1261 Deerwood DrCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np 12412
BUILDING PERMIT PHONE: 454-8100 Receipt # Iz
?
7oheuaedtor SF DWG/GAR Est.value $118,000 oate AUGOST 7 19 86
SiteAddress 1261 DEERWOOD DR Erect Occupancy R3
Lot 15 Block 5 Sec/Sub. BIRCH PARK Remodel ? Zoning Rl
Parcel No. Repair ? Type of Const. V
Addition ? No.Stories
? DEVELOPERS CONSTRUCTION CO Move ? Length 5$
W Name Demolish ? Depth ?6
3 Address 1101 CLIFF RD
° B' VILLR 890-6194 Int Impr. O Sq. Ft
City `Phone Insfall ?
o $pMg Approvals Fees
=F
?Qa Name
Address
?
Ciry Phone
w W Name
.
n Address
?
a W CiN Phone
Iherebyacknowledgethatlhav eadihisapplicationandstatethatthe
inbrmation is correct antl a? e o comply with all ayplicable State of
Minnesota Statutes and Ci of agan Ordinance ?
Signature oi Permitlee !
Assessment _
Water & Sew.
Police -
Fire
Eng.
Pianner-
Council
sidy. on. 8/7/86
Var. Date
A Building Permit is is d to: DEVELOPERS CONSTRUCTION CO
all work shall be done in accordance with all aoolicabVe.Sfr{e of Minnesora-Stateie:
$ 478.00
Permit
Surcharge 59.00
239.00
Plan Review
SAC 575.00
Water Conn. 5 0 0. 0 0
WaterMeter 63.50
RoadUnit 290.00
Tr. PI. 156.00
Parks
Copies
Total $2.360.50
on the express condition that
Ciy of Eagan Ordinances.
Building
Pilot Knob R oadITY
P.O. Box 2G-A1 9, Eagan, MN 55121 ?? ? . 12412
PHONE: 454-8100
Receipt # -- ? ?
AR Est Value $118,000 Date AUGUST 7 19_ 86
SiteAddress 1261 DEERWOOD DR Erect 8 Occupancy R3
Lot_l5_ Block 5 SeclSub. BIRCH PARK Remodel ? Zoning Rl
Parcel No. Repair ? Type of Const V
Addition ? No. Stories
? Name DEVELOPERS CONSTRUCTION CO Move ? Length 38
= IZO1 CLIFF RD
A Demolish ? Depth 36
o
ddress?
C?ty B VILL?hone 890-6194 Int. Impr. ?
Install ? Sq. Ft
o SAYi` Approva b Fess
Name
• 00
0 i Address Assessment Permit
-
~ City Phone Water & Sew.
P
li 9700
Surcharge 5
Pl
R
i
?¢ ?
Name o
ce an
ev
ew ? O
'
? Z Fire SAC
?n Address Eng. WaterConn. 500.00 ?
i W ciry Phone Planner Water Meter 63.50
I hereby acknowledge that I have read this application and state that the
Council
8 7 g?
Unit 290.00
Road
?
156
00
information is correct and agree comply with all applicable State of
? gldg.
Off. .
Tr. PI
.
,
Minnesota Statutes and City of
gan Ordinance APC ParkS ?
;
Signature of Permittee ? = Var. Date Copies
5?
•
TOtal ,
A Building Permit is iss?ed to: dEVELOPERS CONSTRUCTIOYti1 CO on the express condition that
all work shall be done in accordance with all applicable St?te of Minnesota Statutes and City of Eagan Ordinances.
Building Official- _ "? / '?
I , I PwmN No. I PermN HoldW I [Mte I Taisphone M I
S
Plbp.
Flty.
Final
Fty.
PERMIT #
. . MECHANICAL PERMIT RECEIPT #
. CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE _
i-iie naare -' `-- "' `-'. I % BLDG. TYPE WORK DESCRIPTION
,ot?.? Block s Sec/Sutz
Res. New
m Name Mult Add-on
? Address Comm. Repair
c City Phone pthef
€ Name FEES
? c Address ? RES. HVAC 0-100 M BTU -$24.00 I
p City Phone r: ""' 'r t' ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00 ,
TYPE OF WORK
' GAS OUTLETS 1.50 EA.
I
Forced Air M BTU " COMM /IND FEE - 196 OF CONTRACT FEE 'I
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10A0
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 I
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other
--
FEE -
• SIGNATUfiE OF PERMITTEE
S/C:
TOTAL: - ?
FOR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT RECEIPT k
CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
Site Address ?
Lot , /,f_
? Name r
? Address
y '
? Ciry
? Name
3 Addre
p CitY -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT, BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 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 P,RICE G9ES 'I
BLDG. TYPE WORK DESCRIPTION ?
Res. New ,
Mult. Add-on ?
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: j
NO. FIXTURES TOTAL ?
Water Closet - $3.00
Bath Tubs - $3.00
Lavatory - $3.00 '
Shower - $3.00 ?
Kitchen Sirrk - $3.00 ;
Urinal/Bidet - S3.00 ?
Laundry Tray - $3.00
Floor Drains - $1.50 ?
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50 ?
(MINIMUM - 1 PER PERMIn
? Softener - $5.00
Well - $10.00 ?
Private Disp. - $10.00 ?
Rough Openings - $1.50 ;
FEE
STATE S/C:
GRAND TOTAL:
FOR: CITY OF EAGAN
PERMIT #
' • PLUMBIN G PERMIT RECEIPT #
• CITY OF EAGAN
.? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT P
SGf Q
C
RI
E:
, PHONE: 454-8100
Site Address / . ?' f .77 Y' 77 BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
?
Res. " New
?
m ' e
Name ? t Mult Add-on
Addr? Comm. Repair
c City rl p?G ` Y PhonA Oth@r
0
? r tl ? l ^ t r ?. 1
Name FIXTURES
Water Closet - $3
00 TQTAL
3 4- ?
Addres? .
=Bath Tubs - $3.00
o _
c;ry 1 ?('t Phone Lavatory -$3.00
J '
? Shower - $3.00
FEES =Kitchen Sink - $3.00
Urinal/Bidet -$3.00
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMi1M - RESIDENTIAL FEE _ $1p,pp ??undry Tray - $3.00
Floor Drains -$1
50
MINIMUM - COMM/IND FEE - 20.00 .
-?
Water Heater -$1.50 r
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES Whi?ipool - $3.00
TGas Piping OuUets -$1.50 ?
BE1fOND $1,000.00)
' Softener - $5.00
-? Well - $10
00
.
PrlVate Disp. - $10.00
=
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C:
SL
FOR: CITY OF EAGAN GRANO TOTAL• J?
CITY OF EAGAN Remarks D i v i s i o n #16 2 5 2 10 / 8 5
Addition Birch Park Lot 15 Blk 5 ParceIl0-14175-150-05
Owner
Street 1261 Deertiaood Dsive scate Eaaan'-MIiT 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SANSEWTRUNK 221 197 162.96 8.15 20 Paid ri r to divis on
SEWER LATERaL n 931 198 132.70 8.85 15
WATERMAIN
WATER LATERAL
WATER AREA ?
STORMSEWTRK 1018 198 750.48 50.03 15
STORM SEW LAT 1048 198 199 . 66 13 . 31 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR K
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilct Knob Road
P. O. Box 21199 PERMIT NO.:
Esgan, MIl 55121 DA7E:
Zontnp: _ No. of Units:
Owrwr, ? . ?' .., _ • I nc .
Addross:
1: '61 e,-r"cv>, riv- , . 7.rc . . ._
SitO /?ddress:
Plumber. 'eie r ' o . c
- - - r,Size: 'f rfoc O I???t??'?'y . [ p?.
R r No.: «: nu
I.om +o oo.rh? w,& e6. cilr .i E= Os`u .?[ t A • - 7fTs
MOoM. ? Q??Irom • 7 j . F,; 53 Or?li .50p c IDl'tc'T
i Il[?._ ' " Total:
gy 14- f 1?_ Date Poid:
CITY OF EAGAN SEWER SERVlCE PERMR
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: _
Eagan, MN 55121 DATE:
Zonrr?r7: No. of Unih: '
Owrnr• n^•.re1oper7? Inc.
/lddross:
Site Address:
Plumber.
1 ym te e0 ly wilM !M Gly ef Eaps ConrocNon Chorpe: _ 0IDT"
OnvoomoN. Aooount DepOSft: ,1012c1
ftm?it FM:
SurcFwrpo: -
By Mlu. Chorqas:
Dote of 1 mp.: Total:
Insp.: Goh Poid:
__-
This re4uest void ??4 I`D/
18 months (rom . ? ( 0 SU
35481 2-
Fire No. Houph-in inspection N?N, [? yyill Notifv Insaec-
Requeot D1teOL qe??pquired? ??adY T1or When Ready
p j Q/OV LJYeS ?No
Licensed Electncal Contrector 1 hereby request inapaction of ebove
[?
electrical work installed at:
? Owner C rty
Street Address, Box or Route No. E a 9 a n
1261 Deerwood ENO. ange o. County
ection o. TownshiD Name or Dakat
a
. ?. , Phone No.
Farmington
ontractrLicense N
T77;'
;ontractor (Companv Name) Q 4 Q 7 4 a_ 3
ter Electric
? tsyv
THIS INSPECTION REQUEST WILL NOT
MINNESOTA STAT OARD OF ELECTRICITY BE ACCEPTED BV THE STATE BOARD
Grigps•Midway 81 .- Room N-191 UNLESS PROPER INSPECTIOH FEE IS
1621 Univsrsity Ave.. St. Paul, MN 56104 ENCLOSED.
Phone 16121 297-2111
See u EB-OW01-M
REDUESTFOR ELEC?TRPCA?INSPhE?CT?ONck o^ vs'low.covv. ???
?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
sD? 1 ? 3830 PILOT KNOB RD, EAGAN MN 55122
/
851-681-4675
New Constructlon qeaulremeMs
• 3 registeretl sile surveys shaxing sq. tt. ol b4 sq• R, of house; and all roofed areas
(20% maximum bt coversge albwed)
. 2 coplasof plen showing Deam & wintlow sizas; poured found design, etc.)
. 1 set of Energy Cakulatbns
• 3 copies of Tree Preservation Plen'rf bt platted afler 7/1 133
• Rim Joist Detail Options selectbn sheet (bldgs whh 3 or less untts)
DATE ? /0 4° /0 2
SITE ADDRESS 126f DE?W0604
NemodeNieoahHeauhemeMe
. 2 copies af plan
• lselolEnergyCakwtationsforheatetladditions
• 1 site survey for e#erior addilbns 8 tlecks
. InAicate B home served by septic system for addilbns
VALUATION 6 ? `? ?
ov, I v -C-,-
MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK " °F17nWofF FIREPLACE(S) _ 0_ i_ 2
APPLICANT G1455/c- &oFs 777Nc-
STREET ADDRESS 17-Or-O 12 .9-,/E 5 CJTy ?9Av STpTE 04 A! ZIp SssA y
TELEPHONE # 6= CELL PHONE #
'9'5-2- 059218 Cr/z 68S'o9ao
FAX # 95-2, 01- 9 zAp
PROPERNOWNER 7E4a-y Cp-crqAN TELEPHONE# &Sl- 4275-
----------° °---------------°---------------------------------------------------------
COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MLNNESOTA RULFS 7670 CATEGORY 1 MINNESOTA RULFS 7672
(4 submission type) • Residentiai Ventilatlon Category 1 Workshaet Submitted • New Energy Code Workshaet SubmiMed
• Energy Envelope Calculations Submitted
Mumbing Conhactor: ___
Plumbing system includes:
Mechanical Conhactor.
Mechanical system includes:
Sewer/Water Contractor:
_ WaCer Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Fee: $90.00
Phone #
FRnjUN' !002'1
Phon e# 0 6 ----------------------°----------------°-------°-----°---------°--°------°---°---- °-------°--------------- ----
I hereby acknowledge that I have read this application, state ihaT ihe information is ? eet, = re?to'COmply
with all applicable StaTe of Minnesota Statutes and City of Eagan Ordi es ????
Signafure of Applicant _?__..._--------------------°------. ..................... .._._?..._..._.r.Y.__._?
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
uadatad aroz
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
1986 BIIILDING PE APPLICAITON - CITY OF EAG9N
Bi(YfE: ALL CANTRACPOES MQST BS LICENSED iiITH THE CITY OF EAGAH
SIAGLE FATIIL.Y DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRYEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DWS[,LINGS - RSSIDh'NTZAL
INCLUDE 2 SETS OF PLANSp CER
1 SET OF ENERGY CALCULATIONS
COMAfERCI9L
RENTAL QNITS F06 SALS ONITS
OF SDRVSY - CHECB WITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2t000 LANDSCAPE BOND
To Be Used
Site Address
Lot /-E;_Block :=
Owner
Address
City/Zip Code
a cco
Valuatio??
OFFICE
Ereet ?
> Remodel
Repair _
;1,--? Addition _
Phone ?^ !
Contractor
,
Address
City/Zip Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone #
Demolish
Int.Impr. _
Install
_ - ?
Occupaney Q•3
Zoning ?Z• I
Type of Const 7SZ:
# of Stories
Length S8
Depth ?
Sq Ft
APPROVALS FEFS
Assessments Permit 4
Water/Sewer Sureharge 59
Police Plan Review 2-51-
Fire SAC 5 ? 5,
Engr Water Conn S OO•
Planner Water Meter ?
Couneil Road Unit 7-9D.
Hldg Of? Treatment Pl I S(o•
APC Parks
Variance Copies
TOT9I, 23(od `
NOTB: ADDRSSSES FOR CORNER LOTS - CONTRACTOR/HOPIEOi1NEH MOST DESIGNATE WHICH ADDRESS
ZS DESIRBD. NO CH9NGES itILL HE ALLOWED ONCE HOII,DING PERMIT IS ISSIIED.
1??C 24- `" 3:? x 5? = I9 48Pj
??FIC 2G ?- ? =512-12
24 x 22-. 1Sz& t-, (2=
12 n 1 4- - 1(qb K. b ` (3 4 4-
2,x ??- = 8?- x 44- ` 3Mq( e)
_ ?--
1 l ?3 3?
,
Certificate For:
Developers Construction . '-1101 Cliff Road
Bu•rnsviPle, MN 55337
DELMAR H. SCHWANZ
IANpGURVEVpRC INC
RnO'51r1ntl UMer Ldw- nl M- i1AN OI MmnMOp
14150 SOUTH HOBERT TRAIL ROSEMOUNT. MINNESOTA 5506e
SURVEYOH'S CERTIFICATE
- /DO.O -
Scale: 1 inch = 30 feet
?
0
100/1B
PHONE 612 4211-1769
\
?
5I Drainage & Utility
Easement5
?
? ? - - -
O
O ?
N M
i 2 ??gn
B???P1 j I Z?,o -
O= Found iron pipe at oP V
property corner
U = Set wood hub ?
0
(?„m = Existing elevation ?
= Direction of draiange _
from Development Plan 1 f1
?
?
14
?d°
P?oPas? /-fau5?
N yC G9.P4G?
1/3 ?3?4,3
v z -,N
o ?
_ 2/• %
O
_ 4Z
do9
I
O
0
N
B73 ?
W419
J
(Y)
o2
I hereby certify that this is a true and correct representation of the
following described tract of land:
Lot 15, Block 5, BIRCH PARK, according to ttie recorded plat
thereof, Dakota County, Minnesota.
Also showinq the location of a proposed house as staked thereon.
August 1, 1986
?:_X?'?%? [?,•!? ; /.???? /
MINNESOiA REGISTRATION NO. 8625
?
A
OiJI lfiR:
SITE ADDRESS:
EX7ERI0I1 ENVELOPf AVERAGE "U" 1CQhIPU1'ATION
,. . ,
?
' CONTRACTOR: DATE: PHONE: ">'<.)Y6?,%?+
pETERMIME• VIORY.IfiG SOUARE FOOTAfE OF E/1CH:
1.. TOTAL EXPOSED b1AI,L AREA........ _,x(: ?i 7-, sq ft X"U'i _ .?? •,v' 'i?•-.1??'.
2. TOTAL ROOF/CEILING AREA '
........ ? ?• /?(•> ' sq ft x ?,Un
e ?-
3. TOTAL EXPOSED IJALL AREA CALCULATIONS:
Total exposed wall , . ?
' area.above floor.
. ....... .,.. sq ft . ,..a.
?'.;;; %`r`.•:.r:,s..
a) Total wall window area: •? :
91 azed. .. . . . ,?C_•- C.? sQ f t x IIUiI .3 ' /' ..' ' .'. .
, , .'7 r? a? ti!? .? •?`7 ?
glazed...... sq ft x lfUn ,
n
b) Total door area sq ft x"U" U%
.... .n
c) •Tota) slldtng qlass doorareai, ; . . ? . •
sq ft x?nUif
glazed....... Sq, ft x nUii . a. ,..
d) Total flreplace wall area •? L? _ sq ft x"U" _ t
v ?
. T-? ? . .
• e) Total wall framing area
' (Average 109)............ ' ? %3 )f sq ft x IfUu
' f} Total net wall area above floor (Insulated)....,., sq ft x"U" _ , C.7/?'? • 1,???,
a
g} Total rim Joist.area...... ?'a sq ft x"U'! ,?
? ?.
Total foundation ?
area (Exposed),,,,,,,,, sq.ft
h) Total .foundatlon
' wlndow area........... ?J sq ft x"U" o
I) 'fotal net founAation ' •
area above.gr'ade?.,,.,,, sq ft x"U"
3. . TOTAL a) thru 1)
If'ltem N3 Is the same as, or less than ltem 01, you have met the lntent of '
• S,B.C. Sectlon 600h (c) z.
.
' . .
? 3
Xlxxx
VENTED ? ...
CCILIIIr, S[CTI011 .('10 ISULATED) ,
1 Incerlor :{ir'film f1 f,l ' ..
2 3
3
11 Cxtcrior dir film (stttll O;F.1
, TOTAL P ? '
U I/R ° % .
CEILING FRAMIFIC SFCTI.ON ' , 1 ?•
, `? '
1 Interlor air fllm '• 0 61
'.
3 l liT?e?,?o°
h. t erior air Pilm (still?
... 5 3/i I nches sof t arood
. TOTAI. R
CEILIIJG '.
SECTI01! (INSULATED)
1' Interior air:f.ilm`, 0:61 :
2
3
h F.xterior air film; stil) .. O 1.
TOTAL R =
?- f
,
.
? Up l/R°
. • ? ; ,
C[IL INr, FRAHIMr, SECTIOH
I, Intcrior alr fflm'
3
h fxterior air film still ?.,1 `
; inches.soft wood
TOTAL R =
U = 1/R =.:
?.
1 Inside alr film ?.A1 ,
3 :.
i?
S Qtitside air film n.17 .
70TA1 R =
1!R °
C I T Y O F E A A iV *?.?,nTT? ?F? pp?ZTI?MpF
,*t APPROVAL OF PFPNSIT.
APPLlCATION FOR PERMIT *
y. INSPDLTZON oF SSMM APID/OR FATII2
. ,*t nNcrAr.ramrONS WII.L NOif BE SCHED-
SEWER AND/OR WATER CONNECTION ?uLID UNL'II• PEEtMIT HAS BEEN
• . : rPPxavID.
______________
P ease Print)
1) PROPERTY ADDRESS: 1261 Deerwood Dr.
LEGAL DESCRIPTION: Lot IrBloCk,r ` I?t/? -H P?FIZIC +.
Lot Block Subdivision or Tax Parce ID )
IF EXISTING SiRCCZVRE, DATE OF ORIGINAL B[IILDING pF1?NLLT ISSL'ANCE: '
i
-
PRESENP ZONZNG/PROPOSID USE: - (Nbn ear)
-
C] COAg1EFtCIAL/RfiTAIL/OFFICE MX:&-1 SINGLE FAMILY .
Q I'STRIAL Ej R-2 DL'PLEX (7t,o Onits)
? INSTI'IL'TIONAL/GOVII2I0Np ? R-3 TOWNHOL?SE (Three + Units) ( Onits)
. Q R-4 APARTMI'P/CODIDUMINICTI ( •Units)
2) ?
NAME; Developera Cont.
ADDRFSS: TTOT !'l i ff Rd "
CZTY, STATE, ZIP: Burnsville , Mn.
PAONE:a90 FiT94
3) • u ?:?• --- -
r?A'E=b'_e3erke TrPn .hi ng _
ADDRESS: 660 Cliff Rd.
CITY. STATE. 2IP: EaRan , Mn. 155123
-- -
` PxorE: 454 3626 MASTER LicENss# 001924
? Active
Fxpired
Not recorded
St?itial
d) ??• •:.i ?.:ni'?:m ?
NA`E° Same as ax,p icant
ADDRFSS:
CI1^1, STATE, ZIP:
PHONE: •
5) i n v ? i r. •?• : a • a? - a.
. • 'r'r_f ' . . . .
L.? CONNECrION T0 CITY SEWER X)JffXCpNNF]C.`PION TO CITY WA1ER ? OTfm
pI,F_p4E HOLD APPROVID PERMIT FOR PICK-OP BY ONE OF ABOVE
6) ?? ? • r 44ii+ r1Xi4C -
? PLEASE MAIL APPROVID PET2MIT TO 1, 2, 3, 4, ABOVE .
, ? ? (Circle one) 7) 'FC
. FOR CITY USE ONLY ?
PERMIT # ISSUED •
Pd w/Bldg. Permit FEES:
$ S ", '4- () SEWER PERMIT (INCLUDE SURCHARGE)
$ $ Ib'J ? WATER PERMIT (INCLODE SURCHARGE)
$- $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOONT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ Jr(5O'C? C3 $ WAC
$_ J??7S O Lz $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRCNK WATER
$ ??•D U $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ? Z- (--7?'? S S I? G?IJ TOTAL ;-
?S?
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK iVITHIN PUBLIC
Q ROADWAY" M[JST BE ISSUED BY THE E[VGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139104
Date Issued:10/10/2016
Permit Category:ePermit
Site Address: 1261 Deerwood Dr
Lot:15 Block: 5 Addition: Birch Park
PID:10-14175-05-150
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 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 -
Raymond A Creegan
1261 Deerwood Dr
Eagan MN 55123
(651) 681-9575
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
6/21/2017 1:56 PM FROM: Fax Standard Water TO: 651-675-5694 PAGE: 002 OF 003
Use BLUE or BLACK Ink C C
, ` For Office Use
CitEatall of Permit#:
Permit Fee: q 7 DV
3830 Pilot Knob Road /-7
Eagan MN 55122 RECEIVED Date Received: /'_
Phone:(651)675-5675
Fax:(651)675-5694 Staff: � �
JUN 2 1 2017
�/ 2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: e4//7 Site Address: 1261 Deerwood Dr Unit#:
Name: Jeanne Creegan Phone: 651-681-9575
Resident/ 1261 Deerwood Dr, Eagan, MN 55123
Owner Address/City/Zip: i )
g
Applicant is: —Owner x Contractor x
Type of Work
Description of work: Draintile System
Construction Cost: 4800.00 Multi-Family Building:(Yes_/No )
Company: Standard Water Controlcontact: Mike Hogenson
Contractor
Address: 5337 Lakeland Ave N City: Crystal
Phone: 763-537-4849 Email: mike@standardwater.com
State: MN Zip: 55429
License#: BC001522 Lead Certificate#: NAT 21436-2
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:Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe 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 al(851)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities, www.bopherstateonecall.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 I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; (hal 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 Betty L Baker x X41',0►(6&
Applicant's Printed Name Applicant's 'ignature
Page 1 of 3
& i � �f O ITE BELOW THIS LINE /z/L---- e-on
•
SUFE TYPES
Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family)
Single Family)( Garage Porch (4-Season) Exterior Alteration (Multi)
Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building"
Addition Move Building Reroof Demolish Interior
SAlteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 90 Occupancy MCES System
Plan Review T Code Edition vvIN1,9 I< SAC Units
(25% 100% y) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction • ii, Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) yC Final/ No C.O. Required
Foundation Foundation Before Backfill 1 HVAC Gas Service Test Gas Line Air Test
Roof: Ice &Water Final Pool: _Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour X Drain Tile R
Fireplace: _Rough In _Air Test Final Siding: _Stucco Lath Stone Lath Brick EFIS
Insulation Windows
Sheathing Retaining Wall: Footings_ Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In _Final
Braced Walls Erosion Control
Shower PanOther:
Reviewed By: �• , Building Inspector
RESIDENTIAL FEES 1/
Base Fee ( '� I
Surcharge 1�} �I,
Plan Review 1 (19
MCES SAC 'j
c
City SAC II
Utility Connection Charge C6-00
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3