1408 Deerwood CtCITY OF EAGAN
- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN55,2, Rol9966
PHONE: 681-4675 Aeceipt # C OI1,50--1
BUILDING PERMIT -
`
Tobeusedfor SF,DWG/GAR Est.Value $142,000
Site Address 1408 DEERWOOII CT
Lot 13 Block Z Sec/Sub ENGSTROMS DEERWO
Parcel No.
NaITIe ICEY LAND HOMES
W Address 14450 BURNSVILLE PKWY
?
? Cj(y BURNSVILLE MN ZJP 55337
? Name SAME
? Address
Ciry Zp
? Phone
License #
I hereby acknowlege that I e read this application and state that the
inlormation is correct an e to comply with all applicable State of
Minnesota Statutes and aROrdina e
Signature ol Permit e _
A Builtling Permit is issued [o: KEY L HOME
on the express condition ihat all work shall b? done in acQordance with all
applicable State of Minnesota Statules anpdy?Ciry ol Eagan Ordinances.
Building Official
19 1
OFFICE USE ONLV
FEES
occupancy R-3 M-1
Zoning
R-1
B?. ?m'ft 7g7,00
(ACtuaq Const V-N Surcharge
0
71.0
(Albwabie) V=N plan Review 511.04
# ot Staeies
Lengih 4$ ' License 100.00
Depih 42 ? SAQ City 100.00
S.P.Total - SAC,MCWCC 650.0?
S.F. Footprinis -
660
00
On Sita Sewage _ Water Conn .
On Site Well Water Mater 95.00
MWCCSystem X
Acct. Deposit
30.00
City Water
x_
PPV Required - S/W Permit 30.00
Booster Pump - S/W Surcharge . SD
Treatment PI 276.00
APPROYALS qpydUnit 370.00
Planner - park DBd.
Council
BItlg.OfL _ Copias
Variance - TO7AL 3,580.50
Address: 1408 DEL14d7pD CO]RT Lot 13 Blk 2 Sec/SubENGSf_RQiS DE&%MD
These items wate/were not complete at the time of the final inspection.
Date: 03 24 92 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Pezmanent driveway
Permanent gas
Sod/seeded gYass
Trail/curb damage
Porch
Basement finish
Deck
Pleaseverify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to tha outside lamn faucet before
£reeze potential exists. ?
P[LKIF?ARR
White - City copy Yellow - Resident copy Pink.- Contractor copy
SEWER & WATER PERMIT
CITY OF EAGAN •
3830 Pilot Knob Rd.
Eagan, MN 55 1 22-1 897
DATE DEC 13. 1991
OFFICE USE ONLY
METER # PERMIT DATE 12/13/91
CHIP #?? PERMIT # 12443
METER SIZE e SK B.P. RECEIPT # C 016507
ISSUEDATE B.P.RECEIPTDATE 12/13/41
_ PRV - BOOSTER PUMP 41
I SITE ADDRESS 1408 DFERWOOU CT PERMIT REDUESTEO
LOT 13 BLOCK 2 SEC/SUB ENGSTROMS DEER`+IOOD
X SEWER
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
PLUMBER: D C MECHANICAL
ADDRESS: 13845 DAN PATCH LN
CITY, STATE SAVAGE MN ZIP 55378
PHONE: 447-2323
OWNER: KEY LAND HOMES
ADDRESS: 14450 BURNSVILLE PKWY
CITY, STATE BURNSVILLE MN Zip 55337
PHONE: 894-2636
_ COMMIIND
ZIP ? X NEW
X WATER - TAPS ?
?C RESIDENTIAL ?
EXISTING
Lawn Sprinkler Meters are to be Installed ?
Ahead of Domestic Meters on Water Line. ?
Credit VyCp NOT be given for Deduct Meters. ,
EAGAN
OF
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CAIL 454-5220 FOR INSPECTIONS. FOR STORM ?
SE,11f (.ER PERMITS, CONTACST ENGINEERING DEPT. / ?i , ? _L ? ? ? l ?.cc ? ?-r?- ?? ? ? C ?r/a ? •: /3 5 i j"? • /
? -- '?
7.
(gtrti#ix?tt of (Orrupauzy
Cifp of Cagan
]Rrprirnrw a# %itditcg .3nvenintt
77efs Cenaffcate MTsWpwsuant to the Muirements of Sectioa 306 of the Unijorm Building
Code certifyin8 tlrat a1 the tinre of issuance thisstructure xw iri rampliance with the various
ordirranacs of !!re City regulaAirrg building rnrutrrtcJion or use. For the following.
use cki6neioa 5'F PRTCM . BICg. Aamit xo. 19Df,?}
Oowp-7 T]'P? R3.w.) Zoair+f mv? R-1 7'YPc Ca"
?j
OwoerofBidditM .4rlll W1rF'S AM= 1445(1 RIVR7F. AQeIY, EIVITI.E
Badft,dd.„ 1408 MZLUoD,M]RT Lay L13. B2, ElCS'IIOLS MMM
POST IN A CONSPICUOUS PU1CE
SQWER &,WATER PERMIT
CITY OF EAGAN METER # -
3830 Pilot Knob Rd.' Eagan, MN 551 22-1897 CHIP # _
METER SIZE
DATE - DEC 13, 1991 ISSUE OATE
I SITE ADDRESS -1449 DEERW001) CT
LOT 13 BLOCK 2 SEC/SUB ENGSTR0IHS DEERk'OOD
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE:
ZIP
PLUMBER: D C MECHANICAL
ADDRESS: 13545 DAN PATCH LN
CITY, STATE SAYAGE MN ZiP 55378
PHONE: 447-2323
OWNER: KEY LAND HOMES
ADDRESS: 14450 SURNSVILLE PICWY
CITY, STATE BURHSVILLi PN Zip 55337
PHONE: 8 94--2 ??*3 6
OFFICE USE ONLY
PERMIT DATE 12/13/91
PERMIT # 12443
B.P. RECEIPT # C 0165?7
B.P. RECEIPT DATE 12 13 91
_ PRV _ BOOSTER PUMP
PERMIT REQUESTED
_X_ SEWER X WATER - TAPS ?
- COMM/IND X RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed ,
Ahead of Domestic Meters on Water Line.
Credit VuFq NOT be given for Deduct Meters. ?
'--lA&R'EE TO CdMPl,1Y WIITY OF ?
EAGAN ORDINANLES j/
SiGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WOAKING DAYS FOR PROCESSING. CAI.L 454-5220 FOR INSPECTIONS. FOR
SEWER PERMITS, CONTACT ENGINF-ERING DEPT.
?'!??"' . <?
Y y CITY OF EACAN
. , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMII,. PHONE: 681-4675 Receipt # ? To be used for Est. Value 41 4?`• . C'? Date DEC 13 Siie Address 1408 ??RV" CT
Lot 13 Block 2 Sec/Sub tWMTRM D$Ei!
Parcel No. _
Name KEY I.AND HOliBS
w qddress 14450 S1iRN$VILLE PkWY
? city BURNSYILLE :41I ZP 5533
Q IV8fT1@ "?"••.
? ?f2SS
Ciiy Zp
Phone
ucense #
I hereby acknowlege that I.have read this application and state that the
inlormation is correcl and,agr$e lo comply with all applicable State of
Signature of Permip
A Building Permit is
on the express com
Official '
OFFICE USE ONLY
a-3
O h-1 FEES
ccupancY
Zoning R-1 Bldg. Pemit 787.00
(Actuaq Const v"Y Suroharge 71`00
(Allowable) v'4 511 .00
Plan Review
x ot stodbs ??e lOG.00
Lenglh 100
00
Depth SAG City .
S.F. Total - MCWCC 630*00
SAC
S.F. Footprints
a
S
O
Si - ,
Water Conn 660.00
n
ew
ge
te _
On Site well ? Water Meter
.
95.00
MWCC System ?.oo
City Waler ? ?. DePosit
PRV Required _ S/W Permil ???
Booster Pump - $/yy Surcha?ge • 50
276.00
Treatment PI
APPROVALS Road Unit 370•00
Planner
C
il - Park Ded.
ounc
BIdg.Oft. --
-
COpieS
3,580.50
Variance - TOTAL
Permk No. Parmit Hold" Date Telaplwne #
snN
PWMeirvG
HvAC
ELECTRIC
ELECTRIC
InspecNon Date Insp. Comments
Footings I io7 ?7 g u!?'
Foundation z_Z .tf ? D
Framing 7 ?
Roofing
Rouph Plbg. -3 O ?? ,(? ,. 2 • . ! ? -
Rough Htg. I, , ,
Isul. Z
FrePlace
Final Htg- ?-Z L
orsac Test ?""Z j $L DS
Final Plbg• Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
eag. Final 3- z y-,4 s
Dedc Ftg. 00,
Dedc Final
Well
Pr. Disp.
SPECTION RECORD
CITY
3830 Pilo
Eagan, M
(612) 681 OF EAGAN
t Knob Road
innesota 55122-1897
-4675 PERMIT TYPE: "" I I?`
Permit Number: 'f'*
Date Issued: '?"` ? r' '!`' `•
SITE ADDRE ?z . . , .?
SS:
APPLICANT:
?;,,:. f!S ? t;l,li???li ? ? , .. ? ??ta . i ?
PERMIT SU BTYPE: TYPE OF WORK:
INSPECTION .. . .•
?
?
Pertnft No. Pertnk Hoider Date Talephone M
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GRS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAI HTG
ORSAT
TES7
BLDG FINAI
BSMT R.I.
BSMT FINAL
DECK FfG To?o
DECK FlNAL 711-?yi--
?,?
REQUEST FOR ELECTRICAL INSPECTION
fi? See inslrudions lor completing ihis form on back of yellow copy
"X" Below Work Covered by This Request
1114.27
EB-'00/00'1-0/8
ew AOtl Rep. = TypeolBuiltling AppliancesWired EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. 8uilding Dryer Other (Specify)
Comm./Indusirial Furnace
Farm Air Conditioner
Othar (spectty) Conireotork Remarks:
Compufe Inspecfion Fee 8elow:
# . Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 l0 200 Amps - ILI 0 to 100 Amps
TranSformef5 Ab2 _ AmpS Above 100 _ Amps
Siyns ^? TOTAL
q
Irrigation Booms •D
?
Special Inspection Z
Alarm/Communication TION MAY BE ORDE 1SCONNECTED IF NOT
Olher Fee ITHIN NTH .
I, the Eledrical Inspector, hereby ? ? ?ate ^,?Q „y ?
certify that the above inspection has
been made. Fif181 P
? oata
?
OFFICE USE ONLY This request voitl tB months trom
R
/ i 1I // n
//
/0 9A-
114 2 7 g - I
Requesl?ate
/ ? Fi No. Rough-in Inspection
pu
Re
Ves " ? No
? ReaAy Now ill Nolity Inspector
When Reatly?
I licensed contractor ? owner hereby request inspection of above electrical work at
Job Atltlress (Sireet. Boz or Roule No.) City
11J
Section No. TownsM1ip Name or No. Pflnge No. County
Occu an (PRINT) Pbone No.
Power Suppli Atltlress
7c?
'
Eiecnral Conlractor ICOmOany Name?
s ? ? .,
??. s License No.
Contranor
?5? P8s -3
Mailing Mdress (ConVac[or or Owner Making InsWllationd,
' ? ? ?
J/ / //?? ?
Nmho?rrzgp Signawre iGOnVacto,r?lO7wner Ma?ki7ng `Ins?tallz ?on2 PM1One NumEer
MINNESOTA STRTE BOARO OF ELECTFICITY THIS INSPECTION REOIIEST WILL NOT
Griggs-MlEway 81Ag. - Room S-173 BE AGGEPTED BY THE STATE BOARD
1821 Univenity Ave., St. Paul. MN 55100 UNLESS PROPEF INSPECTION FEE IS
.
Phonef612) 842-0800 ENCLOSED
I ? -6°
2006 RESIDENTIAL PLUMBING PeRnniT aaPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122 `
651-675-5675
._.? ...... .. .. .... .?, ..._ ?. .
compl_ . ..?_ ...??, _. .._ .... ?,?d
_- . gs.
.ng reside.ntial_ dwellin _
Please ete for modifications to existi.
Date 1 y? 1 ? T
I' j?N??{ r??y??
? r??
?
U
Site Street Address
1 ?/V I? ,
??I Unit #
Property Owner NriS Mmt I Telephone #(
H.P. PIPEWORKS
Contractor SE70 DODQ RO14D
Address EAGAN, MN 55123 City Telephone # (
State )
Zip
The Applicant Is: _ Owner Contractor Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Aiteratlons to existing dwellfng $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you ase installing onlv a water softener and/or wafer
heater, do not compiete this section; move to the
appliance(s) you are installing. next section and check the
?
_Septic System Abandonment ?
(
_Water Turnaround (add $130.00 if a 5/8" meter is required) n
AP R 1 2 2007
Other:
_ Water Softener XWater Heater $ 15.00
_ new replacement
_ Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
FTOtal $1y'3-0
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work wiil be in conformance with the.ordinances and codes of tfie City of Eagan and the plumbing codes; that !
understand this is not a permit, but oniy an application for a p it, work is not to start without a permit and work will 6e in
ccordance with t e approved lan in the event a plan is re uire o be revie e nd a e.
1
pplicanYs Printed Name Ap ' anYs 'gna e
?5. ?°?
? -? ?{p ? 7 y CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construe[ion Reouirements F3emodaVRepair Reauirements
? 3 registered ske surveys ? 2 copies of plan
? 2 copies of plens (mdude beam 8 window sizes; poured fid. design; etc.) ? 2 ske surveys (exterior addkions 8 deeka)
? 7 energy cakulatiom ? 7 enrergy calaladona for heated additions
? 3 mpies of hee pieservatlon plan H IM platted aRer 7Nl93
repuired: _ Yes No
DATE: 7'( Z S S CONSTRUCTION COS? ? d0
DESCRIPTION OF WORK: ? ?- C-,A-
S€-TADDRESS: z-=rr?osd
LOT 113 BLOCK ? SUBD./P.I.D., #:
PRaP
ERTY Name: ?? ? ?4 t5 ? ? a w Phone 5' - ° gYy
r
OWNL•R IASi
Street Address• / K ° FlRbT
City: Ca s z K State: d-t -?- Zip: ss r z- z.
CON7RACTOR Company: W.C. Phone yF4- ?7 5'_
Street Address: 9s7o ( tLicense #: q95_?5?
City: State: Zip: 7
ARCHITECTI Company: Phone #-
ENGINEER
Name: Registration #•
Street Address-
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
i hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
appiicabie State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant: ?
OFFICE USE ONLY RECEO VV PD
Certifiptes of Survey Received _ Yes _ No J U i._ 2 0 1995
Tree Preservation Plan Received Yes No ---------------
-- _,
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-piex
0 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
0 05 SF Misc. 0 10 = plex
WORK TYPE
-ur-'31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
? 11 Apt./Lodging o
? 12 Multi Repair/Rem. o
? 13 Garage/Accessory ?
? 14 Fireplace ?
,Ef::? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pooi
20 Public Facility
21 Miscellaneous
_ Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code. ?f3Y
_ Footprint sq. ft. SAC Code O/
Census Bldg
Census Unit ?
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Suroharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
y
Valuation: $
°k SAC
5AC Units
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirr oF EAcaN 11
-?? 9,a ? 3830 PILOT KNOB RD - 55122
851•681-4675
New ConstnkMon ReaWrertfenh Remodel/Reoalr Reaulremenh
> 3 replstereG flte wrveYS thowlnp fq. fl. of M. aq. fl. W house
and gp roofeC areaa (2076 mmdmum lot covemae albwed)
D"2 copiee of plans (ahow beam d wlndow alzes: Poured hfd. tleYyn; efcJ
a 1 aet of enerpy calculalions
> S copies ol hea preaervaMon plan H bt plaltetl afler 7/1/93
DATE: 0 3-13- PD
DESCRIP'fION OF WORK:
STREET ADDRESS: 1 `tt7 ri '
2 coples of plan
1 ser or energy cacWanons ror heated atldlnoiu
1 sife wrvey br exfeda addlHOna 3 tlecks
CoN?UCnoN CoST: 0- ? o =-
1
LOT: 1 3 BLOCK: --- SUBD./P.I.D. #: ?
Name: ?661 c, R- Phone ilf: ?'J b S I' 6? l-04 ?I ?
PROPERN Lon fln?
OWNER
Sheet
0g-
CNy Stata: ?-41, LP: 55
i ?--Company: `t h1 ?-0 w t Phone A: 6 t? 8 S`a -- do S
(area code)
CONTRACTOR
Sheet Address: (?r3 W D- L&? qtE" lJcense # 3S l6 Exp,
City L-'t I-E v t E Stafe: Mv- Lp: L(
ARCHITECT/
ENGINEER
Telephone #: ( )
Name:
Sheet Address: RegkhaHon i:
CNy
Sfate:
Lp:
Sewer/water licensed plumber (if IrreWllirro sewarfwatarl: Phone #: (
I hereby acknowledge Ihaf I have read Ihie applkafbn, afafe thaf Ihe infortna ia cort , nd agree to comply wHh aO applicable StafE
of Minneaola Stalutea and CNy of Eagan Ordfiances.
Signalure of AppOCant
OPFICE USE ONLY
CeRificates of Survey Received _ Yes _ No '
Tree Preservation Plan Received Yes No _ Not Required
" CZTY OF EAGAN
3830 YIIAT KNOS ROAD
EAGAN, MN 55122
PHONE (612) 454-8100
"m?iG q?
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE: /
PLEASE COMPLETE UPPER YORTZON ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WFIEN PERMITS ARE REQUIRED FOR EACH UNZT.
WORK DESCRIPTION
NEW CONST VI
ADD ON _
REPAIR _
OWNER NAME: fv?_A
SITE ADDRESS:
LDT: L?Z BLOCK ? SUBD. E'?Lii??- r.? .YC?1 F-rAYF10v-
INSTALLER: 1)C. ?C'Y'C!?YllP0.+
ADDRESS: k-m?-?)
CITY: cY'?ZIP: _ _?SM6
PHONE
IGNATURE OF PERMITTEE
C. 1? ? _
DWELLINGS &
-------------------------------
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 'Z• `x'
_3_ WATER CLOSET 3.00 `t , ?
I SATH TUB 3.00
LAVATORY 3.00
L
? KITCHEN SINK 3.00
I LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00
1 WATER HEATER 3.00 ?
? FLOOR DRAIN 3.00 . •`i'
GAS PIPING OUT.
? (MINIMUM - 1) 3.00
l,?v
3 ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL $ -?0`5-o
ST. SURCHARGE .50
TOTAL: $ Ln
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
( S I GNATIIRE )
CITY OF EAGAN
.
V
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PAONE: (612) 454 8100
"NOCAItt,;PEM
FOR CITY USE ONLY
PERMIT #
RECEZYT # /O 0.3
DATE:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR
OWNER NAME: 1? ¢<..I?.tLn.G? Y?c!-nrn N S
SITE ADDRESS: I ?O? ?t'?(-Wnn?L C?? •
LAT: /_-3 BLOCK ?2 SUBD. EnaStro.,-. be?r'L1o?11 A0o
INSTALLER: f?rl CT-i2? A'sfl L?C' •
ADDRESS: I4,770 ???cam /`tUc•. 5E.
CITY: Y('CO r' L A k_ e-. ZIP: FLS 3 7 a--
PHONE #: yz 7 ` Y/;? SC
DWELLINGS &
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
$15.00
24.00
6.00
3.00
SUBTOTAL:
STATE SURCHARGE:
TOTAL:
$ a7. 00
.SO
$__Z%56
SIGNATURE OF PERMITTEE
?OI?R4ERGTALJ?NDU$T1?YAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACA DWELLING UNIT.
-----------------------° _.---------__--°____-_--____------______----°__-------
CONTRACT PRICE:
OWNER NAME:
'oiTE iiDDRE55:
LOT: BIACK SUBD.
INSTALLER:
ADDRESS:
CITY: Zip:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
cACii $i,0^v0 OF PEPuMiT Fac.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1&
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
c4za //& 50?
BUILDZNG
026079
08/03/95
SITE ADDRESS:
1408 DEERWOOD CT
LOT: 13 BLOCK: 2
ENGSTROMS DEERWOOD
P.I.N.: 10-23900-130-02
DESCRIPTION:
Bui:lding .Permit Type DECK
Buiiding Work Type NEW
?..
;
x
?y
?x
,
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPY $.50
Surcharge .50 Total Fee $31.00
Subtotal $30.50
CONTRACTOR: - upplicant - ST. Lzc
R 0 CONST 14523575 0004988
980 STONY POINT RD
EAGAN MN 55123
(612) 452-3575
L
OWNER:
SMITH BRIAN
140$ DEERWOOD C7
fAGAN MN
(612)681-0944
I hersby acknowledge that I have read thi5
information is correct and agree to comply
Statutes and City of Eag-an Ordinences.
APPLICANT/PERMITEE SIGNATURE
application and state t'hat tite
with all applicable 5tate of Mn.
_. ?
ISSUED BY: SIGNAT
t _ ?.
/3 eL ?
CITY USE ONLY
suao. efYUJU"Qli
RECEIPT#: 1 3?0 C? ?
RECEIPTDATE:
PERMIT# 1 9'
2000 PLUMSING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MIlI 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIYTIIRFS
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas iping outlet ' minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newlrefurbished `requires MPC Ile. 75.00 x = $
SeptiC S stem abandonment 30.00 x = $
RPZ naw installationlrepair/rebuild 30.00 x = $
Rough openin 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Undergrounds rinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under consWCUOn 5.00 x = $
Water softener if existlng dwelling 30.00 x = $
Water tumaround 30.00 x $
State Surcharge .50 -> -> --> $ .50
TOtal -> __a $
Reminder; Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------------------------------------ -----------------------•--------- --- - Eaga ---- ---------•---
I hereby acknowiedge that I have read this appliwtion, state that the informstion is wrtect and agree to comply with all applicable Ciry of n ordinancas.
it is the applicant's responsibility to notiry the property owner that the City oT Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this pertnit wRhin City propartylright-of-wayleasement.
SITE ADDRESS: 14D S
' ?
OWNERNAME:: IGn °FLISGt- 5W114-h TELEPHONE#: OS( I9SlIln9?al
(AREA CODE)
INSTALLER NAME: Q r1. S?'Vll?k _ TELEPHONE #: /P-S-/ ?Oq
(AREA CODE)
STREET ADDRESS: I40 Q' be-nvu-)DGd &I•
CITY: F-aQ41 1?1 STATE: MN ZIP:
?--
SIGNATURE OF PERMITTEE
1991 BIIIAI" RX?PLICATION
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
CITY OF EAGAN
MIILTIPLE DWELLINGS
2 SETS OF PLANS
REGISTERED SZTE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCUL
OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DEI
DESIRED. NO CHANGES WIi.i. RF ni.7nr.iFn nucF aTTTTnTUr DFAMT
r?I-CO
> G
7d'7 • 00+
%i•UOF
511•00F
2, 211•50`
3,500•50-l:
'187•001-
7 1 •U0+
5it•00+
21211•50V
>>580'S0*
t C jac1ti
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: 7?1ror?(, ('?-`?,"r Valuation: 1421000? Date: _ 17-Site Address lya $ ?t,spo0 &?f-
Lot f3 Block li IENGST'ROIr`S
Parcel/Sub ?OA??? q D0-'?b-l
Owner L!t,4, ?t6r+rs
Address /yY? ?WtNSJi ?l¢ P?y ?p,,q
City/Zip Code /'hV 5337
Phone 89 Y-'C? j ?
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
OFFICE USE ONLY
Occupancy R_3 M _I
2oning R -I
Actual Const V-N
Allowable V-N
tt of stories
? ength A/Q `
Depth _ _y2'_
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System
City water
PRV
Booster Pump _
APPROVAIS
Planner
Council
Bldg. Off. /z- 91QS
Variance
FEES
Bldg. Permit 787•00
Surcharge 'II.Dp
Plan Review ,$) I j OD
SAC, City Da,OC
SAC, MWCC 6,$O.QO
Water Conn. 6(o 0.00
Water Meter $,?
Acct. Deposit 30,00
S/w Permit
a
30,0
S/W Surcharge ,Sd
Treatment Pl. z7 ,00
Road Unit $ p,0 D
Park Ded.
Trail Ded.
Copies
SDBTOTAL
Penalty
Lot Change
TOTAL
Phone #
atil.-I agrees that all work shall be done in accordance with
igna ure of Contractox)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?! _ _____-----?----------.?I
ao k ?g: 56 0
`l x a ?? = C y8 )
4 15= 6930
3SMT,
2? kz8 = ?zs?
/008 X 14
IsT Ft_o°Q.
3doyvi r, tve?
7 K/ u=
.2x 7 ^ ? J J
? ,c -7
?
- 1 LI 1? z
I 13414 53 to;- Go, io Z
ZND -FLoD/Z
qSX Al= 672
lyxZ9 = 39Z
Z-A 13yzf Z7
7X$= S?
?14'7 KS3= Go,'7ql
IWI°? 3S'
?
oT. I(4 2,0o) r
? EXTcRiOR ENVELOPE AVFRAG[ "U" COMi`IITATTON
OWNER: ------------- nnTF:_
S?TE ADD°ESS:L pnt.Ot, 12/ Ffj((STROMS PFIDNc:
CONTRAC?OR: PLAN # ? '?35z3 -?
Determine working square faota9e of each
?. Total exposed wall area..... 1,1;6 ?2? sy. ft. x.11 =
2. Total roo`/ceiling area..... `p -7,sF;:, sq. ft. x.026 =
Tctal exposed wall area above,floor=_ Z5?,O
a. Total wall window area ...........................................
b. "ota] door ar°a ..................................................
c. Total sliding glass door area....................'................ j ?
d. Total fireplace wall area ........................................ -
e. Total wall framing area (average 10%) ............................
f. Total rim joist area...........................................:.
g. net wall area a6ove floor ................................. ....
h. wall area above r'loor ..................................... "
i. wall area a6ove floor .................... ......... ........
j. frame wall area at =oundation .......................... ......
Tetal expcsed roundation area=?
k. To'tal foundation w•indow area.......................
1. Total net roundation area above grade ..............
Determine "u" value of each wall segment
(e.g. +aindow, door, each separate wail seciion)
a. X ?Iul?
b. X ?.-Oll
x u ---LA-1---?-?-- . ?.
d --- X ?Iull
e. X IIULI
f X ??U" DyJ"(o =_?I,?
e x "U„ 11e, ?
h. X fluil _
X :?UN _
i.
X u If item 13 is the sar
r ?L-:2 X lluil as, or less than iter
nl, you have met the'
X„u,i ??], intent of SBC 6006
--'-t=?----
.,
° : ;... . .
3 . .................................Total = Z( _.,-:s
"4. TOTAL EXPDSED ROOF/CEILIPlG CALCULATIOPlS:
Total exposed
roof/ceiling area........ jr2r? sq ft
j) Total skyliaht area....... ` sq ft x"U"
k). Total roof/ceilinq framing
area (Averaae 109;)...... sq ft x"U"
1) Total ne[ insulated
roof/ce31 inq area.... ,,. sq ft x U ?O7i
----1--^----
4 TOTAL j) thru 1) .
If total of "ti is the same as, or less than RZ, you have met the intent of %
2 *fCA't 1-16008 :4 ard 0. . .
ALTERNATE BUILDIMG ENVELOPE DESIGN
To utilize the to[al envelope system method, the values established 6y the sum
of items '3 and '4 shall not be nreater than the sum of items N1 and y2.
D? + ?_.
+
?
. * LINEAL FEET EXPOSED WALL
BLOCK: ?? t- I?''7?-?- II• 5"Z8-r Zis' ?6f 7- 5
KNEE: _
WALKOUT: -
FULL 1:??'a-zaa-//.?? l?)'?z•5-+-?"j,S+Z,5-f-3.'.-Z4r-
ISZ• S
FULL 2:4gy
FIREPLACE:
RIM:
? SQUARE FEET EXPOSED WALL AREA
BLOGK: I?I7. S x .5 = ]?j,"75
KNEE: - -1 5 = -
WALKOUT: X g - "
FULL 1: I?Z•'?? x 8= (ZZ?
FULL 2: x 8= 12??F
FIREPLACE: - X = -
RIM: ?°?1 x :L = ?°?7
SQUARE FEET EXPOSED CEILING ? n?¢3
WINDOWS:
Z3d? - u? il
?b DOORS:
Z&- ?
I
.?
PATIO DOORS :
BASEMENT UNITS :
° Z?'??- NI? ?,?'?'
dvr•
Z ? SKYLIGHTS:
z3?-l 5
.,? ----
???
Weu sec.Trccxts
?: t:lse f % of opnque
- • fYame ct?s'truCf 1on
;
?
i
.
;
? -fc
i
?
-43
- 4_ L?' t>
, L I
>
t ? M 6 1
?. , .
R= VAIlT£
CONSTRUCTZ02,?=- FRAMING - -
1. INI'ERIOR AIR FILM 0.68
2. 2 GYPB
3. 5 1 2 SOfT WaOD 6.8
4.
5. SIDING
6. EXTMIOR AIR FILM 0,17
TOTAL u= srs
+p1
NET
?
-
1, IT]TERIOP, AIR FILM 0.68
2. ' i2 D - .45
3.
19.00
4. SHEATHING µFF- G 5 14
S. S.LDZNG .6
6. EXTERIOR A
24 .
U= Sa
l. INPERIOR AIR FILM 0:68
2. 6 IN 19.00
3. x JO
4. 5,`?
5. S Df?IG ' .g?
6. EMRIOR
AIR FILM 0. 7
- MEW y'J.'7(o
U= y7g , o7j?R
BIACK
1.
2.
3,
4.
5.
6.
Q GRADE
INTERIOIZ AIR FILM 0.68
,
.
STYRO
PROTBCTIVE BARRIER
TOTAL R= 7.13
U= .14
0
: a
Y ?
? ?
?
. p ? *.
p- ?
" f1t`
f!t
F'4G.
?- Ifi ?
r ? ? 4
t • q.
7 r;
-?c
tl - lli?
l11 ?rr
?
NOTE: INDICATE TYPE, "R" VALITE. DEPTH AND
PLACII4IIJT OF INSULATIOId.
?
?•
A?
D a
,.\
ROOF-C£ILIN6
,
VBNI•
VEN'?'ED A HFr1T FL10W
_uUP
FIG. #5
?iiFAT FIAW UP
FIG. #6
VEDi'?'ED
?
. ?c
CONSTRUCTION
1. INTERIOR AIR Frr M 0 6?
Z• 5/8" GYP BD 58 7
3. INSllLATTON 44 00
4. EXTERIOR ATR Fri M
C) 61
TOTAL
45.80 °
U
.02
FRAME
1. INTERIOR AIR FILM _ 0.61 "
2. F
3. PTSULATION 38.35
4. ?E R EOR AIR FILM 0.61 `
? 40.15 ?
' U = 0.024 i
'Yt
COiVSTRUCTION
1. INSIDE AIR FILM ` 0_61 =
2•
3.
4.
5. uUTSI)E AIR FILM 0.17
U
_ .. ??
FRAME
INSIDE AIR FILM = • -0.61 ?
Z
3. :fx
4.
5. (1IIT.STTIF ATR FTi. TO'rPS?'
U =
'
1. INSIDE AIR FILM 0.61
o ?-0 2.
? ..•;? 3. ?
4.
R FILM 0 17 + ;
', ,.,. . `'•; :?.°??.-= , ? , 5. UUTSiL)
U ?
? • . ? ? ? .-?--'- %,/? ';?
? NON_VENTED NQTE: USE ADDITIONAL SH£.ETS I?' iRJME SPACE 25?
NEEDED FOR DbTAILS P.ND CAL?-'ULATICNS •
'rIEAT FUJW
UP ?
a
FIG. #7
?.
Y
: idYOR's cERrIFtcArE
35 23- T1I-A
KEYLANd HOMES
REVISED 12-2-91
U10U9E LOCATIDNI
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DE E RdVOQp
reas,?? CO URT
.. ... .. __... N 8? r? y?
Rp p ` W
f4E1MAY "? t ?
? - . 3- (888•el ` ?
2067 - -F .
o I
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c aR.
ti I M J ' 1?C
M
I _j PROPOSEd ap `
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co w
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3 ? ASI1AffiT pERT?PLAT
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tE: BULOINC DIMEHSIOMS sHpyN aRE
9 YERTICAL fifR NpRqpNTal
r( oi.o)
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? ?ici K
WCATION Of 37fRkTUqE ONLr, SfE NOTE: No SPECFk SOILS 1NVES7cA7ION Hns BEEN caaPLETEp
4111MITECTUAL PLANS FOR BUILOtNG B FQUHpqT10N aN THlS LOT 6Y T?{E SWtVEYOR. 7ME BUITABIIT' OF
a
•? SOILS. TD SUpR7AT THE SPECIfIC HOUSE PRpPpgEp IS
DENOTES PROPOSED SURFACE DHAlNAGE NGr THE RESPONSreIiiTY oF 7HE SuRVeYO2
0 DENOTES IRON MONUMEN7 5ET SCALE; 1 INCH - 30 FEET
ffi DENQTES lRON MONUMEF FOUND PROPOSED QARAGE FLOOR - 8501,1 • FEET
x000A DENOTES EXISTINO ELEYATION PROPOSED LOWEST FLOQq- gcd 1,1- FEET
(000•0) DENOTES PROPOSED ELF-VqT10M PROPOSED TpP OF BLOCK - 6995 FEET
WE HEREBY CERTIFY TQ KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BdUNDARIES OF:
Lof 13,BIoek 2, ENGSTFIOFRS OrxERWOOD ADpITiON, aecordinq to the recordad plai
tMrwt, bokaq Couny, Mlnnesoto.
.
IT DOES NOT PURPOR7 TO SHpW IMPROV?E1MENTS O.tR 6NCROACHMENTS, EXCEPT AS SHOWN. A5
SURVEVED AYMF nR li?!pEqRiv?,IqCyTJVPL I?V?IS{VIV THiS 3TN UHY'tiF NoV, ,1991,
w?o?I?M ^ FAOM TFI[ qN?p Nd
RAN R'R C106fTIq1R9 eR[lIUY000
ADOITION M1LpCfil1[6-0Pl8-lS. Y'1l,R.Ml,
LA77 DATi .
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mn
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7
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I{.j
A. HILL, INC.
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD, 42 • eURNSVILLE, MN. 56337 a 612-890-8044
x
?,-
1wLpa uttttwopD COURT
35 23- IQ-Q
SUR1/E1(OR'S CERTIFICATE KEYLAND HoMEs
REVI$ED 12-2-91
4?qU9E LOCATIONJ
f?
N ?
N `
WW .
zr
?
?
?
DE E RWOOD
CO URT
aRss.?O
?
?EM/AY 1"? j
8•8)
Alt.
/ r
J,
? ? ($rd0.l}
? LUT
? . :\??a$,rc)
?
?
POSED/ ? ?
?
( Sg?,B)
13
-oRp1NqGE 9 t1TtLITY
SL EASEFAENT pER FtiAT?
-° o
/?
1 ?-}
,
1
_'($9-7,5) 116653 S8B°23 "W
Fr`?r?`^?i'+nlr? n
Ur-?R K
DTE: BUILflING DIMENSIONS 5MW1N ARE FpR HMqpN7pL
9 YE11nCAL LOCAT1oN OF S7tiUCTURE ONLY. SEE NorE: No SpECplc SOIIS lNYE571GATiON HAS BEEN cqMa.ETEO
+??L RANS FOR BUILOtNG e FpuHpq7Iqy ON THIS LOT BY THE SURVEYOR. TF£ SUlTA61tlTl' 8F
y??Sp?. SdLS. TO SVi'PDRT THE SPECIfIC HOUSE PROPOSED IS
DENOTES PROPOSED SURFqCE DRAINAGE No'r TNE pE3A0NSIIPLITY oi 7HE SuRVarort
O DENbTES IRON MONUMEN7 5ET SCALE; 1 INCH - 30 FEET
! DENOTES IRON MONUME 7 FOUND PROPOSED GARAGE FLOOR - gOR, I- FEET
JL000.0 DENOTES EXISTING ELEV?TIOM PROPOSED LOWEST FLOQR - g42) f.¢ FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TQP OF BLOCK- gg3q,g FEET
WE HEREBY CERTIFY Ta KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SUFiVEY OF THE BOUNDARIES OF:
l,ot 139 91ock 2, gNGS7ROMS bKERWOOD ADp17tON, accordlnq W the recorded ptat
1Mnof, DoNolo CW„ty, MinnASoto.
IT DOES NQT PURPQRT TO SHOW IMPROVEMENTS OR ENCRpACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BYME OR UN6ER MY DIRECT SUPERVISION TH15 5TH DAYOF NOV, ,1991,
1?W ??N?FmIA 7tK ?N pNd
RAN RM [lMfTlqMi amMIOOb
AOOITION M1L??11[6 ?Y L1l.1k,
LAl7 DAT[0 6 -Pe-re. . .
m O7
?
m
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z
0 m R. NILL, INC.
? r ?
JpHN C. LARSON, LAND SURVEYOR
MINNESdTA LICENSE NUMBER 19828
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. qD, 42 9 BURNSVILLE, MN. 56337 • 612-890-8044
N
, a
,4
,
DEP
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118495
Date Issued:11/01/2013
Permit Category:ePermit
Site Address: 1408 Deerwood Ct
Lot:13 Block: 2 Addition: Engstroms Deerwood
PID:10-23900-02-130
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Braden Larson
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 -
Paul Iii S Burke
1408 Deerwood Ct
Eagan MN 55122
Allstar Construction Llc
5145 Industrial St #103
Maple Plain MN 55359
(763) 479-8700
Applicant/Permitee: Signature Issued By: Signature
City of Eaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
DEC 022013
r
Use BLUE or BLACK Ink
For Office Use
Date Received: ' �• �`1
Staff:
L
Ns
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 11-1D / A l -7j Site Address: ILIO(6 t nNeCttA•
Tenant:
Resident/Owner
Contractor
Type of Work
Permit Type
MIN
Suite #:
Name: Calle l3(,t.Y t Phone: W I r lb LILOJ3
�s�laa
Address / City / Zip: _
Name: di-- GM) (X a.;1 I_P_t j EGO iNuH-CiY License #:(2(—j 1 I C
Address: 9-41-4Q �IuP�1�� PY- city. 1 611 ..con
State: l/IJr. Zip: 514 U L C0 Phone: 115 343La £)1J2 col
Contactt )t nn; cal G Email:
New _ Replacement _ Repair Rebuild _ Modify Space __ Work in R.O.W.
Description of work: ) YDS ,/ 1 0, 1U Y i54 ((eiv-
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
`SC Water Softener
_ Add Plumbing Fixtures ( Main / i Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 518" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ l a O.
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.orq
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 1 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
'AA aX1010e_iir
Applicant's Printed Name
x
Appli
nt's Signature
FOR OFFICE USE
Required Inspections:
Reviewed By:
Under Ground _Rough -In Air Test _
Date: 4.
Gas TestFinal
r For Office Use
, ; Permit#:
%.4, % E AGA N
Permit Fee:I 7 f0
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinoinspectionsc cityofeaoan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: J U X2_3 1 Site Address: / It OSS ee�' o oc `.r.-71- Unit#:
61z- 3C-4—F-F3
Name: �C�.C�, r -Q_ Phone:
*01(00:01,
Address/City/Zip: / (? De E 2Oc+(�1
o �_c
Applicant is: Owner Contractor 001
c 2C
�ii
Description of work: � ^� V� ��w\ � ��. (.!� i ACV C.R� ..L79
Construction Cost: 3 S ,0 -t ' Multi-Family Building:(Yes /No X )
Company: 5 O Ci C.- t-- P5‘.41 (d s, (Am Contact `P
Address: (()0 L.( kc 1t0 T £Y- City: e Y\ &f c3 i Y' ► Q—
State:4,1Zip: S r3 17 Phone: 6(2-k/3'1232;2-Email: 6\r Ackl 2`1 e Y'V)►'��-'�
�/� alp
40
�J
License#: � D7‹.'3[(0 Lead Certificate#:,/�/ 2 „
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE:wry, ,8r ' , t on�9 ft x.:
classifiied.as iron-pu lic f you provide specific reasons that would pert the.Ctty fo tontludiihatthisjato a secres.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeacan.com/subscribe.
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.
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
acco e with the approv plan in the case of work which requires a review and approval of plans.
LP
Applicant's
x
Applicant's Printed Name Ap ' -ant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168583
Date Issued:04/26/2021
Permit Category:ePermit
Site Address: 1408 Deerwood Ct
Lot:13 Block: 2 Addition: Engstroms Deerwood
PID:10-23900-02-130
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Paul S Iii & Carly J Burke
1408 Deerwood Ct
Eagan MN 55122
(612) 384-8935
The Fireplace Guys Llc
680 Hale Ave N #110
Oakdale MN 55128
(612) 326-1919
Applicant/Permitee: Signature Issued By: Signature