4133 Deerwood Tr
Use BLUE or BLACK Ink
My For Qfflce Use Ealan
ell# t
i
of I Ferr
t
5'. P 1. 6 L u l ti Permit Fee: i
3830 Pilot Knob Road t I
Eagan MN 56122 I 1
Phone: (681) 67'5-5675 ~ Bate Received:
Fax: (661) 6754694 I staff. I
2010 MECHANICAL PERMIT APPLICATION _
Date. Site Address: Al 7r a
Tenant: Suite tr:
RESIDENT I OWNER game: Phone:
Address J City J Zya ' / 7,
CONTRACTOR Name: 1 C~ t. nse 1
Address: L~,,
~7 X~.~ city. ~
State: / i Zip: Phone: &5 G - 7 0
~J x )
Conte Ernst
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work: r :t
NOTE: RoOf;=led and around mounted mechanical equipment Is required to be screened by City
Code. Press contact the Metchankal Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction _ Interior Improvement
Air Conditioner install Piping Processed
AirExdranger Gas - Exterior HVAC Unit
Heat Pump tinder f Above ground tank Install / Remove)
" When instalkWremoving tank(s), call for Inspection by Fire
Ottrex Marshal and Plumbing LnsgjLW
RESIDEN77AL FEES:
$65.00 nit ,urn Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$96.00 Fire repair (replace burned out appliances, ductwork, eta) (includes $5.00 state Surcharge) $ TOTAL. FEE
C«NMERCIAL FEES.
:76.00 Underground tank instatlationlremoval OR Contract value $ x1%
SSS.00 ini riuM (includes State Surcharge)
$ Permit Fee
- if the Pernik EU is Ism thitn S1p.010, surcharge is $ 5.00
- If the Pi EU is } $10A1Q, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(Le. a $10,01011,010PennitFee requires a S $.50 surcharge)
= i TOTAL FEE
CALL. BEFORE YOU DIG. Call Goptw SIM On* Cali at (651) 4544001 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilittas. www.irooh gstateonecatl.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordirmum and codes of the City of
Eagan; that i understand this Is not a p0milt, but only an application for a permit, and work is not to start without a perm t; that the work will be in accordance
with-*e ~approvesd an In 4f work which requires a review and approval of pi
l; X
Appliaanfs Platid- Name AppikanY's S ature
FOR OFFICE USE Reviewed By. Date:
Required Inspections: ,_,_„Under Ground _ Rough in -Air Test _--,Gas Service Test -in-floor Heat _,_,,,,Final
Exterior HVAC Screening Ins lion
I
SEWER & WATER PERMIT
CITY OF EAGAN -
3830 Pilot Knob Rd.
Eagan, MN 551,22-1897
DATE . ;AR 12, 1991
OFFICE USE ONLY
METER # ?^ 7 3 PERMIT DATE `' j 14/91
CHIP # 0 a 3 8 /y5 S PERMIT # 11 852
1 ? ?s*
METER SIZE S B.P. RECEIPT # 11:2
ISSUE DATE 5 B.P. RECEIPT DATE 03/12/91
- PRV - BOOSTER PUMP
SITE ADDRESS 41 V,, I-'1-LRWOOD TR
LOT 27 BLOCK 2 SEC/SUB ENGSTROM' S DEERWOOD
APPLICANT:
ADDRESS:-
CITY, STATE
PHONE:
PLUMBER:
ADDRESS:-
CITY, STATE
PHONE:
MINNETONIa 14N ZIP 55345
933-7717
PERMIT REQUESTED
R SEWER WATER TAPS
COMM/IND X RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
.Ahead of Domesl;ic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
OWNER: BRENTWOOD HOMES EA ORDINA
ADDRESS: 1564 W UNIVERSITY AVE
CITY, STATE ST PAUL MN ZIP 5104
PHONE: 529 SIGNATURE WHEN
PLEASE ALLOW TWO WORKING DA' S FOR PROCESSING. CALL 454.5220 FOR INSPE
` SEWER PERMITS, CONTACT ENGINEERING DEPT.
ZIP
THOMPSON PLUMBING
15001 MINNETONKA INDUSTRIAL RD
C STORM
SEWER & WATER PERMIT
CITY OF EAGAN . . .
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE 2tAR 12, 1941
OFFICE USE ONLY
METER # PERMIT DATE 03/14/91
CHIP # PERMIT # 11852
METER SIZE B.P. RECEIPT # i
ISSUE DATE B.P. RECEIPT DATE 03/12191
PRV -BOOSTER PUMP
SITE ADDRESS 4113 DEERWOOD TR
LOT I BLOCK 4 SEC/SUB ENGSTROM I S DEERVOOL
APPLICANT:
ADDRESS:-
CITY, STATE
ZIP
PERMIT REQUESTED
SEWER
x WATER TAPS
A RESIDENTIAL
COMWIND
EXISTING
PHONE:
PLUMBER: TiiWIPSON PLUMBING
ADDRESS: 15001 H1NN1T0N ,A INPUSTRlAL RD
CITY, STATE MINNETONM MTi ZIP 55345
PHONE: 33-7717
OWNER: BRENTWOOD 1101168
ADDRESS: 1564 W UNIVEPSITY AVE
CITY, STATE ST PAUL MN ZIP 5 5104
PHONE: r,4 "'"
X NEW
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
• CITY OF EAGAN
` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 i
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. Value $135.000 Date MAR 12
Site Address 4133 DEERWOOD TR
Lot Z7 Block Sec/Sub.
Parcel No.
W Name BRENTWOOD HOMS
Address
---646-6529
o Name
u< Address
City Phone
Name -
Address
I hereby acknowlege th
information is correct a
Minnesota Statutes and
Signature of Permitee _
on
Building
I have read this
agree to comp
1
a
91
OFFICE USE ONLY
x'3
Occupancy 1 FEE S
Zoning 762.00
(Actual) Const Bldg. Permit
(Allowable) Surcharge 67.50
* of Stories
h 495.00
Lengt Plan Review
, 100.00
Depth SAC, City b
S.F. Total 6 50.00 i
SAC, MCWCC
S.F. Footprints 660.00
On Site Sewage Water Conn
90.00 ,
On Site Well -? Water Meter ;
MWCC System ? Acct. Deposit 30.00 .
?
City Water
PRV Required S/W Permit I
Booster Pump S/W Surcharge
.50
276.00
Treatment PI
APPROVALS
Road Unit 3 70.00
Planner
il Park Ded.
Counc
Bldg. Off. Copies j
3.531.00
Variance TOTAL
of
+ed to: BlItf1 rWOOD VMS
n that all work shall be done in accordance with all
iesota Statutes and City of Eagan Ordinances.
!8776
Permit No. Permit Holder Date Towomne N
WATER
SEWER
PLUMBING
?00 311
H.VAC. . • ` J ?? "I
ELECTRIC
o,6
I
Inspection Date Insp. Comments
Footings I
Foundation
Frarning
Roofing
Rough Plbg.
Roigh Mg.
Isul. S-A? CIA V' P -bdt
Fireplace - bs y Ql ?
Final Htg• `f -7 11•
Final Plbg.
Cont. Meter Plbg. Inspector - Notify Plumber
EngrJPlan
Bldg. Final S L!/
Deck Fig.
Deck Final
Wellf
Pr. pisp.
CITY OF EAGAN
454-8100
DEPT. OF BUILDING INSPECTIONS - .
Correction Notice
Located at y/ 3 3 1),- Pf .-
I have this day inspected this structure and
these premises and have found the following
violations of city codes governing same:-
When corrections have been made, please
call 454-8100 for inspection.
Date - 9 i ?, - - -
Inspector City of Eagan
DO NOT REMOVE THIS TAG
q. . - " s
s
&rt f iratr of (Orrupaury
Citp of Cagan
BrVabum of Nuaing 3ttopty imt
77us Cervjkate issued pursuant to the requirements of Swdon 306 of the Uniform Building
CodecerWh*g Mat at the time of issuance this structure was in compliance with the various
ordi umm of the City regulating building oonstnuclion or use For the foQowing.
Use a UFK*e . SF D C/= V. FbMA HM 18776
0=*9- 7?pe R3/141 7. , Di ? RI Tra ants W
OVMwdaa B!iEMM 8M A&W. 1564. [INIVEELSM AVE. W.. ST. PATJL
POST IN A CONSPICUOUS PLACE
--
INSPECTION --------- --- -R
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ' F1 I S; ?1 ?' i APPLICANT: I till 1 1441`1 1li0F11; I11_} RI•Ji{0D 48q 1800
P1 AN HEV'1'EWD HY JOF VOrl-Ci. A11pTNi:1. `aTAI PS TO
• r
? J
PERMIT SUBTYPE: TYPE OF WORK:
? !t 11 T 1 r??
j. 1,
Permit Holder Date Telephone #
PLUMBING
H VAC
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
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL ? /Q? ,y/,Q
CITY OF EAGAN N® 1 8776
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 /d +r
(O?
`?
BUILDING PERMIT Receipt # ,
To be used for SF DWG/GAR Est Value $135,000 Date MAR 12 1911-
Site Address 4133 DEERWOOD TR
Lot 27 Block 2 Sec/Sub. ENGSTROMrS OFFICE USE ONLY
Parcel No. UEEHWUUU Occupancy R-3 MM1 FEES
RR
1
Zoning -
c Name BRENTWOOD HOMES (Actual) Const VVN Bldg. Permit 762.00
Address 1564 W UNIVERSITY AVE (Allowable) VV_N Surchar
e 67.50
° City ST PAUL Phone 646-6529 # of Stories g
0
495
64 Plan Review .0
Length
o Name SAME Depth SAC, City 100.00
H Address S F. Total 650.00
SAC, MCWCC
City Phone S.F. Footprints
66
Water Conn 0.00
On Site Sewage
w
o Name On Site Well Water Meter 90.00
iw Address MWCC System X
30
00
°° X Acc. Deposit .
aW City Phone City Water
R S/W Permit 30.00
PRV
equired
I hereby acknowlege at I hav thi a hcation and state at Booster Pump SrW Surcharge .50
lnformahon is correct nd agree to mpl ith all p C ble o 00
276
Minnesota Statutes and ity of Eaga rdi Treatment PI .
Signature of Permits, APPROVALS Road Unit 370.00
A Building Permit is issu to BRENTWOOD HOMES Planner Park Dad.
on the express condition that all work shall be done to accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off Copies
Building Official nn J J Nq 11..&11 n' J Variance TOTAL 1,531.00
Address: 4133.DM%,M TRAIL Lot 27 Blk 2 Sec/Sub E,STRM D
These itgms were/were not complete at the time of the final inspection.
pate: 5/28/91 Yes No TnqPPrfpr,
Final grade (6" from siding) y?
Permanent steps - garage
Permanent steps - main entry y
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.
R[MtIY MRP
White - City copy Yellow - Resident copy Pink - Contractor copy
RESIDENTIAL
L (} ?- BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651.681.4675
Now Construction Reouhemems
• 3 registered she surveys showing sq. h. of lot, sq. it. of house; and III roofed areas
(20% maximum of coverage slowed)
• 2 copies of plan showing beam & window sizes; poured found design, stc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan h of platted attar 7/1/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE
SITE ADC
TYPE OF
-o Z
4ULTI-FAMILY BLDG _Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
SELA ROOFING & REMODELING. 'hit
APPLICANT 4100 EXCELSIOR BLVD
ST. LOUIS PARK, MN 55416
STREET ADDRESS .., -CITY STATE_ZIP
TELEPHONE # (.ai Z-vn -Vo 4(o CELL PHONE # FAX #
PROPERTY OWNER IILI" ?0 Ll-SCLl? a,cx_rc -! TELEPHONE#C'gQ
------------------------i--------------------------------------- -------------------------------
COMPLETE THIS SECTION FOR -NEW,, RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _
(,I submission type) • Residential Ventilation Category 7 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $70.00
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 Ordin nces.
Signature of Applicant
OFFICE USE ONLY
lS
Remodetrpeoair Reaubemems
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• l she survey for exterior additions & decks
• Indicate if home served by septic system for additions
-7 S CLD I o?
VALUATION
Water Softener
Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
Updated 4102
Fee: $90.00
CITY OF EAGAN
CASHIER: S TERMINAL.. NO, 782
DATE-, 08/04/98 'TIME: 15:09.".25
IL) a
NAME: JOSEPH MONSOUR CONSTRUCTION
32iO 9001 4133 DEERWOOD T 34.75
2155 9001 4133 DEERWOOU T 0.50
}
Total Receipt Amount". 35.25
CRO95786
USER ID: NANCY
-'sDaTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued.
BUILDING
032778
08/04/98
SITE ADDRESS:
4133 DEERWOOD TR
LOT: 27 BLOCK: 2
ENGSTROMS OEERWOOD
P.I.N.: 10-23900-270-02
DESCRIPTION:
STAIRS
Building .Permit Type 044K-r1 I S
,Building 06,rk Type ALTERATION
;-Census Code 434 ALT. RESIDENTIAL
:rY
REMARKS:
PLAN REVIEWED BY JOE VOELS. ADDING STAIRS TO EXISTING DECK,
FEE SUMMARY-
VALUATION $1,000
Base Fee $34.75
Surcharge $•50
Total Fee $35.25
CONTRACTOR: - Applicant - ST. LIC. OWNER:
MO4gSOUR CONST. 14891800 2006536 KIRSCHBAUM MARK
1430 KENT ST 4133 DEERWOOD TR
ST. PAUL MN 55117 EAGAN MN 55122
(6.12) 489--1800 (651)686-0326
I hereby acknowledge that l have read this
information is correct and agree to comply
Statutes and City,of Eagan Ordinances.
L
APPLICANT/PERMITEE SIGNATURE
application and state that the
with all applicable State of Mn.
?? ISSUED B IGNATURE
2A 3S,s
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construction Requirements
? 3 registered she surveys '
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted after 7/1193
required. _Yes _ No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: ?? BLOCK: SUBD./P.I.D.
YVN S
U
Name:Y ?l ? s?I ?1il ,. (Glgk? Phone #: 03 Z
PROPERTY Last Fiat
OWNER
Street Ad??dre??s??s://???/3 3 _?` s2 cry c ? T?
City tK_ A-y State: "-7Z Zip: jS/ Z 7?
Company: //(?tiS6ufL t?Un??- Phone#: ( ?/ - a
CONTRACTOR
Street Address: l y.?0 ?Lc?irY -f-I - License# o2oo4P! .26 7
ARCHITECT/
ENGINEER
City ?_-Z_ ? 10, State: Zip:
Name:
Street
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
RemodeVReoair Requirements
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST; Y ao
Phone #:
Registration
State: Zip:
I hereby acknowledge that I have read this application and 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
Penalty applies when address chang
is correct and agree to comply with all applicabl
?li ,?
4
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 plex
WORK TYPE
? 31 New 97'33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
,-,EH 5 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft. MC/WS System
Main level sq. ft. City Water
sq. ft. Fire Sprinklered
sq. ft. PRV
sq. ft. Booster Pump
sq. ft. Census Code.
Footprint sq. ft. SAC Code
Census Bldg
Census Unit 0
Planning Building
Permit Fee 3? -l 5
Surcharge _ SU
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Other
Copies
Total: 3c -"-), L--)
Engineering
Variance
Valuation: $ l( e5b
% SAC
SAC Units
WORK DESCRIPTION
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
m!99
vpwm
FOR CITY USE ONLY
PERMIT # /_Sl 940
RECEIPT #100"3
DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONST
ADD ON _
REPAIR
OWNER NAME: ?rCXl lCxr? tAomeS
SITE ADDRESS:LAI Ylc d?C
LOT: BLOCK SUBD.('e'e4aT L&ULm-
INSTALLER?? IOYYI O l ?lUr? ?l rya are.
ADDRESS:I50ol M??t0.Z US?rlo? oo?-
CITY: MtrQlvl?r,nlCa Mrs ZIP: JJ`-??5
PHONE #: I ?J?J ?'7 I `?I
SIGNATURE OF
COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00 OU
LAVATORY 3.00 Lg .?O
I KITCHEN SINK 3.00 00
LAUNDRY TRAY 3.00 3, 20
_ HOT TUB/SPA 3.00
WATER HEATER 3.00 5,
FLOOR DRAIN 3.00 A,Ot1
GAS PIPING O"OT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50 ?
_ OTHER _
WATER SOFTENER 5.00 7 d?C>
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S 5I 'sD
ST. SURCHARGE h/ .50
TOTAL: S ??'00
?OMMERC?AI;jiNDtiSTRIAl:' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS A
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
014NER 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)
oq 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
l CITY of EAGAN u
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauiremenh 6115-(X
3 registered site surveys stowing sq. fL of lot, sq. ft. of house
and 90 roofed areas (21176 nxWmum lot coveraae aibwedl
> 2 copies of plans (show hearn & window sizes; poured Md. design; etc.)
> 1 set of energy calculations
> 3 copies of free preservations plan It lot platted after 7/1/93
DATE: 's- t ? - v IInn
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: d I BLOCK: Q SUBD./P.I.D. #: ?P-"L60Yy1 G QP-eP r1,,) 0 06
Name: V? l t"J C? ba (?r/Y7 IlU ?/ An Phone E:
PROPERTY Cast First
OWNER c????? ?
Sheet Adddress: n r
city / Q 6G n State: r v Zip: S-S z Z
SELA ROOFING & REMODELING, INC
Company. 4300 EXCELSIOR HIVD
ST. LOUIS PARK, MN 5541 E
CONTRACTOR ID #0001050
Sheet Address:
City
Re /Repair Reaulremenh
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions & decks
CONSTRUCTION COST: 4(02-0/
State:
ARCHITECT/
ENGINEER Compan): Name:
Telephone #: ( )
Sheet Address: Registration #:
City
State:
Sewertwater licensed plumber (if Installing sewer/water: Phone #:
Zip:
Zip:
I hereby acknowledge that I have read this application, slate that the information is coned, and agree to comply with a0 applicable SrotE
of Minnesota Statutes and City of Eagan Ordinances
Signature of
Certificates of Survey Received Yes
Tree Preservation Plan Received Yes
OFFICE USE ONLY
No
No - Not Required
Phone #:LiZ $Z3-8o??0
(area code)
License # !D s Exp.7'-v-0
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
q ?SCAt"'
1..........ex TI . At":*
---------------
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR
OWNER NAME: L.l/LPivc?At 1P'Up?°`r?
SITE ADDRESS: w-la Ak'Itz.)?o-cr 13',"
LOT: BLACK SUBD. (?iZ)O ri2O?an?
INSTALLER: GENZ-RYAN PLUMBING & HEATING COMPANY
ADDRESS: 14745 South Robert Trail
CITY: Rosemount ZIP: 55068
PHONE #: 423-1144
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
TOTAL:
DWELLINGS &
$15.00
24.00
6.00
3.00
$33
.50
$35"
SIGNATURE OF ERMIT EE
04QiEUTAL/INDUSxEt$ tl 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:
FOR CITY USE ONLY
PERMIT # 140'99
RECEIPT # DD v7`.
DATE: 4 51/
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
---------4---------------------- - ---------------------
FEES
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
994 MECHANICAL PERMIT (RESIDENTIAL)
?q T- CITY OF EAGAN
??9'r'?/? 3830 PILOT
EAGAN MKNOB 2
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE _Y- P l ? 4
FEES
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS Or TTT FTC (yvam -sum ! ,^W, sell. au, E; )
ADD-ON/REMODEL (EXISTING coNsTRucnON)
STATE SURCHARGE
TOTAL
$ 24.00
6.00
1
$ 20.00
.50
SITE
OWNER
TELEPHONE #: b ?6 (J????
CITY:
ZIP CODE:
TELEPHONE #:
yo?si /1117' " y /V SIGNATURE OF PER ITTEE
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
2 SETS OF PLANS k?lw
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCULATIONS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
0•
762.00+
6'7.50+
495.00+
2,2_06.50+
3)531.00*
'70'2.00+
67.50+
495.00+
2Y206-50+
3)531.00*
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT P
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used Forst alf Ft• MIl Y- Valuation
Site Address 4 33 0MWMQ TRAIL
Lot 2'7 Block Z
Parcel/Sub rL l GsmcmMZ: ?\WD
Owner b7L1 n/ywo 46meS
Address 1N, y?IVGESIT1 p-yc-
City/Zip Code c?T. PAUL
Phone l04(a - G15 q
Contra
Address
City/Z
Phone
Arch./
Address
City/2
Phone #
3-5-, 000 Date: 51217
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
R 3 ?? /
7Q
On site sewage_
On site well _
MWCC System ?
City water ?
PRV _
Booster Pump
APPROVALS
Planner ,
Council
Bldg. Off.
Variance
FEES
Bldg. Permit ?62
Surcharge X21 50
Plan Review
SAC, City /00
SAC, MWCC &co
Water Conn 64o
Water Meter Te
Acct. Deposit 30
S/W Permit - 30
S/W Surcharge ,SO
Treatment Pl. Z,)G,
Road Unit Z,10
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL -10!i ?
2y?
?? g ?O°2
/G30 x-53 ???f0
r, J
/bSZ ,?53 S? 29y
?s ?soo
00
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER
,{ ?y^??
GAr?
SITE ADDRESSS?? 41 -531``? • ?/?/?",,`A'Q ?A I L_ EA
CONTRACTOR SJ?C PTYMf) 6I?g (AC? DATE ?t?l 2 1 PHONE l!J-•f?V ??Z I
Determine working square footage of each.
1. Total exposed wall area ...... 3004 sq. ft. X I I - _??0•`?)
2. Total roof/ceiling area ...... 11 1 ¢ so. ft. X .?2?0 - 28.9cP
A. Total wall window area .......................... 2.
B. Total door area ................................
a
C. Total sliding glass door area ......... ........::
D. Total fireplace wall area ............. ..........
E. Total wall framing area (average 10%).
1
..........
'
V. Total Rim joist area .................. '. " "
G. Total Net wall area above floor........ " " " " ' ' "
Total exposed foundation area - 199
H. Total foundation window area .................... O
I. Total net foundation area above grade...........-
Determine "U" value of each wall segment.
a. T / X "U"
b. 5J//9 X ••U„
C. 8o X "U"
d. Q0 X "U„
112
e.
X ..U.,
f. 252 X "U"
4• 19 «O X -u"
.3b
oil
,50
?J 8
II
C43
04fa
IUro.02
3.?5
'TV.
71 (00'2332_
pOr7.P/?`?
h. X ..U.. _
i. l X ..U.. 12 _ 13.bo
----Total = ?5?' O
If item #3 is the same as, or less than item #1, you have met the intent of
SBC 6006(c)2.
FIG. #5
ROOF/CEILING
CONSTRUCTION (Use for item L)
1. INTERIOR AIR FILM 0.61
2. 5/8" GYPSUM BOARD 0.56
3. FIBERGLASS INSULATION 45.co
4. EXTERIOR AIR FILM (still) 0.61
R- TOTAL 4 G.7$
V-Ton41- 021
FIG. #6
Li
CEILING FRAMING (Use for item K)
1. INTERIOR AIR FILM 0.61
2. 5/8" GYPSUM BOARD 0.56
3. 3 1/2" SOFT WOOD 4.38
4. 9 1/2" INSUL. ABOVE FRMNG. 28.50
5. AIR FILM 0.61
(2. TOTAL 36.66
V- TarA 027
1. INTERIOR AIR FILM 0.61
2. 5/8" GYPSUM BOARD 0.56
3. FIBERGLASS INSULATION
4. EXTERIOR AIR FILM (still) 0.61
(2- TOTAL
v - ToTA L
FIG. #7
1. INSIDE AIR FILM 0.61
2.
3.
4.
5. OUTSIDE AIR FILM 0.17
R TOTAL
V- TOTAA-
4 HEAT FLOW VENTED
UP
HEAT FLOW
UP
Oa
3 ? ? ?? ??Fo NO Rou9h-ln InsPecLOn ?/?
st Oate Requlredn Ready Now ? WIII NMdy Inspador
- ? ? When Ready2
Ves No
`licensed contractor ? owner hereby request inspection of above electrical work at.
Cry
Adtlress (Street. Bax or Route No r/] p _ /V . /
?,?? E Barge No Count'
-
t'On No TOwrsnlp Name or No ^ ^ I' 1)1
n Contractor (Company Namel
41,E FRAM
Address ICOntraclor or Owner
Autho eo Sigr re )Confrodw']Owner Making lnsi
No
THIS INSPECTION REQUEST WILL NOT
MINNESOTA STATE BOARD OF ELECTRICITY BE ACCEPTED BY THE STATE BOARD
Griggs-Midway Bldg. - Room S-n3 UNLESS PROPER INSPECTION FEE IS
1821 University Ave. St Peul. MN 55104 ENCLOSED
Phone (61211142-0600
`
REQUEST FOR ELECTRICAL INSPECTION $TMe??' Ee4) {0oolo8
lp See instructions for c,mplehng this form on back of yellow Ompy 5 /O?
J 2 X" Below,Viiii Covered by This Request .
TYP of Building AppllancesWUed EqulpmentWired
ew Add Rep - Temporary Service
Home Range
Duplex Water Heater Electric Heating
Ant R,IlldIna Dryer Other (Specify)
Farm r.. wnanio,?o?
Qihel lspecdyl Contractor's Remarks
r - pi:'A /??1{
?
c.
O .
eBelow e Below
Fe
#
eeders
s
rc
Fee
Fee # Sice Etrance Size Fee s
0 to 00 s Oto
gn
p
M Inspectors use Onty
?(/
ATION MAY BE?QRDERED•DISCONNECTED IF NOT
'
n THIS INSTALL
Other Fee I
I, the Electrical Inspector, hereby
certify that the above inspection has
been made.
OFFICE USE ONLY
rnis request void 18 months from
WALL SECTIONS
NOTE: Use 158 of
opaque,wall area for frame construction
1.
3.
4.
5.
6.
FIG. #1 TOP VIEW OF FRAME
WALL
R-VALUE
2. 1/2" GYPSUM BOARD --Q--45-
3. 5 1/2" SOFT WOOD 6.25
4. k/2'• SU[AYLNrk( 0.6(a
5. bGDAR 510WGr O•G7
6. EXTERIOR AIR FILM 0,17
R -TOTAL 6, 68
U- T'arhL . I 1
1. INTERIOR AIR FILM
2. 1/2" GYPSUM BOARD 0.45
3. 6" FIBERGLASS INSULATION 19.00
4. 2" ?ftT111 0, lc(o
5. GEDAN S IDIC4(r O•lel
6. EXTERIOR AIR FILM 0.17
W- TOTAL 2 1, (.3
U - T??a I- • 04Cp
1. INTERIOR AIR FILM 0,6$_
2. 6" FIBERGLASS INSULATION 1900
3. "
4, " SUEAiIl? Cr 0.(do
5. CEpAF. 5 io -1G 01(I7
6. EXTERIOR AIR FILM 0.17
R• TOTAL
V-T•?TaL ,?{-?
I. INTERIOR AIR FTTM 0_68.-
2_ FIBERGLASS INSULATION C.Co
3. 12" CONCRETE BLOCK 1.28
4_ WATERPROOFING 0.17
5. EXTERIOR AIR FTf.M 0.17
rR- TOTAL 8.W
V-TcyTA L • 12
SLAB ON GRADE
V
a
4
< FIG. #4
NOTE: Indicate type, "R" value, depth, and
placement of insulation.
L
i _
? ?qo
47260
? ?
Request Date
s
y- g No Rough-m Inspection
Regmreds
?My Now ? Will Notify Inspector
Wh
R
d
?
- 9/
/ dYes en
ea
y
15licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No Croy
Section No Township Name or No Range No County
r?sQ
Occupant (PRINT) Phone No
/
1,V1i -L ,,-J TiL ?G e-- /? F
Power Supplier Address
Electrical Contractor (Company Name) Oontractor5 License No
ec l o yd 7//?
Mailing Addre
sss IOoniractor or Owner Making Installation)
- lir
Authorized Signalure (Contractor/Owner Making Installation) Phone Number
X90
MINNESOTA STATE BOARD OF ELECTRICITY V THIS INSPECTION REQUEST WILL NOT
Grlggs-Midwsy Bldg - Room S-173 BE ACCEPTE D BY THE STATE BOARD
1831 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)643-0800 ENCLOSED
REOLIEST FOR ELECTRICAL INSPECTION
loan on back of yellow copy
kl
thi s'tl`.?'g,' EB-oooot-os
a?
O l
T-'
vo
rn9
s
lip See instructions for comp v
a
47 Below Work Covered by This Request .
ew Add Rep. Type of Building Appliances Wired EquipmemWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial ' Furnace
Farm Air Conditioner
Other (specify) Contractor Remarks
Compute Inspection Fee Below:
# Other Fee
- G
:
# Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool
Transformers 0 to 200 Amps
Above 200 - Amps 0 to 100 Amps
Above too Amps
Signs Inspeclors Use Only TOTAL
Irrigation Booms ?fl
Special Inspection 4 57
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1S MONTHS.
I, the Electrical inspector, hereby
'affavalf
Rough-m
001 Date
certify that the above inspection has
been made. Final
OFFICE USE ONLY
This request void 18 months from
Total exposed roof/ceiling area
j. Total skylight area ................................
k. Total roof/ceiling framing area (average 10%)......Q
1. Total net insulated roof/ceiling area .............
Determine "U" value for each roof/ceiling segment.
j. X flu"
k. 4fl X „U„ 02-7
1. 100`2.60 X "U„ 1021 = 21,05"
4 .....................................Total
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of items #3 and #4 shall not be greater than the sum of items #1 and #2.
1. + 2. _
3. + 4. _
$
I°°
H 6 8 3 2
67 ?;;
,17
Request Date
4-10-91 ire RDUgIt i inspection
Required
El Ready Now pill Nobly, Inspector
When Ready?
? No
I,Ulicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No) CIN
4133 DEERWOOD TRAIL EAGAN
Session No Township Name or No Range No County
DAKOTA
Occupanl(PRINT) Phone No
BRENTWOOD HOMES
Power Supplier Address
DAKOTA ELEC. FARAINGTON MNN
Electrical Contractor (Company Name) Contractors License No
itiIK-LYN ELECTRIC CO., INC. A 40329
Mailing Address (Contractor or Owner Making Installation)
13 5 JEFFERSON Hti, CHAMPLIP, PIN. 55316
ncrIzed igoature (Cunt or/owner Mak I I Phone Number
421-7714
n 1??
MINNESOTA STATE B B ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grlgga-Midway Bldg. - R m S-173 91-102 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., S1. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED r
?''P@ EB-00001-08 I
QJ/ REQUEST FOR ELECTRICAL INSPECTION 6. a n (-?/
lo See mstrui sions Tor completing this form on back of yellow copy 61 boo / /+
"X" Below Work Covered by This Request ?T•?® l
a 888321":
' A liancesWired
Pp EquipmentWued
ev, A.:d' Rep: Type of Building Temporary Service
X
X Home Range
Electric Heating
Duplex Water Heater Other (Specify)
Apt Budding Dryer
Comm./Industrial X' Furnace L
Farm Air Conditioner
Other (specify Contractor's Remarks
Compute Inspection Fee Below:
eeders Fee
#
O
# Other Fee # Service Entrance Size Fee
Swimming Pool Amps
Oto OO
X 0 to 200 Amps
Transformers Above 200 -Amps Amps
TOTAL
Signs Inspectors Use Only 17, oU 67 . 50
Irrigation Booms
Special Inspection
NECTED IF NOT
Alarm/Communication THIS INSTALLATION MAY BE ORDE CON
COMPLETED WITHIN IS MONTHS., .
Other Fee Rough^n i ate
hereby
Electrical inspector
I
th
,
,
e
certify that the above inspection has Final ' Date J
?
been made. .
-
OFFICE USE ONLY
This request von 18 months from
Certificate of survey for:
SIGMA
iURVEYING SERVICES INC.
3730 Not Knob Rood
Eogon. K*"sofo 55122
(612)452-3077
DIUINAD( ANO IITN.ITT EASEMENTS •Ns
LIDwn TNYSI
p fJ L p
b
1RW0 a FEET IN W
1A OrIKNwIK
NIOICAT90. AND ASZ IOTN1j10UNL[ss1p=
T
ID FEET NI WIDTH NO" • ?OININS $0116T
Liters. ss sNow N DN rNL nNr.
c N
S "ate_: 1"=No' N gqF ,,
My
.? BjCh
v6?
c
5.?
?,£ y l
/ aae
ti•
/
/%
/ . I
P,
. / 8
1
? 0 1
3-1
LEGEND-
o Denotes Iron Monument
a Denotes Wood Hub Set
X¢81.7, Denotes Existing Spot Elevation
(X$k, „) Denotes Proposed Spot Elevation
f-^ Denotes Drainage Direction
-PROPERTY DESCRIPTION-
LOT 2'1 , BLOCK _.Z_
_.UGSTRoMs GEE OOD ADGITbN
according to the recorded plat thereof,
Da "+ __County, Minnesota.
BRENTWOOD
HOMES, • INC.
i'?
1
4
?
M
1' 1
I
`
'
I % 0
(°al O? aD1j' ?
? A /s I
' ,•;.• ? arks ? a rc
r9iHay a ,(/ £aSEHMni"
f? 8.7 /?jA6w01NG?^
Y ? I
?Zrs 813.gx ? ' ?"'
a
g8a°74'vei'w
LO2 I
ID
,B /,
\ / 88t6?
Fl/
40 1
J
?
V ^
tu
tl ??(11
I+
6
rt
d?N
)1
/
a F'
0
U
0
V
0
H
N
V
PROPOSED GARAGE FLOOR ELEVATION= 2(92 _
PROPOSED TOP OF BLOCK ELEVATION= 018-1.0 .
PROPOSED BASEMENT FLOOR ELEVATION= 43-19.0 w
*NOTE: Verify all Bldg. Dimensions and
Floor Heights with Final House Plans.
-SURVEYORS CERTIFICATION-
I hereby certify that this survey, plan or
report was prepared by me or under my ?,,,;
direct supervision and that I am a ?4? N;3
Registered Land Surveyor under ther..)a0p "o#• " • ,
the State of Minnesota. <yi° 0jAYNE
GORDE
WGts_ ?, 14r Date: = 3"19
Way en Cordes, Minn. Reg. No. I6X5 '
SL :
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106847
Date Issued: 09/13/2012
of 3 a R Permit Category: ePermit
Site Address: 4133 Deerwood Tr
Lot: 27 Block: 2 Addition: Engstroms Deerwood
PID: 10-23900-02-270
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $4K $103.25 0801.4085
Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Haug Contracting Group dba New Line Roofing Andrew J Kaul
3141 Fernbrook Lane N 4133 Deer-wood Tr
Plymouth MN 55447 Eagan MN 55122
(612) 251-1152
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:EA122060
Date Issued:04/23/2014
Permit Category:ePermit
Site Address: 4133 Deerwood Tr
Lot:27 Block: 2 Addition: Engstroms Deerwood
PID:10-23900-02-270
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 .
William Krech
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Andrew J Kaul
4133 Deerwood Tr
Eagan MN 55122
(651) 334-1354
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
` � ForO�ceUse--------- � �
� � , I Permit#:� �(��5�� j�
Clty af ����� � . � � ��-�s
� Permit Fee: �
3830 Pilot Knob Road I �'�- i� I
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 I � I
Fax:(651)675-5694 I Staff: I
I I
. �______�������_��J .
2014 RESIDENTIAL BUILDING PERIVIIT APPLICATION
Date: 4 7� � � Site Address: ���� /�`''�Y� Unit#:
�, � ''
�xx��� �' ������� Name: Phone: III
k��Yr � �h ��� 1 I
,�a
�'�'M� �'�S �x%� ,�' '
���r� � ��, ' Address/City/Zip: �.l� 3 3 1aG�Gv'l,,,r,,r,r-iC '��/^u��L
c �� ���K� fl
���� �� � �T Appiicant is: Owner �Contractor
� �� �a � � ��
�� ��a, �a �
� �� �� '� _��� `� Description�ofwork: �i���Lr.�,�-�i � l�,°G�'
�������������' �
-�-���� u � Construction Cost: Multi-Family Building: (Yes /No )
��� r � ����
� � __
� � ��� '`� �` Company: Deck and Basement Co Contact: Pat Noonan
�
�� a
� �, � � _
� ��� ` � _��
€A � � ��,� Address: 6907 Loqan Ave.S _City: RichfiPid
�' ��a� � �
�`� ��a `��,���� State:��Zip: 55423 Phone: F���a�_��Ra Emaii: Pat@DECKANDBASEMENT.COM
�-���� ��'�n�� ��}
����` _� � � � License#: BC449287 Lead Certificate#: NAT-F107987-1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
��
COMPLETE THIS AREA ONLY IF CONSTRUCTIIVG A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
� � ¢
��P � ��. �d� ��C� ��� 6(�J"'��� ������� ���� �`��4����� �T , � .
-+i' t"� „ � � ��.'. �"GA �� {9
��§--� �� � ���I���� k1r5�� k �'� �� '.
� � � � � �� � � �
�'- � w �� I�'� !�' � �7 � '�� �a �T." ,a,.h`
. �-•� � �i��'_� u�+ �:.x��'4r� ���'�; �` -a>` �*-::� E• �' �k�k��r�U+i� '��. _ 3���'.,��� . .,`�''�w'��r�;'�a � =eti',��'�` _
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.orq
I hereby acknowledge that this inforrnation 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 S1:ate Building Code must be completed within 180
days of permit issuance.
X �d 1'l �61,�2 Z�., X �.
Applicant's Printed Name Ap anY's Signature
Page 1 of 3
y y//"�� ;C_7��-Cc:f��c� ��/� -
' DO NOT WRITE BELOW THIS L.INE �-�����
SUB TYPES
Foundation _ Fireplace Porch(3-Season) Exterior Alteration(Singie Family)
�C Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi � Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES n t� ���e
� New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof Demolish Interior
_ Alteration _ Fire Repair _ Windows Demolish Foundation
_ Replace _ Repair _ Egress Windo�nr _ Water Damage
_ Retaining Wall *Demolition of entir�a building—give PCA handout to applicant
DESCRIPTION �
Valuation �t Occupancy ° ,., MCES System
Plan Review Code Edition � '""���. SAC Units
(25%_100%� Zoning ��,1 _ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction " '� Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
� Footings(Deck) Final/C.O. Required
Footings(Additionj � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: Ice&Water _Final Pool: Footings _Air/Gas Tests Final
� Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_;;tucco Lath Stone Lath Brick
Insulation Windows
Sheathing Retaining W'all:_Footings_Backfill Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By:_� , Building Inspector
RESIDENTIAL FEES
Base Fee � �{ 1�,, �. '(� '�, � � �"��
� 1`\ \
Surcharge �,..
Plan Review '�,�,�� +
MCES SAC
City SAC
Utility Connection Charge
S�W Permit 8 Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
� . � , i '�/.'� '/ `�'
�y
��� ���-U��U / �,� Gsrtil�icate of Survey for: f��5�
- SIC�►MA . .
��,�';;:; ,�f�.�: �� :, J
i . SURVEYING S�RVICES INC. , • .
������ $��E l�TW�QD �
. �,.���,n
=. ta�z»-ao» HC� MES, � INC.
n�.�.��wo u*n,nr�t�u�Mn�ei ,
sNo+.N r�w�+
. •� � . f
_ � L..,..J L'L__ � ,� r
�t�e a � t iN w�or uw�sss o� wist I . `-�
wac�tta��o aoroiwi�0o coT w i a�o � � /',
ror��t w�or«�No ���s i
INKi�A�SIqNN pl I1,AT. / 4�
� O
�� V1EWE :;,,�e�;i '° x Q
. �`A`'D� % I � O
.� ' :j", °° a
o ' -�► �c�r¢ f p
,�;.., .�visia�'b ,�'`- ', �� N+
n Buiiding��SP���
/ � I N � 1� �
\ `;` �ri i.u9 a � �aleMtit��-. ' � "' W
.r. / I�1af �.' � ¢ O
� „ , � a��'� ��'AoNo+NG��� V � !� � f�1
$ca�e. ! �--�!o r� .., �' �i
/�r hs.gx f.sa I 4��
� ti�� •l ''.r$, a4 � '�' ,� '
i 8����� `'�'��� ���► I � eO � �
� / oc
� 30.l7 �i 4 � O
r �-;► " � . I
4sy� / s�•'/�.''�e w \ �
` , •;�'' ,z e�� , � .o H
,y� � ' � � � /I , a
�8� ,� � �� ;�� �� ,� �-°r � ,� � �
s � �° 27 �
�,' � �
v
v
� w�- ♦� � �8tf. � /II l� -�'da�L � ' ,��
�
�� . � /
� I '�'� ? � • �o��/ ; .- � �
��i � 4,9�►�� ` A' t��� /�, / /� � 4 �
'F � • , I
�► ra '� �
n � �
°,�'t. z, \p�:�w� ..c�� ' ,�e,�,y��J
►� V.- �,' r S�►� :y�'� �- I. � :. f='�
� . �r tt� 1, �05. 6, . `\
�1 �� A � �` .,,� �s�� �+ r l� 1 � ��� ! i._ k 1.
� ` , ,`. � ��°`Z �,,,,r�.;t-:, '1i�a � �t
A , 1 � ; ...�- �:r�� �
�V ` � �..t,� � �, �, „r�
� .,,r,,, ,.,r,,., .
_ � � ^ • ~ � .
_ � Il ^�r�„�„ ,�. �,,
— � � �y':.,
� � ' 3�� -��� �`�� ��1 �I�����s�.r.L� �
"�� ��'�� .
-LEGEND—
o Denotes Iron Monument PROPOSED� GARAGE FLOUR ELEVATIQN= ��
n De�otes Wood Hub Set PROPOSED TOP OF BLOCK ELEVATION= $��� •
%887•t- Denotes Existing Spot Elevation PROP05ED BASEMENT FLOOR ELEVATION= 8�`��0 wl
(x�;K) Denotes Proposed Spot Elevation
�f-`�-- De otes Drainage Directian *NOTE: Verify a11 61dc�. Dimensians and
Floa�r Heights with Final Hause P1ans.
—PR�P RTY DESCRIPTION—
` � -SURVEV'ORS CERTtFICATION—
LOT �� , BLOCK ..�,_ I hereby cer�ti fy that thi s survey, pl an or
report was p�repared by me or under my ,��„�,:,::rr,,,��,;,
_��tr R ��� direct superwisian and that I am a � N�� %.
accordin t the recorded lat thereof, " �' �'''
9 p Registered l.,and Surveyor under th �a� ''o# �"''••• q'
' the State of' Min�gsota. -�-� �,�jqYNr �
�.�4�County, Minnesota.. t1 n ("�- �' ��QCORDE .s
w U� `�O� Date: ��� :
.
' Wayne D. Cowdes, Minn. Reg. No. 1�,�5 "�
�v � ,.��
,,�. �o••.,.......•••�+�..>:
l�'�,/f j�uj�i�'�`-y,�`��til�
'�
111
For Office Use •
*! W!Ø
EAN,m.r.yyya 1 ""y
Date Received: I I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 JAN 2 2 2019 Staff:
buildinbinsoections(S cityofeaaan.com L _
2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /-9,;?'Vie Site Address: ``Z3 C)E--k-4()006
Tenant: TA-k1 1k 4 Gt,L Suite#:
}
Resident/Owner Name: Se}/'1G= Phone: -C-1- '3`x. /.? Gl
Address/City/Zip: J 1
Name: COPIERS CONDITIONED WATER License#: 6& 6 4/4/07/
9150 W SSW SERVICE DRIVE
Contractor Address: BLAINE MN 55449 City:
State: Zip: Phone: s /-33'1- /.f S
Contact: LIS Ai- `/4-- Email:
New replacement —Repair —Rebuild —Modify Space Work in R.O.W.
Type of Work — — (1111
_Description of work:
RESIDENTIAL g
Water Heater i
I /Water Softener
Lawn Irrigation( RPZ/—PVB)
Permit Type y i Add Plumbing Fixtures( Main/—Lower Level)
Septic System
New i Water Turnaround
{
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) 'I
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 66 -00
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.aooherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x 2-154 2.l /J x e9G44} 4 .(3)0--P1)
,Y ✓
Applicant's Printed Name Applicant's Signature
I
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160420
Date Issued:03/09/2020
Permit Category:ePermit
Site Address: 4133 Deerwood Tr
Lot:27 Block: 2 Addition: Engstroms Deerwood
PID:10-23900-02-270
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Andrew J Kaul
4133 Deerwood Tr
Eagan MN 55122
(651) 334-1354
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature