1864 Deer Hills TrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1864 Deer Hills Tr
Lot: 4 Block: 2 Addition: Sun Cliff 4th
PID:10- 72978 - 040 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Up Top Roofing
3685 Rush Lake Rd
Rush City MN 55069
(763) 422 -8785
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$90.00
Owner:
Hilaire K Moussougan
1864 Deer Hills Tr
Eagan MN 55122 -2251
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA085503
08/22/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
.... MAw.,•.
,.. ,
BUILQING P,ERMI
To be used for Sr
Site Address 1 v v:
Lot c Block 2
W Name-
o Address
CITY OF EAGAN
Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
?t.Value $61,000 D;
o Name
0 i Address
~ City Phone
?a
F W Name
? a Address
i W Citv Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:
all work shall be done in accordance with all applicable State of
Building Official -
Erect ?'' Occupancy R 3
Remodei ? Zoning
Repair ? Type oi Const ?T
Demolish ? Depth d 6
Int. Impr. ? Sq. Ft.
Install ?
Assessment
W
t
& S Permit • 00
' 50
h
I
S
ew.
a
er
li
P urc
arge
Pl
i
?' ?
R
o
ce an
ev
ew
O
'
Fire SAC
Eng. Water Conn. 500.00
Pianner Water Meter 63.001
Council Road Unit 280.00
Bldg. Off. 12 6 5T r. PI. 132 .00
APC Parks
Var. Date Copie
. 50
Total '
on the express condi6on that
Statutes and City of Eagan I
Ordinances.
I ?` i I ju?
+ Psrmit No. ParmR Holdx DIb TNophons N
PlumWny . 3 ( f L
H.V.JCC.
Electft _ 6SO W A fI Jt c 3.? 1. . _
?Lo
SOIIME!
Insp*cNOn Date Insp. CommeMs
Foodn9s I
Foodnysll
Foundstlon
FMminp
RooHny
Rnuqh P16p.
Ra,an Nta. 3 t$•?'G 12W
Insu?.
Firoplace
Flnal Fltp.
Flnal P16y.
8ldg. Fi,.l Y6 r? ,A
Cart. Occ.
Dook fty.
D*ck Fmg.
Wdl D"cribo locatlon:
Pr. Disp.
PERMIT # ?
?
RECEIPT # ?
DATE
CITY OF EAGAN
MECHANICAL PERMIT
454-8100
MINIMUM RESIDENTIAL FEE - $70.00 + $.50
MINIMUM COMMERCIAL FEE - $20.00 + $.50
- ,,; ..f ,J?v
FEE ?..?5 vU
Sic
TOTAL
1. Bldg. Type: Res ? Comm Inst 2. New Add Alter Repair
3. Total 8id Price 4. Job Address tf 'A.-
Lot?Block C Sec 21/2'f Ll 5. Owner
6. Contractor --
(Nama) (5treeQ (Ciry) {Zip}
7. Contractor Phone # ? • , . ? •i
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
HEATING VENTILATING HOT WATER STEAM AIR COND:
?AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
?? RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGAOUND OTHER
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EAGH $1,000 OF FEE.
Srgned:
Approved Inspections: Date Rough Insp. Date Final Ihsp.
r
. ,. • •
CONTRACT PRICE: / Z C'
Site Ad ss fi 4- y
Lot Block _s
m Name
?e Address
c City _
? Name
c Addre
p CitY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
. .. . . . ., .,'` :. . , :'_:/ , . '. .. . . . .
XTI
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _
ounue. weA_nInn
TYPE WORK DESCRIPTION
MI
I 9 !? Res. New
M t
XFNIA =
. . . Mul
Add-on
i
C
R
--?-r omm.
r
epa
?AP ?riPrie Oth
er
FEES
RES. HVAC 0-100 M BTU -$24.00
Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR CONO. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
M BTU COMMIIND FEE - 1% OF CONTRACT FEE
M BTU MINIMUM - RESIDENTIAL FEE - 10.00
M BTU MINIMUM - COMM/IND FEE - 20.00
M BTU I? U(, STATE SURCHARGE PER PERMIT - .50
(ADD a.50 S/C IF PERMIT PRICE GOES
CFM BEYOND $1,000.00)
FEE
J u .
SIGNATURE OF PERMITTEE ?
"• ._-
S/C:
TOTAL• i ' ' -'
FOR: CITY OF EAGAN
t Lot
Block
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
KNOB ROAD, EAGAN, MN 55121 DATE: -
PHONE: 454-8100
? Name IIIUm Sun rlumuin y ?u.
m Address 12201 nneton d V.
? c;ry Minnetonka phone 99 3-2521
Name gob OSlund
3 Address 35 1Z 38th Avenue
72
I S
M OUth
4-2829
o P
City
Phone
- -- -IFEES
COMM/IND FEE - 1°No OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - $10.00
' MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
? BEYOND $1,000.00)
OF EAGAN
BLQG. TYPE WORK DESCRIPTION
?j.
?'
,?
New
Mult Add-on
Comm.
Other Repair
NQ. FIXTURES
? W
t
Ci
t
$3
00 TOTAL
$
a
er
ose
-
.
7-Bath Tubs - $3.00 ?
? LevetO?Y - $3.00
Urinal/Bidet - $3.00
/ Laundry Tray - $3.00
--7-Floor Drains - $1.50
/ Water Heater - $1.50
Whirlpool - $3.00
Z Gas Piping OuUets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL•
V `
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
Phone
? Name O?
3 Address s/ ZZE:fle
O CitY AE-'64RIJ Phone
PERMIT # Z Z ? r'5
RECEIPT #
DATE: IS 7
? BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOU5E & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.0a
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00) ,
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinai/Bidet - $3.00
Laundry Tray - $3.00
Ffoor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMI7)
-1--Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Aough Openings - $1.50
FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
CITY OF EAGAN
Addition SUN?
Owner
Lot 4 Blk 2 Parcel 10 72978 040 02
street 1$64 Deer Hills 'I`rail state Fag,an, NN 55122 ?
Improvement date Amount Annual Years Payment Receipt Date
STREET SURF. .
STREETRES70R. 7 1986 1622.20 324.44 S 4d . e?CJ CD/II
GRADING
1986 502.58 100.52 5 D CO / ?
SAN SEW TRUNK 1.70
SEWER LATERAL
198 582.46 116.49 5 $'*.a (p
' WATERMAIN ? S 57 --95 3.87 15
WATER LATERAL
WRTEF AREA 1973 3.93
n 185.27 9.27
STORM SEW TRK ? 6.41
STORM SEW LAT 1965
.
.
Q Sr 73 . c? r
c 0099G a . .
SIDEWALK
STREET LIGHT
/ 0- Sd
ervices •
WATER CONN. 500.00
BUILDING PER. 58505
s,ac 525.00
PARK
GEO. SEDGWICK HTG. & AIR COND. CO.
HOUSE HEATING TEST RECORD
ADDR ESS ' f A i -S CITY a'? Q N
OCCUPANT OWNER -1 ?
HEAT LOSS DATE HTG. INST. _
SOLD BY INSTALLED BY
Electrical Work Bv Gas Line By _
TYPE OF HEAT GA_ FA-4- HW_ STEAM SPACE HTR. UNIT HTF
, GAS DESIGN
MAKE 4' )( MAKE OF BURNER
Model G I fi??? Model
Serial Max. BTU Rating
INPUT r(} [if? MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT ??j HeatPlug
Valve ? ' r
Limit _ ? ca Nl St qL
Limit Setting ? -106 F
Fan Setting c?ot?F
Pilot Type ? j I L
Pilot Make - c
Pilot Model P`7 3S- L
Pilot Timing - Y ?VS-? 4 n.
L.W. Cut Off
` f
Pressure Percent CO2 r)
Input CFH Percent 02 2
Stack Tem
p.
Percent CO
Vent Size +-=, , t 'JC
KIND OF LINER ? SIZE NONE
Draft Hood / ?? d c ' ' Rneulator
Filters Size Number ?
Chimney Location Inside ? Outside
Chimney Construction
Smoke Bom6 - ?
Wiring `
Draft Test Tag A
Door Pressure Lighting Inst. - ?
Date Tested
Company Testing ?
Name of Tester
CONVER510N
Form 235
CASH RECEIPT
. CITY OF EAGAN
P. 0. BOX 21-198
EAGAN NNESOTA 55121
DAT _
Mcs1
rR
AMOUNT $ `
S?U
Q pOLLARS
1 oo
E) CASH CK
PO
FUND CODE AMOUNT
d ? ?j v U
y
7 r? U`ci
Thank You
i
CITY OF1AGAN W,XTER SERVICE PERMIT
3830 Pilot Knob _Raad
P. 0. Box 29199 1 l?? PERMIT NO.:
Eagan, MN 5?121 l DATE: 1
Zoninp: No. of Units:
e'r- ?s ,in Const.
llddrem:
$its Addrcn:i'4 j''(-r Pjlls Tr. L; B2 Sun Cliff 4th
Plwnbar. 'r',
Meter No,: -370/k;LY3 fon Charoa: 500 .(?Opd
tff
Size: " o
r?{?It: 15.000d 479 Reade Na.: ?j1j$`'?, ?tC. 10.00pd
I yM fo aosn* wilh !be ??arye: . 50 d
!b
04i?o ?Y? , 132.00pd TI'
-TC63.00nd meter
date Paid:
Dute of Inap.: leap.:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoning:
N/1.,??r: . .dA
vwriv
-
,Address:
:Site Addresv
?Plum
I ym te emPip wNb !Iw CiFy ef Eessn
Ordt"saa.
By
Dote of Irup.:
SEWER SERVICE PERMR
PERMIT NO.:
DATE:
No. of Units:
wit$ r•
c.a,n.ction charoe: 1+?5. nrpd
AcaouM Depodt:
PermR Fat:
SurcharQs:
Misc. Chorpes:
Totol:
Dab Paid:
White-Payers Copy
Yellow-Pasting CopY
Pink-File Copy
m id .J I? 7-ly 6
L
?
Nowili
orI
;5jCq,icensed Electrical Con4ractor I hereby request inspection of above
n Owner electrical work instailed at:
Street Address, Box or e No. / C ity
L ? C
Ff-fW?
ection o. Township Name or No. Range No. Cou
OccupA t (PR ?
M Phone No.
wer Supplier Address
?
•?7`-1' ?CJ ' AZCJ,• 7i?f''l/?rp •
Eiectric on actor 1 ny Name) Con rac? s license No.
Mailin8 Address (Contractor r Owner Making Instailation)
2 s3;
Authorized Sign ntrector/Owner Making Instal tion) Phon// , b?6r?
3
MINNESOTA STATE BOARD OF EIECTRICITY
Griggs-Midway Bldg. - Room N-191
1821 University Ave., St. Paul, MN 55104
Phone (612) 297-2111
THIS INSPEGTIUN KEUUtsI WILL rvV 1
BE ACCEPTED BV THE STATE BOARD
UNLESS PROPER IPISPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
' See instructions for completing this form an back of yellow copY• QOD ?78 X"' Below Work Covered by This Request d
NewlAdd Ren. Tvnw n1 Buiidina I Aonlianewa Wirwd EqufpmBnt Wiied I
M Fee Service Entrance Size tF Fee Feeders/Subfeeders N Fee Circuits
0 to200Am s 0 to30Am s 0 to 30Am s
Above 200 Am Psl 31 to 100 Amps oe 31 to 100 A S
Swimming Pool Above 100_Am s - Above 100 m s
Transformers Irrigation Booms Partial h r e
Signs Special inspection g S TOTAL
Remarks
nvugn-in vnie
1, the Electrical
Inspector, hereby
certify thet the above
Final
nspection has bee.
CITY OF EAGAN
• ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NO p 11398
PHONE: 454-8100 ?p? D?
BUILDING PERMIT ReceiptN
Tobeusedlor SF DWG/GAR EstValue $61,000 oate DECEMBER 20 1g 85
Site Address 1864 DEER HILLS TR
Erect ? R3
Occupancy
Lot 4 Block 2 Sec/Sut. SUN CLIFF 4TH Remodel El Zoning Rl
Parcel No Repair ? Type of Const V
.
Addition ?
No. Stories
OSLUND CONSTRUCTION Move ? Length 43
? Name
?
V O Demolish ?
Depth dA
o Address
Ci Int. Impr. ?
MPLSP
724-2829
? Sq. Ft
ry hone
Insfall
a
o Name SAME Approvala Faes
i
0
0¢ Address
Assessment
Permit
• 00
" Ciry Phone Water & Sew. Surcharge
00
a
?
W Name
? ? Address
:
a W Ciry 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 an#-QiLx of Eagan Ordinances.
Siqnature of Permittee??
A Building Permit is issued to: ?U..u ?.v..o ??..,.
all work shall be done in accordance wit { ble State of
Building Official
Police
Flfe _
Planner
Council
Bldg. Oi
Plan Review ??00
SAC
Water Conn. 5 0 0. 0 0
WaterMeter 63.00
RoadUnit 280-00
Tr. PI. 132.00
APC Parks
Var. Date I Copies
Total $2.004.50
on the express condition that
StaJyLes and City of Eagan Ordinances.
This request voitl
18 rtwn[hs from d
C(' 17C; 7R / Lti I?, "l F,. ?tj?i.l?r ? 4 /C% -
Pzq?es?Ja t ?-
Fve No. -
FouPh-in InsVect_pn
Required?
Reatly Nuw ? Will Noufy InsOe?-
/
? ? ? ?p ?Ves ?No tor When Heady
&Licansed Electncal Convactor I hareby requast ins0eclwn of above
rl n,.....,. electrical work installeA at:
Stree[ Address. Box or Route No.
I l, `+ k) I L zs rt- ?. C'ty
EA?c, A k-
ecLOn o. Town5hi0 Name or No. RanBe No. CounlY A C. L
? (Y-?
Occuuant_ IPR?TI
l/ I ? Phone?o. ? ??
4 -
Power SupOlier Adds
Electncal Con(ractor ICompany Namel
1 Conttacmr's License No.
14 V
vL?
-rz ???r,
-rb ra? m o
Mailine Address ICo?Vactor or Owner Making Insta?l Lonl
IL1313- Lf-)-c? rnpu-ri) YY1lv? SS11 `i1
Author¢ed Signa[ure Convactor/Owner Making Installat on? Phone Nu ber
S
??53-- 1(X?
_
MINNESOTA STqTE BOARO OFELECTHIC7TY,
Gn6es-M,dway Bldg. - poom N-791
1821 UniveraitV Ave.. St. Peul, MN 55104
Phone (612) 297-2111
BE ACCEPTED BY THE STATE•00AFD
UNLESS PAOPEP INSPECTION FEE IS
ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ea-ouooi-uo
? ?3-'?? See msvuct.ans br com0le??9 this lorm on back ol Vellow copy.
/P ?l 7 C-7 O "Y" Rnlnw Wnrk Covered by This Request ?
J P J I V
?
ReO. TVOeo. 3u??idmg
AAA
Homf'. - -
Eqwument Wired
Aoa??ancea W??eA
Range Temporary Service
Duplex Water Heater LighLny F?xtures
Apt. BwlAinc? Dryei Electnc Heatin
Commercial Bldg. Furnace Silo Unloader
Industnal Bldg. Air CondiLOner Bulk Milk Tank
Farm ?her oem y iher ISOnciiyl
t .r ucufv
ther omu?
Com pute lns pectlon ree tteiow
M Fee ServicaEntraneeSae n Fee Fexdes?5ubleeders U Fee Grcwts
D to 200 Am s 0 to 30 Am s Q tn 30 Am
Above 200 qmps 31 [0 100 Ainps 31 to 100 A s
Swinnning Pool -Amps
Above 100 O
?y
?
'
?
IrngaLOn oms par
Ot
her Fee
al.
Transtormer5 i.. ?..,?
o??e ----- ' 1?? iuiaL rc(/ vdi
Remarkry '? . A r" i1 n T M_ i il Q•
w ( (C. L. r IL
Roug?-in ` Di1e I. ihe Electncal
InsOecloq M1erehy
certily thet the ahove
Final ? ? insoecvon hes baen
da
.
Thn repuest rm01B moncre rmm
L?%V V V
a?NOTE:
Z
?-
1985 BUILDING PERNIT APPLICAYION - CITY OF EAGAN
ALL CONTRACTORS MUST BE LZCENSED WITH THE CITY OF EAGAN
C0141ERCIAL
1'
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STftUC1'URAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF '1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE EOND
ur Date: ? 2?;•?&yy'
To Be Ud s For: Valuation: o oa aL o
Site Address OFFICE USE ONLY ?
y f-? A F i o nf
Lot ? Block
Parcel/Sub -'''ear.\. G/i/?/`
Owner
Address
Cfty/Zip Code
Phone
SINGLE FAMILY DNELLINGS
Contractor eS
Address
City/Zip Code /?T? /?' ,- /L/'t i-ril i Phone :z 7-- L-Z8'zC'7e T-fqo Z
Arch./Engr.
Address
City/Zip Code
Erect X
Remodel ?
Repair ,
Addition
Move '-
Demolish ?
Int.Impr. _
Znstall ?
APPROYALS
Occupancy
Zoning
Type of Const
IJ of Stories
Length
Depth
Sq Ft
FEES
Assessments Permit
?
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg OffJ,t '"Treatment Pl
APC Parks
Variance Copies
TOT6L
?
Phone ll
2q- x qo, - q(oo
2o x 22 ? ??a
x sta -
x (?- -
ssG8v g
S2 8 c?
.?? = .
? .a
'- ---
I
; r? . .
FORs Robert Osland
0/ Y"
NOTE:
G Denotes Wooden Stake
Proposed Garage Floor E1.= wS•9
( qoy, & ) Denotes Proposed
Finished Ground E1.
--ds--- Denotes Dizection
Of Surface Drainage
Vertical Datum - N.G.V.D. 1929
(9oz. \,
2
0;i;vy
Or°`nOLJle go
r ,
,
\
a
a?
?Q
a=
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?
.. *1864 DeerN;ll;
C. R. WINDEN 6 ASSOCIATES, INC.
LwNO SUavEYORS Ta1. $46•3649
1361 EUSTIS iT., fL ?AUI, MINN. 66106
Scale: 19-30'
e Denotes Iron
honument
Bearings Are Assumed
ent
EOSety" '
? ` Zk
-v
?
901.9)
Lot 4, Block 2, SUN CLIEF FOURTH ADDITION,
Dakota County, lfinnesota.
WE NERE&Y CERTIFY fNAT INIS IS A TRUE AND CORRECT REiRESENTATION Of A SURVEt Of TNE
{pUNDARIES Oi TME IAND ASOVE DESCRI6ED AND OF ?NE IOCATION Oi All {UIIDINGS, IF ANY,
TMEREON, ANC All VISISIE ENCROACNMENIS, If AN1', iROM O! ON SAIC lANO
Ooted eAis -5t- b der of-,cyevcmbei A.D. 1991'5 C. R. WINOEN 8 ASSOCIATES, INC.
&-.A6
br
Zwr.qor, Minnewta Rpistrolien No 772G
.
?. • ?• . • . • .. . ?? . - • ?. . ? ? 1 ? . . W.
, . .. CZTy pF EAGAN.. ... _ '. . . _
APPLICATION FCIR PERMffT SEW.R AN7/OR FATER CONNEX.TION '-
.. ?r?? _-
?, •,. - -- ? - --- - .- _
P?tOPERTY-ADDRESS: •°?_?4?64 D:eerH?i 1.PTsease?TraPr?i= utt
t=,._
`IAEMAL DESCtIPTION- - _ ;-
. ... ....<. _.: .. ?. . , _. ,-
_
: .: , „ ... ?. .
. .'? ?.,.x Lot oc vision or. Tax Parce I.D. Nuaber)_.. _. ..:-?_ .
--
'
IF EXISTING.STRCCTURE;y DATE OF ORIGINAL BUILDING PERP1iT ISSLANCE:?`=°
? . . , ?.
Mon Year
...y: o..- - . .'. ?s?:.,?T?'
) •-?
,....... PRESENT ZONING/PROPOSF9`?USEs.'::;:- R-3:::SINGLE FANIILY "t
R-2 DpPLEX (7tao Lni.ts) -- - -
R-3.TOhTgiOLISE (Three + Chni.ts) ( Units)'-'.' .
?
-R-_e4PARRMENt/COPID(kUNiCT1 (7- '-? ?:. ., .. ... LTnits.
? ,
. ?
.???.• _tyja????• ??1? .?tin1`?:, rAI??'+? q?;i•.'ti?':.Y.`?1AL?av.+iL1iTTy /py??'??{ Y/Oy??/?p CC1l•-• '?X?i..T?,Y.?'?•_'?i':?` d?t.'•
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HEAT LOSS CALCULATIONS
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HEATINGBAIR CONDITIONING CO.
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MINNEAPOLIS, MINN.
WeathersTrips A.S.H.V.E. Consbuction No. Insulation
Windows Doors Guide
Neferenca Out. Wall Int. Wall Ceiling fbol Floor Kind How Applied
Yes-NO Ves-No Ig _
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Totel Btu. Total Btu. (! ?
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Use BLUE or BLACK Ink
For Office Use
S~
City of Eanon I Permit#:
Permit Fee:
3830 Pilot Knob Road I ? I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: ~erlc_e_ M--0Q 3., ,cQ!J Ck n Phone:
Resident/
Owner Address/ City/ Zip: t_K t o Cl beer ft c ~ I S +rCt_ r
Applicant is: Owner Contractor
Type of Work Description of work: I`~ - Iw C7
Construction Cost: Multi-Family Building: (YesO / No )
Company: P P Contact: I& 7(.3_V,?Z°J7r.SJ'
Contractor Address: f~a gS e-vs LIB City: JZu<V,. d(Olt
State: ~-w Zip: S ~ Phone:
License _9C1 u. C1 r Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
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 they 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.gopherstateonecall.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.
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__U It it x
Applicant'sPrri°nted Name Ap licant's Signat e
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119095
Date Issued:11/14/2013
Permit Category:ePermit
Site Address: 1864 Deer Hills Tr
Lot:4 Block: 2 Addition: Sun Cliff 4th
PID:10-72978-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Hilaire K Moussougan
1864 Deer Hills Tr
Eagan MN 55122--225
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
k�. '
� � Use BLUE or BLACK Ink
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fi' � �: , � For Oftice Uss j
. ����Clt .:of��E�a a� � ��-�-�'� �
I Pertnit�k:
. . � �"`� ' .1
� PertnR Fee:
. 383p Pilot Kn'ob Road � �
Eag'ar1 MN 55122 . I Date Received: �
� Phone::(651)675=56T5 � �
. . � StatF �
� � �f ax:�(651).675-56 s4 i
. �.����������������J
. . 2p1�4 RESIDENTIAL PLUMBING PERMIT APPLICATION
' Date: Site Addreas: �
Tenant: ' 3ulte�:
���w,��;-���� �r,: � _� /� y
� �
�� ����� �� t1� P ����� ��
r���Re'sld�enUOwnQ� ;�� �Name: u- �� �� hone: �l�"
. �� ���' �t� ��' 5 � �/ /
w�� ''���� . �� �'�4 Address�'City/Zip:� 7�� + l ,�J [, � �- I�l f�°� �z,�
.
��,������h°�� � ' .
Milbert ompany Inc dba Cullign Water�
����3�,����a�Y x �� Name: .. ucense#: WC643176
,��� �-.� a��. � ;. t .. .
�:����°����, � �� Ada�ss: 180150.. Street East� �;�,. Inver Grove Hgts.
��� ��Contcac o � ��
�
����'��:: ��¢�q � State:. :M N. zip: 55077 Phone� 651-451-2241 �
..
�,� � r. � , .
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� �� � ������ x ,. �.� .co���:. Wiliiam� R:�Milbert Eme��: �
m ������ � � .
��� �`�:����`��� s _New �Replacement _Repalr _Rebuild _Modify Space Work in R.O.W.
� Typ.e�of�y�l,o� �� : . —
�
�:�;' ���";�f ���'� ...� ..�, Description of work: �
�x,��'�'�« ���, � �' RESIDENTIAL
������.., � � '� ' ' �
���� �_', ��'�; Water Heater
��§ �r,�� �� � • �Water Softener
��-. � �,�� � Lawn Irrigation(_RPZJ_PVB)
'Pe`rmi T<< s
�';t�;� ���� ��� � � Add Plumbing Fixtures�Main/_Lower Level)
���� �r������ � Septic System
�� ���� �`�, r} , New Water Tumaround
���� � � ��'�t ��- ' �
��,�"�+�� ��.�°s � ADanrionment
::RESIDENTIAe.:.�F�ES:� ��
-:�6Oi00 YVa4er Fleater;;:llVater Softener,or Water yeater and Softener(includes$5.00 State Surcharge)
' :'$60.0.O��t;awti��lrr'i�ation;(includes$5.00 minimum State Surcharge)
�$50:00.Atic(.'f��ut��iing�Fixtures, Septic System Abandonment,Water Tumaround'(includes$5.00 State Surcharge)
� �:. :"V11ate.r'fiumaround(add$200.00 if a 5/8"meter is required)
J�1 t5�.00:�.5e`ptiC.SV§ferti New.($10.`00 per as tiuitt)jincludes County fee and$5.00 State Sutcharge) ��
� � - �� � ' � � TOTAL FEES 3
�`CAL`L:`BEF.QR��:Y�U DIG. Call Gopher 3tate One Call at(651)454-0002 for protection against underground utility damage.
� 'Call 48.fiours"bYfare'you`intend to digto receive'locates of underground utilities. wvvw.aopherstateonecall.om
i�:li�rebq eckhowled'g0`ftiat this infcrma:lon fa compiete and•accurate;that the work will be in coniortnance with the ordinancea and codes of the City of
. E�agan;:ChaY-I'undersra�id:thfs is n�t a,permi� but ony an application tor e.permft,and work la not to start without a permit;that the work will be in
��accortlance;�ritkC.:fib.Va�ip[oyed plari:in the caae of work.which requirea a roview and approval of plans.
t .;'� �.U',�.��� �t�2���?���- X �
� �Applicarit's`,P�inCe;d;Name � Applicant's Signature
k ;a ,
�3 ` .�M r:� s �
� �R O�IC 'g � � �� ` ��ry ci`°` ate �
. ��,� ¢��' �� �r��'�+,' � �,. ,��� .n
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Reqwred�lns;�e �ig�s �r��"�%.� ey Q4i: � � �:P±f. �. ,r
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,
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156079
Date Issued:06/14/2019
Permit Category:ePermit
Site Address: 1864 Deer Hills Tr
Lot:4 Block: 2 Addition: Sun Cliff 4th
PID:10-72978-02-040
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Hilaire K Moussougan
1864 Deer Hills Tr
Eagan MN 55122--225
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156402
Date Issued:06/27/2019
Permit Category:ePermit
Site Address: 1864 Deer Hills Tr
Lot:4 Block: 2 Addition: Sun Cliff 4th
PID:10-72978-02-040
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 -
Hilaire K Moussougan
1864 Deer Hills Tr
Eagan MN 55122--225
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature