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1452 Deerwood DrCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: . 11,71FM'; lit 1: VLADIIJI Nit PERMIT SUBTYPE: TYPE OF WORK: i:ll 1 I. It ! wF.y 1 H t 1 it j tt :,1 to l 11 It I t 141, : I AM 1 rlt, s ; ?,Id r yJA{ I i? ON PERMIT TYPE: Permit Number: Date Issued: 1 t? 1_ ;,, 1 APPLICANT: 1 J :It•4 Sirs Permit No. Permit Holder Date Telephone R SNV PLUMBING is 93 933 /9 HVAC 9 , ELECT GO ELECTRIC Inspection Date Inap. Comments Footings I 93 ' S Foundation Framing y Roofing Rough Plbg. (/-,I?(? 9- r// ?? 1 n Rough Htg. -i/?, /i "7 f{ C? Isul. Fireplace Final Htg. _V j _rY c Orsat Test FinalPlbg. ibg.Inspector- Not' Plumber Const. Meter Engr./Plan Bldg. Final S / Deck Fig. Deck Final Well Pr. Disp. r f '° wertificate ot cccupattc? COO) of Fagan MevelHmcut of 13*0* audpecdou 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: Use Cia_mification: SF DW Bldg. Permit No. 77117 Occupancy Type R3/M I Zoning District R1 Type Const. VN owner of Building 1L- FESM HDS 12C Address 1489 L.AXE PARK r ME, RAGAN Building Address 1452 MM-RWOM DRIVE Locality L1, El. ENG4THM DEVERM Dam: Building OFTicial POST IN A CONSPICUOUS PLACE Address 1452 DEE[bIDOD DRIVE Zip' 5512 3 Lot '1' Blk "1 Sub ENGSTRt.DM WD 2DID THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent sups (garage) r/ Permanent steps (main entry) Permanent driveway Permanent gas S"Seeded.'grass v Trail/ctub dosage Porch + . Basement finish Deck i Please verif `y'wM the builder the removal of roof test caps from:the plumbing system and the shutoff'ofwater supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before wonting in right-of--way or-,installing underground sprinkler system. } y Whlte - City Copy . Yellow - Resident. Copy Pink - Contractor Copy j INSPECTION. RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot 'KnOb Road Permit Number; Eagan, Minnesota 55123:; Dam Issued: (612) 681=4675 SITEAL?DRE9S: LGT; 1 BLOCK: i APPLICANT: d"t .1452 dEERWQ.OD OR LIFESTYLE HONES INC ENGSTRONS DEERWOd'D 2ND (612) 454-7866 PERMII&UBTYPE: TYPE OF WORK- NEW BUILDING 822232 1@./14/93 FOOTING FRAMING INSULATION FINAL FIREPLACE' REMARKS: S & W PL6R - QUALITY EXCAVATING 15 9 Request Date ' ^ ? Q o ve ReagRin Inspection equlreA? NOTICE: VOU Must Call Eleob0c2l Inspecltit If A Roy}h ln.lnspeo'- ' . y O6 C / - ? s No le RegmmE . I*Ilcensed contractor ? owner , hereby request -inspection of above electrical work, ati' Job Addmss (SVaet Sox yy??Fouts NO.) :.. - - qty -'^ - 5H5Z- .U?CRWO 0,0 R ER ;iej Section No. . Township Name or No. Range No. A Owner Occupant (PRINT) ', // - FC' A"'AdU ZN e. Pinone NO: . . of t/ 7X,64 _ . ` PoWVu - /- K.® iry3 G <CCTR rC AWMSss - - / /tR? M*.G Ta rv EWCMGW Connector (Company Name) 1 .; Comraclof9 Llcensa Nu .. -• NASA LtCrt'rc N? '' q3 1Addmss Gbmreclor or o» Make g lnslall»tbm ` 0 a'K .ZLf? (O ( I' PPLt ?i9?/ t.Y vf2y . A Bgoalure (Canlregror/ ar Makia9'InsWlalpn)l -' Phone.NUmber MINNESOTA STATE. BOARD OF'ELECTBICII THIS INSPECTION RC-0UESTwII N6T - Gdgga-MMway Bidg:,- Room 5-.173 - BE ACCEPTED 'BY THE STATE. BOARD, 18P1,URNarsily.Ave., SL Paul, WIN:$5104. 'UNLESS ' PROPER INSPECTION,,FEE^IS. '.PhonB (81? 842 8880. - ENCLOSED. . REQUEST FQR, ELECTRICAL INSPECTION See inshunUOns tmr completing Urns to" on bads or Ydlow mpy. . M _59 . " ` JC"Below Work Covered by This Request sis??? New Ad .ep! - Type of Building , Appliances Wired Equipment Wired Home _ Range Temporary Service Duplex - Water Heater Electric Heating Apt. Building Dryer Load Management CommAndustrial Furnace - Other (Specify) Farm - Air Conditioner Other (specify) Contractors Renaft: Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fee # CireuiWFeeders Fee Swimming Pool -- 0 to 200 Amps (j 0 to TO Amps 'f Q Transformers Above 200 _ Amps 00 _ Amps' Signs ' Itapettors Use Only: // TOTAL Irrigation Booms So Special Inspection Alarm/Communication NECTED-IF NOT THIS INSTALLATION MAY BE ORDERED DISCON Other Fee _ COMPLETED WITHIN 18 THS. 1, the Electrical Inspector, hereby RougNn ? 'r 3. ) sj' certify that the above inspection has been made. Mimi one s % OFFICE USE ONLY TMs request wid 18 months from ,R70 T 4'-•33 MON 6 : 15 SENNET'T \ Iy r "' .EXTERIOR ENVELOPE- AVERAGE "U'+ t PUTATION y CO1fTgAP. IR ?3"_vL ?h+ ?sDATE:' R. 0:2 ' x Et ., 1. `' ' ? r i ,)'p•?j "" kIETERIINE VORKIN6 SQUARE *DOTAGE Of EACH.- I h n , E a,...l r. TOTAL EXPOSED MALL AREA +.. ...... • % sq'It X +,Ulf 14 3. TOTAL RODE/CEILING ARE .• ?.«..." 0 l"'r A, ....... +1q ft x ,rUrl o 26 026 ¦. 3•" TOTA L EXPOSED WALL AREA tALCULATlDHSs -- DLO"r, 1 . ;_ Total exposed wall C! A ; Y• r{, I) area above floor2-i°+bfzl q a) Total well window great ...... tq ft ... -. ?e.?. Sq $t X rrD,r . , . , .. , , oq P4 tz r.H,a e) Total silc!na glass doo 1 g 'sa _ r area: v ' ! t ^ r , I+;; ' ' i . [ : ^ ??, tl 6 a ze,' . • ... . . • r, I r :f . , ,? ?,.pa q''- _ a Ye u ,I I, elf... d) Total flacy wall crew' e) Total ws)1 frarcgng ar¢e - r ;'-- (Averace 10) .. . , , .. . . q) :t) ?J 9 5 4`) Total Met X11 area abrvP Gq it A nUrr ,t Floor (l.ra }Itste ri) ... ? ((f? n rt Teea" rim folsY area ?? - x vq rrt tt rrUrt rote? found al,lon area tcXj)c.5Qd) 7ceat fourdat!o? 1n r ;v v All ' f .H4a y 'ibt -? V .TA itt• ? r M rN. .1. PY?f I•li' @?[ of ;.ern ? It the tam os, or 8 MAR 4es2 than. ^Itm.l 1,16005 A gad 0. , !¢agta . •• .. .. irrv,.MSnwuMl wx...wY Alwnx'WW. m.r. F..aN M1rn f yy L, I {? Qnl r x 1 ? f{S F'`1 1ld 1? iJ¢?rYir •,? _. w •, IStiA i L .LN7+A.k r•1li a.'kt?Jr{ll?:?.w r x' 1Ar OCT- 4-53 M?N E. :20 BENNETT P JAL EXPOSEO WOOF/T.EILING;LALCVLAITIOHSY „ ,4 l ? r 14 ? l a • A I ?' ?N' f , : ,,, ? , g?.itp l expdse? ? r r reef%te f i inYl area........ L31 sq ft , : i )j fora! akyltuns area .... ,.sq ft x u k) Total roof/eallinq framing u ,e E 4 w 3 O area {Averana Idly.,.... sq ft x r ? I) 'Total net Insulated t f/ ili ' "Un „ roo ce ng area....... L3 sq ft X TOTAL )) I t ' 'ld t I r thru 1) i ?? .. .. . , 1 ; If total of et, is the some as,lor Iass.,than 02. you have met the intent of 2 MCAit 1.16009 A and 0. `, . t t, : i 7 i n I 1 , Ai.TEAIIATE BUILDING ENVELOPE DESIGN To utilize; the total en,clope system method, the values establis hed by the sum of ltem, 03 and A shall not, be greater than the sum of Items Ni and 12." ""'• + red q {+ 4 1 :D ' .t • I is i? C A ' N 0 P?rebr',..ter ify tr,Qe Y sadv4! ealculsted the "U" factors and !'It" velue? hcre!•{ ®nrl that the boildinq here described meats or, exceeds the State of Rinnescta Energy Conservation Act, i s i^ iJOae !1.? vi ?' Yal ail F. , Mate) Pate .2 ?.,•.a I I + ?? •'ti? 'I } '•??I + I r N l Y.:nK81r l wrf., ? bi t . w.t'++N? 1 t w 9 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New construction Requirements • 3 registered site surveys showing sq. ft. of lol, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam S window sizes; poured found design, etc.) 1 set of Energy Calculations • 3 copies of Tree Preservation Plan d lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 27 S-+r ? oz SITE ADDRESS 0-SZ 61c'`z'- "` oo`S Or, MULTI-FAMILY BLDG _Y _N TYPE OF WORK_ R-4-4-00F w 4'rC c?a-40--F FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT ?t Y ?S Kc9o •? g d S? o r.rs 7 c STREETADDRESSS h`(?"Ieo C_n?l n.j CITY ,P5r'Lr1 STATE /-,A-ZIP S rf2 TELEPHONE # &3 S_60 °Oc'3 CELL PHONE # ?61Z,) 36 S-7o s e FAX # PROPERTY OWNER AA-,, TELEPHONE # ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 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. Signature of Applicant??"_ Q OFFICE USE ONLY Water Softener _ Water Heater No. of Baths RemodellReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions Phone # Lawn Sprinkler No. of R.I. Baths VALUATION (a-7 10 - 00 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 PERMIT CTY ,OF ( r 5D L? ??`- ?3 EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 022232 (612) 681-4675 Date Issued: 10/14/93 SITE ADDRESS: 1452 DEERWOOD DR LOT: 1 BLOCK: 1 ENGSTROMS DEERWOOD 2ND P.I.N.: 10-23901-010-01 114-1* 14trel F Build ng-,Permit Type SF DWG Building Mork Type NEW UBC Occupancy,, R-3 M-1 ' Construction Type V-N Zoning R-1 Building Length j 40 Building Width 47 ((aiJCCU 0L ' L LI REMARKS: S & W PLBR - QUALITY EXCAVATING FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $133,000 $755.00 $490.75 $66.50 $750.00 100 1 $2,062.25 MISCELLANEOUS $1,744.50 Total Fee $3,806.75 CONTRACTOR: - Applicant - ST. LIC OWNER: LIFESTYLE HOMES INC 14547866 0001288 LIFESTYLE HOMES INC 1489 LAKE PARK CIR 1489 LAKE PARK CIR EAGAN MN 55122 EAGAN MN 55122 (612) 454-7866 (612)454-7866 I 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. L f _ J APPLICANT/PERMITEfSIGNATURE ISSU D BtYJSIG IATTUURE' REACTIVATE PERMT # CITY OF EAGAN RECENED1 9 3 BUILDING PERMIT APPLICATION 1 111993 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of 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 OCTOBER / 4 / 93 Valuation of work Site Address: 1452 DEERWOOD DRIVE STREET SUITE 0 Tenant Name: (commercial only) LOT I BLOCK 1 SUBD. ENGSTROMS DEERWO DD P.I.D. k 2ND ADDITION Description of work: SINGLE FAMILY The applicant is: © Owner Gl Contractor ? Other (Describe) Name LIFESTYLE HOMES. INC. Phone 454-7866 Property LAST FIRST Owner Address 1489 LAKE PARK CIRCLE STREET STE M City EAGAN: State MN Zip 55122 Company LIFESTYLE HOMES. INC. Phone 454-7866 Contractor Address 1489 LAKE PARK CIRCLE License # 001288 Exp. 3/95 City EAGAN State MN Zip 55122 Company SAME AS ABOVE Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber QUALITY EXCAVATING Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this a plication.and state that the information is f c le State of Minne?olta Statutes and City o correct and agree to comply with all appli I t Eagan Ordinances. Signature of Applicant: '-3 V OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ;X02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi..Add'l. WORK TYPE ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck MAY. ? ,r *,13 16.0,asemefrt F16"I sh ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous X31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCC System ES (Allowable) V - lst'fl. sq. ft. City Water Y 65 UBC occupancy 2nd F1. sq. ft. PRY Required Zoning K -I Sq. Ft. total Booster Pump ii of Stories Footprint Sq. ft. Fire Sprinkl er Length On-site well Census Code X Depth c42 On-site sewage SAC Code 111 APPROVALS I Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee v.tuetim,: $ 1,330000 Surcharge Plan Review GARAGrc; Zc{ XZ?,= 52,5 License MWCC SAC 4%2 X 3 = (? y) City SAC Water Conn. P??N1T: 514 X/ -°' b s $Z?(o Water Meter Acct. Deposit S/W Permit --- aS?Z k 38 = X169 u I5= < Y, S3 ,'r S/W Surcharge Treatment Pl. Road Unit Park Ded. bR x s-q = 5ZI3Z(mv Trails Ded. Copies ZOO FL.Ct7Ia Other Total: ?g K 213/y - $2 6 I k 12 c 12 SAC % 9 '/L 123/Y' q` SAC Units 9A K Is/z ; I ZS' yF 5,`7 I W ?XS 32 287 (j LOT SURVEY CHECKLIST FOR RESIDENTIAL ' P BOILDI PERMIT APPLICATION PROPERTY LEGAL: IL Date of Survey: 2 DOCUMENT STANDARDS ? 0 Registered Land surveyor signature and company ? ? Building Permit Applicant 0' ? 0 Legal description 0 D' 0 Address 8` ? 0 North arrow and bar scale ?'? ? House type (rambler, walkout, split w/o, split entry, lookout, etc.) ? Directional drainage arrows with slope/gradient ?. ? 0-'o Proposed/existing sewer and water services ?' ? ' 0 Street name 0 ? 0 Driveway Existing ? 0"? sewer service Q? ? ? Lot corners O??ZI ? Top of curb at the driveway E' ? 0 Elevations of any existing adjacent homes Proposed ? ? Garage floor ? ? First floor ? ? Lowest exposed elevation (walkout/window) p ? Property corners V 0 ? Front and rear of home at the foundation PONDING AREAS (if applicable) 0 ?" ? Easement line 0 V ? NWL 0 e' ? HWL ? ? Pond # designation 0 ? Emergency overflow Elevation 0' ? ? Lot lines ? ? Right-of-way and street width (to back of curb) ? D Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) 0' 0 ? Show all easements of record and any City utilities within those easements - ? 0 Setbacks of proposed structure and setback of adjacent 1 existing ho es 0 9,- 0 Retains 1 re ements, if any Reviewed: ? ?-/ October 1992 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 FIREPLACE INSERT DATE FEES HVAC: 0-100 M BTU ADDITIONAL SO M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00 STATE SURCHARGE 50 TOTAL SITE ADDRESS: I '/S Z t- OWNER NAME: _ L ! f 6 i ?L? /moo Me--S 'T'ELEPHONE #: !Z 5-L( - 7 Le (o INSTALLER: A r%r "C0Q 9601 Jefferson Trail (612) 454.8666 CITY: STATE: ZIP CODE: TELEPHONE #: U/;T /el SIGNATURE OF PERMITTEE 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 L LAUNDRY TRAY 3.00 - boX pc/?aurtif 00 t WA R 3. L FLOOR DRAIN 3.00 - - I GAS PIPING OUTLET • minimum - t 3.00 ROUGH OPENINGS 1.50 _ ;T;??;?nt£n otiPtpr 3c'0-5:90 PRIVATE DISP. • DakCty.lic. o 15.00 U.G. SPRINKLER • eome under cant. 3.00 ALTERATIONS • to existing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE TOTAL: TOTAL Z, mo cl.on 3 ,vr) ?.,on ? tw L4 tS? 3 .0(1 .50 SITE ADDRESS: I4?2-betfruYx-rl OWNER NAME:/ ;4 as±t 1 c° lJlNn e-r) -- PHONE #: (ja(m) 7^/ A'7 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PELOT KNOB RD EAGAN MN 55122 (612) 6814675 CITY: M;mma?_O-r.,j(al_ STATE: YYUJ ZIP CODE: 10/11/93 16:37 603 SURVEYOR'S CERTIFICATE LiFEsm-E Moves e7rs D? OD DRIVE ,?a7eo I ,5'CONG.WALK 2 871, , - I B 7P.1 $' ic-6lii€" "' r -1 0.Od-N I 111 lees7 1 W [a M Vf\IYGANI i no 6WV..BBLaa t: i I Sao. (pS2.g B1P ' +?' ?_I 59.00 ,rr OAR\ 1i 77 HOUSE w Rj 1 %1 6 ?? . ?? y z Tat -1 _ 59.0Q 1? Q9 r $7as .e 8 EI 471.6 ($ J•)e7 .6 91 C. I I TR e?i i `J ffc // tD ? q L .Ise+r''?? CENTERLINE OF 38FT. WIOE fn I ? ?f 8748 ( N TELE OMMUUryNIICATIONS I / 1?- ELBE BENT PEF1 DOCN0. ?. r r LIJ 1 ! / oZg ?'1 ?1 LIJ ?? SCALE; 3°m 30a f911 ?t!j ?J x w 14§ p 4 s Jamos'R. Hill 0 r°^ o a 0 , PLANNERS !ENGINEERS !SURVEYORS r O m H W N 2500 W. CTY. RD. 42 • BURNSALLE, MN. 55337 • 612.8908044 R-97% 1 612 890 6244 10-11-93 04:42PM P003 #23 10/11/93 16:36 002 SURVEYOR'S CERTIFICATE Nam CONTRACTOR TO VERIFY DEPTH OF WILLIAMS IRMINE PRIOR TO CONST. E AGAN LIFESTYLE HOMES LJ) DM. NOTES' ll OIM NOTES No 0361610 SOILS I!N. ATION H{$ 8 COMPLETED' SOILS S T Y 171 T . B1fI BI TTY OF ISEd IS. ON HIS NOTTHE REU bFFT E $U -w- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH m 30 FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 605, 1 FEET X000.0 oENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR ® !074, + FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 61"'5 FEET WE HEREBY CERTIFY TO PFE5TYLE HWF-S THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot It Block 1, ANGSTROMS DEERWOOD END ADDITION, aooordhq to the rworded plot thereof, Dakota County, Minnesota. I'I DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 4TH DAY OF OCTOBER 1993. SIGN JAM HILL, INC. In POSED GRAM GsNOWB WPLM B: oADA°TPg??9' LAST e JOHN C-LARSON,LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 ? 0 inc James R Hill " ?? m x ° 'JO o ' . . , ENGINEERS !SURVEYORS RS O + PLANNE / T N ? ?m c n m 4 2500 W. CTY. RD. 42 • BURNSVILLE. MN. 65387 a 612-890.6044 R=97% 1 612 890 6244 10-11-93 04:42PM P002 #23 Use BLUE or BLACK Ink I For Office Use 1 400 I City Of ~~no n Permit b 01'~ I Permit Fee: 3830 Pilot Knob Road MpR p 1 'l I I I Date Received: Eagan MN 55122 Phone: (651) 675-5675 1 Fax: (651) 675-5694 1 Staff: - - - - - - - - - - - - - - - - J 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ,~i Unit Name: K4-44 i r14 / Y Z Phone: Q ol 5 ty 9 RESIDENT/ J OWNER Address / City / Zip: l V O A t /'o d 0 (J r C Applicant is: Owner --,Contractor l 4 4A A I !1T S TYPE OF WORK Description of work: I n C{ f I P/ Construction Cost: f~~. I G y Multi-Family Building (Yes / No ) Pella Northland Company: _ Contact: 15300 25th Ave N. Ste 100 - CONTRACTOR Address: , Plymouth, MN 55447 City: Lic # BC645090 Ph. 763/745-1400 State: License 4 C (0 ~S' a f o Lead Certificate /fi4 r• 0708 106' d If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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.oor)herstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 1so days of permit issuance. x Applicant's Printed Name XAplicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type: Mechanical Eagan. Permit Number: EA104052 Date Issued: 05/02/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 1452 Deerwood Dr Lot: I Block: I Addition: Engstroms Deenvood 2nd PID: 10-23901-01-010 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Sedgwick Heating & Air Conditioning Nicolas 1\1 Diaz 1408 Northland Drive, Suite 310 142 Deenvood Dr Mendota Heightsl\1N 55120 Eaganl\1N 55122--183 (952) 881-9000 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOBNO0 IZ 1408 NORTHLAND DRIVE, SUITE 310 • MENN~D~OTTA HEIGHTS, MN 55120 (952) 881-9000 TEST RECORD J L 4Z I llf- ADDRESS ~ 0 - -IoXAW W O& j)A CITY AA OCCUPANT OWNER XMAZ a d~l`1 G® l#4 1, n SOLD BY INSTALLED BY gam / MAKE MODEL a ~&4eA66 ® " SERIAL NO. 1 1 "1 ~"I INPUT THERMOSTAT 2rJWddl / 9 VENT SIZE VALVE Mu, I , ` V V TYPE OF LINER C Vc~r1~ LIMIT ~y LINER SIZE LIMIT SETTING FILTERS: SIZE C~ NUMBER FAN SETTING F- WIRING 1(' PILOT TYPE 4s TEST TAG IGNITION MODEL S ll/1 LIGHTING INST. -N~ PILOT TIMING PRESSURE----16 PERCENT CO, ~ DATE TESTED _ % ^ INPUT CFH w PERCENT O2 R e COMPANY TESTING ~y, L~ V~ STACK TEMP. ` PERCENT CO 0 NAME OF TESTER ' ' `CA8 FORM 235 (REV. 10/10) FORM DISTRIBUTION: WHITE COPY • JOB FILE YELLOW COPY - CITY r Use BLUE or BLACK Ink r I For Office Use 1 I 1 I Permit LdDS j City of Ea t~a.3t~ 1 Permit Fee: 3830 Pilot Knob Road 1 1 Eagan MN 55122 RECEIVED Date Received: Z~~Z` Phone: (651) 675-5675 Fax: (651) 675-5694 MA'10 2 Staff: 1 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date:.----7 IWAyjIA? Site Address: ( uSZ l) ~B~ /"fit 0 F_ Unit Name: 1 r LGLIt~. 4- i_ a4 enikl. ,c. Phone: q5z- /S-,3q. Z 6ZZ. RESIDENT / OWNER Address / City / Zip: 1 g Sz- NL... AEiApi ~I Z Applicant is: -,)C Owner Contractor TYPE OF WORK Description of work: ~1 f= Construction Cost: Multi-Family Building: (Yes / No _)!L) Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: III Sewer & Water Contractor: Phone: j 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.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 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. x1ei'Il'~ x Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of Plex Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation-6 Occupancy . MCES System Plan Review Code Edition d SAC Units (25%_ 100% ` p Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) .2- S Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: Footings Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE orL-ACK Ink For Office Use 9- / c5.a Date Received: 1 S-12 Staff: Permit #: Permit Fee: 0-67 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � � `> / I Site Address I i - -Dee v- 'U" C . D E "aid 55 Un t #: CONTRACTOR.= Name: 1•�i� y"',1'1� 't ✓tc tV ( I �G Z 615)-12-1? Phone: Li Address / City / Zip: 1 il � ? 4..1-e -e V (A c L' A b"a 4nC vt Applicant is: Owner Contractor Description of work: e L1- t Construction Cost: 9000 Multi -Family Building: (Yes / No X ) Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 they 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.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; that 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. Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink r For Office Use x ; Permit ; City of Ea~tl I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 ; Date Received: ; Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I Site Address: l `l~s EC tU30Ob fJ K I V E Ad 5SJ 2 Z Unit i.. i Name: Dr 19 Phone: gc52_10 4_2?1 3 Resident/ Owner Address / City / Zip:.J JZfc>®@Jj J)Ji; ( tae. A6An! MAf (5S f 2 Z j Applicant is: Owner Contractor Description of work: M ki: Pc A P_Aso(~ L r ~tll e-z Type of Work t i Construction Cost: © Multi-Family Building: (Yes / No € Company: RlAA[a1L(4 Ki K bE5u/ cdo VT CZiA) 6, Contact: bA V 1, 6 ~Awt Pgc Contractor Address:,3j ZZ ?611 City: FLbk G AKE. State: Jtf J~ Zip: Phone: q52 - IV4 - 625C f License F> co 5 Lead Certificate #:94 T- / ®7SS 2 -1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 they are trade secrets. q 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.aopherstateonecall.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 at 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 author'ed by a building permit issued in accordance with the Minnesota a Code must be plated ithin 180 days of permit issua;e. x NVI D ~4mP.5&L x Applicant's Printed Name Applicant's Sign ture Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA122035 Date Issued:04/23/2014 Permit Category:ePermit Site Address: 1452 Deerwood Dr Lot:1 Block: 1 Addition: Engstroms Deerwood 2nd PID:10-23901-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 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 - Nicolas M Diaz 1452 Deerwood Dr Eagan MN 55122--183 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA129909 Date Issued:03/24/2015 Permit Category:ePermit Site Address: 1452 Deerwood Dr Lot:1 Block: 1 Addition: Engstroms Deerwood 2nd PID:10-23901-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Nicolas M Diaz 1452 Deerwood Dr Eagan MN 55122--183 (952) 594-2833 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature