4142 Deerwood Trn ce f s:: a CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT
To be used for 9F 1)WG/GAR Est. Value $121,000
Site Address 4142 C)?$RWWD TR
Lot 24 Block 3 Sec/Sub. 8R
Parcel No.
•S
cc Name WESLEY CONSTRUCTION
3 Address q4,01 XYLON AVF. S
o City LS Phone
W Name
0 ? Address
V City
Phone-
W L
LO W
Name
i 7 Address
U W City' Phone
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 r 1, ' i- ` ---
A Building Permit is issued to: > ESLXY CONSTEUCTIO::
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Receipt
1r7"4
Date OCTOBER IE 119
OFFICE USE ONLY
gn Site Sewage Occupancy R-3 It-1'
MWCC System ' X Zoning R'-1
On Site Well (Actual) Const V_N
City Water X (Allowable) V--N
PRV Required # of Stories
Booster Pump Length 60,
Depth - 48'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit ;f?2.00
Planner Surcharge bO. 50
Council Plan Review 321..00
Bldg. Off. SAC, City 100.00
Variance SAC, MWCC 550•00
Water Conn. 550.00
Water Meter 67.00
Road Unit 325.00
Treatment P1 204.00
Parks
2 a 19.511
TOTAL
- eK 100 S' CITY OF EAGAN
l
?. .- ?? 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PH ONE: 454.8100
BUILDING PERMIT Receipt
To be used for SF W-C/ Est, Value 1121 a Date
Site Address 4142 !EEkw'UOL) TR OFFI CE USE ONLY
ENt",.gTRi.' :g u,T; ?V,
Lot Block Sec/Sub ?n Site Sewage Occupancy
--? l- g'
. MWCC System Zoning F-1
Parcel No. On Site Well (Actual) Const V-'N
+OtS
E
O
City Water
(Allowable) 1
tll-- :
ir zi
?
S1lUCTI
Name I
z Address 9441 XYWi AYE PRV Required # of Stories
r
3.1
O
City rPhone 452-0587
Booster Pump
Length
Depth 48! {
a Name Sh Mir S.F. Total
o i Address Footprint S.F.
City Phone APPROVALS FEES
f
mW
Name Engr./Assess. Permit 4c • `'U j
?O
Sp
?
_ z
Address
Planner
Surcharge ,
{
I
X21
? ;
Um
I City Phone Council
Bldg. Off. Plan Review
SAC, City •
?'•?
1
- I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC •
5 50
information is correct and agree to comply with all applicable State of
S
d C Water Conn. -
•
Minnesota
tatutes an
ity of Eagan Ordinances.
Water Meier 0
• I
Signature of Permittee
WNS RUCT10N
41SLLY Road Unit 323•00
204.00
A Building Permit is issued to:__
_ Treatment P1
on the express condition that all work shall be done in accordance with all
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. C
• ' C
Building Official TOTAL
,
,
Permit No. Permit Holder Date Telephone #
Plumbing
4,
,?Kl
46,zc" 4'
- -
h
H.VAC• ra ? c2.' ?L.", (. in,
Electric
Softener
Inspection Date Insp. Comments
Footings I ° ZL-J-
Footings II
Foundation
Framing
Roofing
Rough Plbg. _s9
Rough Htg. g
Isul.
Fireplace
Final Htg. D?
Final Pibg.
Bldg. Final
Cert Occ.
3/ ``
?,? C t^o ?c 1J Ca i : ti k,?w ?/ - wE
Temp. LP 0,6 V?6( O'S A
Deck Ftg.
Deck Final
Well
Pr. Disp.
Nan
m Add
Z5 City
Name
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
90 ' 3830
M BTU 9
M BTU 9
M BTU 9
M BTU 9
FEE:
SIC:
TOTAL
PERMIT # ?
MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN
EAGAN
r KNOB ROAD
MN 55122 DATE
,
,
:
P A41&: 4§4-8100
BLDG
TYPE WORK DE
CRIPTION
.
S
Res. New
Mutt Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
Z ek) APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS 12.00
MINIMUM COMMERCIAL FEE 20.00
FOR: CITY OF EAGAN
f •? PERMIT # Z ?
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: /O -o?/-
Site Address
Lot `
Block Sec/Sub
Name
m Address
c City Phone f -
Name
3 Address
0 City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE -$12.00
MINIMUM - COMM/IND FEE -$20-00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
C SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
M u It. Add-on
Comm. Repair
Other
RES. PLSG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
_LLavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
' Laundry Tray - $3.00
-
Floor Drains - $1.50
Water Heater - $1 50
Whirlpool - $3.00
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 SIC:
GRAND TOTAL:
PLUMBING PERMIT
For Office se Only
CITY OF EAGAN PERMIT # ?? 5
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE PHONE 454-8100 DATE:
Sife AddrgsS 41Z 42 0ooo BLDG. TYPE WORK DESCRIPTION
111
T Res. K New
9
Lq _< Block S /Sub x
Mult. Add-on
J
SwI cz
Nam Comm. Repair
® Other
Address ''E
;4 RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
City 4
y Phone
NO. FIXTURES TOTAL
0
Water Closet - $3.0
$
Name DWRde A f Bath Tubs -$3.00
Address /yZ F_ ?P DoD 771. Lavatory - $3.00
City Phone !(z' Wit Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3
00
.
FEES Laundry Tray - $3.00
COMMAND. FEE -1% OF CONTRACT FEE Floor Drains - $1.50
APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50
TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool - $3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 Softener - $5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well - $10.00
Private
. pen
Rough Openings gs - $1.50
? U. G. Sprinkler System - $12
00
SIGNAT E OF PERM E .
PERMIT FEE:
`
STATES S/C:
FOR: CITY OF EAGAN .l?7? e::?;0,00G RAND TOTAL: -? '2.1
0 . ..-Qs
Ter#i#iratr of Mrruvanry
Citp of eagan
arfarbmt of Runmo ,ttlvrrtwu
This Certificate issuedpursuant 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 foll9wing.
u. cw ffi.uon SF DWL? Bldg. P:rmit No. 1744
Occupancy Type R3/M1 Zoning District R1 Type Cont. VN
Owner of Building W= QWSI1CN Add,,. 9401 MCN AVE S, ILLS
Building Address 4142 )CE3a0OD BUIL Locality WA, B3, RWMI'S DMWW
MAID 31. 1989
Building Official 1e- }
POST IN A CONSPICUOUS PLACE T
NO CO PER S & W
CITY OF EAGAN
3830 Pilot Knob Ro PHON.O.E: Box
45421-81-199, Eagan, MN 551121 N? 15744
BUILDING PERMIT Receipt r-) 2 `73?
To be used for SF DWG/GAR Est. Value $121,000 Date OCTOBER 18 ,19_88
Site Address 4142 DEERWOOD TR
Lot 24 Block 3 Sec/Sub. ENGSTROM' S DEERW(
Parcel No.
c Name WESLEY CONSTRUCTION
W Address 9401 XYLON AVE S
O
City MPLS Phone 452-0587
Name SAME
O
o i Address
P City Phone
W
z
a
z
W
OFFICE USE ONLY
6n Site Sewage Occupancy R-3 M-1
MWCC System X Zoning R-1
On Site Well (Actual) Const V-N
City Water X (Allowable) V-N
PRV Required # of Stories
Booster Pump Length 601
Depth 48'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 642.00
Planner Surcharge 60.50
Council Plan Review 321.00
Bldg. Off. 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 2,819.50
Name _
Address
City
I hereby acknowledge that I have read this application and state that the
information is correct anZXA/12 to om ly with all applicable State of
Minnesota Statutes and a Mances.
9
Signature of Permittee j -W
.-
A Building Permit is issued to:__.._WESLEY ._ CONSTRUCTION___
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
_?(?,__?-_-_._--_-
s• e'
CI'T'Y OF EAGAN Permit No:-¢ Q-
!1830 -?
!3830 pilot Knob Road Meter No:. )a3L ? -
P.O. Box 21199 er o:
Eagan, MN 55121
Date: 1(?
Size: o c
a? Date:
Owner. T u
Site Address.
Plumber. „ .
1
550 OO A - Zoning: 1
Conn. Chg:
115 00n:'
- No. of Units:
Acct. Dep: ' 0 OOpd
Permit Fee: 1 agree to comply with the City of Eagan
Surcharge:
204.00pd
.
Ordinances
Tr. Plant .
?
Meter. ='• ?e?(iG?fJG?IL? -
_ By? J.
WATER SERVICE PERMIT
1.0-22^IR
``
CITY OF -EAGAN Permit No: 1. Ll 'l Date:
Date:
3830,Rilot Knob Road B/P No:
p.a. Box 21199
Eagan, MN 55121
Owner. liesle Const. -__
Zw ?;3 "z stro^te Tk? od
1;f.42 ??erwood 1rP{:;
Site Address:
-------------
Plumber: Bruckmneller P1 ° ?s< c• ? `=`
550.000 Zoning
MWCC:
• Pd No. of Units:
City Chg:
Acct. Dep: I agree to comply with the City of Eagan
I ..
Permit Fee: Ordinances.
Surcharge: ey
Misc.:
SEWER SERVICE PERMIT
Construction R-
1. ,Interior AIX film 0.68
3, .5 /' nches soft wOOd ri
?
4.-?? .G
6. Exterior air film = 0.17
al //' k4-
FIG. 111 • TOPVIE11 OF
FRME WALL
1-010
?? • v9
1.
2.
3.
4.
5.
6.
41!- , O q
1.
s.
3.
4.
5.
6.
FOd.,,3AIIGN
WALL
1. Interior air film 0.68
2.
3.
• 4
5.
' 6. Exterior air film 0.17
Total -'
SLAB ON GRADE
71 %L
.•
r FIG. A4 ' /ll
low
I(t OP
}
FIG. 113 ?
NOTE: Indicate type, "R" value, depth and
•. ` ?• placement of insulation.
- b
WALL SECTIONS
NCYTE: Use 15% of opaque wall.area for '
frame construction
RESIDENTIAL
7d BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Raw Constructlon Requirements
• 3 registered site surveys showing sq. ft of lot, sq. ft, of house; and all roofed areas
(20% maumum lot coverage allowed)
• 2 copies of plan showing beam & window saes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 111193
• Rim Joist DetaJ Options selection sheet (bldgs with 3 or less units)
DATE ?f I?I6?
/W42's-_
RemodelfReoair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
Indicate if home served by septic system for additions
VALUATION 11 0) Dd 0 • 8 D
SITE ADDRESS L4l L4a Deer uzoo( -rro6 MULTI-FAMILY BLDG -Y _N
TYPE OF WORK dean)- Q- ( Vq_ ri)o P FIREPLACE(S) _ 0 _ 1 , 2
cedar Valley ExledM, Inc.
APPLICANT 9920 Z1118 Eitr9®t ?._ . _
STREET ADDRESS CITY STATEZIP
TELEPHONE ?? ZSS-2a? I CELL PHONE # FAX #C711030 _79S_-73,1)
PROPERTYOWNER \/iy-i o q q*- Qor0_'A; Ck_r lt.( TELEPHONE 409k) 55LA -OLAOL(
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNESOTA RLJI.L:S 7672
(,I submission type) • Residential Ventilation Category 1 Worksheet Submitted • Eneigy Code WoPksR@
• Energy Envelope Calculations Submitted p >_
Jlf' 1'7 ??iC3?
Plumbing Contractor: Phone
Plumbing system includes: Water Softener Lawn Sprinkler By Fce_:_ $9
_ Water Heater No. of R.T. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
----
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
- --- - ------- - --
--'-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Updated 4102
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
1.1q q q
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 U OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL / w C' Q
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:,/?F e Valuation: OOZE Date: ????' 3?5 •s
Site Address 41q?,` k,?g^ n Ti.i
Lot )L Block 3
Parcel/Sub C4-! y? /JP?/i-wavr/
14 Owner
Address
City/Zip Code
Phone
Contractor
Address ?7 / 6101 ( t A, ?i
City/Zip Code ?/L? r
v
Phone 'rsa U> S 7
Arch./Engr.
Address
City/Zip Code
OFFICE USE ONLY
On site sewage Occupancy R-3 M-1
MWCC system Zoning R-1
On site well Actual Const V-N
City water p7 Allowable V-N
PRV required # of stories
Booster Pump Length = O"
Depth 47^6"
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit
Planner Surcharge do .sa
Council Plan Review 321, o?
Bldg. Off. SAC, City 00,0a
Variance SAC, MWCC o,0 0
Water Conn 5z'60
Water Meter 61),0 0
Road Unit 25,00
Treatment Pi 204,04
Parks
Copies
TOTAL ;
Phone #
VALL,U\TI O Iii
GARacrF
.21 X? _ Iyr?
I I k Za -?Z_
36? x Iy = 5138
gla Enn?-'?' I ST FLOO1l
Z8 X Z9 = '7Sq
I LI y zo _ z 80
9 xq z = _ 140
Iloy X?Z: Gf34y?3
Zn,D Ft?,,,7?
R SmT
9xq
Ixry-
%XILI =
%10%4
64 O)
Cf'2)
cl°l - N r) 35t4
I Z o9 Z°
61/y?4fl?? 2S??y
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER
SITE ADDRESS L&r 7.
CONTRACTOR FIIF?/iY?j DATE PHONE
Determine working square footage of each.
1. Total exposed wall area ..... Z%£jS sq. ft. x -11
= ?3 ;3Sf
2. Total roof/ceiling area ..... sq. ft. x _02fL-
Total exposed wall area above floor = -260,6 _
a. Total wall window area ...................... .....
6(
-F Z
b. Total -
-
door area ... ...........................
3 7.77
c. Total _
sliding glass door area ...................
d. Total fireplace wall area ........................ ?SJ
e.
Total
wall framing area (average 10%)........ __-_
..... -260.90
O
f. Total net wall area above floor ............ ....L
g.
Total
rim joist area ....................... _
.....
Total exposed foundation area = /4 y
h. Total foundation window area .................... .5S
i. Toal net foundation area above grade ............ 100.
Determine "U" value of each wall segment.
a. X
b. 3? 77 x v, .12
C. 3o X „u„ sz is,?o
d. ZO X "U" . 7z = ?y yo
e. iG4• tJ_ X -,u„ V7
f. 2,9 S/ X "U" i0
g. X73 X "U" all /0_9.Z
h. 5,.5"5 X , u„ 'Ss-
-
/ 9S
-
` -
-
i.^ OQ. 4 X "U" .//_ _ 11,05'
3. .......................Total = 2 ,J3
If item Y3 is the same as, or less than item p1, you have met the intent
of SBC 6006(c)2.
1
This request void /C?3 j/8'J
18 months horn
E 4423414r-?/4>
J9 Loensed Electrical Contractor I hereby request inspection of above
n.k mat.tI.d at.
Lj Owner "'"--- --
Street Address, Box or Route Na.
r
ynt? r
? C Itv
?.F?ll ?
r
a Prc
No.
ection o. Township Nam, e or No. Range County
O 7;V-
Oc co pant WRINTi
?s c???
?
' Phone No.
?s -S/y
or
e
IQEt
Power Supplier ! Address/
ontractor (Company Name)
l
C
Electra cz Contractor's License Nu.
?j pJ ?
?
/
yy
Mailing Address IComfactor or Owner Making Instailavonl
Authored SIg tune ICO ntractoryOwner Making I? t'o^I Phone Number
Twc INN PFCTION REQUEST WILL NOT
MINNESOTA STATE BOARD OF ELECTRICITY
Griggs-Midway Bldg. - Room N-191
1821 University Ave., St, Peu1, MN 55104
Phone 16121 642-0800
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
/ REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 IL,, 16
See ,nstrucu pns for completing 'his farm on back of yellow copR
IP X Br`i?7_r? "v•' 0„1,..., ii;-4 r^.n.nrarl by This ReQUeSt
S `t It L.. J -t --
ent Wired
AAtl Rep. Type o1 Bwld mg
Appln.... Wi,.d
Service
Home Range
Duplex
Water Heater
ixtures
Apt Building
Dryer I
earin
OU
Commercial Bldg. Furnace der
Industrial Bldg. AIr Conditioner Tank
01her Spec, y ifyl
Farm
the, Speufy Other
om pute Ins
Fee pection Fee Below
Service Entrance Sl¢e tt Fee faeders/SObteeders Fe
0 to 200 Am S
Above 200 Amps
Swimming Pool 0 to 30 Am s
31 to 100 Amps
Above 100Am s " q
Transformers Irrigation Booms
Signs
Special Inspection FFA,
RemarLC I 1
pate t Elec al
I
Rough-m ;V ,
Inspec or, hereby
( certi/y that the above
Date Inspection has been
Final r, made.
This request vmq to mur....
ROOF/CEILING
Vented Heat flow
up
FIG. #5
Page Three
Construction _ R-Value
1. Interior air film 0.61
2. s .O -l ' .1 ?Y
3. /4 ee"e$re W
4. Exterior air film (still) .0i
Total 391, &
4/= 1 Oas
1. Interior air film 0.61
2.
3.
4. Exterior ai xl st_i _
otal
1. I1133de it film O.G1
2.
3.
4.
5. Outs air. F iJgQl, 0.17
\ Total
.
- I?V?V?Y1:1r1CV ? if
Heat i+'LJ1?+
flow up
Fir,. 07
Note: Use additional sheets if more space
needed for details and calculations
Neat flow up .vented
..FIG. #6'
Total exposed roof/ceiling area = //419
J. Total skylight area .............................
k. Total roof/ceiling framing area (average 10%)..-
1. Total net insulated roof/ceiling area........... 1076,2
Determine "U" value for each roof/ceiling segment.
3•
X flu 11
026
025 = .2G 9e
k. //9 b X "U"
1: /07?Z X ,.u"
4 ..................................Total
If total of 14 is the same as, or less than R2, you have met the intent of
SBC 6006(c)l.
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. 32-sS + z. 3iiS = 3x9.90
3. .2y* 93 + 4. 30.07
'C rfila'?'?'/.J
n
APPLICATION FOR PERMIT
PRESENT ZONING/PROPOSED USE:
Q COAM4ERCIAL/RETAIL/OFFICE
Q INDUSTRIAL
INSTITUTIONAL/GOVERNMENT
f
? NOTE: PAYMENT OF FEE AT TIME OF
?
APPLICATION DOES NOT CON- y
STIUM APPROVAL OF PERMIT.
.*?
f
? INSPECTION OF SEWER ADD/OR WATER
INSTALLATIONS WILL NOT BE SCEDULED *
.
*f UNTIL PERMIT HAS BEEN APPROVED. ?
xrrrrrrfttttttrrt»frrt»rrxxrfrtxxrft
®F ecag an
(PLEASE PRINT
1) PROPERTY ADDRESS: V/
LEGAL DESCRIPTION: 29 13` /,ty41rvo,
- (Lo?Iock Subdivision or Tax Parcel ID
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
(Month/Year)
2) NAME:
ADDRESS:
CITY, STATE, ZIP:
I:z5lq-R-1 SINGLE FAMILY
R-2 DUPLEX (Tvo Units)
Q R-3 TOWNHOUSE (Three + Units) ( Units)
Q R-4 APARTMENT/CONDOMINIUM ( Units)
PHONE:- 7pg 2
3) NAME:
ADDRESS:
CITY, STATE, ZIP:
SEWER AND/OR WATER CONNECTION
PHONE: 6tj 9 -62 527 ' - MASTER LICENSE # 313 G
4) s ?
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
Active
Expired
Not recorded
St Ia n?iti ?
5) a • a+• o ??
21 CONNECTION TO CITY SEWER 0 CONNECTION TO CITY WATER O OTHER
6)
la 2/
* THE GOLD COPY OF THE PERMIT WILL BE SENT DIREMY'TIO PUBLIC WORKS TO FACILITATE METER PICK-UP.
** PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE ?
* ARE ANY PROBLEMS. ;
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg, Permit FEES:
$ $ ?o - 5-7) SEWER PERMIT (INCLUDE SURCHARGE)
$ 7,
$ / " U $
$ 5- WATER
WATER PERMIT (INCLUDE SURCHARGE)
METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?S G 7? ACCOUNT DEPOSIT - SEWER
$ $_ /1-7- ACCOUNT DEPOSIT- WATER
$ WAC
$ S? ?l -ej $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ 7 ( , JZ) $ S-/ " o
TOTAL
9POf-7 y7:3
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q 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:
7? 3 - RESIDENTIAL BUILDINg-, q
G PERNIIT APPLICATION
zoa6 ....__.. N ..._, ,-_ _ ?., .,.._.. _ ........._ . ._?? -
CityOf Eagan'', CC)
3830 Pilot Knob Road, Eagan MN 55122
Telephone,# 651-67575675xs;i;FAX # 651-675-5694
New Construction Reaulrwrents
3 registered sle sump showing sq. tt of lot, sq. fC of house; and LD roofed areas 2 copies of plan showing footings, beams, joists
(20% maximum lot coverage allowed) 1 set at Energy Cabola tom for heated addi6om a ,
2 copies of plan shoaling beam & window sizes; poured found deslmetc. = 1 site survey for additions & dada+,-,"I -e-
1 set of Energy Calculations Addkkn.-Indicate H ana septic system ?
3 copies of Tree Preservaw, plan l bt platted after 711193 „ .
Rim Joist Detal options selection sheet (build rgs,w 1h 3 or kw units), ;
Minnegasoo mechanical ventilation form .
Date Construction Cost
Site Address +I L42- b-R-t? W O Gd unitiSte #
Description of Work lV)OJ7? P04D.4- 4_ - ? f (7u? /y ?Yk-?PVVl-4Yt
Multi-Family Bldg - Y _ N Fireplace(s) - 0 - 1 _ 2
Property Owner I Telephone # (o31 ?a5 99 59
?C?? L?AI P???
Contractor CY1?7 t C?l IYv . .
_
Address ?I l I fn QJ]i l C V 2 . ^ ^ City LAk??U D,
State Y1A" 7dp ?Q Lq Telephone # S3} ?? 7
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
(J submission type) Submitted: Submitted . _-
- r,. • 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 plan6
- Y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
. -,- Telephone # (-
Telephone #(
Telephone #(
I hereby apply for a Residential Building. Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application fora 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.
Applicant's Printed Name App ant's Signature .. .
DO NOT WRITE BELOW THIS LINE
Su b Types
? 01 Foundation ? 07 05-plex . , i ?; 13_A6-plex.:.' ' ; i ; ;_ ? ,': 2D _ Pool _ ? 30 Accessory Bldg
02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ?- %-17 , Garage ? :-• 22, PoroWAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plax_, 18,, Deck,,„ E3 23, Porch(screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex. ? "19' Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof X 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to appileant
Description: WaterDamage_Yes
Valuation 3-
Plan Review ? 100% or 25%
Occupancy
MCES System
_ City Water
Booster Pump
PRV
Fire Sprinklered
Census Code /3 Zoning
SAC Units Stories
# of Units - Sq. Ft.
# of Bldgs Length
Type of Const v 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:
REQUIRED INSPECTIONS
Sheetrock
_ Fina1/C.O.
_ Final/No C.O.
_ HVAC
Other,
Pool _ Ftgs Air/Gas Tests Final
Siding _ Stucco Lath _ Stone Lath -Brick
Windows
Retaining Wall `
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
License Search
_, Building Inspector
SURVEYOR'S CERTIFICATE WESLEY CONSTRUCTION
NOTE: GRADES SHOWN WERE TAKEN FROM
THE GRADING PLAN FOR ENGSTROWS
DEERWOOD ADDITION, PREPARED BY
B.R. W. LAST DATED 4-4-88.
L)
ly-(
E?;G? ' . ? . ?: ?:'• '':Ta~rTG DEPT'
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 889.5 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 88l• 8 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK a ggq.q FEET
WE HEREBY CERTIFY TO WESLEY CONSTRUCTION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 24, Block 3,ENGSTROM'S DEERWOOD ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 13TH DAY OF OCTOBER 1988.
SIGNED: JAMES .R) L, INC.
HAROLD C. PETERSON, LAND SURVEYOR WD OCT I k19$8
MINNESOTA LICENSE NUMBER 12294
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
SURVEYOR'S CERTIFICATE
oeeRWOOD
-
WESLEY CONSTRUCTION
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 o 612-884-3029
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA119825
Date Issued:12/20/2013
Permit Category:ePermit
Site Address: 4142 Deerwood Tr
Lot:24 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-240
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.
Crystal Cochran
7588 Washington Ave S
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 -
Vinayak Doraiswamy
4142 Deerwood Tr
Eagan MN 55122
Pronto Heating & Air Conditioning
7588 Washington Avenue South
Eden Prairie MN 55344
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
City of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAR P 7 7014
Use BLUE or BLACK Ink
For Office Use
Permit #: i ; t o) C,
Permit Fee: 1(0 65
Date Received: % V /If
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: &2, -,A)`\ ---1-0;„.1c oA
Unit #:
Name: �f' \T(\2 iiJp ._ Phone:(oS(- 3 730 — e(' O J 2
Address / City / Zip: C;
Applicant is: Owner Contractor
Description of work: .9160 p4714'rcc Koof R.. 6) Fa 0 gtr moo^ w tame A:
Construction Cost: Multi -Family Building: (Yes / No /)
Company: \ wv\._r y p S- f IAC_ Contact:
Address: (� CQ e t��-V �1 �C City: VIY�J`c L
State:U�\_ Zip:
� C�r Phone: (4)S\-- k0O-k'-et Ob
License #:
►`).-...a`J3t f fJ Lead Certificate #: NAT- assas--(
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Po s-
(7713
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Phone:
Sewer & Water Contractor:
NOTE: Plans and supp
e nforma ion may bi
#ing documents that yours
classified as non-pub%rc if you
conclude tha :the
are to miler
wid specific
e
infor,
Portions
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.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x / l M I -/711K -C•
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129117
Date Issued:01/12/2015
Permit Category:ePermit
Site Address: 4142 Deerwood Tr
Lot:24 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-240
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Wade Sedgwick
7588 Washington Ave S
Eden Prairie, MN 55344
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Vinayak Doraiswamy
4142 Deerwood Tr
Eagan MN 55122
Pronto Heating & Air Conditioning
7588 Washington Avenue South
Eden Prairie MN 55344
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA130549
Date Issued:04/29/2015
Permit Category:ePermit
Site Address: 4142 Deerwood Tr
Lot:24 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-240
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Applicant: Alexaandra Nolde
7588 Washington Ave
Eden Prairie, MN 55344
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Jeffrey U Kuntz
4142 Deerwood Tr
Eagan MN 55122
(612) 387-5436
Pronto Heating & Air Conditioning
7588 Washington Avenue South
Eden Prairie MN 55344
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA130625
Date Issued:05/05/2015
Permit Category:ePermit
Site Address: 4142 Deerwood Tr
Lot:24 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-240
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey U Kuntz
4142 Deerwood Tr
Eagan MN 55122
(612) 387-5436
Pronto Heating & Air Conditioning
7588 Washington Avenue South
Eden Prairie MN 55344
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature