1444 Deerwood DrF-?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number: 9
Date Issued: /') :i
SITE ADDRESS: I
PERMIT SUBTYPE:
i H t 0 r I APPLICANT:
TYPE OF WORK:
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
Ir+
i' 1'1 r1+ t
L r-
Permit No. Permit Holder Date Telephone N
5/W
PLUMBING
HVAC
ELECTRIC O v
O
fseo
ELECTRIC
Inspection Date Insp. Comme ns
t
Footings1
S(? !3
DS
+C?? _I (-o S4
6 "to pp
Foundation S- f .2 6 4:3
Framing JD ?? S
Rooting
Rough Plbg. G C
Rough Htg.
Isul.
Fireplace (? ??^ g 3
Final Mg.
Orsat Test I/
Final Plbg. Pibg. Inspedor - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final /7
2??
A
Y1
Deck Ftg.
Deck Final
Well
Pr. Disp.
7_ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
"III 1.1)INU
0fi /.! 7 /94
SITE ADDRESS: 1 11 I _ < lit (11 I, APPLICANT:
1; 1 l l?i„11 ()I, ,.pil 11 .
, 1 H1114" t)P 1 Hl1i1u1i ,N11 ( r. 1 ) "";V) .i 1 N`.)
N-
PERMIT SUBTYPE:
I I , I I No..
Icf)i,I 1
TYPE OF WORK:
) 1 r{ A 1
Permit No. Permit Holder Date Telephone i
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspeetion Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
taut.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
UOA
-QUA
Deck Final
Well
Pr. Disp.
Address 1444 DEEIdwow DRIVE
Zip
Lot 3 Blk I Sub EMSMM' S DEEIdd00D 2ND
TfIESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 07/27/93 Yes No Inspector:
Final grade (6" from siding) ep
Permanent steps (garage) tl?
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
V M • -, / }
wali f icate of cccnpanc?
witV of Fagan
2evartm"t of zaitbing 3n60ection
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use_ For the following:
SF DWG 20934
Use Classification: Bldg. Permit No.
ON VN
Occupancy Type le District ?ype_C L, wZLfLt? HUM Owner of Building Address 1'j?a( ? 4"4 DKLVE M, 151, B ng Address Locality
07/27/93
Date:
Building'Offiaal
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: LOT:
1444 DEERWOOD OR
ENGSTROM'S DEERWOOD 2ND
PERMIT SUBTYPE:
SF DWG
PERMIT TYPE:
Permit Number:
Date Issued:
3 BLOCK: 1 APPLICANT:
LIFESTYLE HOMES INC
(612) 454-7866
TYPE OF WORK:
NEW
BUILDING
020939
05/13/93
INSPECTION TYPE
FOOTING .DATE INSPTR. INSPECTION TYPE
FRAMING DATE INSPTR.
INSULATION FINAL
FIREPLACE
REMARKS: S & W PLBR - THOMPSON PLBG
I
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
LOT:
1444 DEERWOOD OR
ENGSTROMS DEERWOOD 2ND
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
023593
05/17/94
PERMIT SUBTYPE:
DECK
3 BLOCK: 1 APPLICANT:
BURGESS ROGER
(612) 298-3109
TYPE OF WORK:
NEW
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
FOOTINGS FINAL
F-
i
-F
L 7 655 'i1 it
.
a t
Requ at Date Fir a
/]ra 7- 7G.3
/ Rough-in Inspection
yea Required?
_ No Ready Now "Will NotiN Inspector
When Ready?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Steel. Bor or Route N City
Section No. Township Name or No. Range No. C
r.-
Occupant IPRINTI Phone No.
?( ' 1 Sc? ro
mF
PP"e' Su ^I er AdtlraSa??
Elec,ncal t vid, ICempaoy Name) Contractors License No.
?' f'S '_' A
Maemy AotlressJJi `COmrac?m? Or Owner Me ' Inetallf '
Amhonzeo) nature ICnrln on Own/9rM?\king Inslairationj Pho(ne?NUmber
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
Griggs-Midway Bldg. -Room S-170 UNLESS PROPER INSPECTION FEE IS
1821 University Ave.. St. Paul. MN 55104 ENCLOSED.
Phone(612)642-0800
REQUEST FOR-ELECTRICAL INSPECTION s E6.00001 -0e
A,
5 3
/
? See instructions for completing thi9 form on back of yellow copy. /
/
::" Below Work Covered by This Re
72655
quest a
ew Add I hep.I Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (sr ity) Contractors Remarks. -
Compute Inspection Fee Below.:
# Other Fee # Service Entrance Size Fea # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps X10 to 100 Amps
Transformers Above 200 AmpS Above 100 Amps
Signs Inspectors use only: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8 ORDE i ISCFONN TED IF NOT
Other Fee „ gJ COMPLETED WITHIN 18 ? HS.
I, the Electrical Inspector, hereby Rough-in Date 12
certify that the above inspection has
been made. Final i D e
3
OFFICE USE ONLY
This request void 18 months from
`?? ?
?
?1 2 6 9
3Q)
02
Q'?
Req Data Fir o. Rough-In Inpeectlon Required
call inspector when ready)
(You m
t
u
s Inspection Other T
? Ready Now han Roughdn
? Wlll Notify Inspector
r
?
r-
-
U7 Ves ? No Dale Ready
I licensed contractor ]owner hereby request inspection of above electrical work at :
Job Atltlre 1 I
r or Ro No.) DIIY
;V
AZZ
SBCIOn Nc. Township Name or No. Range C. County
a panCIPRINTI 4 L ? ?
(? Rho No.
Power Buppbe Aduress
Ele n Gontraclor ICOmpany Name) • C sot icen N
Ma,l C T K ct ner Making Installation)
Author eC Signature onlracto Wn r Maki g n5lallW4.' h0
MINNESOeiil BOARD OF ELECTRICITY l \ I THIS INSPECTION REQUEST WILL NOT
Griggs-Midway aide. - Room S-173 v BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-F08
No See instructions for completing this lone on back of yellow COPY
11 69 -- - "X" Below Work Covered by This Request
YY
T67
+=„^ P.dp?
Type of Building
AppliancesWiretl
Equipment Wired
Home Range Temporary Service
Duplex water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm it Conditioner
Other (specify) Contra ctor§ R marks:
Compute Inspection Fee Below..
# Other Fee is Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps to-100 Amps
Transformers Above 200_Amps Above 100_Amps
Signs
inspector's Use Only .
,d n
y
TOTA 6Y
Irrigation Booms ) r
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough in Da`
certify that the above inspection has
been made. Final - - Dale/
OFFICE USE ONLY
This requesl void 18 months horn
L-
MHR?'.1 •1 -53 THU 16:15 BENNETT P . 02
EXTER101t ENVELOPE AVERAGE, COMPUTATION a e ar>?°
•? qt I .i, tl I y b" 6}YJCk,I?' ?' I`n • I
.v a a
SITE Q!tSS: LOT.3.1,1113 SJG J ?4DD
A? R ?WOO`'N A/.: `7 7.1*p )#?
CONfiRAC'fOR;
OAT E0 1 II NE7
-4? PHO
{ I1, .
PETERMINE.WORKING SQUARE #OOTAGE OF EACH: I ;
l• TOTAL EXPOSED WALL,AREA?,?„???
sgoft'x
2. TOTAL-ROOF/CEILING AREA
.,r t s....• i..;p L 1„, 111V,IM in IA
f /'? fv AMC it ?lu'1 .026 KI aq( ? > 14
3-`TOTAL EXPOSED WALL'AREA'CALCULATIDN57 -'? r+' # ?' KJ- ?"A} 9 y{ I
,{+ r ? r I} p It ?.9 ? uP 6?7? Y ?,
A .?)r4 'll. 1?'' I?i??" 1. J)..t?'rl! lp'It Ir'1I}??J?rlS9r?
total exposed wall
area above .,Boor, 1, '' fob prt•• y,r??(y2iA lf1
1 :1 %i v ? f l rl... t ri a?Q f `,. Fob in '4ii
e) Total well window area
A 1,1 r
At, ,
glazed ft x /jU'I P. .I
lazed r' I'i - ,t Sr 8 , 34? I.
..
q ft X fluff
b) Total door ¦rea ?j
y i . ft X 'tuft
' 1K I ixY 4AF.r yIjbi"l Zi, 11 I
?Tl4r71190 " i
c) Total sliding ass dOa, area-
!oil
r , ? , „•+?In ?I +nr?• tl UrP??r{t ,.aP1Ll3!;#iesH b/ 77:??r?r+'?,; ?? 1, .'
+?a7 tt` 4?U? t.? M. R, W
lazed'.'
,...s Q' Ift X Irutl .,a+(P7i? ?'Itfi, 1'•, !g N7r?
4! ?I'a• w?? S?, C.i I ?` ?.?w.?..? ? '?r? ?J ?ewciS49?I.MY
glazed.. y 11 !# r A `?, . v'. P \r ,Yp k}J F Id
'aq ftx U Aas w /
d) Total fireplace'wall area fluff "I
rv
r '
e) Total wall f
raming area ', y oA I `? ,(: , ?' 1' - rlrvro , Q 1
(Averaae 10) •ar.1 a•,V
... 7tq ft X /tU,l ? s+r,rr . 3 ? 7?ir ^11r?
Total net wall area above 1
r
I a ., .,fY; + t.11?1h iC t:' ,? t k i}
floor (Insulated)
ai..a r. 7 Zq ft X Ilun
' • , ? C ?*A 'zl
9) Total r#m Joist areas a. Q iq ft x /1U'r ro 3 1. T I
p yy I g
?1 IjI ! ::r el 5 ' r".r I V pary id??irE
Total fol.indation s ,. a
area (Exposed) ?,IAlal '4i? )?i,
! ?? s ft .• ??41119' 1 t ,? 1 k,,PA
h) Total foundation
window area
.......•a..pp..?? a fR x lruti `?I r .C1 t??rllri
j[ t' ? f ? k 14 0 ' Y .; r ! Ir I?°T i
I) Tota f P.l{( 4 .w r?'; ILS I? L t f.
1 net foundation
ry
p ?a I IV ,' i h" (1i ;I!}
"4 Fp W.? • C ,t ?, r ?4? +' 1
area above grade .IaiL•?? i '+ aq ft'x Null ' {'llf y:'I j J ?u
rl ,t lcl ? ..- . I•
.,1+? ,eJ yre kwSta:r{ 7I PEA.Il,?rma?
3,
. h r0 1 i b,4#
??f fi t 1 ! 1!-r r1 r d ? I
RR A 1 ? ? ? tQ A
1w va' V1 7 1 yl !4
t
'!;r ?, • }! tOtAL,s) thru i),?, ? • z ? `v
• I ' , 9 up .? Oil A+,' la Y ? Q?F;
Of Item #3 1s the CI11L+ bl"'??)+? .hr f & ly+ i? J111? {°I w v nisi
2 l1CAR 1, same Ass or less than item 01, youlhave met tha Intent`oFl
lbooe
and a.
J rye
' I ?? 81 A t 1 Jp ?5t?p'?.! { , qi llr ! I I ' ?J ?(? J
i A a rr.; j/A v f,W ,{' 1 1 'a ? ?' 1 :1 ry?ry?ll ,XU I?M'
r , .... r.M W lr..1w r M ? II? ! I t II ? +?` r r'.A + '1
II' tP'I?1' YM .M!ryy??MSw G?I 'Al. ?p I I I II y } r {?i?ll I?`?W ! }}?? '111 EAI}J??i
i's(Aaj,y',. la 7 L( ' ?1`r(.i^Y (?A. 1?•. J{.N ?tOW+nl! ltl' 1 „+? AZ?`1. !' a&r 111111+ ?N?`??A
1 1 1•'f „C!p[?^]A J.1 ! T MFI i 1??'I{ 11i1 1 •rFf >' + l N9. ! 1,
,?+?`1 '1? 4 I..4,.t 1?2 la r!'ytr^I I{l?Vl Y?1 b t1,LTa I!i I , rr???yr.?,?1 ?r. ? ,?
y y ,
lw r, lF?jSI?n+2 }F'aIw':71? l 1Pi? ?? ?kattl"a? {i4.?y?Tl1?YhRI +??????? ???y_ /?J iA?A?4
1. > ,.u u! a'j'YYplt urxnll Y Yrx C n 1 4 I At it '4S5??r II t
l 14LY4,"m?'r?p'
..... 1 it t.? 6?, ..i.. n.....4nx.r. , 1 ,w"14"it?K1 •r.'rr4"w law n:l:k?..' .t "?.. u.Gl
MAR-11-9:3 T H U 1 6: 1 7 8 E N" E T T
JAL EXPOSED RO0F/6EILINrrCALFULATIn11S:
1.041 exposed .; ' P f l to l { ,r y
roof%caillnq area ......f• OI b aq ft'
J) Total skylight area....:.. sq ft x"'U"
k) Total roof/cellinq framing is
area (Average to>).,,...__ (07 sq ft x "U" t o3 .e 3'
-
1) 'Total net Insulated
roof/telling area.......' w9 sq ftlx!"U" aol-• ?' c 3a
4. " 1 .? f':, 1 f)! ! . 'alt{JI .i•5
-,a t : TOTAL, J) th ru 1) Zf
If total of 04 is the same,as 'or less,. than 0,2 .f you have met the Intent of '
2 MCAR 1.16008 A and 0. (" s!:?' ilf.
ALTERNATE BUILDING ENVELOPE'DESICH
100,
To utilize the total envelope system method, the values established by the sum
"
of items 03 and 04 shall not be greater than the sum of items FI and 12,
. 7,q?... 3 3 ?!o
1. 3151$' r. +,2
3. f
f --
r
f
.f
I
C E R T I F I C A T I O N ..
I hereby certify that t have calculated the "U" factors and "it"
values herein and that the buildlnn here described meets or,exceeds the State
of Minnesota Energy Conservation ,Acc.
re t'? ;? eta '?^ Ff
r [ `a gna I 1 ; .
f
' ? 1fI'
{Date)
P . 0 3
v
f ,
f I
UP.
s
Page 2
tiI. , , .l Irly? i .q j f h,
„ " .,I .?.. ,f ,. ..hIW :d , f r ' ' i,?. f,: .rR i?f J.?r..f 'r. 1n??fMti ff.u'...#? 4f1L•r-,
Yi7'
MA ?:- 1 1 -93
V
4
t
A k .q.
6. . -•,
"A% A AI,A .4,
H tJ
1 5: 1 7 RENNET T
CONSTRUCTION"
WALL FRAMING SECTION
1 Interior'air
13
N
P 04
R VALUE
}} ",.WALL SECTION (INSULATED)
,.• 1 Interior air I'll
3
+...` ...._{ ff r
.•--f 5
.........?A.
,o,.• 4•,
?.
41
u¦ vR. •t?
iat ,to o
tip L
It ¦ 41o.-rl
cl 14
4 ?• I. ?4 to v %0
.4'k , am
Is I W.
6 1. to I.
?.4 • C1, ,• tE . .• I '.. 'II
01. to too a
I
1 6 IN It
f
to to I
'T r U ` 1/R,•¦ ...6.n.?
RIM JOIST SECTIONt
1 Interlor air film n,FR
3 ;y?? F F iaoo
06
6t'Exterior air m n,17
W, i
- FOUNDATION INSULATION REQUIRED:
t.,
Min. R-5 on entire wall OR U ¦ I/R ¦ ^?3
'Mtn. R-10 down
to frost,Tepth
FOUNDATION SECTION: y.
i Interlor air film
_ n.Fa ,r
"-- •----{ A Ex t e r o r a -r -T-; m n, T
TOTAL R ¦ _ z y
U ¦ 1/R ¦ D?
. t
SLAB ON GRADE
. 4•
• ,. r'
Q• . I 'U AA •fJ ?' ?:
IL. ?/ .
11". ' Heated Slabs,
to . to Minimum R ¦ 8.5
t r
Unheated
.., r ,•,•qr Slabs:
of %
MinimUm?R • 6,2',CZ
.4 to
• . , 9 ,';
,too -, •y
I 1 to it - N.
. -
Page
M A R- 1 1 - 9 3 T H U 1 E. :I 8 BE H H E T T P- 05
N.
VENTED
1 y
i 4'•
r 1
i i.
Al l `•n' ; CONSTRUCTInM RV ALUE
CEILINII SECTION (INSULATED);
1Interior air film n,Rl f
1? 4 Exterior air film still n,rt
TOTAL R ¦
1/R .
CEILING FRAMING SECTION:
i `!Ia interior air film n,h1'
t' 'It 3 1
4 Interior air film (stil 11
5 ?ktz-- I nches so ?t wood LA
? ?
TOTAL • -
a w 1g
,,.
CEILING SECTION (INSULATED);
1•" Interior air film n, 61
2 " za F,?. y 36.9x'
?
Ior sllr flim
A ""Exter (Stilll n.A1
TUTAL ,¦ .b'? .
tacr. I . r., ?.
a
CEILINR FRAMING. SECT10ll;
1 1?/ Interior, air film n,Fl
2
3
4 . Eater or air film
tstlilln-61
5 c1 inches so t wood .
sl 'TOTAL R ¦
, ___
U i/R
"al ti . iFl
1.' Inside air film n Al
2.
3
S : Outs de air m n 7 "'
p TOTAL R ¦ r _ 1
,
Uw1/R
Page G
I C
. F .
i
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
JUN 13 RECI City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouirements RemodebReoair Reauirements
3 registered site surveys showing sq. ft. of lot sq. ft of house; and all roofed areas 2 copies of plan Cart of
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree P
2 copies of plan showing beam 8 window saes; poured found design. etc. 1 site survey for additions & decks Tree P
I set of Energy Calculations Addition - indicate ifon-site septic system On-sh
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Recd _Y _N
iReod _Y _N,
ulred ` _Y _N
System _Y _N
Date 1' I j l 2A °5 Construction Cost &6V
Site Address ? q C-Ekwc) 0,0 D2 L 0 6 Unit/Ste #
_ c-Va,J M ,-J 1 2
r
Description of Work 1n 5+a1(.1-h0,-? a? r, t
7 ?DOU? ?Q Yoa
2
Multi-Family Bldg - Y X N Fireplace(s) _ 0 /1 - 2
PropertyOwner 0 G?/L 1JU?G?S / Telephone # (GS() tf t{ ' y6
Contractor GrF (AGt= S
Address (tl y Y U ??wu o () R c u c--? City
£ ?r
State /Zt Zip 5?zv Telephone # (651) Y - V699
/ I-" & h-W S . U 0
COMPLETE THIS AREA Ii1LY IF CONSTRUCTING A NEW BUILDING
Minnesota les 7670 Cate o I _ Minnesota Rules 7672
Energy Code Category • Reside al ventilation category 1 Worksheet • New Energy Code Worksheet
(J submission type) Subm' ad Submitted
• En y Envelope Calculations Submitted
Have you previously construct a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical
Sewer/Water
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the w rk will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 Lplanin ecase of work w c d
approval of planss?S
NO 9 2005 ? 1
Applicant's Printed Name Applicarf£s Signatur
PERMIT
CITY OF IEAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
cRzgqu
BUILDING
023593
05/17/94
SITE ADDRESS:
1444 DEERWOOD DR
LOT: 3 BLOCK: 1
ENGSTROMS DEERWOOD 2ND
P.I.N.: 10-23901-030-01
DESCRIPTION:
Belilding..Permit Type
Building W6,rk Type
?v
t
J
DECK
NEW
[ J Q1 1)
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
OWNER: - Applicant -
BURGESS ROGER
1444 DEERWOOD DR
EAGAN IN 55122
(612)298-3109
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
L_
` o IW 2.
PPLICA T/P MITEE SIGNATURE
application and state' that the
with all applicable State of l4n.
ISSUED BY: IG ATURE?(
1s543
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
?N'_? D
RECEIVED
thAY 1 2 1994
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy o?energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 2) / 12 / Valuation of work T2 ao c?
Site Address:_ lylq bt:-.rx wood DP-L
STREET SUITE d
Tenant Name: (commercial only)
LOT BLOCK SUBD.C
n ?? Jam. B?n P.I.D. #
\
Description of work: 00 \ Ck
J
The applicant is: Owner ?
Contractor ? Other (Describe)
Name V-2 ?--K Phone 11S(f-Z169
Property LAST FIRST (w)
Owner 1yLN b
Q D
2evW Q0
ri u-e
Address
r) STREET STE #
S,5'1L2-
ftl? Zi
Cit
C/tC?tN St
t
p
y
a
e
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
?
Signature of Applicant: (
`
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
31 New
? 2 Addition
OFFICE USE ONLY
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
K15 Deck
? 35 Tenant Finish
? 36 Move
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? .Si to
? Wallboard
Basement sq. ft.
1st F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
(;]'Foot i ng
P Final
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Valuation- $
SAC %
SAC Units
14lI?IJM:P' *'cr ?r
PPR-30-'93 FRI 16;37 IDl IAMES R HILL INC
n
vvn1ICTVH'5 CERTIFICATE LIFESTYLE HOMES
DEERWWD DRIVE
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]' CO!
COORAATtA POWER-ASSOC.
ELECTMC TRAMM2210M
WNE [A7ElISNT
KR DOC. No. 555253
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TEL H0:612 890-6244 4228 P02
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ryxly?
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LOT 3
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V+tD6 ?(10Nf ??
of 1'3??Ops
ItA '0
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elr?l ?
S°" „?f1
SCALE, I INCH • 30 FEET
James R. Hit
PLANNLERS / ENGINEE"-
2600 W. CTY. 110. 42 LOURNSVILLE.
inc.
/SURVEYORS
55337 • 612.090.8044
UMMMMM---?
ACIT•Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
1444 DEERWOOD DR
LOT: 3 BLOCK: 1
ENGSTROM'S DEERWOOD 2ND
BUIL
020939
05/13/93
SITE ADDRESS:
DESCRIPTION:
ildin?_ Permit Type
ilding 4 ark Type
Construction Ty
Zoning
Building Length
Building Width
k
Q
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
a RV Q0 (mugun
REMARKS:
S & W PLBR - THOMPSON PLBG
FEE SUMMARY
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
CONTRACTOR: - A P P l i
LIFESTYLE HOMES INC
1489 LAKE PARK CIR
EAGAN MN 55122
(612) 454-7866
VALUATION
$727.00
$472.55
$62.50
$750.00
lee
$2,012.05
SF DWG
NEW
R-3 M-1
V-N
R-1
51
36
$125,000
MISCELLANEOUS $1,744.50
Total Fee $3,756.55
cant - ST. LIC. OWNER:
14547866 0001288 LIFESTYLE HOMES INC
1489 LAKE PARK CIR
EAGAN MN 55122
(612)454-7866
1
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 Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/pERMITEE SIGNATURE ISSUED EVY. SIGNATURE -
REACTIVATE _ RECI WED CITY OF EAGAN :93 9 G 35
PE,RMIT.f MAY 0 4 1993 1 93 BUILDING PERMIT APPLICATION
681.4675
------------
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
talcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date S / ` 9I.3 Valuation of work
Site Address: I? DEERWOOD DRIVE
STREET SUITE M
Tenant Name: (commercial only)
LOT 3 BLOCK 1 SIIHD* DEERWOOD 2ND ADDN. P.I.D. N
Description of work: NEW CONSTRUCTION-SINGLE FAMILY
The applicant is: ? Owner ® Contractor ? Other (Describe)
Name BURGESS. ROGER AND LORI Phone 494-4FiR4
Property LAST FIRST
Owner
Address 1841 DEER HILLS TRAIL
STREET STE k
City EAGAN State MN Zip 55122
Company LIFESTYLE HOMES TN( Phone 494-7R66
Contractor Address 1489 LAKE PARK CIRCLE License # 1288 Exp. 3/94
City EAGAN State MN Zip 55122
Company LIFESTYLE HOMES. INC Phone
Architect
Engineer r
Name SAME AS ABOVE Registration #
Address
City State Zip
Sewer & water licensed plumber THOMPSON PLUMBING Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with al.l applicabl State of Minnesota Statutes and City of
Eagan Ordinances. /_tx
Signature of Applicant i gs?-'' '
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt:/Lodging
10' 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck
WORK TYPE
?(31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
? 1 ?t`??
? It Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) V-N Basement sq. ft. MWCC System yes
(A1Towable) V_ N 1st F1, sq. ft. City Water YE5
UBC Occupancy RBI 2nd F1. sq. ft. PRV Required
Zoning R-i Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length SC On-site well Census Code fDl
Depth On-site sewage SAC Code
6I of
APPROVALS Sus _j
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
g 1 2 s', ° a' '-
VaLmtim:
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % 10 a
SAC Units
GAC2A6c? a4x22-52'&x16= 944L] S
??" ?T' 2 S k a ^7
67,X
l y
? Framing
? Draintile
=13
l35 ??T,= f b?!5?
1066je sN= S"1? 56
tf G7Y
0
Vo wig
a?Y3kZ9- '7
1g r? _/_ Sq = ?{2 LIB
/ 24. / 8?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EAC H
SHOWER 3.00 a
WATER CLOSET 3.00
BATH TUB
AVATORY 3.00
00
3 to -0D
0 N
I
Q
L . .
.
( KITCHEN SINK 3.00 5, OU
_
_ LAUNDRY TRAY 3.00 , on
HOT TUB/SPA 3.00
WATER HEATER 3.00 :F) cxn
FLOOR DRAIN 3.00 ?.on
I GAS PIPING OUTLET • minimum - 3.00 ??,ocl
-5 ROUGH OPENINGS 1.50 , ?
L
G
-J- WATER SOFTENER 5.00 ?`
'?
; yt co
PRIVATE DISP. • Dskcty. tic. 15.00
U.G. SPRINKLER • home under cont. 3.00
ALTERATIONS • to existing 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
,.,..., ?2erwaac?, --, .. 5 ?t cn
SITE
OWNER
PHONE #: -IfV'7
SIGNATURE OF PERMITTEE
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
CITY: °t ?t?e o nY a STATE: M 0 ZIP CODE:
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
1'7-
DATE
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 @ 53.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTRUCTION)
STATE SURCHARGE
TOTAL
SITE
FEES
$ 24:00
Sao
$ 15.00
.50
OWNER
INSTALLER:
TELEPHONE #: -ei'.6-Y -7,m L
Cedar Valley Heating & Air
ADDRESS: 4774 Ni9e19 Reed
Eagan, MN 55122
CITY: (fi3) e54-8666 STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PER
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
776, ( ,;2 ?
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
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 7/1193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasoo mechanical ventilation form
RemodeVReoair Requirements Office Use Only
2 copies of plan showing footings, beams, joists Cart of Survey Redd _ Y _ N
l set of Energy Calculations for heated additions Soils Report _Y _N
1 site survey for additions & decks Tree Pres Plan Reed _ Y _ N_
Addition - indicate if onske septic system Tree Pres Required _ Y _ N
Onsite Septic System _ Y _ N
Plans are considered public information unless you state thev are trade secret and the reason.
Date / cs
Site Address / Zee.~s?md
-X,ve
U, 2 8a
Construction Cost
Unit/Ste #
Description of Work Tea.- o4 cJ- re"W 4,21,VC 4t.a5e -
Z 7 .5p
Multi-Family Bldg
_ Y Y-N Fireplace(s) _ 0 - 1 _ 2
/J
Property Owner ed pQr n
8U n es S Telephone # ((oS/) 4/.Sy - yd
Contractor jd /fin
5 'JE' ZVi?110us 2hC.
Address 33 3e
State M/v ?rCr??h /
//ex City Cdre?,))A
yz? - 9696
Zip 55-3/6 Telephone # (763)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #i
Telephone #I
Telephone #i
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurat
e;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
Applicant's Printed Name
, 6 ? a ",-/ , ?, V, " ?-,
Ap licant's Signature
Tl -10-'93 MON 16:25 ID:JRMES R HILL INC TEL N0:612 890-5244 #302 P02
weee
SURVEYOR'S CERTIFICATE LIFESTYLE HOMES
NOTE: BUILDING DIMENSIONS SHOWN ARE
FOR HORIZOWrAL 6 %AMTICAL LOC-
ATION OF STRUCTURE ONLY. SEE
ARCHITECPUAL PLANS FOR BUILDING
B FOUNDATION DIMENSIONS.
NOTE: NO SVSFIC SOILS INVESTIGATION HAS BEEN COMPj?,
ON THIS LOT BY THE SURVEYOR. THE SUITABILR4?"OFF
SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED (S-
NOT THE RESPONSIBILITY OF THE SURVEYOR.
® DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
® DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - SeG 3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 979,16 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 906,7 FEET
WE HEREBY CERTIFY TO LIFESTYLE HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 3, Block I, ENGSTROMS DEERWOOD 2ND ADDITION, according to the recorded plot
thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 27TH DAY OF APRIL ,1993.
PROPOSED GRADES SHOWN WERE SIG ED: R. HILL,INC.
TAKEN FROM THE GRADING PLAN
FOR ENGSTRONIB DEERWODO 2NO
ADDITION pR?AISO BY BRW LAST
oATt?n z-19% By.
JOHN C. CARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RO. 42 a BURNSVILLE, MN. 55337 • 612-890-6044
R=95% JAMES R HILL INC 05-10-93 04:28PM P002 #44
MAY-10-193 MON 16:26 ID:JAMES R HILL INC TEL N0:612 890-6244 #302 P03
SURVEYOR'S CERTIFICATE LIFESTYLE HOMES
DEERMOD DRIVE
H84.3
a ?
?r
9940 10".4
5'CONC. WALK U_
(660-4) -- 80.00_N99033'18 re94.7?-
1
COOPERATIVE POWER ASSOC.
ELECTRIC TRAHMSSION
LINE EASEMENT
PER DOG NO. 688235
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57 r-
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5 1
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PROPOSED
DRIVEWAY
8942 ($8fe
24.0
.? N 2T.IT GA R. J,
o / 'L- 3,51
N PROPOSED -
HOVSE
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SCALE: I INCH = 30 FEET
James R. Hill, Inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 c BURNSVILLE, MN. 55337 a 612-890-8044
R=95% JAMES R HILL INC 05-10-93 04!28PM P003 #44