1267 Deerwood Dr.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 11894
? PHONE• 454 8100
BUILDING PERMIT . Receipt # ? ?' -> • ?, ?
To be uaed tor JF U DIG/GfiR Est Value $133,000 Date MAY 5 , 19 --d6
SiteAddress 1267 DEERWOO D DR Erect CX Occupancy K3
H
Lot-14 aiock 5_SeciSub IRCH PARK Remodel ? Zoning RZ
.
Parcel No Repair ? Type o( Const_W-
. Addition ? No. Stories
W Name nEVELOPH:rZ;i CO NST Move ? Length 60
3 Address 1101 CL I FF RD Demolish ?
I
i
? Depth 36
S
F
o nt.
mpr. q.
t.
City 1301:A:i8 90-6194 Install 0
c
Z o Name-
? ? Address
? ?:..
Phone
Water 8
Police _
Fire -
Eng. -
Planner
Council
I hereby acknowledge that I have read this application and state thatthe gldg. Off. 5? rj?86
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinarfces. APC
Var.
A Building Permit is issued to: Lii
all work shall be done in accordance with
Building Official
CONST
of
Permit $ 515.50
Surcharge 66.50 ?
Plan Review 257 • 75
?
SAC 575.00
Water Conn. 500 . 00
Water Meter 63 . 50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies
Total ?2, 4 25
on the express condition that
City of Eagan Ordinances.
II . IP.-n No. I Porndt Noldor I DaM I TN?phoM M '
IIEl•cb+c I c_l/ Y9 i I Iev /13 18 ? ;? I
b? M,4
Final
Occ.
0.
Disp.
T A , c • I ,et .,qd ? .
MECHANICAL PERMIT
CIT1f OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
Site AdOress ! Q)4 '
Lot ' ? 1 Block
m Name
? Addre
c City ?.
? Name
; Addre
O CitY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
PERMIT #
RECEIPT #
DATE: _
BLDG. TYPE
?
Res. `
Mult
Comm.
'Other
WORK DESCRIPTION
?
New
Add-on
Repair
_ ' - FEES
RES. HVAC 0-100 M BTU - $24.00
PhoneX`' ' ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
M BTU COMIbi/IND FEE - 1% OF CONTRACT FEE
M BTU MINIMUM - RESIDENTIAL FEE - 10.00
M g-rU MINIMUM - COMM/IND FEE - 20.00
M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
CFM
i
BEYOND $1,000.00)
' ------
FEE: - ---
S/C' ?i.. SIGNATURE OF PERMI EE
TOTAL• -
?
FOR: CITY OF EAGAW ?
PLUMBING PERMIT
GTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
? Site Addr I - 1,
? Lot e Block
m Name FJoNoNd E
m Address
c Cily PhOr18
? Name _
3 Address
p CitY -
Phone
FEES
COMM/IND FEE - 1%OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
I BEYOND $1,000.00)
- $10.00
- 20.00
- .50
FOR CITY OF EAGAN
- ?
PERMIT #
RECEIPT # p 3 70n
DATE
BLDG. TYPE WORK DESCRIPTION
Res. ` New ?
Mutt Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
Water Closet - $3.00
?
$
-TBath Tubs - $3.00
ti
Lavatory - $3.00
' Shower - $3.00 7
'Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
? Floor Drains - $1.50
' Water Heater - $1.50
' Whirlpool - $3.00
' Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
% Rough Openings - $1.50 `
FEE
STATE S/C:
GRAND TOTAL•
CITY OF EAGAN Remarks
Addition Birch Park Lot 14 Bik 5 Parcel
Owner Street 3992 Ele,R.lnai.i?As+-e ' I- 5tateEagan p4N ?-51-2-3
1 191 n------ a n.-4
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SANSEWTRUNK 221 197-31 162.96 8.15 2 Pai ri r to divis on
SEWER LATEAAL
WATERMAIN
WATER LATERAL
WATER AREA
?, •
STORM 5EW TRK 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
3830 pitvt'Knob Road
P. O. 3ox 21199
Eagan, MN 1 5121
:Zonirg:
Owrnr:
/lddress:
Site Nddress:
Plunnber.
<
Wwter No. :
.. ?
