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1412 Deerwood Ct Use BLUE or BLACK Ink Fa Office Use City of Eajan ~ Permit al OS t> -k- I I 'r" Permit Fee: `,S S 3830 Pilot Knob Road ~ L j , 4 Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2010 MECHANICAL PERMIT APPLICATION Date: ^1-c -10 Site Address: 1 1 DQ3° (-(A QJ Tenant: ny* a L ry-I Suite Q j . RESIDENT / OWNER Name \ Phone: L05 ~ " QO `LJ20 Address / City / Zip: 1 QZLA~ J 0 V, E~~" ) a` Name: BURNSVILLE HEATING & A/C, INC. License CONTRACTOR 3451 W. Bansville Parkway Address: Suite 120 City: Burnsville, MN 55337 State: Zip: Phone: Contact: F____ Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: (!_AC- i~C A L11 kj NOTE: Roof mounted and ground mount Q rr5ec , anical equipment is required to,be screenedbytity ode. Please contact the Mechanical Iri$pector for information on perm Oed s,F.regning methQ( S. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction Interior Improvement _,Air Conditioner _ Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank L_ Install / _ Remove) t t " When installing/removing tank(s), call for inspection by Fire Other + a k / Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $ Q State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE 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.cgopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with a approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature FOR OFFICE.USE Reviewed By: Date: Required Inspections: Under Ground Rough In -Air Test' Gas Service Test In-floor Heat Final Exterior HVAC Screening Inspection SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 OFFlCE USE ONLY METER# ?3 ??O 7a S/pERMITDATE 03/20; 90 CHIP # D I ?/ 6 ? WATER PERMIT # 11277 METER SIZE B.P. RECEIPT # C FAnZL ISSUE DATE B.P. RECEIPT DATE03 16 9p PRV - BOOSTER PUMP SITE ADDRESS ??? I L b F?I`Lf,cL r PERMIT RE(.UESTED LOT L "BLOCK 7- SEC/SUB L 1 X SEWER Y WATER _ TAPS APPLICANT: ADDRESS: 'Z..jl'S ????r-h-7 _COMM/IND ?RESIDENTIAL CITY, STATE afiA2 rVR%, ZIP ? z PHONE: ? 5.. X NEW _ EXISTING PLUMBER: 421/ QT?ic.?????L AODRESS: I AGREE TO COMPLY WITH CITY OF CITY,STATE =-g?F1/j,?F r'y1.LJ. Zip --'4 EAQANORDINANCES: ? PHONE: -- ?- ' OWNER: ADDRESS: SIGNATURE WH N METER ISSUED CITY, STATE ZIP PHONE: _Ie6f? PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERiNG DEPT. APPLICANT AND PLUMBER WILL BE NOTIFlED WHEN PERMIT IS PROCESSED. ? --- -- - . __ _ _ -_- - - --- - ? CITY OF EAGAN ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PEM1T + PHONE: 454-8100 Receipt # To 6e used fnr DNCK G?t v?io n.,.,. SEP Site Address lftl= DiLKNppD CT Lot iZ Block Z Sec/Sub. ENWTWM'5 Parcel No. W Name i'1aN7g J CARNEY z 3: Address 1412 DEg1tTiO0D G7 ° City B/?GAN Phone 687-9607 ;i o Name SAM OU? Address City Phone Address I hereby acknowiege that I have read information is correct and agr e to a Minnesota Statutes and? E f Signature of Permitee? f f"L Phone r?. application and state that the y with all applicable State of g Permit is issued to: """ `_' `' `''%ML j cpress condition that all work shall be done in accordance with all e State ol Minnesota Statutes and City of Eagan Ordinances. Oificial 0- t: 19738 OFFICE USE ONLY Occupancy - FEES 2oning _ (Actual) Const (Albwable) _ Bldg. Permit u•oo N ol5tories - Surcharge •50 Length 1MS Plan Review Deplh 21XZI SAC, City S.F. Total - SAC, MCWCC ------- - S.F. Footprints j - On 5ite 5ewage _ Water Conn On Site Well - Water Meter MWCC Syslem _ City Water _ Acc1. Deposit PFV Required _ S/W Permit Booster Pump - g/W Surcharge Trealment PI APPROVALS Road Unit Planner - Park Ded. Council Bklg.Ofl. _ Copies Variance - TOTAL 25.50 Permit No. Permit Holder Oate Telephone # WATER SEYVEF PLUMBING , H.VAC. ELECTRIC kispection Date Insp. Comments Footings I Foundation . Framing Roofing Rough Plbg. Rough Htg. Isul. FireplaCe Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. tiAeter EngrJPlan Bldg. Final Dedc Ftg. Dedc Final Well Pr. Disp. - -- CITY OF EAGAN 17-605 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?g''t 'tj ? PHONE: 454-8100 BUILDING PERMIT Receipt # ' To be used for SF puG/GAR Est. value $135,000 Date ZIAR 15 1990 ;S 1412 DEERW00D CT _ Block Z SeclSub. ENGSTROPi' S DEERWOOD Phone City Phone Name _ Address Phone I hereby acknowlege that I have read this application and state that the information is correct and agree io comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee A eudding Permit is issued to: pItTTELS?AEnT BROTHERS on the express condition that all work shail be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy R-3 M-I Zoning 4_--l u-N FEFS 7??.00 ? 67.50 ; 445.04 ? 100•00 y 600.00 3 625.00 j 90.00 'l 30.00 ': 30.00 ? I .50 252.00 ? 355.00 3 (Actual) Const ? Bldg. Permit (Aliowable) v ? - Surcharge # af Slories 570 Plan Review Length 36' Depth SAC, City S.F. Totai SAC, MCWCC S.F. Faoiprints - On Site Sewage _ Water Conn On Site Weli xx Water Meter MWCC System City Wafer XK Acd. Deposit PRV Required - S+V'I Permit 8ooster Pump 51W Surcharge Treatment PI APPROVALS Road Unit Pianner - park Oed. Council &dg.Off. _ Copies Variance - TOTAL 3,407.OU ? • ? Permit No. Permtt Holder Date Telephone # WATER srewEp PLUMBING H.V.A.C. Q ? • ?' f d ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing 3'j,? `!C' Roofing Rough Pibg. Rough Htg. 2-3v isui. -02? - - ?? " Fireplace Final Htg. 494 ? Fnal Plbg. ? z- 9 a Const. Meter PI6g. Inspector - Notify Plumber Engc/Plan 81dg. Final S?•Z (aJ? - - ?G? !(J ? G?I-?? Deck Ftg. Deck Final Weli Pr. Disp. ?... _ ,... , . , .., ... ,. . . - . _-? , _. . PERMIT # G? / _J ` ' . MECHANICAL PERMIT RECEIPT # ' - . CITY OF EAGAN DATE: 3830 PILOT KNOB ROAD, EAGAN, MN 55122 j CONTRACT PRICE PHONE: 454-8100 For Office Use Only: ' Site Address R BLDG. TYPE WORK DESCRIPTION ! Lot Block Sec/Sub Res - New :i ,1 ` f , 4' Mult Add-on - Name ID ? . Address 'iliOPE T S?,ANn AVE Comm. Repair c City Phone 92"-000r Other Name = T r r, '': ''" £ r, DRO r13 ER S FEES 00 HVAC 0-100 M BTU - $24 RES . . c Address ADDITIONAL 50 M BTU - 6.00 p City Phone '? F-'?' (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTIOH) 50 EA GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1 ; . . ' TYPE OF WORK COMMIIND FEE - 1a/o OF CONTRACT FEE ? Forced Air M BTU APT BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU ? MINIMUM COMMERCIAL FEE - 20.00 - STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # BEYOND $1,000) Other FEE: ' SIGNATURE OF PERMITTEE S/C: . TOTAL• FOR: CITY OF EAGAN rILuMUInu remml I For a CITY OF EAGAN PERMIT # s CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # PRICE PHONE 4546100 DATE: Phone FEES CC7MM./IND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - CQMM. RATE APPLIES TOWNHOUSE 8, CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND.IFEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 SIC PER EACH $1,000 OF PERMIT FEE) BLDG. TYPE WORK DESCRIPTII Res. X New Mult. Add-on x_ Comm. Repair Other I I RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Waber Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 UrinaUBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERAAI7) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ? U. G. SprinWer System - $12.00 1 a-ou PERMIT FEE: STATES S/C: T J !, : _ WND TOTAL: ? a • 5 0 PRICE Site Add?j Lot . ?`- ? ? c Cfty ?'o?- FEES COMMJIND. FEE - 1%OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND.lFEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S1C PER EACH $1,000 OF PERMIT FEE) CITY OF EAGAN 3830 PILQT KNQB ROAD, EAGAN, MN 55122 ?/ ?1 _ PHONE 4548100 PERMIT # DATE: BLDG. TY WORK DESCOPTIC Res. New Mult. Add-0n Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO FIXTURES TOTAI .? Water Closet - $3.00 $ Bath Tubs - $3.00 ?E Lavatory - $3.00 _L Shower - $3.00 ? ? Kitchen Sink - $3.00 a UnnaVBidet - $3.00 ? Laundry Tray - $3.00 3_c?? ? Floor Drains - $1.50 ? Water Heater - $1.50 ? Whirlpool - $3.00 !3,a ? Gas Piping Outlets - $1.50 J. ru0 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 --3--Rough Openings - $1.50 ? U. G. Sprinkler System - $12.00 PERMIT FEE: A)5' 00 STATES SJC: ,So CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS ' Correction Notice Located at i5?2 r-- , Date -?? Inspector City of Eagan DO NOT REMOVE THIS TAG I have this day inspected fhis structure and these premises and have found the following violations of city codes governing same: When corrections have been made, please call 454-8100 for inspection. e p ? • ` fgtr#i#iratt of (Orrupanry titp of (tagan ioPpd11tPIlf of vwbtlt J jttSpPtttDtt This Certifrcate issued pursuant to the requfremenls af Section 306 of rhe Uniform Buildirtg Code certifying that at the time of issuance this structure was in compliance )wth the various ordinances of the City regulating building constructron or use. For the following.• , [lse Cltsti6ntion SF DWGICAR BIdB. Rrmit No. I7605 omw.-r Trx F*/M ? Z-Mw ouuia R 1 Tra ConsL VN own« of eUMMS MITrUMAEUr BFDIHERS Add= 785 SIM DRiVE, F.ACt .?_.. 1412 LEERWCM ?-OCIURT ,__,:- L12, B2, ENO..i S DFM,lOm bau: MAY 711, 1990 POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: ?,?? r t i? f M?i I SITE ADDRESS: pERMIT SUBTYPE: I 1 .I tt 1 [o r I APPLICANT: TYPE OF WORK: M0 11d i 1 .7 ivi. i.t_ 0 n ? 10 N INSPECTION .. . .. i I ,Af;I", ? q4f'AFACf f'l11MRlNti k f1FI.Tftlirll PFF(MII', RFt)IIlk1-f) ? ? Pennit NO. PermR Holder Dete Telephone i S/W PLUMBING -??g7 HVAC ELECTRI ELECTRIC Inspection Date Insp. Commerrte Footings I Foundation Framing Io- XL/?/ C3 ? i G I+ L_ Roofing Rough Plbg. Rough Htg. Isul. Freplace Fnal Htg. Orsat Test Flnal Plbg. Plbg. InspeGOr - Notify Plumber Const. Meter Engr./Plan Bidg. Final 31AZI2, Dedc Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 0 { p`' II Eagan, Minnesota 55122-1897 Date Issued: `' r' •' (651) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: I I 'I Mnirr -; :1:?11 rfNr V iI I I F IL • i w .' s•+wn i rw I., 4 0 , , APPLICANT: I t t t, I 1 1 l, i i- ( H R.' TYPE OF WORK: i N",P t ? ? PsrtnR Holder date Telephone # SEWER/ WATER PLUMBING HVAC Inepection Dete Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE , U FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC MEfER IRRIGATION METER FLUSH MAINS coNOUCnvirr TEST HVDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN No .1 g738 , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454- 8100 BUILDING PERMIT Receipt # 0J To be used for DECK Est. Value Date SEP 26 , 1991 Site Address 1412 DEERWOOD CT Lot lZ Block 2 Sec/Sub. ENGSTROM' S OFFICE uSE ONLY Paicel No. occupancy - FEes Zoning _ w Name MONTE J CARNEY (Actuap Const Permit u-oo Bidg o AddfeSS 1412 DEERWOOD CT _ (Allowable) - . ? SurChar 9e • Cily EAGAN PhOne 687-9607 # olStories 8 1 Plan Review W Length o Name S'?'?E Daplh 2?1 Ciry SAC i g¢ Address S.P. Tolal - , SAC, MCWCC ? City Phone S.F. Footprims _ t C W On Site Sewage a er onn ?w W Name onsaeweii w - Weter Meter Addfess MWCCSystem - iw City Phone Ciry Waler _ Accl. Deposit ` PRV Required - .?AN Pertnit I hereby acknowlege thal I have read this application and state that Ihe Booster Pump - SM/5urcharge information is correc[ and ag e to comply with all applicable State of Minnesota Statutes and Ci Ee r" nces. Treatmem PI Siqnature of Permitee r APPROVALS Road Unit A Building Permd is issued to: MONTE J ARNEY Planner - park Ded. on the express contlition that all work shall be done in accordance with all Coumil -- applicable Slate of M (in?nesota Statutes and City of Eaqan Ordinances. BItlg.Olf. Copies . ? BuiidingOfiicial 1 ??1lAil m?q va^a^ce - TOTAL 25.50 CITY OF EAGAN N2 17605 3830 Pflot K.nob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE:454-8700 ? . BUILDING PERMIT Receipt a To be used tor SF DWG/GAR Est. value $135, 000 pntp MAR 15 1a90 Site Address 1412 DEERWOOD CT Lot lZ Block 2_ Sec/Sub. ENGSTROM'S Parcel No. DEERWOOD W Name MITTELSTAEDT BROTHERS o Address 785 SUNSET DR City EAGAN Phone 456-9125 ?F Name SAME ga Address ? Ciry Phone . W W Name tAddress aw City Phone I hereby acknowlege Ihat I have read Ihis applicalion and state ihal the informafion is correct and agree to comply with all applicable State of Minnesota StaWtes and ?f Eagan Ordinances. Signature ol Permitee ? A Buiiding Permit is issued to: MITTELSTAEDT BROTHERS on the express condition that all work shall be done in accordance with a11 applicable State of Minnesota StaWtes and City,of Eagan Ordinances. Building Oflicial OFFICE USE ONLY Occupancy R-3 M=1 FEES Zoning R=1 (ACtual) Cons1 v-N BItlg.Permil 762.00 (Allowable) V=N Surchargo h?.5? # al Stories 57' Plan Review 495.00 Length Depth 36' SAC, City 100.00 S.F. Total - SAC, MCWCC 600.00 S.F. Footprints - 625 00 On Site Sewage _ water Conn . on Site Well Water Mater 90.00 MWCC System xx ` Acct. DepoSit ? 30.0 City Walar . {j _ PRV Required _ S/W Permil 30.00 Booster Pump - SIW SurCharge . -5o Trealmenl PI 252.00 APPfiOVALS RoadUnit 355.00 Planner - park Ded. Councii 91tlg.Oft _ Copies Variance - Tp7AL 3,407.0 0 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 022350 Eagan, Minnesota 55123 Date Issued: 10 / 2 6/ 9 3 (612) 681-4675 SITEADDRESS: L oT: 12 BLOCK: Z APPLICANT: 1412 DEERW000 CT CARNEY MONTE J ENGSTROM'S pEERW00D (612) 687-9607 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FZNISH AITERATION INSPECTION FRAMING .. . TNSULATION „ ROUGH IN PLBG FTNAL REMARKS: SEPARATE PLUMBING & ELECTRICAL PERMITS REQUIRED F- ? ?/i 00? +.96 REQUEST FOR ELECTRICAL INSPECTION ? See Instmctions lor completing this lorm on back al yellaw aopy. `X" 8elow Work Covered by This Request ? /Eg/-o8 ? ?" ?.?:. ew Add Rep. Typeoi6uilding AppliancesWired EquipmeniWired Home Range Temporary Service Dupiex Water Heater Electric Heating Apt. Buildinq Dryer Load Menagement frial /I d C Furnace Olher (SpeCity) n us omm. Farm Air Conditioner Olhar(sGecity, ConVeotor's Remarks' ?Srn'f? Compute lnspecfion Fee Below: # Oiher Pee # ServiceEntranceSize Fee # CircuitsiFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above-_ Amps : TOTA ? O rors Use Onl I SignS y rispeo O r? ' Irrigation Booms Special Inspection i i LATION MAY BE ORD RED DI5CONNECTEO !F T10T on cat AlarmrCommun THIS INSTAL COMPLETED WIT MO ? Other Fee o ?A I, the Electrical inspector, hereby Rouqmm a ^ ? d• certify that the above inspection has F,nai been made. t OFFICE USE ONLY This request vaid 18 monihs from ni L_ C3 //_ VI , u ? `?? ? 02496 V? Aepuest Date ire . RougRln Inpsetlion Require0 ctar C1' au mu all inspe when reetly) Inspection Otner Tnan ough-In ? peetly Now ?''ill NotiTy Inspeclor /U ^ 9 es ? No V Date Read I-?] licensed contractor gowner here6y request inspection ot above electrical work aY. Job Address (Slreet. Box ome No.) I ? ? C??y e?wv?c? ?/? • Section No. Township Name o, No. Range No. Counry Occupan:;PFINT /? Phone No. ?1 on ?"a rn e Powee Suppllar AtlOress Elecincal Com aclor ?GOmpany Namej . GonVeofor4 License No- aryr£i e t, Maiiing Atldre Gonuacror or Owner Makmg iostallation) Aulhoreetl n e 0 Iractor%Owner Making Inslalialion, Phone Number 6 G, I_ ? - MINNESOTA STA E BOARD OF E CTRIQTY THIS INSPECTION REOUEST'?'ILL NOT kk? G??9gs-MiEwey Blpg, - Room 5- )3 BE ACGEPTED 8V THE STATE BOARD 1821 University Ave_ St. Paul, MN 55100 l1NLES$ PROPEP MSPECTION FEE IS Phone (614) 642-0600 ENCLOSED. i ? ? ??19 . 4 (475 - ge ? .? Request Date 3.??? _ Fd Fi o. ugh-in Inspection e uiretl? ? Reatly Now ?Nill Notily Inspector Ves ? N. When Reaay? I Xlicensed contractor ? owner hereby request inspection of above electrical work at: Job AdCresS,? reet, Box or ROU[e No.) Y Cify ? Section No. Township Name or No. Pange No. County Occupan? PFIiNT) ? s Phone No. - g zs' Power Supplier Atltlress " _ / Eleclrical Conhacror (Company Name) 247v/_'c-/u CoMractoYS License No. Mailing Atldress ( COMra c to r or Owner Mak ing Installatqn) ? J ? p ? / ` ?+ 1 a lCL/(? L iC.. ? L. V !-/l ? 9 5 AuiMrrzetl ndturnlractr/Owner Making Inslallation) Ph = . MINNESbTA STAiE BOARD OF ELECTqICIiY THIS INSPECiION REpUEST WILL NOT GdggsMitlway BIOg. - Room 5-173 BE ACCEPTED BYTHE STATE BOARD 1821 Vniverelty Ave., $[, pgul, NN 55104 UNLE55 PROPER INSPECTION FEE IS Phone (812) 642-0800 ENCLOSED. ?'?3?? REQUEST FOR ELECTRICAL INSPECTION Ar% ee-0aom-o? ? 0-See inslrucuwns tor completing this form on back oi yellow copy. ?9?`O 2 47475 7?0 7 lf' X` Below Work Covered bv This Renuecr ew -Add Rep. TypeofBUilding ApplianCeSWired EquipmentWired Home Range 7emporary Service Duplex Water Hea}er Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Fumace Farm Air Condilioner Other (speciry) Contracmrk Remarks Compute lnspection Fee Selow. # Other Fee # Service Entrance Size Fee # Circuits/Fe¢ders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ qmps A6 Amps SiynS I n i Inspectora Use Only TAL O r gat on Booms ? Q L?^? ? ? Special Inspection J Alarm/Communication O[her Fee I, the Electrical Inspector, here6y R0O9n'" certif th t th oale ._> y a e above inspection has . been made. Finai r ? ?J 8e OFfICE OSE ONLY ? This request void 18 months fmm ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN a?- ? ?1 ? L? 3830 PILOT KNOB RD, EAGAN MN 55122 ? 4 651-681-4675 NewConstructlon ReauiremeMs RemodeVRenatr Reauirementa ???? • 3 registered si[e suneys shawing sq. ft. of lot, sq. ft. af house; and all roofed areas • 2 copies of plan S-? a(20% maximum lol coverage allowed) . 1 set of Energy Calculetions for heated addMions • 2 copres of plan shovnng 6eam & wiridow saes; poured fouM desgn, etc.) . 1 site survey for ezterior addifions 8 decks • 1 set of Eneryy Calculalions . Indicate iF home served by septic system for additions • 3 copies of Tree PreservaNon Plan d lot platted after 7!1193 • Rim Joisl DefaO Options selection sheet (bldgs with 3 or less units) DATE 'S(9 I ?AG"?? VALUATION SITE ADDRESS IqI 7 ?)C- 7C/L?OQ (::!-T- MULTI-FAMILY BLDG _Y X N TYPE OF WORK PclX-rl AOD rTi ot3 FIREPLACE(S) _ 0Y _?1 _ 2 APPLICANT C_Az2,JE '- I STREET ADDRESS )41Z ?C clL??? ? (Z:T- CITY EA??1 STATE'L ZIP S5122 TELEPHONE # ?451 (o;9? '?214-o7CELL PHONE # (o(Z 6 FAX # PROPERTY OWNER TELEPHONE # ------------------------°----------------------------------------------°------------°------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CAT'EGORY 1 (J submission lype) • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calcuiations Submitted Plumbing Confractor: ____ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor. _ Air Conditioiung Heat Recovery System Phone # Phone # MAY 0 9 2002 5 $90.00 Fee: $70.00 -----------------° ----------------- °--- ° ° --- °-------------- ° --------- ° ------- ° -------- °--------------- °--------- I hereby acknowledge that I have read this application, state that the i rmat' ' correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O' c. Slgnature of Appllc OFFICE USE ONLY Phone # _ Water SofCcncr _ Lawn Sprinkler _ Water Heater _ No. of R.I. Ba1hs No. of Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated M02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 21T 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage 11' 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 Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding K 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 ?7C! O Occupancy 9-y- 4(4 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 VN W idth REQUIRED INSPECTION5 _ Footings (new bldg) FinallC.O. Footings (deck) ? FinaUNo C.O. x Footings (addition) _ Plumbing I Foundation HVAC Drain TIIe Other Roof _ Ice & Water Fina] Ftgs _ Air/Gas Tests Pool _ Final ? Fraxning _ _ _ _ Siding Stucco _ Stone Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By 7 z , Building Inspector Base Fee Surcharge Plan Review ?J y?• ? .. MC/ES SAC ? ? /?? ?? v n ? ? y o e?wA, City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant ?/ ? ?U Plumbing Permit Vv Mechanical Permit 0 ' License Search Copies ?!i "/?? 1?2 Other Total 1- . + s T r , I ? ?? ? 1990 SUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 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 CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADORESS 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 GOMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. YAR 1 3 Reco NjL?/ Valuation: I J? ?(J?`? Date: To Be Used For: ?J?1-r F 2 ? .?i,3 ??/o Site Address f`//j l)GP?i.>? CJ1 OFFICE USE ONLY Lot la Block a y-P Parcel/Sub 6m, Owner Address City/Zip Code Phone Contractor &7-j'l-L,S7-/42`117- di7/?J`a- Address 17$ 5 ?'-?I „?s-17- '6/7 City/Zip Code /"60, 55'1'?13 Phone Z{ G/ al_S Arch./Engr. Address City/Zip Code Occupancy 9?3 M_ 1 Zoning fL ^I Actual Const V-N Allowable V-N # of stories Length 57 ? Depth 36l S.F. Total Footprint S.F. On site sewage_ On site well MWCC System t/ City water ?/ PRV _ Sooster Pump _ APPROVALS Planner Council Bldg. Off. 16P?Y((4 Variance FEES B1dg. Permit ?6Z'00 Surcharge 67150 Plan Review 0 1495.0 SAC, City LOQ100 SAC, MWCC ?(? D,OO Water Conn 20 Water Meter 00 Acct. Deposit 3 D,CO S/W Permit 30.c77 S/W.Surcharge ?5o Treatment Pl. ZSZ.W Road Unit 955100 Park Ded. Copies SUSTOTAL Penalty TOTAL Phone # 1/?! ?t'?TI O P? ?. ? C-?A R,?(7E ° . , ?, r-e Z2x22: 4K? x i?= ?2,60 I?6 ,, /s; Ca??) I4 %/ y ?2y 32= 3??1 I 05(--, xI H = 1 u'7f3 q I sT ?'?? o??, ?sm-r_ lo? ax? _ ty I ? X 51 ; s7o15? ZKID -FL oo?>- ?S??'+T ? l0 5? ?xr1 /o?u xS? = 552??I ? . . / 3Nv7 (. DATE EXTERIOR ENVELOPE.AVERAGE "U" COMPUTATION oWNER v-• . 2., .sr,.{ v r E SITE ADDRESS? y?'1, p E'E fL ??ajd Ceu, 2-r CONTRACTOR Mi nE` S'Cr1E,j'f ' ?,:1 ?..?5. ? nti ? Sr. ? n7 !_. ADDAESS_7$ S. >hrr Lyi, EA r1,J PHONE 45L q 12$ DETERMINE WORRIrG SQUARE FOOTAGE OF EACH. 1. Total exposed wall area ... 2 '7 3,3 sq: ft. x .11 s 3o°,L 2. Total roof/ceiling area ,.. 1 0 g ? sq, ft. x •026 Total exposed wall area abnve floor d?^ a. Total wall window axea ......................... 7_R y b. Total door area ................................ 3 8 c. Total sliding glass door area .................. 37 d. Total fireplace wall area ...................... O e. Total wall framing azea (average ioZ) .......... 2(05 f. Total net wall azea above floor ................ 1 A.5 5 g. Total rim joist area ........................... 'ry to Total exposed foundation area ? '7 g h. Total faundation window area ..... .......... q i. Total net foundation area above grade .......... 17 y Determine "U" value of each wall segmeat. a. 2 Q L/ x_ "u" ,q 5 ft 1'1'7. 8 b. 3 S x„u" . ?7 2.'7 c . 3 7 x"Ult . y2 - 1 5. 5 d. D R "U" O ? 05 e. 2L 5 x"u" f. ,S5-5 xflv" , aq,3v - 190.5 g. 1 4/a R „v" O'lY - 6f.'l h. c/ x"U„ , N.5 - !; 8 t. 7y x"vll , bq2 - 5117 3 . ...............................Total - L 9. If item i13 is the same as, or less than item 111, you have met ehe intent of SBC 6006 (c)2. -1- Page 2 of 2 To[al exposed roof/ceiling area ? I OS'{l J. Total skylight area ........................... O ' k. Total roof/ceiling framing area (average 107.).. (p'7,(e 1. To[al net insulated roof/ceiling area ......... 10 1 3,y Determine "U" value for each roof/ceiling segment. j • D X "U" R. ?e /. ?.l R ItUI! RflUll J. O 21 ? ° 27. ? 4 ....................................... .Total ? 2 3. 8'! .. If toCal of 04 is the same as, or less than #2, you have met the intent of SBC 6006(c)L. Alternate Building Envelope Design To utilize the total envelope system me*_hod, tha eRtablished hy the sum of items A3 and 114 shall not be greater than the sum of items B1 and ff2. ,?. 1. + 2. a . . . . . . . . . a 3 . + 4. -2- -?q?ITY OF EAGAN 830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-23900-120-02 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 1912 DEERWOOD CT LDT: 12 6LOCK: 2 ENGSTROM'S DEERWOOD B.u3lding;_Permit Type rBuilding ?Wo.rk 7ype , ? -? ? 1 ,. ?- , BASEMENT FINISH ALTERA7ION ?\? ?,?'?'??,,,?? BUILpZNG 022350 10J26J93 , ?V?,, C?U co- Cs?i REMARKS: SEPARATE PLUMBING & ELECTRICAL PERMITS REpUIRED FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Rpplican CARNEY MONTE 1412 DEERW000 CT EAGAN MN (612)687-9607 J 55122 I hereby acknowledge that T have read this applieation and state thaCr the infiarmation is correct and agree to comply with all applicable State ofi Mn. Statutes and City of Eagan Ordinances. L '. APPLI NT/PERMIT SIGNATURE ? I ED 8Y: SIGNATURE REAC7IVATE _ ???? PERMIT / C?LCE 14 1993 CI iY OF EAGAN 1993 BUILDING PERMIT 681-0675 APPLICATION ._)e.3S S? SINGLE d MULTI-fAMILY 2 sets of plans, 3 registered site surveys, l copy of energy calcs. COMMERCIAL 2 sets of architectural 8 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 chan9ed or 3) lot thange i.s requested once permit is issued. Date Zc-ToI??L /_,._(? /c?3 Yaluation of work Site Address: l yl Z AD C=/L L,-,) ooC) CT LiREET W1TE / Tenant Name: (commercial only) IAT ? BLOCK c+? SUBD. ENfaST2oHS P.I.D. M/p _ Z39oa -/ ZO -OZ ' ,?c ? ?,Joo Descri tion of work: ? The applicant is: ? Owner ? Contractor ? Other (Describe). Name CAIWEY Phone (ye7-9607 Property lAST FIRST OWnef Address l`{l Z in EEil.l'? oo go C7- SiREFT STE M City E/fCnAA?) _ State ZiP Company OLI-W F2 Phone Co ntractor Address License # Exp. City State ZiP Company NoiJ E Phone Architect/ Engineer Name Registration y Address City State ZiP Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: urrit,:t uat vnL.T BUILDING PERMIT TYPE ? 01 Foundation 0 06 Duplex ? 11 Apt./Lodgin9 jd 16 Basement Finish ? 02 5F Dwg. ? 01 4-Plex O 12 Multi. Misc. ? 17 Swim Pool ? 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind. ? 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 19 Coron./Ind. Misc. p 05 SF Misc. O 10 Mu1ti. Add'1. ? 15 Deck 0 20 Public Facility ? 21 Miscellaneous WORK TYPE 31 New ? 33 Alterations ? 35 Tenant Flnish ? 37 Oemolish 32 Addition ? 34 Repair ?.36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCL System (Allowable) lst F1. sq. ft. City Mater UBC bccupancy ?i 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster PumP ,1' of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Lensus Code Depth On-site sewage SAC tode APPROVALS Planning Building Assessments En9ineering Variance REQUIRED INSPECTIONS ' C1 Site ? Wallboard Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permif S/W Surctiarge Treatment P1. Road Unit Park Ded. Trails Ded. Lopies Other Total: ? Footin9 ER`4 inal , jS, Ut? I wtr:im: S PIff rami ng ? ? Draintile ? I ? ? Insulation ? Fireplace SAC % SAC Units .3LA 5 ?5 S c, o. -?D 1999 FIREPLACE PERMIT APPLICATION C1TY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 Date:?z C q-,/' Description of Work: ? Construct new fireplace _ Alterntions to existing _ Install eas insert oulv _ Install gas line onlv Other Job address: Lot: ??- Block: Subdivision/P.I.D. #: ?C v?a'T-, 0 Vti^ S Gff fVWa? Applicant (circle one only): Owner ontracto Permit Fee: $60.50 Ca v ? -? ? YYl 0 Name: ??/? AJ?aJA? Jbe? d? ?=f Phone #: PROPERTY Last First OWivER Street Address: City S[ate: Zip: Company: dbiftHO Phone FIREPLACE Isom IP ISTALLER Street Address: '2Tm IL ??i111iQ1 Allt anrile0 5RI1s City State: Zip: Company: Phone #: GASLINE INSTALLER Street Address: City State: Zip: 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 Eag an Ordinances. Z" Signature 6661 t 1933 OFFICE USE ONLY BUILDING PERM1T TYPE ? 14 Fireplace WORk TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFOR.NiATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. opirAl p.itM 1Vt09 *+lni Fo! ttlDlOOSII e?.?npU am"bW .sv4 re"ci .N OULS S! i u MM ,W(vszs* tazsUMra t. .? . . ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT PERMIT TYPE: P, u:[ i n r iv G Permit Number. ti 3 4 6 11i1 Date Issued: 0?/ 1 1 I 9 9 SITE ADDRESS: F-I.N.: 10-23900-720-02 DESCRIPTION: 7.4].? U1=Ff.WO OU Cf LQT: 12 L3LUCK: "G tNGSTR0M3 DEL.IRWDUO , F/51T:ild3nct_Per'mit 7yue Isuzldin4 W t?rk 'iVpe ,rnL?ue Code % ?? . .` /- : .., ;.,.,' 1=7'REPLNCL hIEW 434 {1Ll'. RESIDkNTIAL ? ? - ?? .. . . , _ . . .. . _ .. _ REMARKS: cNrrNev;F i_uE: riu:;r hF rn!sP Fr,rFn aer oP E coNCr- sairnr,. e0 L'ITV UF EA(:;FlN CASHIFF.e S TERMSNAI_ N0. Eii.B UA'Tr-.^ 0?/li/39 TIME: 1.4:22:1.4 IE': NAt1Ee FSRESIDE COF:NEk 3210 9001. 1.41.2 DEFk1400D C 60.00 2155 3001 1412 DEFTR1400A C 0.,50 , sr. I.rc. OWNER: ; 42 28090911 CARNEY IhONTE 14:1.2 Df'ERWOtJO CT ? E(dGHN MR! 5 5 :L:1 3 av2 reod ttis ?inoJ.i_cation and sT,aCe that the 'fo+a7. Receapt Arcicn:n+„ 60.50 ? ?roe to r,omnly w,r`th a11 apoiicaMle St:aT.E? oT P4n- CR:LOci2:L da nances. USFR IL: NANCY SUED BY: SIGNATU E J FLEASE COMPLETE FOR SIIVGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNFiOMES' AND CONDOS WI-EN PERMITS ARE REQUIltED FOR EAGH UNIT. ,. NO. FIXTIJRES EACH TOTAL SHOWER 3.00 f WATER CLOSET 3.00 ? BATH TUB 5.00 LAVATORY 3.00 KTTCHEN SINK 3.00 1 - LAUNDRY TRAY 3:00 HOT TUB/SPA 3.00 WATER HEATER 3.00 '. FLOOR DR:AiN 3:00 GAS PIPING OUTLET •?? - i 3.00 ROUGH OPENINGS 1.50 WATER SOFI'ENER _ 5.00 PRIVATE DISP. • nakay. uc 20.00 U.G. SPRINKLER • nome uuaer oonsc 3.00 ? • to adsting . WATER TURN 20.00 STATE SURCHARGE •? TOTAL: Z L? srrE ADnxFSS GQ-c-eA-ic-v C-717C N/ ? : , OWNER NAME: .('`Gt-P? P ?6 . IvsTALLER: .ADi7)RF_4S! O P / 26- CTTY:I/V ( ` YHONE #: ( s:t STATE: ZIP CODEi ) K-t2? 7?-5 D- 1994 PLUMBING PERNIIT (RESIDENTIAL) C1TY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 1991 BIIR D ILICATION ? CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCUTATIONS ISITLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITEGTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PIANS (CHECK WITH SLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APYLIES AHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CNANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER Ft[TST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE SUILDING PERMIT IS ISSUED PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAY5 ONCE A PERMIT HAS SEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: OEc1G Valuation: Site Address I ? ?Z DF.Ep_LoDOz) C'r Lot 12, Block 2 Occupancy ? Parcel/Sub Owner Noc?T'E \T- CA2NCY Address lq 12- 0 EE(Lwo6 C) C? City/Zip Code E/4GAn1 HN J'S)2Z Phone (? 07- `?(, 07 Contractor S c- L Address SfFh? E City/2ip Code 5/tA? t Phone 5f{p-, E Arch./Engr. Address City/Zip Code Yhone # Date: 2/Z6/q! OFFICE USE ONLY Actual Const Allowable # of stories Length Xi'3 Depth 2 I Xo? I S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. Variance FEES ??. ?? Bldg. Yermit Surcharge •-R!P Plan 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 SIIBTOTAL Penalty Lot Change TOTAL a5.S0 Sewer MaLicensed Contr. agrees that all wotk shall be done in accordance with (Sign ture of Con actor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. 3,? ?/ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? - CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New ConslrucHon ReauhemeMs Remodel/Reoah ReauIremeMs D 3 registered sBe surveys showing sq. H. ol lot, sq. H. of house 2 copies of plan and II roofed areas (20% maximum iof eoveraae ailowed) 1 sef of energy calculaNons for heafed addXlons D 2 copies of plans (show beam 3 wlndow shes; poured fnd. deslgn; etc.) 1 sHe suney fw exterior addNiom 3 decW D 1 fet of energy calculaliom D J copies W hee preservatlon plan 6 lot plaMed affer 7/1 /93 DATE: °I - ce?, -GI `1 CONS?RUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: C-- ? LOT: BLOCK: .?- SUBD./P.I.D. k: Name• V V lo.n.te Phone #• b5 ?- 68? - C( bo'? PROPERTY Lar Hht OWNER Sfreet Address: ? ? ( ??> ??'n ? ,?, cHy ?--- Ac. <,---. State: Wl ..? zip: S S Company: ?? ?6?c? ?c, Phone#: ?'?a ` (area code) CONTRACTOR Sheet Address: ?a t> > Fi - I-A- I'q-[ - Q- vt= ticense # 'j 31Exp. City c Pt ?o-aa ?? lLc-="? llt State: lq.?% ?-. Zip: -1, 5 ()`4 ? ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( Streel City Sewer & wafer Iieensed plumber (reaulred for new eonslruction onlv State: PenalFy applles when address change and lot change is requeafed once permR is Issued. Zip: I hereby acknowiedge thaf 1 hwe read ihis applicalion, sfafe that the info s cone , and agree fo comply wMh all applicobl Siate of Mtnnesota Statutes and City of Eagan Ordinances. , Signature of Applicant: ? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Regisfraflon #: 3=? Tree Preservation Plan Received - Yes _ No _ Nof Required MECHAIVICAL (RESIDENTIAL) ?'3p•SZ? Permit Application City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. Singte Family Dwellings Townhomes and Condos when perretits are required for each unit v3) Date • Sit Add rw uv C? Ly[ oe j ress e l/V U nit # PropertyOwner Telephone#( Contractor urnsw e ea ing c. Streec Address 12481 Rhode Island Ave. So. Sava e Cicy g , State Zip Telephone # K-1 ) O (?? 0N?1,S The Applicant is Owner t_ Contracror Other Add-on, modification or alteration ta existing dwelling unit $ 30.00 fumace replacement air exchanger air conditioner, V' other State Surc6arge 0'? , \ [??,??1i $ 50 zu F E3 ? ui II ` -? Totat ? $ J ? I hereby apply for a Residenrial Mechanical Permit and acknowledge that the information is complete and accurate; that tLe work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I undexstand this is not a pemut, but only an application for a pernat, 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. J "\L 1\ - ?'? ApplicanYs Printed Name 6ict's 4 Si ature 4, -7(to 15,50 2006 RESIDENTIAL PLUMBING PERMIT APPL{CATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 3 1 13 1O? C _ _ arney Monte Site Street Address 1412 Deerwood Court Unit # Eagan, MN 55122 6513357852 Property Owner Telephone #1 ( ) Contractor,NOr21u'n PL(,(mblnQ Telephone#((pfZ) T27-410?)'3 Address 2qD? Ezar-Fiei,d flv. Isa City r12.DIS Statei? P?) Zipl?-64D9 7he Applicant is: _ Owner V Contractor _Other Septic System _ New ` Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-buiit $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee inciudes installation of a water softener and/or water heater at the same time. !f you are Installing onlv a wafer saitener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. Septic System Abandonment _ 2 ?1 _Water Turnaround (add $130.00 if a 518" riieter is required) -Other U? I / Water Softener Water Heater $ 15.00 V _ new replacement Lawn Irrigation _RPZ ,PVB _new _repair _rebuild $ 30.00 State Suroharge $ 50 Tatal g I hereby apply for a Residentlal Plumbing Permit and acknowledge that the informatlon is complete and accurate; that the work wiil be in conformance with the ordinances and codes of the City' of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a p mit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is req 1?j d to be revj4rwed and approved. Jeff-reV L,. N o rPf oryi 14 Applicant's Prin d Name icanfs Signature . JRVEYOR'S CERTIFICATE ? \ ?88s.o\ ? R. ? 43?%papfto s F ? .a? i 51 e p I F W $ ? ? e I / BEHM MAW M . mrw wM ¦ tuv..sats 1? ? r N < o- ? _' ? a M ?? / ? ? ?J N Of N N I ?I ? I ?I f I I / ? MITTELSTAEOT BROS. 4E? Rwo cr o0 ees.x Q o 4¢ Q O ? .? . :33O? " y? ?? ?dW0, m PaePe,?o o? I, I? 1 I? ? h I ? W S(? . • V 0 i ? Z LOT 12 ? N M ? 1 ? ORAfNACf 9 UTlUTY ,. EASEMENT PER PLAr. : . . - 51? 5 _ e89?9)', s 4 ? :(a47.o) %75.01 S 890 2 34 W- ^ 1•) l J _J ? ., I INCH °30 FEET I ? *r-Ji' r-J?q-?n4' ?r,r'?J?.. ? ? FJII r• i.l7/-t? ? ?L /F)K)FESSIONAL rAF K ?n ='I .T ?I r ?p m 0 ? Q W O 70 ? W O O7a D N ?Z p ?D? ? G DV ? o mo r. Z ? y > z tn ?c O m N ? O m ? James R. Hill, i.nc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. + BLOOMINOTON, MN. 55431 • 812-884•3029 R 1° 3$65 . oo /g sg8p0• ? "%'BENtH y,MK ?IND ev ; sa n i SURVEYOR'S CERTIFICATE DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXlSTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION MITTELSTAEDT BROS. CONST. R? a±e EAC;AN ENGIPdEERIPdG UFPT SCALE: 1 INCH - 30 FEET PROPOSED GARAGE FLOOR = 8Ba.3 FEET PROPOSED LOWEST FLOOR = 880.6 FEET PROPOSED TOP OF BLOCK = a6g, 7 FEET WE HEREBY CERTIFY TO MITTELSTAEDT BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 12, Block 2, ENGSTROMS DEERWOOD ADDITION, according ta tlie recorded plat thereof, Dakota Couniy. Minnesota IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 9 TH DAY OF MARCH , 1990. Pk0Ya3EL 4kNLGS 3HOWN WcRG 7AkEN Fkm'fl1E DEVEIAFMENY Vi.AN WR EN4gi10(015 DEE0.WaD AGDIttON PREFAREp BV BRMI '1ti1CP,11D LAST UATED 6•28-68. SIGNED: ES R. HILL, INC. BY: -- JOHN C. LARSON, LAND SURVEYOR , MINNESOTA LICENSE NUMBER 19828 _ p m 2 0 L 71 I z ? j N la 1? ICJ I. i ii? ?, ?n?'. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. 9 BLOOMINGTON, MN. 55431 • 612-884-3029 S U R V E Y O R' S C E R T I FI C p? T E MITTE LSTAEDT BROS, 0-1? 9 \ ?O \ ?p1 \ ? \ (0gS?l Q??3S5oO"o ? R ' ? ? 334 /0?? cr 00 .. • b `! I \ ?? ???' . wQ x a 3 % o> 2 a a?? . R?gS O q$? BENCH MARK? ? ? ?8.?`` ?Om TOP OF IRON ? 8a^ ? ? ? ?? ELEV.=B8723 h , ? N ?5.33 o m (o GqR/'4 l88?g 1? `, S? M al N M v1 / i 31,67 •BENCHMpRK TOP . . ? ?9.01, " EIEV.e lRON i n rp pRp n? d, 9ea.?6 POSED oi Ho?SE N ? W M -- f?° r?j3? 4?•0 I O `-i ?886. ` ??o I S? ?? CB?U) ?? m 0 ( Y ?J Z r p -- ?I I ? 0 ?- 0 ml ? N ? LOT 12 I ? to ? DFAfNAGE d UrlL1TY SEASEMENT PEft PLAT ? 5 1 ° ° ?1897,0) ? n - 7F.0, S 89° 2 34 W. ?I fi ?/ n??\ r-I L i 1 in i_I1'L _ IL . \ i'J I L_r r- n /1 k 7 /-\i1V ? O ai 0 r-'? '*I -n CO W m W ? N 0 m O n 0?0 O ? v D fq ? O a p ? l ? D z (Gi m z J m O ? N ? O m K N(D LBy I , p l) rL_C7s'1?1 C A FEE'f -W?'/ LEF A I • • James R. Hi , inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. 9 BLOOMINGTON, MN. 55431 • 612-884-3029 1 SWR V E Y O R' S C E R T iFI C A T E MtT7ELSTAEDT BROS. m ° \ ? << , ,- ?' ? ? BEN41 MMK TOP OF IHON • ELEV.=86723 ? 0 CO ? M ?I G_ CJ i ?J N ? ti N N a: :i (-sq 3 q) _' f`^V\)L i-IIL_L. lIl cn x m -u :0 m 71 p ? W o m W o ?n ` N ? m O n ? T U' ?I ? L f?i z O c0 ? A ? ? p ? m z J m ? O w N ? ? ? h'a ? 4.536s 0 0'° ? 33?/pv ?a9 ?z "'Ez-& YrY cT 000 885.2 I _ L- N M l0 1 ° 1 .'(84 7: d ) _ 9° 2V 34 7 ? ? ??? / ?i? ?" T'? C`C` 1??'['h-1..•°--°t of= r. x f'< lt T.T i: r..-.......- ,.... , i.C?..__. . . ... James R. Hill , inc. PLANNERS / ENGINEERS 1 SURVEYORS 9401 JAMES AVE. S. • BLOOMINGSON, MN. 55431 • 612-884-3029 ? 3 65. pp .)g 658po. t r6a? \eEMCN MARK E?E? j IRON 896.r6 'll..I It r For Office Use I I _ I Permit Z,b I City of Eapn i I Permit Fee: 3830 Pilot Knob Road I Q Eagan MN 55122 Date Received: v ~y Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION ai~zc ( - Date: C`' er) Ca d q Site Address: / Lf ! Z l7 E_ h < Cv w Tenant: Suite RESIDENT / OWNER Name: AA,.- JP~ Gxz Phone: 65-1- ?SS--Z Address / City / Zip: Z J r Cc> U + * 4 4xrjC(t - fLt .y 51-117z- Applicant is: Owner Contractor TYPE OF WORK Description of work: 4 f h 1Z , . dr- i7 -qwC v° G 4-.~- v z ~-C- C4. 1 Construction Cost: z.n ccoc Multi-Family Building: (Yes / No CONTRACTOR Name: ,r & 0 Cse-. a 11, 5 c r <<. s T-<kicense e-c -5 ) C1 C v .f Address: Z, 1>' City: 4 State: A,' Zip: Phone:) Z - Z~ G i Contact Person: U t'~ a =y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X In Applicant's Printed Name Applicant' Signature AU G 0 6 2009 Page 1 of 3 Ml,-) DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level _ Pool _ Miscellaneous _ Accessory Building WORK TYPES /Q t.U r s tIJ~ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior x Alteratio _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION ~ Valuation Occupancy MCES System f Plan Review Code Edition j' SAC Units (25%_ 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final ~X Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall Meter Size: Radon Control Erosion Control Reviewed By:}^ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Aug 18 09 10:48a Paladin Plumbing 763-515-3818 p.2 For Office Use [ ermit P City 0~Eakan I Permit Fee: 5?)' 3830 Pilot Knob Road ~Eagan IVIN 55122 l Date Received: Phone: (651) 675.5675 1 I Fax: (651) 676-5694 Staff: I 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: '6-10-CA Site Address: C' - Tenant- Suite # RESIDENT /OWNER Name: _ ct.JJ} .....Phone: ~'St z Z.. Address / City 1 Zip: f'~ r r~s[ CONTRACTOR Name: ! -r t G ense T "cif Ct_ C) t iq Vv J Address: 3 7f 3 1 x) it v- 7 t _ state: A4yJ zin: 37 City: Thane: f ? i ICU r. % Contact Person: e- • d TYPE OF WORK _ New Y Replacement Repair Rebuild _ Nbdify Space -Work in R.0-W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ 1__-_ PVB) (_Y- Main _ Lower Level) Septic System Water Turnaround New Abandonment f~.C`~i^! RESIDENTIAL FEES: ' , $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surchargi) $31.50 Lawn irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Factures, Septic System A ndonment, Water Turnaround' (includes $S0 State Surcharge) 'Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as buiit) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) 5-7) TOTAL FEES $ S'J ~ t 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 acoordaripe with the approved plan in the case of work which requires a review and appro at of plans. App cant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Dale: Required Inspections: Under Ground _Rough-in _Air Test Gas Test Final PERMIT City of Eagan Permit Type: Building Permit Number: EA105020 Date Issued: 0612112012 itj of 0n Permit Category: ePermit R Site Address: 1412 Deerwood Ct Lot: 12 Block: 2 Addition: Engstroms Deerwood PID: 10-23900-02-120 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 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. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Sela Roofing Remodeling Monte J Carney 4100 Excelsior Blvd 1412 Deerwood Ct St. Louis Park MN 55416 Eagan MN 55122 (612) 823-8046 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink I For Office l l Permit Fee: 3830 Pilot Knob Road 67l/i (1' Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff:I I 111 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: V1010 Site Address: 064fWan 004112 t ,E1961A1 Unit { C Name:,/~l'(M/76 Q' ®'!Q/ AZV6 Y Phone: 6,5/ 7 Resident/ J~~ Owner Address/ City /Zip: lia 00"-,;7tV000 e0a-( !F/g6AV 1,!Y/f// J 5-5-1d a Applicant is: Owner X Contractor Type of Work Description of work: OA (i✓b Ida i Construction Cost: Multi-Family Building: (Yes No A-) Company: 44my'll c4H sV,6,C1&4 1 L" (ll~S&ntact: & YAW 6 Contractor Address:2/5 Y /`I -o-ily6s tI4 ~l:dtT/_ /00 City: E Stater Zip: 6-3-0 P"5f Phone: 65-1 License F/'/ -7 Lead Certificate 0 "Q®t 7Y(03/7 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) _4~0 15,4-1,V95;0 iylrf4e-9r < nit i 136 V/S/n/P7-461 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? `Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are 'considered to be public information. Portionsof the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www:aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x ~ Y n✓ 6r,AF~ x 6z,// Applicant's Printed Name Applicant ff ature Page 1 of 3 Date: City of Eaan 3830 Pitot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use / Permit#: 1 / ' 55 Permit Pee; /— S R5 Date Received: laj5 Q Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address:. a L M4 1' 6 ' OC1 oz. / Unit #: Name: e;1- %'� /� Y Resident/ Owner Type of Work Phone: 2 Hick ivad. ebol r i.. ,9/I// Applicant is: Owner x Contractor Description of work: /� �/1.44'!'w g t r- ,+,c Construction Cost:��%Olj Multi -Family Building: (Yes / No ) Contact i42 foA6/ t''!� r(GG Address / City / Zip: Contractor Address: _ city „a/.fl', 2 State: MAL. Zip: ..J '' O_ Phone: T c License #: - Lead Certificate # — If the project is exempt from lead certification, please explain why; (see Page 3 for additional information) , :f 11 1. '7-./ c'`,Ea /rl_. / r 7, 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: Mechanical Contractor: Sewer & Water Contractor: NOTE: Plans and supporting documents thatPhone: the Information may be classified as non-public youf you provide specific reasonsred to be that would permit theCiublic information. ty to of conclude that they are trade secrets. CALL BEFORE you nIG. Call Gopher Stats 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. vw�w.000herat teonecall ora hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and 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 codes the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans, of the City of Exterior work authorized by a building permit issued inung Code mUst be completed days of permit Issuance, accordance with the Minnesota State Building thin 180 X &/ Appllca '-' gnature Applicant's Printed Name LLL6'°N Page 1of3 Wd�ti Z CIN 'q 'oea