4125 Deerwood Tr
?tiica#e of cccuvanc4
Of fts"
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structu?a was in compliance with the various
ordbiances of the City regulating building construction or use. For the following:
Use c7assfi?auoac SF DWG Bldg. Permit No. 1354
O-WOWY 15Pe 9" W-= ON Dbuid 4600 FAIRWl,Y EMCom.
S UUW, EAGAN
Owner of B i Addess
> >
Ba'?-gg Address !amity
!1/4/42
D&W Banding Official
POST IN A CONSPICUOUS PLACE
_ INSPECTION RECORD I Control No. 1018
CITY OF EAGAN PERMIT TYPE:`'' 0 MH
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued: #9 / 0:1 /"12
(612) 681-4675
SITE ADDRESS: 1071 2b ti t 0C 1, ; APPLICANT:
d 1:`?.DEf.R1 OOD fR 0141:M CoMST
rNn ti<??M`.? OV RU000 thld) +152-6366
PERMIT I;,YPTYPE:
TYPE OF WORK:
INSPECTION TYPE DATE INSPTR INSPFCI ION TYPE DATE INSPTR
I nol f Ni, r RAMTNO
11412MI Al 10N FIMAt
rTfft'VI A C r
r
i
RpAgANt:St "WiSlfft PUMP i & W CONTRACTOR
Permit No. Permit Holder Dam Talaphorns ti
SAW
PLUMBING C? • l?'?J??' fr??Q ?? /?//- 0?
HVAC
ELECTRIC
ELECTRIC
IMSpadion
Date Insp. Cortmartts
Footings l o
Foundation -?f-?-4
es
?UP[K
Framing C
Roo" !6)'/3 9Z- ,42 - 9e-
L?:m
Hough Plbg. O
Hough Htg.
isul. D?
Fireplace p
Final Htg.
RJ
Orsat Test
Final Pb,. Plbg_ Inspector- Notify Plumber
Cont. Meter
EngrJPlan
Bldg. Final
Deck Fig.
Deck Final
Well
Pr. Disp.
-Addre9's: 4125 DEE%MD TRAIL Lot 25 Blk 2 Sec/SubENGSTRCtC DEERD D
These items were/were not complete at the time of the final nspection.
Date* 11/9/92 Yes No Tngpector,
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
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.
w.unm wia
White - City copy Yellow - Resident copy Pink - Contractor copy
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LOT: 25 B L O C K : 2 APPLICANT:
4125 DEERWOOD TR SONS CONST
ENGSTROMS DEERWOOD (612) 452-5355
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
Control No. 1018
BUILDING
001359
09/03/92
NEW
INSPECTION TYPE
FOOTING DDATE INSPTR. INSPECTION TYPE
FRAMING DATE INSPTR.
INSULATION FINAL
FIREPLACE
REMARKS: BOOSTER PUMP S & W CONTRACTOR -
-------------------
K2 459 '23 -3
9 I7 9a-- cvi 02 ?`?S oV
Request Date
2 a No Rough-in Inspection
Requlre,0 ?Ready Now fX ,llN Inspector
9/15/9 ][Yes r No When Ready?
IBC] licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street Sox or Route No
4125 Deerwood Trail GTy
Eagan
Section No Township Name or No
Range No
County
I Dakota
OLCUpan+IPRINTI
Sons Construction Phone No.
452-5355
Power Supplier
Dakota Electric Co. Address
4300 220 St. W., Farmington
Electrical Contractor ICompany Name)
Joos Electric Co. Contractors Licens No
AMM9 5
Mailing Address (Contractor or Owner Making Installation)
2104 Great Oaks Drive, Burnsville, MN 55337
AulhoWed Signature ConlractoriOwner Making In ion) Phone Numb 431-4755
MINNESOTA STATE BOARD OF ELECTRICITY / r THIS INSPECTION REQUEST WILL NOT
Grigge-Midway Bldg, - Room S-170 iii BE ACCEPTED BY THE STATE BOARD
1821 University Ave, Sl Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION `°?k, Ee.ooom os
P, See instructions for completing this torte on back of yellow copy
K 2 2 4 5 9 - X' Below work covered by This Request NV
e Add Rep" Typeot Bini Appl)ancestAlred EquipmentWlred
X Home X Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other(Specify)
Comm /Industrial X Furnace
Farm Alr Conditioner
Other(syecify) Contractor's Remarks
Compute Inspection Fee Below
# Other Fee # Service Entrance Size Fee # Cuculls/Feeders re"
Swimming Pool 0 to 200 Amps 150 118 - P 0 to 100 Amps
Transformers Above 200 -Amps Above 100 _ Amps
Signs inspectors use only TOTA$ 6 5
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE OR CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS.
I, the Electrical Inspector, hereby Rough-m
?
l
ape
certify that the above inspection has
been made Final Data py,
OFFICE USE ONLY
This request void 18 months Iron
r?rl Generated by REScheck-Web Software
Compliance Certificate
Report Date: 08120/07
Energy Code:
Location:
Construction Type:
Glazing Area Percentage:
Heating Degree Days:
Construction Site:
2000 IECC
Eagan, Minnesota
Single Family
23%
7981
Owner/Agent:
Designer/Contractor:
Compliance: Passes - MaXIMUrn UA: 59 Your Home JA: 37 --= 37.3% Better Than Code UA
Compliance Statement The proposed building design described here is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirements in
REScheck-Web and to comply with the mandatory requirements listed in the REESScheck Inspection Checklist.
Name • itle Signature' Date
"I
T?-
Page 1 of 4
Wood Frame, 16in. o.c.: 452 19.0 0.0 21
Wood Frame, 2 Pane w/ Low-E: 106 0.054 6
Cathedral: 364 38.0 0.0 10
7,'211
2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
,0 'SU
Date A_/ / 0' 7
y a? d J F?°ft `
Address -q
Unit #
Property Owner Telephone # ( )
\V 4
Contractor eAJ S(S
II __
pp^?__.?
?SGat Vr Ut^\TCI(? ?? City
d
d ( ,(
tc? (
StreetA
?ress
/
hone # (
? _)? Tele
Zi p
t0 ? 4) ? t s_?
p
p
State y r '
Bond Expires:
The Applicant is Owner Contractor Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
furnace Additional I?Replacement New
_ air exchanger
air conditioner
_ heat pump
?AJ& `tz°? e f G"
other
.
$ .so
State Surcharge
$
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is com0 -M urate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanic Codes; that understand this is not a
permit, but only an application for a permit, and work is not to start 'tho ermit; that a work ern ccordance with the
appr v plan in the case of work which requires a review and approval of
?r C- C*,
Applicant's Printed Name Applicant's Signature
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructon Requirements
3 registered site surveys showing sq ft. of lot, sq ft of house, and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc
1 set of Energy Calculations
3 copies of Tree Preservabon Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
),30-00
Remo lebRegau Requirements Office Use Only
2 copies of plan showing footings, beams, joists Can of Survey Recd Y _N
1 set of Energy Calculations for heated additions Sods Report _ Y _ N
1 site survey for additions & decks Tree Pres Plan Racd -Y _ N.
Add&n - indicate don-site septic system Tree Pres Required -Y _ N
On-site Septic System _Y _N
Plans are considered Dublic information unless you state thev are trade secret and the reason.
Date _ Rl ii'o l 0
Site Address y' b ff Construction Cost /,'`15401M
Q4P r Woo J Tr I Unit/Ste #
Description of Work ?),60r p5 r Jaw LJ`/'i ??llQ ???n S
Multi-Family Bldg _ Y - N Fireplace(s) _ 0 - I - 2
Property Owner / l ?/ (A1-__
PrU S Ka +? c'
Telephone # (rprj 1) J b ?7~ Jc2SO
Contractor S Fifloly d ClDniLir
Address La
State kemd Aop N
Zip 55v,?y city G7/-4ci'cx p /y
Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy Code Category Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
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.
IC)jI)' TQ6xSOV1
Applicant's Printed Name
Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
x 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ,k, 46 Windows/Doors 5
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water DamageYes
Valuation 3 CCo O Occupancy 3 MCES System
Plan Review 100% or 25%
Census Code _
7 3 Zoning City Water
SAC Units - b Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const VB Width
Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain 'rile
Roof Ice & Water Final
V Framing
_ Fireplace _ R.I. _Air Test -Final
Insulation
REQUIRED INSPECTIONS
Sheetrock
Final/C.O.
_ FinaVNo C.O.
_ HVAC
Other
Pool _ Figs _ Air/Gas Tests _ Final
Siding _ Stucco Lath _ Stone Lath -Brick
_ Windows
Retaining Wall
Approved By: 04W41--- , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL* I a ?o
CITY OF EAGAN
L
?T 3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Requirements Remodel/Repair Requirements
> 3 registered stle surveys showing sq. ff. of lot, sq. ft. of house 2 copies of plan
and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions
> 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 site survey for exterior additions a decks
1 set of energy calculations
> 3 copies of tree preservation plan ff lot platted platted after 7/l/93
DATE: if _ Z 3 _ 4 % CONSTRUCTION COST:
DESCRIPTION OF WORK: 64 rG-°)° /J ?,l 7 V1
STREET ADDRESS: `l 1-2-S
LOT: S BLOCK: SUBD./P.I.D.
Name: ob la V\ \ VY"1 Phone #:
PROPERTY Lost First
OWNER
Street Address:
City
State:
Zip:
O
?7 'K
Company: 49kv% sc7r <dG L1 G°nS?? Phone #: bi 2 q((7-S6
(area code)
CONTRACTOR
Street Address: 171 (o' License # 3 '0 7 Exp.
City State: Zip: 55 ®t/ y
e fii e_
ARCHITECT/ ?Y(/C? ?C/"? L L
ENGINEER Company: Name: /
Telephone #: area code( G5 ( ) y'?, J'2 75;-2
Street Address: Registration #:
City
Sewer & water licensed plumber (required for new construction anlv):
State:
Zip:
Penalty applies when address change and lot change Is requested once permit Is issued.
r
I hereby acknowledge that I have read this application, state that the information Is correct, and agree to co ¢iy with all applicable
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 Required
LJ,f
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units D
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. _-Booster Pump
APPROVALS
i
Planning Building Enc
>X$c>k?;'?x:4:mM%;1:.M:;t%kXcickt?h&'rBckcY,(?#.ni(k?cMM;u?I''#?;(+?.M>k;Y
Permit Fee Valuation:
Surcharge
Plan Review c;E atilt-r: ,i,F,,rtt:NAi NO. 7 7
,
License DAT!
01i/01V99 P'1:ME; CiF45
MC/ES SAC TD
City SAC NAME' ° DAY111 i:;i'.l HF... CCH CON81.
Water Conn.
Water Meter 02:1.0 9001 41.25 DEi P-!=lia0r_ T 1b7.F5
Acct. Deposit 21,55 9001 41'11lS Dr-4:F:14001:1 f 4.°10
S/WPermit :WAIT 9011 4125 I7GGPIi0U1 T 0.P5
S/W Surcharge
Treatment Pl.
Park Ded. r
Trails Ded.
Other r
Copies ) T
Total: ot?a. Viler. J. Amou k:: 172.90
CR 1,080", 4
SAC Units tkSPri TP: ?+ANCY
%.SAC.
I" RESIDENTIAL
Is?y BUILDING PERMIT APPLICATION
11??r CITY OF EAGAN
b 3830 PILOT KNOB RD, EAGA
EAGAN MN 55122
651.681-4675
New construction Requirement
• 7 registered ;de surveys showing sq. ft of lot, sq q of house, and all roofed areas
i 20°o maximum lot coverage allowed)
• 2 ices of plan showing beam & window sizes: poured found design, etc.)
I set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot Dialled after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE I l L Li
SITE ADDRESS
TYPE OF WORI
Water Softener
_ Water Heater
No. of Baths
_ Xir Conditioning
Heat Recover- System
Great Lakes K7ndow & Siding Co.
APPLICANT 14650 Glenda Drive
STREET ADDRESS Apple Valley, MN 55124 CITY STATE ZIP_
TELEPHONE CELL PHOpNE # FAX #(gsh?
PROPERTY OWNER ?I M M oc jiD TELEPHONE' ?/Sa S
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ NIIN:NES(YI'.1 RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(•. submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted J,
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor: _
Mechvlical System Includes:
Sewer/Water Contractor:
1
_ Phone Y i
Lafivrl Sprilild rr Sr P f5I ee: f596,.10
No. of R.I. Bath
av -J
ULTI-FAMILY BLDG Y X N
FIREPLACE(S) _ 0 _ 1 _ 2
Phone
Fee: 570.00
Phone #
--------------------------------------------------------°----------------...-...----------------°------°------------°-
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 Ounces.
Signature of Applicant
OFFICE USE ONLY
RemodeUReoair Requirements
• 2 copies of pear.
• I set of Energy Calculations for heated additions
• 1 site surveyor exterior additions & decks
• Indicate 'f home served by septic system for additions
VALUATION
Certificates of Survey Received _ Tree Preservation Plan Received - Not Required _
Updated Jl02
PERMIT Control " 1018
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 001359
(612) 681-4675 Date Issued: 09/03/92
SITE ADDRESS:
4125 DEERWOOD TR
LOT: 25 BLOCK: 2
ENGSTROMS DEERWOOD
DESCRIPTION:
`Building Permit Type SF DWG
Building`Work Type NEW
UBC Occupancy R-3 M-1
Construction Type V-N
Zoning - R-1
Building Length 51
Building Width 33
;`_-lJt?.;?i,ti,' t??•?;1? l_-!i°',:i?'??,i?`?iJiJ :J
EMARKS: CpaO(D?9
BOOSTER PUMP S & W CONTRACTOR - ?•C ??tG(C?
FEE SUMMARY-
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$751.50
$488.48
$66.00
$700.00
100
1
$2,005.98
$132,000
MISCELLANEOUS $1,610.50
COPIES $1.00
Total Fee $3,617.48
CONTRACTOR: - Applicant - ST. LI OWNER:
SONS CONST 14525355 000260 SONS CONST CO
1091 TIFFANY DR 4600 FAIRWAY HILLS DR
EAGAN MN 55123 EAGAN MN 55123
(612) 452-5355 (612)452-5355
L-
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.
Stat tes a City of Eagan Ordinances.
?MjA ?jo,?( )711
A LIC N PERMITEE SIGNATURE ISSUED Y: IGNA URE
PERMIT #
REACTIVATE
1.359
CITY OF EAGAN ?3, ?, i :, ??
1992 BUILDING PERMIT APPLICATION cQka'cc( •?-2
681-4675 AUG 2 44 RECO
L? 1 C?- ?}?% 9-c??F?? p
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I 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 Quest is made or lot
change is re uested once
permit is issued.
_
-
Date / ?q / Valua
ion of work 2, e3CF)ee'->)
t
Site Address: I??i Dohl?)nnrl 'fix 1. °r , &n= 6 r)
STREET SUITE M -
Tenant Name: (commercial only)
LOT Z BLACK C
SUBD
L
I.D. M
Description of work:
The applicant is: Owner Contractor ? Other (Describe)
Name O h? C N ??? ?-' co 4 Phone -?"
Property LAST FIRST
Owner r-
Address
/
l
-&
j /
I
Il
r
L
STREET f STE N
City State Zip
Company Phone
Contractor Address License # Exp.
City State Zip
Company r Phone
Architect/ - -
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two.days once area as been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and
Eagan Ordinances.
Signature of Applicant RL) -QCQ T
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
J9 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
g 31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 .Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
?? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 17 Demolish
Const. (Actual) V- N Basement sq. ft.
(Allowable) V - N 1st F1. sq. ft.
UBC Occupancy k3 M _1 2nd F1. sq. ft.
Zoning X-1 Sq. Ft. total
N of Stories Footprint Sq. ft.
Length 73-1 On-site well
Depth 33 On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
MWCC System Yes
City Water YES.
PRY Required
Booster Pump
Fire Sprinkler .
Census Code AV
SAC Code 0/
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % 100
SAC Units i
v.tuetion. S I z z. 000 -
GA RA(,E
.21Yzx20 - Li 34)X/&_- 6880
3SMT 1
.30x32 = 9Go
JIYzx 8 = 9 z
/0 5=
IST Fi.ooR,
3zx32=
!t x 2 =
X 2=
$xZ=
IY2Y7K2=
2ND FWOR
SX,Y?3a=560%53=
Sb9iifl
J3j919
15?g0
/ozy
22
Zc?
/L
Z!
1?03 x53=Sgti54
Cm Ualo q
EXTERIOR. ENVELOPE ENERGY CODE CM?URhM0.N WORE IMM
To Determine Ompliance w#b the Mi ta,Energy Oode
(Section 502 of the State Amended ] 989,-146 . zi*ftk Cdde)
Project
site
L EXPOSED WALL CALCULATIONS
AMv AMEX TO
A. opaque Wall
1. Masonry/Concrete
a. x '
b. x
C. x
2. Fi?iWtian
a. s
U. 4-U
3. Frame Will
a. Insulated Area
b. Framing Area (Ave. 158 at 16"
x 4 `ice 5 . P;1
oc) • •?x - _,;¦ ." =?sc.:oi
c. Framing Area (Ave. lD8 at 24q," -CC)c'..
4. Peripheral Flocr Edge/Rim Joist
-
ao?
- b. w
X
8. Glazing
1. Windows
a. zJdz0,D ,;W. ,:;.. 10.(0.0
b. A X ?_.,_ ` APS JIS_
U
2. Doors F
^..--
C. Doors ,
1. Wood
a. Solid
,x?, g z_
b. With storm door x
2. Metal x"'- =
3 Overhead
4. Other , .
D. TOTAL WAIT. AM# sq. ft ............... .......
E. TOTAL of AM x "U" ........................................:............. ?r3 .'?.
II. ROOF/CEILING CALCULATIONS
A. Roof/0eiling Insulated Area
S. Roof/Ceiling Framing (Ave. 158 at 16" cc)„ It - -- ..;e .
C. Roof/Ceiling Framing (Ave. 108 at 240oc)
D. Skylight :?a. _
E. TOTAL. FCM/MUMG-ARF,A sq.
F. 4t717?L CF AREA x TO ..........................r..... .......,,.....,..,...•...
BL BUILDING ENVELOPE REQUIREMENB!8 41W1
'
(FLam I.D & I3,.$) 0W; V.,) • . 44M x 00")
A. Exposed Wall: X' c{ : #r
8. Roof/Ceilings
Lek 1:. _ m
q
C. TOTAL ALL pi LE BUMING ENVELOPE ('Total of A
IV. ACTUAL BUHMING, ENVELOPE
•
A. Exposed Wall (Fran I.E) " 5.
B. Roof/Ceilirl; (FC?m II.F)
C. TOTAL ACTUAL BUUAINP El4VELM 00tel 9 45;i . ? t. ?u r st?•`
•(Nufs caoy rwraoinsts. It .1@o. tMa.,Pt?;'p)» , . <:; rw • , -k ., a
V. REQUIRED "U" VALUES -... .. _,
WWG?
Detached one and two family dwellings
* Multi-Family Residential Buildings .238
(3 stories ac less in height)'
* Ali Other Construction Types (3 stories or lase) *236 .04,
* All Other Construction Types (More than 3 stories)' "28• s„?^
• Based an 8007 bootleg degree days (lpls/St. PaW;) w• - .
Adjust •0" values aecon"agly for other loeat/oai _
CRRTWICATION
I hereby certify that I have ornpleted the,abQVe,:: ,.tea 19l "9 $s with th
Minnesota Stabe..E,[tMcode'? Y` .+... .
n'i#k .r
-.,flP2 f
DCSD 3-89
CC/SM/6574
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # O a la-d
DATE: LU/9(4r
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
--------- ------------------------------
WORK
NEW CONST X
ADD ON _
REPAIR
OWNER NAME: Sons Construction
SITE ADDRESS: 4125 Deerwood Trail ,,AD
LOT: O?? BLOCK SUBD +/? .O4ILU/l7P?l
INSTALLER: IR C Plumbing
ADDRESS: 5910 Chester'Ave
CITY: Northfield zip: 55057
COMPLETE THE FOLLOWING:
NO. FIXTURES EA.
ADD-ON MINIMUM 15.00
SHOWER 3.00
_ WATER CLOSET 3.00
/ BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
3 (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER _
_ WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
TOTAL
j?
3-
.3
-3
SUBTOTAL $ W,<
ST. SURCHARGE .50
TOTAL: $ yS.SD
"MMERCIEiL DUSTRIAL:`' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
f Ij1, > :. ....:. . ..
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
1% 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)
PHONE #: 461-2096
CITY OF EAGAN
La,l B oZ /? MECHANICAL PERMIT RECEIPT # SUBD. i?rmto /?SdLeY4 ? (612) 681-4675 DATE /o ?' /??
RESEDENTUL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER FEES
SITE ADD!tMt
&
1 ADD ON/REMODEL (EXISTING $ 15.00
.A )
-
v--q- CONSTRUCTION ONLY)
INSTALLER: GENZ-RYAN HEATING HVAC: 0.100 M BTU 24.00
PHONE #: 423-1144 ADDITIONAL 50 M BTU 6.00
ADDRESS: 14745 South Robert Trail GAS OUTLETS - MINIMUM 1 @ $3 EA. r (p °?
Cil't: Rosemount Lip: 55068 SURCHARGE i s .50
SIGNATURE .r' , TOTAL: $ a , ?r!=
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCWJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
WORK DESCRIPTION: CONTRACT PRICE.
1% OF CONTRACT FEE. FEES
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE.
$
PROCESSED PIPING - $25.00
'X"Nrvi V ni FEE - $25.w
OWNER: TOTAL: $
SITE ADDRESS:
TENANT:
SUITE #: r..
INSTALLER
ADDRESS:
CITY. ZIP:
PHONE #: CITY SIGNATURE:
SIGNATURE:
1999 BUILDING
--s f
New Construction Reauirements
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 G _ (d -
651.681-4675
Remodel/Repair R@auiremerlti
3 registered site surveys showing sq. ft. of lot, sq. ft. of house
and all roofed areas (20% maximum lot coverage allowed)
2 copies of plans (show beam b window sizes; poured fnd. design; etc.)
1 set of energy calculations
> 3 copies of tree preservation plan ti lot plaited otter 7/7/93
DATE: -T 2 copies of plan
1 set of energy calculations for heated additions
I site survey for exterior additions a decks
CONSTRUCTION COST:
28? sI.
DESCRIPTION OF WORK: Y e L7D ` 5 ?o? r ° ?h4 N
STREET ADDRESS:
LOT: BLOCK: ?- SUBD./P.I.D. #:
PROPERTY
OWNER
U
Name* 12 D 1 -, I T-? N-?^ Phone #:
Last First
Street
City
,.? State. l Zip: SS 3
Company: JAV, Se?vJNr e? ea ^; Phone#: 1C 13-
(area code)
(area
CONTRACTOR c
Street Address: 9) License # ?ZExp•
City L-J ICt 7 , Ile State: / l J?/ Zip: --5-S'- ?) `-{
ARCHITECT/
ENGINEER
Telephone #: area code
Name:
Street Address: Registration #:
City
Sewer & water licensed plumber (required for new construction only):
State:
Zip:
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 Information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. n n Cf-)
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received - Yes - No
Tree Preservation Plan Received - Yes - No Not Required
p L BL CITY USE ONLY
SUBD. /LgXX/X
RECEIPT #: /`f 9 J/ p
RECEIPT DATE: oh 3/
PERMIT #
1999 PLUM$INfi P'EIiMrr [}ESIDEN'TIAL)
CrrYOf EAGAN
5830 PILOT KNOB RD
EAGAN, MN 55122
(651) 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
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas in outlet ' minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Minimum fee alterations to existing dwelling 30.00 x = $
Private Disposal System new/refurbished ' requires MPC lic. 75.00 x = $
Private Disposal System abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground srinkler if dwelling is under construction 3.00 x = $
Underground srinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surcharge .50 > > ----> $ .50
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- -- --- ---- ---- - -------------- ---- --- --- - -------------- --- ------- ------ ------ -------------- ---- -- ---------
I hereby acknowledge that I have read this application, state that the information is cortect, and agree to comply wish 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 property/right-of-way/easement.
SITE ADDRESS: Ala ? zll eph /vhYiril ? //-, 4i v
OWNER NAME:: TELEPHONE #: &5/ y'a g/O?
(AREA CODE)
INSTALLER NAME: IC/ a P fl Pril7t? TELEPHONE #: to SI -??a-/S? S
STREET ADDRESS (AREA CODE)
l9S9 ,Lis/9?'Jan _ .?! _
CITY: Z Q q?g?/J STATE: 109 N ZIP: SAS/vZ a-
SIGNATURE OF PERMITTEE
SUBJECT: VARIANCE-/-N 2/`jVf I %? y Z
APPLICANT: ROBERT ENGSTROM COMPANIES
LOCATION: SE QUARTER SECTION 21
EXISTING ZONING: SINGLE FAMILY RESIDENTIAL (R-1)
DATE OF PUBLIC BEARING: APRIL 9, 1992
DATE OF REPORT: APRIL 19 1992
COMPILED BY. COMMUNITY DEVELOPMENT DEPARTMENT
APPLICATION SUMMARY: An application has been submitted requesting a 5' Variance
to the 30' front yard setback for Lots 21, 25; and 26, Block 2, Engstrom's Deerwood
Addition located south of Deerwood Drive and west of Pilot Knob Road.
COMMENTS: All three lots back up to Pilot Knob Road and the developer purposely left
the natural land characteristics (slopes, tree growth, and ponding areas) undisturbed to
provide a physical and visual screen from the County road. The applicant believes a 5'
Variance is necessary to accommodate homes that will not encroach into, or disturb site
features and thereby provide a backyard area.
If approved, these Variances shall be subject to the following:
1. No other Variances shall be granted to Lots 21, 25, and 26, Block 2, Engstrom's
Deerwood Addition.
2. All applicable Ordinances.
9$ 9g 7 5a
2007 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings. Do not combine inside and outside
plumbinq on the same application; separate applications and permits are required.
Date ?- / !'5 / 6_
Site Street Address TR-h-7` &'Ati `rte Unit #
( )
Property Owner Telephone #
Contractor /Dwr?S7 7Lv*41-4, Telephone# ( )8`!d ? ??
Address /ZY_5 4(@n4 Ti*Ca n City iA-Gf State Zip9537R
The Applicant is: _ Owner & Occupant _ Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee applies when extensive plumbing repairs are made to a building.
Alterations to existing dwelling $ 50.00
?'Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. If you are
installing onlv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
-Septic System Abandonment
-Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
new _ replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but
only an application for a permit, work is not to start without a permit and work will b ccordance with the approved plan in the event
a plan is required to be reviewed and approved.
Applicant's Printed Name t Applicant's Signa re
r?9o.2q
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft. of lot sq ft of house, and all roofed areas
(20% maximum lot coverage allowed)
1 soils Report if proposed budding is to be placed on disturbed soil
2 copies of plan showing beam & window sizes, pared found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan B lot platted after 711/93
Rim Joist Detail options selection sheet (buildings with 3 or less units)
Mmnegasco mechanical ventilation form
/Ja 7 / I
RemoddlReoair Requirements
2 copies of plan showing footings, beams, joists Office Use OnN
Certof Survey Recd-
l set of Energy calculations; for heated additions
Soils Report Y _N
_
N
1 site survey for additions 6 decks Tree Pres Plan Recd . Y _
.
Addition - indicate ito Slte septic system Tree
Pr s Rec
tined N
Y
system
tig
ti
l
_
_
are
me
Date / )4/ y Construction Cost 7r 0 490 d
17112S- 17 eei-wc v.4 7rii / MA Unit/Ste #
Site Address Z 2
Description of Work
idi? i A a"l /3? r??n?t Fa>7rJ y J-
Multi-Family Bldg - Y P N
Fireplace(s) _ 0 -0 - 2
(?u (anrl
Property Owner Telephone # (W/) Contractor X J- j- 30
Address -32.1 feed oak-
State M N
Co .
City EG R a
Zip SrI Z 1 Telephone # ((oS) ) 3 P1 -,S-2 S0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
Minnesota Rules 7670 Category 1 - New Energy code worksheet
Energy Code Category Residential Ventilation Category 1 Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Y - N If yes, date and address of master plan:
Licensed Plumber Telephone #(
Telephone #(
Mechanical Contractor
JUL 1 7 2007 Telephone #(
sewer/Water Contractor
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. A?
Applicants Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage x 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
WorkTyues /// /,71 S?/?/ ?FVl1{t t7L?l'Ti( 1y h/I7F /J?/ivL7.
? 31 New / ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
32 Addition / ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg) -G ive PCA handout to applicant
Description: Water Damage_Yes
l
V
ti )a
on
a
ua Occupancy MCES System
Plan Review 00% - 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const V 6 Width
Footings (new bldg)
_ Footings (deck)
Footings (addition)
Foundation
_ Drain Tile
Roof _ Ice & Water Final
Framing
Fireplace R.I. _CAirTest %/ Final
Insulation i?
REQUHRD INSPECTIONS
Sheetrock
_ Final/C.O.
Final/No C.O.
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco Lath - Stone Lath -Brick
Windows
Retaining Wall
Approved By: / V : Building Inspector
T?.
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
qt 5110+61)rv
P17 5p Xsl n = 311)1,0
?-nut 6FA vo6v--?( 23Y X 79,E 7,q
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Certificate
r `
2421 Enterprlee Or{Ye
Mendota Heights. MN 65120
(812) 881-1914•Fax 681-9488
62 . OWL fs+eeaofAs
ay th#ast
etoavPi N56434
9lOne,
Ifi 793-188O•Fox 783-1883
U p IC.
of Survey for: Son S C S
House Address:
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BOOSTER PUMP
REQUIRED.
. 9oao Denotes Existing Elevation PROP9Q?-??Y? •? 1 '
?%P Cr
El
vation: 8
Fl
.900 Denotes Proposed Elevation oor
e
-
Lowest
- Denotes Drainage & utility Easement Top 61 Bloch Elevation:88T_66
- Denotes ,
Drainage Flow Direction Garage Slab Elevotlon:887.33
-
-a- Denotes
Denotes Monument
Offset Hub Bearings shown are assumed
LOT 25 , BLOCK 2 ENGSTROMS DEERWOOD
LO
DAKOTA COUNTY. MINNESOTA ADDITION
1 hereby ar[tIV that thi++urveY, Df+n Dr report wu Pr+perW by A? er mY A.b, luff?-. e 1 e1 ? duly RpiHerM lino 6urWYa
under the Ira of the Stan of Minnesota. aeted Ihh'iTH_ day o1
Rev. B-Z7-4t: Adt£ 6'?i4.6jlevs
Raise pvaP,E(Pts. ,
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Certificate
Drive
MN 5512o
-Fox 8e1-9488
Highway 10 Northeast
e, MN 88434
t 783-1880•Fox 763-1883
of survey for: Sons C S u 'on Inc.
House Address:
{
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x coao Denotes Existing Elevation PROP_Q EA HQV5r DXY&T&N
.cFR53> Denotes Proposed Elevation Lowest Floor Elevotion:8791tP .. G
--- Derates Drainage & Utillty Easement Top oP Block ElevcAlon:837_66 -r
- Denotes Drainage Flow Direction Garage Slab Elevation: 887.33 ,..
-o- Denotes Monument -
Denotes Offset Hub Bearings shown are assumed
D
LOTS, BLOCK-2. COUNW. MINNESOTA ENGSTROMS DEE WOOD
ADDITION
1 hereby army thet this survw, Don Of region Was prepared by (m 0 under my superv t on s t t pm duty Ree4tered land 6urvwer
under the lvm of the stets Of M?inndon. Opted thhiT? dw of., p, A.O.
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Certificate
2422 Enterprise Orive
Mendota Helghts, MN 69120
612) e81-1914•Fax 081-4489
. a VL detMt9s
xptC?Pf Mae 625 Highway 10 Northeast
Blaine, MN 66434
(612) 783-18e0-Fox 783-1883
of Survey for: Son$ C ns ru do Inc.-
House Address:
1
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. 90110 Denotes Existing Elevation PROPp5ED Hq %"jgV6nL
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.
on:
Lowest Floor Eleva
-- Denotes Drainage & Utility Easement r Top 61 Block Elevation:887_66 `
- Denotes Drainage Flow Direction Garage Slab Elevotlon:86T.33 C i
"' -
_.o-- Denotes
? 9 Denotes Monument
offset Hub Bearings shown are assumed , -
LOT L5., BLOCK--Z- ENGS'
DAKOTA COUNTY. MINNESOTA
I hereby gently that this survey, plan or report wa prepared !ry pot 0 order my,
oorder the Ito of the Seen of Mlnn"ats. Doted th6?'IL day of --.1z,
Rev. 8-z7-gt: Adtf grin •61M
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2422 Enterprise 0rlva
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(612) e81-1914eFox 081-446e
piONEER WID SuRvEyo" a OWL C+r?1?g
LAMP c utalt 826 Htghwoy 10 Northeast
* Ong Keel' ng Vlotn MN 86434
* * * * (612) 783-1880•Fox 783-1883
Inc.
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Certificate of Survey for: Sans
House Address:
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. 90110 Denotes Existing Elevation PRlDPQSED 1-4-9V 3rYAI12N ?? t 'r
.tom Denotes Proposed Elevation Lowest Floor Elsvotfon:87%P i Er
- Denotes Drainage & Utility Easement Top 61 Bloch Elevatlon887_66 n '
Denotes Drainage Flow Direction Garage Slab Elevatlon:887.33
.-o- Denotes Monument -
_ a Denotes offset Hub Bearings shown are assumed
LOT 25, BLOCK MIN 2- ENGSTROMS DEE
OAKOTA COUNTY. RWOOD
ADDITION
1 hereby NrtifV that thissurrey, plan or ration V propered by me or alder my r euperv on ¦ 1 H em duly Registered lend Surveyor
.. im. A.0, IAL .
under the Mw of the State Of 'lnnarots. DOW lhb11Ta_ deb of A
I•cV. ?-Z'Y-9 Z - A&( Exl 4. LClm
goise Pvoe. E(PtK,
Crni llns4=?inSs? ROBHRI B. I l i. ca. NO. L4a9t
92394.00
R-97% 08-27-92 02:48PM PDaT'ft'77"-
Use BLUE or BLACK Ink
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For Office Use I
I J&11116
I I
ity 0 f Ea Permit
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1 Rd
I I
I Permit Fee: ~ I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
20(14 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t Site Address: ks (R(~0 :N& Unit Name: S 1 2-i R00NIA Phone:
LSf7 ~ a g1~J~
Resident!
Owner Address / City / Zip: j),( [Q~
Applicant is: Owner ✓Contractor
_<coP SRCI l,5 Mm
Type of Work Description of w
$ 1 91
v-m
Construction Cost: Multi-Family Building: (Yes / No
Company: Uf ~~Or~, C ~5 11 Cs Contact: LAK -F=M
Contractor AddressC~h~! 3 C-0AY AYE City: ~
State: 1 V Zip: 55d~tL4 Phone: ~ J a 3(C 3bl%
License Coq C03!S Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
1
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? i
I
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: i
Phone:
Sewer & Water Contractor: Phone: l
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
I the information may be classified as non-public if you provide specific reasons that would permit the City to
t conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x `'rte r'' Kuad-4A X,_.
Applicants Printed Name ppli ant's Si ure
Page 1 of 3