1255 Deerwood Dr
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CITY OF EAGAN Nm 13 3 2 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ? (
r
BUILDING PERMIT
To be used for SF ?WG/GAR
Site Addre
Lot 16
Parcel No
1255 DEERWOOD DR r
5 SeGSub. BIRCH"PARK
a Name DEVELOPERS CONSTRUCTION CO
= Address 1101 CLIFF RD "a>:•.;4!
° Ciry BURNSVILLE phone 890?61`94
,o Name SAMF
?` Address P City Phone
a
Ww Name_
Mz5 Address
u
aw City_
I hereby acknowledgel
thetthe information ia ct
State of Minneaota Sta
Signature of Permitte
A Building Permit is issuall work shall 6e done in
Building Official
I have r this application and state
ta d rae oeomplywit epplicable
Ci f Eagan fancea
DEVELOPERS
with all
Est.Value $101,000
Receipt #
Date MARCH 10 ,1987
OFFICE USE ONLY
On Site Sewage Occupancy
X R3
RT
MWCC System Zoning
On Sire Well Type of Const V
City Water X (ActuaQ
--
(Allowable) ?
# of Stories
lenatn 52
oaatn 44
S.F. Total
Footprint S.F.
APPROVALS FEES
$ 506.50
Assessments _ Permit
Water/Sewer Surcharge 50.50
Police Plan Review 253. 25
Fire _ SAQCIty ino.no
Engc _ SAC,MWCC 525.00
Planner WaterConn. 595 n0
Council _ WaterMeter 67 nQ
BIdg.Off. Road Unit
APC Treatment Pt ??
Variance _ Parks
Copies
TOTAL e 2,519 ? S
[ON CO on the expresa condition that
nnesota Statutes and City of Eagan Ordinances.
'l i
. h i .
No
16
Name ? ,.? . ,. . . _ . .. . ?,
n.a.a.,..... , . _
Name '
Address
Name
City Phone
I hereby acknowledge that I have
ystem
nn
cc onine
_
On Site Well + Type of Const '
City Water _ (Actual)
(Allowable)
# of Storiea
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
Water/Sewer _ Surcharge
Police _ Plan Review
Fire _ SAC, Clty
Engr. _ SAC, MWCC
Planner _ Water Conn.
Council w
s
z
_ Water Meter
end state Bldg. Off. _ Road Unit
A Building Permit is issued to: all work shall be done in accordance with all applicable State
Bullding Official
?
CITY OF EAGAN . , .
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r
PH ON E: 454-8100 PERMIT Receipt *
Est. Value ?lV? •?( , Date
OFFICE USE ONLY
SBC/Sub. On Site Sewage , Occupancy ,...f
3 APC _ Treatment P1
Variance _ Perks
Copies
TOTAL
on the express Condition that
Minnesota Statutes and City of Eagan Ordinances.
Pe?mk No. Prrmit Holder Date Tslophons, ?
Plumbing
. le 7
H.V.A.C.
Electric
Softener
Inspectlon Date Inap. Commenta
Footings I
Footings 11
Foundation
Framing
ROOfiflg
Rough Plbg.
Rough Htg. 3
Isul. y/
Fireplace
Final Htg.
Final Plbg.
Bldg. Final +¢-
Cert Occ.
Temp. LP
DeckFtg. A ?C.??
DeCk Fr g.
Well
Pr. Disp. f
- ,?n
?'-??•?? J'~?3?? a ? ? _ ?e .? j r ,?•
?
,...
Site
? Narr
? Add?
• c City
? Narr
c Addi
p City
MECHANICAL PEAMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
r` BLDG. TYPE WOFiK DESCRIPTION
- Sec/Sub Res ?-New
Mult Add-on
, Comm. Repair
Phone umer
TYPE OF WORK
Forced Air ` M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent. CFM
Gas Piping Outlets # '
FEE
S/C:
; roTaL
FEES
RES. NVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
? (RES. HVAC INCLUDES A/C ON NEW
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMITTEE
I
FOR: CITY OF EAGAN
PRICE
Site Address '
Lot . Block
,
t?ame
?o Address
N
c
City Phone
? Name
c
Address ? - - _
.
3
p City ! Phone
FEES
COMM/IND FEE - 19'a OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE ,aC'OES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT # ?` ? % 7
PLUMBINC PERMIT RECEIPT # 7?G?7S
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
r BLDG. TYPE WORK DE_ SC?RIPTION
Sec/Sub Res. ?- New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
MO. FIxTURES TOTAL, ; _
?_Water Closet - $3.00 S ?? "
_?Bath Tubs - $3.00 S
_.4?_Lavatory - $3.00
---LShower - $3.00 J
Ki?chen Sink - $3.00 ?
Urinal/Bidet - $3.00
_,/--Laundry Tray - $3.00 '
_/--Floor Drains - $1 50 i '
___?LWater Heater - $1.50
_/-Whirlpool - 5100
---/-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
-4- Rough Openings - $1.50 -2
FEE:
STATE S/C:
GRAND TOTAL: , `y , ?
CITY OF EAGAN Remarks D i v i s i n n # 1 6 2 5 2 10 / 8 5
Addition Birch Park Lot 16 aik S Parce,10-141 7 5-1 60-05
Street 1055 De e r-wfa e ? Dr-ive State g asan M-N -5.-51-2-3-
(mprovement Date Amouni Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SANSEWTRUNK 221 1973 16 - 8.15 20 Pai ri r
SEWER LATERALbn 93 1985 13 8.85 15 "
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1018 1986 750.48 50.03 15 '
STORMSEWLAT 1048 1986 199.66 13.31 15 '
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
SUILDING PER.
SAC '
PAR K I
Eagan, Minnesata 55122-1897
'612) 681-4675
SITE ADDRESS:'
, ' ?i, I ! !-Il??ilt flt•.
PERMIT SUBTYPE:
,1: 111 ; iriI ...
F (_O. " APPUCANT:
?it)1 H?
( i. t ,• ? ? ?. iYCi
TYPE OF WORK:
rsqi I 1 I + i
cy.•?.f,c,t
I f 4a3? 1 il ?
t
AIItRAi1itM
INSPECTION D . D
V f MAliKY: f'l1fZ ls I f !'I f<M! I 1', f:l t?1? I ftf Il J OV f{ f j. I 1: I l At h 1`I.iiMFe I N6
F
L
?
PERMIT TYPE:
Permit Number:
Date Issued:
?
_l
.?.
Permit No. Pormk HoIdK Date Telephone i
ELECTRIC
PLUMBING
HVAC
Inspection Date insp. Commeots
FOOTINGS
FOUND
FRAMINO
S? C 7iCE6loc E cW-4
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FlNAL
BSMT R.I.
BSMT FINAL
?..
DECK FTG
DECK FINAL
• e
?w ? a t
(terfifiratr uf (Orrupaury
Citp of eagan
]9p}iwrWP'nY Df lLriiMug JWPt#iIItl
This Certifecate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the vanous
ordinanres of the City regulating building corutruction or use. For [he fo!lowing.•
?' DWG/GAR
Uae Chai6nuoo BMg. Etrmit No. '
O-WOCY TYPe R3 Zaoing Dietrict Type Camt. OwneratBu?'Wins WNQIT1775 ' 1?, IMMrIZIk
Hwlding Addrps Lomuty La1h, R3. B11,04 PAW
Date: MAY 27' 1987
BaOaing official
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Rosd
P.O. Box 21199
Eapan, MN 5512?1I
Zoning:
Owner. neve
Addreas:
Site Address:
1 agreo to comply wllh the Gty ol Eayan
Ordinances.
BY
Date of Insp.:
Insp.:
SEWER SERVICE PERMIT
PERMIT NO.: '' ?-9 4
No. of
ConnectionCharge: :)[D.VUpn
Account Qeposit: 15. OQpd
Permlt Fee: Z'? • ^^p-'
Surcharge: • 50nd
_ Misc. Charges:
_ Totel:
_ Date Paid:
CITY OF EAGAN Permit No:
3830 Pibt Knob Road Meter No: ?
P.O. Box t1199 Reader No:
Eagan, MN 55121
Owner._ DeVelopers Tnc.
8ite Address: 1253 Deerwood Driv, ?'.l () f35
?
Date: 3 - 12
?
Size:
Date:
Conn. Chg: ' S. OOpd ?I"o? -lonin P1
Acct Dep: I S, p n d
? 3 RlG - GAS??i •
P e r m i t F e e: Z'? . c?BB re '"??
CLL
Surcharge: •'' ? I s o ly wlth the City of Eagan
Tr. Plant ' ' • `??} ? a?.
Meter.
Misc : er
WATER SERVIC PERMIT
10 y/.
REQUEST FOR EIECTRICAL INSPECTION Eg00001?04
, See insUUelions comr'atinq this form on back of Yellow copy.
?21 1 d 7 "X", k Covered by Ihrs Request
HAd NeD TVPe ol 9uilEinO iCI ancee riirod Equiume-t WireH
- Home Range Temporary Seroice
Duplex Water Heater Lighting Fixtures
Apt. Buildinc? Dryer Electric Heabn
Commercial Bidy. ? Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tenk
Farm ONe? Per.i y ?? ?? ther lSner,ifyl
t xr uecifv t er O?n?ee
a.VU
p putc r ro
Fee yc,uv. • a.. .........
Service EntrenceSiae
H
Fee
Fexde,s/5ubleeders
p
Fee
Circuitg
/p;ap 0 to 200 Am s ' OC D to 30 Am s 0 tn 30 Am s
A6ove 200 Amps 31 to 100 Amps 31 to 700 A s
Swimming Pool Above 100-Amps Above 100_Am s
'
Transformer5 Irriqation Booms ?StJ Other Fee
Par[ial-
SignS Special Inspection S TOTAL E
1 ' /
..,-7 -
Rough-in Dnte
ef G7p
the Elec
I,
Ispector, hareby
n
cerlify that ihe above
Final
l out.O
'^ .2 ( nspection has Deen
made.
`
r ?
TNe reQUest vola 1e momna nem
?/? 7=3
tn, .euoest voie .zg/'507
18 months (wm )
Q 21142 f,-1z", /
Request Llate Fire No. po?uhred>losVer,tion ?Ready Nuw (??y?••? ill Nntity InsPec-
'
^ PS.? ?N /
tor When Ready
icen ed ElecVical Con4Aetot 1 hereby reOuest ins0e0ion ot above
..-i ..,...k inztalled af:
[J Uwner
Sneet Atldress, eox nr Route No.
C:n-ir?:lJ
ectmn o. Towns iP Name or No.
nBe No.
City
Coonty
?G'J4 -
Phone No.
Occopem IPRINT)
/-} ? ? -?n. I}'
Power Sup0lier
' Address
i
J
?j' iS+?a
?e'.
'?
. .
.
?. s License Na.
Conlractor
[n ConVaclar (COmp nV?° me?
Elec
?
??,l,-?y
s
?:?
_-'
Mailin0 AdJress (Contractor or Owner Makiny Instaila[ionl
Authorize Ature ICmV tor/ wn
Ma inB InstallatioN ` Phone Number
r . ?e iueoeciin. NFQl1E5T WILL NOT
MINNESOTA STATE BOAND OF ELECTHICITV BE ACCEPTED BV THE STATE 80AHD
Griggs-Midway BIOa. - Aoom N•791 UNLESS PPOPEX INSPECTION FEE IS
1821 Universiry Ave.. SL Peul, MN 55104 ENCLOSED.
Phone 16121 29]-21N
cf ?7
4 0 ?
°"
?j
0? 2 s9 2
Re ast Date -/ Frte No. Fough-In In? otion Required Inspectian Otner TM1an Ra In
(YOU mu6 all InSpBCiOr WhBn rBetly) ? RBetly NoW III NO[dy In6p0CIOf
J ? Yes ? No Dale Reatl
I censed contractor ? owner hereby request Inspection of above electrical work af.
J AdCress (S1reeC Bax or Roule NoJ
? Glty
h
?
?
TO1vnship Nflme or No. Range No.
Section
. Counly
peni(PFINT) . 1 Phone Na ?
' "
,
UG?
Powar Su plier Atltlress
Eleclrical Conhacror (COmpany Name) Con actor's L nsa No?
?c_
M?n Atltlr ( on raclor or Owner a ing Inslallation) ?III CX0
?
ulhori etl Siq ture (COnlra 1:01.1nestallalion) Phone N?mber
-c?k l
MINNE OTA STATE BOARD OF ELECTRICITY I
I I ED BV THEQ STATE 90ARD
I C
I
Griggs ICway Bltlg. - Room 5-128 II I IIII III II III II I I II I I II III I III II I III II UNLE55 PROPER INSPEQION FEE IS
1821 Unlversity Ave., SL Paul, MN 55104 I SED
ENGLO
Phone (612) 64T0800
Ll
?nl g
REQUEST FOR ELECTRICAL INSPECTION EB-00001 9
10. See instmcuons lar completing Ibis lorm on baci of yellow copy.
"X" Below Work Covered by This Request
Nex Add Rep. Type of Building Appliances Wired Equipment Wired
Home Fange Temporary Service
Duplez Water Heater Elecvic Heating
Apt. Building Dryer Load Management
Comm./Indusirial Furnace Other (Specify)
Farm Air Conditioner
Olher (spadly) Conv?(a ?Remarks'.
ie'1'v?
Compule lnspec[ion Fee Below:
# Other Fee # Service Entrance Size Fee Circuits/Feeders Fee
'-
Swimming Pool 0 to 200 Amps 0 to 100 Am s
Transformers Above 200-Amps Above 100 -Amps
Slgns mspec?ors Use oniy. --` TO?TJC?(L )u
?
Irrigation Booms `
Special Inspection
i TALLATION MAV OR RED DI CONNECTED IP NOT
on
AIarMCommunicat THI5 INS
Other Fee COMPLETED WITHIN 18 MONTHS
I, the Electrical Inspecror, herehy Ro°qn'" i j oat6 r.2?
cerlity ihat the above inspection has Finai
been made.
OFFICE USE ONLY
This request voitl 18 monlhs irom
CITY OF EAGAN
APPLILATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
Same as apblicant
P ease Print)
1) PROPERTY ADDRESS: #255 Deerwood Dr.
LEGAL DESCRIPTION: Lot 16 B- lock 5 Berch Park Add. •-
_ Lot Block Sub ivision or Tax Parcel ID )
g' EXISTING STRCCIL'RE. DATE OF ORIGINAL BUILDING PERb1IT ZSS[:ANCE: . -'
Mon Year
PRFSENr ZONING/pROPOSID L'SE:
q M"ZMcxAr,/xErr.ir,/oFFicE
Q II'vDCSTRIAL
f-1 INSTITL'TIONAL/GpVERNMENT
Xtg R-1 SZNGLE FAMiLY
Q R-2 DC'PLEX (7wo L?nits)
R-3 TOWNII-IOfISE (Three + Units) ( Lnits)
p R-4 APARTMENi'/CONDOMINIUM ( Units)
2) ?
NppE; Developers Cont.
ADDRESS: IIOT Cliff Rd. -
CITY, STATE, zip: Eurnsville Mn. 55337
PHONE: 890 6194
• 3) u i: ?• ??- For City Ose ..
GVeierke Trenching Plumbers License:
App?: 660 C1ifY Rd. Active
i CITY, STATE, ZIP: Ea an, Mn: 55123 ExPired
? Not recorded
PHONE: 45 3- MASTER LICENSE# .?652Td5;
Ste?tial
4) ?ar • • i?r•
NF1ME:
r_ ADDRESS:
CITY. S'Tp,TE, ZIP:
? PHONE:
?***********#*#***#*#*?******##*****
,*f NOTF: PAYMSTTP OF kM AT TIME pF -
; APriscATIorr noFS Nom c==TUM
: APPROVAL OF PERBffT. .
INSPDCrION OF SENM AAID/OR F7ATFR
INSTpr.ram3pNS Wiid, NOT BE S(IHED-
UI.ID UNrII, PIItNIIT AAS BEEN
APPROVID.
•5) ? v, i a: • ?: a • ?? - ??
?(:ONNNECrION 770 CITY SE4JEf2 CU CpNNFKTION TO CITY WATIIt 40 OTFIER '
(} n ?• • r ?'i PLEASE HOLD APPROVID PEf2MIT FOR PICK-PP BY ONE OF ABOVE ---- --
? PLEASE MAIL APPROVID PERMIT TO 1, 2. 3. 4, AHOVE
(? -/?? •/ (Circle one)
7) !! r:.1U:
FOR CITY USE ONLY
PERMIT # ISSC'ED ,
Pd w/Bldg. Permit FEES: •
$ $ /6 ? SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLDDE SL'RCHARGE)
$_ $ WATER METER/COPPERHORN/OPTSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ eT ? ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
S 5-2 b wac
$ ? Z S'G Z> $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BE[VEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ?3 $ ??. 4r-7) TOTAL
7/41b ? 7/VZ/
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK iVITHIN PUBLIC ?
Q
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SDBJECT TO THE FOLLOWING CbNDITZONS:
APPROVED BY:
TITLE:
DATE:
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
ck4i?3z
BU?IN ING
025608
05J17/95
SITE ADDRESS:
P.I.N.: 10-14175-160-05
1255 DEERWOOD DR
LOT: 16 BLOCK: 5
BIRCH PARK
DESCRIPTION:
Building`P.ermit 7ype
Building Wd'rk Type
:,..r
,
f
BRSEMENT FINISH
ALTERATION
REMARKS:
SEPARA7E PERMI7S REQUIRED FOR ELECTRICAL & PLUMBING
FEE SUMMARY:
VALUA7ION $1,500
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: OWNER: - Applicant -
DULAC TIMOTHY
1255 DEERWQ00 DR
EAGAN MN
(612)232-5200
?
I hereb?y acknowledge that I have read this applisation amd state that the
informa'tion is correct and agree to comply with a11 applicable 9tate of Mn.
Statute,s and CiCy of Eagan Ordinances_ ?
APPLICANT/ E EE SIGNATURE ISSUED7BT SI ?TURE' t
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
surLoatiG
025608
05/17/95
SITEADDRESS:P•j•".0 1e-14175-160-e5 APPLICANT:
LOT: 16 BLOCK: 5
1255 DEERWOOD DR DULFlC
BIRCH PARK (612) 232-5200
PERMIT SUBTYPE: TYPE OF WORK:
BASEMEN7 FINISM
TIMOTHY
ALTERATION
INSPECTION
FRAMING .A .
INSULATION D.
?
OUGH ZN pLBG FINAL
I
REMARKS: SEPARATE PERMITS REQUIRED FOR ELECTRICAI & PLUMBING
?
?
. ?
r
o i N
" 3830 PILOT KNB RD 55722 I? S ?
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New ConstruCion Requirements RemodeVReoair ReauiremeMs
? 3 registered ske surveys ? 2 eopies of plan
? 2 copies oi plans (include beam & window slzes; poured fid. design; etc.) ? 2 sile aurveye (exterlor addilions 8 dedca)
? 1 energy calwfaGons ? 7 energy ealwlaGona for heated atlditiona
? 3 copiea ot tree preservation plan H lot platted after 7/1193
requlred: _ Yes ? No vo DATE: 5? CONSTRUCTION COST: r 2? ?°° R' ?
DESCRIPTION OF WORK:
STREETADDRESS: ' ? LSS b-CQrwou<4
? /o-
LOT 4(?P_ BLOCK S SUBD.lP.I.D. #: UJ
I
PROPeRTr Name: Ti ? ?1- Phone #: ?z 7 a isJ ?N)
? v 4?-
owNeR W, ?._, , ?3a- s2ooCw
Street Address- I25? J?-eE•-?00.9 10?112-
City: State: M? Zip: Z'J
CONTRACTOR Company: Phone #:
(?r*? Street Address: License #:
ARCHITECTI
ENGINEER
(??)
City:
Company:
Name:
State:
Zip•
Phone #-
Registration #,
Street Address-
City:
State:
Zip:
Sewer 8 water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is corred and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
FE 5
MaY 0 s 1994
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
n 01 Foundation o 06 Duplex ? 11 Apt./Lodging -i5?16 Basement Finish
? 02 SF Dwelling o 07 4-plex a 12 Muki RepaidRem. 0 17 Swim Pool
a 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
o 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscelianeous
0 05 SF Misc. 0 10 _-plex o 15 Deck
WORK TYPE
0 31 New cm'-33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCM/S System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Paric Ded.
Trails Ded.
Other
Copies
Total:
Ys?
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% SAC
SAC Units
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L / 40 BL 5 CITY USE ONLY RECEIPT #: 11?'f
SUBD. o,C?°S? lS ??h,J, DATE: ?? 9'S
7995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink ?.
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet ' minimum - 1
Rough Openings
Water Softener
Private Disposal ' Dakota Cty. license
U.G. Sprinkler * home under const.
Alterations " to exissn9
Water Turn Around
EACH NO.
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
STATE SURCHARGE
TOTAL
TOTAL
.50
s0
?Q
?
SITE ADDRESS:
OWNER
fNSTALLER NAME: se=4
STREET ADDRESS: 12-5!L
CITY: GtS? STATE: rtn, ZIP:
PHONE #: (6f L LI ?
5TV`NATQREL)Flj
x
x
x
x
x
x
x
x
x
x
x
x
13, 27
198? BIIILDING!PERMIT 9PPLICATION - CITY OF EAGAN
1
f
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SINGLE FAMILY DWELLINGS
IPCLIIDE 2 SEfS OF PLANS, 3 CERTIFIGAiES OF SORYEY, 1 SST OF EAIERGY CALCQLAYIOHS
NOT6: ADDRESSES FOE CORNEE LOTS - CONTRACTOR/HOMEOWNER MDST DESIGHAiS i1HICH ADDRESS
IS DESIRED. NO CHANGfiS k*ILL HE ALLOW6D ONCE BQILDING PERMIT IS ISSIIED.
MOLTIPLS DTiELLINGS - RFSIDENTI9L RBNTAL DAITS FOR SALE DHI15
INCLUDE 2 SETS OF PLANS, CERTIFICA?S OF SQRVB7C - CHECB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMRl6RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIDNS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND r ?\
I ? (?V
To Be Used For: Valuation: , ?(JU Date:
Site Address S S?y-?„ OFFICB USS ONLY I
? ?
Block
Lot / '
'° j On Site Sewage Occupancy
Z MWCC System ? Zoning (?-I
Parcel/Sub 4/ l? On Site Well Type of Const
City Water ? (Actual) ?
Owner -P.,?, (Allowable) ?
ll of Stories
Address / /'2f Length SZ
' Depth ¢¢
City/Zip Code S.F. Total
Footprint S.F.
Phone APPROV9LS FSES
Contractor
Assessments -
Permit ?
Water/Sewer Sureharge p
Address ' Police Plan Review 2 ? ,z`
Fire SAC, City O3
City/Zip Code Engr SAC, MWCC -?jZS•
Planner Water Conn 52S
Phone Couneil Water Meter (07.
Bldg Off Road Unit ,22p5.
A`rch./Engr. APC Treatment P1 I5?;>.
\ Varianee Parks
Address' i Copies
ToTAL 2515
City/Zip Code
Phone #
?22 t? 4? ? 57 2 /v- Sv ?'?5-7?
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f2xf ?' Ic?? x8 = i??
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2?,? ?? 7Z ? x? 4=? 203 z
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( bo'b 4c)
.. .
. Csrtificate for: Bk: 107/42 -
Developers Construction Inc.
1101 Cliff Road Burnsville, Minnesota 55337
DELMAR H. 8CHWANZ
„M ,AT*..OVA.. W-
wy.w.e uW.r uw a nu w ar
14750 SOUTH ROBEHT TRAII IIOSEMOUNT. MIMMESOTA 660l0 612/123-i769 1y ?6
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SURVEVOR'S CERTIFICATE
101
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I ? b9. 10'
13L oGK S ?
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0
j ? Drainage and Utility Easement ( W
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1 ?1}
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U ?•S ( 114 i'-24-- I
\SA ??o>? I I
\ I Q Nu?SE J w {'
?OO? Id,b1 ? GA?P96E? \
? 881 I
Scale: 1 inctt = 30 feet V??d 24,3?
N O
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0 o t ?giq?B
p I o
b I ?Lo.
Description: a - n'
Lot 16, Block 5, BIRCH PARK, according?3'
t.o recorded plat thereof, Dakota County,
Minnesota. ??p(?FB I I ?
S?y'b (?
t/Kr vE ?
879.4
I hereby ceNify Uat this turwy, plan. or roport wq
Dreparetl by ms or uMer my dinel wpwbbn and
thal I em e Culy RegltlerW land Surwyor undw
the lawa oi tM Stata of Minnpota.
p&W March 4, 1987
pNmu M. ScMwanz
MinnMMa MYhlnfion No. EM
OIIH ER :
SIT[ /1DDRESS:
Exrr:nioit ErivELorr nvr:iinrr_ "u" cnMPurnr1011
CONTRACTOR: DATE: pHONE: ?• ? ?
DETERMINE NORY,ING SOUARE FOOTAGE OF EACH:
1 . . TOTAL FXPOSED VlALI AREA, Sq (t x "U"
v Y?rcrLlJ
2. TOTAL ROOF/CEILINC AR[A,, ..,,.' ;q ft x"U"
3. TOTAL EXPOSED WALL ARE11 CALCUlA710PJS:
Total exposed wall ,
' area above floor,,,,,... sq f[
a) Total wall window area:
? 4lazed...... sq ft x"U"
-?-?_
glazed...... sq ft x "U"
n
b) 7ota) door arca ,,,,,..,, sq ft x "U" O ? . _ ?
c) 7ota1 ?/OL + glass door area:'
? 9lazed.:.... sq ft x 'lull
glazed...... 5q, ft x liuoi
d) 7ota1 flreplace wall area sq ft x"U"
e) Total wall framing area
(Average 107).......... sq ft x "Un
' f) Total net 6ia11 area above
floor (Insulated).,..... ?j lJ sq ft x"U"
g) Total rim Joist area....., sq ft x"U'1
--F-?•Q-
Total foundatlon
area (Exposed)..........
sq ft
h) Total foundatlon
wlndow area............. sq ft x
I) Total net foundation
area above qr'adc%....,,. sq f[ x"U"
n /
3' } . TOTAL a) thru 1)
if'item //3 is the same a;, or less than Item /11, you have met the Intent of
S.R•C. Sectfon 6000 (c) z.
I
N. 70TAL EXPOSED ROOF/CEILINC f,AICULATI011S:
Total exposed
roof/ceiling area....,.., a sq ft
J) 7otal skyllaht.area....... ? sq ft x'"U"
k) Total roof/celllnq framfn9 ?
area (Averaqe 109;)....,. D? sq ft x"U"
1) To[al net tnsulated
roof/cell inq area....... ---?'-?- 54 ft x??U??
TOTAL J) thru 1)
If total-of °h Is the same as, or less than /'Z, you have met the Intent of "
S.D.C. Section 6606 (c) l.
. .. . , . . . .. . . ..; . . . ,. 'p,.; .
nLTERNATE [)UIL[IINf FIIVEIOPf D[SIGN
To utilize the total envelope system method,.the values establfshed by the sum
of Items 113 and N11 shall not be greater than the sum o( items !/l and !12.
1. + 2. _ _
3 , + li , '•, ?
C E R T I f,I f, A T I D tl
I hereby certify that I have calculated [fie "U" factors and "R"
values herein and [hat the huildiiin here described n,eets or exceeds the State
of M(nnesota Encrny Conservation Act.
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VENTED
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CEILItIG S[CTI(111 ,(I0ISUI.ATEp). `.
1 Ineerlor air "fI lri
2
4 Extcrior air Film (s[l 11)
?. TOTAL.,f?
, ? .' .
%
U /R
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V,
CEILINf, FRAMING SFCTf.ON
I Interlor alr film '? +•0 61
? ,z
3 M u g
'4. I erior alr'Film' st Il - , :? I
, :•.. 5 3 /i f nches sof t wood
, ;.:TOTnI_ R
U a:.l/R
,. n E2:'•.:
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CEILING SEf,TION (IFISULATED)
1' Interior air:f.ilm.':? "
;.
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2 . . :
,.
3. ?.
ll F.xterior a i r film: still . 0 1
TOTAL R
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i/n
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C[II.INf;
FRAIIIFlr, SECTION: .
1 Interior afr fllm " 0;61
z
3
?i Exterior air film still
5 inches soft wood
TOTAL R =
' U= 1/R
,', =
-
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151101
Date Issued:08/07/2018
Permit Category:ePermit
Site Address: 1255 Deerwood Dr
Lot:16 Block: 5 Addition: Birch Park
PID:10-14175-05-160
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Timothy R Dulac
1255 Deerwood Dr
Eagan MN 55123
(651) 247-3375
Shelter Construction Llc
7040 Lakeland Ave N
Brooklyn Park MN 55428
(612) 849-8082
Applicant/Permitee: Signature Issued By: Signature