' Siu:
Recder No.:
1 MrM fe ee?p11 'rilb 1
Owl"
BS Birch Yar
1U
n«, c;ho?fle=
t.
. ? n
c3
5.
nri TY
Clydr?es , i ? r:: meteT
Date Roid:
BY
Dcte of Ir?sp.: c? y I?p.:
l' z 4 ?
CITY OF EAGAN SEWER SERVlCE PERMIT
3830 Pilot Krab Road pERMIT NO.:
P. O. Box 21199 ?,?:
Esgsn, MN 55121
•z No. of Units: ?
rf? ?-' •-
r:
Aelciress: . , _. .. _ _ . r
AddfQi5: t l. ? I c v -'' -
iber. eietke TrPnch?'?^
IM h ? Mo the C*y of ~'pm CAn/MCtlql ChOfQl: ,
Accwunt DlPOdt`
MsOM•
Prmnit FM: _
Surcharpr:
mist. (?ton0ea:
e oF Insp.: Totol:
Dah Paid:
WATER SERVICE PERMIT
PERMIT NO.: 6
DATE: 1
_ No. of Uniri:
r, Const.
??/ ? REQUEST FOR ELECTRICAL INSPECTION
d l1 , See instructions for comPleting this form on back ol vsllow copY•
- - ... , _..__,,,4 1,i, Thic Rel7t/P.SI
This request void
18 months Irom
C 118 91 , ? ?/
EB-OWOt-M
?, 3k,-) 3
h 3<v -1 ?
U
II NotilY Inspec-
When Feadv
L.ce7se Electrical Coolractar 1 hareby requeat inspaction of above
work inatalled et:
LJ Owner -
C itv
Street Address. 6ox or R
? te No. J
N)d??r
ecuon o. Township Name r No. Range o.
' CountY
CAI ?
Occu ant IPRI Tl Phone No.
.
Power Su plier
i s Address
-
Elec i I Coi tor (
m ny ?ame) Comrar.tor•5 License No.
0116
Mailing Address (Contractor or Owner akin0 Instailauonl
/ 5
?
Author ed Signatur I
ontract O er aking Installauon) e m
P N be
TMIC IniSPECTION REnUEST WIIL NOT
MINNESOTA STATE 16ARD OF ELECTRICITY/, BE ACCEPTED BY THE STATE BOARD
Grigga-Midwey BIdpV Room N-181 l/ UNLES5 PROPER INSPECTION FEE IS
1821 University Ave., St. Paul, MN 55104 ?? ENCLOSED.
Phone 16121 297-2117
` Date ?, the a?
InSpsCtor, hereby
Rough-in 7 ?7
• certifY that the above
Date insDecNOO has heen
-,_d21 meae.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N°- 11894
PHONE: 454-8100
B
IL Z,
U
DING PERMIT Receipt ft
'SF DWG GAR
To be used tor ? Est Value
$13 3,0 00 Date
MAY 5 ? g 8 6
1267 DEERWOOD DR
Site Address
Erect ,y
l? R3
Occupancy
Lot 14 Block 5 Sec/Sub. BIRCH PARK Remodel ? Zoning R1
Parcel No. Repair ? Type of Const. Vn
Addition ? No. Stories
a DEVELOPERS CONST Move ? Length 60
Name
1101 CLIFF RD Demolish ? Depth-Q
3 Address
° ciy BURNSV?W 890-6194 ins?mpr. O Sq.F?
i o Name SAME Approvals Feea
$ < Address
? City Phone
F W Name
-z
Address
a w City Phone
I hereby acknowledqe that I have read this application and state that the
information is correct and agree to comply wilh all applicable State of
Minnesota StaNtes and Ciry ot E an Ordig nces.
Signature ot Permittee j
A Building Permit is issued to: DE OPERS CONST
all work shatl be done in accortlance with all a lic ? State of Min so
Building Official
Assessment _
Water & Sew.
Police -
Fire
Eng.
Planner-
Council -
Bldg. Off. 5/ S/ S 6
APC
Var. Date
Permit 515.50
Surcharge 66.50
PlanReview 257.75
SAC 575.00
Water Conn. 500.00
WaterMeter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
CopieS--? -?
Total ''` ?"25
on the express condition Mat
Ciry of Eagan Ordinances.
1 "7_ ` i , 2Gj
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
?c) ? 3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New ConsW ctlon Reaufrements
• 3 registered site surveys showirg sq. ft. of lot, sq. fl. of house; and all roofed areas
(20% maximum lol caverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
. 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joisl Detail Options seleGian sheet (bldgs wilh 3 or less units)
DATE ? ? /c, z-
l_.o C c?O -
ei .
SITEADDRESS MULTI-FAMILYBLDG _Y _N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPUCANT
STREET ADDRESS C: t.??,A? CITY L1 C'_nn STATE rnrlZlP E5Fi ! l--I
TELEPHONE #A4,.4 14leLr; CELL PHONE # FAX #
PROPERTY OWNER t_y\C''.car•4-c,e ? i TELEPHONE # J-1 ?5 I?l ? l
------------°------------------------ -------- =-----°-----°--°°----------°--------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNE501'A RIJL,ES 7670 CATEGORY 1 MINNI'SOTA RLILES 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plt:inbir.g system includes:
Mechanical Contractor:
Mcchaiucal syslem includes:
Sewer/Water Contractor:
VALUATION
_ Watcr Sottener
_ Watcr Heater _
No. of Baths
Air Conditionuig
Heat Recovery Systetn
Phone #
Fee: $70.00
---------------------------------°----------------------°----------------------°-----°--------°
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnature of
OFFICE USE ONLY
RemodellReoair Rauuirements
• 2 copies of plan
. 1 set of Energy Calculatbns for heated additions
• lsitesurveyPorextenoraddNOns& decks
. Indicate if home servedhy septic system foraddNOns
_ Phonc #
Lawn Sprinkler
No. of R.I. Baths
Phone #
-; - 1 L - o -a-
Fee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
//991
NOTE: ALL CONTRACTORS MUST BE LICENSED 4fITH THE CITY OF EAG9N
SINGLE FAMILY DWELLINGS
?
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCT'RAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS'
$2,000 LANDSCAPE BOND
>33,ooU. n
To Be Used For:. ??Valuation: Date: ?--?J
/
Site Address i7 Oo?ti OFFICE lI5E ONLY
Lot /- Block ? ?,
Parcel/Sub
Owner
Address
City/Zip Code
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Erect
Remodel '
Repair
Addition '
Move
Demolish .'
Int.Impr. ?
Install ?
APPROVALS
Occupancy L3
Zoning R_/
Type of Const Q(J
0 of Stories
LenQth ?
Depth
Sq Ft
FEES
Assessments Permft ,
Water/Sewer ? Surcharge i
?
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter,
Council / iRoad Unit
Bldg Off, /%/1?V2 Treatment Pl
APC Parks
Variance Copies
TOTAL
?
Phone 1/
va@'t
lw
ICY
?
k 4`? = 44
?? ? 7Z
?? ? o
Certificate for: T
'DAvelopers Construction, Inc.
_.-1101 Cliff Road
, Burnsville, Mn. 55337
S
0
,? u
1-. x
v
?
DELMAR H. SCHWANZ .,
IAND SUAVErOR$ INf AIono-''n UMrr Lerf M Tn' WsN ol MmOwMn
10750 SOUTH ROBERT TRAII ROSEMOUNT, MINNESOTA 5506! ?HONE 614 4211-1109
p? SURVEYOR'S CEPTIFICATE ^
g?? ?;o.oo NB9-ss- o# E
?
O
? Ddiveway
I
6V^ 4'
?
/
M
?
N
?
k
Q SCALEs
N 1 inch = 30 feet
? Elev. shown are
exiating
"sia.zs 164.1.
Ap ewdo
DEIRA10040 DR. x -roP .100
Proposed garage floor elev. from development
plan = 868.0 ft.
I-'? Drainage 6 ntility i 1
easement
I b? 1I'`B
? ?r•
a 41 k I
f
,yar-1?
N
p n
O I ?OT ?
? 0 0
? ?- - --1°' ? - - - __
a3 0
j. o - ? 60.0
/3o.,2S o4* a
I hereby certify that this is a true and correct representation of Lot 14, Block
5, BIRCH PARK, according to the recorded plat thereof, Dakota County, Minnesota.
Also showing the location of a proposed house as staked thereon.
Dated: April 29, 1986
?
MINNESOTA RE6ISTRATION NO. 8825
r ?y
01•!hl E R c
SITC ADDRESS:
exTenioii ErivELorr nvciincr_ "u" coruMurnrion
CONTRAC70R: DATE: ? PHONE: ?.
.
DETERM111E 4i0RYi11(; SOU1IRE FOOTAGE OF EAC11:
1. TOTAL EXPOSED WALL AREl1,,,,,,., 5q (t x"U"
b
2. TOTRL ROOF/CEILING ARf:A
.,...... sq rt x ltutt oots-
3. 70TAL EXPOSFD WqLL AREA CIILCULATIQNS:
Total exposed wall .
' area above floor
........ sq ft
a) Total wall wlndow area:
9lazed...... sq ft x??U" a 35 1Z * •?
glazed..,... sq ft x "U"
a
b) Total door arca ,,,,,.., 6e) sq ft x"U" ,? _ ?d?v
c) Total sllding glass door area:
d)
e) Total wall framing area
(Average 1010 .,.,,,,,,,,..sq ft x "U"
f) Total net wall area a6ove
floor (insulated)........ J,6
sq (t x"U"
g) Total rlm )oist.area...... sq Ft x"U"
Total foundatlon
area (Exposed)......... sq ft
h) Total foundatlon
wlnda•+ area.,,,,,,,,,,, sq ft x"lJ"
Total net foundation
a rea above 9rade% ... ... sq f t x"U"
. ? ?.
3.
. TOT11L a) thru 1)
I('Item 113 Is the same as, or less than ftem N1, you havc met the Intent of
S,11.C. Sectlon 6006 (c) 2,
glazed.:.... ?U sq ft x ??U"
?
glazed....,. _ yG sq, ft xlluii
?
7otal flreplace wall area _ ? Q sq ft x"U" ??' _ ??
?.
4. TOTAL EXPOSED ROOF/CEILINB f,ALCULATI011S: ,
Total exposed `•
roof/celling area.....,..? sq ft
,
J) Tofal skyllaht area.....,.
sq
ft x
'''U"
°
k) Total roof/celllnq framing
h
ft x
??U" <. .--
)......
area (Average lO sq
1) Total net insulated
roof/cetlinq area..,..,,
???? 5?
'' TOTAL J) thru I)
If totalof !?4 Is the same as, or less than 112, you have met the lntent of .
S.B.C. Section 6606 (c) 1.
. . .. . ,. ?,. ;
ALTERfUTE [lUILDlflf FIIVELOPE DESIGN
To utilize the total envelope system method, the values establlshed by the sum
of ltems I13 and N11 shall not be greater than the sum of items 1/1 and /12.
1. + 2. _
3 • +
C E R 7 1 F.i C. A T I 0 II
I hereby certify that I have calculzited the "U" factors and "R"
values herein and [hat [he huildinq here dcscribed meets or exceeds the State
of 1linnesota Fncrny f.onserva[ion Act.
Slqnature
.... .a.,,, ... ...... . . ..... . .. _. ... _...?,....
--ificate for:
velopers Constructipn, Inc.
101 Cliff Road • ?'??9
aurnsville, Mn. 55337
3
0
?a
. x
`V
?
M
\
j ?
?
.
...4q
DELMAR H. SCHWANZ
l .NO gVRVEvOR{I INC
4?CU?rM Un(In IAwT OI iM td11 OI MIanMM11
14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA SSOle PHONE 672123-1769
SURVEYOR'S CERTIFICATE ^
•?w ww I/es_d!_ 41L Ar Il4"
v? ,??-..... .•?. - - • -
Drainage & utility
? I easement I
I I A B .
10 I. ?? k Uear G ?"Y I 1
?b1' ? I y, io
t
w /10/0lf0 ^ !
-- ? ?VW'l£ I
:
Di iveway M G4,4. ? a`4?
h I
Ir? •
,
1
I ? O / ( 4
kl- - ?IM 14- MI
? g. o - 60.0
- ?
t
1
?
t
?
?
1
.,
? SCALE:
? 1 inch = 30 feet
1
III, Elev. shown are
existing
??1 y
I 7v...a ?n7 - sa -- T--
x L Zf
8 3BLL.?
7_40, ZWAO ??aoD DR? x OP GV?
DE?
Proposed garaqe floor elev. from development
plan = 868.0 ft.
I hereby certify that this is a true and co[ract tepresentation of Lot 14, Hlock
5, BIRCH PARK, according to the recorded plat thezeof, Dakota County, Minnesota.
Also showing the location of a proposed house as ataked thereon.
Dated: April 29, 1986
/
MINNESOTA RENSTFiAT10N NO. 8825
_. ...... ..____.... . .... .. __-y ._.?_ _... . ... ,. . ... _,;.??.:r.•'?.r .. .?_._.- ?-.
_ _ _.. . .. .. , _ .:.xF.. .
CITY OF EAGAiV * ?? ?? ? ??
* apraovr.r. oF rEarsr.
APPLICATION FOR PERMIT ?
* INSPF]CrION OF SEWR ABID/OR FiA7£R
nNsrAr.ramroNS WII.L NOP SE SCfIED-
SEWER AND/OR WATER CONNECTION »LILED UNTIL PmmIT HAS BEm
; apPxovID.
Please Print) ^
^
1) PROPERTY ADDRESS: 1267 L-eerwood Lr _
LEGAI. DESCRIPTION: Lot 14 B1oCk 5 "•-
Lot Block Subdivision or Tax Parcel ID )
IF E7QSTING SIRLCi[.'RE, DATE OF ORZGINAL BC'ILDIIV.; PERMIT ISSL'ANC.E: .
i
" Year
PRESIIW ZANING/PROPOSID L'SE: (Nbn
q COPmmCIAL/REPAIL/OFFICE ? R-1 SINGLE FAMILY
Q IbIDC'STRIAI, Q R-2 DL'PLEX (ltao CTnits)
? INSTI2L'TIONAL/GOVEUZENT ? g-3 ZpWNHOL?SE (Three + Units) ( Onits)
. ? x-a APAxzrEar/corroorurrzL7M ( [mits)
2) ?w,
NA'E: Developers Cont
• ADDRESS: 1302 Cliff Rd --
CITY, STATE, 2IP: °-Burnville Mn 55337
PHONE• 8qn T94
3) • a c ?•
- N71ME: Io`Pi t?rkP Tr _71 hi Ylst
ADDRFSS: 660 Cliff Rd
CITY. STATE, ZIP: a an • Mn. -
PxorE: 4543625 MASTEP LICE[d5E# COI924
4) •c• • ?
NAME:
Same as amlicant ?
? ADDRESS: •
' CITY. STATE, ZIP:
r
? Act9.Ve
EScpired
Not recorded
ste?itiai
PHONE: -
5) ? v ? i a: •?• .1010 • ak - Zymzlb
? mNrux.-riorr To ciTSC sEWM ? corsUcrioN so CITY wr.zER rl OrfM .
6) ??
PLEASE HOLD APPROVID PERh1ZT FY)R PICK-OP $Y ONE OF ABOVE
Q
?
PLFASE MAIj, ApPROVID PERMZT 70 lr 2. 3. 4, AHOVE
-1-7_ (Circle one)
FOR CITY USE ONLY PERMZT # ISSOED
7?3- 3 e,1,113 ?G
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SORCHARGE)
$ C?' 3 $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?SiU C' ACCOLNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ 4o n'C)e $ WAC
$ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ ?? ?• ?'?z' $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ $ S?O'-D TOTAL
2-193 -3
RECEIPT RECEIPT
?
DOES DTILITY CONNEC TIOIV REQDIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION
LIS
AS
.
T A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: G'-
' /?j/fo
+
• - ' 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
p[ f. anr oF eacani
3830 PILOT KNOB RD - 55122
651-681-4875
a 3 reglsteretl sMe wrveyf alwwing aq. H. ol lot, sq. H. of hause
antl go roofed areas (2D% mmdmum bt aovemae a0owedl
D 2 coples of plau (show beam 8 window sixes: poured tnd. deslgn; etc.)
D 1 se1 ot energy calculaflons
? S Coplea of hee DreservaHOn Plan i11W plaHed aHer 7/1/93
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: I q
BLOCK:
SUBD./P.I.D. M:
?
?fz}
2 copies W plan
1 sef W eneryy calculaHOna lor heafeC adtllNOns
1 aife wney Iw extedor addlHOna 8 tlecka
CONSfRUCTION COST: -5-K
Name: 10e wso 4. '704,, whone O?f?
PROPERTY ast Firs+ .D r
OWNER ? ?
Street Addresa:1?,e 7 ?/"/'v w+o d/
City 1?o rti ? State: /Wh . Zip: ?S/og?
Company:? Phone A: (Zs/ ?'?o ?aqy6 7
(area code)
CONTRACTOR
Sheet Addrea :?? 9oZ IJcense YExp,
cny ^tii.???O h stare: ?h. zip: 53 ° 3/
ARCHIiECT/
? Name:
' CITY OF EAGAN
I CASHIER: JS TERMINAL NO: 767
DATE: 04/24/00 TIME: 11:26:05 ReglsfraHonJI:
ID: _ SFate:
NAME: RALPH HANSON CONSTRUCTION INC
3210 9001 1267 DEERWOOD D
2155 9001 1267 DEERWOOD D
f.
Lp:
60.00 Phone #:
0. 5 0o lnfoffnabon Is cortee. glp? agree to comply wl?plll appOcable Stafe
cant
!SE ONLY
Total Receipt Amount:
CR127178
USER ID: JAN
60.50 /
v?/ Not Required
/VD
1 8
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OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? OB 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex O 09 07-plex 3Z 18 Deck 0 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Pibg V or _ N ? 25 Miscellaneous
O 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding
? 33 Aiteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATIQN
SAC Code ?L # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) V Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOU3INSPECTIONS
O Stucco/Stone
APPROVALS
Planning Building '?? ` Engineering Variance
/
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit.
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Totai:
? 31 Ext Alt- Muld
? 33 Ext. Alt - SF
? 36 MuRi
"--?-? =?
SAC Units
% SAC
Use BLUE or BLACK Ink
k l For Office Use l
l Permit tG'
City of Ea aIl ;
Permit Fee: 9c) d V
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I t
Fax: (651) 675-5694 staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2')6-10 Site Address: I Z )Qfe ( C-1J00d
Tenant: Suite
RESIDENT / OWNER Name: 6:¢►r h e- V Phone:
Address / City / Zip: r Z 6 / C od r
Applicant is: Owner Contractor
TYPE OF WORK Description of work: I cr e1 WG{ W 5 i e -P S i <C9 ~e Al i +'e
Construction Cost: Multi-Family Building: (Yes / No y )
CONTRACTOR Name: C l e kJ r ~C t,,&~&( e,icense 3 l
Address: ` O g ~i° V i t t ~~u c City: V y P
State: _M A) Zip: 7 Phone: 7 12 -2.2 3 - ! l
Contact: t J i' Email
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. 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.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x C'f r'l P'Vc- x
Applicant's Printed Name Applicant's Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116331
Date Issued:10/07/2013
Permit Category:ePermit
Site Address: 1267 Deerwood Dr
Lot:14 Block: 5 Addition: Birch Park
PID:10-14175-05-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
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 -
Kathryn K Andrews
1267 Deerwood Dr
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r -
For Office Use
permit*.
CityPermit#: ! eit
of EaaIl Permit Fee: ! � ` '}
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 9—/3—i 7
Phone: (651)675-5675
buildinoinspections(a.cityofeagan.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: q-(3-(7 Site Address: 476 7 J1 v6 Unit#:
Name: 77/11 f/ !i /9"J /Z s Phone:
Resident/
Owner Address/City/Zip: /.2 6 7 oeorw'Bo./7 bt vi
Applicant is: Owner Pc Contractor
Type of Work
Description of work: /F ' Sri°/Ai6
Construction Cost: /5/<- Multi-Family Building:(Yes /No )
Company: IYY/4-4sr/..JC EXT 1c/Z.f Contact: ,J(/A
Contractor Address: / 7Z/e3 ?iZecc7 City: d4(7.Er/
State: jYI,i Zip: 53-633 Phone: la 27 hZ Email: /4-fa 4-/2stirn5exli-ei"i-'' ``4-cc'"ti.
License#: 5C6.3333 Lead Certificate#:
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 may be classified as non-public if you providespecific reasons that would permit the City to conclude that they
are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 ns.
x StviQS�KJ x
Applicant's Printed Name Applicant's S' ature
Page 1 of 3