitted Have you previously constructed a building in,Eag"an with a similar plant _-._ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( ) Mechanical Contractor Telephone #( ) Sewer/Water Contractor Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. Applicant's Printed Name Applicants Signature * PIONEER LAND engineelr ng LAND Pt' Certificate of Survey for: Edgell Homes, Inc. 2422 Enterprise Drive Mendota Heights, MN 55120 612) 681-1914•Fox 681-9488 625 Highway 10 Northeast Blaine, MN 55434 612) 783-1880•Fox 783-1883 House Address: Deerwood Trail. Eagan. MN N 00.28'11" w 91.81 0 ------ 3 I l rv 10 ?T /( s Z 8? / N te5J'67. £ l / S x CO Q .83 / 11. DO PR ° l n 1.16 1qO Z 5.9 O,fRAOf 4Sou tovr 9..6s l /l 5 /J ry Yd,a? h JJ n ftt•FIyAY "j ` /000 C \J?. ` 4 12 ?8 ` \ R 06 S eea.e 460 ERW \ o \ X 900.0 Denotes 9aa.o Denotes Denotes Denotes -a-- Denotes - i Denotes Existing Elevation Proposed Elevation Drainage & Utility Easement Drainage Flow Direction Monument Offset Hub t_ R E I 4,E,? D RAG PROPOSED HOUSE ELEVATION Lowest Floor Elevation: 876.69 Top of Block Elevation: 884.80 Garage Slab Elevation: 884.47 Bearings shown are assumed LOT 24, BLOCK 2 ENGSTROMS DEERWOOD DAKOTA COUNTY, MINNESOTA ADDITION I hereby certify that this survey, plan or report was prepared by me or under my direct sup rv s,on en that I em duly Registered Lend Surveyor under the laws of the State of Minnesota. Dated this 15'744 day of =1y? ?+ A.D, 19,. Scale: 1 iRh=30faet ffy fz REQ. NO. PERMIT City of Eagan Permit Type:Building Permit Number:EA121104 Date Issued:03/13/2014 Permit Category:ePermit Site Address: 4121 Deerwood Tr Lot:24 Block: 2 Addition: Engstroms Deerwood PID:10-23900-02-240 Use: Description: Sub Type:Reroof & Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 12,000.00 Fee Summary:BL - Base Fee $12K $221.25 0801.4085 Surcharge - Based on Valuation $12K $6.00 9001.2195 $227.25 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 - Todd S New 4121 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:EA130296 Date Issued:04/15/2015 Permit Category:ePermit Site Address: 4121 Deerwood Tr Lot:24 Block: 2 Addition: Engstroms Deerwood PID:10-23900-02-240 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 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Todd S New 4121 Deerwood Tr Eagan MN 55122 (952) 250-4076 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA168250 Date Issued:04/14/2021 Permit Category:ePermit Site Address: 4121 Deerwood Tr Lot:24 Block: 2 Addition: Engstroms Deerwood PID:10-23900-02-240 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Todd S New 4121 Deerwood Trl Eagan MN 55122--188 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature