1266 Deerridge Ct' CITY OF EAGAN No _ 19348
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 .
BUILDING PERMIT PHONE: 454-8100
Receipt # I?`I (?C I(
Tobeusedfor PORCH & DECK Est.Value $3,000 Date JUN 27 ,lg91
Site Address 1266 DEERRIDGE CT
Lot 12 Block 5 SeGSub. BIRCH PARK
Parcel No.
W Name TIM HUMBERT
? Address 1266 DEERRIDGE CT
0 Cit EAGAN
y Phone 683-0439
oulName CHUCK OESTREICH
Address 3941 DENMARK AVE
? City EAGAN Phone 452-3540
?-x
S. Name
? ; Address
a W City Phone
I hereby acknowlege that I have read this application and state that ihe
information is correct and agree to com Jy with all applicable State oi
Minnesota Statuies and f Eagan 0 mance
Signature of Permilee , -?t ??fl J?'
A Building Permit is issued fo: CHUCK OESTREICH
on the express condition that all work shall be tlone in accordance with all
applicable State of Minnesota StaNtes and Ciry of Eagan Ordinances.
Building Oflicial
OFFICE USE ONLY
Occupancy -
Zoning _
(ACtual)COnst -
(Allowable) -
# ofSlOrieS
Lenglh Deck 20,
Depth R?.
S.F. Total _
S.F. Fmarmts -
On Sile Sewage -
On Sile Well -
MWCCSysiem -
Ciry water -
PfiV Requir9d _
Booster Pump -
APPROVALS
PlBnner _
Council
Bltlg. OIL -
Varience _
eldg. Parmit
Surcharge
Plan Review
SAC, City
SAC,MCWCC
Water Conn
Water Meler
Accl. Deposit
SM/ Permit
S/VJ Surcharge
Treatmenl PI
Roatl Unit
Park Ded.
Copies
TOTAL
FEES
1.50
57.00
. CITY OF EAGAN
N2 11391
3830 Piloi K nob Road, P.O. Box 21-199, Eaga n, M N 55121
PHONE: 454-8100
BUILDIIdG PERMIT Rece iptN
7obeusedlor SF DWG/GAR Est.value $134.000 pete DECEMBER 18 19 85
SiteAddress 1266 DEERRIDGE CT Erect ? Occupancy R3
12 Block 5 Sec/SUb.
Lot BIRCH PARK Remodel ? Zoning R1
Parcel No Repair ? Type ol Const _jJ
. Addition ? No. Stories
? DEVELOPERS CONST Move ? Length 54
W Name
1101 CLIFF RD Demolish ? Depth 42
o Address
BURNSV7AU
Ci Int.lmpr.
890-6194 ?
? Sq.Ft
ry Instau
SAME
o Name
a
$ Atldress
x
?
Ciry Phone
Name
Address
? W
Fw
_z
?o
ui
aW
Phone
I here6y acknowledge that I have read th is application and state that the
iniormafion is correct antl re to comply with all applic ple Siate of
. Minnesota StaWtes and ?ty o agan Ordinances
Signature of Permitte
DEVEL ERS CONST
A Builtling Permil is issued to:
all. work shall be done in acwrdance with all apeJi e State of ylinne a
Assessment Permit-?_00
h
S
Water & Sew. arge
urc
Pl
F
i
Police an
ev
ew00
Fire SAC
Eng. WaterConn. 500.00
Planner WaterMeter 63.00
Council RoadUnit 280-00
BIdg.Off. 11/14/8 Tr. PI. 132.00
APC Parks
Var. Date Copies--?
4--. 0 0
TOtal T"'" "
on the express condition Mat
S s9nd-2ity-of Eagan Ordinances.
Building
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122
651-681-4675
NewConstruction Reauirements
• 3 registered site surveys showing sq. R. of lof, sq. ft. of house; and all mofed areas
(20% matiimum Iot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculatiore
• 3 copies of Tree PreservaGOn Plan if lot plalled after 711/93
. Rim Joist Detail Optlons selection 5heet (bldgs wAh 3 or less unifs)
DATE j? ?? q-0 I
JOB SITE ADDRESS 101&(Q LXtYJ
!F NIULTI-FAMlLY EUIL NG, HO MAN
PROPERTY OWNER 110`I M
TYPE OF WORK fY, Yf-
APPLICANT ' r1ovi/Ch
PAGER # 3 y U W C LLy
S`10,60
10 -2)-q .di
RemadetlRevair Requitements
. 2 copies of plan
• 1 set of Energy Calculalions for heated additions
• 1 site survey for eetenor additions & decks
VALUATION (EXCLUDING LAND) d" [/ J
EPLACE(S) ? YES _ NO
PHONE # "F'J2- O - D] ?
FAX #
NIEV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Ener9y Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilatlon Category 1 Worksheet Submitted
- Energy Envelope Calculations Su6mitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbing Systein Includes: _ Water SoC[ener _ Iawn Sprinkler
Water Heater No. oF R.I. Badis
Fee: $90.00
No. of Bs
Mechanical Contractor. Phone #C2
Mechimical System Ineludes: Air Conditionino P'ee: $70•00
Hea[ Recovcry Syskcm
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
n is correct
I hereby acknowtedge that I have read ihis application, stat haWnances.
all applicable State of Minnesota Siatutes and City of Eag n r Signafure of A I
ica
Certificates of Survey Received _ Tree Preservation Plan Received _
c?
„?I?.
JU
'n agree to coWith
? ?- -- -?
Not Required _
Updated 1101
- , ,
CITY OF EAGAN
9
• 3830 Pilot Knob Road, P.O. Box 21-199, Ea an, MN 55121
:i
PHONE: 454-8100 , ? • ,
BUILDING PERMIT Receipt #
To be used for !ONZ 6 Dl.AC Est. Vaiue $3 0000 Date JI1M 27 , 1 991 ?
Site Address 1266 CMIRRIDG$ CT
Lot 12_ Block 5_ 5ec/Sub. 9I6tCk PAR1C OFFICE USE ONLY
--
P21'C@I n10. Occupancy - FEES
2oning -
W Name rIH HtlfKRT (Actual) Const Bldg
Permit SA-m
_ .
o AddresS 12? RL$?LD& ? (Allowable) - 1
50
Surchar
.
9e ?
Clty EA?'+aM PhOne 683-0439 _
# oi 5tories ?
? P?an Review `
Length
? -
p Name ?? ??EZ? Depth SAC
Cit
= ,
y
00
U Address 3941 QELeABZ AVE S.F. Totai
? SAC, nnCwcc
City Phone 631-3540 S.F. Footprints _
C
W ?
?
? W
Name On Site Sewage
-
on site wea ater
onn ?
w Water Meter
Address MwCC system
<W City Phofle Ciry Water _ Accl. Deposit,
?
PRV Required _ S!W Permit
1 hereby acknowlege that I have read this application and state that the
iniormation is correct and a ree to comply with all applicabre State of Booster Pump - SJW Surcharge
Minnesota Statutes and ' Eagan i nce Treatment PI
Signature of Permitae ? APPROVALS Road Unit
f A Buitding Permit is issued to: CK= DES'[`BaICS Planner - park Ded. ?
on the express condition that all work shall be done in accordance with all Council
? applicable State of Minnesota Statutes and City of Eagan Ordinances.
g?. p?{. _ i•?
Copies
? Building Otficial ? Variance _ TOTAL 37'00
?
i
?
a
Permit No. Permit Holder Date Telephone ?k
WATER
SEWER
PLUMBING
H.VAC.
ELECTflIC
Inspmction Date Insp. Comments
Foo6ngst
Foundation -
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Hig.
Orstat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Dedc Ftg.
Dedc Final
wen
Pr. oisp.
CITY OF EAGAN ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUIL.DING PERMIT Receipt #
To be used for SF nUdC% vAR Est value $13 4, 0 0 0 Date D E C FJ,iB
Site Address 1266 DFERR I UGL•' CT Erect CY Occupan
Lot 12 eiock ? Secisub. BIRCH PAFtK Remodel ? Zoning_
9)?,,,ol ki„ Repair ? Type of C
x
W
2
;
O
¢
?O
OV
VQ
?
W W
F W
00
t W
I hereby acknowledge that I have read this
information is correct and agree;to compl
Minnesota Statutes and City of Vagan Orc
Signature of Permittee
DEVE.
A Building Permit is issued to:
all work shall be done in accordance wfth all
V I
8
^rr•
Assessrnent Permit '' • 00
Water 8 Sew. Surcharge b. 00
Potice Plan Raview2-W. 0 Q
Fire SAC ? 00
Eng. Water Conn. 500 . 00
Planner " Water Meter 63.00
Councii Road Unit 28U.00
ationandstatethatthe O
gld . ff. 1?/14/ ?Tr. PI. 132.00
all applicable State ot g
es. APC Parks
L Var. Date Copies . p
r` '4 Total ' 0,
W'.7S COtJS`t'
on the express condiUon that
:able State of Minnesota Statutes and City of Eagan Ordinances.
PNmlt Na Permit Hold M Date TNophone M
PlumbM9 yo bh p? O
? H.V.A.C.
I ENetrie ?
8ortsnx
Inapsctlon Dah Ins p. Commenh
Foo3ings I 0?,/4
FooUnysll
Foundalion
Framinq
Roofiny
Rouyh Plby.
Rouph Mty. I ? [,? / ? SS//V G
lmul.
Finplace
FlnM Mfq. . .
FMN Pibp. -? ?
&dy. Final -46
Cert. Occ.
Deck Ftq.
I Deck Frmy.
?
w.u
DNCriM Locatl
on:
Pr. Dfsp.
PERMn IT # CITY OF EAGAN
MECHANICAL PERMIT
RECEIPT # 454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $.50
DATE MINIMUM COMMERCIAL FEE -=20.00 + $.50
1. Bldg. Type: Res ? Comm Inst 2. New IC-' Aod _
3. Total Bid Price
Lot Block ? Sec
6. Contractor <-'
(Name)
7. Contractor Phone #
4. Job AddreSS `r'1 ?,:) v
?. ,
5. Owner
?
c 17? (Street)
?
FEE
sic
?Ua
TOTAL
_ Alter Repair
?
(CiN) (Z?P), h.t
RESIDENTCaL 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.
eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
" RES. GAS PIPING OUTIETS -$1.50 TANKS: L.P. UNDERGROUND OTHER
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 S7/tTE SURCHARGE FOR EACH S1,000 OF FEE.
Signea: ;c for ? _-r:
Approv@d Inspections: Date Fiough Insp. Date Final Insp.
. ?
• 4?
PERMIT # ?
RECEIPT #
DATE I
CITY OF EAGAN
PLUMBING PERMIT
454-8100
MINIMUM RESIDENTIAL FEE - $70.00 + $•50
MINIMUM COMMERCIAL FEE - $20.00 + $.50
FEE
S/C
TOTAL c 'L
1. Bldg. Type: Res ? Comm Inst 2. New Add Alter Repair
3. Total Bid Price 4. Job Address ') ZL
LotBlock Sec 'J? r da ? K 5. Owner
6. Contractor
7. Contractor Phone # _
NO. FIXTURES
7
-Water Closet - $3.00
? Bath Tubs - $3.00
Lavatory - $3.00
_LShower - $3.00
LKitchen Sink - $3.00
-Urinal/Bidet - $3.00
tsvee»
NO. FIXTURES
` Laundry Tray - $3.00
__LFloor Drains - $1.50
/ Water Heater - $1.50
Z Whirlpool - $3.00
-J-Gas Piping Outlets - $1.50
-Softener - $5.00
(ciH)
NO. FIXTURES
-Well - $10.00
Private Disp Syst - $10.00
?Rough Openings wlo
Fixtures - $1.50
(Zip)
COMM./IND. RATE - 1"F TOTAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACN =1,000 OF FEE.
Signed: for
Approved Inspections: Date Rough Insp. Date Final Insp.
CITY OF EAGAN Remarks ?vis ion# 1 69 5 10 ._,185
Addi!ionAirrh Park Lot 12 Blk 5 Parcel 10-14175--124-05
owner street 1266 Ueerridge Court State Eagan MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SANSEWTRUNK 221 1973 b2.96 8.15 0 Paid rio to divisi n
SEWER LATERAbn 931 1985 32. 70 8.85 5 "
WATEFiMAIN
WATER LATERAL
WATER AREA
STORM 5EW TRK
STORMSEW-b4T70(101S 1986 750.48 50.03 5 799 p, pi(???,3" /-? -
1048 1986 199.66 13.31 5 (p35 p/(p S - -(o
CURB & GUTTER •
SIDEWALK
STREET LIGHT
Road Unit $280.00 58424
WATER CONN. 500.0
BUILDING PER. iiNi
SAC
PARK ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS: ; „ l
PERMIT SUBTYPE:
i:', ,, ;i la i i t it i.;i
APPLICANT:
. . ? , . .,.
TYPE OF WORK:
i i,,r-1 i rvI ; i N ' ,I I i '; I I I ltr
"n114,lt i 1 Nr% 1
0 f IrIA(2R'> - ?',i 1'q1:11 I t I i t,M ! I . Ahf F<1 (11I 1 1,1 1' 1 nk ANY f I iihls I N(i Fi1, I I 1+ I?r I C Fl! lJ
? ?
PermR No. PermR Holtler Date Telephone It
SNV
PLUMBING
HVAC
ELECTRI 53 Atli
ELECTRIC
Inspection Dats Inap. CommeMs
Footings I
Foundation
Framing
Rooflng
Rough Plbg.
t
Rough Htg. 0r?Q/l
7
I5ul. y?2r ?
Fireplace
Final Htg.
O?sat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
BIdg. Fnal ?
Dedc Ftg.
Deck Final
Well
Pr. Disp.
WAtER SERVICE PERNIIT
PERMIT N0.: _
DATE: -
No. of Units:
Sia Nddross:
a - b? U+arq°' ? 7. ? . ' .-?. .. ,
??r* ? i50 Meter No. 6561
zs: " ? • ? ? r
Raoder No.: V? a Surcha? ?; ?,,et 1 a°".?''"w? b3.
Q?) ct ?
Total:
Ddtg paid.
By , 440
1nsp?
?° 1?':
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Esgan, MN 55121
Zonirq: -----
pwner. _--?=
Address: ?---
S{te /lddross:
Plumber. -?
SEWER SERVICE PERMR
pERMIT NO..
DATE:
- No. of Units:
RL
1 Nne te ewn01- wm tw Gh? of gN"
OrJ1Msow.
By -
pate of Inap.:
Cowodton Gwroe= ,
Aaoui+t DePOW• .
Y:_IFc
Pamdt Fee: S t`, ni
Misc. Charpes:
7oMl:
Daw Pofd:
t
?
"
$ ?
N
937 ?a
Repuesl Dale " Fire Na. RougM1-In Inpsection Requlred Inspection Other Th ough-ln
I fVou mu call ms0etlor when reatly) C] qeaCy Now ill NoYdy Inspector
VBS [:I No Oatafleatl
I?] licensed contrector Yowner hereby request inspection oi above electrical work at:
Job Atltlress (Street. dax or RoWe No.)
C-?
d
? Ciry
e'a
4
eefri
t-
12 L I .
n
Sectio? No Towns??p Name or No. Range No. Counry
Occupant(PRINT) ? ? 1-
7
? ?
?
e Phone No. ??3 - Oq 31
IM•
?
Pawar Suppl'(ie?r
/? 1
',JS 4W /l', 4. icIJT ?.. Atlnress
Eleclricai Goevacior Company Namei Conlractors License No.
O n1c-O W q °?-f-'
Meiling Aotlress ?Conlracior or Owner Meking Inslallauoni
OJ?.
Aotnonzetl SiS^amre ICOnVactouOwne' Ida'ei g Installai Phane Number
'
3 - o y 3
6 8
MINNESOTA STATE BOIRD OF EIECTflICITY TMS INSPECTION REOUEST WILL NOT
Grigga.MlOway 61dg. - qoom S-173 8E ACCEPTED BY THE STATE 90FRD
1811 Universily pve., St Peul. MN 55100 UNLESS PROPEF INSPECTiON FEE IS
Plwne (612) 662-0800 ENCLOSED.
411 ?' y'` REQUEST FOR ELECTRICAL INSPECTION
7 p. See inslmctions lor compleling ihis lorm on oack oi yellow copy.
''X" Below Work Covered by 7his Request "? ee-ooom-o
?
>`-?-; Aa
Yew Ad0 Rep. TypeolBuilding AppliancesWired ired
Home
Duplex Range
water Heater e
#
Apt. Building oryer nt
Comm./Indusirial
Furnace (Spedfy)
Farm Air Conditioner
Ome: (sVecilyi Convaqor's Remarkr ?
Compufe lnspection Fee Below:
k Other Fee # ServiceEnirance Size Fee # Circuit5/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trensbrmers Above 200 _ Amps Ahave 100-_ Amps
SignS . Inspectors Use Dnly. TOTAL ?_.
Irrigation Booms
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY E OR ?D 61SC 1 IECTED IF NOT
Other Fee COMPLETED WITHIN NT
I, the Elecirical Inspector, hereby Rougn.in ? Da 7 J?
d-
certify that the above inspection has
been made. Fi„ai ( o e
OFFICE USE ONLY
This raquest void t8 monlM1S Irom
L
UObb
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
O-T6> s-b
Date_leI/,3/ U?
T
Site Street Address /,;t (o (P /,C'l'T7- t
Unit #
PropertyOwner -TI ?e`? Telephone# ( )
contractor P?d G+ Telephone #(E??) 3Y? ? Ol?i7
Address City R"ro?fUtlre State ?al? Zip S3r337
The Applicant is: _ Owner 1" Contractor _Other
Alter ions to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. !f rLou are installinp onlv a water softener and/or waier
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total ?U
$ S? I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a peRnit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
bl46W? lfee-h se / %/?%v??'' ????'?;?-?%
ApplicanYs Printed Name ApplicanYs Signature
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 11651-675-5694
New Construclion Reouirements RemodebReoair ReouiremeNS bKice Use Onlv
3 registe2d site surveys showirig sq. ft of lot, sq. ft. of house; and all roofed areas 2 copLs of plan Ced of Surrey Recd _Y _ N
(20°h maximum btcoverage allowed) 7 set of Energy Calculatans for haated additions Tree Pres Plan Recd _Y _N,
2 capias of plan showing beam 8 window s¢es; poured found desgn, etc. 1 site survey for addNOns & decks Tree Pres Requiied _ Y _ N
1 set of Eneryy Calculations Adddion - indicafe ifon-sBe sepNc syslem On-site Septic System . _ Y _ N
3 copies of Tree Preservation Plan i( lol platted after 717193
Rim Joist Detad OpUons selection sheet (buildingswith 3 or less units)
Date
Site Address
! Construction Cost ?2 iroJ
i
UniUSte #
Descriptioo of Work a eee? 6c ,fi T
P
Multi-Family Bldg _ Yx N ?
Fireplace(s) Q? 0 _ 1 _ 2
-.>vb
Property Owner Telep6one # (? ) q 9.?- 0:PS19
_
Contractor ?/GG? J?l?ir-G?-f
Address,g/ 0 ,7
State /,? /it/. /`s'cT
Zip SS'? c 6 City
?it,,,? ?'ill!
Telep6one #( ?U:? g 9 8-?5 ?v o
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Coda Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Coniractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application 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 woR)777 w and
approval of plans. ? Q ? ?
APR 2 9 2005
Applicant's Printed Name Applicant's Signature FL-1,1 "
OFFICE USE ONLY
Sub Types
0 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
1 ?
O 05 03-plex ? 11 10-plex 11 19 Lower L
evel ? 24 Storm Damage
? 08 04-plex ? 12 12-plex ??
PIbg,LY or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44
Addition ? 36 Move Building ? 42 Demolish Foundation ? 45
33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46
? 34 Replacement •Damolition (Entlre Bldg) - Give PCA handout to applicant
Valuation 9-000 Occupancy ? MCES System _
Census Code Z-?Z-3 ? Zoning City Water _
SAC Units ? Stories Booster Pump _
# of Units O Sq. Ft. PRV _
# of Bldgs ? Length Fire Sprinklered _
Type of Const ? Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace R.L AirTest Final
:,,.,Insulation
? 30 Accessory Bldg
O 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
WindowslDoors
REQUIRED INSPECTIONS
Final/C.O.
? FinalMo C.O.
d Plumbing
d' HVAC
Other
_ Pool _ Ftgs _ AidGas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: SP , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
6 y y 3--)-
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telep6one # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
Date
Site Address J`?;L o(p f).QA'k\Al 2?2 CT Unit #
PropertyOwner 4AV.W\4-P?y Telephone#( )
Contractor '( S 4"1\3
?
Street Address City
'
Zip Telephone #???
State ?? •
nd#:??? E
ires:
B
o
xp
The Applicant is _ Owner ? Contractor _ Other
Add-on ar alteration ta existing dwelling unit $ 30.00
? furnace _Additional _Replacement
' air exchanger
airconditioner _New _Replacement
other mov-2 "t-o
_
??vsT- J??. s RU1I?s
State Surcharge $ 50
Total $ 3 o ' 'SU
I hereby apply for a Residential Mechanical 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 with the Mechanical Co that I understand this is not a
, M?t t work wi be in accordance with the
permit, but only an application for a permit, and work is not to start without a peuwft-
appr v8d plan in the case of work which requires a review and appre r?ala a s
?,J'oa C-c?
Applicant's Printed Name Ap? licant's Sign
?
1985 BUILDZNG PERMIT APPLICATION - CITY OF EAGAN
N4TE: ALL CONTRACTORS MUST BE LICENSED ifITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: Date: ?Z'//-S'
Site Address: USE ONLY
Lot: Block Sect/Sub? Erect ? Occupancy 23
i7 ? ??? Remodel Z
Parcel f1
Owner
Address
City/Zip Code ?
Contractor
Address
City/Zip Code
Phone #
Arch./Engr
Address
Phone #
lc? oning 2, I
Repair _ Type of Const -17-
Enlarge
? # of Stories
Move Length ?j
Demolish _ Depth c?Z
Grade _ Sq Ft
APPROVALS
Assessments
+ Permit j1a
Water/Sewer Sureharge (?-7
Police Plan Review 259,
Fire SAC ° 2S,
Engr Water Conn Sw.
Planner Water Meter
.
(03
Council Road Unit 'zgp.
Bldg Off/ parks
APC Treatment P1 ?
Variance
a -3 yy
TorAL
G??
2 g X 30 ` 3 4-o X S6 - 1?1-e)720
14x23 ? 3ZZ>.Slt:>= 7? ,
12 x Id = (20 o
243 x 2 c? '?7Z ,` c2- ???¢
Z? ?-?S ? `??o X qq- ? 43r2o
I2 x Ic? = (2o x ?G4 ` ?290 0
1 33 s2o
Certificate for:
J)evllopere Conetruction
• 1181 Cliff Road
Burneville, Mn. 55337 ? 9357
. DELMAFi H. SCHWANZ
' 111ND 4URVEYOM INC
' Ppy1wM VMw l? nf 1M $iM1 M Mmnn111
. ' tpSO fOUTN NOeEIIT TqAll IIOINEMOUNT. MINNESOTA 5506t MWNE !12 47}178Y
: ' ' ??,i /DD• '{ CEIITIFICATE
x COu,?,+7.."
? ,?b br
SCALE: 1 inch = 30 feet ?
?Q'4 d, Elevationa ehav n are
I t?" exiating and based on !
aeeumea aatum. f ?
d
l 2 , ,e,, . ,o,. oz
pA' ?e " ?v Nrs
st ? 14.
?. ,._. ? ? -r •_" ? ? ??
Sk, a ?? /1Mi ? 4r . , \ ?
4 10,.
Propoeed garage floor
elev. I 013 .
. ? /?".?' :•,w;. t,
• . \q.f
Drainage de utility
' easement ?
I- -- ` - - ---a i
I hweeby aertify that thie io a true and correct repreaentation of
Lot 12, Blook 5, BIftCH PARK,•aoo0rding to the recorded plat thereof,
Dakota County,-Minneeota.
Also showing the..lxation ot a propoaed house ae staked thereon.
Dated r November 5, 1965
. • ; , ,. .. ? ?:. ,i
?
MINNE80T HE ISTPATION NO. 8825
n . . '".' i .. . .
i.Il lllnll I IIUCI iillU IIVI I!iuIl "II" I ulll'lllnl Inll
:a1lIII' II ! ???
`?III AIiI111Ph'il ? ? ??
I;IiN Ill/1f; I f111 i IiA I I' i I'lllilll i
nr.rr.ufiiiie uniu;iun 01(1.1101- 1 (10 rMc nr rnCii?
I, roTnL rxro,cn WnLi. niir•.n........ 3a?3 5q rc xliult
0
?
2. TOTAL ROOF/CEILING AREA,,..... sq ft x"U" ,?j a 3•?J
3. TOTAI EXPOSED 1JALL AREA CALCULATIONS:
Total exposed walP , .
' area above floor,,,,,,,. sq ft
a) Total wall window area:
D/"1?91azed...... S4 ft x iiuii
glazed...,'. sq ft x "U"
n
b) Tocal door area sq ft x"U" i Q z
c) Total sliding glass door area: ' g04!6z.1_- 9lazed.:.... ?j.?j sq ft x ]i
glazed...... sqt ft x 'lUll _
d) Total flreplace wall area ? sq ft x"U"
e) Total wall framing area (Avera9e 109;)........... sq ft x iluli /09 = "a
' f) Total net wall area above
floor (Insulated)......, sq ft x"U"
'
g) Total rlm Joist area....,, ZA411^ sq ft x"U'= _A171?
Total foundatfon
area (Exposed)........... 160 sq ft
h) To[al foundatlon
wlndow area....,,,,,,,, - a? sry ft x"U"
1) Total net foundat_ion
area above.9r`adea....... / 7(l_ sq ft x"U" 6- Pb,
-t--?=
3' , 70TAL a) thru I)
If'1[em /13 (s the same as, or less than ltem 111, you have met [he inten[ of
S.R.C. Sectlon 6006 (c) 2.
•.;
,
4. 70TAL EXPOSED RDOF/CEILING CALCULATIOIIS: _
Total exposed
roof/celling area..,.....?1? S9 ft
J) Total skyl laht. area....... ? sq ft x''U''
k) Total roof/celllnq framing ? c ? pp
area (Averaqe 109;)...... ?sq ft x U ,?•/9 ??o,L
1) Total net insulated
roof/ceiling area......... I/?(,- ?Z_ sq ft x"U"
?? . ' TOTAL J) thru 1) -3 b<''7
If total'of !'h is the same as, or less than 112, you have met the intent of
5,[l.C. Section 66D6 (c) l.
.. . ..' ,.;'^..:
ALTERNATE [IUILDIhIf, ENVELOPE bESIGN
To u[ilize the total envelope system method, the values established by the sum .
of items P3 and !r4 shall not be 9reater than the sum of items 1/1 and 1/2,
l, + 2. _
+
C E R T I F J f, A T I 0
I hereby certify that I have calculaited the "U" factors and "R"
values herein and [hat the buildinn here describerl meets or exceeds the State
of Ninneso[a Encrny Conservation Act.
SI ature
-?
; .
cnnsrRUr.Tinri
, , 2 vnLue.;
l1ALL .FRAl11F;G SECTION
- ?1 i
I
i fil
- '
(R
or a
nter
c:
: m
. - 0.
inches soft wood
,
5 a dda •??
•
?;r? ; ,,-? ;
`. (,
Exterior a i r
ilm ,N ?4 ."
TOTAL'
,
.
' ' 'U = 1 R, m ' ' ' ?t
,_.
,,V ' , ; ,.. . , :..: .;;
Linl i ?.ccrTinnir.icni ntcnl? . ..... .. ... .. ? ... ?„ ,.. , .. ,.
.p?p.•r,n+.
? A
0, •?
.---?4
?'°• ,'
• d.
: Q;fA•. -,
-? .
`k
p ,p ,q,;?, v ? •Q? , . ? : ?, G R A ? , ,.,; , ;'? ? ';• V ?,, . u?
IN,",a'
_ ?? V u?.4• ???Illll,T7,???„ ? , , ; ? , q . ,Q,
:,,. , ,•?a q ? ?t ; .• , ?:
r , . • ? ' • , ',-???
. ., ?1, '?' ; q' • Q 4 -
?• ? , . . '?. t ??. ...? . .? . _
? ?
. . ? . .
? .? . .
CCILIIIG . .
SGCTIQI!
(WISULATED) ? • _
s. , ? . incerlor ?ir'fllm
- 2 3
i- 3
ti Cxterior 'aIr film stTll)• `n.Fl r
CEILING+ FRAMINC' SEC710N
5 1 i.InCerlor air film? "? ? 61 ,
,?. ,3'
- ?
Alf? :VENTED 3:;.. r;; ?-., ? `?,?, t• ':
FL.OW ji `i erlor al 'Pilm stilT,-;f) I ' ; .
* 5 . ? /v i nches :sof t'o-rood
TOTAL R
U ?r 1IR
. _ ?
, .
. ., , ..: .. . ..
.. . '. . ' ? .. , . . i
, .;.;:. CEILING SEf,TION (IMSULATED)
1'. Interior, air.film ?%:Q 61
2. ?
3
:. ,. : ; ,. .,.. '
l . , .. Fxterior afr-:fiim; s ?
. ,.I ., tiil
n i
,;`: E TOTAL R
?
' U d 1/R =
,
CEILINr, FP,A111Nr, .SECTI0?1.
' 1• Interior'air ftlm' 0 61
2 .
? . ? ? 3 .. . ,..
4[xterior air film stiil r)I`.
5 imches.soft wood'
70TAL R..°,
. . _ . . ?. ,... ,.
. U = 1/R
3 ? J
m2?r ?
n A
inside air film 1
2 ., .
? ??.. .??? . .
4
S Outside a i r filn. n 17
'2 / TOTAL IZ
t /tt' a
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
?-> 3830 PILOT KPIOB RD, EAGAN MN 55122
851-881-4875
New Canstruetlon ReauhameMa
• 3 registered sNe surveys showing sq. ri. of bt sq, tt. ol house; and II roofed areas
(20% max¢num lot coverege albwetl)
• 2 ooples of plan showing beam 6 window sizes; poured fourM design, etc.)
• 7selofEnergyCakulalion5
• 3 copies of Tree Preservatbn Plan A bt platled after 7/1l93
• Rim ,bist Detail Options seleclbn sheet (bWgs wiUi 3 ar less unils)
DATE S4-D7
SITE ADC
TYPE OF
APP1lCANT
STREET ADDRESS W O.D d li 4C }),? a, ,
TELEPNONE # rIlD3?55?1- CELL PHONE #
C6b`1`6
Ir Beaulrements ? t (' ' Q
AULTI-FAMILYBLDG _Y x N
FIREPLACE(S) _ 0 _ 1 _ 2
%&n STATE Mt?- ZI P ?
FAX # ',11n2)-? -?1- I S:)n
PROPERTYOWNERMrA .AM?{}p(fi _ TELEPHONE#
----------- ---------°-------------°---------------------°---------------------------------°
COMPLETE THIS SECTION FOR MNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIN'iVESOTA RULES 7670 CATEGORY I MINNFSOTA RULES 7672
(J submisaion type) • Residential Ven6lation Category t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: _
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Wafer Conhactor:
Water Softener _
Water Heater _
No. of Baths
Air CondiRoning
Heat Recovery System
Phone #
Fee: $70.00
--°-----°----------------'-'---°---------°°----------°--°--°----------------°------------^-----------------------
I hereby acknowled9e that I have read This applicatlon, state thcrt the information is correct, and agree to comply
with all appllcable State of Minnesota Statutes and City of Eaqan Ordinances.
.
SignalureofApplicant //. 0,9
-°........_ ............... ---•-...... ---°............ __?.r.............._...,_?._...????_..r. .?
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
VALUATION 61 SM
• 2 capies of plan
• 7setofEnergyCalculatbnsforheatedaddi[ions
. 7 stte survey tor eAerbr add0ions & decks
. Intlicate if home servetl by septk sys[em far additbns
_ Phone #
Lawn Spruikler
No. of R.I. $aths
Phone #
1??1 --?)-Is-
Fee: $90.00
?CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
c ? aW
4INI44
BUTLDING
023264
04/18/94
51TE ADDRESS:
1266 DEERRIDGE CT
LOT: 12 BLOCK: 5
BIRCH PARK
P.I.N.: 10-14175-120-05
DESCRIPTION:
_..?
B.u"ilding:-Permit Type BASEMENT FINI5N
?'uild3ng Wia,rk 7ype ALTERATIQN
11
i'
REMARKS:
SEPARATE PERMITS ARE REQUTRED FOR ANY PLUMBIN6 OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.08
Surcharge $.50
Total Fee $35.50
CONTRACTOR:
OWNER: - Applicant -
iUMBERT TTMOTHY
L266 DEERRIDGE CT
_AGAN MN 55123
(612)683-0439
1 hereby acknowledge that I hava reatl th3s applieatian and state that the
information is correct and agree to comply with alt appl.ica61e StaCe af Mn.
Statutes antl Gity af Eagan Qrctierance:s.
AP LICANT/PERMITEE IGNATURE ISSUED Et(. SI NATUR
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
_. ;
71
f
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
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 3IF /iV Valuation of work
Site Address: 1z6c Ueerr1'd?e C+.
STREET Sl1ITE #
Tenant Name: (commercial only) ?
IAT BLOCK S SUBD. Par? I.D. p,#
lo 7s IzA o?
Descri tion of work: cC+1Znf Pn i5 h
The applicant is: ED Owner ? Contractor ? Other (Describe)
Name 14,m6r4 -,'/"p'K7 99. Phone 683-0439
Property LAST FIRST
Owner Aadress _rzDeer,1'dif_ C-4-
STREET STE #
City 543911 State ,?'? Zip STi Z3
Company Phone
Contractor Address License # Exp.
City State Zip
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 5tatutes and City of
Eagan Ordinances.
Signature of Applicant: L=? -z
7??
OFFICE USE ONLY `` •
BUIL DING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Poo7
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 5F Misc. ? 10 Multi. Add'1. ? 15 Deck 0 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition L7 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC (?ccupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? 5ite
O Wall6oard
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
? Footing
? Final
J] Framing
? Draintile
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
?
/
?Z
JR Insulation
O Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Tatal:
valuatian: $
SAC %
SAC Units
1 ' '
? .
2/84
? CITY OF EAGAN
tllll aPPLICAT20N FOR PERP4IT
SET4ER AVD/OR WATER CONNECTIODT
(PLEA E PRINT)
?J?E2
R
1) PP,OP= ADDFrSS : ? ? ? (.. t? _ `.. ,?t?-9rr"z'C?/? /?? ?
rFr=+L DF.SC2.T.PTICV:
(I-0t/13lock/Su:ciivisicn or Tati Parcei I.D. N=ber1
, i-^.;IS:'=:G S-70CG^.'L-RE. D.ai : 0" CRIGi?i. ZSS?:;.-NG:
PDL'CLT jn'mT-/rP.'7,0POSED C'C:
(Jd` ?-1 5?,.^L? ? P<.SLY
D R-Z LU"r.LDa (?'i0 L-NITS)
? R-3 :'C'J.t7L\FCIIsE ('IT-?=- + L^IITS) f r-%TI7S1
Q i:-4 r?:iic'?`_+?T:T/CC_.ZJCi.Lr,]IL?I ( li?'I_Si
Q CCi•!nSE;C?=1L/F2E,^.'?iI./Or 'ICE
p lm[;sTRi-L
Q D:STI: UTIONAL/Giv e.: `24-1?7
2) AaPISCi.iT iYLEasE FRthr)
NAt,'F': •"?
? ?? s' C? ,V
aDnREss: L"• L i FF R11
Ci ":, Sn' 'I'"', ZIP:
PHM:r, :
?
j). pj,[,;.•y,Ev
' PLEASE
.,
t
rfl14I) fON CITY USE OHLY
•
NPa-Tf `
?
?
/
?,I/?/E??-ii•?--/ cyC/L?L / "(A_ j??`KC
P.GDREc
..S:
PLUY.9ERS IIC:tiSE:
C Active
CZTY, STATE, ZIP: /yti ?] Expired
PHOVE: a??-??
PIUNBcR llCENSE !I Q Not of Record
41 lx.LliYfli`f1'/C?vTIER ? lrLcH?c rrcird = i)
NAME
:
ADDRESS:
CITY, STA'SE-, ZIP:
PfiOVE:
5) INDIC71T'E :9F{ICH PERi•LLT IS BEItiC; FiF?')f.TFS'I'ID:
IaI 'Ib CITI SFkiER
Cw"IEIEXTIC:1 'Ib CZTY SJATc'?..2
? UT`I!E,R (PI.G;SE DESCPSBE)
b) IIvDiC',T::. C:.::
+j P-=:T+: E E'.OLD APP??QVED PER?+ST FOR PICi:-L'P. BY ONE CF Afi('VE
?°T-.ES :•'_aIL APP?tOlM PERMIT TO 1, 2. 3. 4 AF(7(7E
(Circle one)
7)
DATE: ? -%-??
? w aa?iw?s?s s a a??:a:a ?e ?.r ?a.asra a s s ac?:a:a a? r..ca:?s!?yra a? a?e ? a.c=ar e
FOR C I T Y U SE ON;,Y '
PE.°.?1IT °- ISSUED
L3?? L__ _7%P?
rrE5: $
$
$- (O 3 6) ?
S
S
$
$
$
$
S
$
$
$
E';G.n, " P . --r-?.?L
. E:j\7T^i' (IYC.L::vE SUo..r...:.c1=)'
WATER PE-,U1T_T (It`ICL'uDE SiiRC?:ARGL)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATZQ:7 STOP)
SEiJE4 T:-1P
ACCOliNT DFPOSIT - WATPR
WAC
SPC
TROVK WAT°R ASSESS:1E21T
TRli:dK S :IdER `.SSESS.•1E;iT
LATERIL BEivEFIT/TRUNK S£:9: R
LATE:LaL BENEFIT/TRU:IK jOATt'R
WATER TREATMENT PLANT SURCHARGE
OTHER:
$ TOTAL
AFIOL'J:T PAID;'FECEZPT ';,
S/"0 Zi 3y3
DOES UTILITY CONNEC:ZON REQUIRE EXCAVATION IN PUBLIC RIGi-IT OF WAY?
YES IF YES, THEN n"PERMIT FOR WORK WITHZN
PUBLIC ROr1DWAY" MUST BE ZSSUED BY THE
F? NO ENGINEERING DZVISIO[V. LZST AS A CONDI-
TION.
SUBJECT TO THE FOLL014I:IG CONDITIONS:
APPROVED BY;
TI:LE: •
DAT°_:
MIsM NI' w M' MN?ft '*= 'O OWw ? w ? w ?? wft w_+6 Wt4Ww Wi? ?? ?M OWMMst Wi0 wa Pt Mra ain w M
1991 BUI!I??IASICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINCS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FDR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WAICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
q
To Be Used For: Valuation: Date : C9 V` l l
Site Address ? up/p ({pp?"?",T ?f
Lot I I Block 6
Parcel/Sub
Owner 1 ! vvl j4u-vV60 'E' G- '?-
Address
- ?-
City/Zip Code ? Lle4 a-w 5 •S f 2
Phone CoP, 3- 4 3 9
Contractor C Jqu-4jC.- ')PS'(2-FeC?\'
Address ?nn A-n-L j?v
City/Zip Code ? r" .4-? SS (23
Phone 35?4 0
Arch./Engr.
USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length 2,n Y ?A
Depth D?'k
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
BoosteZ Pump _
AYPRQVALS
Planner _
Council
Bldg. Off. S (o-2i-9/
Variance
Address
City/Zip Code
Phone #
FEES
Bldg. Permit
Surcharge
Ylan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
sy. ?
/ ? SO
, "77
J '/ '
agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
.cate tor:
'topere Conetruction
• .101 Cliff Road
Burneville, Mn. 55337 ? 93/S7
e bELMAJLH. SCHWANZ
? l?NO4RVfVORC 11?('
' Pq11rvrU C1rqM1l¢nl T1M RIMI nl Mnrrfl1475E fOV?'N HOSFIIT T,RAIL e IIOttMOUNT. MINNEEOTA 55068 ?{10NE 612 4211760
vsLnweroN•s ceenFIeAte
?-
_
q1 •b '?+5.; ? . ? "i. f ?g. i
SCALE: 1 inch = 30 feet ?
?93 ?1'? Elevationa shavn are ?
' exieting and based on
w \ r' asaumed datum. ?
b I ` • / r'
Ap, G p ? w1 , tl ,?.d9
f ZA t /•iy
•y1? ? ,.? - .? tA
-- -' ? rio T • ' » ??
e; ? tn4 .I2
? ??/?iYf - ? ?.w .'::? ?
tz sD .,' • ,?y 4 ?
Pro oaed
p garage floor
.
elev. 103
c 9?
?1 ` • I ? ?i ,y ??; L ? R\
Drainage & utility
? - - eageeent
I hereby certify that thie is a Erua and correct representation of
Lot 12, Blook 5, HIRCH PARK,-aenording to the recorded plat thereof,
Dakota County,-Minneeota.
AIso shovring the. lxation of a proposed houae se ataked thereon.
Datedr Novefnber 5, 1985
.,;.
•
'. •
• . ?! . , j', ? .,?:. .
. , n
k-'). /
ia?
MINNESOT RE ISTRATION NO. E825
V
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES; :AIVD "
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTf.
NO.
SHOWER
WATER CLOSET ,
BATH TUB
Z LAVATORY -- '.
KTTCHEN SINK ,
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPIIVG OiJTLET • mamum - i
ROUGH OPENINGS
WATER SOFTENER
PRNATE DISP. • nakay. u?.
U.G. SPRINKLER • nome ma« cou.
ALTERATIONS -,o awine
WATER TURN AROUND
STATESURCHARGE
TOTAL:
EACH TOTAI:
.
3.00
3.00
3.00
3.00
3.00
3.00
3:U0
3.00
3:00
3 , 00
1.50
5.00
20.00
3.00
20:00
20.00
SZ'!'E ADDRESS:_ I z(06 DPer?i cl? c Ct ,
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OWNER NAME: I?Mo?1 ! b' '4r:C ?'?uM 7 Gl /
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INSTALLER: SE 1 ?-
ADDRESS: 12G(- DOfrr,'CIsL C?f--
" CTI'Y:_ C4 5 Q„ STA1B: M? ZIP CODE: s`T? ,? .
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PHONE#:(?IZ. ) 68'3-oy7?
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1994 PLUMBING PERMTT (RESIDENI7AL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
This request void
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?'} n Aeqwred. ?fleaay Now ?$?'9Gill Notilv, InsPec-
?+? ?'4es ?Nn ???ar When PeadY
rOicensetl Eledrical Contractor - I hereby requast inspection ot above
wner elecbical work installad ec
Srree[ AAtlress, eo. or Fome No. Ci W
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Elerc ical
? ? Contractor's License No.
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MailinB Address lConVacmr or Owner Makine Instailatinn?
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Authorjzed Signa{ure (Con[ractor/Owner Making Installauo ) Phone Number '
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MINNESOTA STAT BOARD OF ELECTqICITY?/
Griqgs•Mitlway eidg. - Room N-191
1821 Univarsity Ave., $t. Paul, MN 55106
Phone (e12) 297-2111
THIS INSPECTION REQUEST WILL NOT
eE ACCEPTED BV THE STATE BOARD
UNLESS PROPEfl INSPECTION FEE IS
ENCLOSED. .
6?'?l D r 4 REQUEST FOR ELECTRICAL INSPECTION E8-00 001-04
u:-
Sea inshuctions for completing this torm an back o1 yellow copy,
?J ? 8 8 g6g '.X'" Below Work Covered by 7his Request ?- M
A ReD. TyOe ol Builtling APpliantes WireE Equiymeml WireA
Home Range Ternporary Service
Ouplex Wa[er Heater Lightiny Fixtures
Apt Building Oryer Hectric Heatin
Commerciai Bldg. Fumace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tnnk
F3Yfn Other Speci y Othor (SUer,ily)
t er Sueufy Other pih.r
ompute /nspection Fee 8elow
# Fee Servica EnfreneeSize b Fee FeederS/SUbleeders # F. Circuils
?.'} 0 to 200 Am s 0 to 30 Am s to 30 An: s
Above 00 Amps?? 31 to 100 qinps t 37 to 100 Am
wimming Poal Above 100Amp Above 100_AmPs
eooms Partial,?0ther-Fee
Signs SpeciallnsUection S 5` /
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PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA100331
Date Issued: 07/27/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 1266 Deerridge Ct
Lot: 12 Block: 5 Addition: Birch Park
PID: 10-14175-05-120
Use:
Description:
Construction Type:
Sub Type: e-Siding & Windows Doors
Work Type: Sidina & Windows doors
Description: House & Garage
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: When installing ventilated soffit material. remove existina 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 openings, call for framing
Fee Summary: BL - Base Fee S6K $132.75 0801.4085
Valuation: 6.000.00 Surcharge - Based on Valuation S6K $3.00 9001.2195
Total: $135.75
Contractor: - Applicant - Owner:
Lindus Construction Timothy B Humbert Trste
879 Hwy 63 1266 DeeiTidge Ct
Baldwin WI 54002 Eagan MN 55123
(710 684-4647
I hereby aeknowledae that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
/lhmf laU ,33~
/,266 /V4q 16 c i
} Four Section High Doors
16"-0" wide
Strut Placement
End Hinge
9
Strut
Strut below hinge
Detail 1
Optional glass lites Intermediate lunge
rMwMwMwMq
El El El E:3, A, ED
strut
Dl
strut
DI
2 struts total
Z1-16045-sdw-05160$
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113982
Date Issued:09/10/2013
Permit Category:ePermit
Site Address: 1266 Deerridge Ct
Lot:12 Block: 5 Addition: Birch Park
PID:10-14175-05-120
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 .
Amy Jilk
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 -
Timothy B Humbert Trste
1266 Deerridge Ct
Eagan MN 55123
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA133362
Date Issued:10/07/2015
Permit Category:ePermit
Site Address: 1266 Deerridge Ct
Lot:12 Block: 5 Addition: Birch Park
PID:10-14175-05-120
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Timothy B Humbert Trste
1266 Deerridge Ct
Eagan MN 55123
(651) 683-0439
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA151401
Date Issued:08/23/2018
Permit Category:ePermit
Site Address: 1266 Deerridge Ct
Lot:12 Block: 5 Addition: Birch Park
PID:10-14175-05-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Timothy B Humbert Trste
1266 Deerridge Ct
Eagan MN 55123
(651) 683-0439
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177641
Date Issued:07/12/2022
Permit Category:ePermit
Site Address: 1266 Deerridge Ct
Lot:12 Block: 5 Addition: Birch Park
PID:10-14175-05-120
Use:
Description:
Sub Type:Fixtures
Work Type:Alteration
Description:Kitchen
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Timothy B Trstee Humbert
1266 Deer Ridge Ct
Eagan MN 55123--147
(651) 454-9297
Janecky Plumbing Service Inc
720 Pontiac Place
Mendota Heights MN 55120
(651) 454-9297
Applicant/Permitee: Signature Issued By: Signature