1173 Duckwood DrCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
AMOUNT ? I
? CASH ? CHECK
FOR
White-Payero Copy
Yeliow-Posting Copy
Pink-File Copy
Thank You
Q??? B Y ?_
PLUMU11VW PCKM11 For C
CITY OF EAGAN PERMlT # _
CONTRACT 3830 PILOT KNOB ROADl EAGAN, MN 55122 RECEIPT #
PRICE PHONE 4548100 DATE: i
Site Address
? '.aii?a -
? Address ,
c City Phone
? I Addresc i -? ?7
T?
? City Phone
FEES
COMM./IND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TQWNHOUSE & CqNDO - RES. RATE APLLIES
MINiMUM - RESIDENTIAL FEE $12.00
MINIMUM - PbMMM.IND./FEE $20.00
S7ATE SU?CH?RGE PER PERMI7 .50
(ADD $.50 C EFi EACH $1,Q00A PERMIT FEE)
Only
Res. -7*, New ? •
Muft. Add-0n ,$
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
? NO. FIXTURES 70TAL
Water Claset - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
5hower - $3.00
Kitchen Sink - $3.00
UrinaVBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Oudets - $1.50
(MINIMUM -1 PER PERMIT)
?
Softener - $5.00
Weli - $10.00
Private Disp. - $10.00
Rough Openings -$1,50
PERMIT FEE:
STATES S/C:
GRAND TOTAL: ?- % c-'
No.
cinr oF E?GAN
3795 Pilot Knob Rood
Fagon, Minnesota 55122 INSPECTOR NOTIFICATION
nhom: 454.8100 REQUIRED BY LAW
FOR ALL INSPECTIONS
PERMIT
Dcte: Receipt No.:
Site Address: Single I
Residential
Lot Block Sub/Sec. Multi Res., Comm./Ind. I
Name /Alter
/ Re
oi r
N
.
p
ew
Addre
;
O ss Cost of Instollotion
?
City Phone: Permit Fee
Name Surcharge
p.
?
i
'
Address
?
City Phone: Total
This Permit is issued on the express condition that oll work shall be done in accordance witfi all applicable Stcte of
Minnesoto Statutes and City of Eogan Ordinonces.
Official
' ' • CITY OF EAGAN
• • 3795 Wlot Knob Road
Eayan, Minnesote 55122
No. Phona: 454-5100
PERMIT
Dote:
Site Address:
Lot Block Sub/Sec,
INSPECTDR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residentiol
Multi Res., Comm./Ind. I
Name ? 1 r Oll$ ?I"1C't; ?:
New/Alter./Repair. . .. ? ? : .
? Address - ' Cost of Instollation
Ciry Phone: Permit Fee
Nome 5urcharge
¦
? ,.
? Address °
City Phone: Total
This Permit is issued on the express condition thot oll work shall be done in accordance with all appliaoble State of
Minnesota Stotutes and City of Eagan Ordinonces.
??..?.o...._.? •?- ?
. , CITY OR EAGAN
3795 Pilot Knob Road
PNdHE: 4 Eagan, MN 53122
54-8100 N? 5 9 Z Z
BU1LDtNG PERMfT Receipr #
To be usad for Est. Volue Dct e , 19
Site Address Erect ? pccupanCy
lot Block Sec/Sub. Alter ? Zoning
Parcel # Repair ? Fire Zone
E
i e
f Co
st
T
n
arge ? .
yp
o
n
W Nome Move ? # Stories
3 Address Demolish ? Front ? ft.
? Cit Phone Grade ? Depth ft.
`Y fYame APProvais
,o
?? Address Assessment
~ Ci Phone Water & Sew.
jj Police
Name Fire
Address Eng.
Ci Phone Planner
Council
I hereby acknowledge that I have read this applicotion and state thot gldg. Off.
the informotion is correct and ogree to comply with all opplicoble APC
5tate of Minnesota Statutes ond Ciry of Eagan Ordinances.
Fees
Permit '
Surchcrge
Plan check ?
SAC ?
Water Conn.
Water Meter
Road Unit
Total
5ignoture of Pertnittee ?
A Building Permit is issued to: on the express condition that
all work shall be done in accordonce with oll applioable State of Minnesota 5tatutes and City of Eagan Ordinances.
Building Official
Permtt ?j Dah Isasd P ae
Plumbing ,3 -• 'p- 11' e
Mechanitol I:k -,' _ '
.c, S?J
,
INSPECTIONS DATE
- INSP.
Rough-In
Final
Fool'ings Date Insv Octe Insp.
Foundation ? Plumbing '
Frame/ins. Mechanical
F'snnl
Remarks:
CITY OF EAGAN Remarks
AdditionDUCKWC)OD F.STATF.S _Lot Sd Blk I Parcel 10 21900 540 01
Owner T?nnnwl ;`,?-!pda be?,k(L,' _Street 1L73 Duckwood Drive State Eagan, NN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR. Illl .? 1981 1739.35 347.87 5 1391.48 A009725 12 1 80
GRADING
SAN SEW TRUNK 5- 1971 109.77 5.49 ZO 49.49 A009725 12/1/80
,rSEWERLATERAL tzlqz 2834.16 188.94 5 2456.28 A009725 12 1 80
WATERMAIN
t WATER LATERAL
WATER AREA ill" 1972 111.81 5.59 20 55.91 A009725 12 1 80
*
t STORM SEW TRK
w STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit
WATER CONN. 305OO 11
BUILDING PER. it
SAC
n
?r
PAR K
CITY OF EAGAN PERMIT TYPE: `3830 Pilot Knob Road Permit Number: 1370R
Eagan, Minnesota 55122-1897 Date Issued: ?0/? e/ q1
(612) 681-4675
SITE ADDRESS:'
1 t, i . ?, 4 b t Ist r:
i • . tIIrr,Kwn00 r,rr
It!!t'kWtlOi.l E:S1-ATi'P.;
PERMIT SUBTYPE:
, 0i 1 , ,
FiNA
APPLICANT:
i
1':4 H; iI I r,r i 1, 1 rtrl i N i
(612) 7: 1 -Sti;t3
TYPE OF WORK:
RF('ATft
iIl 1;17 RiP I tIIN Rf R 0 e'?f 1 f,p00 75 16111 TRS
?
?
PLUMBING
HVAC
Inapection Dt
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAI
CITY OF EAGAN WATER SERV{CE PERNIIT
3795 Pilot Knob Road PERMIT NO.: '
Eagon, MN 55122 DATE:
zoning: - No. of Units:
Owner: _
Address:
Site Address:
Plumber;
Meter No.: Connection Charge:
Size: Acwunt Deposit:
No.: Permit Fee:
to comply with the City of Eagan Surchorge:
iees. Misc. Chorges: _
Total:
Date Paid:
F Insp.:
CITY OF EAGAN SEWER SERVICE PEItMIT
37515 Pilof Knob Road PERMIT NO.:
Eogan, MN 55122 DATE:
Zoning: No, of Units:
Owner:
Address:
Site Address:
PI umber:
1 egrea fo eomply wif6 f6e Cify of Eagan ConnecFion Charge:
Ordinances. A t D
fLe of Insp.:
ccoun eposit. _
Permit Fee:
Surcharge:
Misc. Charges: _
Torai:
Date Paid:
This request \4sid
18 months,from
Date of this Request ? &ee ? Fire No. ? 79427
I, as O Licensed Electrical o ractor OOwcer, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 11? 3 4? City?
Section Tuwnship ` Range Counry % a"
Which is occupied by
Is a roughin inspection required on this job? No ? Yes"lo Ready Now ? Will Call ?
PowerSupplier Q6?Address
Electrical Contractor Contractor's License N-VAP
(COmpan ame) ? MailingAddress 250,3' cisc[nca OOtlaCtO! oI Owha? Makln9 Tb15lnstdlldtlo0)p v'
Authorized Signature ? Phone No. 6??
(Electrical Contfactor ol' Owner Making Thls Instillitlon)
??CC'Ss Ir1 5! It n. 1. This inspection request will not be accepted by ffie
C' (",? !1 L Ir,j ? ? SWte Board unless proper inspectian fee is enclosed.
mmnesota btate tloartl ot Electricity
- Griggs Midway 61dg. - Room N191 y r, EB-00001-02
1821 Un'itersity Ave., SL Paul, Minn. 55104 - phone 297•2111
REQUEST FOR ELECTRICAL INSPECTfON
CHECK-BELOW WOAK COVERED BY THIS REOUEST 7 9 4 2 7
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? Rattge ? Temporary Wiring ?
Duplex ? ? Warer He ter ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer
? Electric Heating ?
Commercia] Bldg. ? ? ? Fumace
j?. Silo Unloader ?
Industna] Bldg. ? ? ? Aic Co tone F?•. - Bulk Milk Tank ?
Farm ? ? ? List List )
Othet ? ? ?
?ehers?
7
Oehers}
H
1
COMPUTE INSPECTION FEE BELOW
ServiceEntrnnce Size: # Fee FeedersBSubfceders: # Fee Cucuits: a Fee
0 to 100 Am s. 0 to 30 Am erea 0 ta 30 Am etes
101 to 200 Amps. 31 to ] 00 Amperes 31 to 100 Am eres
Above 200_Amps. qbove 100 Amps. Above 100 Amps.
Tiansfocmeis Remo[eControlCvc. Partialorotheifee
Signs Special Ins ection Minimum fee $5.00
Remarks TOTAL FEE Y v
1, [he Electrical Inspector, hereby certify that the above inspection has been pd=.
(Rough-in) Date
(Final) Date
This request void
18 months from
C?jer#ifirttfr uf (Orrupttnry
Citp of eagan
Erpttrbnmt nf iguilDing 3niiprrtimi
Tbit CMi firatt issurd Panttant to the rtyaifemrntt af Scction 306 of the Uniform Building
Code artif ying thut at the timc of TSSXQiI[[ llliJ !hL[IGI[ fUQ! !p LOfApI7lqlCL W1lJJ the 9UTJOYS
ordinarurs of the City rrgulating building conttrurtion or utt. For tbe folloudng:
U. Q..H.Stl? SF DWG/GAR hm, Na. 5922
awe?'Na R3 Trwc.um V Fn? 3 z?, w?I Ri
Q??Mdft Jadron Corp. A,,. 1000 E. 146th St.,Burnsv-.
=?`J By 11-19-80
mu:
.., - -- -- -- - - L,.Ho,. -....
' CITY OF EAGAN
, 3795 Pilet Knob Road Eagan, MN 55122 N? 5922
PHONE: 454-8100 ?
BUILDING PERMIT APPLICATION rteceipt #
SF
Sife Address
Lor 54
Parcel # _
000.00
Biock 1 Duckwood Est
?e
N6? 7 ub?_
rc Nume Jadron Cnrp.
? Address 1000 E. 146th St.
3
o Burnsville 5533 432- 1
p Name SBme
;i?
? Address
Name rroo
Address 53me
I hereby acknowledge thot I have read this application ond state
the Informotion is correct and agree to comqly/6iith oll. ? li(
State of Minnesota Statutes a?? of Eqdy! Ordincnce
Signature of Permitt
ee
A Building Permit Is issued t. `7 On
nll work sholl be done in accorda ith nll
Erecf M Occuponcy Ri
Alter ? Zoning .??
Repoir ? Fire Zone
V
Enlarge ? Type of Const.
-
Move p # Stories
---??
Demolish ? ff.
Front
Grode ? Depth 2? ft.
Approrole Fees
Assessment 6/25.?L$Q
Water 8 Sew.
Police
Fire
Eng.
Plonner
Council
eia9. off. 6 30 80
APC
Permit 140.50
$urCharge 25.00
Plan check 70.25
snc 525.99
Water Conn. 305.00
Water Meter 60.00
Road Unit
Total 1,125.75
on the express condition that
of Minnewto Stotutes ond Ciry of Eagan Ordinances.
Building Officiol
CITY OF FAGAN Include 2 sets of plans,
1 site plan: w/elevations &
BUILDING PE1MiT APPLICATIOrI 1 set of energy calculations.
.? -
7b Be Used For ' Valuation-' 52?, 0 00 ? Date ?O -??-8d
Site Pddress It 7? bnr_flo ?,? T?i- OFFICE.USE ONLY '
IAt .? B10Ck ( SfC./SUb. UcC.fiC[%cc! FS/41P5 FS2Ct OC<-'llPanCY
Parcel #: M A1ter Zoning /`C 1
Repair Fire Zone 3
OHmer: 9/t0 Y?e.1-? <<1-29 IIn1arcJe _ Type of Const.
Nbve # Stories
Address: iF„ „F i y?,A4 S f Deniolish Fmnt ft.
City/Zip Code: IVh tsz i 2 Grade Depth a(Q ft.
Phone #: i f?/ 3/
Contractor:
Pddress:
-?A
City/2ip Code:
Phone #:
PSCI'1./E1'KJ.: ?iE/-?,! fh S ?
AddYASS: /rc>n i iYG ??r St
City/Zip Code: 2
Phone #: `l3?2 - 3F,- 0
APPRpVALS FEES
Assessnents 8 Permit ?y0
t4ater/Sewer Surcharge as?
Police Plan Check 70 ?--
Fire SAC Sas ?
Enq, Water Conn. oS-'?-
Planner Water Meter (p
Council Road Unit "
Bldg. Off.
APC
'IVPAL Ar
.J ::y /?
,
?? .
? 2004 RESIDENTIAI, BUII.DING PERMIT APPLICATION
r" c?ty otEagaa
3$30 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
ql? 0
,?-v-? ? I4a?
New Construcbon Reauirements RemodeVReoair Reaui2ments Offce Use OnN
3 registered site surveys shwving sq. ft. of lot sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey RarJ Y N
(20% muimum bt wverege allowed) 7 set of Energy Calculations tor heated additions Tree Pres Pgn ReCd _ Y _ N
2 copies of plan showing beam & window sizes; poured found design, etc.
t siffi survey for additions & decks
Tree Pres Required
Y .
_ N
1 set of Energy CalculaGOns Addrtron - intlicafe iton-sife septlc system On•site Septic System _ Y _ N
3 copies of Tree Preservalion Plan if lot platted aRer 711193
Rim Joist Detail Optbns seledion sheet (bldgs wAh 3 a less units
Date 7
SiteAddress I2
`ZCYi?
3 I?ULhU.iot] Pe 1' ?
Construction CosY ??
UniUSte #
Description oF Work Au GN TG LXis'T 1 N6 DEck,
Multi-Family Bldg _ Y? N Firepiace(s) _ 0 _ 1 _ 2
Property Owner gjL? ? C LAUOIq ktPeE K( Telephone # (6SI ) 45 4-rj6 SF,
Contractor Q£Ck 9- Qz1Q [`Gytipnr?
Address
State ko hkPLW AVK F -
Zip 556 71 CitylrivE? 6&VE {-I£r-ICS
Telephone#45)) -?22-LP6`j
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Catesorv 1
(J submission type) • Residential Ventilation Category 1 Worksheet
Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan wit similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
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 ofplans.
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Y_ N If so, 25% plan review
? \ ?Telephone # (
Telephone # (
tk? 2ZvV17 1:? l/.i/ ?
Applicant's Printed Name ApplicanYs Signature
OFFICE USE ONLY
Su b Types
? 01 Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex A 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Ping_v or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement O 38 Demolish Interiar ? 44 Siding
32 Addition ? 36 Move Building ? 42 Demolish Foundafion ? 45 Fire Repair
?? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant
9
Valuation d L
D Occupancy MCES System
Census Code N? Y Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
„ • ,
Footings (new bldg)
? Footings(deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Au Test _ Final
_ InsulaHon
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Au/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: -T C? , Suilding Inspector
-----------------------------------------------------------------------
-------------
Base Fee Surcharge ?f'7/C/jG
Plan Review L
?
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?? ?
? _._.?n:..,_....._. _. . ,
,..... . . ,.
, ...r... . . .
??• . '. .. _. : .. _, _ ' ,
. %?•, .. . . . . .
. ?
. 1 -.. .; . . :.. .' l. '
??girree 'rz??zg Com?dizy `
O/ T?'a7tee2er's Tr-czf .estn'?a??lie, 77Z?sr't :
phv?ss 8?0-•?91U?
?„?,T1F!(?"[?` 4F" SURVE?
Leqe1 Description: Lot 54, Black 11 DUCK4100D ESTATES,
Dakota County,, . I,_7_
Flinne3ota. L,'_i
• I???? ?
4m'rz ":' nLr_ ? seAwNC, s -?Y
_ SHOWN AKE ASS.fhqE.p,
^:Lr.
?
?
,
Iv0 fi T H
SG A L E I"- 30?
,.
--
L_?.?
?
I hereby certify that this is a true and
corrPCt, rrrlrr.sentatinnn f a tract of land
o_; ;hovr, rincl descril,rcJ huruti. A: preparc;l
by mc on this fi iI,,y oF Ilurch 19 79
j - -
E.?•' : i'_p..: c.;? i'
1nn. c,?]• o?• ,
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date 0--7 i 0°i / 2sx3
Site Address l k `1 3& ?c--
Unit #
n'\N-l 55 12-3- I ! !C,
Property Owner Grvv, ,K-.Q- ppg c-S Telephone M((05 1) 464- SCr$ ',
l ? ?c,o r m ss z_ r
Contractor N-Ci
Street Address 7i d„r City
State rRti) Zip Telephone #([q $/ )322$FZ ?
The Applicant is VOwner _ Contractor Other
Add-on, modiflcation or alteration to existing dweiling uni[ $ 30.00
furnace replacement ?
air exchanger
? air conditioner
other
?
State Surcharge
• ? '? $ .50
Total
_ --: $ 30 • SG
L _
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanicai Codes; that I understand this is not a
pemut, but only an applicauon for a pernvt, and work is not to start without a permit that the work will he in accordance with the
approved plan in the case of work wkuch requires a review and approval of plans.
"- `_?? fv-, • ?-?(-"T' ln ' U l ` 4 Qr`
ApplicanYs Printed Name Applicant's Signature
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: commercial/indushial buildings
multi-family buildings when separate pemuts are no[ required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owuer Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner _ Contractor _ Other
Work Type
Newconstruction UndergroundTank _Install _Remove
Interior Improvement Call for inspection du ring installationlremoval of tank
Processed Piping
Nature ofWork:
PeClillt Fee $SDSO Minimum Fee (includes State Surchazge)
ContractValue $ x 1% PernutFee
• If permit fee is $1,000 or less, add $50 => $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Permit Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Pemilt and acknowledge that the information is wmplete and accurate; that the work
will be in wnformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a pernut, and work is not to start without a pemut; that the work will be in accordance with
the approved plan in the case of work which requues a review and approval of plans.
ApplicanPs Printed Name
ApplicanYs Signature
Approved By: , Inspector Date:
r..xrv or- i.=.:Ac,AN
cnSwIrF,;; , T'ERM7:Nf-tl.. NI[?r. 78F,
^Ft71_,: I.0!16/98 'i:l: il';:: i. ;r45?°5il
Tij.
NA!%,-.? Pnn1::.i_cRnF-i or- r:cr!MESnTn, _cNr..
;?i_'! Cj 9001 2850 I._i:::'Y.Gl'M 6dVE LAr ..25
2:I.55 3001 2850 I._EXG7N f-iVif. 5.00
32'I.0 900i ±.:L7:3 Ail.l::'1.1-inOLi D i?_A „7,5
?].S`; 9001 :L:1.73 I:nJ(:1:bli:iOD I) 3.50
Ml] 9(]01 4835 !SHIii:49...TN i:7 111.''...i5
205 90u01 4825 sFiEVi...In! r.,r ,:za0a
r
c
r,:;taa. Rece;.p1; EdmCi+1Y5'i;g 90, 7:i
Cftb98S'7'9
USI=R l:ii: P?AN;":`d
%kW:YF•l,t*?".??:yF??:9nW ?FX:?F*?k?Kh?Y,t%k•1,i%k:k??.l'X;'?'h'??K:Hk??Xh'(Y':## n
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Numher:
Date Issued:
BUILDING
033708
10/16j98
SITE ADDRESS:
1173 DUCKWOOD DR
LOT? 54 BLOCK: 1
DUCKWQOD ESTA7ES
P.T.N.: 10-21900-540-01
DESCRIPTION:
RE(200F/SPIJUTS(GUTTRS
B?p???irig?armit Type SF (MISC.)
TYPe REPAIR
r" °?.''-erTs ii? ?-qd?.? 434 ALT. RESTDENTIAL
si x
mr.
im
Rs ? st
a ?
?_ t s i`n ?» m iP ,arv
%'rv'?iC $Y°Q3i M _{ree1"
°rT?51.?vtl n yw:dh. ew
iR
n w"i SS ' LtR
S-? ?`I I &i& ?6I
ww.W 4? id3FA
rU
a P?3^
tifl? ? ?{ &
W 5
J:. i i,?S?1 vA
REMARKS:
FEE SUMMARY:
UALUAT70N
Sase Fee
Surcherge
Total Fee
$124. 75
$12$.25
$7,00m
CONTRACTOR: - Flpplicant - sT. Lrc. OWNER:
PANELCRAFT OF MN INC 17216628 0002179 KEPPERS WILLIAM
3?18 SNELLING AVE 5 1173 DUCKWOOD DR
MINNEAPOLIS MN 55496 EA6AN MN 55123
($12) 721-6628 (651)454-5058
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APPLICANT/PERMITEE SIGNA7URE
!L?? P.s(Q
g
ISSUED BY: SI NATU
czq?trQ?t ?? ??.?
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
crrY oF Enc.nx
3830 PILOT KN08 RD - 55122
33`-1 v? 681.4675 10
-
New Construction Reauirements RemodeVReoair Reauirements
? 3 registered sita surveys
• 2 wpies of plans (inGuCe Deam 8 window sizes; poured tnd. design; elc)
• Y energy calwlations
? 3 copies of tree preservation plan iF bt platted after 771193
required: _ Yes _ No
DATE:
DESCRIPTION OF WORK:
#/7d?
a,--) 3 , °0
o (" fs
STREET ADDRESS: _ 1173 LJC{ c? w a a d ?J yI V-?
LOT: J? BLOCK: I_ SUBD./P.I.D. #:
Name:_Pl9Q4?/"S , /Vt?ItRa+? -F c (QUp(Ja- Phone#: 1115 Ll ' SdJ ?
PROPERTY 'Laft Firsc
OWNER / ,^
Street Address: ( l 7-3 ? u Cku/B o d/ d/ 1'
City g ee7n State: Zip: s-s?c}3
Company: la-r,-1-?"Ya r /f O ? f?ry
CONTRACTOR ? / ?. S
Street Address: 3f /? ,7 eG"i.7 ?
ciri swco:
ARCHITECT/
ENGINEER
Street
City
Sewer & water licensed plumber (new construction anly):
and lot change is requested once permit is issued.
PenaRy applies when address chang
i hereby acknowiedge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. ,
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
? 2 copies of plan
? 2 site surveys (exterior adddions 8 decks)
? 1 energy qlculations tor heatad addftions
CONSTRUCTION COST;
Phone #: ?? / (a 61 )' g
_ License # ?2l 7 /c
/w ?) ZiP: SJ `f 0 (o
Phone ti:
Registration #: _
State: Zip:
?
OFFICE USE ONLY
SUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
Z3 02 SF Dweiling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _ plex
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
WORK TYPE
O 31 New ? 33 Alterations
? 32 Addition Of 34 Reoair
GENERAL INFORMATION
? 36 Move
0 37 Demoiition
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq, ft. Booster Pump
length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bidg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee
Surcharge ? C
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Qther
Copies
Total: ?6" a-!?-
Valuation: $ 3, °p
% SAC
SAC Units
.,, ,.r ?. , . . .,;,.<a :.. , , .. , ...-4 ".+: ,.?: ? . .. . .
(;:I..,y ?,,...
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1/t1 7../?;.?
_i ' :.?.?..., ...?....':??: .i
rr,.
31 39 `'r7i"!:,.. I.:170 Y
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-••I?' ?i?. e: . . . .
.. .. . . . . ,. . _. ., , . ... ): . , .? .
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD • 55122 ?
651-687-4675 ?,? y cy
New ConshucHon Reauheme ltemod /Repair
y
D S regtstered sBe suneye showing fq. ft. of lot, aq. N, of house
and gU roofed areas (20% maximum IoT coveraae allowed)
D 4 coples ol plans (ahow beam 3 wlndow shes; poured Md. deslgn; etc.)
D 1 sei of energy calculatlons
? 3 coples of hee preservaHOn plan C lot plaHed alfer 7/1/93
DATE: -9 9
DESCRIPTION OF WORK:
2 copies W plan
t set of energy calculallons lor heafed addBions
t sHe suney fa exferior addttfons 3 decks
CONSTRUCTION COST: -z7sn va
STREETADDRESS: 11'3 ?xw? ??.+cr,.? D
LOT: BLOCK: ? SUBD./P.I.D.#:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
41Z?
Name: /'?.'?,?./.?'?',` /(A 4--tP4,rs Phone #: OVF-4:11-79
Wst Fhaf
Sfreet Address: 1?73 Drx,41A-inpe)cP iQX
Cffy Ej6-AAJ State: I'N /J. Zip: S51 ?Z
IF-k -l vV-0----z 0 O ().o Z)
? 0 1 9 (o U H (o
Company: ?trso.+RC A,,e A«9v Phone #: /?/2 - ? Y9-e-)1'7 4
' (area code) ?
Sfreet Address:?77U ?rswv,-) c (je vaef-vf license # Exp.
City uii: 5`?U! 6 State: Zip:
Company: Sbto- ;rs Atera' Name:
Telephone #: area code (
Sheel Address: RegisfraFion #: _
City State: Zip:
Sewer 3 water Iicensed plumber (reauired tor new constructlon onivl:
Pec+alty applies when address change and bt change is requesFed onee permH is issued.
I hereby ocknowledge ihat I have read lhis appRcaHOn, state that ihe Information is correct, and ogree fo comply with all applicabl
State of Minnesofa Stafufes and CHy of Eagan Ordlnances.
Slgnature of AppOcant: e-V? ?
OFFICE USE ONLY
Certificates of Survey Received ? Yes _ No
Tree Preservation Plan Received _ Yes No L Not Required ?'
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-ptex ? 7 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-piex 8 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex O 14 Apartments ? 19 Lower Level ? 24 Storm Damage
0 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
/P-- 32 Addition ? 36 Move Bldg. ? 40 Gas {nsert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to appli cant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
60. J
-,::? _6Z)
Total: 4 6 S, 5 D
Census Code y 3 Y
SAC Code o i
No. of Units i
No. of Bldgs 0
MC/ES System
City Water
Booster Pump
PRV
Fire 5prinklered
? Engineering Variance
Valuation: $ 1, -zOU
t
.
SAC Units
°lo SAC
y -
\
. O/ Traw-eZer%v ?fwafL .Bsv'asaYi
. plEosts 89`O-4710i4-
Leqe1 Description: Lot 54, Block 1, DUCK4100D ESTATES,
Dekota County,, ; ;-1- rr .'
1linnesota. L_
,.:.
ny.
L?? . ,. .
,W&TE _' ALL BFJARjNChS
. SHO" ARE ASS0mEp,
a
. ?.i ? ? ... •
;
i
i
?
r?
? ? ??7
LOT 54
'ab..
I pKoPoSEA
, HoVsE
? 'p
?o
FLR ?J ?
iLEV_ ?
? 60?_ DKAtNAE1L __?wlD ., 1J7??1T
E-A:E'?ENf
1
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1
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1VORT H
SG A L E I"- 3C
I r,'r . ; - ,^..
L_:/
a
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?
1
. ?,M• ?cKwoo? Da?vE q
?. L
I hereby certify that this is a true and .
carrPCt. reprr.sentahinno f a tract of land u:; ::liovr. ruul der,crilwcl herou. A: prepara;l ' ' • .
??• :.or.. ?'.
by mc on this 8 ilay uf ILarch 19 79. {
I . lflfl. I.r). .U. ?
:SC:i:??'(e: Y,(1F*i,Y'„t>C?':dS:
Cr1'`f Ol-" f-:tlG?At.
CA'<3i CLEIi.^, fi Ti_.F.'M Ii4AL MfJ e 708
DFl'PE'.: 0500.•,99 TTMc:: 0£3:4028
ZD:
Nar;F? ra4_i_cRAv:7 i.,r WN TNc:
sci.l..a 900i l:i.}_, v,:; 17(JCf•:l,tJ?.? ..y,...?-.
pI; .?
Isto-sesL 073 T!UC;i:lmuM0-RooI 11..`.'.4p
205 JQQ:i. :i:i.r'if I".JC;h'Pil)Llli r'.!.'?.==-•
3210 9001. 09Li t1VAL..ON AVI=: ? 25
21J05 9001 1390 Fil/Al..(JN F4Vl= 4ofS0
1
?'otm:l. F;:rr.ce;.pt: runouni:; 03,.00
CF10c139.Et
USt:I;: ?T?e t,Ai,!C:Y
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 -
651-681-4675 t -;) c;? .--I ?--
New Consiruction Reauiremenfs Remodel/Renair ReaufremeMS ..?
D 3 regisfered sXe surveys showing sq. tt, ol lot, sq. M. of house
and all roofed areas (20% maximum lot coveraae allowed)
> 2 coples of plans (show beam E wlndow 51zes; poured tnd. deslgn; efc.)
1 set of energy calculotions
> 3 coples of iree preservatlon plan R lot plafted atter 7/1/93
DATE:
CONSTRUCTION COST:
?J
t/'ZI OG e) -"b
,DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: BLOCK: I SUBD./P.I.D. #: CO 'EST?
N
ame: Phone #:
PROPERTY Las+ First
OWNER
Street Address:_ ?/ J,3 _ Z("I'P )
?
Ci1y lCState: r
Ztp:
v
Company: >> )/U, l?,C -Phone #:
(area code)
CONTRACTOR
Street Addresr. License # Exp.
v .
City ?/-?v rL? State:
t-)W', r Zip: 243-4-4 C/'
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
City State: Zip:
Sewer 8 water Iicensed plumber (reaufred for new construcfton onlv):
Penal}y applies when address change and lot ehange Is requested once permit is issued.
1hereby acknowledge that 1 have read this applieation, state fhat }he Information is correct, and agree fo comply wRh all applicabie
Stafe of Minnesofa Statutes and City of Eagan Ord(nances.
/
?
Sfgnature of Applicant: ? l2lL?l_?!C L} - L C/LC;s,
OFFICE USE ONLY
wertificates of Survey Received _ Yes
Tree Preservation Plan Received Yes
2 coples of plan
1 sM of energy calculafions ior heated addNlons
1 sBe survey for exterfor addRions 8 deck:
MAY 0 6 1999
No
Not Required
No
OFFICE USE ONLY
BUILDING PERMIT TYPE
??Foundation
4 ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
02 SF Dwelling
? ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
0 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35
? 32 Addition ? 36
O 33 Alteration ? 37
? 34 Repair ? 38
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Tenant Impr ? 39
Move Bldg. ? 40
Demolish Bldg.' ? 41
Demolish (Interior) ? 42
' Give PCA, handout to appl
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Gas Line Only L9' 43
Gas Insert ? 44
Wood Stove ? 45
Reroof
cant for demolition permit
S i d i ng/Soffits/Fascia
Windows/Doors
Fire Repair
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
city sac
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Valuation: 441 o?J
C?u c-L
1
% SAC
I. .' . _ . . :.. .. . . . . ..
?
r . .. ? sriginee 'rz?izq ` C6
gOJ Ts-a w-eZe a*%P ?'ra f $=LT3taY#
- J?1l?osss 8?-?R71D??-
::,,,
? Ceqa1 Description: Lot 54, Block l, DUCKF100D ESTATES, -.00,
Dakote County,
Itinnesota. ? 1
,
;
5q? ? .: -..,. I?fdTE. t; ALL 8£ARiNCiS
.SHOWry ARE ASSUMGp.
F?•?,c4;:t:.??._ ;. .' .
[g!'.
m
OOOOv-
I
. . , ? . . . /_, ..
?
, LOT 54
tu c.'
,
A, . PKoPOSED
?< ?`R.
8 J HovSE FI L. _R ev.+COi
?
nroRTff
Q SGALE I "- 30'
g '0
44
1 1 ?
l 1
W Fkop4r SE/WCK ?
?
_ ? lo' DW+iNAEaL _n?_?rr?uT
? ??s?..sr+r
?
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L
i
;
'\
"?' ?GKW ooG DRivE . " ti•: : , . ? .
I liereby certify that this i3 a true and
corrPCt, rclirr.sentationo f a tract of land
u? ,houn and de:;criln•d herun. e1; prepared - by mc on this if (l.,y oF !furch 19 79. ??•".-
+ . inn. r,r-?
«- -
OWNER
SITE ADDRESS
Determine working square footage of each.
1. Total exposed wall area ...... !3111 sq. ft. x ,17
T- =
2. Total roof/ceiling area ..... /l d O sq. ft. x .05 =
L_ E? v e, k ,« ,%,? y G > X ,/ c .,,_: :
Total exposed wall area above floor = ?oZ ?
CONTRACTOR J pATE PHONE
y3a- F1 31
a. Total wall window area ...........................
b. Total door area ............
c. Total sliding glass door area .............. a
d. Total fireplace wali area ........... .... y6_
e. Total wali framing area (average 10%)............ ).?a,
f. Tota] net wa71 area above floor ................. g yQ
g. Total rim joist area ............................
Total exposed foundation area = f?f
h. Total foundation window area..... ............. 'i
i. Toal net foundation area above grade ............
Determine "U" value of each wall segment.
a. x iiutt L
.
b. X „uii
C._ x"U., , g?3 - r 7, av
d. x "U„ • ?/? _ ? .?' ? ? ?
e. X -'U--
c, X liull ?p
r.
x„u„ e;
h. X liuii ----
-y?--r
1111
A V 11lJ
? • ? ' ,/
3 .....................................Tota1
If item #3 is the same as, or less than item #1, you have met the intent
of SBC 6006(c)2.
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
Y
Total exposed roof/ceiling area
j. Total skylight area............ ...... . . '?
k. Total roof/ceiling framing area (average 10%)... 11 0
1. Total net insulated roof/ceiling area........... q9 D
Determine "U" value for each roof/ceiling segment.
? X IVI _
k. !1G X loull
i. y9? x llull 0 Y3
4 ............:.....................Tota1 = ,?!?
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the velues established by the
sum of items #3 and #4 shall not be greater than the sum of items #1 and #2.
,. ? 3L a? + z.??. 6s' _ ?c13
3. '3V, Y6 + 4. ?? g• $ / _ ,? 83.1 o
SRV
' AKKE
a NSULATION?
W dB CU FF FOAD. 011PNMLLE MN &5337
ORV BAKKE
RES: 920-3552
890-0188
C?NTRGCTOAS' GCPLICPTdi9 ? BLqNKET 6 BLUNN >PPLIGTICN3' FO<M B04R0
BEA BLOMOUIST
MAYpP
THOMPSEGAN
MARK PnRRANTO
JAMES A. SmiiH
TNEODOFE WACMTER
COUNpL MEMBERS
CITY OF EAGAN
3999 PILOT KNOB RCAD ,
EAGAN. MINNESOTA
57122
GMOME 454-eioo
May 7, 1981
MFt KEN APPLEBAUM
MPRFZS, INC
10800 LYNDALE AVE S
SUITE 191
NTIS MN 55420
l
^
?.•.
RE: C?t=S?4=and-55-.-?lock-lr-D??kwood-Estates
Dear Mr. Applebainn:
TNOMASHEDGES
CI1Y AOMINISiPAiOF
EUGENFVqNOVERBEKE
CITY CLENk
A field inspection by our personnel indicated that during the construction of the
single family residence on Lot 54 (1173 Duckwood Drive) that the existing concrete
sidewalk was damaged by mnstructicm vehicles. This has been verified that dzmage
did occur prior to occ.?ancy of this residence.
Also, please be infonred that a similar situation will pertain to Iot 55 (1165
Duckwooci Drive).
Please respond in writing as to your proposed timetable for correction of the
damaged sidewalk. Prior to corrective work being performed, it is recTUired that
oontact lie made with the Engineering Department tn obtain the necessary specifica-
tions and limits of removal and replacenent.
Your anticipated cooperation in response to this letter will be appreciated. I will
anxiously await your response prior to May 20, 1981.
Sincerely,
? Thanas A. COlbert, P.E.
Director of Public Works
TAC/jac
cc - Dale Peterson, Chief Building Official
TFiE LONE OAK TREE ... TME SVMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA137902
Date Issued:07/28/2016
Permit Category:ePermit
Site Address: 1173 Duckwood Dr
Lot:54 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-540
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
William L Keppers
1173 Duckwood Dr
Eagan MN 55122
(651) 454-5058
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:EA165669
Date Issued:11/12/2020
Permit Category:ePermit
Site Address: 1173 Duckwood Dr
Lot:54 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-540
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Khanh H & Dung B Nguyen
1173 Duckwood Dr
Eagan MN 55123
Edgell Construction, Michael T
14141 15th St S
Afton MN 55001
(612) 490-2851
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179357
Date Issued:09/30/2022
Permit Category:ePermit
Site Address: 1173 Duckwood Dr
Lot:54 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-540
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Khanh H & Dung B Nguyen
1173 Duckwood Dr
Eagan MN 55123
(651) 468-4673
First Choice Consulting Llc
7029 20th Ave
Suite A
Hugo MN 55038
(651) 369-9003
Applicant/Permitee: Signature Issued By: Signature