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4134 Deerwood TrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4134 Deerwood Tr Lot: 23 Block: 3 Addition: Engstroms Deerwood PID:10- 23900 - 230 -03 Use: Description: Sub Type: e- Fireplace Work Type: Gas Line Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Glowing Hearth and Home 100 Eldorado Dr. Jordan MN 55352 (952) 492 -9276 Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Tim Shimek BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Owner: Dzung Pham 4134 Deerwood Tr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA081976 02/19/2008 ePermit CITY OF EAGAN R .: 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date :3 :C ,19 8e Site Address h )" EF3J'0OD TR Lot 1 Block Sec/Sub. Parcel No W Name R A KOT HCNM, INC 3 Address 7901 UPPI , HAA+IXT C C City ',PPLE YALLEYPhone 452-1623 OFFICE USE ONLY On Site Sewage Occupancy MWCC System } Zoning On Site Well (Actual) Const V'-'ICI City Water X (Allowable) V-1-4 PRV Required # of Stories Booster Pump Length 60 a Depth r S.F. Total Footprint S.F. Name- 0 o Address U? City_ U y, W W t2 xu U= x W s Name _ Address City- 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. Signature of Permittee A,Building Permit is issued to: A FC'T ROMS. i..°aC on the express condition that all workshall be done in accordancewith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official APPROVALS FEES 776.00 Engr./Assess. Permit Planner Surcharge W Council Plan Review 100"00 Bldg. Off. SAC, City 550.00 Variance SAC, MWCC Water Conn. 550.0 Water Meter 67.00 Road unit 325.0 v 204.00 Treatment P1 Parks TOTAL 3'o41.kv CITY OF EAGAN ;. 3830 Pilot Knob Road, P.Q. Box 21-199, Eagan, MN 55121 PH ONE: 454.8100 BUILDING PERMIT To be used for D'..' ` Est. Value $162,000 Site Address ??? %" '.;° F?ftk?_ " Lot Block Sec/Sub. Parcel No. Name k A WT HOMES, IM 3 Address 74Q1 I3Pfti. '!A.`ILMT C'1' o City VALLEVPhone 4,2-1823 092-66':' °C0 Name 0u Address City Phone rQ W Name _ _ Address UZ W city Phone Signature of Building o:-- - (rOT F t all work shall be done i to Statutes and City of ?- i Receipt Date DEC 13 ,19 OFFICE USE ONLY On Site Sewage Occupancy MWCC System X Zoning On Site Well (Actual) Const V City Water (Allowable) ' PRV Required # of Stories Booster Pump Length r Depth S.F. Total Footprint S.F. APPROVALS FEES 776.00 Engr./Assess. Permi t Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance - SAC, MWCC Water Conn. Water Meter ' - 2 5.00 Road Unit Treatment P1 04.;,? Parks '' TOTAL Permit No. Permit Holder Date Telephone Plumbing ZQ, T" HA KC. /p Electric T ry,/ Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing "Zv Roofing Rough Plbg. Rough Htg. ? cPd C Isul. 3 ??i 1?1 3' c r /?. ,D Fireplace Final Htg. Final Pibg. Bldg. Final Cert Occ. 9 Z ?? Temp. LP Deck Ftg. Derck Final Well Pr. Disp. ? Site m Name ? Addre: c City _ Name 3 Addre? p City is ? TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN _ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ACS T. PHONE: 454-8100 For Office Use Only: BLDG T YPE WORK DESCRIPTION . Sec/Sub T.Y Res. /` New - Mult. Add-on ?` Comm. Repair f Phone Other . FEES -? HVAC 0-100 M BTU - $24 00 RES I E? ' . . ADDITIONAL 50 M BTU - 6.00 4 Phone " (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 50 EA GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1 . . COMM/IND FEE - 1% OF CONTRACT FEE M BTU 0- APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & M BTU REMODELS - 12.00 M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) FEE !- - SIGNATURE OF PERMITTEE S/C: _ TOTAL %' FOR: CITY OF EAGAN • PLUMBING PERMIT CITY OF EAGAN 3930 PILOT KNOB ROAD, EAGAN, MN 55122 IINTRArT PRIr`F- P14AMP. AAA-Ainn PERMIT # RECEIPT # / DATE: Lot. Address City Phone Name 3 Addre 0 City f1 COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES f MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES FOR: CITY OF BLDG. TYPE WORK DESCRIPTION Res. New ,k M ult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 S __1 Bath Tubs - $3.00 -Lavatory - $3.00 -LShower - $3.00 -,L--Kitchen Sink - $3.00 -Urinal/ Bidet - 53.00 1 Laundry Tray - $3.00 7 I Floor Drains - $1.50 Water Heater - $1.50 --L-Whirlpool - $3.00 I Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: 1 ' a (UrtifiratP of (Orrupanry Citp of eagact Frpartmmt of ludMng Amperunn This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification S ? Bldg. Rrmit No. 15965 Occupancy Type R3/1u11 Zoning Oistria R I Type Cam. VN Owner of Building 1? NOT IRIFS, RC. Ad b.79Q 1 UPP'M •T Cr, AME VAL S Building Address 4134 Il9P+A70D TRAM Locality L230 B3, ENGSTRM DEERWOM w, SEPIEMM 22, 1989 Building al POST IN A CONSPICUOUS PLACE li !zV 10 T4 3 TY 14203 1'128/88 CITY OF EAGAN Permit No: Date: 3830 Pilot Koob Road Meter No. 4119F? _IF Size: S ®c p.0. Box 21199 ader No: A d 7 t t: h g L Date: -Z--?- Eagan, MN 551211CVV? Site Address: `412" "L°n -- Plumber 0L--BERG Conn. Chg: 1? 550 00 od Zoning ~ 1 Acct Dep: 15 00 pd No. of Units: 1 Permit Fee: 10 00 Ad Surcharge: 50 y d I agree to comply with the City of Eagan Tr. Plant 2nh nn } (i Ordinances. Meter. '7.00 ?i ' l Minn • - By WATER SERVICE PERMIT 12/28!$8 11 Date. 1 , CITY OF EAGAN Permit No: 8q. 5 Date: 12/ ' 3830 Pilot Knob Toad B/P No: P.O. Box 21199 Eagan, MN 55121 Owner. •? - - ;;, ., t? , , ;.,_ , .,; ?? Site Address: -7-L- -BERG SC.(?0 pd Zoning' ,C: .t n 7- 1 No. of Units: Chg: -737 with the City of Eagan t Dep: I agree to comply .0G ?Ic nit Fee: Ordinances. • pd By SEWER SERVICE PERMIT f? EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER _..__..__./_'_K..c'^......_._ _PLAN NO.._8-1104-8 SITE ADDRESS h- RWOUD CONTRACTOR ------- R.A. KOT DATE 12-6•--88 PHONE DETERM I ME WORKING SQUARE FOOTAGE 3215.205 1. Total exposed wall area3311.015 sq.ft. x .11 364.2116 2. Total roof/ceiling area 1637 sq.ft x .026 42.562 3. Total floor cant. area 243 sq.ft. x 0.026 6.319 (over unheated enclosed areas) 4. Total floor cant. area 55 sq.ft. x 0.018 4.4 (over unheated exposed areas) 5. Total exposed wall area above the floor, 2685.805 a. Total wall window area ....................448.1484 b. Total door area ........................... 37.3189 c. Total sliding glass door area ............. 35.5 11. d. Total fireplace area ...................... C) e. Total wall framing area (ave. 10%)........208.5805 f. Total net wall area above the floor....... 2075.706 g. Total rim joist area ...................... 33='y TOTAL EXPOSED FOUNDATION AREA ................ 95.81 h. Total foundation window area .............. 3.6 i. Total net foundation area ................. 92.21 Determine "U" value of each wall segment. a. 448.1484 x "U" 0.39 174.7778 b. 37.8189 x "U" 0.06 = 2.269134 C. 35.5511 x "U" 0.39 = 13.86492 d. 0 x "U 11 0 = 0 e. 288.5805 x "U" 0.090334 = 26.06869 f. 2075. 7106 x "U" 0.043215 = 69. 70207 9. 333 x "U" 0.040683 = 13.54759 h. 3.6 x "U" 0.39 = 1.404 i. 92.21 x "U" 0.076161 =•= 7.022848 6..... . .............................. Total 8. 6571 If item 06 is the same as or less than item #1 you have-*t-rhe current energy codes. 2 MCAR 1.16008 A AND O. • `CITY OF EAGAN ?T 15965 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? B PHO N E: 454-8100 Y9BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est. Value $162,000 Date DEC 13 _1988 Site Address 4134 DEERWOOD TR Lot 23 Block 3 Sec/Sub. DEERWOOD Parcel No. a Name R A KOT HOMES INC 3 Address 7901 UPPER HAMLET CT 0 CityAPPT.R VATLE Phone 452-1823 89 -6633 c Name_ o a Address i City_ W Name_ W = Address a w City- I hereby acknowledge that I have read this application and state that the information is correct and ag?pe-to comply with all applicable State of Minnesota Statutes and City 0 Itaga `Ord`ma/nc/e,s? Signature of Permittee r-4 A Budding Permit is issued to _ R A-KOT_ ROMES_,, INC on the express condition that all work shall be done in accordance with all applicable State of JJMinnesota Statutes and City of Eagan Ordinances Building Official 11,lN UI 14-_- - OFFICE USE ONLY On Site Sewage Occupancy R-3 M-1 MWCC System X Zoning R-1 On Site Well (Actual) Comet V-N City Water X (Allowable) V-N PRV Required # of Stories Booster Pump Length 60' Depth 45' S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit 776.00 Planner Surcharge 81.00 Council Plan Review 388.00 Bldg Oft SAC, City 100.00 Variance _ SAC, MWCC 550.00 Water Conn. 550.00 Water Meter 67.00 Road unit 325.00 Treatment Pt 204.00 Parks TOTAL 3,041.00 2007 RESIDENTIAL BUILDING PERMIT APPOCATION . City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX 4 651-675-5644 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 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 Preservation Plan if lot plated after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form RemodeVReoair Requirements 2 copies of plan shoving footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - uMmate d onsde septic system 1,2.13 C? Office Use Only Cart of Survey Recd _Y _N Sots Report _ Y _ N Tree Res Plan Recd _ Y _ N. Tree Pres Required _Y _N On-site Septic System _Y _N C G_&cL plans are considered nubiic information unless you state they are trade secret and the reason. Date 12 / 0_ Site Address 1+1 1 2 UQ? 74- E E Construction Cost 20 t 600. 0 R yJ 0d '[> T R rT I I-- Unit to WL `` 12-2 Description of Work p ?t 6tt l -T E ME F IN ` J1 ! ICI VI I DEC 16 2007 Multi-Family Bldg _ Y A N Fireplace(s) 0 - 1 _ 2 Property Owner ? Z I± A Telephone # ( 6? I) 4 1 J Contractor U L L F Address City State Zip Telephone # ( ) IUI J COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet 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, dote and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor T hrrPlhv nnnhr fnr n Reeitlantial Rnidding Permit and acknowledge Telephone #( Telephone #( Telephone #( the information is complete e; 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. 'D17 Q Applicant's Printed Name N to r71 ? )/1 Applicants Signa re DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation X 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition 33 Alteration ? 34 Replacement ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo/pergola) ? 36 Multi Misc. ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ' ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair, ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Gi ve PCA handout to applicant Description: Water Damage _ Yes e0 Valuation 36pO Plan Review /00 100% or _ 25% Census Code y3? SAC Units - # of Units # of Bldgs - Type of Const -FIR Occupancy I4C -Z MCES System Zoning f' D City Water - Stories Booster Pump Sq. Ft. PRV - Length Fire Sprinklered - Width Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final Framing _ Fireplace _ R.I. -Air Test -Final Insulation Approved By; Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS Sheetrock _ Final/C.O. FinaUNo C.O. HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath - Stone Lath -Brick Windows Retaining Wall Building Inspector / 30 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681-4675 New Construction Reaukemame • 3 registered site surveys showing sq. ft. of lot, sq, ft of house; and gll roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan r lot platted after VV93 • Rim Joist Detail Options selection sheet (bldgs with 3 or Was units) DATE ©Jla'--l ?? RemodelfRepah Regulrememe • 2eopiesofplen • I set of Energy Calculations for heated additions • isle surrey for exterior additions & decks Indicate 9 home served by septic system for additions VALUATION -4 QWB=' 05 SITE ADDRESS 4-A 3 P ?WOQD Q MULTI-FAMILY BLDG "Y' - N TYPE OF WORK Ti q PF R-.P- -Qa 1= $usC- ? Gri1 SFIREPLACQS) _ 0 _ 1 _ 2 r-. APPLICANT STREET ADDRESS E3Q? CAf-tIS" r-,C; -SC 4aol CITY Z_- .tees 7ttwS ATE 14N ZIP_5!S_y o TELEPHONE # ,s-6(56 CELL PHONE # C? 1g) G-Z. -42, (G FAX # qS3 of aS - cq_la Z_> PROPERTY OWNER b-j_u to ? T(k-A, M TELEPHONE # COMPLETE THIS SECTION FOR e'NEW1e RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # ----------- Plumbing system includes: _ Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Woter Contractor: Phone # I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Orp Signature of Applicant OFFICE USE ONLY is corre9pngf agree to comply Certificates of Survey Received -, Tree Preservation Plan Received - Not Required _ Updated 4102 t y r 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS MqO INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS : Wr 0 6 f98& To Be Used For: Alen) -S t2 Valuation: Date: 1Lz.3- 86- Site Address ?1 3 ?GPrW6aA Lot ;23 Block 3 Parcel/Sub beFVwo0a r.'4 t • " Owner N - h- - Address City/Zip Code Tpj /e !4 W.J Phone HT-2- 89 -, ee- f9L-4e3 bbd ?Q Contractor Se?,-...e_ •tj Address City/Zip Code Phone Arch./Engr. Address City/Zip Code 8100 Aw )• *-A A) Phone # P 00 c(-1 0 2- 4 Vw? OFFICE USE ONLY ,l 66 AD'S' R S M-1 On sitd s wag e_ Occupancy MWCC system Zoning R-1 On site well Actual Const V -N City water Allowable V-N PRV required # of stories Booster Pump Length - D " _ Depth 441-611 S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit 7 00 Planner Surcharge too Council Plan Review 64,?7f9 } Bldg. Off. ?d 12?1SAC, City 1 Q.00 Variance SAC, MWCC _5501 Q7 Water Conn 10-7 Water Meter b?7?00 Road Unit ipo Treatment P1 o tOD Parks Copies - TOTAL ? / ?-= VALUATIOK) CSR a.?c..? _ !5x 10-150 y X4 = (16) 34 X? 36= 1224 .2 X 12 = 2y ?4 14 = (2 S) UX rl = Les) 1 !GZ = gZ212- G. ND ??T2. a? k 13 3r? r) 31X13= yo3 ?'?? Y ati'/z = a 51 I z ? ?S'?z - Iez 2Z u IT-- 33o 1 Nyr) X qq= ?05o3 0171 t 7 SURVEYOR'S CERTIFICATE R.A. KOT HOMES m ?O 864 i 7 DEPT cLI I J..an ?- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 8403 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR -Bel, 9 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF,BLOCK - 890,7 FEET WE HEREBY CERTIFY TO R. A. KOT HOMES THAT THIS W A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 23, Block 3, ENGSTROMS DEERWOOD ADDITION, according to the recorded Plat thereof, Dak7Na County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS, OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 21ST DAY OF NOVEMBER , 1988. SIGNED: JA LL, INC. PROPOSED GRADES SHOWN WERE TAKEN GST OMS DEVELOPMENT PLAN FOR Y S aEERWOOER'NOOD ADDRION, PREPARED ARED DY BRW INC. ,LAST DAZED By.. C'7 6-28-66. HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 0 N 0 m N 19 p James R. Hill inc ?I O r m 00 S i p vi n . / o O Z a ? Q) m $> 0 v N- N Z x PLANNERS ! ENGINEERS / SURVEYORS _ Z O m y 9401 JAMES AVE. S. • BLOOMINGTON, MN. 56431 • 812.884.3029 I OTAL EXPOSED ROOF/CEILING AW') 16'7 a. Total okylwhh. ,_zr.ma....................... 0 k. Total flat roof/ceiling framing urea...... 163.7 ,. ._?, i. Total nr--:, t. fiat raa',-/r.-n:{.I:{rnI arraa . . „„.„„. „ . .t2,.,, Determine "U" value for each roof/clg. segment .1. 0 ., .. U,. 0 .... i, I:. 163.7 „ "U" 0.024912 _. 4.078226 1 . 1473.3 ,• "{1" 0.021335 .... ,,1.43375 7 .......................................Total. 1'7 If it-.em H°; as the same as or less than item #2 you have met the energy code. MCAR 1.16008 A AND ill. TOTAL FL OOR CANT. AREA (enclosed). ::'42's a. Total floor cant.. framing area (ave. 10%). '=!''. p. Total net insulated floor/cant:. area... „ . ,. 2 18.7 Determine "U" value for e ?h f 1?.anr i ra-{ nt.. <-r..: segment. 0. 24.3 .. "U" 0.056657 = 1.376770 p. 219.7 a "ll" 0.027708 = 6.059850 8 .................. ...................Total 36620 If item 09 is the same as or less than item tl#3 you have met the energy code. 2 WAR 1.1600B A AND O. TOTAL FL OORWANT. AREA (exposed) 55 q. "Total floor cant. framing area (ave. 101si„ 5.5 r, Total net insulated floor/cant. area...... 49.5 De=t.ermi.ne. "U" value for e ach flooricani:. segment. r. 49.5 n "U" 0.027894 = 1.38075:T 9.... ....... ........... ....... Total .F,965616 If item #9 is the same as or less than item #4 you have met the energy code. MC AR I. 16008 A AND 0.- I 11[:.E-EBY CE=RTIFY THAT T HAVE Cf;i".L VALUES HEREIN FIND THMI THE BUILDI THE STATE. OF MINNESOTA ENERGY CON WED THE Q FACTORS AND W n HERE DESPRIBED MEETS O/R EXCEEDS iV( TION O CT. P. L l Fi :E i_] I"7 id t {„t I' C-7 ) (date) 1-P'lh?_I STII%> OW .'4,..T7.f.PHi N, ,-i. i. Interior Air...... 0.66 Shy==t: Rock........,.... i::,4;'- Thermo-break...... ii Stud .............. 6.9 Sheathi.ng........... 2..06 Si.ding............ u.78 Emterior Ai.r....... 0.17 Totaal. "R" V.aluv ................. 11.07 1/R = "U" Value ............ 0.090334 1HRU INSULATION WITH BIDING & S.R. I.nteeri.or Mi.r...... Sheet Rock ........ Thermo-Break ........ Insulation ........ . Sheathing ............ Sidi.ng........,...... Er.ter-iur Air....... U. w3 0.45 i> 19 u6 0.. X'3 0.1? Total 'R Val.ue........, ......, ... 23.14 1/R _ "U" Value .............i:..u4:'15 THRU CEILING MEMBER Interior Ai.r....... U.. biz Sheet. Rock,........... 0.58 Ceiling Member..... 4.0J lnsultat.i:on.....,.,... 33.92 Still Air......,.,.. u..6:1 Total 'Lt' Value............... 40.14 1/R = "U" Vale.tee............ 0.024912 THRU CEILING INSULATION Interior- Air-....... 0.03 Sheet Rock........ 50 Insulat:i.on........., 4::i Still. Air......... 0.61 Total "R" Vmlue....,......... 46.87 I/R = "U" Value ...............0.021.333 fHl" U I.ONCRE HE DL..00< Interior Air...... 0.65 conc. L:1k,........... 1.28 Insulation .... 11 Sheet R4.. icgat.) . h WR ._ "U" ....................0.07blwi THRU RIM .301ST Interior Air...... 0.6,3 Insulation ........ 11? Prim joi sL... ,...... i.99 Sheathing- ....... Oh Sidina............ 0.08 Exterior Air...... 0.17 Total 'R' Value............... 24.58 I /R = "11" ... . .. . .... . ..... U.04%87- U" value for window .......,. 0.39 U" value for doors........,. 0.% U" value for. Patio L)rs..... 0.39 rHRU CANT. ( MEMBER (enclosed) Interior- air'...... Finish Floor-inq... Unduriayment...... Sheathing Joist .............. Sheet Rock......... Still Air.......... 0. 68 1 . 2-1. 0.97, 2.06 1.1.;6 0.`c..] 0.61. Total 'R' Value............ 17.b5 WR - 't.1'..... ..............V.!+56657 THRU WNT. @ INSULATION (enclosed) Interior- Air ...... Finish F:lt:orinq... Underla.yment...... Sheathing Insulation-r.,....... Sheet Rock........ Still Ai.r'.......... 0.68 L .W 0. S' 3 . !>F _; , ) 0. JCS ?.61. Total "R" Value............ 36.-9 1;H -- "U" .....................0.•=27'i09 THRU CANT. @ MEMBER tenclosed) Interior Air...... 0.68 Finish Flooring... 1.27. Underiayment...... P'lywood........... O.9:; :.loinK .. .. ...... .. K.03 She-athing......... 2.0.1) Soffi.t..........,.. O.W Exterior Air...... O..I.f Total. "R" V;alue...... ...... ]7.41 1/R = "U' ............ ........0.ti;f'i74=8 interir.:,r" Air...... Fini.sn I: 1ciori.r a... 7.. ;. _. Under 1ayvm=rt...... i, F'l.yrr.nrrj....... , Shea,thi.ng.........., ,.:,C>6 Scant i t:............. Ct, 9 1'i: x 't c, r :i or A i, r ... ,... ,, s „ i 7 Total W Value.......,..., ;3.55 APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PAYFfrSTr OF FEE AT TIME OF ? APPLICATION DOES NOT CON- x SFITUTE APPROVAL OF PERMIT. t + ? INSPECTION OF SE4ffi2 AND/OR WATER +'. INSTALIATIOLS WILL NOT BE SMXXED y ONM PERMIT HAS BEEN APPROVED. tffxtxttr++++rrff++tfaffrtrfftxffftff+ OF eagan PLEASE PRINT 1) PROPERTY ADDRESS: LEGAL DESCRIPTION. IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (month/Year) PRESENT ZONING/PROPOSED USE: Q COnIERCIAL/RETAIL/OFFICE Q INDUSTRIAL Q INSTITUTIONAL/GOVERNMENT 2) NAME: OttEsl(z ? ADDRESS: /OS3 .4l4wL.-) 121 R-1 SINGLE FAMILY F----]R-2 DUPLEX (T4,n Units) Q R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) CITY, STATE, ZIP: ({PPtE (../AtC y PHONE: 10; -177s 3) NAME: ADDRESS: CITY, STATE, ZIP: )L -9 f::lt C .J. .S's PHONE: +f J 2 -.9o7y- MASTER LICENSE # 36 9l ?'1 ?} Active Expired 1-9 Not recorded St Initi !OCCIPANT/OWNERII NAME: /ter A"r l ES ADDRESS: CITY, STATE, ZIP: ?vt P?Sv? c PHONE: 5) . a •a o i ?? CONNECTION TO CITY SEWER L.G[ CONNECTION TO CITY WATER a OTHER Lgc$ 6) i t b I * * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SONIDONE FROM THE CITY WILL CONTACT YOU IF THERE * ARE ANY PROBLEMS. } FOR -.CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ G $ ? C WATER PERMIT (INCLUDE SURCHARGE) $ 7 $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ / I ACCOUNT DEPOSIT - WATER $ S/? U $ WAC $ S $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $- $_ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $_ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? E YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : M 3630 PILOT KNOB ROAD, P.O BOX 21199 EAGAN, MINNESOTA 55121 PHONE (612) 454-8100 December 28, 1988 DRESHER EXCAVATING 1053 BALDWIN CIRCLE APPLE VALLEY, MN 55124 -- G2 RE: 4829 SAFARI PASS, L1, B1, SAFARI ADD. -`4134 DEERWOOD TR., L23, B3, ENGSTROM'S DEERWDOD 3993 NORTHVIEW TER., L14, B1, LEXINGTON PARKVIEW VAC ELLISON Morey THOMAS EGAN DAVID K. GUSTAFSON PAMELA MCCREA THEODORE WACHTER Council Members THOMAS HEDGES CEN Mmm&h or EUGENE VAN OVERBEKE ON Clerk WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW XX Your Sewer and Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. _ Your Sewer and Water Permit for the above property cannot be completed for the following reason: _ Your Sewer and Water Permit for the above property has been completed, however, the meter cannot be issued or occupancy allowed until further notice. Sincerely, Jan Severson Secretary JS THE LONE OAK TREE ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY T I/ ?/ L? REQUEST FOR ELECTRICAL INSPECTION ,?L b See mstmcLOns for completing thIs form on back of yelbw copy "r Below Work Covered by This Request 8 5 7 6 0 App1 antes W red Heater Farm (speedy) Contractors RemaMS Other . Inspection Fee Below: service Entrance Otte, Fee ° onn Amos Booms ?- hereby I, the Electrical Inspector, certify that the above Inspection has been made. OFFICE USE ONLY This request mid 18 months from EB-0000?1-J07 Fee 100 nnq,, - TOTAL 57, W M- -2/Y? 85760/ -'?` J •? ??1 uyh-,' Inapec4on Ready NOw Expil Notary Inspector Fire o. uired? When Reatly4 ;agues" Date eq Yes ?No 2-14-89 request inspection of above electrical work at: M licensed contractor ? owner hereby Job Address (Street, Box or Route No.) E a g a n 4134 Deerwood Trail cany Rai°"°' Dakota Section No. Township Name Or No Phone No. 892-6633 R.A. Kot Homes Suppler Dakota Electric land Electric Inc. ^.nolraclOr or pwner Malang Installation) STATE BOARD OF ELECTRICITY ay Slog. - nm Ave.. St. Paul, MN 5510" 'ddress MN 55024 Farmignton, Contractors License No. 041610 rnsville, MN 55337 Phone Number 892-6688 THIS INSPECTION REQUEST WILL NOT SE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. pho. (612) 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 ..Irimhinn nn fhc camp onnrratinn- canaratp annliratinnc and permits are required. M N 55122 i 2 / 00 j Date - _ //''//II VV Unit # Site Street Address f j k ' \ f T'T A M Telephone # (Wb ?' IV O wner Property I Contractor Telephone # ( ) Address city State Zip 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 onl a wafer softener and/or wafer 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 aamowieage mai me information is compiete anu du lam, it at ule -1. 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 be in accordance with the approved plan in the event a plan is required to be reviewed and approved. \ _. ?,z U N dr @ ?k 4 M Applicant's Printed Name Applicant's S natur REQUEST FOR ELECTRICAL INSPECTION / jl? See instructions for completing this form on back of yellow copy 16 "X" Below Work Covered by This Request r EB-000 W_, ?91r ?-- 7 "10355 e Add Hep. Type of Building Appliances Wired Equipment Weed Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Met (speedy) Comractorl; Remarks: Compute Inspection Fee Below., # Other Fee # Seance, Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspeclorls Use Only TOTAL Irrigation Booms / 7 ,Qp ?a Jr? Special Inspection d- Alarm/Communication Other Fee I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in Finel Lim 1 Date Date ?,13 OFFICE USE ONLY This request wid 18 months tram - 1,4;111,51S 3 JY r%YY?' 3? 7,;0716 4-;? 3 "o Lo e.c ?? Request Date Fre No. Rough-m Inspection Repuired' Ready Now ? Will Natty Inspector 12-9-88 ? Yes ? No When Readyo I C[Ilcensed contractor Downer hereby request inspection of above electrical work at. Job Address (Street, Sox or Route No) City 4134 Deerwood Trail Eagan Section No. Township Name or No. Range No. County I I Dakota Oowpant (PRINT) Phone No. R.A. Kot Homes 892-6633 Power Supplier Address Dakota Electric Farmington, MN 55024 Electrical Contractor (Company Name) Contractor's Ucense No Midland Electric Inc. 041610 Mailing Address (Contractor or Owner Making Installation) 14055 Grand Avenue So, Suite E, Burnsville, MN 55337 Authorized nature (Contractor/Owner Making Installation) Phone Number 892-6688 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1821 Universlty Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0600 ENCLOSED. PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA109465 Date Issued:03/12/2013 Permit Category:ePermit Site Address: 4134 Deerwood Tr Lot:23 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-230 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Joy Post 1408 Northland Dr #310 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dzung Pham 4134 Deerwood Tr Eagan MN 55122 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature SEDGWICK HEATING & AIR CONDITIONING CO. HEATING 1408 NORTHLAND DRIVE, SUITE 310 • MENDOTA HEIGHTS, MN 55120 • (952) 881-9000 TEST RECORD ADDRESS 1"1 \34- rOWi c e yQ OCCUPANT SOLD BY MAKE ' 1 SERIAL NO 6 I / `C"f 5 7'-) THERMOSTAT V��'�S-17,114 EVR� VALVE f ,( efe- w C, LIMIT LIMIT SETTING FAN SETTING L7 PILOT TYPE IGNITION MODEL PILOT TIMING Ili PRESSURE ` �a PERCENT CO2° INPUT CFH PERCENT 02 STACK TEMP. FORM 235 (REV. 10/10) PERCENT CO CITY OWNER T{� 1 ! P �t4T� INSTALLED BY MODEL INPUT JOBNO34I8-59 Le -T U 5bV310)3 ERK VENT SIZE TYPE OF LINER C} / S LINER SIZE S : // FILTERS. SJ E r•72O r �� -1 NUMBER WIRING `°J - r k= r?„,v , /1/0 - TEST TAG LIGHTING INST DATE TESTED {1T) COMPANY TESTING Sc /3 NAME OF TESTER 1 FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY PERMIT City of Eagan Permit Type:Building Permit Number:EA114005 Date Issued:09/10/2013 Permit Category:ePermit Site Address: 4134 Deerwood Tr Lot:23 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-230 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: 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 . Brandon Haug 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 - Dzung Pham 4134 Deerwood Tr Eagan MN 55122 Haug Contracting Group Dba New Line Roofing 3141 Fernbrook Lane N Plymouth MN 55447 (612) 251-1152 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA109465 Date Issued:03/12/2013 Permit Category:ePermit Site Address: 4134 Deerwood Tr Lot:23 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-230 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Joy Post 1408 Northland Dr #310 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dzung Pham 4134 Deerwood Tr Eagan MN 55122 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature