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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