4122 Deerwood Traw..wJ
--rr
C?;e?t??icate o? ?ccu?anc?
?? ? ?agatt
This Certificate issued pursuant to the requirements 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. Fof lie following:
Use ctowiscatiou: SF DWG E{dg. Pmnit No. 1022
Type Zoning District Type cons[.
aiug?? & ASSOC Its names 14198 ? ME NE, PRIOR LAID; 171 DMg5XrD-JjMjL- o ,a of sui?
> >
a ? ? m may -
l1l, D=: 10/21/92
Building &TcW
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
Control No.
Q?92
(612) 681-4675
SITE ADDRESS: t 01'. 21 Ell'"C K ; 3 APPLICANT:
41 L DEERWOOD TR A{CKNIONT & OSSOC INC
ENDS TRONS 0EFIRWOOD (612) 440-7100
PERRIT ?gPTYPE: TYPE OF WORK: NEW
INSPECTION
t ok, 1 1 ?46 DATE INSPTR • TYPE
f VAN I NQ DATE INSPTR.
,,1Wt!IAT ION !r'TNAt. ? .
F FRFPi ACF ?.
RCNARNSc 3 & W CONTRACTOR
)R8C8IFT f C 019870
t AKESIDE PLOD
r- =1 ? ? ??i ? ?'? ? ?-,-• A'1 a,?-_ z ? ;_ 1,?,??c- car
Permit No. Po mit Holder Date Tbisphons t
R
PLUMBING
HVAC ? Qa /r1 hJ /c?'/a
ELECTRIC
ELECTRIC
Inspection Date Insp.'
Comments
Footings I
Foundation
Framing
I
Rooting IT 1, it
Rough P1bg.
Rough Htg.
Isul. JA, /44
Fireplace ' b4 k /3.6
Final Ftg.
Orsat Test
Final Plbg. Plbg. Ins or- P1
Const. Meter
EngrJPlan
Bldg. Final g?
/ Ors?1 be
Deck Ftg. z q
Deck Final
Well
Pr. Dlsp.
Address:4122 DEE%%M TRAIL Lot 21 Blk 3 Sec/Sub EWerRCtE Dffi2wom
These items were/were not complete at the time of the final inspection.
Date: 10/21/92 Yes No IS 4?
Final grade (6" from siding)
Permanent steps - garage VIO,
Permanent steps - main entry ?
Permanent driveway "
y
Permanent gas tle,
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.
xcxieo wee
White - City copy Yellow - Resident copy Pink - Contractor copy
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651.681.4675
New Construction Requirements
• 3 registered site surveys showing sq ft of lot sq. y of house, and all rooted areas
(20% maximum lot coverage allowed)
• 2 •:opies of plan showing beam 3 window sizes poured found design, etc )
• t set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot lofted after 71 M
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 1120 ( 0-71-
SITE ADDRESS
TYPE OF WO
APPLICANT
STREETADDRESS 1]t0'-?(1 (al PdC?--
TELEPHONE 4?4 ft-3 H JPCELL PHONE #
A ZIP SL I) `f
By?-u?gD
PROPERTY OWNERJC--K AA,& ? TELEPHONE#?????p?S-S ?
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MI%N
(•+ submission type) • Residential Ventilation Category 1 Worksheet Submitted • New
• Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanical Contractor:
NIcchanic.d system includes:
Sewer/Water Contractor:
Air Conditioning;
Heal Recovery System
MULTI-FAMILY BLDG _Y
_N'
FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
Phone #
Fee: 570.00
--------------------------------------------------------------------------------------------------------------------------
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 Applicant
I?ij
;ode Worksheet Sub d
S_P 2 2002
Fee: S90.0o
C,
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
RemodelfRegau Requirements
• 2 copies of plan
• I set of Energy Calculations for heated additions
I site survey for exterior additions & decks
• indicate if home served oy septic system for additions
VALUATION `I I OJ OVD 11
Phone #
lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 3102
PERMIT Control No. 0792
CITY OPEAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 001022
(612) 681-4675 Date Issued: 07/13/92
SITE ADDRESS:
4122 DEERW00D TR
LOT: 21 BLOCK: 3
ENGSTROMS DEERWOOD
DESCRIPTION:
Building Permit Type
Building,Work Type
UBC Occupancy
Construction Type
Zoning
Building Length
Building Width
VALUATION
REMARKS: C 019.Y97
RECEIPT # G-elIA-M-
S & W CONTRACTOR - LAKESIDE PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$804.00
$522.60
$73.50
$700.00
100
$2,100.10
SF DWG
NEW
R-3 M-1
V-N
R-1
52
50
$147,000
MISCELLANEOUS $1.610.50
Total Fee $3,710.60
CONTRACTOR: - Applicant - sT. LICOWNER:
MCKNIGHT & ASSOC INC 14407100 0004084 MCKNIGHT & ASSOC INC
14198 COMMERCE AVE ME 200 14198 COMMERCE AVE NE
PRIOR LAKE MN 55372 PRIOR LAKE MN 55372
(612) 440-7100 (612)440-7100
200
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.
PLICANT/PERMITEE SIGNATURE SIGNATURE V
f
SSUE BY. (GNAT RE
_ _-._ _ - - ` r- 51
K3 5 ?-
9i?
Request Date Fire o, Rough-in Inspection
'
Required
? Ready Now Will Notify Inspector
?? /
es C No When When Ready?
I - tensed contractor D owner hereby request inspection of a ve electrical work at:
b Address (Street Box or Route No ) City
C/Ir ,( GCJ
Section No, Township Name or No Range No County
Occupant IPRINTI %
I(J/'•}J/ Phone No
Power Supplier Address
Electrical on ra ompany Name CenntI ns License No
VrAD//i0
Me g Add as 10 ctor 0, 0 Jfking Irate onion) NN /
Authorized Signal oomrraaa Io1,OwmTr king installation)
I Z /A ?ArJrt, Phone Number
MINNESOTA STATE BOARD ne ELECTRICITY
nMldwey Bldg St Roam S173
1821 University 1821 Ave St Paul. MN 55104
Phons e (612) (812) 642-0800
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
I
Vemr EB4)0001-08 I x
REQUEST FOR ELECTRICAL INSPECTION -44 ?Q 7S
9/r 3 ? See instructions far completing this form on back of yellow copy
"X' Below Work Covered by This Request`s
5 517
je Add 9Pe fBuilding ApplancesWired Equipment Wired
1
Inspection Fee Below:
Other Fee
Conditioner
Service Entrance Sze I Fee
0 to 200 Amps
Above 200 _ Amps
ctor5 Use only
THIS INSTALLATION MAY BE
I, the Electrical Inspector, herebyi""
certify that the above inspection has F,nal
} rben e
ONLY
e' 18 months from ?od .I: i f r it I • ., I Irl:, I! i l? i ,I r,.• I II r
i. ti I n i 7 i t r rr , I l u • I I? r i d o I r? L i ? i
Ii; ) r
t I '?rlr'i i
i .. I .i,lr'... in r? •i 1
` ? } rl't r I rlr. I
rl? ? , , ri f 1 .? •r i 1 .r ? i
nc Heating ..
rSpeclfy)
J i . r 1!
r i.lr,
Circuits/Feeders Fee
100 Amps
VIH?
,od
SCONNECTED IF NOT
PERMIT' # 1 CITY OF EAGAN 4.3,X110. ? 0
1992 BUILDING PERMIT APPLICATION c? ?dcc('1 10
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
Cal Cs.
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 chan a is re nested once permit is issued.
Date July 07 92 Valuation of work 100,000
Site Location: Lot 21 Block 3 E.nastroms Deerwood Addition
STREET STE #
4122 Deerwood'Trail
Tenant Name: McKnight & Associates. Inc.
LOT 21 BLocK 3 SUED. Engstroms Deerwood P.I.D. #
Description of work: Single family Residential
The applicant is: ? Owner Q Contractor ? Other (Describe)
Name 'BUCKINI;HAM, JAMES Phone 723-1719
Property LAST FIRST
Owner Address 24818 E. Cedar Lake Drive
STREET STE #
City New Prague State Minnnesota Zip 56071
Company McKnight & Associates, Inc. Phone 440-7100
Contractor Address Suite 200, 14198 Commerce License # 0004084 Exp. 3/31/93
City Prior Lake State Minnesota Zip 55372
Company McKniaht & Associates, Inc. Phone 440-7100
Architect/
Engineer Name Registration #
Address Suite 200, 14198 Commerce Ave PIE.
City Prior Lake State Minnesota Zip 55372
Sewer & water licensed plumber Lakeside Plumbino 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 Mfi esota Statutes and City of
Eagan Ordinances.G
Signature of Applicant:
v
BUILDING PERMIT TYPE
? OI Foundation
N.02 SF Dwg.
? 03 Two family
? 04 Multi-fam. T.H.
? 05 Apt. Bldg.
WORK TYPE
OFFICE USE ONLY
? 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 11 Res. Add./Porch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
? 14 Comm./Ind. Rem
? 15 Public Fac.
? 16 Agricultural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
x'31 New ? 34 Remodel ? 37 Move
? 32 Addition ? 35 Repair ? 38 Demolish
? 33 Alterations ? 36 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy 2-3 M-1 Basement sq. ft. MWCC System ?ZS
Zoning R-1 1st F1. sq. ft. City Water Y06
Const. (Actual) V-N 2nd F1, sq. ft. PRV Required
(Allowable) y- N Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length 5 f' On-site well Census Code
Depth On-site sewage SAC Code 0
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee vetmtim: s 14-7 000
Surcharge
Plan Review
??t+bE
12xz2
s Z?4
License aox2y =
MWCC SAC
4 :
r
y
City SAC )e
7 q II?oL(
Water Conn. $SM'j ZNa `l 002 '
Water Meter --- - 6
),L 72
Acct. Deposit `i K12= 108 y -
S/W Permit
3SuAa-?
70n 2,7S n.v = (7
)
S/W Surcharge
Treatment Pl
x f 2 -
?Z Ss K 2I = 16'a
.
Road Unit
o1.75x2,7S= Cgs l zx 3n = 3Gn
Soy
Park Ded. 1 -
34X Ib -
Trails Ded. 2 20 y t(0 = C21I)
Co pies Z x B= ? aX'y_ Zis
Ot her _
4
6
S
(lyo kS3% bb 42
Total:
196 r 1
0
,4
>E/
0
SAC % IDy
SAC Units
1s, Ftxn
RsS j-r- fog(.xS3= -9 Lie9 _1+?4L I?16??52
LO'r , 3L\I? t?00.
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
(TO be submitted with building permit application)
)One or two family dwc1lin7 Owner_ MG k?\Gr\?."'S' '` ASSC?C,
P11 other
site Address 4122 OEfceQwex?(?
Contractor tMC ?1.a\Cs4?'C f,.S50C. Date -C
7 / / ?2Phone 440 - 7 f UCH
TAWAL M Or
W'OSED WAIL. _•_?_?_a_•_•_•_x ft. above grade =3094.ez6
TOTAL EXPOSED WALL ARE,1 SQ. 1•'
OPAQUE WALL CO•ISTP.UCTION: "U" value x area '
?d5\t WD\?? )_Q 4a 'U" .,QA, x sq. ft.. 2AO,3Q' 2.52-3. (O) (A)
plsc.? v iAL? CIO Z "U" .o4n}x sq. ft.2S22._7tY_lAR_d7. (U) (A)
Detail,refcraner- Q\M lo\ST "11".040x sq. ft. U3 -00- 16 $Z, (U) (A)
from IuSV` cnuL_ ?? _Q SLX sq. ft. SI :O[f= i}s.C?cl (U)(A)
attached sh^.ata 'u" x sq. ft. _ (UY'(A)
"I1" x sq. rt- _ (U) (A)
x sq. ft. _ (U) (A)
WINDOWS: "U" v.iln^ x area
Make a type v?-(TE Q \\.]SV U" „ X Pr. Ft.
cY1.OCI" 128,04 (v) (A)
12`oe L s.L "u"4 _r sq. ft. (U) (A)
JTe-"RE G2 O?TV ORU" -
__L47 x sq.
[t. (A)
"U•• x sq. ft. (U) (A)
ilS: ?"U' vahlc x area
wkc i type t1JS4x ST\_ oopCL"U"_Zx sq. ft. 2Q,01
. q.L1D (U)(?)
20= U"?_x sq. ft. .1'7.80° fl_ 3L (U) (A)
w w U" x sq. ft. (U) (A)
) vnl
TOTAL (U) t TOTALS 3p •.i esq. it. 3-2°1.18 (u)(
A
vES
DIVIDED BY TOTAL WALL AREA lq OQcI AVG. "
AVERAGE "U" .17 or less for 1 e 2 family dwellings
.22 or less for all other buildings i
ROOr/CrMING1
TOM, ARrAt _ sq. ft. (
Drtall reference C=1d't Gt.Lr t? o "U".022 x eq. ft.
4,4g).fi[i • acv) (A)
:rem attached 1?\ sic
C. ii gn9o "U" •e)I!x sq.
ft.549.:91Jm 10 39_• (U) (A) f
nhe•ets. Include vnl,i ev - to 'I& "U't0 -,x sq. !'t. 5.1.20" 3' (U)(A) im 7-
telling joist. ?iaU%Z" k "y goys "U",p&x sq. ft.A&p.&2- IL0 (U)(A). t
framing, scuttla,
U. x sq.
ft. (U)(A) ?r
skylltes, etc. ?
,
TOTALS ( i Z0,00 Sq. Lt. 2e-
(21 : (U) i
DIVID
TOM (U) (A) VALVES
nlvlnrO nr ToTnr. roof/ 2 ?6
I I zm.oa °
023 .
c• ^U"i
AV
,/
.
f:riLING AREA
AVERAGE "U" .05 for vrntilated rc+r.
1 .10 for all other construction
:r 1T?:: If avern•Ir "u" vnlur: as calcularrd alx+vr eln
__- "
not meet thn
Energy ii
Coda requirements,. •'
All'e. rlMll r !'nv.•1,11"• 14•:: 1!IR: I•t outline el in :Gl'.C 4006(q).-may bo C46' Addltlont
w } .; shoo
IN1Y lw Ir..ed to •:hnw, ca 1,•11.111 M1::.
:ir? .R.?f
:;•
? '
F
?....?
:'i':?. i???
id
:•??it•1
'?
h
%
.. %4°9 _ .
,
{it!i
;
y
.
'
CEILIIIG SECTION (INSULATED):
1 Interior air film n,rl
2 5/8" Sheetrock 0.56
3 Fiberglass 50,00
4 Cxterior air film (still) n.Fl
TOTAL R =51.78
U = 1/R =
"U"= 1 = .019 "U" _ =.019
51.78
CEILING FRAMING, SECTION:
i Interior air film n,
2 578-" GYP BRD 0
3 Cord depth C1.25/" 2x4 4
4 Fiberglass 37
5 Ext. air film (still) 0
"U"= 1 = .022 "U" 1 =43.61
43.61
VENTED
CEILING SECTION (INSULATED):
V Interior air film n.61
2 9" Batt Insul 3. O
3 V-87' GYP BRD 0.56
4 Exterior air film still n.61
TOTAL R = x,08
"U" = 1 = .024
T qa. 88
CEILING FRAMING SECTION:
1• Interior air film 0.(1
2
3
4 Exterior air film still n,,l
5 inches soft wood
TOTAL R =
i
) Inside air Mm _ n.6
2 9" Joist Depth@1 25_/" >>-'
3 5/8" GYP BRD ?-
4 ;" Plywood 0•
5 Outside air film n•1
TATAI R = l 'i
"u" lull _ 1 = .075
y r3. I
t1STRUCTION
AMING SECTION:
Interior air film
R VALUE
DAR
0.45
0
txterior air Trim V.1r
a
U - 1/R = •O9
L SECTION (INSULATED)
Interior air film DAR
2 h" GYP BRD 0.45
3 6" Batt Insulation 19.00
h 25/32" Built-Rite 2.06
5 5/8" Siding 0.78
Exterior air film 0.17
TOTAL R = 22174
.4 •• a
4,V
CIL,
n ,. ? sJ
"U"= 1 =.043 "U" = 1 =.043
ST SECTION:
Interior air film 0.68
Batt Insulation 19.00
1 Softwood 1.25 1.8R
25/73-2r Built-Rite 2.06
5/8" Siding 0.78
Exterior air film 0.17
TOTAL R = 24.57
"U"= 1 =.040 "U" = 1 =.040
1011 SECTION:
Interior air film 0.68
1" Insulation 16.00
8" Block 1.00
Exterior air film 0.17
TOTAL R - 17.85
P5f-, " U " I = • ' •1 =.056
SLAB ON GRADE
I
. c
1 _
d
' •
'? q. •
, ?? •.t , 'i
..
1v
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
nwo
R$11'
FOR CITY USE ONLY
PERMIT #
RECEIPT # C,baob33
DATE: SI3?I9
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR
C??rt ArSSCX?\4tN?
OWNER NAME:
SITE ADDRESS:?,1', °) ? i?C3Dd
LOT: J1 /BLOCK .,3 _SUBDJ?' 6401a\
INSTALLER: dJC 1 1l C??G?etill?n
ADDRESS:?llyk Lo. k;4kOt? '6r
-------------------------------
COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
WATER CLOSET 3.00 "
BATH TUB 3.00 3•f
LAVATORY 3.00 1d --J
i KITCHEN SINK 3.00 3. O
( LAUNDRY TRAY 3.00 3-t
HOT TUB/SPA 3.00
P WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
T OTHER _
_ WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00 p
SUBTOTAL $ t S?
ST. SURCHARGE` .50
TOTAL: $ ? ck?
P¢"RC3{I%INDUSI'RTAT:i_ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
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.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN
CITY: sc 5i- C ZIP: ?_;_ SC
/ 7/rte
935
2
1
1
1
Request Date Fire o Rough-m Inspection
R
ovetlc
? Ready Now K Will Notify Inspector
8-3-92 Rxx
Yes No When Ready'
I X licensed contractor Ll owner hereby request inspection of above electrical work at:
Jab Address (Street Box or Route No I City
4122 Deerwood Trail Eagan
Section No Township Name or No Range No County
Occupant (PRINTI Phone No
McKnight & Associates
Power Supplier Address
Dakota Electric
Electrical Contractor (Company Name) Contractors License No,
Lazer Electric, Inc. CA 01110
Mailing Address (Contractor or Owner Making Installabon)
8383 Sunset Road N.E., Minneapolis, MN 55432
Autnonzetl Slignature fContractorlOwner Making Installation) Phone Number
Alt b_bAdjA 784-3729
MINNESOTA STATE BOARD OF ELECTRICITY
Goggs-Midway Bldg - Room 5-173
1821 Unwersdy Ave., St. Paul. MN 55184
Phone (612) 64248W
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BYTHE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
?(p/gL, REQUEST FOR ELECTRICAL INSPECTION tx:a!"ko" EB-00001-08
?/ ? See instructions for completing this term on back of yellow copy. /Q'7/
K 21935 "X" Below Work Covered by This Request
Y
ew Add Rep. Type of Building Appl(ancesWired EgmpmentWlretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other(Specify)
Comm /Industrial Furnace
Farm Air Conditioner
other (specify) Contractors Remarks
Compute lnspechon Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200AmpS Above_ 100 -AMPS
Signs Inspectors Use Only ..Oct TOTAL
Irrigation Booms O $20.50
Special Inspection --
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1. the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final
ANI Data
OFFICE USE ONLY
This request vdad 18 months tram
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # /0 ,73 Q S
?
9,1L1`>'I DATE: 6-5-11-319
$IA£ TS±4X' PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ -------------------------------------------------------
WORK DESCRIPTION FEES
NEW CONST XX
ADD ON _
REPAIR _
OWNER NAME: McKnight and Associates
SITE ADDRESS. 4122 Deerwood Trail
LOT: BLOCK J SUBD. (f w? D
INSTALLER: Air One Mechanical Company
ADDRESS: 6317 Welcome Ave. No. Suite #6
CITY: Brooklyn Park ZIP: 55429
PHONE #: 535-1217
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT I
SUBTOTAL: $9-M2_0
STATE SURCHARGE: .50
TOTAL: $?? y
,n
SIGN TUBE OF PERMITTEE
433ME1YyA fINIf(Ji13 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 = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
CLAIII VOUCIIER - REFUND REQUEST
CITY OF EAGAN
CLAIMANT LAKESIDE PLUMBING & HEATTNr
ADDRESS 12469 ZINRAN AVENUE SOUTH
SAVAGE, MN 55378
Location
Receipt No./Date
Reason for Refund
Tvpe of Refund
9/&A7-
u' b
41 D..RWOOD TRATT.
L21 B3 ENGSTROMS nR Rwn1_ nn '
107363-8/18/q2-
PER PLUMB NG CONTRACTOR'S R=RCT
Electricnl permit
plumbing permit
mechanical permit
Surchnrge
Linter Connection permit
Sewer Connection rermit
Account Deposit
Utility Account Over-Payment
Other:
Oi-3211 S
01-3212 $ 49.50
01-3213 S
01-2155 S
20-3713 S
20-3743 $
20-2252 S
20-2250 S
S
S
TOTAL $49.50
1 declare under the pennlties of law that this account, claim or demand is just and
that no part of it has been raid.
ALk? 9/8/92
n ure Date
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT
PHONE: (6 2) 454-8100 RECEIPT #
j7 $`E DATE:
PLEASE COMPLETE UPPER ION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHE PE TS QUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON / SHOWER 3.00 3.ro
REPAIR 3 WATER CLOSET 3.00 Y
a BATH TUB 3.00 G.w
N LAVATORY 3.00 11.40
OWNER N E: /'/4X 0 r So ri KITCHEN SINK 3.00 .3-to
/ LAUNDRY TRAY 3.00 13,4a
SITE AD RESS: HOT TUB/SPA 3.00
rv / WATER HEATER 3.00 13't4
LOT: BLO S D. OG 4d?a4?p / FLOOR DRAIN 3.00 gtv
GAS PIPING OUT.
INSTALLER: kf(S'/OC ?? ®6 r dY/? (MINIMUM - 1) 3.00 3•'°
ROUGH OPENINGS 1.50 y.?n
ADDRESS: l.)Y6S - 1,-y,>4,,1 SV OTHER _
WATER SOFTENER 5.00
CITY: S;1zle4e- ZIP: -5,33.;)e _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
• Jy - -2/- !q
o _
PHONE #.
SUBTOTAL $ ST. SURCHARGE .50
SIGNATU OF PERMITTEE
TOTAL: $ ;SC./v
CrDMMERGifiLfI?IT1lTST?TAT:ti PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS
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:
CITY OF EAGAN
FEES
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)
SURVEY PREPARED FOR.
WKNIGHT a ASSOC.
14198 COMMERCE AVE. N.E.
PRIOR LAKE, MN. 55372
8BS.9
G- c?
802.0
Volley Surveying Co., PA.
SUITE 120-C , 16670 FRANKLIN TRAIL
FRANKLIN TRAIL OFFICE CONDOMINIUM
PRIOR LAKE, MINNESOTA 55372
TELEPHONE (612) 447-2570
BE gS- z I Z p h d ? ?
5 "g9 /
8ez, l
So.#
"/ aBt. j JJ? t2, dt
I e aanaeE
?-? t1 a
` 0 1Q PROPOSED
?LI)y` ?_? HOUSE tit
oRa\ eat ? I
s
s "t
.007
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s
dtlrryE ? j0??
as
ST'S200?83.,_
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Sz I 0 ! 30
eea.z eez.s 1 n
L . H62
• r , ? ? L N? Na E B? r7 EL BBZ.d4" - 080
DESCRIPTION:
SAN AOO
RAY 093'97
WV.. 474.07
Arc.
i
i
2 b
O? 4 Ot '
?aPery f jrNV.Bea re ED.
Lot 21, Block 3, ENGSTROMS DEERWOOD ADDITION, Dakota County, Minnesota. Also
showing the location of the proposed house as staked this 1st day of July
1992.
Notes!
Benchmark elevation: 885.86 top nut of the hydrant at Lots 25 & 26,
Block 2.
882.5 Denotes existing grade elevations on site.
A
886.2 Denotes proposed finished grade elevations
-0 Denotes proposed direction of finished drainage
Set the garage slab at elevation 884.57
Set the top of block at elevation 886.90yfs.zx
The basement floor is at elevation 879.90
By
EX FSMS
HOUSE
BAR. SLAB
EL. See. el
EL
M??F
EAGAN
0 30 60
SCALE IN FEET
O Denotes 112 inch x 14 inch iron
monument set and marked by
License No. 10183
• Denotes iron monument found
0 Denotes P. K. Nail set
; a
n./ L.%
I hereby certify Mot this sdsvsy was P1 "Of
d
by me or wider my direct supervision and that
ror under the
f am a dory licensed Land
ba f the st t / Hn solo.
Data License No. 10183
PILE No M43 BOOK live PRBE 32?
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105993
Date Issued: 08/06/2012
Permit Category: ePermit
Site Address: 4122 Deerwood Tr
Lot: 21 Block: 3 Addition: Engstroms Deerwood
PID: 10-23900-03-210
Use:
Description:
Sub Type: e-Windows/Doors
Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection.
Comments:
Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Scherer Brothers Lumber Company David J Hogan
9401 73rd Ave. N 4122 Deerwood Tr
Suite 400 Eagan MN 55122--287
Brooklyn Park MN 55428
(952) 277-1600
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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114144
Date Issued:09/11/2013
Permit Category:ePermit
Site Address: 4122 Deerwood Tr
Lot:21 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-210
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
David J Hogan
4122 Deerwood Tr
Eagan MN 55122--287
(612) 819-0049
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:Building
Permit Number:EA118152
Date Issued:10/28/2013
Permit Category:ePermit
Site Address: 4122 Deerwood Tr
Lot:21 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-210
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Mitchell Shepheard
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 -
David J Hogan
4122 Deerwood Tr
Eagan MN 55122--287
Mds Remodeling Llc
3140 Minnehaha Court
Wayzata MN 55391
(612) 716-2585
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129100
Date Issued:01/08/2015
Permit Category:ePermit
Site Address: 4122 Deerwood Tr
Lot:21 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-210
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 J Hogan
4122 Deerwood Tr
Eagan MN 55122--287
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA130976
Date Issued:05/26/2015
Permit Category:ePermit
Site Address: 4122 Deerwood Tr
Lot:21 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Michael B St Clair
4122 Deerwood Tr
Eagan MN 55122
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature