1184 Duckwood TrCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
?. i•1i ii , rIs ,
ON RECORD
PERMIT TYPE: i, `' ' ' !' ' r"
Permit Number: •?
Date Issued: ? • °• "?
" 1 r' "'
Ecl qppLICANT:
:i.'4 V!
TYPE OF WORK:
At 11-14A 1 J(?N
INSPECTION .• • D•
?1 '
i I N
Permit No. Permit Holder Date Telephcne #
ELECTRIC
PLUMBING
HVAC
Inspection Data Insp. Comments
FOOTINCiS
FOUND
FRAMING
rr
ROOFING
ROUGH
PLUM8ING
l ?
PLB(3
AIR TEST
ROUGH
HEATING
l? Q
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE "e
AtR TEST FIREPLACE
FINAL PLE3G
FINAL HTG
ORSAT
TEST
BLDG FINAL ?dC? f /J?(/
[ "A
BSMT R.I.
BSMT FINAL
?ECK FfG
DECK FiNAL
IN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
' SITEADDRESS•
•
I . I '10t K1Jf1s11'1 YFt '
? PERMIT SUBTYPE:
I I 1 i Ir I H r„
I ?. Ic4ARK P, : t>t AN?, €rr urt-iar-fl Hti• MrF r- R A a( I
ON
'jCURD
PERMIT TYPE:
Permit Number:
Date Issued:
rM r1 t+tNs+
0 :? ; 03 n
Nf.-. /'1 9 / c?R
, APPLICANT:
TYPE OF WORK:
---------------
?
Permit No. PermR Holder Dste Telephone N
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FdOTiNGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP80AR6
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
dRSAT
TEST
BLDG FINAI
BSMT R.I.
BSMT FINAL
DECK FTG
OECif FINAL ?% ?
r'N, -
?RL`ttftCQ.te df cCClipQliC?
Witv of Cf agatt
menr of Zxi[biag 380pectian
This Certicate issued pursuant to the reguirements of the Uniform Building Code
certifying that at the tirne of issuance this strucrure was in compliance with the various
r
ordinances of the City regulating building construction or use. For the following:
usecw?sirwacionsp nw. siag. rer,,,ic rvo. 25417
0--pa-r T?jx R3/Ml 7-i,g a;su;a a,{ Tyne con5t. VI3
ownerorouiiai„? IISnrti?t rERM RMS nd&ess P_A_ BOIK 7 1325_, F,XAN
euiwing .4ddress 1184 D[1OUDM IETZIF. ?.ocaliry T.1 T R I. Sf ---S--iaCx.g &'1
tti,eing onkiA Date:
,
POST IN A CONSPICUOUS PLACE
0
,CIT1( OF EAGAN
3830 f5ilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
1 F fiANI I', GJsii?fl ?• 1 H
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION D. . DA
PERMIT TYPE:
Permit Number:
Date Issued: .i.? 1?? J'•! f•,
APPLICANT:
c e, 1 .' ? +001 ,'+i00
ri .t i.IF i< nwu t ir, i I i
?3-
t
.. .. . : . ? . . J
P6rmlt No. Permit Holdar Date TelephoM •
ELECTRIC O? ? ,?a3 95 Q ?
PLUMBING
HVAC N
Inspwdon Date Inap. Comments
FOOTINGS yl y
FOUND otp?
7
FRAMING
!
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
-?
GAS SVC
TEST ?
INSUL
GYP BOARD
FIREPLACE . ,
?
FIREPLACE
AIR TEST
FINAL PLBG -
FINAL HTG
ORSAT
TEST /D/
7? f• ?
uo
BLDG FINAL
«,w
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
G
Address 1184 vuClqion nRIvE Zip 5512 3
Lot, , i Blk I Sub Sr F'Rnrr'rs WOon 61H
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: fQ 9-T Yes No Inspector.
Final grade (6" from siding) 7
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage ?
Porch ?
Basement flnish
Deck V/
Please verify with the builder the removal of roof test caps from the plumbing sysrem and the shut-off of water suppiy to
[he outside lawn faucet before freeze potential exists. Contaa engi¢eering division at 681-4645 before working in rightof-way or installing underground sprinkler systein. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
A) / 9 2,(-
0 062 313 2 L1. /?l, f).
Requesl Dede
1 Ftre o. oegF-In-li,,potwn Fequiretl
(Yau must call inspecror ?vhen reatly) Inspection DIDer Than Rough-In
? ReaOy Now ? Will Notify Inspector
%--' ? Ves ? No Da?e Reatl
IX] licensed contractor ? owner hereby request inspection of above electrical work at:
Job AOtlress ISlraet Box e Route No-) Ciry
?18'y uCKU)COO ?. ?/tGl3?c.?
Saction No. Township Name or No. Ranye No. Goun[
_ K" 0 ? /t
Occu nt(PRINTI
TO m L-'S iG iv
/VUm,?S Phone/ Nopp
(? 0 0"z? ?d
Powe upplier Adtleess
/1KDT? C?c:T.c /I???i.v? 7DN
Elecinc Contmcmr (COmpany Name) Contracror's Lieanse No.
?ii3sG
blailiny tltlrese ( nVactor or Omner Making Ins lallation)
o. /?ox "?yve"'61
Author tl SiynaWra (COnlr tor/Owner Making I nslalletlon) Phone Number
g5 3
MINNESOTA STATE BOARO OF ELECTpICITV THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway Bltlg. - poom 5428 9E ACCEPTED eV THE STATE BOARD
1821 University pve.. St Paul, MN 55104 .. UNLE55 PROPER INSPECTION FEE IS
Phone I6121 642-0800 ENCLOSED.
4I?? REQUEST FOR ELECTRICAL INSPECTION ?,.??; e-ooooi-os
?
v[?V ?9? ? Sea 1nsVUCtions for completing this form on back of yellow copy- 5 ? 9? ?
? 0 2 313 "X" Below luork Covered by This Request
Ne Add Re . Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Elechic Heating
Apt. Building Dryer Load Management
Comm./industrial Furnace Other (Specify)
Farm Air Conditioner
Olher (specllyJ Convacrors Remarks.
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool / 0 to 200 Amps 0 to 100 Am s Q°O
Transformers Above 200 Amps hove 7 0-Amps
SlgftS Inspeaors Use Oniy ? TOTAL
Irrigation Booms ??? QG
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ISCONNECTED IF NOT
Other Fee COMPIETED WITHIN 16 MONTH
I, the Electrical Inspector, hereby
cedit
th
t th
b
i
ti A0O9n-??
?
rto
? ?
y
a
e a
ove
nspec
on has
6een made. ?
F, ai O
a?e
?
OFFICEUSEONLV
Tois requast voitl 18 mon?hs from O ? ?U
- PERMIT mlpa S?5 g/ 9/
CITY OF EAGAN'
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILpSNG
027723
06/07/96
SITE ADDRESS:
1164 DUCKWOOD TR
Ltl7: 1 BIOCK: 1
ST FRANCIS W000 6TH
P.I.N.: 10-65905-010-01
DESCRIPTION:
5{3uildirng-,,,Permit Type
?'Bu3`lding Wo,r..k Type
Cer?s,us Ggde, '
? ? ? ` f ?,s? a„•>>
BASEMENT FINISH
ALTERATION
434 ALT. RE3IDENTIAL
K
??
m 4
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search
7ota1 Fee
$50.00
$.50
Fee $5.00
$55.50
CONTRACTOR: - Applicant - 5T. l.IC.OWNER:
GDRMAN.CON5T 17313240 0003331 HOLPER BOB
2217 BONNIE LN 1184 DUCKWOOD TR
ST PAUL MN 55119 EAGAN MN
(612) 731-3240 (612)405-0282
L
I hereby acknowledge that I have read this application and state that'ths
infarmation is cd;rreet and agre°e Eo comply with aYl applicable State of Mn.
Statut;es and City af Eagan Ordinances.
` -? k •-?,?..?..t? :
PLICA lPERMITEE SIGNATURE ISSUE Y: I N TURE
J
CITY OF EAGAN ?p??, ?o
? 3830 PILOT KNOB RD - 55122 -T' 1 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ???i
681-4675
New Cons[mction Reouiremenls
? 3 registered site Surveys
? 2 copies ot plans (inGude beam & window sizes; paured ind. design; etc.)
? t energy calculalions
? 3 copies M tree preservatlon plen N lot plaqed after 7l11193
required: _ Ves _ No
DATE: ? -C? g - / ?% CC
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT I
BLOCK
SUBD./P.I.D. #:
Remodel/Repafr Reavirements
? 2 copies ot plan
? 2 site surveys (ezterior additions & decks)
? 1 energy ealculations for heated additions
RUCTION COST: O
Gt^? QCtIzN 'C` i r 2- ?J 4cc/c-,-
PROPERTY Name: AaI/.lzn fE?V? Phone#:
OWNER TV? iIRSI ?
Street Address: ?? ?' y "Gf? -V,
City: State: kl-1 tA Zip:
CONTRACTOR Company: l9d!' PL?a" <?a L/k S ? T., ? Phone #: 3 r)
Street Address: Ci f3c) tn vi i ?-- Ld) License #:
City: State: 1,_ Zip:
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #:
Street Address•
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty appiies when address change and lot
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. <C,\ ,
ZL,
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received = Yes = No
??? 2 ? 9996
Tree Preservation Plan Received Yes No
? OFFICE USE ONLY
? s.
, ..,. ? .
?,.?. „ .w.
BUILDING PERMIT TYPE
.R
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?6 Basement Finish
? 02 SF Dweliing ? 07 4-plew ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition •? US 8-plex o 13 Garage/Accessory ? 20 Pubiic Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New Alterations ? 36 Move
?- 32 Addition ? 34 Repair ? 37 Demolftion
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Ailowable) Main levei 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. y?y
Depth Footprint sq. R. SAC Code ? l
Census Bldg ?
CensusUnit C7
APPROVALS
Planning
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCM/S SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
?
Valuation: $
°h SAC
SAC Unfts
:X:i?'X, ?k?^.sh:::, ::Y•m:'v:.it:F?kYr"a<$i:{?;,t y;c?;,t ? $ sR?? ,: ik:? :Y•M?cd:?$ `Si'l.a: h:d'?
C.T.TY i?F E::GIf'AN
C!1`:iFi:I:FFi. ._ i£_P(MTidAI_ NO:: 719
).Ii1TF:; 05/:I9/98 T:CMIii:. =4500
:fN
NAt41'.i:r, ':;£li;Fi Ci.:)?vS?T'f2LiC?7't:4]?d ]:NC;
320 9001 i.f.84 LNr:t,CPIO]t7 T 50.00
205 `?I]pi L:L84 .Y.lili;:F;l+!C;C1D 1- 0,.5(1
?
Tcl;;n:L 'riec:Fa:i.pi. Amuu:v!'.; 50,50
i.Fi092043
L'3f_': SI?o 1Jt?Yr,,i
J
' ?3o P OF EAGAN
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
032034
05/19/98
F SITE ADDRESS:
1184 DUCKW000 '1'R
LQT: 1 BLOCK: 1
ST. FRANCIS W000 SIXTH ADDITION
P.I.N.: 10-65905-010-01
DESCRIPTION:
Ouildin't?-,Permit Type
; Building W'p,,rk Type
r Census C-ade-
.??
;,.
,
..
f
- r
? `??S
DECK
NEW
434 ALT. RESIDENTIAL
c
'1
+ f..( ...w ?t.., ? ?, i t'?" f_i
tJ ...?
?
.?`?,wl
REMARKS:
PI.ANS REVIEWED BY MIKE 6ARCK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - ppplicant - ST. LIc.OWNER:
SWRA CONST INC 16819792 2000151 HOLPER BOB
16576 JACKDAW PA7H 1184 DUCKWOOD TR
Lr',KEVILLE mN 55044 EAGflN MN 55123
(612) 681-9792 (612)405-0262
I hereby acknowledge that'Z have,read this application and state that the -?
informatiorr is "cor'rect and agree. 'Co. cvmplth al?aPp;licable,r:StaJ?e tRf M,p.
? Statutes and City qf.Eegan OrHinances_
<
'APPLICANT/PE MITEE SIGNATUFE ... I ED : SIG RE
?
1998 BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
(RESIDENTIAL)
? ?/ ed
RemodeURepair Reauirements
? 3 registered stte surveys
? 2 wpies of plans (include beam & window sizes; poured fntl. design; etc.)
? 7 energy calculations
? 3 wpies of tree preservation plan'rf lat platted after 7l1193
required: _ Yes _ No
DATE: 5
DESCRIPTION OF WORK:
? 2 wpies of plan
? 2 sile su(veys (exterior addiGOns & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST; 2, ZOC ?
STREET ADDRESS: -/`/
LOT: / BLOCK: ? SUBD./P.I.D. #: (.clclbd 6l4w--
PROPERTY
OWNER
Name: 14z)1L7? -- &L6 Phone #: `YQ?g - vZ K 2
L t First
Streei
! JCL
City State: /-,?o Zip:
Company:?GZ Phone #: ?D c? / / ?7 Z
CONTRACTOR /'
Street Address: I?/rJ`2/_? L License # 0lJ ? 3'32157
City Z".li State: / q lkl Zip: ?550 v7
ARCHITECT/
ENGINEER Company:
Phone k:
Name: Registration #:
Street
City State:
Sewer 8 water licensed plumber (new construotion only):
and lot change is requested once permit is issued.
Zip: _
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to comply wfth all applicabl
State of Minnesoq Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 5wim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Misceilaneous
? 05 SF Misc. ? 10 =plex -f?k15 Deck
WORK TYPE
? 1 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
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. `l3
Depth Footprint sq . ft. SAC Code 'o /
Census Bidg i
Census Unit o
APPROVALS
Planning Building ?M 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 PI.
Park Ded.
Trails Ded.
Other
Copies q? 63)
+I TotaL• .t?.t
Valuation: $
% SAC '
SAC Utaits-d- - ..::1 ?.'
• .^.,.,..r?...TM?,....?....•., _ z .?
?+ CONSUlTINO lNOINEE11f
RQgi PIRNNERS ond IpND 3U8VlYONS
ENGINEERIN6
COMPANY, INC.
L 1000 EAST I?BIh $tREET,
BURNSVILLE, MINNESOTA 55337 PH 432-3000
CERTIFICATE OF SURVEY
Legal Description:
SCALE : T = 30'
DENOTES EXISTING ELEVATION
( 9i3. o) DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
9/3.33 = FINISHED GARAGE FLOOR ELEVATION
o, 6 = BASEMENT FLOOR ELEVATION
/S. 7= TOP OF FOUNDATION ELEVATION
BFVCF/ /Y1.4? ? TNH AT LDTS 6.ou, 7, aa'.e Z.
Eza?. = 9a8 -'e;0
gl7DRESS : 1194 DuGKGii" 77A1G
....+ ?.i.c.i 1,
DRA/NR6E AND
UTIL17Y EASE/YIFiVT-
I hereby certify that this is a true and correct representation of a tract of
lan as shown and described hereon. As prepared by me this 3,-d day of
W14- , 19Zr,. '
P,5WSeV ¢ -13 - 95 ; mave9 f,c"-a cW*vbEn p,eo?561D ae411r9tC Minn. Reg. No. /?O8S_
pii77ERA!
4CP!
3Y
te7r N/??/LSt?
INSYECr1,IUN 1ZECUllD
CITY OF EAGAN PERMIT TYPE:
' 38J0 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
025417
04J19/95
SITE ADDRESS:
LOT: 1 BLOCK:
1184 DUCKWOOD TR
ST FRANCIS WOOD 6TH
PERMIT SUBTYPE:
SF DWG
APPLICANT:
1
CU570M DESIGN BLORS
(612) 688-2600
TYPE OF WORK:
NEW
INSPECTION
FOOTINGS D, •
FOUNDATION DA
FRAMING ROOFIN6
INSULATION FIREPLflCE
ROU6H ZN PLBG ROUGH IN HTG
FINAL PLBG FZNAI
REMARKS: S& W PLBR - C& N SEWER AND WATER
., ?
I
CITY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
e,Po 39&0?
?-ao-9s
BUILDING
025417
04/19/95
SITE ADDRESS:
P.I.N.: 10-65905-010-01
1184 DUCKWOOD TR
LOT: 1 BLOCK: 1
ST FRANCIS WOOD 67H
DESCRIPTION:
BuildingP.ermit Type SF OWG
Bui:lding Wbrk Type NEW
,'. UBC 0¢nupancy `?,,, R-3 M-1
Construction Type V-N _
Zoning R-1
Building Length 65
: Building Wid:th ? 40
8uilding stories 2
S9W?,re Feet 1,658
t ai %
? ta 4? 5 q-f d, :i
REMARKS: S& W PLBR - C& N SEWER AND WATER
FEE SUMMARY:
VALUATION $152,000
Base Pee gZl'6? $1,147.25 MI5CELLANEOUS $1,692.50
Plan Review 5'?3 ?1g $401.54 Total Fee $4;367-29--
5urcharge $76.00 O/b,
SAC $850.00
SAC % 100
SAC Units 1
subtotal
1,2 I,4f
CONTRACTOR: - qpplicant - sT. Lrc. OWNER:
CUSTOM DESIGN BLDRS 16882600 0008647 CUSTOM DESI6N BLDRS
P 0 BOX 21325 P 0 BOX 21325
EAGAN MN 55121 EAGHN MN 55121
(612) 688-2600 (612)688-2600
I hereby acknowledge that I have read this appl3cation and sCate that' the
infiormation is correet and agree ta eomply with all applicable 5tate of Mn.
L Statutes nd C"ty of Eagan Ordinances.
, • r- ?11/) AJAA?I I ? ?
.' APPLICANT MITEESIGNAT RE IS SI ATUR€I
-j
CITY OF EAGAN ,?i '??? ? ? • ??
16411 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
? 9 registered ske eurveYg ? 2 coPies M plan
? 2 copies of plens (InWude beam & window saes; pourad fid. tlesign; etc.) ? 2 site surveys (exterlor additiona & tledcs)
? 1 energy calculations ? 1 energy calwiatians for heated edd'dlons
? 3 copies of tree proservation plan H Iot plelted after 7H/93
roquired: _ Yes -y- No
DATE: ?- I - s-. !.?- CONSTRUCTION COST: 0• 0 00
DESCRIPTION OF WORK: f
STREETADDRESS: c_
LOT -B-LOCK SUBD?./gP.I.Dn. #A:
? I . ? V`Ct (/LS i 5 Lr )O?+JCl% (? .J-`'?. NGY/? i'7'i7S??
PROPeR7'Y Name: ?? v-Pi- Phone #:
OWNER -I 7
Street Address? (LL??
City: State: Zi Zip: -Sf F- Z
CONTRACTOR Company: Lu 2&Lw- Phone #: ? - - ?U
,?//? i A6
? Street Address: ?,('7 13ca? Z i 3? S License #- e'SY ??-
City: r6 ?,?/l ` 8tate: L-?Zip, 2- r,/?T
?-?
ENGI ARCHITECT/ Company: f %(!??Tg Phone #, ? ?^`? v ?
Name: Registration #•
Street Address*
City: State: Zip:
Sewer & water licensed plumber. l il,d-?) Penaliy applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the informa is cortect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLX 7yes RECE??c?'D
Cerh f Survey Recei?I/W _/ Na qPR Q 6 199??
Tree Preservation Plart Received _ Yes V Na
OFFICE USE ONLY
BUILDING PERMIT TYPE
d!
.?.
? , w..
.?.:
..?,;..
? - ?
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 18 Basement Finish
op(_02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool
0 03 5F Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace a 21 Miscellaneous
0 05 SF Misc. 0 10 ,.,= plex o 15 Deck
WORK TYPE
New ? 33 Alterations ? 36 Move
? 32 Addition o 34 Repair o 37 Demolition
GENERAL lNFORMATION
?
Const. (Actual)
(Allowable)
UBC Occupancy ?
Zoning ?-/
# of Stories
Length ? ys
Depth yo -
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
, 2,'n sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
/, ls G MCMlS System
?7 City Water
yZ Fire Sprinklered
PRV
Booster Pump
Census Code. /a/
/,GS"f3 SAC Code
Census Bldg ?
Census Unit
Engineering
Variance
PermR Fee Valuation:
Surcharge
Plan Review
License _?._. ----
MC/WS SAC eq,o? Z,K 15".:s = ??
City SAC
Water Conn.
Water Meter ? Z X z,'t ? ? 3
Acct. Deposit ,sK /x /z ` G
S/W Permft .s575n7.s = 37
S/W Surcharge
Treatment PI. ? /157 nsy = /?`/09ff
Road Unit
Park Ded.
Trails Ded. Z ? F..
Other
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SAC Units
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CONSUlTINO ENdINE4l15 CvSTOM D&SYb.c/ ?omEs
PROBC Pl1iNNEpS end IAND fU11VEYORS pppJECTNO.
ENGINEERING BooK 94
COMPANY, INC• pAGE 14
1000 EAST I461h STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000
CERTIFICATE OF SURVEY
Legal Description:
SCALE : 1' = 30'
DENOTES EXISTING ELEVATION
( 9i3. o) DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE bRAINAGE
913.33 = FINISHED GARAGE FLOOR ELEVATION
207,63 = BASEMENT FLOOR ELEVATION
/S. tel 7- TOP OF FOUNDATION ELEVATION
BEVC.?! /J'1,42K TNN ,4r LoTS 64tv 7,
E? = 9a8• sa
A0DRESS : 1184 buGKGUGt?V 7X<11L
DRA/N46F AND
UT/L17Y EASE/YIENT
I hereby certify that this is a true and correct representation of a traCt of
lan as shown and described herevn. As prepared by me this 3r day of
197g• '
,PcvlSA9 4-13^Iv4v Nk&'Ar cN.sw,?co '
pAaq'5? Ae,411vq&F .?-•.?. ?--? Minn. Reg. No.4 19S5
oATTF20N
????N
R fVIEWED
9Y
lA4c ? /7j 64,
LOT BQRVEY CHECRLIST FOR RESIDENTIAL
? SIIILDING BERMZT 11PPLiCAT O
BROPERTY LEDALS
Date O= SYrVel/S
p4CVMENT 8T xnaoflR v
? • Registered Lnnd Surveyor siqnature and company
0 • Buildiaq permit Applicant
V,D 0
0 • Leqal description
• Addrese
L7 D
? n D
Cl • North airow and bar scale
• House type (rambler, valkout, cplit v/o, split eatry,
0
D
• lookout, etc.)
i
D
rectional drainage arrows with slope/qradient t.
? 0
? 0 • . Proposed/exirting aewer and water 6ervices
0
0 0 • Street name
D?D 0 • Driveway
ELEqAT20N6
0%
13
• Ex3st3na
Sewer service
0? D 0 • Lot corners
?0 D • Top of curb et the driveway
D ? • Elevations of any existing adjncent homes
[?0
13
• 4rocoeed
Garage lloor
? • First floor
N D ? • Lowest expoead elevation (walkout/window)
tt' ? D • Property corners
D?n 0 • Front and rear of home at the foundation
• PONDING 71REAB (if aDpl3cab1a)
Easement line
0 C?
0 6 D
n •
• Nwi,
xwL
0 d
" D • pond N designation
D El D • Emergency overflow Elevation
D2MEIVBIOliB
?0 0
0 0
D D
a' D 0
da n
a 0'13
Oetober 19
• Lot lines
• Riqht-of-way and atraet width (to back of curb)
• ProposeQ home dimens3ons includinq any proposed decks,
overhangs greatez than 21, porches, etc. (i.e. all
structures requirinq permanent footings)
• Show all easements of record and any City utilities within
those easements
• Setbacks oi proposed structure an8 setback of adjncent
exSsting homes
/ T.?
Ca
W000 -;
? CURVE bATA
A =47°30'00"
? R = 210.59'
T = 92.66'
L = 174.59
D = 27207270
BC• = 2 +63.84
/ Q P.R.G = 4 +38.43
? REMOVE .6" .PU1G '
? CONN. TQ 6"x 6"
Io KO ? 6"x TEE 3t45i
6 ?? . a 80X i
6" 0°BEND '
6 -I/ BEND3t40
7
V
?
O
?
. ?
-?
/ 2
2 +4? 2 .5
7.2 „_ 5 + t3 ?
S-89 „
56 CLEANOUT6 x 6 TE
- AT ? . d-6" DI.P
HYDRANT!
Se i0
N,H-I
r Tt99 40 ztse
TFiE GITY OF EAGA OEt
TFiE F+CCURACY 0 U?
RNO/OR ELEV,4TIONS. ,
If??c?PS?'?4? PUR? S
PEF`.;G..U??lNC? IT
INFOy,''jjL7id 0i1=i
10
B KQI
2
3 ,
_
CLEANOUT
- 4 +40 5 t35 4
AT ? ?.9..
3
t50 ?? S -8920
. S-896.0
-90" CL EANOUT
S-B9T.0 AT ?
11
6-38° 8
ND S t 90
99.f P
P
I
1116 .
a 83 6 --'" 1119 .II =
6
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DIP's
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40
. c:uRV DATA
a = 4 57' 22
Rf i5?3 .36'
?4
Ql/F D,=,15$ 59°
t.143
P.RrC = 7 + S
4 +45
_996:z
S-B96.0
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I H(p[g7 fER11FT 7HAi M5 Plµ WhT PREPNiEp g7 Y[ qi UAm! YT
?'? .. ' . . ONECT SIIDOtN40N At1D 1HAi 1 NI F OIA111Efi51FRE0 PRdfES40NK
I987 '._ cNWrx/u+wrza LP99 nfE uNS a nE srah a uaxcsou
a?_? .. ...s.:.w.
OWNER:
...e. .... .. ?....... .. ......?s
CITT OF EAGAN ,
EXTERIOA ENVfL,ppE IVERAGE 'U' COMPUTA7ION '
I
C.L5±0 vti De5 i q Vl (ottr-s sire A6nRESS:
CONTRACTOR: _Tdre?c (-Ianv?e,r DA7E: PHONf•
' Ixtermlne vorking square fooEage of each: ? r
l• TCtB: t7rposs0 Mill area ap, ft, Y Z.( 1p2,
«....".
2. Total roof/Ctiling area tt, x .02b ¦ . ?l ?,. _
7oCal bxposed va11 arra above floor sI ef 2n
8. rOCYl wala wlndow.srea .......??r?4#14,090, .......?
b• Total door MPSi •.. 1 0 . . . I . .rrI . t 0 r. . I . . . 4 4 . t 0 . - ??• .,y
o. Tot+tl tlidSng glasg :raa ...,.... "
.....•..........•.
d. 7ota1 fireplace W8:1 area ...... .0.........:ia,.... Q..S
4. Total N811 framing area (BVErd$f 10z) ........,,?.,
f. 'rOW2 Orti Nail i?rg8 8?10V@ f100P ?.. ........
({• Total rlm ,oiSfi ?"INQB •....a??nrr?????????..?r,?????.? ....??
7otr1 exyose4 toundation area _ 1?2 Z.;t--D
K. T4t71 i'ountlation WiqdbN 8.^ltl..........
???.??????... ?
1. Total net faunCatlon grea above grade ..............
DeLSrmsne 'U' value o^ encn wall segmeat:
a. x
,
v U
b. x I 4?
c. X , u,
d. ?ti.
e •
x ti
'
?
t. x ,ut
r• ? ?u°
h•.. x lu,
t? x tU?
....w: l.31._,_..._ •
_..??? ?...?... _
.r.....?....:. _
_.....:,...,.......... _.. _
_.....-?..,.?...+...... '
3 . ................. ...........?..?.......?....,...... Total =
_ If item ng_,is tAe aame as or lesa Lhan lLem 01, you hpv• met the lnCent of 5K
60tib(c)r,
Total exposed reot/eeiling areA s I.(n 12
J. Total 3kyl16hL are8 ...............................
W. Taaa2 roof/cei:.".r,g Traming area faveraga 10!) ..
1. 7oL?1 nwL insu!.roaf/ce111ng area ..............
?..-.......,r.
.;,- .- ...,...._ ...... .... .. _......, .. ..-•-
Aetermine 'U' value for esch roof/oeiling aegmeet:
?• 0 x 'U' C7 s ?
k. (/?5 x Out -c-02t= 3.C?
1. l Z 6 Z xou, • 2 ?,? __3 I :,_?
4 . ...................................................... ToCal ¦
If total of 94 is the same as or less than 02, You have met the SnLeqC of SBC
6006(c)t.
Alternate Building Envelope Deaign
To utilize the total envelope system meChod, the values eatablished by the sum
of Items 93 and Oq ahall not be greater than the sum of Items @1 and q2.
?. '2._11 • 3 . z. `tZ.(Z i ZS3• i
3. ?'?•C-? + 4. Z S •'Z = Z. ??? •?g '
- ?
?/?':70/
' L BL CITY USE ONLY RECEIPT #: ?`
SUBD.,?/?ix.B?:i LL? G? DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
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 Fireplace conversion (to existing fireplace)
Date:
FFFS
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00 ?
? Gas Outlets (minimum of 1 required @$3.00 each) ?o CL)
? State 5urcharge .50
TOTAL ,`s-) ti?U
SiTE ADDKtSS:?., (A ?Wof6
OWNER NAME: 1. )?`?, PHONE #:
INSTALLER NAME: kQ- ? 4\`C'
STREET ADDRESS:
CITY: STATE: Wtl ZIP:
PHONE #: ( (Q?,?? IT<Plt
f,
????
SIGNATURE OF PLKMI I 'n
CITY USE ONLY L BL RECEIPT #:
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are D.4i required
for each dwelling unit.
DATE: ? CONTRACT PRICE:
vJORn ii'PE: idEWC.^.":$TR:!('.TIO"J
DESCRIPTION OF WORK:
ENTERIORlnnoRQVEp^ENT
FEES: w $25.00 minimum fee gl 1% of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
QWNER NAME: TELEPHONE #:
TENANT'NAME: (IMPROVEMENTS ONLY)
INSTALLER:.
ADDRESS:_
CITY:
STATE: ZIP:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE
CITY INSPECTOR
cirr use oNLv
L ? BL / RECEIPT #: ? (o
SUBD. Z. , J'/?.i,o Gt/? (.!? DATE:?;?" `_?-
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? singie family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x 1_ _ '3-
Water Closet 3.00 x 3 = `(-
Bath Tub 3.00 x a =ti _
Lavatory 3.00 x 3 = r4 -
Kitchen Sink 3.00 x :3-
Laundry Tray 3.00 x 1 = 3-
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x I_ = 3-
Floor Drain 3.00 x I
Gas Piping Outlet * minimum - 1 3.00 x I_
Rough Openings 1.50 x 'I
Water Softener 5.00 x =
Private Disposal * Dakota Cry. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations ` to existing 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: ? Igy L) uek _,,,, 1 -T tt
OWNER NAME: Cua ku?
INSTALLER NAME: v'%?4 r, •.
STREET ADDRESS: ?60 Q,/ a kti ?'' `
CITY: Jo rc??.. STATE:
ZIP: s y- 3'' -
PHONE #: (Lva ) 4ka-ai a i
'SI
OFFICE USE ONLY
L _ BL _ RECEtPT #:
SUBD.
DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please wmplete for: ? all commerciallindusUial buildings.
? multi-family buildings when separate permits are n.42 required for each dwelling
unit.
DATE:
CONTRACT PRICE:
VJGFZK iYPE _ Pl'cVV C:t7FiSTRiiCTiOiv _ AD ,i"i 0id _ REPAiR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OP METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1°/a of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
ciTr:
PHONE #:
SIGNATURE:
OFFICE USE ONLY
I METER SIZE: DATE:
STE. #
STATE: ZIP:
APPLICANT
_ INSPECTOR:
r
CITY USE ONLY
L BL I
SUBD. ?• ??(?C !6?
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
RECEIPT #: -S ?
DATE: &°3 9(?'
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH ? TOTAI
5hower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposai ' Dakota cty. iicense 50.00 =
(new and refurbished systems)
U.G. Sprinklel' * home under const. 3.00 =
Alterations * to e)dstiny 20.00
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: --
OWNER NAME: 6LrZ=1-) INSTALLER NAME: gilah
STREET ADDRESS:
CITY: ?,..C"/)')?LC?7 ? STATE: IW ZIP: ?
PHONE #:
?1
OFFICE USE ONLY
L BL RECEIPT #:
SUBD.
DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ? all commerciaVindustrial buildings.
? multi-family buiidings when separate permits are nM required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
SfATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
cirr:
PHONE #.
SIGNATURE:
OFFICE USE ONLY
STE. #
STATE: ZIP:
APPLICANT
METER SIZE: DATE: INSPECTOR:
?/,;;, -5 1?
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New ConsWCGon Reouirements
3 registered site surveys showing sq. R ot lot, sq. k. of house; and all roofed areas
(20 % mazimum lot coverage allmved)
1 Soils Report if proposed huiMing is l0 6e placed m disturbed soil
2 copies of pian showing beam fl window sizes; poured found design, etc.
1 set M Energy Calculations
3 copies of Tree Preservafion PWn'rf lot platted aRer 77M1f93
Rim Jasl Detail Opdons sHedon sheet (buiMings wBh 3 or less unifs)
Minnegasco mechanical ventilation Form
Remodel7Reoair Reouirements Office Use Onlv
2 copies of plan showing foo6ngs, 6eams, jois[s Cert of Survey Recd _ Y_ N
i set of Ener9y Calculations for heated additlons SoBS Report - _ Y_ N
1 site survey foraddNOns & decks Tree Pre; PIanReoi Y_N,
Addifion - indicate if on-sife septic sysfem Tree Pres Required Y_ N
On-site5epticSystem _Y _N
Plans are considered pubiic infiormation unless vou state thev are trade secret and the reason.
Date// / 27
SiteAddress l??y / 000q
1:2uCk W010C) ConstructionCost ? S-s[ --
fvn?? Unit/Ste #
Description of Work (29p'1'
Multi•Family Bldg
_ Y? `
Fireplace(s) 1 -0)_ 1 _ 2
Property Owner 0 0.JW-4- ?<?v. ? n N ?e.?.??? Telephone #E ( 6S 1) i-? ? ? py b ?
Contractor ?
J-
Address ?22? ?j2?
State {M u - ?b ^ City?
Zip ts SOC- Telephone # ( .?jtZ72y
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rufes 7672
EnePgy Code Category , Resitlential VeNilafion Category 1 Worksheet . New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
_ . Energy Envelope Calculafions Submitted
In ihe last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_, Y. _ N If yes, date and address of master pion:
Licensed Plumber
Mechanical Contractor
Sewer/water Contractor
I herebv applv for a Resitlential
and acknowledQe that
is complete and accural
e;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and .
approval of plans.
----------- I
Gca,fL-j CJa'e-(?L(
Applicant's Printed Name A nature
Telephone # (
Telephone #(
Telephone #(
DO NOT WRITE BELOW THIS LINE
Sub TVpes
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool " ? .30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plez ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03- 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Adda (4-sea J ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 .12-plex ? 25 Miscelfaneous
WOrk T4pe5
O 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ' ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 _ Wndows/Doors
? 34 Replacement 'Demolition (Entire 61dg) - Give PCA handout to applicant
DBSC/IptlOfl: WaterDamage_ Yes
Valuation Occupancy MCES System
Plan Review 100°k or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Sheetrock
_
_ Footings (deck) _ FinaVC.O.
` Footings (addi[ion) _ Final/No C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water Pinal _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath - S[one La[h _Brick
_ Fireplace _ R.I. _ Ai r Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Piant
License Search
Copies
Other
Total
PERMIT
City of Eagan Permit Type: Mechanical
Eagan. Permit Number: EA104180
Date Issued: 05/09/2012
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 1184 Duckwood Tr
Lot: I Block: I Addition: St Francis Wood 6th
PID: 10-65905-01-010
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:
Arneson Heating & Cooling LLC David B Carpenter
7803 Drake Road 1184 Duckwood Tr
St Paul NIN 55125 Eagan NIN 55123--115
(651) 459-3360
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
Use BLUE or BLACK Ink
r
For Office Use Permit
City of EaEd I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
J I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: LI / q V 1 ✓ / ff Phone: (J 5~ ae °E~
RESIDENT /
OWNER Address/ City/ Zip: L)a,4k_1, -C
Applicant is: Owner Contractor
TYPE OF WORK Description of work: oh yl -r- f~la I~S
t Construction Costl/Q O Multi-Family Building: (Yes / No )
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:
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. f
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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.
x CA A
Applicant's Printed Name Applicant's Signat
Page 1 of 3
f "
~l CtC F~-tl~% /'DO NOT WRITE BELOW THIS LINE
SUB TYPES
-/S oundation _ Fireplace _ Porch (3-Season) _ Storm Damage
ingle 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 13emolish Foundation
- Replace Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 60 • a--v Occupancy (P~ - MCES System Ar
Plan Review 1,1 btjF, Code Edition 2Br M p SAC Units
(95% 1QQPA ~ Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction V Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) 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
V 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: ef~v , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge b Q S U
Plan Review B y
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152961
Date Issued:11/13/2018
Permit Category:ePermit
Site Address: 1184 Duckwood Tr
Lot:1 Block: 1 Addition: St Francis Wood 6th
PID:10-65905-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Brian Seaton
1184 Duckwood Tr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature