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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 --`.ta_*?,t,t****tt*:t,t*****±****tt,t.*?_,k,t**,t.**+_ ` _ - 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