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1841 Deer Hills Tr Use BLUE or BLACK Ink r I I For Office Use I Permit /S,, II City of Eati~fl I I Permit Fee: 3830 Pilot Knob Road j _ Eagan MN 55122 I Date Received: I Phone: 651 675-5675 I Staff: I Fax: (651) 675-5694 CL - - - - _ _ _ - - - INFLOW FILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: Tenant: Suite Name: 01 ?-cr96 t'4 J ~ tr-IR PO6 Phone: 65 1 45 4- q O 4 3 RESIDENT ! OWNER J j Address/ City/ Zip: t ou ( j/ c_z ~ ~t -c tR.A I L&C AA.J Name: C 7C L fi License CONTRACTOR Address: S CAM G. Gt~ ~00 U 'Q. City: State: "--'Zip: Phone: Contact: && Email: !~:avv> ay'®" cL.iIo Q ^C® 116 PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair I€ Other: Other: 1 Q.2 ' IC~Le LAX i t~~ I Description of work: DESCRIPTION i s FP-CD VA S LV FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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. o herstateonecall.or Y 9 ap a 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 wo ich requires a review and approval of plans. x 9/Izn® SA1 -lkt~©C, x Applicant's Printed Name Appli"A's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final r . CITY OF EAGAN 10g 24 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BUILDING ?ERMIT Reuipt # Te M w*d fa `' . Esf. Value `'? Date '' 9 q h` SiteAddress "A i Erect 4 Occupancy Lot Block ? Se /S b Remodel ? Zoning c u . Percel No Repair ? Type of Const. . ? Addition ? No. Stories Name Move ? D li h ? Length i E D h Z e Address ' ! ' emo s • '' "' I t I ? ept ., J Citv Phone n mpc Instell ? Sq. Ft. Z,F Name uu Address H Citv Phnna Phone I hereby acknowledye thot I hove reod this opplicotion and stute that fhe inlormation is correct ond ogree fo comply with oll opplicable Stote of Minrxsoto Stotutes ond City of Eagan Ordinonces. Siynoture of Permiftse h Bulldinq Pertnit Is Issued to: 011 work shall be done in occordante with all BWidinp Offidot Assessment Permit Y ') Water & Sew. Surcharqe - « ' Police Plen Review 0 ? 0 Fir* SAC Enp. Water Conn. 500•`10, Plonner Water Meter 63. u d Council Roed Unit •?' ? ° 0 O Bldg. Off. Tr. PI. APC Parks Var. Date ble Stote of Minnesota Copies _? Total on the expresf tonditbn lhoi tatutes ond City of Ecpon Qrdinances. (40 I Im{action Date I Insp. A Other I Rooflng Rouyh Plby Rough Htp. WNI KMECHANICAL PERMIT Permit No. CITY OF EAGAN ; FM Flll in numbered Wacas S/C Type w Prinr legibly TaL 1. Date ` 1 3-,,; 2. Inatalla 3. Job Address 4. Owner % rcrl iii_8 n ti 0 R; @: ?. , Cost Blk. Tract 6. Conuactor Phone 6. Addross V ,1 . 7. City State ;? - Zip '? `• ... 8. Building Type: Residential -^D Commercial O Institutional ? 9. Work Description: New CYY Add ? Alter ? Repair ? 10. Desaibe Fuel Type 11. No, Eauinment 9TU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mf9, - t. . g Boilers Mfg. Me?h Exhaugt 9'kIC. r x LStFilROlhp Unit Heater Fa : Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed: for , Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 . . . . .. .. . . PERMIT # MECHANICAL PERMIT RECEIPT # ? --- ?? CITY OF EAGAN `- l 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE -e!T CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION ? Lot_&___Biock ? Sec/Sub f 4 ? 44 Res f New ? m Name Mult Add-on X Address Comm. Repair ' c City Phone - Other ' FEES Name RES HVAC 0 100 M . - BTU -$24.00 3 Address ' ADDITIONAL 50 M BTU - 6 00 O C?ty Phone ?- (RES. HVAC INCLUDES A/C ON NEW . CONSTRUCTION) A UTL G S O ETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU ? MINIMUM COMMERCIAL FEE - 20,00 V t STATE SURCHARGE PER PERMIT - .50 . en CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: • (?? ` ??" -- S/C: SI R P TOTAL• ? - : CITY F EAGAN Receipt ? PLUMBING PERIIVIIT Permit No. : CITY OF EAGAN Fee ? Fill rn numbered spaces S/C Type or Prinr /egib/y Tot ?. 1. Date 2. Installation Cost ? ? : ._'1(,., , . _ ? - •, „ . . 3. .lob Address ;- •.;, : : ! ^j Lot B4k. ? Tract 4. Owner :':;< HIA'i)tJ R,111).5 r<?NSTI NC7t:11,' 5. Cantractor.''s n t-. ? ; G Phone 6. Address ?r-? [i•? - 7. City State Zip ? S. Building Type: Residential 0 Commerciai ? Institutional O 9. Work Description: New d Add O Alter O Repair ? 10. Describe 11. No. ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield i Bath tubs $eptic Tank Lavatory Softner Shower Well ' Kitchen Sink Urinal/Bidet Other i Laundry TraY Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. 5igned : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and aPProved. Approved CITY OF EAGAN 454,8100 CITY OF EAGAN Remarks Addition SUN CLIFF FIFTH Lqt_ Owner Street 1 1?' ? lleer Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. • 83 333-54 C0102 1 -F?-F? STREETRESTOR. 1g86 1622.20 324.?+?+ 5 aeZo76 IL4- lCl -/ - GRADING ' San Sew Lat 1986 50 .5 100.52 5 d,?.,5? C- /U yS9 v SAN SEW TRUNK • 34 • 17.84 c0102 1 -6-8 SEWER LATERAL ? • 00 • 205.60 C0102 1 6 95 Water Latera O..?C? 98 582.46 116.49 5 5v.V6 e- o-i7 - 5 WATERMAIN 6o.24 C010291 9-6-8 WATER LATERAL WATER AREA . Q(j (,'0102 1 -(j-$ eu) 1985 106. ?. .1 15 9.$1 coloz 1 -6-8 STORM SEW TRK 19 10-73 2 53 . 65 C0102 1 9-6-8 STORM SEW LAT X-1 . $1 . 15 ('i01.0291 g-6-$ 5 Storm Sew Lat 1986 739.56 147 . 91 5 739,6r. C-105162 v-/ 7- CURB & GUTTER SIDEWALK STREET LIGHT Services 1986 529.15 105.83 5 a./S C' -/0 95 /v -/)- S' WATER CONN. SUILDING PER. 10924 SAC 525-00 PARK ? , BUILDING PERMIT CITY OF EAGAN N° 10924 383Q Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 fe. SF DWG/GAR SiteAddresa 1841 DEER HIL: Lot 5 Block 1 ?cfSub. - Parcel No. Receipt # f $60, 000 ,,,e SEPTEMBER 101e 85 W Name ZACHMAN BROS CONST CO 2 Address- 4620 W 77TH S T.. STE 104 b City EDINA Phone $93-0755 o Name SAME ? i Address I.- City Phone G? W W Name ? ?? Address ? W City Phone I hereby ocknowledpe that I hov e s lication and ate that the intormation Is Correct on ogr mp oll pplicoble Sfate of Minnesoto Stotutes nd og r ina s. Sipnoture of Pertriittee h 8uildinp Permit is issued to: ZAC HMAN ONSTRUC' oll work sholf be done in accordonce wifh all oppl? bl ?yq e$t?f M( 8ufldirq pfficiol / ? Erect LX Occupancy K.i Remodel ? Zoning RI Repair ? Type of Const. V Addiflon ? No.Stories Move ? Length Demolish ? Depth 44 Int Impr. ? 5q, Ft. Install O Apaovals Fee@ Assessment Petmit 4; J13 . U U Woter & Sew. Surcharge 30 . 00 Porce PIBn Review 156. 5 0 Fire sAC 525.00 Eny. Water Conn. 500.O 0 Plonner Water Meter 6-4-? 0 Coun[il Rosd Unit 280.00 Bldg. Off. 8 3 0 8 5 Tr. PL 132,00 APC Perks Var. Date Copies rzON CO Totel $1,999.50 on ths exprcss condidon that nesoto otyfes and City of Euqan Ordinonces. ' `' _.a...._,... .___. ' -.?-? ..?„'__ .. .. _ •- .. . ..?r. ..v_...-7v: ._?_ CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Knob Road 6926 P. O. Box 21199 PERMIT NO.: 11-1 3-85 Eagan, MN 5512? D/?TE: Zoninp:.' Rl No. of Units: 1 ZdCYllTldri Br? O wner, /Iddlass: 5iM Addrom 184 peer jiills bi l Tr- I,S Rl C»n C'1 i ff 5th um ng pluinbor _ K & K P Meter No.: 6,5,- - Connectlon Cho?yss - -- 500. Odpd Size: ?(?' Q?-t?• Ao?t Deaosit: 15.00pd FEeadsr No.: C? ?J#72 d--t- Permit Fee: 10 . OOvd - wNb !Iw CiY of Eevw i 1 t ww Su?chcrge: . SOQd q prw v e Oldb. Miac. Chorfles: 132.00nd TP Totai: 63.006d meter ` Dote Paid: Dote of IrrsD.: Insp,; ? - rr- ? ? ,?s ?GAN nob Road P. O. Box 21199 Eagan, MN 55121 Zonirp: ? OWMf: Address: Site Ilddross: WUlhbe?: ,T u, -t.,_ `. .:_ +. Ielm to emply with lw Ckv of Eyes "M11Ep. By Dote of (mp.: SEWER SERVICE PERMIT PERMiT NO.: DATE: No. of Units: Connectlon Chorpa: AcoouM Deposif: Pormt FMI $tlflhQ/Q!: Misc. CMrpes: Totol: DoN Paid: This request void (1 ? ? .' ` 18 awnths from ? % ? Requesz Dat ` Fire No. Rough-in InsUecti R quired? []Ready Nuv Wiii NotifV InsOec- /o a??s s ? No !ar When Aeady ?icensed Electrical Contractor I hereby request inspectfon of above ? Owner electrical work installed at: Street Address, Box or Route No. '? CitV L/ 464 , a j f .rc 4 n..., ection o. Township Name or No. Range No. Countv DC'i? O7A- Occupant (pRIry7) _ Phone No, Power Supplier Address Elec ical Contractor (Cornpany Narne ) Conuaclor's License No. ( Mailing Adcjress? ntractor o Owner Maki g Instailationl ?v? Authorize?y fgnature ontracior/Ow er Making Iristaitationl [ ',L e??11 Phone Number ) _ 5 MINNESOTq STATE BARD OF ELECTRICITY ? Griggs-Mitlway Bldg. Room N-191 1821 University Ave., St. Peul, MN 55104 Phone (612) 297-2117 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE 80ARD UNLESS PROPER INSPECTION FEE I5 ENCLOSED. ? REQUEST FOR ELECTRICAL INSPECTION ? Ea•oooai -an f See instructions for completing this form on back of yellow copy. " Below Work Covered by This Request d Rep. Type of Building Aoaliancea Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Bui Iding Dryer Electrie Heatin Commercial Bidg. Fumace Silo Unioader Industrial Bldg. Air Conditioner Bulk Milk Tdnk Farm Ocne, peci y ?her ISuecityl t er SUeci fy Other OthLr ('mmtirifA Incnarffnn I-aa Kalnui p Fee ServiceEntranceSixe p Fee eeders # Fee si , Circuiis (7 to 200 Amps 0 i? 3t? Am ?s Above 200 qm??sl ps P / 31 to 100 A s Swimmin Pool ._Am s Above100_An-ips _ A6ove 100,Amps Transiormers ms Part ial ' Ottref ?e Signs ction $ TOTAL'FE - ! Rernarks 3 ? ? ,l- Rough-in Date "I, the Electrya - Inspector,herabV certify that tbe above Final `1te nspection hgs been ? li.?- ade. This request vold 18 months Irom This reqvest void 18 rtqnths Irom Q 88236 Repuest Data ' Frre No. Rouph-rn?lnspectwn fleqwred' ady Now Q WiII NoUty Inspec- +a/- ?'? E]Yes No T 'ii [or When Ready ?101-icensetl Electncal Contracmr I hereby request insDactmn of above ? Owner eleclrical work insfelled at: Street Address, Boe or Foute No. Ci1Y eclion o. TownsniD Name or No. RanOe o. Counly ? d Occupant (PRINT) Phone No. - O E / Pawer SuODlier Address I :o Electncal Convactor (COmpanv Name) Convactor's L cense No. Z;4' r.`c ? c . '?/7l 3 MaiImB O.ddress ICOnVactor or Ownar Making Installatmnl 'J ..3 .S? ..3.?7 Aut?orizetl amre (Con ctor/Owner Making InstallaLnnl Phone Number ! y?(''' -7/T Y MINNESOJA/STATE BOA D OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT Gnpqs-Midway Bldp. - Room Nd97 BE ACCEYTEO 9Y THE STATE BOARD 1827 Univernilv Ave.. St. Paul. MN 56104 UNLESS PflOVEN INSPECTION fEE IS Phone (612) 642-0600 ENCLOSED. 2REQUEST FOR ELECTRICAL INSPECTION EB-00001-05 v r3si? ? See inatructiona for comvletinp this form on Eeck o7 Yellow copy. "X" Below Work Covered by Ihes Request AAd Rep. Typa of gmlEmg ApofianCes 1Nvad Eqwument Wired Home Range Temporary Service Duplex Water Heater Lightin Fixtures Apt. Building Dryer Electric Heatin Commeraal Bldg. fumace Silo Unloader Industnal Bldg. Air Conditioner Bulk Milk Tank Farm ocnn, peu y iner Isnec,NI t er ucci y iher Other 60/llO[/[E /IISDP.fIf00 hnP lfefnw N Fes 1 ServlceEntraneeSae B Fee Faeders/5ubfeeders N Fee C'rcwts 0 to 200 Am 5 0 to 30 Am s 0 to 30 Am Above 200 qmpy 31 to 700 Amps 31 to 100 q Swimming Pool Above 100_Am s Above 100_Am s Trensiormers rrigation Boorris Partial.'Other Fee Signs Specia??nspection emarks TOT ,PEtiE Nough-in Oa[e 1,?he cel Insoector, heraev cerbty thet tha above Finel ???r}? ins0eetion hes Dean A7 ? C rreAe. TMS rouueat ro1018 mon[In from PERSONSi RDQ[]3RING° ADDTTIONAL COPIFS WILL BE CAARGID A $20:00 FEE' TO CO CITY OF EAGAN APPLICATION FOR PERMIT SF3IER APID/OR WATII2 CONNECTION 1) PROPERTY ADDRFSS: T,Ff;AT• DFSQtIPTION: sion or IF EXISTING STRC:C'IL'RE, DATE OF ORIGINAL B[:ILDING PERbffT ISSL'ANCE: (Nbnth Year) PRESEN't ZONIIJ3/PROPOSID USE: R-1 SINGLE FAMILY R-2 DCPLEX ('I%o L'nits ) R-3 2CWNII-IOCSE (Three + L'nits) ( Units) R-4 APARTMEM/COND0?`?LiNILM ( L'nits) CO,%MERRCIAL/RETAIL/OFFICE IDID(:STRIAI, INSTI7[: TIONAL/GOVERI4TMYEN'I' 2) ? NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) • i: ?• NAh'IE. J? ADDRESS: " CITY, STATE, ZIP: P 0 PHONE: - - 47- ? ?_MASTII2 LICINSE # 4 ) • • ??• p NAME: ?GZ.e4 V)?Ct iU c{? hz)S. c, 05?, ADDRESS: CITY, STATE, ZIP: PHONE: For City Cse PlumUers Licens: -ve Q ired t Recor( Staf?nitiaS5) n ?• «•?• ? • a? o-. o-? P!LCONNECTION 'IC) CITY SEWER (Ef-CONNECTION 1C) CITY YATEF2 Q OTHER (Please Describe) 6) ? PLF.ASE HOLD APPROVID PEf21-9T FOR PICK-CP BY ONE OF ABpVE PLEASE MAIL APPROVED PERD1iT 'M 1, 2, 3, 4, AEOVE (Circle one)? 7) F O R PE4.ytIT °- ISSUED C I T Y U S FEEs: $ e- $ / C: 5 Z $ S S I?.?U $ $ J.?.?-u u $ $ 5 $ s $ $ ON;, ?, .. _ 3.?T_T (I`ICLi1DE SURCc:?.ar.,c. r.'' c^D nE? ?? WATER PERDIIT (It`ICiuDE SliRC:?ARGE) WATER METER/COPPERHORN/OUTSZD: READc:2 WATER TAP (INCLUDE CORPORATIQV STC?) 5E47ER :A? ACCOliNT D6PpSIT - WATER Wc,C SP C TRliViC WATER ASSESS:lE.7T TRu:7K SE:iER aSSESS.iEDiT L`nTE?AL BEDIEFIT/TRULIK S:'.dE;'c LATERrIL BEDIEFIT/TRU:VK WATER WATER TREATMENT PLAIQT SURCHARGE OTHER: TOTAL P.MOUVT PAID/qEC°IPT DOES UTI:,ZTY CONNECTION REQUIRE EXCaVATION IN PUBLIC RIGi-IT OF WAY? L, YES IF YES, THEN A"PERp1IT FOR WORK WITHIN PUBLIC ROr1DWAY" MUST BE ISSUED BY THE C] NO ENGINEERIDIG DIV:SION. LIST AS A CONDI- TION. SUBJECT TO THE FOILOWING CONDITIONS: APPROVED BY: TI:LE: ? ? DAT_: ` ?41 T LOSS CALCULATION ° rtEMP. DIFF. c?o? wme ? / HE ? Ciry --,L Dalw Name. sn.K ------- City - and Doors-Crackage and Area No W'etn nl 01n? nnpn? 01 p?n? No ol ? Linwl lt l' M. OI CeNY Aru . It l? • ? „ _ , ?? ? J"' Coet. tu Intiltrat?on /a3 Glau Exp. wall Q Net exp. wall ?' {s Int. wall • Ceiling DO 3 ? F loor Total Btu. FI.I Jj RoomI Length Width Heit$ W mdows and Doors -Cro ? Ara No W?Atn N?iynl O? •11? OI IM No 1. C ? ?u ?C. ?\. Coef. Btu Infilt?ation 'l G lau ? Erp. wall Nc1 ezp. walt Int. wall ceii,ng f loor ? Tota16W. 1 /,24lj a F i.l Y, .f Room I Len, h/!7 Width Fhig tt WinMws anA Doors-Gackage snd Arp Nr w?nrn w?n„? N ol J p??r nt p?ne Lo4 luwl ll. OI enClt ArN N. It. Coaf. Btu Inf dtratwn G lass _ Exp. wall Nat axp. wsll Int. wall Ceiluq Flom Tanl Bw. I ?Son TVW Construetion Wirwbws wau. _ Gilirq - Fbor _ Stam Smh liu. Im. W indows and Doors-Gacksps and Ara I n? ct n NO. WM[h ? M MgIght 01 M No, e1 l ithn LInMl1t Of CIKit ArN M. h. f v? nd- r r _ ? a C/ 6 ? ao a aa a ? Coet. Btu Infiltrotion Glaa Exp. wall Net ezp. wail ? / 9Hy Int. wall ceirrig 0 3 / l 70 F loor Total Btu. I 9.'13 ar1 _ FI.I RoomI Lwi h ,j Width a Mei t Windnws and Doors-Crukage md Ara No Wldm Of ?M HogNhhll M M Ne.o1 L 4 LInrIN. Of LIKY Ati • ?? ? Co?f. Btu Infiltration O G4ss a IiS6 Exp. wsll Nat exp. wall lo //SS Int. wall ceirny Floa roca? eto. I .ri?/66? FI.I Raomll WidM li? t Windows and Ooas-Gadcqp uid Ara we. a?M ej??ni = a crK1i A,N. a 625u 9 ' ? O ' 5 'y7 Z CoO. 8tu Intihratron y Glas Exp. wall Net sxp. wall O Int. wall Ceiliog F bor Total Btu. }-FU( L - a1 O'bfo ,t,ow?R d?EU?I- - I 960 ?S ?l6 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 `J 651-681-4675 A? ? J New Conthucflon Reauiremenfs Remodel/Reoatr Reauirements D 3 reglstered sMe surveys showing sq. M. ol lot sq. N. of house 2 copies of plan and cll roofed areas (20% maxlmum lot coveraae allowed) 1 set ol energy calculations for heated addHions D 2 coples of plans (show beam a window sizes; poured ind. deslgn; etc.) 1 sfle survey For exFerlor addHlons i decks ? 1 set of energy calculations D 3 coples ot hee preservatlon plan M lot plaHed after 7/7/93 DATE: 3 - ? "JCONSTRUCTION COST: :54 Z:>??• ?--Z) DESCRIPTION OF WORK: STREET ADDRESS: LOT: 'T BLOCK: I SUBD./P.I.D. #: "{° ,2 VvC4 ( 3j2 p ? ?? 7 25 ?V I Name: L X ?5 P h o n e #: Z PROPERTY La Firn OWNER l ] l T ' J Street Address: e ? t7 Ck 1 City State: Y`7N Zip: S:Cl_?_5_ /Z ? ? sz s Phone #: ?p ';2?? Z? J l?v %? rn? Company: nawn , ?A j (area code) 4v lJcense # 9-zi, b Sl4?5?$.xo• Z State:M0V Zip: '5?5 i C7:TY OP EAGAN Name: CAaH:f.f::l;: 1S 7F_RMIPdF1L N0a UOi' , nArF:; (17i15 i99 rrnr_. 1.2:29: 5;a i ? ID, I Registration #: NAtlE.;; JOFIN M. tONf:S State: Zip: 3210 9001 184i. I1EEI=: H:CI._LS 1.11.25 2155 90(]:I. 1.E341 DE:EIi H7:1_L,S i:?.,`iU nstrudton oniv , e is requested once permff (s issued. ^ state thaf Ihe InformaHon Is correct, and agree to comply with all appifcabl m , ices. F :iture of Appiicant: / ? ONLY OFFICEUSE Total Receir-k An«oun+,;; 1.19,75 t CR 1.1.:34 J3 lJSrl; ]:iia JFaN i- No No _ Not Required Aw 1? ??v??1 / t • ? ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN To Be Used For: single Family Valuation Site Address: 1841 Deer Hills Trail Lot: 5 Block 1 $ect/Sub Sun Cliff - - SEE--A-dff-. Parcel Ik Owner Zachman Brothers Constr. Co., Inc. Address 4620 W. 77th St, Suite 104 City/Zip Code Edina, Mn. 55435 Phone 893-0755 Contractor same as above Address City/Zip Code Phone Arch./Engr. Address same as above City/Zip Code INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS (oO,OGb• ? Tr'=s Date: $/07.85 OFFICE USE ONLY Ereet X Oecupancy R-3 Remodel Zoning R-I Repair Type of Const ? _ Enlarge ll of Stories Move Length 3F? Demolish _ Depth +1 Grade Sq Ft APPROVALS Assessments Permit w Water/Sewer Surcharge 30.`= Police Plan Review Fire SAC Engr Water Conn -500 .°' Planner Water Meter (03,°= Council R.oad_Unit 25?ea Bldg Off - ? ?Parks APC Treatment P1 132? Variance T OTAL Phone Il `3 8= ? xE 4- - 49 2 48 'ZD cyi ? ,' . 1 . . , ? 594,80 ?/? • . . ? For: Zachman Homes ? ? ? '•. C ? ts f/ ??,???? C. R. WINOEN 3 ASSOCIATES, INC. IAND SURVEYORS TaL 645•3646 1361 EUSTIS ST.. ST. PAUI# MINN, 55100 Ng7?g3'43"E 4 90 .o) ZoLtS' N ? ror,e ? D X gto / e7? 1J?r V? \ ` tia ?< y ? o ?' \ O ? ' 1?-" p5ed `? QN°use ° ? ? Scale: 1"=30' o Denotes Iron Monument Bearings Are Assumed Z NOTE: o O Denotes lVOOden Stake N O Proposed Garage F1oor E1.= 9/S.i (p Q (914•8) Denotes Proposed Finished Ground EI. D, ?D _4- Denotes Direction ` Of Surface Drainage Vertical Datum - N.G.V.D. 1929 2q_--'" 1 1 0 I (y 3.3 ) „ i _ .. v? ?D A' 0??. 1 /p6 k5'?0?1 ?912• ??2 Lot 50 Block 1, SUN CLIFF FIFTH ADDITION, Dakota County, Minnesota. WE MEtELY CERTiFY TMAT TNIS IS A TRUE AND CORRECf RE?RESENTA110N Of A SURVEY Oi TME WUNDARIES OF iHE LANO AWvE OESCRISEO AND Of TNE IOCAiION Of All WIIDINGS, if AN1; tMEtEON, ANO ALl VISI6lE ENCROACMMENTS, IF ANY, FfOM OR ON SA10 /AND. Ge1e1 IAis 2Wd Aer oi AuavTA.Q ttBS C. R. WIN EN 8 ASSOCIATES, INC. br ? 'd -404?vc? Sur•hOr, Minnewla lOoiNrotiell Ne, ?122G NnIH 6 6 ? 97 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 ? 3I_S-6 New ConsWcfwn Reauiremenis 3 regisfered sile surveys shomng sq. ft. of lot, sq N of hause; and all roofed areas RodeVReoair Rewiremenis 2 copies of plan Offi6e1ke?f3idv ????Y R??s[ :. : ` „_.. _ .:=Y (20%maximumlolcwerageallowed) lselofEnergyCakulationsforheatedadditions d k PIgliRecd di2e.P12$ Tre?lhesfl q4i?Cd' i Y-_N. N "' : 2 ccpies of plan showing beam & window srzes; poured found design, etc ec s . 1 site survey for additions & Addifion - indicate'rfon-sifesepficsystem e : ., D[r:sile?qAio;S?sterti:ii: ., , ?".t::.Y-_N lseto(EnergyCalwlalions 3 copies of Tree PreseNa6on Plan'rf bt platied afler 711193 Rim Jois1 Defail Opfions seleciion sheet (bldgs wifh 3 or less units /0 / ? ? 0-5/ D t Construction CoA 9 o'0 q-0- I a e Site Address I Sy? oee? 41 l ?S ` \r ` UniUSte # Description of Work a? CEE ? lk?'`?°?.J Multi-Family Bldg X Y _ N Fireplace(s) ? 0 _ 1 _ 2 Property Owner M? KJL c J e-¢--\ 1 G Telep6one # ( (e54) U? rJ" '" ??v ?O Contractor /-t"t'^ ?C (,?-10D as 1`-'r-r i i 0CL C1i n 1 ? 1oom /i? 0 8 Address 2 6 r7 t-r?o 1?10? ? 2& c?ty ? ?oc,Nri11`+?a'? r ? `n State 1 1 `r)" V Zip Telephone #(q3;.) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CaTegorv 1 Minnesota Rules 7672 Enefgy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 257o plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the informati ate; 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 ofplans. Applicant's Printed Name Applicant's Signature *9 U/v/`-' 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 !S .70 ? 0 Telephone # 651-675-5675 FAX # 651-675-5694 1 `???L ? ?.r?¢ New Constructlon Reauiremen4s RamodeVReoair Reauirements Otfice Us? ebnN " 3 registered site surveys shoWuig sq. rt of lot, sq. R of house; and all roofed areas 2 mples of Dlan CeA of Survey Rerd _ Y_ N (20% ma)dmum bt wverage allaved) 1 set of Eneigy Cakulafbns for heated addNOns Tree Pres Plan Recd _ Y_ N_ 2 copies otplan showing beam & windowsizes; poured faund desgn, etc. 1 s@e survey foradditlons & decks Tree Pres Required _Y _N 1 set of Energy Calculatlons AddlGon - indicate Hon-sne septic system On-sife Septic System _Y _ N 3 copies of Tree Preservation Plan'rf bt platted after 7l1193 Rim Joist Detail Options seledion sheet (bldgs witli 3 or less uniLs Date 6 01 / 1"1 / Site Address I 8'-41 E .. UL1 0_-?r nnnf 14,'115 tro; I 56 Constructiou Cost Q.Z? _ UniUSte # Description of Work D ec4_- ? Ele.?,T?• Multi-Family Bldg _ Y_ N Fyreplace(s) _ 0_ 1 _ 2 Property Owner N1; k¢ S.e Ql: Telephone #(/6() 48'G ?ooG Contractor Sai.j-b. racE , 1-,Ic- , Address I`{53G State N1tj 2c-?. IV? City PC:n. LacAuP _ Zip 5SS"7 Z Telephone # (QSZ) 7?,N 1Zocs' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv I Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envaiope Calculations Submitted Have you previously constructed a bvilding in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Telephone Sewer/Water Contractor SEP 17 2004 Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the informarion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appr I of lans. {4vt? ApplicanYs Print Name Applicant's Signature OFFICE USE ONLY Sub Types , ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF ? 04 02-plex ? 10 08-plex X 18 Deck 0 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 Plbg_Y or _ N ? 25 Miscellaneous Work Types X 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation (? /.' (7 Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) ? Footings (deck) _ Footings (addirion) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fueplace _ R.I. _ Air Test _ Final Insularion REQUIRED INSPECTIONS Final/C.O. ? FinaUNo C.O. _ Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Siucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: 7-7- , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total fj??itL 2?O4°v ? 7c) - , 'a" .- ?NC.. ' ? C R WINDEN 6 Tsl 6OS 36165, ' ?nA?A,?/ ? 13AND SURVEYOIt55i PAUIv MINN. 55I06 • ? !.!' Tj? 81 EUSTIS ST., • ? gor: Zachman Homes ? •gcale: 1 on (910.0) ? penument ir qZ??j?? gearings Ate Assumed rA ?yaa,e) ? NOTE: wooden Stake otes 5 V? \R ?-- / N°O P oPosed Gara4e roloor pose t 1• 5 \ \ / (910) Deno und El • ,AY Q Cfl ?, shed Gr° on d Fini Denotes Directi e ??rfacea ?naN.G_V.D• peYtical D JSB > D "•- ?? ? o' t1?"`?,?g? s a??qiq81 a ? a \ ? ? p . ?9 3351 ? .!)p o., ??x ?v o? ,` D3L /* 2?.??? R ?P11? (9/Or72°?5 Tg ADDITjONr Block 1, SUN CLIFF FIF Minnegota. tAI'ON pf A SURYEY Lot 5? ?ounty. tE?RESEN ItDiNGS pakota ANO CO??ECt ?OGAt10H ?f ??ll w tRl1E f TME ON S?,tp IAND. ?' A. THAI SMIS tS ND 0 FROM 0 R INC. CEITIfY yE OESC?I?ED 1f ANr• EN ? ASSpClAlE5. OEWE M 1E?E?YEpi THE VISI6LE IAND Aw ENCROACN 198MENIS.5 c. TREON.AND All ?, WIN ?too det JL? ireNe. ? Oe?? br Swv"wl M01n660t6 ?? ----------------- ? '- I ? - I City of Eapn i Pertnit# ? C16 ? Pertnit Fe 1 3830 Pilot Knob Road Eagan MN 55122 I Date Received: ? Phone: (651) 675-5675 Fax: (651) 675-5694 ? Statf: ? -_ _ _ _ _ J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1I / J I 0V Site Address: I J I 4 I ! ? " ? ? Tenant: l T i rOo n Sum&ca? _ Suite #: RESIDENTIOWNER Name: t?twY1 S(1'?'n??70 Phone: Address / City / Zip: Is H' l rC^^ I Applicant is: _ Owner _ Coniractor TYPE OF WORK Description of work: P)< R? Construction CostA -1 ?) C) U0 "C)C) Multi-Family Building: (Yes _/ No ? CONTRACTOR Name: CIUC CV4151I Vubun License#: Z Orj O q?'5s Address: z?? 145"'F"C L/b Sv City: L<1n$dmQ_ ON State:/W?Zip:Ss?-_q6 Phone: Contact Person: l.C'? .ftk clu COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Su6mitted (4 Submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a slmilar plan based on a master plan? _Yes _NO If yes, date and address of master plarc Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents ihat you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasotts thet would permit the City to , - conclude that the are trade secrets. I herehy 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 pertnit, but only an application for a permit, and work is not to start without a permit; thal the work will be in accor e 'th ihe app oved plan in the case ot work which requires a review and approval of plans. Appl' 's rinted 1 e Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA113783 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 1841 Deer Hills Tr Lot:5 Block: 1 Addition: Sun Cliff 5th PID:10-72979-01-050 Use: Description: Sub Type:Reroof & Siding & Windows/Doors 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. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $12K $221.25 0801.4085 Surcharge - Based on Valuation $12K $6.00 9001.2195 $227.25 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 - Hiroon K Samaroo 1841 Deer Hills Tr Eagan MN 55122--225 Northland Home Exteriors Inc 308 Southwest 15th St. SW, Suite 100 Forest Lake MN 55025 (651) 464-0234 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Officece Un�41 411,111`City Eaaau Permit#: / of 3830 Pilot Knob Road Permit Fee: 60 d Eagan MN 55122 Phone:(651)675-5675 Date Received: Staff: Fax:(651)675-5694 J 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 4/ 2.33'/17 Site Address: Tenant: Suite#: . £• Name: Phone: lslent/Owner Address/City/Zip: I 2.2_, �d 1 Deer �� ( / j >; �� �� � Name: �C') �C`. License#: ' �. Address: Jr— C��t r City: r±;./.0-1.4 Zua. ®.ntrac#or` State: JI/f Zip: Phone:�� 3� 7A2- 2 4 AinAAA,A Contact: -1:)7I? Email: New Replacement Additional Alteration Demolition .. tee. Ty{a of Work Description of work: is r �� :R ��a r d a �" ani nit o screen fit ;4:1'. e'contact echanifi . m ,r x" on ° . e ods . x" x mow.. KK M t f RESIDENTIAL COMMERCIAL " Furnace New Construction Interior Improvement Zr Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank (_Install/_Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge =$ TOTAL FEE $100.00 Residential New, includes State Surcharge COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee =$ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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. –] .41 Applicant Printed Name Applicant'gna FOR FIC ISE r '' �,Ws, Required Inspections ' ?k R® rground Rv iia; Air Test i,,,7W rvi-- r" �t1 Hoof Heat HVAC m ! ter PERMIT City of Eagan Permit Type:Building Permit Number:EA174011 Date Issued:12/17/2021 Permit Category:ePermit Site Address: 1841 Deer Hills Tr Lot:5 Block: 1 Addition: Sun Cliff 5th PID:10-72979-01-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Mohammed Abdul Kareem 1841 Deer Hills Trl Eagan MN 55122 Mad City Home Improvement 5020 Voges Road Madison WI 53718 (651) 500-0514 Applicant/Permitee: Signature Issued By: Signature