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1433 Deerwood Lane---MSPECTION RECORD CITVf aF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ! „ , _ ; t; l tit A . , : $7 ftWr,t71) 1 ANF i t N ('-+ H', I1( 111W01-11) PO (N1 J: PERMIT SUBTYPE: APPLICANT: H ;'pk ' 'P O- i Pit 1612) iaj-01`16H TYPE OF WORK: Al TFRA I I (IN OF PIACf (`FRN T ;.'?Fig INSPECTION TYPE .DATE INSPTR INSPECTION TYPE DATE INSPTR. . I R11- Ml 14''. ? N( AN NF VF1rJFJ) HY 0 A I ( ;? N1)( f'J'Nf it .'i. ' + lr, udl ! r rf i' i i!t1 r +1'!7 f'F,.+ 1 fll ttil(INlJOW (r 10 0, Permit Holder Date Telephone # PLUMBING HVAC 7 7Jr?- C{d0 Inspection bete Insp. Com ants FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG / d o // FINAL HTG O ' f ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONOUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INS "CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ' JI 1 C liiJiJf'fC7J: ,± f ? { t .?„ ta?t3! I. ?? ?, I r' I fir PERMIT SUBTYPE: '-".TION RECORD PERMIT TYPE: Permit Number: Date Issued: t ^ I • as , y>, at €, t+r k APPLICANT: I I F-9-? - 7 5-fl P TYPE OF WORK: INSPECTION TYPE ,DATE INSPTR. INSPECTION TYPE DATE INSPTR. rl I rte. I ri ,111 Al I I II%! i! Id 14ARF'-% , S. I. LJ I'I tsE• hlt N.-I I I'I w, Permit No. Permit Holder Date Telephone # ELECTRIC til??IP?SI.? / /!f o? PLUMBING r te- ?? (?v 9.2n HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ti?. /?.. . Gl1?4::? /}'/N- :;? / ROOFING / 5 ?nf'rli ROUGH PLUMBING PLBG AIR TEST T213 ROUGH HEATING 10--7e'l GAS SVC TEST INSUL 41.4 v GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG G us DFCK FINAL 6h l " /?` " ?'4i S L? ? ' oM ? LC 7-,X04;S zz & ? I L ? , D/ j l r. ?I hp -c/ gtr if irate of C)ccgancV Wiq of Wagan z¢paetwent of zui(bing ZnOcctien 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 classificuiore SF DWG Bldg. Permit No. Occupa-y TYM R-3, U- I Zoning District R- I Type Const. `lN AMERICAN HOME CONSTAdat.,"71 sTT °NTTC ST MepT.EWOOD Owner of Building But . Mg AdaMW1433 DEEM00 LANE t.ocat;ty L3, BI LENTSOHS DEE??RJJ``WOOD POINTE i i r; - L t Dau 1 Buil 'JA Olrunw POST IN A CONSPICUOUS PLACE • ? r P. TI1e IIII1111inl; n111si nnl t xcee( I Ilse nlaxlrlultn tvir111o1a and door area its a percentage of nvcrall exhose(I tvail area listed 111:1ow for Ow co1} igI1atiolt of framing Icchnigtie, It-value of Ins??lallon tvilhin the histIlill?:cl cilvil%, shca1111n11, It-value, n1111 window 11-facior. Other compotu:rlls 111ti1st 1n,?1;t the regiiilenlenis of 1111s sl?hpall. MAXIHI11,I IYMI)MY AI III DOM A 11FA AS A I'I:IIC'rfl'ror nVI:HA1 I lihi'C1St n lV:ll I. fal Cavity ? 1Vindow IF, 1=.11:1111 ? 11 t1?? _, (1?.,11j fl!P1}- . i?ll dl??illl' (1 ti9 f1 36 :?_ 31 -9 a STANJ)ArtO srArmArtr) k-13 11t-7 IY1•0 17 0". 21.3 1, 21 'i STA 4?1DAIt1) It-IS . It - I It kl(•5 12 ry1Y 17.1% 2(7 11., 23.11"... STAf•IDARD . It 1A ,:11-5 R- S 1 I.1 ,L 4' '. i6 (1;: 11111';; 2? t1; ' AI)VAPICI:J) It-in ` ? t 5 115 . 11 III fi';Y ` ?1 ?,.3;.. ADVAhcr:i) k-In ,• 11 1 17 11Y 20 11'. 21 I .,. S'rANDAltll II 2l x.1;-5 :I; 5 11 5IL 11 I 19.2.1 1 2'' 5:,. 211 1';;. STAt•11)AI11) 11.21 `1c 5 l"L 11 fl;; 17 01 , 1 1•? 1) ' 2 I t';s. AI)VAIIL'J:n (; 21 : i1 5 I I It ;; 19 3 :. 2 t 5'::. ADVANCED it-21 . I I n6 1 In 1 .t 1 21.'.+ . 1 . 19 9, 1 21 211 Suhh.3. Perfrirlltalrcc clllc?I;1. I,iln r.nn?lllncll Iliernl,tir Ir??ns il1 _ factors for hall s, roof/cellings , mid fhnrs nvel• lulilea l?I ??n?1: led ;;laces n1i?51 1:t: l (i1L:l 1 e9flal to: us: i 1 tilil c,r A. (1.11{1 111?1/1% ill °I: f,?r ?,?;?lls; 11. 111126 111?1/h Ill "1: fitr 11???f lrc ilily;5; .11111 C. n (M n111/11 1121. ralr Ii,?111?;. STATAIIT7t: AIS5216019 JJrs'r. is sit 2m, ?6700100 Itevenled. ]a Su 21(11 .13 k I & 2 Family itcsidenlial "Cookbook" hlclltort SITE ADDRESS city 31 J/C ?/?.l/Oad? I 4.111 D1111 DER rv,, I , CL) t)?Ic h lininnrm CrItei la; Rim joist. R-19 hisublion PoundaioOriindows; losulaicd glass, 1R- air spacc. umd or vinyl hawc Entry doors: ill Inds sohit wood with stnnn or hc1ter STEP I Whulotr & DoorArea Total Window & Door Arca in Sq. Pccl W"INDOVIS (Including foundation windows): DimcnSions Qnty. Arca -tor x Ili _ ! co x4-0 IID + 1 j X -? i? ! o x t 0° Jill __ 3Z X III•„ 1? X X X x x DOORS: X Total Arca of 'Window & Doorsq? A Total Wan Arca in Sg. Ft. Wall TotalPerimetcr licight AI C.1 --485 M IZ•Co7 -ZCdo -- 7 Total Arca Z7r ? of will STEP 2 Calculate area as a pereeni of wall Pox A (window & door atca) d•Ividcd by Box B (total well arcs) rims IM cgnzls the window and door area as a percent of wall area (Box n. ilnx Ilia = 11001 -170 -- E?l L I STF.1' 3 Desivil Features I ASSEMBLY olrrlo?l FRAME WAI.T_: STAI)DARI)IItP.1.111!(i, ADVA rCt:DFIlP.i.IIIIO cAvriY n1sui-.immi snrnlltnu;: I.EM IIIP.Ii ll•S R-5 ()It mom:: w111DOWS (except fuuodaliun uindw,%): II F"(71 OR From Iltc lahlc, dctctminc tllc maxi rtnn11 11fccnt window : door arena for the design options sclceled and enter the value In box D i>clow: 1=z??1 ` Box C most hr. lt•ss 111,111 ur t:gu:ll In 11oi 11 i PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Mir%nesota 55122-1897 (61[)681-4675 SITE ADDRESS: P.I.N.: 10-44825-030-01 DESCRIPTION: PERMIT TYPE Permit Number: Date Issued: 1433 DEERWOOD LANE LOT: 3 BLOCK: 1 LENTSCHS DEERWOOD POINTE REPLACE PERMIT 27596 Bwx1& rte Permit Type SF (MISC.) Blul'ldirig 'l ark Type ALTERATION ensus C©dd" 434 ALT. RESIOENTIAL ?u u «n i e. ,es? r z, rz " ?¢urg,. a s,nig m 6 di$:. ffM'F"3 v. g Y?r L %i Ip"V& `kQi t tf III g ? ci awN I '?Lxv vy-6 .n ? Wi i{3t6, 5 v}g ?xK'. BUILDING 032257 06/25/98 REM4RUP:REVEWED BY DALE SCHOEPPNER COMPLETE NEW HOME UNDER CONSTRUCTION, ORIGINAL CONTRACTOR ABANDONED JOB. FEE SUMMARY: VALUATION $28,000 Base Fee $376.75 Surcharge $14.00 Total Fee $390.75 CONTRACTOR: - Applicant - ST. LIC. OWNER: AMERICAN HOME CONST INC 17870868 20013043 LAMPERTS LUMBER 2271 ATLANTIC ST 1850 COMO AVE MAPLEWOOD MN 55109 ST PAUL MN (612) 787-0868 (612)645-8155 S hereby acknowledge that 'have` eod° t!ITa?r:ap.plie t on aid°si:?t"e'that the" nfiarmati.c n ° 3s' correct, and agree' tc cOrtjp7"x: mil" h ald- OPP1jcab er` at .. q_1rt. P}n. Lutes. axrcJ; pity vY Eagan Ordirxances.°;? £ CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 1433 DEERWOOD LANE LOT: 3 BLOCK: 1 LENTSCHS DEERW00D POINTE P.I.N.: 10-44825-030-01 DESCRIPTION: Building-.,Permit Type Building fork Type UBC OccA-tpanc ! Construction tfpe Zoning Building -Length Building Width: Buiding stories u?, ,S?aiiare Feet,--. .:, r. SF DWG NEW R-3 U-1 V-N R-1 66 57 1 1,827 101 1 - FAM. DETACH 042OS7o %5-,V BUILOING 027596 05/20/96 REMARKS: S & W PLBR - WENZEL PLBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Lic. Search Fee Subtotal $1,087.25 $543.63 $70.00 $900.00 100 1 $5.00 $2,605.88 $140,000 MISCELLANEOUS $1,923.50 Total Fee $4,529.38 CONTRACTOR: - Applicant - ST. LIC.OWNER: CUSTOM DESIGN BLDRS 16882600 0008547 CUSTOM DESIGN BUILDERS P 0 BOX 21325 P 0 BOX 21325 EAGAN MN 55121 EAGAN MN 55121 (612) 688-2600 (612)688-2600 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City, of Eoga.n Ordinances. APPLICANT/PERMITEE SIGNATURE IS BV: SIGNATURE 3830 CITY OF PILOT KNOB EAGAN RD KNOB RD - 56122 ?? NG N (RESIDENTIAL) 1 BUILDING PERMIT APPLICATION (RESIDENTIAL) I r L 1996 681-4675 C01lac,1- ? 6 New Construction Recuiremenls RemodeVReoair Reauirementa ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd, design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? i energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 711193 required: _ Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: (a0 #" 5LA%, STREET ADDRESS: f 3 Dee('U-6 d Lcl- le, LOT 3 BLOCK SUBD,/P.I.D. #: L.ey, S,Ck- ??cr 4 Mnn? t di?l'lT PROPERTY Name: Phone #: 6$S--0666 OWNER h nner O A Street City: h State: Zip: CONTRACTOR Company: s: m e Phone* Street Address: License #: City: State: Zip: ARCHITECT! Company: (9 +1\ to ()i Phone #: ENGINEER Name:O Yv\, Registration #: Street Address City: 4-2 State: ?1^ Zip: 2 Sewer & water licensed plumber: we Vl??_ VI `?CQ Vt? Penalty applies when address change an, change are requested once permit is issued. /////????? I hereby acknowledge that 1 have read this application and state that the infortpfgtion is sect and agree to comply witi- applicable State of Minnesota Statutes and City of Eagan Ordinances. //// // Signature of Applicant:& OFFICE USE ONLY -C-L-ME© it Certificates of Survey Received V Ye No `? ?y Qg Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 - plex ? 15 Deck WORK TYPE 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. Y6? MCMS System Cit W t (Allowable) Main level sq, ft. er y a UBC Occupancy k/ y6t sq. ft. Fire Sprinklered Zoning /Z-/ sq. ft. PRV # of Stories as?T sq. ft. Booster Pump Length low sq. ft. /D/ Census Code. Depth 57 Footprint sq. ft. gZ SAC Code Q P/ ?? Census Bldg PPROVALS l S16;9 6 5g f Census Unit / A d 0 Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Valuation: /rtes Jx /s's " y? Z x zz.17 YY $ yai0oa " t«.? ! x -7•s ss Lo x l7.33 3y6 Zr2.67 = S ,. /?oZ9 3ox3y33 / 0?9 95,,- y? 9 AO 3?, 7ZS zzt 3/-4,7 = 1,196 <zzz.cp _ (5? -33+?1z '?- 737Kl?O 1/, Zoo ? m ? ? ram ? ? ? fd-?' ? 5Y/ ? ? fd ? ? ®--'o ? C9' ? ? X0IE91103 ELEVATIONS Existina • Sewer service (or Proposed) • Property comers • Top of curb at the driveway • Elevations of any existing adjacent homes Proposed / CrY ? ? • Garage floor I3?I ? • First floor p? ? ? • Lowest exposed elevation (walkouthvindow) ? ? ? Property corners 01"?? ? • Front and rear of home at the foundation PONDING AREA Cif applicable) ? W' ? • Easement line ? [f7 NWL ? pip • HWL ? d q Pond # designation ? ?/? • Emergency Overflow Elevation DIMENSIONS ra?? ? • Lot lines/Bearings & dimensions ? • Right-of-way and street width (to back of curb) ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2% / porches, etc, (i.e. all structures requiring permanent footings) C7 ? ? • Show all easements of record and any City utilities within those easements / C? • Setbacks of proposed structure and sideyard setback of adjacent existing structures ? ? • Retaining wall requirements}f4lny_ 41 Reviewed: LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: DATE OF SURVEY: LATEST REVISION: • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/existing sewer and water services & invert elevation • Street name • Driveway January 1998 CP-MG1995G=PRMT.FM /p2- ?y ?p OFFICE USE ONLY This request void 16 months ham validolion dale p nred in Ihis box. ? /V /I ???7 ?' n ????? IIIII IIII II III II II II III II III IIIII II III II III I III I I ?' U 4 ? L 1 6 8 9 3 * PLEASE PRINT OR TYPE / OG Request Dak 11 / 1 Y / 96 RoughAn inspection required? CYex ? Na Y Inspection Other than RougMn: ? Ready Now([}Will Call ( ou most call the inspector when ready) Dote Ready: I, IN licensed contractor ? owner hereby request inspection of the above electrical work at: Job Address IShW, so., or Roare No.l ary Zip Code 1433 Deerwood Lane Eagan Senion No. Township Name or No. Rmge No. Fire No. County Dakota Occupont Phone No. Custom Design Greg Haner 688-62600 Power Supplier Address Dakota Electric 4300 220th St. W., Farmington Electrical Canhacror (Company Name) Contractor License No. M oi, Li, No. Il'bo Elect Only) Joos Electric Co. CA 00961 fdmiling Address IConrraamr or Ovmer Performing Insmllmionl 3980 Beau D' Rue Drive, Ea an, MN 55122 Authorized Signomre IConraaor or Owner Performing Insmllaeonl Phone No. ? 688-6180 EBDDOi)I A-I1 fl/OA - STATE BOARD COPY - SEE ItTRUCV6NS ON BACK OF YELLOW COPY y RE^'JEST-FOR ELECTRICAL INSPECTION. 411-689 Mfnnegota State. Board of Electricity 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Phco, (612) 642-0800 X Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod R- air Air Cond. Hfg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Hear} Temp. Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. 1l D?e(/1Lf'rc?L-?rf Calculate Inspection Fee -This Inspection Request will not be accepted without the correct fee: Other Fee If Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200Amps[ Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY f K No,¢r4 3 ?y/e6 TOTAL Sign/Outline Ltg. Xfmr. Alarm/Remote Control r Q Swimming Pool ( a u Q 'J'G-t5saKSs hereb c electrical mfiu h.ii described herein on the dons sla Irrigation Boom Rough 0 D Special Inspection &2400 1 y 1 Investigative Fee _ -C4 Date I THIS INSTALLATION MAY BE ORD ObbMEM" LtTED-VffHIN 18 MONTHS. 322 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?a ?i ^IT:Y OF 12AGAN 8830 Y11I.M' XNOI; RD - 55122 ., 681-46>75 New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan N lot platted after 7/1193 required: _Yes _ No DATE: --fn`l DESCRIPTION OF WORK: STREET ADDRESS: f `I S ; 2 7°P LOT: / BLOCK: SUBD./P.I.D. RemodelfRepair Requirements ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? t energy calculations for heated additions CONSTRUCTION COST; n f --f-- ) I I n /) I, Name: Lam J }(??? !. VL b pr PROPERTY Lost ?Q First OWNER Street Address: / r u Sf V/ City _1ST PG- t 1, ( State: _ CONTRACTOR ARCHITECT/ ENGINEER Street City Zip: Phone #: Registration #: State: Zip: Sewer & water licensed plumber (new construction only): V Penalty applies when address Chang and lot change is requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the information is correct State of Minnesota Statutes and City of. Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received Yes No No P Phone #: 616--!2 /<'? BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ,LEI 05 SF Misc. ? 10 _-plex WORK TYPE r jj /,/s htw )a--e ? 31 New 10 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION OFFICE USE ONLY f?. ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Mufti Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ` ' ? t ?Gf?S ??' J 1 P ? 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS Planning Building J S Enc, Permit Fee Surcharge Plan Review License 1F MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit - S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. r Other Copies Total: % SAC SAC Units ` I Valuation: MC/WS System City Water Fire Sprinklered PRV Rnncfor Pi imn i 1 t CITY OF !:-F1 Gr1N E T '2"0 WMA. i.4.3° ?`:3 )at::,:::F i.i(:i(:iSa L.. i. •F fir:. ! 911 _. 9 1169 i CITY USE ONLY ` C ?yo BL ? RECEIPT#: i sue. 1? , 1?` Q o.r«?r}r ??'?i • f /3 /?? ,i as RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet ' minimum - t Rough Openings Water Softener "for dwellings under construction Water Softener ' for existing dwelling U.G. Sprinkler ' for dwelling under cont. U.G. Sprinkler ' for existing dwelling Alterations ` to existing residence Water Turn Around Private Disposal System ` MPC lic. (new and refurbished systems) Private Disposal Systems' Abandonment RPZ (new installation only) EACH # TOTAL 3.00 xL = 3.00 x 17 _ 3.00 x = 3.00 x _ 3.00 x 1 = 3.00 x _ 3.00 x 3.00 x _ 3.00 x = 3.00 x 2- _ 1.50 x = 5.00 x = 20.00 x = 3.00 = 20.00 = 20.00 = 20.00 = 75.00 = 20.00 = 20.00 = STATE SURCHARGE .5Q, Co TOTAL I hereby acknowledge that I have read tnLs appliptioh, state that the ihfomiaticn Is correct, and agree to comply with all appficabte CAy of Eagan crdinances It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: L 1q-3i ) atEr Lue--) a-,? I -A OWNER NAME: INSTALLER NAME: S?LJt C,)r.) 2N,6/P-r 6 TELEPHONE#: STREET ADDRESS: 7 o3 /S-*,A, 6e A O--VP S6 a CITY: _ a (r? _ STATE: MCI ZIP: 31416 SIGNATURE OF PERMITTEE CO/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 CITY USE ONLY LOT =;? BL SUBD L ' /SL('E UU-d? RECEIPT #: °t 51 (? a RECEIPT DATE: -I - -.a - 9 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 7??? Date: (612) 681-4675 Complete this section only if you are installing HVAC in single family, townhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets ( minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling adding to, or repairing existing single family dwellings, townhomes, or condos. Add-on furnace Add-on air exchanger, i.e. Vanee system, etc. V Minimum fee applies to all remodel or add-ons of existing residences State Surcharge Add on air conditioning Other V2i AO 50 otal: $ 20.50 SITE ADDRESS: OWNER NAME: PHONE #: INSTALLER NAME: /7 / /] PHONE#: / v ? `T` 19 J 0 STREET ADDRESS: ciZ / - /J(&? ? a to AG c CITY: STA ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY L ?-- BL / RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH TOTAL Shower 3.00 x Water Closet 3.00 x _ Bath Tub 3.00 x Lavatory 3.00 x Kitchen Sink 3.00 x f = 3 Laundry Tray 3.00 x = 3 Hot Tub/Spa 3.00 :c = Water Heater 3.00 x ,3 Floor Drain 3.00 x _ -i_ Gas Piping Outlet ' minimum -1 3.00 x 3 Rough Openings 1.50 x _ Water Softener 5.00 x = Private Disposal * Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 Alterations ' to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 5Z? TOTAL q_ SITE OWN INSTALLER Z/09. STREET ADDRESS: = Q C_ /"/ R G 21 CITY: (R (r 6t 9146 STATE: ZIP: PHONE #: ( ) ?n ?? X- CITY USE t)NLY LF 13L SUBg /, ?SLLL /l?L1LY/YJI J 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 RECEIPT #: DATE: g// Please complete for: ? single family dwellings --?--- townhomes and condos when permits are required for each unit ? New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: 1 ? Minimum Fee: Add-on/Remodel (existing residence only) ? HVAC: 0-100 M BTU Additional 50 M BTU ? Gas Outlets (minimum of 1 required @ $3.00 each) ? State Surcharge TOTAL FEES $ 20.00 6.00 6.o-v .50 mod, so SITE AD OWNER PHONE #: _?D INSTALLER NAME: /?/,/ STREET ADDRESS: CITY: -)41 o0' STATE: M/1 ZIP: o5 7A PHONE #: ( ) ?95?-?ODJ ??J ?iz? - - - - - - - - - - - - - - - - - For Office.Use (Q I I Permit #: I I ? Permit Fee: ?`" I Date Received: 1 lJ -Staff______________ 2008 MECHANICAL PERMIT APPLICATION Date: / - 11 - 0 ? Site Address: U( J 3 ` 1) o_e4r ay, /N Tenant: Suite #: RESIDENT / OWNER Name: \ ctiw 4LV Ka_v Phone: l LN/ I If 33 - D e erwddo Address / City / Zip: CONTRACTOR // Name: j++ed % cawO( /?V k/e 1'.?4 License #: 0 ^ ,a.v'?r t S?'. Address: ? ? ??t nn (r JS-330 - AI Zi ? ? ? ?ti1r p: State:M City: L K K Phone:-763- k L? - 2-3 21 Contact Person: )J t vil-0 lid wL TYPE OF WORK -New -Replacement Additional K Alteration Demolition Description of work: NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information an permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction Interior Improvement _ Furnace _ -Air Conditioner -Install Piping Processed -Air Exchanger -Gas Exterior HVAC Unit ' HVAC units must be screened Heat Pump - Under / Above ground Tank (_ Install / _ Remove) ,1g, 9, other f 1d.. "' When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTALFEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1 % $50.50 Minimum (includes State Surcharge) =$ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fje is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTALFEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes at me city m Eagan; mat 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. z- -Rd k4-- X QL??- Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In -Air Test Gas Service Test In-floor Heat Final ---------------- I F6 cis Lse I I Permit 1 4 Permit Fee: -?-? I "l 1 Dale Received; I Staff: ----------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: el'tZ'ar Tenant: Suite #: RESIDENT/OWNER Phone: Name: p0_,^ CrOL'd'evl_ / ./ ty / Zip: 114? 3 De-erwdd?L Lev fw- T ILn 1HA15y1 _zZ Address/ Cii CONTRACTOR I ' Name: f rL?++ ol.% a.n l Ae-ve- /A14 License #: S8 q'7B PM Address: 5 yd - ?ar%r s Sfi- City: Sd k 42j-,,. State: IRA/ Zip: 575-33e) Phone: 761 3 - - 2-3 2 1 Contact Person: ZJ ?r?r .f f4edw '-- TYPE OF WORK -New X -Replacement Repair Rebuild _ Modify Space -Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL X Water Heater X Water Softener Lawn Irrigation -Add Plumbing Fixtures (- RPZ / _ PVB) Main _ Lower Level) Septic System _ Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge) 'Water Turnaround (add $136.oo if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and cones or me airy or 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 proved n in the case of work which requires a review and appro fans. x1,-??-! dw x Applicant's Printed Name Applicant's Signature ?vYSite Address: ) q 3 3` Zeev-w o p, L AI FOR OFFICE USE Reviewed By: Date: "Ile gwredlnspeciions `Under Ground Rqugh-In AirTestiGasTest -Final j' lOT 1' l 31 .D.EiE? 1 (? 189*2411511WCot GT (?QEG_I NE 'Sly 100 raA 'I - _ --- of ELM I _ -?- rr+>t1 rC EU1 IS ` -910 L OI O C I _ JAM) \9 i 15 912. -?_ O !3 440 -•. r1l !3. r 916 o ( 1 ?a? W J?(C) T CbwY" i ? \ '9133 I `? v D - T .3 I 1 ®. TR A? O ' IVATO _ Nc CSHT, 1 Eult, / yE.Tggor R L I.IM4e t• P.2 _ / °? Q o: Ia2?? ?I i ` 9lO _- DRIVE 9't F.s 1 KFI v I O e- nn J 1 II sn-1 r / Zt?b1?/ r g 1 I i 1 0 P C.ER?I1ICATR OF SVRVEY CARL W. PETERSON & ASSOC., INC 7475 - ISM Street North - Sufte 100 Omktdafe, Nsinnuota SSLU (612) 735-7606 Surrey Mode For. C otual Desldu BsWka, p, a Rox 11385, E+rprn, A!N d5121. Legal'V'WdPAloa: Lot 3, Blmk 1, LEM"S DEER ?'j tllelmf on lf?t! and of M'', BCSlDIC?ItIg to be 16, ?leoattsl la die Couu t!lV&v of '*e 4UDV AftVaer, 17iskob 1(y, Adneeoo+m. I 1" 940' Sit* Address I 1433 pearwood Lana, Eagan, MN POUND t/e"1" I1PL !NO cAP1` •Lf BLOCK W L , i C° V \ LL,! \ Slob Elevation v i ? v49 I e . °24Y f -S RLLN I/# Mat PIP[ ? - f0o.oo _ o q1\R ?1? y 3 I ` p 24 1 +1 M w °?\S r propoead House (WOfkoul);....... 14.0 N ? ?fy C.e.e2L A 'J era' ""1r ° ~ IrT I ? 0,4/ rp(IYYW ay r r A O / ai...l6 f0? I I \ fs el of Block Elevation • y/7. 5- -au Floor elevation - Deerwood pp?, 5 eoso - Denot [[w(( ed i,°%mlivation ale oAnara. 0 Dwmtee 1/2 inch by 14 inch i ou pipe monurrleni set. marked with a pt"6o cap inscribed ' R I VARD R LS 14421' . 16 Denotes imn pipe monument found, sire and markings u Indicated. Hearing orientation Is based on the recorded ptal of L 0 N f?1 J Go ?:L?iGLvTLTi'riNG DEPT. Pt OPDUd Llnrallo n? I hemby certify lhal tltie nttvey, plan of report was prepamd by me, or under toy dlireot supervision, and thpl I man a duly Reyiarered Imd Surveyor under the laws of the Sate of Minnesota, BLAKE L. RIVA Date RDSIA%red Lead Sttrvoyor Mitan"Oul ROxistntion No. 19421 BY 9« I 0 G IOU4011II"1RON PIPL (RLa eNL1 IROIr PIP[ No caP) ?J. N 89° 84 f13,,W !00.00 aoN? cJ,pll , Use BLUE or BLACK Ink I For Office Use I 0 I City of Eaufln I Permit /VeZ 71 I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: l - 7 z 1- I Phone: (651) 675-5675 i I Fax: (651) 675-5694 I staff. d1-C'_ 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: l9 r 12-' Site Address: tt/ 'J 0c 0 t: * r\/ f Tenant: Suite RESIDENT /OWNER Name- P I rJ i t- G I12r~ IUC4, Phone: L 2- - 7~3 `Y2b 1 Address (City /Zip: i✓Q Name: C, l •x'14 f It V( jCJ License / e L f 9:2 2~ CONTRACTOR Address: l Yb j 5 5 ~4,,1 "-j K~ R City: M,11t4 o j k40, State: Zip: 349- Phone: 2-- LfO (o ` g 8"7 l Contact: 6c if 4C Email: r c r j( u ~j s - &J, ° rj"e1 . (0 47 New -Replacement _Repair _Rebuild - Modify Space -Work in R.O.W. TYPE OF WORK - Description of work: 'ys d f L/ U +'~'►~t 9. ie s, i') a v S RESIDENTIAL I Water Heater _ Lawn Irrigation RPZ / X PVB) Water Softener PERMIT TYPE Septic System Add Plumbing Fixtures Main / - Lower Level) k _ New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) I $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) I *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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 a permit; that the work will be in AT13 V41) accordance with the approved plan in the case of work which requires a review and approval of n . 4fl-1v 4 x 113,- G /J 4 ~~k c 1 x ' Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final 1©~ c-'7 Ft ?l s_ n 1 V' ® l d ~~P PERMIT City of Eagan Permit Type:Building Permit Number:EA114555 Date Issued:09/17/2013 Permit Category:ePermit Site Address: 1433 Deerwood Lane Lot:3 Block: 1 Addition: Lentschs Deerwood Pointe PID:10-44825-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . William Krech 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 - Keri S Harnish 1433 Deerwood Lane Eagan MN 55122--180 (612) 310-1278 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature