1849 Deer Hills Tr
Use BLUE or BLACK Ink
r------------------
I For Office Use
• , ~QV
City of Ea~d~ , Permit#: I
I f
I Permit Fee:
3830 Pilot Knob Road I / I
Eagan MN 55122 REE - Date Received:
Phone: (651) 675-5675
i
Fax: (651) 675-5694 Staff:
Jul 201-1
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ~p Deeir //j'//-s 7--c a
Tenant: Suite
RESIDENT/ OWNER Name: iPa u l cot° d r- t) 5 h f' &S Phone:
Address / City / Zip: Q a j o2ol
Applicant is: Owner -4c Contractor
TYPE OF WORK Description of work: 7'Ca r off ('j 1 A' j A9eplaz-& Lvit"elif
Construction Cost: _?,000 Multi-Family Building: (Yes / Nox-)
CONTRACTOR Name: T6 ha :En it d License 22 9c2
Address: o[ f car l z_. AF C-6 City:
State: Zip: 5i_ 0,2 Phone: 4 I/ 304r,.9u y 9
Contact: r0 ho td Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
-Yes -No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.gor)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x _Tn Ail 112 rd x Q PI
Applicant's Printed Name Apppl cant's Signature
Page 1 of 2
1N'OT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi ;V Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION _
Valuation's Occupancy C - MCES System
Plan Review Code Edition? SAC Units
(25%_ 100%_z Zoning City Water
Census Code` Stories Booster Pump
# of Units - Square Feet PRV
# of Buildings Length Fire Sprinklers _
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: Footings _ Backfill - Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector /CLn hem _ RESIDENTIAL FEE
Base Fee a
Surcharge
a
Plan Review 76
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
1849
• #
C. R. WINDEN & ASSOCIATES, INC.
99
r LAND SURVEYORS fib! 645-31646
FOR: G D OAKS DEVE PMENT 1381 EUSTIS • ST., ST. PAUL, MINN. 55:011
dl,
pltA 70 ~a,~,wSb'kcT~oa ,
- the 5w►
j4A
~~aaa ~q~•~. ~yh Scale: 1*=301
p a Denotes Iron
~at~•~O"~ 'Q Monument
N8 26,6 O 5 1 Bearings Are Assumed
5 L. `r I ),V771 0ODenotes Wood Stake
Proposed Garage Floor
EVIL .ta Floor El. = W-2
(9d,9) Denotes Proposed
a)09 r A-- Finished Ground E1.
-of- - Denotes Directiol
x 1~ ~~ge o of Surface Drainage
prap e C%j N _o Vertical Datum-
~1.~ N NaUS N. G.V.D. 1929
20
Cl%
As Of This Date Sun
Cliff Fifth Addition
_ ~qla• Is Not Recorded.
AV-820 0
EAGAN
REVIEW =D
BY:
DATE:
BUILDING Ih": 'FOTIONS DIVISION
Lot 31 Block 1, SU!i CLIFF FIFTH ADDITIO14,
Dakota County, Minnesota.
WE HEREBY CERTIFY THAT THIS tS A TRUE AND CORRECT REPRESENTATION Of A SURVEY Of THE
BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF All BUILDINGS, IF ANY,
THEREON, AND All VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND
Doted this ~day of A ,nr,I A, b. 198 C R WINOEN S ASSCICIATfS, INC-
i 1 ~
by_
Surveyor, Minnesota Registration No
BUILDING PERMIT
ClTY OF EAGAN
3830 Pilot Knob Rosd, P.O. BQx 21•199, Esgan, MN 55121
PHONE: 454-8100
Site Addreas 1849 DE' '_ A I LI. S TR
Lot - Blxk Z Sec/Sub. Si)N GLIFF
Parcel No.
of Name va.:,ita? + ?.-i,Z,_,
W
Address
18 5.`l
City ?AGAN Phone
Name
su
Address
? City Phone
Name
Address
I hsreby acknowledge that I hove read this cpplicotion and sto
the Information is correct ond ogree to comply with all app
State of Minnesota Stotutes and City of Eogon Ordinances.
Sipnoture of Pertmittea
l3nA.tJU UACS : i
h Building Permit is issued to: '
Buiidinp Offitiol ? Receipt
dl work sholl be done in ottordonce with oli applFccble Stote
Erect {:.l Occupancy 4 --A
Remodel ? Zoning 141
Repair ? Type of Conat:
Addition ? No. Stories
Move ? Length
Demolish ? Depth
Int Impr. ? Sq. Ft
Assessment Pemtit ? =' `? • ? t'
'
Water & Sew. Surcharge 35• 0(
Police Plan Review 171.5(
Firo SAC 15 v ,-• • 0
Enp. Water Conn. 5uF a 0
Plwmmer Water Meter 63.0(
Counci) Road Unit 2?0. 0
Bldg. Off. 7 285 Tr. PI. 132. U
APC pgrkg
Var. Date C?ies
t?
Total + ` , ! ;`1 . .1
on fhe express conditlon fhot
tutes ond Ciry o} Eoflon Ordinances.
r..
i
Pwmit No. Permit Holdsr Date TNephons 8
Plumbing
H.VA.C. ?/24, /g YQ -J 1
Elsftric ?
Softemr
Impsction Date Insp. Other
Faotings I
ootfngs 11
F F
Foundation
Framing 7/,,
.
?
Rooflny
Rough Plbp. ?
Rough Hty. ?
Insul. 2,?5
? ?-
Fireplace
FMaf Fltg.
Flnel Pibg.
Flnal
CerVOcc.
Water aw!b@ Loeation:
WeII
Sewar
Pr. Disp.
RmiPt MECHANICAL PERMIT Ptrmk No. ?
CITY OF EAGAN .. . .
FN
fi/i in numberrd SyWw $/C
. TYle w Prin[ /agfbly Tot
1. O. '/?,Ij,? ' 2. tnstdlation Cost
3. Job Address i '_ ,4 ; +I:ot Blk. _y_ Tract
4. Owner A i
i
5. Contrsctor Phone
; .
. i?' - - • e ? - 4 i ? • ??{ ' ? i
8. Add?ets
;
7. Gty i. State Zip ;- ? i 1
7
8. Building Typa: Residential El, Commercial ? Institutional ? ?
8. Wark Desaiption: New`i5l? Add ? Alter O Repair O
10. Desc?i6e Fus! Type
11.
No.
? Equipmot BTU - M. Ea.
Forced Air No. Eauioment CFM
Ai
H
lli
Mfg. r
ant
nq:
Boi lers
Mfg. Mech, Exhwtt
Unit Heater
Mfg• Other
Air Cond.
Mfg.
Ga, Pipinp Outlets
12. 1 hereby certify that the above information is true and correct, and 1 sgree to
oomply with all ordinances and codes governing this type of work.
5iyned : - r L- for
Rouyh Rinal
Inspections: Date Insp. Date Insp.
This is your permit when num6ered and spproved.
Approved CITY OF EAGAN 4644100
Reaipt
PLUMBING PERMIT
CITY OF EAGAN
Pennit No. _
c ,•
--? Fee !
? F'ill in numbered spaces S/C ?
Type or Print legibly TCVL
1. Date 1-; h'?~s 2. Installation Cost
, i
3. Job Address ? ; ; ' %• - t?! Lot - Blk. Tract -
4. Owner
5. Contractor Phone L!
6. Address
-r .
7. City State Zip _
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New GI Add 11 Alter ? Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
? Lavatory Softner
? Shower Well
? Kitchen Sink
Urinal/Bidet Other
' Laundry Tray
+ Floor Drains
Drinking Ftn.
( Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with al,l ordinances and c4des?overning this type of work.
Signed :
Rough Final
tnspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
i
1
Receipt PLUMBING PERItAIT Permit No. ?
CITY OF EAGAN
Fea
frll in numbered spaces S/C j
Type or Print legibly Tot ?
?
1. Date ' 2. Installation Cost ?
3. Job Address Lot Blk. Tract !
;
4. Owner
5. Contractor Phone
6. Address I
7. City State Zip
8. Buildin9 TYPe : Residential El Commercial ? Institutional O ?
.
9. Work Description: New O Add ? Alter ? Repair ?
10. Descri be
No e No, Fixtures
Water Closet Cesspool/Drainfield
Bath tutx $eptic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I 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. ?
Signed : ?
for
Rough Final .i
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 Lot 3 8ik 1 Parcel
Owner Street 149 Deer Hills Z'r'311. 5tate Eagan'
10
Improvement Date Amount Annual Years Paymsnt Receipt Date
STREET SURF, 94,11 ' 133,54 C- I03 / /'01 5 45-
STREET RESTOR. (q?a, 010 -IUr1 0 7 ?'Jr
GRADING
o S oa - 5?" C- I /v-
SANSEWTRUNK CiZ 1970 49• 4 2•00 5
SEWER LATERAL 19 5 257•00 51•40 020:? • C [?-/C / 'a5-?i
Xa , JV
9,5 7
WATERMAIN 1985 4. 55 4.31 15 60, 4
WATER LATERAL
WATER AR EA / 1973 68.60 4.58 15 'd S-?fS
1985 106.94 7.13 15 ?. r C-ia3.& ?
STORM SEWTRK / 1971 214.60 10.73 20
S70RMSEWLAT 1985 •95 5.80 15
w 1986 739.56 147 . 91 5 39-5(o C-JO y /O
CURB & GUTTER
SIDEWALK
S7REET LIGHT
Snrviceg 3 --)9. 15 C - /0957 10-0-S,57
Road Unit 280.00 -
53323 7 3 85
WATER CONN. 500.00 we 11
?UILDING R. LOSIZ 'f 11
SAC
PARK
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
?;. <<ii, ??
,i
PERMIT SUBTYPE:
' t i? ..
II : 1? [N,;
PERMIT TYPE:
Permit Number:
Date Issued:
H4qAlf
0 ', / N i / q,3
9 S o "'
f3 i 01.4, APPLICANT:
? 1•i 1 :' ? Af?Yy...l)f?tiLt
TYPE OF WORK:
1li,.' I, 11 1 I IthJ
PFPfllR
1 ri !G RF kOol
?
?
?
Parmlt Holder Qate Telephone A
EWE
WATER
PlUM81NG
HVAC
Inapectloa Dete Inap. Commerns
FOOTINGS
FOUND
FW4MING
ROOFING . 74,s1e
I-J
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METEA
IRRIGATION
M Ef ER
FLUSH
MAINS
coNOUCTivirv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
I CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: , „ ,
;,. 1111+
I?i 1 I 1 f I ii
? PERMIT SUBTYPE:
:.
If,i4 i N
INSPECTION REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
?,o; ril 1; I h1I
? i ? ?. ..?. t iry4:
TYPE OF WORK:
,, ?I „, .
r I r+o3 i
Itll t 1 li t Nt+
brt.?
U,' f(r71 /'i'.
I F- -1
Permit No. Permk Holder Date Telephons k
SNV
PLUMBING
HVAC
ELECTRIC
ELECTFiIC
Inspectfon Dete Inap. CommeMs
Footings I
Foundation
Framing
Roofing
Hough Plbg.
Rough Htg.
isul.
Plreplace ? ? -_/7/?S ,?..?.o -...-:, r' >• ?ts >
Final Htg. I
Orsat Test
Fnal Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
ErgrJPlan
Bldg. Final
Deck Ftg.
Deck Flnal
Well
Pr. Disp.
12::i
ITY OF EAGAN WATER SERVICE PERMIT
30 PilotKnob Road
. O. 8ox r1199 PERMIT NO.: '
agan, MN 55121 DATE: ' -
I^g. - A%of Units: Zl
ner.
rcss: 'I a
Sib Addrosc
Plumber.
Metar Na.:.??
Size: ?s?'? /e?c.G??
Reodsr No.: _L) 'S /YI 5 0 :LZ .g
1 Nme to enaotlr wil6 tiw Cinr af Eegsw
OWiNwer.
? 2 r 0
?
8y
Dnte 1 nsp.: ?
CITY OF EAGAN
3830 Pilot K.nob Road
P. O. 8ox 21199
Eagan, MN 55121
Zoninp:
d"JeAlwharo,; SO G. D tTzx'
Ilccount Deposii: •.? ` ?^
Permit Fee: C .
Surcharga: . ''
Miac, Charpes; 132.0ti;a::. ?t?..
Total: 63. OrJpd ii1e,*e
Dote Pbid:
_
111111111111M
SEWER SERVICE PERMR
PERMIT NO.:
D/?TE:
No. of Units: „
E40wrNr:
uAddress:
15ire /kWross:
-Plumber.
- . . . . . . :. ?: :, . ' .
?4?M t0 pnlphr Mr" !w CRY !f yP¦ C011?ItCtl017 C1ar'Q?:
yOfd?M11CM. ? r ' ' -
Af.f.O{Jfft DEpowf:
PonM-At F!!I . ..
SYrCFIOPQl:
BY Miac. Charpes:
Dote of Insp..
Total:
I^sp-: Dott Paid:
1
CASH REC'EIPT
CITY aF EAGAN
P. o. sox 21-199
EAGAN, MINNESOTA 55121
DATE f l ? I 19
y
AMOUNT I$
& pOLLARS
I oo
? CASH ? CHECK
L-. . . ? . °.r _. - . ? i
FUNG , CODE AMOUNT
rv y„
r
i k - ?
"?.
/
i
; CASH RECEIPT ?
•1? ?: ?
'CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNE50TA 55121
? DATE 19 {l
i .
RtCt1VED '
.
r Rd.? ?, ...• ,? ,/? /
ir .:t.
I AMOUNT $ .,
_r J ? 1
` -
i & D04LAR8
I ?oo
? C] CpSH OCHECK
?
l
Thank You ?
B Y
? • r. w ??
. \?' ? ,y .-.? y •^, ? .
VYhite-Payers Copy
Yeilow-Posting Copy
- - -- Pink-FileCoPY --- -
I l?u
i A.?
FUND CoDH `- AMOUNT
+?, r• i
- Jf`? ? • )
; o - 2-?-SL -0?? vd
1 Thank fou z . , :. .
'
r . . ?. . I
White-Payers Copy
Yellow-Posting Copy
i Pink-File Copy !
CITY OF EAGAN N° 10 512
3830 Pilot Kmb Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 4548100
BUILDING PERMIT keceipt
T. e. ...e I" SF DWG/GAR ao v,.i,,. 570.000 n.... Tnr.v 'I ,oRS
SiteAddresa 1849 DEER HILLS TR
Loc 3 9loek 1 Sec/Sub.SUN CLIFF STH
Percei No. _
W Ne,ne GRAND OAKS DEVELOPMENT CO
? q?,?g 1881 SUNRISE CT
citv EAGAN phene 452-8934
O
?u
?
?
Name SAME
Addrau
City Phone
F? I Name
uAddren
a
IW City Phone
I hereby ockrwwledga thot I have road this opplicotion ard stare that
tho inlormOtion is correct and ogree to comply with all opplicnbla
Stafa of Mim+ewro Statutiq ond Citylofi Ecpon Ordinonces.
$ipiwturo of PermiMaa
A Bulldinp Certnit is issued ro: RP
all work sholl be done in xco with
Buildinp Officiol
erea R7 occuaencv R3
Remotlel ? Zoning R1
Repeir ? Typa of Const. V
Addition ? No. Stories
Move ? Length 50
Demolish ? Depth 48
Int Impc ? Sq. Ft.
Install ?
Apyrovab FNs
Assessment Permlt 343.01
woro. a sew. sumnar9a 3 5. 0 1
Police Plen Review 171.51
Firo snC 525.01
Enp. WaterConn. 500.01
Wonner Water Meter 6.3. 01
Gountil RoOdUnit 280.01
Bldg. Off. 7/2/85 Tr. PL 132. 01
APC Perks
Var. Dete Coples --
'MENT CO $2704775 O
rotal
on the rxprasf conditlon 1hot
- - ond Ciry ot Eeqan Ordinoncat.
SEDGWICK HEATING & AIR COND(TIONING CO. HEariNG JOBNO
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADORESS 1 5G/ 2 / I-
OCCUPANT '-?
SOLO 8V C!(
MAKE
SERIAL NO. 9 a( F? 2- c 7 S
CITV
OWNER I/ z(T? r CTj 3f?"? 4?
INSTALLEOBY
MODEL
0
iNPUr G 6 ?
THERMOSTAT!? I! c-yo6 b
VALVE w D ^L
LIMIT ? f ? T ?
LIMIT SETTING
FANSETTING
S?
? I
PILOT TYPE T
IGNITIONMODEL f"? S t'
i '
PILOT TIMING 1
PRESSUFE PERCENT COz
INPUTCFH PERCENTOz ?
STACKTEMfl? PERCENTCO ?
!
VENTSIZE . ' h
... J "
TVPE OF LINER F G G
LINER SIZE 2 ?
FILTERS: SIZE C C NUMBER ?
WIRING ,? ? If o f ?.?/ <
TEST TAG
LIGHTING INST
DATE TESTED '?-2
COMPANYTESTING 'r=
NAME OF TESTER plor 2
FORM2%(REV11/B9) FORMOISTRIBl1T10N WHITECOPY-?FILE YELLOWCOPY - Cltt
9? (i ? bift
lr_"-..,o..- ??a......a? .......?e... 1 herebY r
? Owner eauesI inspection oi abova
electriwl work imlalled et:
Street Atltlress, Box or Houte No. Cfry
ecuon o.
LZf Townsh,o Name or No.
3?// ' ' ang N.
^ S C tv
1J?,??
Occap nt IPRINT)
?ra nol da ks Phom No.
5d2 ?93`
Power Supp ier Address
&
Electr a ConVacto,.(C mpanvMame) Coniract/ur1'shLicense No.
MailinB AdJress (COntractor or Owner Makinp Im„'a?tion)
414 ? ` S?.
Auth ized Sienature(ntr ct / Owner Making Iretallationl
? Phone Number
?- ? D ? 3 5SS
MINNESOTA STAE BOAflD OF EIECT?CITY
Griggs•Midwey Bldg. - Room N-191 I/
1821 Universitv Ave.. SL Paul. MN 651M
Phone 1612) 297-2117
THIS INSPECTION flEQUEST WRL NOT
eE ACCEPTEO BY THE STAiE 80ARD
UNIESS PROPER INSPECTION FEE IS
ENCLOSEO.
5?33 G REQUEST FOR ELECTRICAL INSPECTION e-°°°°i-°a
?' See i?ahuctwns tor omolebig this tnm on hack of Yellow eoPV. I???
0 4 052 "7(" " Below Work Ce?vered by This Request ?
dtl ReO. Type o1 Building Appliancee NirW EpuiVment Wired
Home Range Temporary Sernce
Duplex Water Heater Lightiny Fixtures
Apt. Bmldmg Dryer Electnc HeaUn
Commerual Bldg. Furnace Silo Unluader
Industnal BIAg. Air Corditioner Butk Milk Tank
Parm Otnei 5veury Other (Spcuty)
t r Sucnly Oxher Othe,
LOmPUIe lnSOCCll00 hee BeloW
b Fee Service EntranceSiza p F¢e Faedars?Sub/eeders N Fee Cvcwts
/ U to 200 qm s 0 ro 30 qm Z'Z 0 to 30 Am s
Above 200 qm?s 31 to 700 Artips 0 31 to 100 Am
Swimming Pool Above 100_Amps Ahove 100_Amps
Transiormers lrtigation Boorcs Partial•'Other_Eee
Syeciallnspec•wn ?
S (?? TOTAL FEE. 9
. I "? J
1. the'Elactncal
Inspecloq he•aby
cejly that ihe above
Final O7inspection has baen
Ttiis repueat voi01B monitn from
This repuest void
18 rrumhs }rom
C 8 8 241 1 ? 12/
??7 ?FF
Rnquest Oata "Fire No. Mugh-in InspecUon
L aeqwretl?
" Reatly Nuw [:]Will Nnlity Insoec-
6-?r- ? 7 pyaE No [or When Reatly
IgLicensed Eleclncal Contractor
? Owner
1 hereby raqueat insoection ot above
electrical work ins[alletl et:
Street Address, Box or Noute No. City
?49 r .? .?
/,^G.I / L-o? a..?
ecUOn o. TuwnsniD Nama or No. qange o. Cou
my
?
?°UT
Occupant IPqINTI Phone No,
?...SSe a - 3i? 3
Power SuDUlier
D/_ 6 >-?' Add.ess
Electncal Contractor iCOmpany Name) Contreclor's License No.
??.,::J .c?c8.•? ? L ? ? I ?3
Mai?nq Address IComractor or Owner Makine I nstailauon)
Author¢ed Si ature IConvac Owner Makine Installatmnl Vhone Number
9? - ?
MINNESOTf!$TATE BOARD OF ELECTRICITY
Grippa-MiAway Bldp. - Room N-191
1821 Univeraitv Ave.. Sr. Peul, MN 65100
Phone 16141 642-0800
In15 INSPECTION NEQUEST WILI NOT
BE ACCEPTED BV THE STATE BOARD
I/NLESS PPOVEN INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION +e?`s/-ooooi-os'
- , Sae inshucbons /ot compleli?g this form on Eeek ol Vellow co0v. / T??p!1
"X" Below Work Covered bv This Reauest
Adtl Rep. Typa of Bw1Amg Appimneee Wired EqmUment Wired
Home Hange Temporary $ervice
Duplex
Apt. Bwlding
Commercial Bidg. Water Heater
Dryer
Furnace Lighting Fixtures
Electnc HeaUn
Silo Unloader
Industnal Bldg. Air Condrtioner Bulk Milk Tank
Farm Other oeu y OthFr15n,ciW1
l er Sueufy 1 er Other
ompute lnspection fee Below
nceSiza tt Fee Feeders/Subfeedars N Fee Grcwis
s
qmps
M 0 to 30 qm s
37 to 700 qinps 0 tn 30 qm 5
31 to 100 A
s
ool
s qbpve 100_Am s
Irrigation Boon,s
Special Inspection
J Above 700_Am s
Pdrtial'Other Fee
e., S O I TOTA E
.? 1 /
Rouah-in Date V _v
I. th lac '
Inapector, he reby
Final p?1e certioy thet the above
^\ J.` Inscecaion nas eeen
?/l.6[f BL made.
Tie ro0ueet wIE 18 montha Im.
?47q
frb le-?Q ?0 S /,,
7985 BUILDING PERMIT APPLICATION - CZTY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED iIITH THE CITY OF EAGAN
INC LUDE 2 SETS OF PLANS
3 CE RTIFICATES OF S URVEY
1 SET OF ENERGY CALCULA TIONS
To Be Used For: ?
?- ? Valuatio
n: CL30
Date: 17-1
Site Address: Z01/C_#11LS Tf-fJ/L OFFICE USE ONLY
Lot: ? Block ? Sect/Sub << -Q*rect ? Occupancy
Remodel Zoning
Parcel 1f _
Repair Type of Const "$Z
Enlarge f1 of Stories
Owner CSt?" ` Jzfr)/?r)9?6 7Uc(SSP?-l
- Move Length 50
' -? Demolish Depth 4b
Address _
Grade Sq Ft
City/Zip Code -------------- --------------- ------
Phone APPROVALS
Contractor ?7Pl cw? ot},Gs, Assessments Permit 343- `'
Water/Sewer Surcharge 35-°'
Address Police Plan Revfew ?`I I. 52.
Fire SAC 525, °-''
City/Zip Code a G?tz Engr Water Conn 5C)p. ?
Planner L,later Meter
Phone Council Road Unit
Bldg Off 7-2-g-f Parks
Arch./Engr. APC Treatment P1 13Z.L
Variance
Address TOTAL
City/Zip Code
Phone II
4? ? I
1849
• •
?R: G D OAKS DE?IELOPMEN??G? (/
NB?.ts-26 E
p-?t r
-? \
C9o z)_
-1
1 L__/
I ?
'
1
c 1\
?
pse .n
Pr°P e N
?],. ? 9 NouS l
p
^ z8
Z
C. R. WlNOEN 6 A550CIATES, INC.
LANO SURVEYORS Ttl 646-5648
1381 EUSTiS SL, ST. PAUI, MINN. 6S10i
- a1q
na
d°
- ?4 N
o O'n
w
?"?. -O
L T!
N JIa_.?a ? N 22 N i?..e
N N
C
-+
0
?
W
X
aV$Z ,3\''E
Scale: 1"=30'
a Denotes Iron
Nonument
Bearings Are Assumed
NOTE:
0 Denotes Wood Stake
Proposed Garage Floor ,
Floor E1. = 912.2 ?
(91/-9 ) Denotes Proposed
Finished Ground E1.
-.f-- Denotes Directior
of Surface Drainage
Vertical Datum-
N.G.V.D. 1929
As Of This Date Sun
Cliff Fifth Addition
Is Not Recorded.
o
d2.9 po"
,(6,°)
R Y?
pE?
,
Lot 3, Rlock 1, SUiv CLIFF FIFTH ADD7TIOI4,
Dakota County, t4innesota.
WE MERflY CERTIfY TNAT TNIS t5 A TRUE AND CORRECT REPRESENTATtON Of A SURVEY Of TME
lOUNDwRIES Of TME lANO A60vE DFSCRilED ?NO OF TME IOCATION Of All lUIl01NGS, If ANY,
TMEREON, AND All V15161E ENCROACNMENTS, If ANY. FROM OR ON SAID IAND
Dotod thi$??dey oi <1nr,I A p 1985 C. R. WINOEN 6 ASSOCUTES, iNC.
br
Surveyor. Minneaelo lapiurotion No 77L-0
' , . . .
' ' , . . i. ,,, rl??..' _ : '. • ' ;. i:' : a . r :?;°; ....
,4 t:. ;?" , ro>.,?'•' i.
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?^??
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.
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•
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• , ?'?1'? rj. :. ? q 7.`?. ?E:r?; ?
M#'UTATYI7N,
f
'
E ' • ' ?.
: EXT :AVEftA
3
ERIOR ENVELOP .
CO
E U
?•`,
GRAND QAKS ?1PEVELOPMENT ' COMPANY
MODEL• Q?;•:
< iU:., U
• X AREA .
,
REQUIRED` .+ r . _
1. TOTAL WALL' AREA' ".' 1800 X. i l-' ^ 198
2. ' TOTAL.ROOF AREA., 1196,X.026- 31.096
ACHIEVED
1
U U
AREA '. X AREA
A. WINDOW AREA: ; 186.66 ., .5 93.33
S. DOOR AREA 39. 8 .077. 3.0646
C. SLIDE 'OLAS3' AREA 13.44 '. .48 6.4512
D. F I REPLACE,' AREA' ?Q0' 0
E. WALL FRAME AREA 180 .041 , 7.38
F. NET WALL AREA '? 1164:1 ..049 57.0409
C,. RIM:JOIST. AkEA 119.52' .0436 5.211072
H. FOUND WINDOW AREA '- O O 0 „
I. FOUNO ABOVE ORADE -- 46.48. .135 13.0248
3. TOTALSWALL AREA ,. 1800",.: . 185.5026
J. SKYLI?E ' • 0' 0 0
K: ROOF FRAME°' ' 119.6 .032 3.8272
L. NET ROOF AREA 1076.4 .025 .' 26.91
4. TDTAL ROOF AREA 11496 • 30.7372 .
SUM 1.+2. 229.496 "' .
SUM 3.+4. , 216.2398
? «..,':.??• ?_ ' .G?a . F
.hc4VtJ1 tUtl tLtI;IMII:HL II4bMtl:llU1V r eo-ueuup?r?Uyo
lr? / :?? J / ? ???U ?J '•
??...
4.Sse inurycluorie lor comoletinp ihb torm on baek o1 Yellow coDV. ?`Y ^}`(' r? "X'7Be/ow Work Covered by 7his Request
`'jN AdC fl? eP.1 24Type 1 of Bwltlinp 'Applfances WireO E4u.pmenl Wvatl ._. I
C
M Fee ServlceEntranee5ize k Fee Faxde,a/5ubfeeders N Fea Circuile
U tD 200 Am 0 to 30 Am 5 0[n 30 Am
Above 20 _qm s 31 to 100 Amps 31 to 700 q y
Swimmin Pool Above 700_Am s Above 100_Am s
Transformers lrri tion Booms Partial."Other Fee
a?yns apeciai inspeccion gO? TOTAL FEE
Hemerks A? ?//
Y/
Pouph-in Date
. . ?. Me Ebctricel
. Inepectoq hereby ,
F?nal
?Ate cartify thet tha abova
, inapection has baen
made.
mMlWUentwwltlmoncmrtan;"res?;f`..., ..2. , _ ,; .. •• .. _ .. •
.1?.,
%
This rnauest voitl (p/j?g/c4,2 -?'-_ -_?.-:_•._ ' -?7`? _...___'_-"-' -? 41-1^? / O O
6 monihs Irom
? 88241
Nequest Date Fire No. ph-in Inspectwn
eQUired7 ?
Reatly Nuw d Wtll Notity
Inspec-
7
6 ?Yes No _
[or When Ready
, ?Licensed ElecVical Contrnctar ? ? Owner . . .. . . .
" 1 hereby repuest inapecbon oi ebove
electncal work installad et:
Slreat Address. Box oI Noute No. City _
ectson o. ownshio Name or No. - anBe No. County
f
OccupantlPHINTI Phone No.
?..ase a -,J/S3
Pow?er ?Sup0/liar??
CrE.CO75s. ?Ll'?(G Ad1dr?esys? .
eZeV' a...? „
Electn
cal ConVacror (Company Neme
) Contractor's License No.
/
/
?.?.,:J i
MailmB ?+ddress IComractor or Ownef Mekine I nstailation)
?36 s 3
Authorized SI alura (Contra Owner Making Installation) Phone NumEer
i
i
MINNESOT TATE BOAflO OF ELECTRICITY - THIS INSPECTION NEUIIEST WILL NOT
Oripps•Mitlway BIAp. - Room N-091 BE ACCEPTED BY THE STqTE 90AXD
7827 Univsrsltv Ave..81: Poul, MN 66104`- UNLESS PROPER INSPECTION FEE IS
.. Phone1614I842-O800". ENCLOSED.
.l,
? .?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-72979-030-01
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1849 DEER HILLS TR
IOT: 3 BLOCK: 1
SUN CLIFF 5TH
C?.31,7,37
??2?
s u L ING
025082
02/01/95
DESCRIPTION:
_ (G,a s )
Bu"ilding)_Permit Type FIREPLACE
Building Wd,rk 7ype NEW
,
.,
?
/
r
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: -
FZRESTDE CORNER INC
2700 N FAIRVIEW
ROSEVILLE MN
(612) 633-1042
Applicant - ST. LIC
16331042 0001068
55113
I hereby acknowiedge that I have read thas application and state Chat the
informatian is correct end agree to comply with all applicable 5tate ofi Mn.
Statutes and ity of Eagan Ordinances.
? J
- .??C
AP NT/PERMITEE SIGNATUFE ISSU D B': SIGIFATUR'
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: suzLozNG
3830 Pilot Knob Ro3d Permit Number: 025082
Eagan, Minnesota 55123 Date Issued: 0 2/@ i/ 9 5
(612) 681-4675
SITE ADDRESS: Lo r: s B L 0 C K: 1 APPLICANT:
1849 DEER HILLS TR FIRESIDE CtlRNER INC
SUN CLIFF 67H (612) 633-1042
OWNER:
WILSON PAULETTE
1849 DEER HILL5 TR
EAGAN MN
L J
PERMIT SUBTYPE: TYPE OF WORK:
FIREPIACE NEW
DESCRIPTION (GAS)
- - - CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122
ob 1995 FIREPLACE PERMIT APPLICATION
6814676
DATE: ?
DESCRIPTION OF WORK: ZINSTALL NM FIREPLACE: _ WOOD BURNING
INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
AREA TO BE INSTALLED IN: ?*-n 7? L
STREET ADDRESS:
LOT ° _ BLOCK _[_ SUBD.lP.I.D.
APPLICANT: (circle one only) OWNER
i?
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.
PROPERTY
owNeR
FIREPLACE
INSTALLER
Name: 02%12 ? A) i I Pe gg- Phone#:
? rus*
5ignature:
Street Address,
City: State: Zip:
Company: Phone #: ?3.3 Z S 6/
??o?.-AJ-/??2?ltcsj? License#•
GAS LINE Company:
INSTALLER I
Name:
Signature:
-?1? Z 0
GAS
5treet Address•
City: State: Zip:
,1.J r .s Srl?
PERMIT
? CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road P. u'r L. p.[ N G
Eagan, Minnesota 55122-1897 Permit Number. 0 3 4 97 7
(651) 681-4675 Date lssued: 0 2! 0 1/ 9.9
SITE ADDRESS:
1843 D E F R ii1LL:i 1R
Lz1T: 3 l3LOCK: 1
SUN CLIFP 51'H
P .7.P! . LN-72S'79-0 30 -0 1
DESCRIPTION:
I.U. S YZEHpOF
BiT! ldtna' rp rm_i.t, 'i'yoP S-IOkM OAMACiE
Vu)ldinq Wcirk Tvpn FtE°AiR
,'fiensi,?s Cnd€a 434 IlL F. RC`_i1DENTTflI
i
? ?.
.
i
r- '
?? ?? ???? ? , .?_ . . •. i .
REMARKS:
FEE SUMMARY:
sT. ?ic. OWNER:
CONTRACTOR: - ADDtIcanr.. - 8
hIO?FR CQNS7. 14 .] 145b5Q8i3 Ih?(?z66 GRQSfiENS PAULEI'7E
Rq/ IyTti AVE N 1.,4 9 OEER H11 L5 iR
1 P61Lll MN 65075 EAGHPJ P1N 557.22
(612) 4:]5-5868 (651)
1 hcreby ar.l,riowleclue t.hut t have read this rePOl ieat'1.on an(i Si.aL-e t.hat th:,
antormarion i.r rpi°i^ect and aqree to comnLv w-th ail appJic:nnle st.at,e o7' iMn.
SL_,stutes 3nd Citv v1" EaUari Orciinances.
IL
• APPLICANT/PERMITEE SIGNATURE
ISSUED BV SIG AT?-
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
?-{ 3830 PII.OT KNOB RD - 55122
(661) 681-4676
New Construction Reauirements RemodeVReoair Reauirements ?- (
? 3 registered site surveys
? 2 wpies of plans (include beam 8 window sizes; poured fnd. design; etc.)
? 7 energy wlculations
? 3 copies of tree preservation plan'rf lot platted after 711/93
required: _Yes _ No DATE:
DESCRIPTION OF WORK: T?ctl,e a/' L/
? 2 copies of pian
? 1 site surveys (exterior add'Rions 8 decks)
? 1 energy calculations for heated additions
O °
CONSTRUCTION COST:
STREETADDRESS: ? rtS" ?9 1?G G'??/LG 5 T?Z
LOT: n3 BLOCK: 7 SUBD./P.I.D.#: <s C-Qw
?
G r o 3?n 2 o.s
Name: /QS Phone
PROPERTY Last Firsc
OWNER
StreetAddress: /91/q 7K
City L+ 3v State: ?/L12{/ Zip:
2s-? 1 a a-
Company:M i2r- 82,22G'6 ( 6 /-1 S),- Phone #: lp S% yS S-5 &?c?
CONTRACTOR
Street Address: ? T-/ ? J GI y /0?'/ License #?Exp.42-J?
City SU 51 /Ll I State: Al'1 ZV Zip: SSG?35
ARCHITECT/
ENGINEER
Company:
Name:
Street
City State:
Sewer 8 water iicensed plumber (new construction only): _
change and lot change is requested once permit is issued.
Zip:
Penalty applies when address
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 _ Yes
Tree Preservation Plan Received _ Yes
- , IID?LE? ? f 1-
,
?I FE3 I ? II'I
- "° 'i' 1; J
_ No _ Not Requiretlj,
_ _? _ I
Phone #:
Registration #:
! -, -
2/84
CITY OF EAGrlN
APPLICATION FOR PERMIT
SESqER aVD/OR WATER CONNECTIODi
(PLEASE PRIHi)
1) Pr-.op_..? ADDR:..ss: '1? D w r 1A'l YC7(? ?
r.Fr'+L DE..I°TICV: L. O T 3 ? 1 o c ic 1 .S?un C?? ?}' S? -fs^i
(L:c;3lcck/SL:,.ivisica or T?c ?arcel I.D. Nl.-,?r)
? =r .'":•:IS__::, S?^.-'?'?.''..'?.E , Dai:. O° C.tiT_G^TAL niZ=L:G -=-?5"• rcS?:2:C.:
?-':=•.-_.. -?."
Sl'?.,:'Z: : a}=
? R-2 DL:= Ma L?,T-S)
. ? ?,- 3 M:`?,\-HMTCF (TC.7'^^'. - ZJ:iIiC? ? 1N1TS) '
? _.-4
? CC! =`L..F"-',CT_?I,/RES?I?C? = T?--
• ? =:sT,_ z
? ?.,:s.,=-TeMar./ctiv=-•=7r
Z) A?r?..?G=.?T
tsai•?c ?J rG v? ?' a ?S
P:D-RESJ: /
Ipp? l SUr! YIS ?'T
C=. S'';.', =: ?G
PfCNE: y's
3) pu-..o4 (PLE.. Pd1Yf) '. FOR CITY CSE OYLY
NAME: --
PDCiESS: ? JIr PLU?BERS L ?VSE:
CIii, ST.?.TE. ZIP: I ctive
E;
p ed
' PNG'NE=
PLU98ER LICEVSe N ---- N of Necord
,
' /
- ? r' ntLld
4) (X.L:??F17T/C!:i:m - IYLCAZIt YN1NIf
NAME.' :
ACDRESS: UI / / / E
CI?"l, STA'iE-, ZIP:
Pf:C}NE;
5) IlVDZG,'I'E hHZCH PE.Rt•lIT ZS BEZNG RfOUESTEU:
? CC::JIECTICN 'Iq CIT'_' ScYER
COV:VFf'iIQ:1 'Ib CITY WATE.q
El MMIER (P7.Z`,SE DESCR.IBE)
7) SIC?.:[,c^2r^.:
? PT.--%SE f?OLD r1PPP,OVEp PEFcMtIT FT]R PICi:-LP BY Q:1E OF AB(iVE
?
.\gj-PLE-SE :T.aIL APPT.tMc"D PE" T TJ-1,-2;G$. 4 F1MVE l,
(Circle or.e)
DATE: ? 3? ?'s
?!l a?a!_yVe?s i? ? ea ????a s?a r+' ?;a sa?ar+? s r??as:a :a a? ia ?r.+t??a? ? r ???asc?r ?
F 0
PER`9IT " ISSUED
C I T Y US E ON:,Y
r=S: $_ ??, 5-J
$ /p.SU
$ 63o0
$
S
$ % ? ,UU
+S 1).oU
$
$
$
$
$
$
S - ?-?? • ° ?
S
S
, s Ivs?v
r}:L'^o nr ? t,c,?-, t•or_••-•r.•
_ .. ?_?4_7_??*(z.tr_ ..,,.. s.;..?..?:: ??.)
WATE2 P£i2P1IT (IPICL'uDE Si;RC`:ARGi)
WATER METER/COPPERHORN/OUTSiDE RE:,DER
WATyR TAP (INCLUDE CORPCRATIO:] STOP)
SE[vE4 TA?
ACCOUNT DEPpSIT - S•TAT°_3
wAC
SPC
TRtiNK I4AT°R ASSESS;SE\T
TR:iN?C SEL4ER ASSESSME^iT
Lr.TERF,L BE:iEFIT/TRU?IK SE::F=
LAii:4AL BENr.FIT/TRU:IK S•IAT°_R
WATER TREATMENT PI.ANT SURCHARGE
OTHER:
TOT? L
AMOU\T PAIDjREC°IPT i;r
DaES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF SQAy?
YES IF YES, THEN A"PER6IIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
C NO _-_._ ENGINEERING DIVZSION. LIST AS A CO.IDI-
.? ? TION.
SliBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
? -
TZ':LE: •
, -?
DAT°:
E'yya ?
2oo7 RESIDENTIAL BUTLDING PExrnT nrrLicnTrox 90 City Of Eagan
3830 Pilot Kuob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5644
New Construction ReouiremeMS RemoddlReoalr ReaLnremems -?
3 regls0ered site siuveys shmving sq. ft af b, sq. ft of house; and gq rookA areas 2 copies af plan showing footings, 6eam., Joists Cert of Sarvsy Y_ N
(2096marimianlotcwerageallowed) isetofEnerpyCalalaconstarheatedaddi6ans SousReport. _Y_N
i Solls Report'rf proposed build'ug is to 6e placed on dxWibed sW t si0e wrvey for addt6ans 8 decks T2e ? P? Recd
2 caples of plen showing beam 8 windax dzes; poured found design, ecc. Add'i6'wi -irMicafe lf ori-siTe sepfic sysfem Tree Pres Required;. Y- _ N
1 set of Enerpy CaleulaGans Oo-s'le Sepfic Syslem.s. . y_ ry
3 copies ofT2e Presevatim Plan Hb! platled aRer 711193
Rim Jdst Detail Options selectlon sheet (buONngs with 3 or less unils)
Minneuasco mecAamal venNatian form '
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date ? / 1-)
Site Address 1? /ob
N q u.eeY hi I I s ? Con/s?truction Cost V V
-2 L? CCl ni C11(? Uait/Ste #
?J
Description of Work ??.?UT { -rCL? ()'?
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner ??_??Y?C h{?.h ` Telephone#( )
Contractor
so?rn i d ? Lcln- Rn 5
?
AddressR n` J
State 1 V`` V CJ City)fl, l YYl .Cl I1 ILQ
Zip S33)1 Telephone #(q,4;Zk
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Ca?eory 1 _ Minnesota Rules 7672
Energy Code Category . ResiOeMial VenlllaGon Category 1 WoACSheel • New Energy Code Worksheet
(Jsubmissiontype) SuDmitted Submitted
. Energy Envelope Calalations Submiried
In ihe last 12 months, has The City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
appiy for a Residential Building Permit
Telephone # (
Telephone #(
Telephone # (
the information is complete and accurat
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.
p cant's Printed Name ApplicanCs Signathr6
ssws'S RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 4 651-675-5675 FAX # 651-675-5674
$Wo• I?S
New ConsWCtion ReouiremenCS RemodeUReoair ReauiremenLS Offce Use Onlv
3 registered site surveys showing sq, ft. oF lot, sq. R. of house; and all roofed areas 2 copies of plan CeR af Survey Recd
(20% maximum lot coverege allowed) 1 setof Energy Calcula0ons for heated addi6ons Tree Pres Plan Recd
2 apies of plan showing beam & window sizes; poured found dasign, etc. 1 site survey for additions & decks Tree Pres Not Reqd
1 set of Energy Calculations Addfi'on - indicete ifornstte septic system _ Oo-site Septic Systam
3 copies of Tree Preservation Plan'rf lot platted after 711/93
Rim Jomt Defail Options selection sheet (bldgs with 3 or less units
Date 4 I ZLf' l o 3 Construction Cost `9 / bs d U U
Site Address ? v ?' `1 /
/Dce2 h lls A'? I Unit/Ste #
Description of Work k?ekcc Nlli- X X w i•.Ao +? -?t/ J4, Lo/1
Multi-Family Bldg _ Y xN Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?Tt o S?,^' S Telephone #( )
Contractor
Address IWIL A FINQ & REMODELIWq, INC. City
State ST. LOUIS PARK. MXi$541R Telephone #(?z ) fff7 -1CZ 3
ID #0001050 L, x,
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheet
(Jsubmissiontype) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telepho e #(
?
Teleph #
' ,.
Telephone #
7
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 tlvs 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.
L t z C
ApplicanYs Printed Name ? ApplicanYs ignature
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA074476
Eagan, MN 55122 . Date Issued: 07/25/2006
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1849 Deer Hills Tr
Lot: 003 Block: 001 Addition: SunCliff 5th
PID 10-72979-030-01
Use
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952-445-2840. Crystal Gemuenden 8910 Wentworth Ave S Bloomington, MN 55420 952-881-9000 Crystal. Gemuenden
@ServiceExperts.com
Fee Summary: Surcharge-Fixed $0.50 9001.2195
ME - Permit Fee (Replacements) $30.00 0801.4088
Total: 530.50
Contractor: -Applicant - Owner:
Sedgwick Heating & Air Paulette M Groshens
8910 Wentworth Ave S 1849 Deer Hills Tr
Minneapolis MN 55420 Eagan MN 55122
(952) 881-7739
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA097627
Date Issued: 01/04/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 1849 Deer Hills Tr
Lot: 3 Block: 1 Addition: Sun Cliff 5th
PID:10-72979-030-01
Use:
Description:
Sub Type: e-Siding & Windows Doors Construction Type:
Work Type: Siding & Windows doors
Description: House & Garage
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: 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.
Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
Fee Summary: BL - Base Fee S6K $132.75 0801.4085
Valuation: 24.500.00 Surcharge - Based on Valuation S6K $3.00 9001.2195
Total: $135.75
Contractor: - Applicant - Owner:
Beissel Window Siding Paulette 1\1 Groshens
163 Oakdale Ave 1849 Deer Hills Tr
W St Paul IIIN 55118 Eagan IIIN 55122
(651)451-683
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113554
Date Issued:09/05/2013
Permit Category:ePermit
Site Address: 1849 Deer Hills Tr
Lot:3 Block: 1 Addition: Sun Cliff 5th
PID:10-72979-01-030
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 .
Jarrod Stenzel
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 -
Paulette M Groshens
1849 Deer Hills Tr
Eagan MN 55122
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129058
Date Issued:01/05/2015
Permit Category:ePermit
Site Address: 1849 Deer Hills Tr
Lot:3 Block: 1 Addition: Sun Cliff 5th
PID:10-72979-01-030
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
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.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Paulette M Groshens
1849 Deer Hills Tr
Eagan MN 55122
(651) 451-6835
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162574
Date Issued:07/20/2020
Permit Category:ePermit
Site Address: 1849 Deer Hills Tr
Lot:3 Block: 1 Addition: Sun Cliff 5th
PID:10-72979-01-030
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)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Paulette Tste M Groshens
23919 Azorah Ln
Shell Lake WI 54871
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature