1259 Deerridge CtINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: 10 BLOCK: 5 APPLICANT:
1259 DEERRIDGE CT BURNELL. KERMIT
BIRCH PARK (612) 869-7749
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
BUILDING
023825
06J10/94
INSPECTION .. . D•
F007INGS FINAL
F- ?
L-- ?
BUILDING PERMIT
N° 12298
Receipt# ??7?
7o6eusedtor SF DWG/GAR EsiValue $127,000 pate JULY 16 19 86
SiteAddress 1259 DEERRIUGE CT
Lot 10 Block 5 Sec/Sub. BIRCH PARK
Parcel No.
W Name DEVELOPERS CONSTRUCTION
3 nddress 1101 CLIFF RD
° ciry BURNSVI?'? 890-6194
= o . Name SAME
? a Address
? City Phone
F W Name
Address
i W Ciry Phone
Iherebyacknowledgethatlhven?adthisapplicatiqnandstatethatthe
inlormation is correct and agree o comply wapplicable State of
Minnesota Statutes and iry of agan if(a 6es.
Signature of Permitte
A 8uilding Permit is is ed to: DEVELOPERS CONSTRUCT
all work shall be done in accordance with all aooHeable of Minnesote
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Erect CT Occupancy R3
Remodel ? Zoning R I
Repair ? Typeo(Const Vri
Additian ? No. Stories
Move ? Length Sd
Demolish ? Depth. 38
Int Impr. ? Sq. PI
Insfall ?
Approvals Fees
Assessment
Water & Sew.
Police
Fire
Planner
Council
eid9. on. 7/14/86
Var. Date
Permit $ 500.50
Surcharge 63.50
Plan Review 250.25
SAC 575.00
Water Conn. 500.00
WaterMeter 63.50
Road Unit 290.00
rr. Pi. 1 S6 . 00
Copie,
Tota? $2,398.75
- on the express condition that
of Eagan Ordinances.
Building OHicial
_..?.?• _ ?. ..
. , ' CITY OF EAGAN 3830 PUot Knob Road, P.O. Box 21-199, Eagan, M N 55121 12298
• PHONE: 454-8100
BUILDIWG PERMIT Receipt #
To be used for SF D41G/C,AR Est Value $127,000 Oate JULY 16 19 86
SiteAddress 1259 DEERRIllGE CT Erect C]( Occupancy R3 lot1Q 8lock `? seclsub. ?IRCH PARK Remodel ? Zoning R1 ?
Parcel No. Repair ? Type of Const STJ3
Addition ? No. Stories
W Name DEVEIAP'r'.F2S GONS'PRUCTIOI4 Move ? length 54
3 Address1lOl CLI?'F RD Demolish ? Depth ?R
° city BU.t2NSVIWo, $90-6194 int impr. ? Sq. Ft
Insrau ? ?
S t'IF APProva
= o Name
0¢ Address Assessment _
City Phone Water & Sew.
11-¢
? W
Name
'
Address
i W Citv _ Phnna
Police
Fire -
Planner
Council
this application and state that the
gldg.Off??
?mply wjth all applicable State of
Permit 500.50
Surcharge 63.50
Plan Review-256' 25
SAC --- 5 7T' 0 0
Water Conn. S . 0 d
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Var. Date I Copie
Signature of Permitte- %-- z To?l
?? . 7 S
._.-
A euildin Permit is issued to: DFVELOPERS COi?1STR(JCTIO?V
9 on the express condition that
all work shatl be done'in accordance with ail applicable State of Minnesota Statutes and City pf Eagan prdinances.
I - I wMM No. I a~ Haa.. I om I TNphon* M 1
r-
Plby.
Disp.
PERMIT #i
MECHANICAL PERMIT RECEIPT #
. CiTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _
NTRACT PFi1CE- ounuF• ar.a_atnn
Site Address '
Lot Block
m Name
? Addre
c City
BLDG. TYPE WORK DESCRIPTION
Res. ? New ?
Mult Add-on
Comm. Repair
Other
NamC
c Addre
O CttY -
i r rc vr nvnn Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent
Pi
G
i
O
t CFM
as
p
ng
utle
s #
Other
FEE
S/C:
TOTAL•
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1°r6 OF CONTRACT FEE
MINIMUM - 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)
SIGNATURE OF PERMITTEE
FOR CITY OF EAGAN
PERMIT #
PLUMBING PERMIT RECEIPT #
, CITY OF EAGAN
?
3830 PILOT KNDB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE ONE: 454-e1oo
Site Address ' 'E' - ?? ? ? 'Y• BIrDq TTE WORK DESCRIPTION
Lot J U Block 5 Sec/Sub V?-
Res. New
m Name ? ' ' ? • ? • t Mult Add-on
? Address Comm. Repair
c City Phone Other
?
Name - - ti ??-= • ? ? NO. FIXTURES TOTAL
- W
t
Cl
t
$3
00 $ 1
?
.
a
er
ose
-
3 Address ? 6ath Tubs - $3.00
p City ? Phone Lavatory - $3.00
Shower - $3.00
00
Kitchen Sink - $3
FEES .
COMM/IND FEE - 146 OF CONTRACT FEE Urinal/Bidet -$3.00
Laundry Tray -$3.00
MINIMJM - RESIDENTIAL FEE
-$10.00 Floor Drains - $1.50 '
MINIMUM - COMM/IND FEE - 20.00 Water Heater -$1.50
STATE SURCHARGE PER PERMIT - .50
Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES / Gas Piping Outlets -$1.50 ?
BEYOND $1,000.00) Softener - $5.00
Well - $10
00
.
-Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE ?
STATE S/C
FOR: CITY OF EAGAN GRAND TOTAL: -?'
w? r UF EAGAN Remarks Division # 16252 10/85
Addition Birch Park Lot 10 Bik 5 Parcel 10-1417 5-100L05
Owner Street 1259 Ueei dgP Cniirt StateEagan MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK
SEWER LATERAL 11
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK ?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
i;•f? il: I f. i I?i'{ I ?
i ?? i•:? li A'A lrF . ? ?. 1.• ? rse) 1+- 7 i,! a
I PERMIT
TYPE OF WORK:
! I; -I I I Nt,', I I II ? 1,4i% I
Permit No. Permit Holder Date Telephone #
SJW
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Finai Plbg. Plbg. Ittspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Oeck Ftg. ?
Deck Final
Well
Pr. Disp.
?
CITY OF EAGAN WATER SFRVICE PER
3830 Pilat Knob Road
P. 3. Bax 21199 PERMiT NO.:
Eagan, MN 551,P DATE:
r
T_onirg: No. of Units:
Owtte r: . ? . o r . . .. - _ _ , ? .
1 Nno te oea* whh fM
/lddross:
Sk? /lddrcss• . -' eerr . ge ,ourt :_._ 75i, rcr: : ar,?
???? : 'eier e .rencn *??
6z • ??. ..Oop
?Nete. Ne.• • c?+oroe:
Me ?
M :
Reader No.:677Q70 ?f R^Z
NO. . b. i
owl
? By
/
Dece
Dots Paid:
63
t o - 3 I - `66
CITY OF EAGAN SEWER SERVECE PERMIT
` 3830 Pilot Knoh Raad
? P. O. Box 27199 PERMIT NO.: .
? Eagan, MN 55121 DATE: , :? ?•
Zoniny; No. of Units: ? -
f pyvnsr. s ?
?
( Address: .?
Site 1lddress:
! Plumber.
1 pm te easph? wNb tIN CNp ef Mpn
OrdiegoeM.
By
Date of Irap.:
@A,. ..I
.
Cor+nectian Chorpe: ,"` "?.•,°
Amount Depoait: " • ?
..:.?;. ?-
Penr?k Fee:
Surchorpe:
Miac. CFwrOer
Totat:
Qoft Pald:
RESIDENTIAL
,5-0a (o D BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConsWCtion Reauiremenk
• 3 registered site surveys showing sq. 8. of lot, sq. k. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies ot plan showirkg beam 8windax sizes; poured found design, etc.)
. 1 set of Energy Calculatrore
• 3 copies of Tree Preservation Plan'rf lot plaHed after 711193
• Rim Joist Detail Optlons selection sheet (bldgs wkh 3 or less units)
DATE '),/ ? A 10Z
_ Water Softener
Water Hcater
No. of Baths
SITEADDRESS 1Z15q Deerr?Cioe- ??- MULTI-FAMILYBLDG _Y _N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ?TO.cY?Pt?i \
STREETADDRESS ACI1 g CITYL1i-F1P.Cn?STATE r1zIP 11?
TELEPHONE #-?`,?A 1ALo-o CELL PHONE # FAX #
PROPERTYOWNER Ch?e.r "?r???,?g TELEPHONE# la90 q?i5?r
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RUI.1;S 7672
(J su6mission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ___
Plumbing sysCem includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
HeaL Recovcry System
Phone #
Phone #
ree: $90.00
----------------------------°-°-----°°----------°----------------------------------------------°--------------------
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
SlgnatureofAppllcant ? ???
OFFICE USE ONLY
I2$ Z5
RemodeVRewir Reouirements
• 2 copies of plan
• 1 set of Energy CalculaGons for ireated additions
. 1 site suney for euteriw additions & decks
• Indicate'rfhomeserved6ysepticsystemforadditions
VALUATION LPO00•
Phone #
_ Iawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? OS 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. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Pluxnbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Aa/Gas Tests _ Final
_ Framivg _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
6ase Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
CITY QF EAGAN
3830 Pilot Knob'Aoad
Eagan, Minnesota 55123
(672) 681-4675
SITE ADDRESS:
PERMIT cg,;?-7 ?-11 ,
PERMIT TYPE:
Permit Number:
Date Issued:
1259 DEERRIDGE CT
LOT: 10 BLOCK: 5
BIRCH PARK
P.I.N.: 10-14175-100-05
DESCRIPTION:
9uilding--Permit 7ype OECK
'Build.ing Wa.rk Type NEW
`.
;
`
?? .
\V -
4.i
F.
. O 1 a? ?\
; ?.,. ' ll :? ?? ?? ?j' a ?a?u
., _ .
BUSLDING
023625
06/10/94
REMARKS:
FEE SUMMARY:
6ase Fee
Surcharge
Lic. Search
Total Fee
$30.00
$.50
Fee $5.00
$35.50
CONTRACTOR: - Applicant - ST. I.zC. OWNER:
BURNELL, KERMTT 18697749 0002918 PHILLIP5 RICHARD
6801 SHERIDAN AVE S 1259 DEERRIDGE CT
RICHFIELD MN 55423 EAGAN MN 55123
(612) 869-7799 (612)681-9556
?
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicabla 5tate of Mn.
Statutes and City of Eagan Ordinances.
w fAPPLICANT/PERMITEE SIGNATURE
ISSUAf:?___
IG
NATURE
I
iL liff
CITY fJF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registe ePP mVepl copy of energy
calcs. ,.., f; Z 1994
COMMERCIAL 2 sets of architectural & tructural plans, set of
specifications, 1 copy of - --
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3} lot change is requested once permit
is issued.
Date 04D / o x / c14 Valuation of work
Site Address: iA5°I b ee_vr14 ci.
STREET SUITE !f
Tenant Name: (commercial only)
IAT I0 BIACK S SIIBD. P.I.D. #
Descri tion of work:
The applicant is: 1131Owner ? Contractor ? Other (Deseribe)
Name Pk, I <<a S R;(- (,\ ti( C?k Phone (D81-9656
Property LpST iIRST
Owner qddress iDceso«?? e.t.
STREET ? STE #
City Ek`Ja"` State "A'J Zip
Company 1C?,n`t 3:' rlC 6 L?'?? phone (4c1
Contractor Address (vgO i S Yckcw. Au-e?. S License #?`t i$ Exp.
City State Zip 9511'9-3
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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.
Si
f A
t
li
gna
ure o
pp
cant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
El 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 Sf Porch ? 09 12-Plex O 14 Fireplace
? 05 SF Misc. O 10 Multi. Add'1. Aff 15 Deck
WORK TYPE
E] 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
2oning
# of 5tories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? .Site
11 Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
01" Footing
,a Final
? Framing
? Draintile .
?
-?
/
? Insulation
? Fireplace
Permit Fee vetuacson: g
Surcharge
Plan Review ?
License 00-
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
?
,..?s,•+ i?* .._....? ;:
? 16 Basement Finish
? 17 Swim Pool
E3 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRU Required
Baoster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
' Construction -
'1 Road
-e, MN 55?,37 _
DELMAR H. SCHWANZ -
l qND 4UByf VORS INC
RrO•ylrvpf Unl•r Ldn• ntnp GIT6. "I Abionnln `
14750 SOUTH HOHERT TRAtI ROSEMOUNT. MINNESOTA 55088 PHONE 612 423-1788
SURVEVOR'S CERTIFICATE
?'• ",i??" 7 :J . ?. -, .
QU /Drainage & []tility
Easement I ?o
IV'
n
? ?nv o
/ ? ??,° I ? •
,,
n I\Q M?°.p ??? '2 ?? I Scale: 1 inch = 30 feet
*
n??L \ .? p? , R 2O U= Set wood hub
p= Property corner
? ? ? lY _, I r?? = Existing elevation
f [1JPJ C?i
91M
I
O'r3
\ ? 0 , _ '?nr
(f ? ?\ 3`?
?11 ?? Ton??,,,?3 /Z/. 07
I hereby certify that this is ,3 true and correct representation of the
following described tract of lend:
Lot 10, Block 5, BIRCH PARK, according to the recorded plnt thereof,
Dakota County, Minnesota.
Also showing the location of a proposed house staked thereon his lt
day of July, 1986.
MINNESOiA PEOISTRATION NO. 8625
C I TY O F E A A N *"10?' PAYME?Tf OF FF.E AT TIML? pF
. * APPI,ICATION DOES NC7P ODI1S'rI7.[JRE
* APPROVAL OF PERMIT.
APPLICATION FOR PERMIT *
? INSPDGTION OF SEMR A6ID/OR WAM
.. *F azvArz.AmTONS WII.L D10T BE SCHED-
SEWER AND/OR WATER CONNECTION ? ? ?M PEPMT HAS BEEN
? ArPxovFn.
****************x***.***?**.,?****.**
1) P ease,dPrint
9
PROPERTY ADD
}? e
RESS:
?eer
C-. •-
_
LEGAL DESCRIPTION: Lo't IQ'Block 5P-ircCi tar
Lot Block Subdivision or Tax Parce ID )
1 IF E7QSTZNG STRCCIURE. DATE OF ORIGINAL BC'ILDING PERMIT ISSL'ANCE: - -
-
PRFSE[1f ZONING/PROPOSED [,'SE: (I?bn . Y ear}
C0MA1EE2CIAL/REI'AIL/OFFICE XDX R-1 SINGLE FAMILY '
? I'STRIAL Q R-2 DUPLEX (74,o Onits)
n ZNSTIZL'TIONAL/GOVERNMENp ? R-3 TOWNIOL?SE (Three + Units) ( C?nitsj
? R-4 APARTMENT/COrIDOMINIOM ( *Units)
2) ?
NAME: Developers Cont.
• ADDRFSS: IIOI Cliff Rd. -
CITY, STATE, ZIP: 2urneville
PHOrE: 890 6194
?
3)
' • u?:?• ?„E, yaeierke Trenching For City Use ..
P1umUers i,icense:
ADDRESS: ' Active
?
CZTY, STATE, ZIP: Eagan bQn.
PHONE: MASTEE2 LICENSE# ?
FScpired
Nort recorded
Staff Initial
4) KC670ilwy.11
r,riT?
NAME: Same as applicant ?
ADDRFSS: •
CITY. STp3'E, ZIP:
PFiONE:
•5) WiT-p r i r: • a?• : o • a? o-?
CONNDCi'ION 1O CITY SE,WIIt XM Cpr7[VFx,'TION TO CITY WATER Q (T(M_
r r. u• .
? ?- 7diO 6
--
6) ° •' ??' g)MX;PLE'1iSE HOID APPROVID PEE2MT FOR PICK-UP BY ONE OF ABOVE `--` --
? PLEASE MAIL APPROVID PERMIT 10 1, 2, 3, 4, ABOVE
? _.n` ? I • ? (Circle one) '
FOR CITY USE ONLY
PERMIT # ISSDED
750
Pd w/Bldg. Permit FEES:
$ $
$ $ lb- S-b
$ L? .J . ?-j? .. $
$ S
$ $
$ $ /?ii • /,* t'J
$ $
$ .d7 U?O -c9 U $
S $
$ $ .
$ $
$ $
$ $
$_ / ??,- . •t?0 $
$ $
$ 47 n7 41 S--z) $
? 7 D
RECEIPT
RECEIPT
SEWER PERMIT (INCLUDE 5[)RCHARGE)
WATER PERMIT (I[VCLUDE SLRCHARGE) .
WATER METER/COPPERHORN/OC'TSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP
ACCOD[VT DEPOSIT - SEWER
ACCOONT DEPOSIT - WATER
WAC
SAC
TRDNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER s
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SDRCHARGE
OTHER:
TOTAL
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN P[1BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK LVITHIN PLBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITZON.
SUBJECT TO THE FOLLOWING Cb[VDITIONS:
A
APPROVED BY:
TITLE:
DATE : ?' ?p
- -?
?
1986 BIIILDING PBRHIT APPLICAITOH - CITY OF EAG9N
NOTS: Ai.I. CONTRACTOR4 MQST BB LICENSED iiITH TH6 CITY OF EAGAN
SI9GLE F9MIILY Di1ELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATE$ OF SURVEY, 1 SET OF ENERGY CALCULATIONS
PNLTIPLS DWELLINGS - RESIDENTIAL
INCL[TDE 2 SETS OF PLANS, CSR
1 SET OF SNERGY CALCULATIONS
COMlfERC71I:
REN'PAL DIiITS FOE SALS Q11ITS
OF SURVSY - CHSCB iTITH SLDG. DSPT.,
INCLODE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 I,ANDSCAPE BOND
To Be Used For:
Site Address
/2 7Cl00.
Valuation: ?
Lot _LU Block
Parcel/Sub
Owner
Address
City/Zip Code
Phone
Contractor
Address
City/2ip Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone #
?
i
,
Date: - ?
Erect Oceupancy
Remodel Zoning
Repair
? Type of Const X- j
Addition # of Stories
Move
i Length ?
Demolish Depth
-
Int.Impr. Sq Ft
Install
9PPROVALS FEES
Assessments Permit
Water/Sewer Surcharge ?
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
-
Council - Road Unit
?
?-r
Bldg Ofx ?
Treatment P]
APC ? Parks
Varianee Copies
TOTAL
5
NOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOHEOWNER MOST DSSIGN9TS WHICH ADDRSSS
IS DESIRED. NO CHANGES fiILL BE ALLOiiED ONCS BDILDIAG PSRMIT IS ISSDED.
ZC? x`z.4 5-7 ?
-TZx
`' 1 Zo c.?
3 c)
77,56
tD 'x- 421
?-Zx4L}.z316?
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Survey For:
Deyelopers Construction
1101 Cliff Road
Burnsville, MN 55337
DELMAR H. SCHWANZ
L4ND $IIRVEY(1F[ INC
APastwM U^aa, l rwe ?J inr Slalr M Muinrenla
16750 SOUTH ROBENT TRAII ROSEMOUNT. MINNESOTA SSOBB PHONE 812 423-1769
SURVEYOR'S CERtIFICATE
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( Scele: 1 inch = 30 feet
? = Set wood hub
I O = Property corner -
qq = Existing elevation
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I here6y certify that this is a true and correct representation of the
following described tract of land:
Lot 10, Block 5, BIRCH PARK, according to the recorded plat thereof,
Dakota County, Minnesota.
Also showing the location of a proposed house staked thereon his lt
day of July, 1986. -
MINNESOiA REQISTRATION NO. 8625
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exrr:niou EuvELoi'E nvcnnrr ??U?, cnni'innrimi
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DIlIIER!
SITE /IDDRESS: .L?S-d:_ . .. , -? :? ???? . . . , •
;OIITRACTOIIt (JpuQh inarS Con54ruc4,'ow b/17E1 ` PIIOIIEs ?`p-
IIETEIIHIIIE Ii0f1Y.111R SOUAIIE FOOTAGE OF EAtll; ?. .'
I . Y07AL EXPOSED tlALL AIIF.A, , , sq f t x "U"
!. TOTAL ROOF/CE IIIIIG A4CA sq f t x"U"
. . . ? ? . . . ? ?(.°?
I. TOTAL EXPDSF.D 12hLL AIIEA CALCULATIOIISt .
Total exposed wal) ,
' arca above floor
. .......
.. 3? 3?
sq ,
.
ft .;,.?..:
••a
.
a) 7ota1 riall window areas •' • • ..
qlazed,..... (21.tla ?2C) sq ft x 11011 3ar7
?
?
,rylazed,,,,?? ?- sq r--- e
ft x "U" • .__
b) Total (looY oYCa .......... sq
d
ft x"U'l .O'?] a• 9 y
c) •Total slldlnq qlass do
d)
0
F) Total net wall area above
Floor (Insulated)......._ .2QO9. $Osq ft x"U" .py 3 d 8G•y??
g) Total rlm Jolst arca,...,. sq ft x"U'! o y .. G??
Total ioundatlon
., ?
, rca (Exposed).,,,.sq fc
' 81
1?) Total Foundatlon '
wlndotir area ............ . 1? 5-1 ft x'lUll A? L
I) Total net Foondntlan
arca above.qradct..,,,,, 63 Sq Ft k"U"
TOTAL a) thru I)
If'Item p) Is the same as, or less tlian Itr.m p1, you liavc met tlie intent of
S,n.C. Sectlon 6006 (c) 2.
. . or areair
glaxed.:.... _ ??? sq ft xI'Uu
qIazed.'. 34, f t x ulln
Tota) flreplace wall arca • '"'- sq ft x"U" " .. '-
Total saall framing erea
(Avcrage 10)..........
.' a y 9 Sh F-t xI'l?" `(3 y
n '?. S G
a a3 ?
- lnLxxrosEO aooF/celllnc r,nLCULn11nuS:
, . . .
'Totnl expo;ed
? rooF/ccillnp orea........ / LV ?9 sq ft
J) . ToEol skyllaht. area.'...... - sq ft x"U"
k) Total roof/celllnq framing
d1 ?/ b ?•??', . '
' . . area (Averaoc 10l,)...... s4 ft 0,
. • • - . •.? .
1) Total nct lnsulaled
rooFJcellinq area....... ? sq ft X I?U11 + 0'1 n 2?.9?. ?•
o?
? • ? , 10TAL J) thru I)
t. . IF total'oF !"h Is thc same as, or less thnn P2, you hnve n,et the Intent of
S.B.C. 5ectlon
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. , ? ' „? , • ? . .. .'?;..1?? .• . ? ? . ? . . •
. • • , ? . , ,
nL-rEnnnre uuiLninr EuvELorr nrsirs11 . ? • .
70 otlllze the totel cswelopc system metiloJ,,the volucs eetobllshed by the sum of Items P3 and Ph shal) not be greater then the sum of Items ?and /!2.
t. 2-7y•7 g + 2.
3. 231,o`f + h• , S'/?l!' ..
.
r. E tt T I i,I r, n T i n I I .
I I,ereby certlfy that I have ealculnted tlle "11" factors and "R"
values hereln and tllat tlle bulldlnq here drscribed meets or exceeds the 5tate
oF Nlnnesota Encrpy f.onscrvatlon Act.
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• , ?9?rynaturc
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CITY USE ONLY
IO gL ? RECEIPT#:
SUBD. RECEIPTDATE:
PERMIT #
8000 PLUM$INfi PEiM1T (RESIDENTIAI.)
crrYoF EAswx
5930 PILOT KNOB RD
EAfiAP, bI1V 551E2
651-681-4675
Please complete for: ? singfe famity dwellings
? townhomes and condos when permits are required for each unit
? backflow preven[er for underground sprinkler system
civTi lorc
Fnr.N
#
TOTAL
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
3( j • 0(z)
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
G85 i in OUtICt ' minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Se tic S stem new/refurbished • reuires MPC Iic. 75.00 x = $
Se tIC S Stem abandonment 30.00 X = $ ?
RPZ new installatioNre aiArebuild 30.00 x = $ ?
Rau h o enin 1.50 x = $
Shower 3.00 x = $
Under rounds rinkler ifdwellin is under construction 3.00 x = $
Under round s rinkler irexistin awemn 30.00 x = $ ?
Water closet 3.00 x = $ ?
Waterheater 3.00 x = $
Water softener If dwalling undet eonatruction 5.00 x = $
Watersokener ifeafstin dwellln 30.00 X = $
Water turnaround 30.00 x $
State Surchar e .SD --> --> ____> $ .50
Total "> --' ---' ---? $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
_
- -------•--- - --• -••---------------------------
-
---------•----------...---------• •-------..-----------------• •--
- lo compiY wiN all appliwble City of Eagan ordinances.
-
-
-1-have.read-ihis appli- ption,• state-thal the.informafion•is-corteU,-a-nd agres-
- thal-
I-hereby acknowledge-
It is the ap0?icanrs responsibility b noGty the property owner that the Cityof Eagan assumes no lia6ility tor any damages caused by the City during its rwrtnal
opera[ional and maintenance activi6e5 lo Ne facilities consVUCted untler this permi[ within Ciry pro e lrighbof-wayleasemen[.
SITE ADDRESS: ? S In\ Z?
OWNERNAME:: tS TELEPHpNE#: t0 I ??? ?(c
, ts'j (AREACODE)
INSTALLER NAME: Sc?C +^f-, TELEPHONE #:
(AREA CODE)
STREET ApDRESS: l S ?{ ? «
CITY: ?^? ci Ln? _-?STATE: IP: '5 ? // ----
SIGNATURE
Gy 73 2- 2004 RESIDENTIAL BUII,DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
q 9 a-?
New ConsWdian Reau'rcements RemodeVReoalr Reau'vements
3 regrstered sNe surveys showing Sq. ft of lot, sq. S of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for hea@d additions
2 capies of plan showing beam & window sizes; poured found design, etc. 1 site survey for add'Nons R decFs
1setofEnergyCalalations Addftn-indicateilonsvlesep6csystem mm
3 copies W Tree Preservation Plan if lot platted after 711193
Rim Joist Dehail Options selection sheet (bldgs witlh 3 ar less units
Date-0 /
Site Address O l l,,3?' Constraction Cost
eo VxT- Unit/Ste # ?
Descripfion of Work L&:257.,Z-
Multi-Faroily Bldg _ Y_ N Fireplace(s) V0 _ 1 _ 2
Property Owner le%?# rj-d'?Lf c /ow/& } f? Telephone # (`sJ )
Contractor ???'??? S/??'?p--- ?LJ'??- ? O ? ?v
Address
State ? !f lvvelse/Ll 4v& A)-
144411 Zip City 1,716-
Telephone #(-X?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NE1N BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventllation Category 1 Worksheet • New Enargy Code Worksheet
(-J submiuion type) 5ubmitted Submitted
• Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
Telephone #(
I herehy apply for a Residential Building Permit and acknowledge that the inf accurate;
that the work will be in conformance with the ordinances and codes of the Ci of Eagan and the State of MN
Statutes; I understand this is not a pernut, 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.
111(/CWXEC 12..
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-pVex ? 20 Poof ? 30 AccessoryBldg
? 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. Alt - SF
? 04 02-plex ? 10 08-plex ? 16 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_YOr_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement 'Demolition (Entlre Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# af Units Sq. Ft. PRV
# of 61dgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs _ Air/Gas Tests Final
_ Framing _
_ Siding _ Stucco _ Stone _ Brick
_ F'ireplace _ R.I. _ AirTest _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/E3 SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116885
Date Issued:10/11/2013
Permit Category:ePermit
Site Address: 1259 Deerridge Ct
Lot:10 Block: 5 Addition: Birch Park
PID:10-14175-05-100
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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 -
Richard W Phillips
1259 Deerridge Ct
Eagan MN 55123
Walker Roofing Company
2274 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature
, �
Use BLUE or BLACK Ink
^----------------�
� For Office Use �
�:. � .
� /a���� �
Cit of �a an ��. ,� . "', i Permit#: �- I
� J � � I
�'u a:.4 I Permit Fee: /�� �
3830 Pilot Knob Road �
Eagan MN 55122 � Date Received: � � �
Phone: (651)675-5675 � �
Fax: (651)675-5694 I Staff: I
I �
�___�____��______J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
oate: �D d I s�te adaress: � ��� ��(�--I�%'l�i� C C��-c��-7" un�t#:
§�
� Name: ����� � +►�!J �� �f�� w'r I��I.�l,������ Phone: ���'�j�l Z-��7i`�j�
����
�` Address/City/Zip: 1�G1 ��l��-,�`��� ����'�✓���
I �.
;! A licant is: Owner Contractor
pp
�
� �• � ��� Description of work: h�` ` � ��{�'���� �'������
@ O#,�II/�rk
'�, ; Construction Cost: �j C�� Multi-Family Building: (Yes /No
��'� , `�;:' ��� Company: �lll..�P%i�71 G�N i��"t'G�/J C��1'%� Contact: �.�'GG�7'71v1,Po'��Y'�—
�' �: ���/ (i�5'l��l�X�°(�1t'��
�� �011i`�"dCt01'� '�� Address: ��� �� �� � City: �[.�Wl�f1�1�-�C
�{�
� �� State:�� Zip: a���j1 Phone:��L��]'jg� EmaiL• �'°����{bL�l�Spi�d�fi�✓IG�J16v1 'IG�tZ"��es�. `��
��, �a
; � �,�• License#: ��,�7���SG��I Lead Certificate#:
��.w
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:
I
Mechanical Contractor: Phone: '',
i
i
Sewer&Water Contractor: Phone: I
�NOTEc Plans a up�+rting�ditctar�nfs t�af y+r�,r sfder�tl tb , �
k,#he infarmati� ���' c�a�si#��d�as r�"" .bt��ii� � �r� ,> ,
� ,
��, s�. �. : co th�i' � te#s���� � I
�
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 hours ,
before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq
i
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 I
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. 'I
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 I
days of permit issuance. !
X �'��I� �,t��ii/- vt s,9 iVt�fil�i► `iC d� C,�v���/ X V�y�--`.
Applicant's rinted Name Applicant's ignature '
Page 1 of 3 '
i �
�� �.�� ��-- ��.����
�� � �
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
� Single Family _ Garage _ Porch (4Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscelianeous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
'�L Alteration��'�s��_ Fire Repair _ Windows _ Demolish Foundation
�Replace � _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entlre building—give PCA handout to applicant
DESCRIPTION �
Valuation 1��3 � Occupancy �-� �- MCES System
Plan Review Code Edition 2�7vK5c3C SAC Units
(25%_100%� Zoning Y lJ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction �_f� 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
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
__ Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: � , Building Inspector
RESIDENTIAL FEES
Base Fee �� Z5- � L� �� � C�'� ' ��,5�
Surcharge f�
Plan Review � � i�'Z.�v
MCES SAC � �
/
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink . �
--------------, �
� For Oifice Use I
. � ��a � ��s� �
C16� Ol ����11 _ _ _ � Permit#: �Q �
�R>g , .-� --;� ; w �
` � � Permit Fee: I
3830 Pilot Knob Road i �Q i
EBgan MN 55122 �`,.' �' f���� I Date Received: �
PhOne: (651) 675-5675 � Staff: �
Fax: (651) 675-5694 !________, ______�
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION � � � f�r_
L�,��� � � 2-`��7 ��"��'� c�a� C�,�,�IY�T � ?�
Date: Site Address:
Tenant: d"��✓��� `�' ����.���/�� ���� �J Suite#:
�
'�� Name: ���7� � �,�r�v.ji� �`(�,C.!�� Phone: (��f,l� 5`�L� 72y5
Y �
������ Address/City/Zip: ���� ���'/�1� L��'�d�'�'T
�G ��`� ��� � (✓���i� �+._{�y, � �
����� Name: P� ►!�1� License#: p��'�`��'�,.�
,
� t �,p�`�
'"" ; Address: ��� w ��'� �� City: t.��Jl����
COl1'tr�Ct
zr�� � � /� ?�7� � [�
��:� � ,,`� �� State: �� Zip: ��.5�7 Phone: `1�J��' � �
�
�
Contact: .G�I I�`' I�►�=e� Emai�: I�I�" b L � �+,`l.Li�r'vJ
� ^��
� Qr��� _New _Replacement _Repair _Rebuild �Modify Space _Work in R.O.W.
� � >� Description of work: � '�I�► �'�� � 6�'�'l 0���°���F� C�4� C��� �'��'"�7ds�y4� '
�� ����
� �,����� RESIDENTIAL � ��
�; ���
Water Heater
�"�'� � �� Lawn Irrigation �RPZ/_PVB) Water Softener
��Per'� ��� � � ����
� �� Add Plumbing Fixtures�Main/_Lower Level)
�� � �i Septic System
� ��'
`�� ��� _New Water Turnaround
'{, �'�;.
u` °~ Abandonment
�. . ��;, � �'"��
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.0o State Surcharge)
$60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes$5.00 State Surcharge)
*Water Turnaround (add$200.00 if a 5/8"meter is required)
$115.00 Seqtic Svstem New($10.00 per as built) (includes County fee and$5.00 State Surcharge)
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orp
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 wiil be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
�� 9
X �����-i' �xfu/�e�/' C��zd1�I��.��� X I �t,�{�����--
ApplicanYs P inted Name Applicant's ignature
FO OFFC� E ���" �,�` ed By � � �a �{ ��� +� `� k �
���r. �� �� ; � �
:�
� � � �
F� �`F c�ns r �Uniler Grot�r�_ � �� � �r Test � G�s�=.�
. . �'� g��' `� '�'` ?� �. � ..
��8� f8t� �x_. �O� � ��'< �. � ��� ,!�
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147642
Date Issued:01/23/2018
Permit Category:ePermit
Site Address: 1259 Deerridge Ct
Lot:10 Block: 5 Addition: Birch Park
PID:10-14175-05-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Richard W Phillips
1259 Deerridge Ct
Eagan MN 55123
Royal Plumbing
23310 Canby Ave
Faribault MN 55021
(507) 202-1969
Applicant/Permitee: Signature Issued By: Signature