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1195 Duckwood TrCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ? ? r . i I'' • lilli F:lriu?l i It ? PERMlT, $,PPTY,P?? ON RECORD PERMIT TYPE: Permit Number: Date Issued: t.? ?t? ?rF k r APPLICANT: ? i, i,' / ?•# ,• I c? t? 4t TYPE OF WORK: tiIf1'1 blbte A:'tfib: 3 q?/??a1pfi kFllid A1 Tf Nqi 1 (10 INSPECTION .• . .. Kr?iir??i t ir ?? i i:t? ? i r?,? i Permit No. Pertnit Holder Date Telephone M ELECTRIC 9 PLUMBING HVAC InspecNon Data Inep. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING . PLBG AIR TEST ROUGH HEATING 6-?S kh- GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FlNAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R I - BSMT FINAL _ ?'??1/s _?-- I???? I?WfUV-`ZJA).S i ? DECK FfG ?DECK FINAL I " ?,? ? "? ,. • ' ' , .. `.. t ,. . ?C' .? i (Itrfif ir?ti! of COrrup?n 'tlj Citp of Cagan ?r?stt?tct of adlid'mg iwrriiimt r ? This Cern,(roate rssued pursr+aru to the r+equiremnts ojSecuon 306 ojthe Unijorrn Butdding Code certil!'in8 that at the tinre ojissuance this st?ucture wm ln co»Viance with 1he various ordinances of lJre Ciry negulaling buildft conouctian or use. For 1he followirig. weanawion SF nwr. m4P..kN,. AD5 ow,P,o,,y Typ,,$ R3m&M l ZovingDWAm R 1 7?w r- VN p,,,ma(W.Ift ART.TN[:'CQN ar.nr. rnRPM6. 11774 PRTTiT.TCN !".'t? BAVA[E o., 912 1 /q2 POST IN A CONSPICl10US PLACE ? INSPECTION RECORD ? ?ontrol No. Q 5? g CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: N N Y? t? ? Eagan, Minnesota 55123 Date Issued: 05 /q'' (612) 681-4675 SITE ADDRESS: i. 0 fi: 12 Li I 0C K; APPLICANT: I i"?) DUCKidd[I!T TR ARL INE17nN NOPES ',1. FltANi.IS WpODS 61N (612) 432-97.t5 PERM,T §,qPTYPE: TYPE OF WORK: MEW INSPECTION 14h . .. f Nri tJ4 A 1 10 N F 1 NAl ? ^ F ikf F'f Af'f Ct!'MAkM'i t Rt 1A iP7 i SiGiJ plBR. - Pem,rc No. Psrmn Hower ow retsPnons A Sl1N PLUMBING HYAC 0/9 Z,• O - ELECTAI a t/ ?/jry ? ELECTHIC Mspectlan Dabe lasp. Commonts FOUflddll0(1 Framing Rooflng Rough Plbg- !7- Rough Htg- ISUI. Fl'wiwe Final Htg. OrsatTes! ?C f 1 Flnal Plbg. J r Ptbg. Inspedor - Noti(y Plumber Const. Meter EngrJPtan eldg. F-,nal Deck Ftg. Deck Rnal weli Pr. asp. ? C? .? , ? Address: 11g5 DUCKM TRAIL Lot 12 Blk z Sec/SubST. FRADA:JIS kl70DS 6IH These items were/were not complete at the time of the final inspection. Date: 8/21/92 Yes No ?r Tnqpecror. Final grade (6" from siding) Permanent steps - garage Permanent steps - main antry -? Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Le", Porch ? Basement finish Deck t/r Please varify with tha builder the removal of roof test caps from tha plumbing system and the shut-off of vatar supply to the outside lawn faucet before freeze potential exists. ? rtcrtuowm White - City copy Yellow - Resident copy Pink. - Contractor copy /O(a330/- {iequest Date Fire No. Rough-in Inspedion Fequiretl? ? Reetly Now Q3Wi11 Notify Inspector 4??W Ci No When fleatly? IED licensed coniractor O owner hereby request inspection of above electrical work at: Job Atleress (Srceet, Box or Route No.) Ciry ? 1 Section Na Township Nama or No. Renge No. Couny fl? Occuvanl (PRWT) Ppone No. r\? es -1 2545 PowerSupplier Aytlre55 . G? ? J U ? h ,1d. ? n Elechiwl Canvacbr (COmpany Name) ConVactwS License No. c- ? c o?,s Mailing AO recror or Owner Making Inslallalion) t a _ Stl AuthorizeE Sg r I onVactonOwner king Ins anonl Phone Numoer -bLi ( 3to t S MINNESOTA STATE BOAHD OF ELECTRICITY , THIS INSPECTION REQUEST WILL NO( Griggs-MiEwey BIAg. - Roam 5-173 : BE ACCEPTED BV THE STATE BOARD 1821 University Ave., SL Peul, MN 55104 UNLE55 PROPER INSPECTION FEE IS Phone (612) 842-0800 ENCLOSED. HEQUEST FOR ELECTRICAL INSPECTION J 25125 Se=inslmdions lor completing this fartn on back o1 yellow capg "X' Below Work Covered by This Request EB-00001.08 10&33 ?z ?.?.. ew Atltl . Typeof8uiltlinq AppliancesWired EquipmemWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Indusirial Furnace Farm Air Conditioner Ottier (syeciry) Comractor5 Remarks: Compute Inspec(ion Fee Below: 8 - Other Pee # ServiceEntrenceSize Fee # Circuils/Feeders Fee Swimming Pool 0 to 200 Amps 00 1 0 to 100 Amps hanstormers A6ove 200 _ Amps Above 100 _ Amps SignS iospector's Use Onry: TOTAL Ivigation Booms ??r? ? 8.5 0 Special InspeCtion Alarm/Communication THIS INSTALLATION MAV 8E ORUERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in certify that the above inspection has been made. F;,,ai Date ? OFFICE USE ONLY Thls repuest witl 18 months fmm 2 61- 9 4 8? i ?equest void 18 monMs Imm validatian dme printod in lh?? s .. ? ?? Q PLEASE PRINT OR TYPE • / Reque Dare Rough-in inspecfon req?ired7 ?( Yes ? No InspMion OtherThan Rm9h.in: ? Rmdy Now ? WIII Call b O ? ?You m?stwll?he inspeMrwhen reody) Dok Ready: licensed controcfor ? owner hereby request in speciion of ihe a6ove elecirical work ai: Jo Pddress (SVeet, Bov, Rouro No.) ? 1q5 3c.X?'?--\?-w \ City a.T? 1 Zip Code 55 SMion No. Tovm,hip Name or No. Range No. Fim No. Counry M?r 1- llo? P? o$ Pawxr S.pplier Pddress E nml Conlmctur (Campony Nvme) Ni e.w ConfmMr Llmnse No. Moeler Lic. Na. (Plont Elect Only) MallirigMd (ConrcoclororOwnarPerlo?swllaNon) 3?? 0'?1__? w ? ev??l\e_ onmd SignaNro (Conlr r or neIP6??glrK Ilanon? - - - ?m?:?.??_?- _ o. e N3 ? EB-eb001A10 6/95 STATEVOARD COPY•SEEINSTRUCTIONSONBACKOFVELLOWCOPY I? I I I ?? I I? REQUEST FOR ELECTRICAL INSPECTION????? MinnesoW SWte Board of Electriciry ??'1 1821 University Ave., Rm. 5-] , SyPaul, MN 55104 ??? * 0 2 6 1 9 4 8 4*- Phone (612) 642-0BOOif? ??v Home x Apf. Bldg. Ofher: New Addn Commercial Indushial form Remod Re air Air Cond. Htg. Equip. Water Hfr. Lood Mgmt. Other: D er Ran e Elec. Heat Tem .$ervice above the wori: covered by this request. Enter remarks in this space and on the 6ack o/ fhe white copy only. Calculafe Inspection Fee - 7his Inspedion Requesf will noi 6e accepfed without the cortect fee: Olher Fee # $ervice Enlrance Size Fee # Circuih/Feeders Fee Mobile Home Park Stoll 0 fo 200 Amps 0 ta 100 Amps Street Ltg./Traffic Sig. Above 200 Amps 100 Amps Transformer/Generatar INSPECTOH'SUSEONIY TOTALc?? $ign/OuHine Lig. Xfmr. D • Q•% Alarm/Remofe Confrol Swimming Pool I here ceni that I ins elecfiml Ins mi descnbed Mrei an the doros s kd Irfig6tion 8oom Rough-In $pecial Ins ection p Investigativa Fee /?? V?-? MOW THIS INSTALLATION MAY BE ORDE ED DISCONNECTED IF NOT COMPLETED WITHIN 1 MONTHS. 6?35! 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete foc single family dwellings &townhomes/wndos when peanits aze required for each unit P?30. s o Date 3 / 3O / 6 5 Site Addresa 1?1 C.7 Unit # Property Owner l ,V-? Ue-? cy Telephone # ( ) Contractor ?0°COIInOf ? Plumbing, Heating BL Cooling ! Street Addmss City 7904 Vermillion S4. Hastin s MN 55035 State - 9 ' , Telephone # ( ) Bond #: Eapires: The Applicant is _ Owner 4- Contractor _ Offier Add-on or alteration to eaisting dwelling unit $ 30.00 ? furnace _Additional X Replacement air exchanger airconditioner _New _Replacement other State Surc6arge $ 50 Tatai $ 3b ,SCU I hereby apply for a Residential Mechanical Pemut and aclmowledge [hat the informarion is complete and accurate; that the work will be in confottnance with the ordinances and codes of ffic City of Eagan and with the Mechanical Codes; that I understand this is not a perrtut, but only an applicafion for a permit, and work is not to start without a pemiit; that the work will be in acwrdance with the approved plan in the case of work which requires a review and approval of plans. Me,Ghm qkcjAR1 Applicant' rinted Name 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot I{nob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: wmmerciaUindustrial buildings multi-family bufldings when separate permits aze not requved for each dwelling w¢t Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Strect Address City State Zip Telephone # ( ) Bond #: Expires: The AppGcant is _ Owner _ Contrac[or _ Other Work Type _ New Construction _ Underground Tank _ Install _Remove *'see below _ Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspecfor P87711it FC¢3: $70.50 Underground tank installatiodremoval $50.50 Minimum (includes Slate Surcharge) or Contract Value $ x 1% _ $ PermitFee • If permit fee is $1,000 or less, add $SO => $ State Surcharge If nemu[ fee is over $1,000, add $.50 for every $1,000 nermit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge fhat the informa[ion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; tha[ I understand [his is not a pemrit, bu[ only an application for a permi[, and work is no[ ro stari without a pernuY, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature Approved By: Inspector Date: :?q b-1"1 53 Y° I RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681•4675 New Construction Reauiremen[s • 3 registeretl sile surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas (20% mazimum lol croverage allowetl) • 2 copies of plan showing beam 8mndow sizes; poured found design, etc.) • 1 sel of Energy Calalations • 3 copies of Tree Preservation Plan if lot platted after 711/93 . Rim Joist Oetail Options selec6on sheet (bldgs with 3 or less uni(s) DATE 7I7 /G 7 SITE ADDRESS TYPE OF WORI APPLICANT RemadellReoair Renuirements a -7 ^-' . 2 copies of plan . 1 set of Energy Calcula6ons for heated additions • 7 site survey for extenor adtlitions & decks . Indicate i( home served by septic system for additions VALUATION J IULTI-FAMILY BLDG _Y 7-N FIREPLACE(S) _ 0 _ 1 _ 2 STREETADDRESS I 07y7 Vrollea11/U, S. CITY TELEPHONE # 95-7 -707 -0Q61 PHONE # .uj?K' STATEMk ZIPss FAX# 9 52 FsQSf S'r8°/6 PROPERTYOWNER_ (7Ur' TELEPHONE# ? COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY ?[? Energy Code Category _ \-fIVNI'.SO"l'A RULL;S 7670 CA"1"CG012Y I rB= (d submission typ e) . Residential Ventllafion Category 1 Worksheet Su6mitted eP?Of • Energy Envelope CalculaUons Submitted 2002 Plumbing Contractor: ____________________Phonc # Pluinbing systcm includcs: Waler SoFtcncr Iawn Spiinl:lc ? Watcr Hcatcr No. oF R.I. 13alhs No. of Baths Mechanical Contractor. Vlcchamir.il systcm includcs: Sewer/Water Contractor: Phone # Phone # Fcc: 570.00 ---•---------------------------------•---------.._........------------------------------...°------------°-------------.. I hereby acknowledge that I have read this application, state that the informaTion is correct, and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan (O?rdinances. Signature of Applicant ------------------------- ----------------------------------------- __--------- °---------- ----- °°-------------- ------------------------------ ---------- ------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 -- Air Conditioning Hcat Rccovcry Systcm OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling 0 OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. 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 ? 18 Deck ? 23 Porch(screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (81dg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Foutings(deck) FinaWi o C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Pian Review MGES SAC City SAC Water Supply 8 Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector Y A- CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-65905-120-02 DESCRIPTION: Census C PERMIT 1195 DUCKWOOD TR LOT: 12 BLOCK: 2 ST FRANCSS WOOD 6TH Permit Type Work 7ypa PERMIT TYPE: Permit Number: Date Issued: BASEMENT FINISH ALTERATION 434 ALT. RESIDENTIAL t REMAg MRATE PERMITS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK FEE SUMMARY: Base Fee Surcharge Total Fee $50.00 $.50 $50.50 euzLazNc 028023 06J24/96 CONTRACTOR: - Applicant - sT. LIC. ?? R? WATER & ASSOCIATE3, KEITW 19421060 0001508 ?BYRIH?R .70AN 10340 VIKING OR 110 1195 DUCKWOOD TR EDEN PRAIRZE MN 55344 EAGAN MN (612) 942-1060 (612)686-0942 - I hereby ackMawle'd'ge thaC I have read'this application'and'staCe thaC Che" infarmation is correct and' agree to comply with all applicable 5tata of Mn. Statutes and City; of fagan, Ordinances. ANT/PRMITE 2j? E S NATURE SSUED BY: SI ATUR CITY OF EAGAN 3830 PILOT KNOB RD - 55122 7996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) 681-4675 RemodeVReoair Reauirements S?-o ._5 d Q_Ati? ?/ L?' ? 3 registered sile surveys ? 2 eopies of plan ? 2 copias of plans (indude beam & window sizes; poured tnd. design; etc.) ? 2 sila surveys (exterior addRions & decks) ? 1 energy calculations ? 1 energy calculations for heated addkions ? 3 copiee of tree preservation plen H lol plattad after 7l1l93 required: _ Yes No Q DATE: CONSTRUCTION COST: ?OIQOO / t , ? ( ?C? DESCRIPTION OF WORK: 1 !?,K1 bt A I o We4l I,6t)e? LtAi5?1? 0 STREETADDRESS: ? LOT BLOCK ? 9? ? ?u??0od? ?l? SUBD./P.I.D. #: ?t.tqau MI?I SSI2 ? ?? G*? PROPERTY Name: ?I VC(t'e V Uoaln Phone#: 6V-09'f2- OWNER Street Address: < < 9 ? ?u rine. ?°a? 7v City: EA44 14 State: M/V Zip: 23 CoN7w?cTOR Company: l.lJ a+tYs?- ss oC,c?i?c f Phone #: -Tq'2- W9 ???? Street Address: ( 034f0 V i'Li A,%!_5 t/v. License #: 1S 0? 71I I City: E66!? pk-.. l ( vi'e State: p; . MN Zi ARCHITECT/ Company: Sa'L&A'c _ Phone #: ENGINEER Name: Registration #* Street Address, City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalry applies 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. Signature of Applicant: OFFICE USE ONLY RECENED Certificates of Survey Received _ Yes _ No ,f ?N 117 1986 Tree Preservation Plan Received Yes No -ZW ----------- OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?' 16 n 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New P0 33 Alterations ? 36 Move 0.32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Ailowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main tevel sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering -f• . Basement Finish Swim Pool Public Facility Miscellaneous MC1WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SIW Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ ?L ? --?- % SAC SAC Units INSPECTION RECORD I C°"` °"°. 0 519 CITY OF EAGAN PERMITTYPE: BuILDiNe 3830 Pilot Knob Road Permit Number: 080605 Eagan, Minnesota 55123 Date Issued 05 j27/92 (612) 681-4675 SITEADDRESS: t,or: 12 BLOCK: 2 APPLICANT: 1195 DUCKWOOD TR ARLINGTON HOIVES ST. FRANCI9 WOOD3 6TH (612) 432-9725 PERMIT SUBTYPE: sF owG TYPE OF WORK: NEW INSPECTION FOOTING .. . FRAMIN6 D• INSULATIOW FINAL FIREPLACE ._ REMARKS: RECEIPT M ? L S&W PIBR. _ -1 I PERMIT ?CII'Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 000605 05/27/92 SITE ADDRESS: 1195 DUCKWOOD LOT: 12.. BLOCK: 2 ST. FRANCIS WOODS TR 6TN DESCRIPTION: 9uilding Permit Type Buildirtg'Work 7ype UE3.C (Sccupan cy GonaCruetion`Type Zoning % Bui2dfng Leng.th ~. .ti.BUilding Width r-. . SF DWG NEW R-3 14-1 .... VM R-.1 64 63 _. .,, .. r, i ? ?2 REMARKS: RECEIPT # Q ()j(,()4g FEE SUMMARY: 8ase Fee Plan Review 3urcharge SAC 5AC % SAC Units Subtatal 5&W PLBR. _ VALUATION $161,000 $853.00 MISC FEES j554.46 7ota1 Fee je@.60 $700.00 100 $2,187.95 51.610.50 $3,798.45 CONTRACTOR: - Applicant - sT. I.I pWNER: ARLINGTON H009ES 14324725 880326 pRLING70M BLDG CORP 13774 PRINCETON CT 13774 PRINCET4N CT SAVAGE MN 55378 SAVA6E PIN 55378 (612) 432-9725 (612)432-9725 I here6y acknowledge thst I have re:ad thSs app.ti;catian and state that the informatian is correcC and agree t.o comply with aSl applioable State of Mn. Stmtutes and G3ty af Eagan Ord'inanees. L APP ANTlPERMITEE SIGNATUR I5??,: R-?? L ??.?? Control No. . 0519 -1 s%ERMIT # CITY OF EAGAN 1992 BUILDING PERMIT APPLICA710N 681-4675 ?? ? 5.F. e_l? ..;e4Y Z 7 RECtt SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural.& structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date ( aa //Z%L Valuation of work ly61 0 0 0 ; / / -7 ' 7 k ?1J5__ p -A wooc .L C te Addr s: STREET - STE / Tenant Name: (commercial onty) wt sLaK ?- suso. c?iJS) Gv D O d S ? ff GTG P.I D. N Descri tion of work: s? e??1?--ra J The applicant is: 0 Owner Contractor ? Other cces«sbe> Phone ?`.?o? ? q ??ZS^ ? coaP N 7-/0 9 n . ame 0 9 r a Property LAST FIRST Owner Address 13 '7 7 ? Pa>:v ? ? 745 v ? t . STREET STE Y City State /'?/•/• Zip 5'15-378 .? Company SR rrJ'!5- _ Phnne Contractor Address License # Exp. City 5tate ZiP Company Phone Architect/ Engineer Name Registration ? Address ' City State ZiP Sewer 8 water licensed plumber DRE„f E",2 ? A.vh r-{?i? . Processing time for sewer & water permits is two days once area has een approv d. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ali applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? _OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 05 Apt. Bldg O 09 Basement finish e 02 SF Dwg. ? 06 Garage/Accessory ? 10 5wim Pool ? 03 Two family ? 07 Fireplace ? 11 Res. Add. CI 04 Mult9-fam. T.H. ? 08 Deck ? 12 Res. Porch WOR K TYPE 0 31 New ? 33 Alterations ? 35 Move ? 32 Addition ? 34 Tenant Finish O 36 Demalish GENERAL INFORMATION Lonst. (Actual) v- N Basement sq. ft. (Allowable) v-nl Ist F1. sq, ft. UBC Occupancy -3 M-1 2nd F1. sq. ft. Zoning 9-7 5q. Ft. total i of 5tories Footprint Sq. ft. Length -Tq--r On-site well Depth '530 On-site sewage APPROVALS Planning Building ?S S ?/9a Engirieering Variance REGIUIRED INSPECTIONS ? 5ite 0 Mallboard ? Footing ? Final .E3 framing ? Draintile ? Insulation O ftreplace Permit Fee 553,00 Surcharge So Plan Review 55 ys License MWCC SAC 00, dv City SAC /01=,aa Nater Conn. ca Mater Meter y g, po Acct. Deposit 3 0,00 S/W Permit 30,00 S/W Surcharge ,50 Treatment P1. ?d,oo Road Unit 39o,ou Park Ded. Traits Ded. Copies Other Total: SAC % ) U0 SAC Units I_ Yaluetim: f-/??. C)aa ? . GA?zAr?e; 32 k Z I=?'12 '&SMT: IST Floult A. x 7 = I'/axd> J S 5'? !4 IS?q x ? 13 Comm/Tnd New ? 14 Comm/Ind Add O 15 Comm/Ind Rem ? 16 Public Fac. ? 17 Agricultural NWCC System YES City Water Y?s PR4 Required Booster Pump Fire S{irinkler Census Code I°t SAC Code 04 Assessments lOS'7G 233W0 1 53 - 83691 ?yxsv= ?s?6 xs3 ? ?? I x t6= a4x32= r76g 28 xzq s 672 7S K Y? 3 2 /y?` Cs yc IS?M el GD 8Sl ? • , , EX'f°.RIOR ENV13LQPE AVERAGE "U" COMPU'CA'CION • ()WNER: >I'CE ADDRHSS:_ "g1 ryV 7 ST. FRAnrCig l&Iooas 67"-I ADo177o&l CON'CRACCOR: 1VLUIti&Tb1v f"?rM .?-? DA'CE: 717(qZ- PHONE: DE'CERMINE WQRKING SOUARE F00'CAGE OF EACH: 1. `CO'CA1:. EXPOSED WA1.,L AREA ?15I,Z SQ. F'C. X rrl 2. 'CO'.CAI.. ROOF/CEILING AREA (?I f.O SQ. F'C. X i UZZ _ ?It 3. `.P(y'CA1:, EXPOSED WA1'..1:, AREA CALCUI:,A:CIQNi: :Cotal exposed wall acea above floor a) 'Cotal wall window area Zol-I 0 SQ.F'.C b) `Cotal dooir ar.ea 51,7 SQ - F:C c) 'COtal sli.di.ng glass dooir area 61 b SQ.F'.C d) 'Cotal fi.replace wall area ,L SQ•F'C e) 'Cotal wall fcaminq area 4? .`>Q•F:C (avei-ac{e 10%) 60 F Z4o X ..U,. , 39 - ffs.? X „U„ X .. U., X „U,- r 7C = 7r? X 1.U 11 , e `l = Z5? f) '.Cotal net wall ar.ea above L? SQ.F`C. X"U" ?t5? fleoc (i.nsulatec') Z ` " " q) :ccal r.i.m joi.st area -1 fr SQ.F'C. X U ' ?? L .COtal foundati.on ar.ea ^c SQ.F:C. (exposed) h) '.Cotal foundati.on wi.ndow acea SQ-F'.C. X "U" V = ? i. ) :Cotal net foundati.on ai-ea SQ. F:C. X "U" above qrade 'ro'cAl:, a ) theough i. ) If i.tem #3 i.s the same as, oi- less than i.tem #1, you have met the i.ntent of 2 MCAR 1.16008 A and O. 3zU - e?5fi?,s o? nAGE 1 4. 'CO'l'AL CXPOfiGD RDUF/CEII TNG CAI',CULA'PIONS: 'Cotal exposed cooE/ 6(+0 sQ• C'P. eei.li.nct acea j) 'Cotal skyli.<tht area ;Q.["P. X"U" - ? k) 'Cotal roof/cei.li.ng SQ.F'C. X"U" ?GZfo = `t"i L- frami.ng airea (average 10%) 1) :Cotal net i.nsulated 1+52,? SQ.F'c. X"U" i:oof/cei.linq area 4. 'CO'.CAI:, j ) thcouyh 1) If total of #9 i.s the same as, or. less than #2, you have met the i.ntent of 2 MCAR 1.16008 A and o. A]',:CERNA'CE BUILDING ENVELOPC DESIGN :Co uti.li.ze the total envelope system method, the values establi.shed by the sum of #3 and #9 sha11 not be clreater than the sum of i.tems #1 ano #2. 1. +2. 3. +9. C:ER'CIFICA'CIUN I her.eby certi.fy that I have calculated the "U" factor.s anc "R" values herei.n and that the bui.ldi.nq heee desccibed meets or exceeds the State of Mi.nnesota Ener.qy Conseirvati.on Act. A „ I rr n- (Si.rnatuire) \) (Date) PAGE 2 ? ? -. , n 3[ix7g NISTAUCiIOM JIHINC SECTION: 11ALL SECTIOH (INSULATED) --{ 1 1 M 5 A R YALUE RIM JOIST SECTlM1: -?1 Interlor •(r fllm 8.6q' ? i ,; ? 3 1 4 ? b Exterlor air fOUNDATION INSUlATI0t1 REqUIRED: Min. R-5 on entire wall OR fllm - ?-•1/R ? 24•6• r1d p,p•;•,4 Min. R-10 doNn to frost aepth ' . , _ w - FOUNDATION SECTION: , , Interlor a!r f11T I f1,RA A " ZWood & 3? Insuldt?.on 1.0 4'•A'•' _i 3 .°•locIc ? lZf ?: e;-:A. ? ?-{4 Exter or a r riim n.17 • a. t S ??:e•_-_ - •?,, ? (6 a;:J. d ? TOTAL R- 12. 96 TEM U ? 1/R - .08 SLA!! ON GMDE A ;',ti f? •; ° d ?. . '?? . ? Heated S1abs: ?a,•? ,.•? Minimun R - 8:5 Ur.heated Slabs: ?• '`?' 'a Mlnimun R - 6.2 ,- a• ••a ,.? . ? A? o,e e : ?• ?: At:? ?,'. . . ,•?. ??? b ,--.,...;d?•• •- •,,:?.•.a•a,i 4 ? q ' , ' ...,. ' ? ? ; . ? Qr. .• • . •. . 4 ?? . . •. •? ? ?. ? ? . 4• ? ? • ?.4. . . . 64 . . ' . ? ? ? t • • q. :d•. ' 4: • • n ' - ? :. • Pase 3 U>ft ?. _nm U - 1/R - .043 CEIlIliO SfCTIr) N (I?7?1!lA UC 1 Intertor aIr fllnn n ?• 2 ` F 7 .P7° . , ? Exterlor air I m tstill n, 1 TOTAL R -4?7 U -.. I/R ' W ? CEILIMf. FR/U71MG SECTI6N: 1 Interlor air f11w 2 3 -Tn4ulat m h ntar 5 3 or a r +n st r1 ?" nchcs so t wood d - 1/R-_026 G CEILIHG SEf.TION (INSULATED): 1' Intertor air ftlm 2 ? Exter or e r tilm (still) f1. Al ? U- 1/R? ? CEILiHr, FAnr1INr, SECTION: 1- Interlor af r fl1m 0,f,1 x i 3 ? Exterlor a r, m st 1 A. 5 ? nchts so t rrooA TOTAI R ? ? U - 1/R ? n 1 Inslde afr.fllm ' +f.Rt 2 3 • ? 5 uts Ae a r m ?. 7 TOTAL R ? U- 1/R?_ ? A - VENTED Pioriepr Ensin?erins 'x * PIOryEEp tnNO 5uI2VEY0R5 • ciMG * e g neer ng LAN11 PIANNER3 • LANOSCV 6819488 1P.01 2422 Entcrprise Drive Mendota Heights, MN 55120 612) 561-1914•Fax 687-9468 625 Highway 10 Northeast Blaina„ MN 55431 612) 783-1880-Fax 783-1883 Certificate of Survey for: AI'II1'lgtOrl Homes Nouse Address: Duckwood Trail. Eagan. MN 0 _ wooo ? _ ? o ?? - ? 7 Y, ?90 ?e^'`/ fl?? r'jp'n•A?Y-.?O?:?e. Q ? ? e'??`?,1 c { 'P 0 , ; ? l 906 70 2 ? N,?\ py 1 \ ` ?f? ? ? 0 \? \ t'? , ?t\ o ? \c ,`d SSnOF C) lUti.I 909oe1_ ` ` r ` ?? ??`•` D `?? ?] P ? ? S 9ob.i3 ?.? zo?. _- »° '? , ? ?• ?w'? °?:?? G , ? 315 OS r?pp o 16? 's ? ?? (}? \ ??j ? A Oa ? •- f .S \ ?a'? ?o ? \ s 01.7 \ ..,. 54 ? 9p1.0? ? ?` ?5c? ? ?R V;rK ? ` z ? S9gSZ ???2•6_4 „650?'. Z cP,•,? /r\,.? - e?'ao f 8gg,a ? \ 4? O »ok' ? cs, p ??^^ ``^?4-- -?_^?, A v " •1 ? [ ?u" rL ,3a`B •?. jr .. ) EAGAliT EIv? vW O 4 3 1 n^ x 900.0 Denotes Existing Elevatian =??oo? Denotes Proposed Elevation --- Denotes Qroinage & Utility Easement Denotes Drainage Flow Direction -o-- Denotes Monument --r3- Denotes Offset Nub Bearings shown .? ? \ . 16,'oo A„ ? \\ 5 ?6 x2 ,? PROP05ED HOUSE ELEVATION Lnwest Floor Elevation:90?.00, Top of Block Elevation:909.33. Garage Slab Elevation:909_33 are assumed LOT 12 , BLOCK 2 ST. FRANCIS WOODS DAKOTA COUNTY, MINNESOTA 6 TH A D D I TI 0 N I hereby certi4y 1hat th4 survey, plan vr raport w?esr rprepn.ed by me or under my direct sUU??rvicion and (hPl I ym UVIy Rspistered LenJ Su.veyor undsr the laws of ihe Stace of Minnasoie, Uaied thfs? day ot ?an.o. 12 3Z, I ? / ///? /{??? Scal \ 5?+.. C' \, 1• " (?? ? C-?l - __ ?BBt . ^ ?+LK/ e: 1?n 30- FJOBEEPtT .REG.Np.la89A ? CTfY OF EAGAN `j u?sv. (v?? ?cic6si-ap67?nT xECIIrr #? l? DATE xESIDIIVTrni. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMII.Y DR'ELLINGS. ALSq COMPLETE FOR TOR'NFIOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DR'ELLING UNff. OWNER: FEES SITE ADDRESS: ADD ON/REMODEL (E1ilIISTING $ 15.00 CONSTRUCfION ONLI) INSTALLER: ? HVAC: 0.100 M BTU S`a0 00 ? 24.00 PHONE u O` ?a ADDITIONAL SO M BTU 6.00 ADDRFSS: O•, \'? GAS OUTT.EfS - MINII?fUM 1@ $:i Fr?.? td-C?O CI71': \ K-? ? ZIP:? SURCHARGE $ .50 SIGNATURE `- TOTAL: $ 'y- S .b?C ` COMMERCIAL PLEASE COMPLEI'E THIS PORTION FOR ALL COMMERCIAT./INDUSTRIAI. BUILDINGS. AISO COMPLEI'E FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS WfIEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf. WORK DFSCRIP7'ION: CONTRACf PRICE FEFS 1°Fa OF CONTRACT FEE. STATE SURCIL4RGE IS 5.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCFSSED PIPING • $25.00 $ r?"iniiiu,vi cc - $%:.30 OR'NERe TOTAL: $ STI'E ADDRESS: 'PENANf: SUITE #: INSTALLER: ADDRFSS: C11'P: ZIP: PHONE #: CITY SIGNATURE: SIGNATQRE 1 1 , ------------------- WORK DESCRIPTION NEW CONST ? 1 ADD ON - I REPAIR OWNER NAME: SITE ADDRESS:kV LOT:? B?LOCK INSTALLER: ADDRESS CITY SIGNATURE OF LfiNISUSTR,IAL:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND / MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH ? DWELLING UNIT. COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 ot SHOWER 3.00 ?? WATER CLOSET 3.00 12.00 `01 BATH TUB 3.00 L-00 . j_ LAVATORY 3.00 I 5• Oi? ? KITCHEN SINK 3.00 3,0 O ? LAUNDRY TRAY 3.00 ?-0 J HOT T[JB/SPA 3.00 ? WATER HEATER 3.00 0 ? FLOOR DRAIN 3.00 3.00 GAS PIPING OUT. ? (MINIMUM - 1) 3,00 3 0 ? ? ROUGH OPENINGS 1.50 N,5 Q) OTHER ? WATER SOFTENER S.OD 5 O 13 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 SUBTOTAL $ IaL,, &,Q ST. SURCHARGE .50 TOTAL: $ tn 7•00 ------------------.___' CONTRACT PRICE: ? OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: PHONE FOR: TOTAL: ( S IGNATIIRE ) ZzP: Cslf?__ol tp FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1$ $ STATE SURCHARGE $_ ZIF: ? CITY OF EAGAN FOR CITY IISE ONLY 3830 PILOT KNOB ROAD EAGAN MN 55122 PERMIT # PHONE (612) 454-8100 RECEIPT DATE: 7/3 PLEASE COMPLETE IIPPER YORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ti SUBD. AL. lJr4 L 1?41 CITY OF EAGAN #:_ 1 . APR ' SNELLING, GHAISTENSEN, BHIANT & LAUE, P. A. 'V93 arroRNEYS er i.aw SIIITE 400 RONALll L. SNELLING 5101 VERNON AVENUE SOUTIi OF GOUNSEL JOSEPH J.GHBISTENSEN MINNEAPOLIS.DIINNESOTA 55436 WALTSR Q GIISTAFSON THOMAS A.HRIANT ROHERT P.LAUE TF.LEPHONL (612) 929-8655 FACSIMILE 16121 D2'7-5427 soaxe.MaaR&r April 5, 1993 Joan E. Bircher 1195 Duckwood Trail Eagan, MN 55123 RE: St. Francis Wood 6th Addition/Street Landscape Islands Maintenance Dear Joan E. Bircher: Our offices represent Richard Land Associates which was the developer of the St. Francis Wood 6th Addition subdivision. As a lot owner in that subdivision, you are probably aware of the "street islands" located in the culdesacs on Blue Heron Court, Bald Eagle Court and Falcon Way. These islands enhance the attractiveness of your neighborhood and each lot owner benefits from these landscaped areas directly and indirectly. Although the landscaped street islands require very little maintenance, the City of Eagan has required that a plan be formulated to provide for the maintenance of the landscaping in the street islands on an ongoing basis and expects the lot owners in the subdivision to join in and support this effort. To this end, we have drafted a Declaration.of Covenants for Maintenance and Repair of Landscaping which has been signed by Richard Land Associates with respect to the eleven lots in the subdivision which Richard Land continues to own. The Declaration also contemplates additional owners in the subdivision joining in the covenants by signing a separate Consent. A copy of both the Declaration of Covenants by Richard Land and the Consent to the Covenants for the other lot owners is enclosed for your review. It is anticipated that the cost of maintaininq all three street islands will not be more than $300.00 to $500.00 in total annually for the next several years. This would result in a cost to each lot owner of approximately $10.00 to $15.00 per year with all lots participatinq. If areas are not properly maintained, the city does have the right to remove landscaping in islands. By becoming involved, other lot owners can assure themselves that the islands will continue to be an amenity to their neighborhood and not become a detriment. Please review the enclosed documents and let me know if you or your legal counsel has any questions. If not, please sign the enclosed Consent to Declaration of Covenants for Maintenance and April 5, 1993 Page 2 Repair of Landscaping in the space indicated by the red "x". Please also have the Consent notarized with the notary completing the acknowledgement and signing in the space indicated by the blue "x" in the area provided for that purpose below your signature area. The notary should place the notarial seal in the area to the left of the notary's signature line. Once the Consent has been signed and notarized, please return it to me in the return addressed envelope enclosed and I will see that it is recorded with the Dakota County Recorder. We look forward to hearing from you in the near future. Very truly yours, SNELLING, CHRISTENSEN, SRIANT & LAUE, P.A. Joseph J. Christensen Attorney at Law JJC/bc Encl. cc Thomas Colbert, Director of Public Works, City of Eagan J. Donald Giefer, Richard Land Associates CONSENT TO DECLARATION OF CaVENANTS FOR MAINTENAINCE AND REPAIR OF LANDSCAPING The undersigned, being the Owner(s) of the following described property: Lot 12, Block 2, St. Francis Wood 6th Addition, according to the plat thereof on file or of record in the office of the Dakota County Recorder (the "Lot") hereby consents to that certain Declaration of Covenants for Maintenance and Repair of Landscaping executed on behalf of Richard Land Associates dated the Sth day of March, 1993, and filed on the 16th day of March, 1993, in the office of the Dakota County Recorder as Document No. 1107468 (the "Declaration"). The undersigned also hereby agrees that all of the terms and conditions of the Declaration shall be binding upon the Lot from and after the date this Consent is recorded in the office of the Dakota County Recorder. Dated this day of OWNER(S): 1993. Y J'oan E. Bircher STATE OF MINNESOTA) )ss COUNTY OF ) The foregoing instrument was acknowledged before me, a notary public, this day of , 1993, by Joan E. Bircher. Y ' otary Public THIS INSTRUMENT WAS PREPARED BY: Snelling, Christensen, Briant & Laue, P.A. 5101 Vernon Avenue South, Suite 400 Edina, Minnesota 55436 ! ? lp/ 2422 Entcrprise Drive * * Mendata Heights, MN 55120 y P10NEER L/NO SURtEY0R5 • c?VIL I s (siz) e81-1914•Fox 651-9468 T ?- ^ LAN? PLANNfRS • LM1NOSCAPF ARdI1TECT5 * eng?neer ng 625 Highwoy 10 Northeost * 61aine, MN 55434 * ?[ ?f ?1(612) 783-1880•Fax 783--1893 Certificcte of Survey far AI"I31'1gtOf1 Homes House Address: Duckwood Trail. Eagan, MN r- ?- r- ? _ - TRAIL ^ ??L4__ - - \` '! WO rr \ to 0?7 ? •1 ? ?? ? - ~ 6 , -' R- 22'5 ? ?' p ?( _=,=- ? SGY, ?•(,?? ?---- {' ? ° ;i.'- ? 1 _ _• ? _ , " ? , a 1 ? \ ?'" i ` 2o?J cP 1 p 90(o.7o,q? 1'? n ??ni;? :±•1 , 5`Z' ?36 , 1? ? (r i1 y`'?r.?e'- _? ?f, ~' ', ?, pc,? ' 3 ? ' (? •. / ? ? ' 2? ? ? ..r._ ^. cZ??' ?\ 1? C.- \ ?t \? •.1 ` ' . O' JO>.? N i 1 O ~_ . ?JD?a ?C' c? ` '? N \? O d' N N(5P ' ? S1J r s Q? ` \ ''? ` ` A ? ? '} \ •\ 9??` ? J O'-'?Ja?c.pCvi .'i. • + \??1.g7-?,? y,?lr ?I p?Op ?, ,, ? •, ,? .901.7 i 5z ? 2 &? c? za•5? ?".5??? i , rn? V yii ;?r2N???1 r'-.l O F?.. I yy •-J` d'? ?9t?,1 < - ? ..\ & .1r.U` ?j _.... ... .. . p k0 . ?.. A1rtaG`- ??e C-r)?1 EAGAN egvI Eweo 1?1 C? ,?.-- cbg?\ tD ?O .P v W o , 0? ? ,S'_ 20 -`???- • (? ? , ?, x s&ao Denotes Existing Elevation PF?UPO5ED HOUSE ELEVATION o` ? l?• ' ? .(9oa3;: Denotes Proposed Elevation Derotes Drainage & Utility Easement Lowest Floor Elevation:901.-E10-qp-ov ? Denotes Drainoge Flow Direction ToP of Block Elevation: -909:33 _ 909.33 ?- Denotes Monument Garoge S)a6 Elevation: ---e- Denotes Otfset Hub Bearings shown are assumed W/o E?E?. 4oZ-g?101/-g0 LOT 12, BLOCK 2 ST. FRANCIS WOODS DAKOTA CDUNTY, MINNESOTA 6 TH A D D I TI ON 1 he,eby ce-Tify that thl; yurvey, nlam or rsDOrt w?xs p?repr.ed by mF or untler my dtrett 5UU¢rvicion end thel I ?m NUIy qppi;tered LnnJ $uryqypr unyer ths lews of ihs $taie of "dinnasota. Uewd ehis= ? r-? day oi M a S? q,D. 79 I Sca!e: ,?eh-- .. ,eet- - __:,--?. 1 ? O ^HS18EpT , KjQ ?, REt), NtJ, 14871 G? tV For Office Use I ��/6 9 Permit#:EAGAN Permit Fee: 1-i • cc ECEIVED Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 j AUG 0 7 2019 Staff: buildinginspections(c�cityofeagan.com BY: 2019 RESIDENTIAL BUILDTKITPERMIT APPLICATION Date: S� 20(Ci Site Address: 11�S fl ` ( I- Unit#: Name:'1).°4-v- -- C,tneh(L r `-"u'\ Phone: 651 � 0775r— Resident/ A�- r. owner Address/City/Zip: (l 1' cL-v4c- 17-1°1-/ r. q� c.Jc4-N / ,v-'J, CS/2-3 Applicant is: Owner Contractor / / / O , Type of Work Description of work: deck- ''�v s- see e crp+Uh Construction Cost: eC "'k'e 43i51:)0Multi-Family Building: (Yes /No X ) can 1cWOO° "Contact: bØ5 &7 ' Cc �Com any Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as nonpublic If you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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. 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.copherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and proval of plans. Applicant's Printed Name Applicant's Signature p0 NOT WRITE BELOW THIS LINE I q 5 - Likw e / 7 -'5 TO' ' SUB TYPES Foundation Fireplace _ Porch(3-Season) Exterior Alteration(Single Family) Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building* Addition Move Building _ Reroof _ Demolish Interior rAlteration Fire Repair _ Windows _ Demolish Foundation Replace Repair Egress Window _ Water Damage Retaining Wall `Demolition of entire building-give PCA handout to applicant - DESCRIPTION Valuation szek3v.— Occupancy .142-1--- I MCES System Plan Review Code Edition 1444 Zoi,( SAC Units (25% 1004 ) Zoning g I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Vj Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: l Footings (Deck) Final I C.O. Required Footings(Addition) S Final/No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS Insulation Windows Sheathing Retaining Wall: Footings Backfill Final - Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 1'D,r) fin r/in , Building Inspector RESIDENTIAL FEES / 9 • /Cr Base Fee Surcharge 10 it /S. e Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 *--- ,,,c6)occi TR___ . I1 q /5-'''.`.-•------7....:,..,..3' Sg , . Pioneer Ens i neer•i ns 6819485 ,P.01 A, it * 2422 Entcrprise Drive * .Mendota Heights. MN 55120 * P10NEER LAND SURVEYORS •MAL ENGINEERS , _,� (612) 681--1914-Fax 68t-94x8 * er neh ei Ing LAND PLANNERS.LANDSCAPE ARCFYlTCT.* 625 Highwoy 10 Northeast Blaine, MN 55434 it . ** (612) 783-1880-Fax 783--1883 Certificate of Survey for: Arlington Homes House Address: Duckwood Trail, Eagan, MN r- f - r ___---------? *3 r r 6 CO -r'� 1 J a�D -5,-�O,,;tee_ ".6,A _ t \ ,....\\ __.- 0n-7o ..- N t�os It (� 1` r f 1 cI�Q�&1 ---' `I �bk, y \ .`b �1 \ 1 't O /'r `(y rgtvF'K''� - r r'� , 1 \\ D� ��S\. r'JV�. , r 2V i �pOt1C'61of \ 1i \ \\ 1� 'co` La }` , ,a G R�a� $ .\ 9ob.i3 11 `\ '`tea pts. ,1 G� \� .tP \ A':%:3> *---- tl0 -- $ t v3 1 \0 \ s '� `.` 6 a - ,- c041,64-y. '1 \ t� }\-'" 2a, -" ,�\ 900, -O� y pR ,,r 6"5- , ,�?'.,.o., \ - , \ 02, t2 .;;,7 tp \. \ \ `i 5+.00 ' �e r \ t t2')�rK 891i,S \ 21°x;`50 G^.1e/ /— '''--.i 6",�13 ,9 8 �,.8 cp!J \ ,X, / `0 ti • tOP r.) OS (9.�� \ 'y` ,l(u)s�'e� / ()0 O ‘' 1-' 12 Ctrs ,r \�[^÷/.C"; ~'�-^`^•.� - - �1,1 D „......_ i . . YJi U1Y r~ '�� ` rVatt�� tb�bOR�yttPG� gy , ' EAGAN th,INE T_rte o, �, r t L- �swo O •\ co 1\ ''). x 000.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION .061 Denotes Proposed Elevation Lowest Floor Elevation:901.O0, =—_--= Denotes Drainage & Utility Easement - Denotes Drainage Flow Direction Top of clock Elevation:909.33 ` —o— Denotes Monument Garage Slab Elevation:909.33 —e—Denotes Offset Hub Bearings shown are assumed LOT 12 , BLOCK 2 ST. FRANCIS WOODS DAKOTA COUNTY, MINNESOTA 6TH ADDITION I hereby Certify that this survty,plan or report wbs1prepared by me or under my dlrert supervision and the(I am duly Registered Lind Surveyor under the laws of the State of Minnesota,Dated this `"T•+` day of M An. A.D.19-5- , r r / '�i } ff ///``///�/] yam• /• j Scale: nt:h_3Oteet ROBERTS. EG.NO.14891 PERMIT City of Eagan Permit Type:Building Permit Number:EA170809 Date Issued:07/19/2021 Permit Category:ePermit Site Address: 1195 Duckwood Tr Lot:12 Block: 2 Addition: St Francis Wood 6th PID:10-65905-02-120 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: 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 - David R & Cheryl D Erickson 1195 Duckwood Trl Eagan MN 55123--117 (651) 470-7366 All Aspects Enterprises Llc 9318 White Oaks Tr Champlin MN 55316 (763) 670-7663 Applicant/Permitee: Signature Issued By: Signature