1200 Duckwood Tr
r
Use BLUE or BLACK Ink
I For Offce Use I
j Permit City I
of Ea~d I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 ? I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 MAR 0 3 2011 1 Staff: I
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: / Unity#::
Name: co j/ / Gf Gc Phone: S~ l'6 S 506
RESIDENT / o
as i 7A
OWNER Address / City / Zip: /i
Applicant is: Owner Contractor
TYPE OF WORK Description of work: Aa VL 2 /,La ~
Construction Cost: 0061 Multi-Family Building: (Yes /No
)
Company: Contact: /S/-// CONTRACTOR Address: 99'06 C,4, r kN-,, -e City: --7~ d& -r V
State: ` Al Zip: Phone: VX` Z ZI ` Z//
License 2-06,.3 S g 5 1 Lead Certificate
Does this project require Lead Remediation? ❑ Yes )XNp (see Page 3 for additional information)
e12- M 7 q'
If no, please explain:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orci
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 a work will be in
accordance with the approved plan in the case of work which requires a review and approval of pl
x &6-,o x
Applicant's Printed Name A plic s Signature
Page 1 of 3
1-:~wo
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES i `g ~``a~t f" ~~tM
New InterioriImprovement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
"&Alteration _ Fire Repair Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition r j,7- Orfl SAC Units
(25%_ 100%4 Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction- Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough in -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge {
Plan Review".
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge e J~
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
r I
I Foi' Office, USe
I I
City EaEd Permit#: s 9 I
of I P
ermit Fee: -55. I
I I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
I
Phone: (651) 675-5675 I Staff: t~ I
Fax: (651) 675-5694 L
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 3,.::o,,' it Site Address: }Z CIO ,c-u- ..J000 -rp-A t L--
Tenant: Suite M
RESIDENT / OWNER Name: -R-*" Phone: WZ 27 s q Y 4 11
Address / City / Zip: 2 Ob p ~r~, vJc~ts(~ I p-4 LL--
CONTRACTOR Name: muy p~V v~ q t V1 License (p 7q %e PnA
Address: (e 1102 53~ W-J r!-)'J City: Q(Av-Q,0-11
State: Zip: SS3u'~ Phone: (o t2- "Z`~ 72-90
cj : c-°~►"'
Contact: tj Email: O\ c-V, ~1trk f1tvw.6tt,
TYPE OF WORK -New _Replacement _Repair Rebuild _ Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.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.
x ~ILV- 4Qe e ~ x C", - 1, - J~L
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
0 t7. .. -cMi dP f
WeMficate of cccupanc?
?? ? "im
Tq?««jt of is"" -eft0aNft
This Certificate issued pursuant to the requiremarls of the Uniforin Building Code
cenifyiRg tluu at the time of issuance thts structusr was in corrrpliarrce with the various
ordinances of the City negulating building constnection or use- For the following:
Use Claasificauon: SF DWG Bldg. Permit No. I283
? ? RI ?
Owner of Bul?ng ?M ?? ?g Disbid Ad&= 15136 GALAXEE AVE' APPLE VAUEY ?
, Bui Add?ess 1? ??'M ?• tanliry ?, Bf , `? •r'IS W? 6? _
Idigg dd?es
11/ 13/Q2
D? F
Buildin8 OMcial
POST IN A CONSPfCUOIJS PLACE
? . ? INSPECTION'RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLiCANT:
1:100 Ililf'KiJtfUD TR (a: MI1N BLpFi% 1NC
`•1 f I"allNc 1•, lffjo[t e, (!i 4:31-5000
PERM4T ,?NPTYPE:
TYPE OF WQRK:
Control Na. 0956
ftUtlDitiG
AYJL2fl3
Y8/18f9?
NFW
INSPECTION
f ni? I 7 FI?, ., •
F'itAM71$0 .A
?
iMsU! Af 1(iN fIHAL
FIRPPIACE I
htFMARKSi S& W r.oNrQAcraR --. pErHE P1.88
{'.,'?' ? _ ? __ . " ._ . . . ? _ . _ . . - _ _• w- ? : ?'??? S ?= ? . ??t ?+'L.1=?? Y f x'? ??
?
. ? . ? . . . ... ? 1
Psrmit No. Permk Holder Date Telephone 1t
SNV
PLUMBING
HVAG
ELECTRIC
ELECTRIC
Inepectlon Date lnsp. Commerrta
Footings I
Foundation y2 S
Freming
Rooflng /ox1/92'
Rough Pibg.
Raugh Htg.
/
I9ul.
Frepface
Final Htg. ?Y-
Orsa? Tesi
Flnal Plbq. Plbg. Inspector-Noti#y Piumber
Const. Meter
Engr./Plan
Bldg. Fnal
Deck Fig.
Deck Final
Well
Pr. Dlsp.
(Ld¢ress: 1200 DLKkWOOD IRAII. yot 5 Blk I Sec/Sub ST FRANr-IS IrWD 61H
These items were/wexe not complete at the time of the final inspectlon.
Date: ]I 12 92 Yes No L)
Final grade (6" from siding) v
Parmanent stepa - garaga ?
Permanent steps • main entry j/
Permanent driveway ?
Permanent gas
Sod/seeded grass
Trail/curb damage ? .
Porch
Basement finish v
Deck
Please verify With the builder the ramoval of roof test caps from tha plumbing
system and the shut-off of water aupply to the outaide lavn faucei before
freeze potantial exiats.
a?
White • City copy Yellow - Reaideat copy Pink.- Contractor copy
7/.0 9s
004044
Fequesl ? e Fire No. Rpugti-Inlns?ction Required Inspection Ot?er Than Rough-In
/n
?
?? (VOU musi call mspecmr wnen reatly) 0 Reatly Now ? Will Notify Inspector
?
{ ? ves
N. D.I. Rcatly
IN licensed contractor ?owner hereby request inspection of above electrical work at:
or Route No i
N
Job Atltlms515treet q Ciry
(
?
I2610 L/ icCk Woo 0 z/4-Nl= Z-?(?c
Seclion No. Townshlp Name nr No. Ranyc No. Cou/qy
(!'/TKB?
Occ
y?
N (PRIPIT) Phone No.
/
)
y!/1IY.K nkk -Z.[. Z r?
73
Pow uppller
m Atltlress
/}KOM LL-'Crf_' iC N_ /ni =TDN
ElecVi I ConVactor ?COmp,ny Neme) ConVactors License No.
H
Malling tldress (C [reclor ar Owner Making Installetlon)
. c, ?,n zYC??? ??.? ?-t?L 5?iz
Authon tl Slgnalure (COntraolodOwner M2king Insqlletlon) Phone Number
453
BOARD O ICITY
G82 9 Un versly Ave, St. ? Paul. MN 8 S1pQ IIII p? ?I? II?I pll' II? IIIN pll, ! Ni I+II . . UNLSS E PROPER INSPECTION BOERD
Phone (612) 642-0800 III A N N ?? II p N I ??; nn ENCLOSED
/ REQUEST FOR ELECTRICAL INSPECTION °°.?? ??/g oooo'i/-ps/
O? Sen inslmclions for completinq ihis form on back ol yellow copy,
y
044 °X" Below Work Covered by This Request
Ne Add Fep. Type of Building Appliances Wired Equipment Wired
Home Fange Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Load Management
Comm.llndustrial Furnace Other (Specif )
Farm Air Conditioner
Olher (spamYy) Conirector's Femarks. GG n
//K L /?,°.
Compute lnspection Fee Below:.
k Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0" 0 to 100 Amps
Transformers Above 200_Amps Above 100 -Amps
Signs inspaciors use oniy. TOTAL
Irrigation Booms ?f? •O
Special Inspection V
Alarm/Communication THIS INSTALLATION MAY BE ER SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif
th
t th
b
i
i
h R0°9n;n
Date
cer
y
a
e a
ove
nspect
on
as
been made. Final
? . .J
OFFICE USE ONLV
This reyvest voitl 18 monihs ircm
? 7G 73
4
26
K
?
?
9 ?
,-7
,
Reduesf Date
Q G'.
?
? Fire
NO. Roug?in Inspection
R?7y?re0?
? Ready Now ?ill Noliy InspBCta
n R
Wn
O
?
'? /
? ?YiYes ? No e
ea
y
IP( licensed contractor ? owner hereby request inspection of above electrical work at:
Jae AEtlress (Sneet Box or Route No.) .
lzao o???w?od -fe.?.?c Ciry
Section Na.
1
Townsnip Name or No.
Range No,
Counry
.D14 Ka-t4,
Occupanl (PRINT)
0 ? ? Plime N
3
Power Sopplier Atltlress
Elecvical Comractor (COmpany Name
? . . ??.a J e ? ? c Cc.a Contreclor9 License No.
CA--v •°, l"D /
Matling AEtlr ss (COnbactor or Owner Makinq nslallalion?
Z
1z
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,
.s
,
S
Autnori tl Si ure ICo iaporr ner Maki stal lion)
?f?f? _ Phone NamDer
4-1 z 3
MINNESOTA STRTE BOAPD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Gri99s-MlEwey Bidq. - Noom S473 BE HGLEPTED BV THE STATE BOARD
1821 Unlvercity Ave., 51. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phana(81])BC2-0B00 ENCIOSEO.
9///9.p-
K 442-26
REQUEST FOR ELECTRICAL INSPECTION
? See insvucitons for completing this lorm on back of yellow copy.
"X" Below Work Covered by This Request
"??;#, d7G73
ew Atld Rep. TypeofBuiltling AppliancesWiretl Equipmen[Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other(Specify)
Comm./Industrial Fumace
Farm - Air Conditioner
Olher ?syecity7 Comrector's Remarks:
Compufe Inspecfion Fee Below:
# Other Fee # ServiceEnlranceSize Fee # Gircuits/Feetlere Fee
Swimming Pool 0 to 200 Amps • aG 0 to 100 Amps
Transformers Above 200 _ Amps i 9ove _ Amps
$i91t5 InspBROr9 Use Only: TOT?L
?
trrigation Booms 17??U ?ys
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
01her Fee COMPLETED WITHIN 18 MONTHS.
1, the Electrical Inspector, hereby AOU9n-m oate
certify that the above inspection has
been made. oate0-
OFFICE USE ONLY
This request wia 18 monNS irom
n S O 2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
' 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New CansVUCtion Rewiremenls
3 registered site surveys showing sq. fl. W bt, sq. ft of house; and all roofeG areas
(20%maximum lotcoverage allowed)
1 Soils Report rf propwed builGing is to 6e placed on distur6ed soil
2copies W plan showing beam 8 wintlow sizes; poured fountl design, etc.
1 se4of Enerqy Cakula6ons
3 copies of 7ree Preservation Plan if lot platted after 711193
Rim Joist Defail Option selection sheet (6uildings with 3 or less uniLs)
Minnegasco mechaniwl ventilation form
RemodNlReoair Reauiremenis
2 mpies of pian showing tootings, beams.joisLs
1 set M Energy Calculations for heated aAdifions
1 site survey for addi6ons & decks
Addifion - indicafe i/on-site sepfic sysfem
Ao.oo
Office Use OnN
CeAOfSurveyRecd --._Y _N
SoilSRepa6 -=Y _N
TreePreSFian ReW V . N
TreePreSRequired Y _N
On-sKeSeptic?System_ ._Y _N
Date ConstructionCost
Address ),-k?n WU UniUSte 1t
Description of Work A 57/,( I
I /•,?,?/(t Tl ??,v??Q G"'??
T
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 X 1 _ 2
Pro
ert
Owner Tele
hone #V,5j)
p
y p
Contractor A ( n? Q- dol tk?
Address i
E City
J2rrJaii
??
,
State yy? / i/1' ? Zip .35(? Telephone #q-('A
-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Enefgy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submiried Submitted
• Energy Envelope Calcula6ons Submitted
In ihe Iast 12 mon}hs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Coniractor
Sewer/Water Contractor
Telephone #(
Telephone # (
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. `
/?m ?
Applicant's Printed Name Applicant's Signature
DO PIOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt- Muki
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 PorohlAddn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvaes
? 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 Windows/Doors
? 34 Replacement 'Demolitian (Entire Bldg) • Give PCA handout to applicant
DBSCfIDti011: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review 100% 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
_ Foatings (new bldg) _ Sheetrock
_ Footings (deck) _ Final/C.O.
_ Footings (addition) _ Final/No C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Wa[er _ Final Pool Ftgs AidGas Tests Final
_ Framing _
_ Siding Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows
_ lnsulaTion _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
ToWI __??
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 Cons[ruqion ReauiremenLs .
3 registered site surveys showinq sq. ft. of lol, sq. ft. of house; and all moted areas
(20% maximum lot coverage allowed)
1 Soils Repod if pmposed building is to be placed on disNrbetl soil
2 coptes of plan shovnng 6eam & window sizes; poured found design, etc.
1 setof Energy Calculafions
3 copies oiTree PreservaGon Plan if lo[ platted atter711193
Rim Joist Detail Opbons selectlon sheet (huildingswith 3 orless units)
Minnegasco mechanical ventiiation form
RemodellRepair Reauirements
2 copies of plan showing (oo6ngs, beams, joisfs
i sel of Energy Calculations for heated additions
1 site survey for additlons & decks Addifion - incffcafe if on-sife septic sysfem
-05. 00
/vaa. aa-
0/037 , aa
OKce Use Onlv
Ced.ofSurveyRectl _Y _N
SoilsReporf _Y _N
TreePresPlanRecd YY _N,
Tree Pres Required Y- - N
On srte Sep6c System Y _ N
Date r ! O 9 / O"t Construction Cost L4C) O'tDU
Site Address o O Q v L<< W epn6l --- tJ'c?' ? UniUSte #
<:?. c. ,-. 1M Iv
Description of Work ? 5@ G 5 0+'?
D Fireplace(s) _ 0
Multi-Family Bldg _ Y_CN
2
Property Owner VMi\tf \<v-"t e? c, d Telephone #( )
Contractor Yv'\ Axw 2 ?1 No ?Y C
Address ?c35 CiS O{5cC City W'DoC.k hv"y
State -0SY? W.,n.J Zip S? 1 Z 41 'relePnooe # ((,51 ) 73:Wa) 4 - a?-l S C
_
aK 3-7 -2(? 'F?3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(?l submissionType) Submitted Submitted
. Energy Envelope Calculations Submitted ,
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masTer plan?
_ Y _ N If yes, date and address of master plan:
???? c ?
Licensed Plumber = " [ ? ? \`"7 F
Mechanical Contractor 16n1 Znn?_
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the infonnation 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 witliout 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. ?
ApplicanYs Printed Name Applic Ps Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? Ot Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
0, 32 Addition
? 33 Alteration
? 34 Repiacement
? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? OB 06-piex ? 16 Fireplace ? 21 Porch(3-sea.) ? 31 Ext.Alt - Multi
? 09 07-plex ? 17 Garage iti 22 PorohlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgaze6olpergola) O 36 Multi Misc.
? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 12 12-plex ? 25 Miscellaneous
J-i, Al pe s K ;+CV+ Pv? ?e&?61?)e1
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reraof ? 46 WindowslDoors
'Oemolition (Entire Bldg) - Give PCA handout to applicant
DesCrlption: WaterDamage_Yes
. 3, DOD
Valuation 10
Plan Review ? 100% or
Census Code S ?
SAC Units
# of Units
# of Bldgs
Type of Const Y /
Occupancy MCES System
25%
Zoning City Water
Stories ? Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width 1 ?
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
Footings (deck) PinaVC.O.
? Footings (addition) p CS P Fc4ff?%/ Final/No C.O.
_ Foundation L° HVAC
Drain Tile Other
Roof ?O Ice & Water ?o Finai _ Pool Ftgs Air/Gas Tests Final
Framing _ Siding _ Stucco Lath _ Stone Lath Brick
Fireplace Y? R.I. 'AAirTest ''? Final _ Windows
b Insulacion Retaining Wall
Approved
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies 3
Other ?A ??e5
Total
Building Inspector
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2422 Entarprl9e Drive
M-doto Heighta, MN 88120
612) 681-7914•Fax 881-94es6
625 HiqhWOy 10 N«theaa!
? * Blaine, MN 55434
(6112) 783-1880,Fox 783-1883
e of Survey fQr: Qz Un Buiiders IC1C.
House Address: A1.ickwood 7rail Ea.?an tt ,
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-? denokes IJrainage & U#ility Eosement
Denotes Droinage Flow Direction '
--o-- Denotes Monumen t
n
r
h
U
P.02
?
06
1 r?
,
: f . ..... . ..?... . ^_ ?
ENs:aN EE RIi?I
E,AiG AN
PRQP05ED HOUSE ELEVA71pN
Lowest Floor Elevation 9ja,7,5
Top of Blqak Elevation 106,S
Garage Slab Eleva#ion 906,f G,
-E3 enotes Offset Hub Bevrings shown are assumed --- -
LOT 5, BLQCK 1 ST. FRANCIS 1NDODS
I hereby Nrtity that DAKOTA COIJN7Y. MINNESOTA 6TH A..?D ITI ON
thia eurvey, plen or report was preperBd by m@ or undar?ny-direeeaep
undar the laws ol tha Sta1e ol Minnesote. Daled this ??aB?Tlered 1.end SurveyO?
?Y. R?1-P7?. I?EVS$?IZ^°I2..? ?daYOf._J-!Fl A.D.19?..
/ `
.", . . . : ?/1r
Scale. ??? =?O1eEt AO6ERT ? 1 ti ,S.qEG.NO,a4891
l
. . ? ??
m 92370,00
R=9?%
08-14-92 09:54AM P002 #06
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW ction Reouiremenfs RemodeVFteoair Reouirements
3 regislered site surveys showirg sq. R of lot sq. 8. of house; and all roofed areas 2 copies of plan
(20%maximum lotcoverage allowed) 1 sel of Energy Calculations for heated additions
2 copie.s of plan showing beam & window sizes; poured found design, etc. 1 site survey for addNons & decks
1 set of Eneigy Calculations AddNon - indicate i/on-site sepHc sysfem
3 copies of Tree Preservation Plan if lol platted aRer 711/93
Rim Joist Defail Oplions selecfion sheet (61dgs wllh 3 or less units
14.?
? rl c)
Office Use OnN
Cert of Survey Recd _ Y_ N
Tree Pres Plan Recd _ Y_ N
Tree Pres Reqd _ Y_ N
Onsite Septic System _ Y_ N
Date (? / ?
q / 03 Construction Cost ?/ mo ?
Site Address [ZOC' DuL K''-''jpdD UniUSte #
-G? e;v+o . ?na 56i7-3
4SE
A
3 i
13
Description of W $f
1
A
ork
Multi-Family Bldg _ Y vN Fireplace(s) U_ 1 _ 2
PropertyOwner ?-? Telephone#(?a51
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissian lype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
TI'l f 1 i-, i,? ,.
$EP 0 g
Teiephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
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 pernut, 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.
14000LAaD
ApplicanYs Printed Name
A&K' _" _ '"oQ
ApplicanYs 3ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweliing ? 08 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 0 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex 0 12 12-plex P16gl'Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
33 Alteratlon ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bltlg) - Give PCA handout to applleant
Valuation 70If D Occupancy 2" 3 MC/ES System
Census Code Zoning ?Q-1 City Water
SAC Units l Stories Booster Pump
Nbr. of Units 0 Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const ? Width
_ Footings (new bldg)
_ Footings(deck)
_ Footings(addirion)
_ Foundation
Drain Tile
Roof Ice & Water Final
? Framing - - -
Fireplace R.I. Air Test Final
Insulation
REQUIRED INSPECTIONS
FinaUC.O.
? FinaVNo C.O.
/ Plumbing
35 HVAC
Other
_ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By SJP 9"10-43 , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other '
Total
,..25
PLUMBING (RESIDENTIAL)
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
Please complete for. Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date
-?
Site Address J?-UCJ yW oc,p [?( ??z.?
?
U
nit #
Property Owner 4LZ1G w Telephone #(?i 57 )C/ ti?- /L9 r?
Contractor
'
?
T '
cv L
L< l S
Address
wc.? /J/ City
c.CF
State Zip Telephooe #(G-S? 7S b`Os-,9 a
The Applicant is _ Owner Contractor _ Other
Septic System New _ Refurbished Submit 2 sets ot plans and MPC license $ 100.00
Includes County fee. Additional consul[ant fees may apply.
Altera ions To Existing Dwelling Unit, Including $ 50.00
Adding fiMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other: ?'-f? v?-i c?
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
State Surcharge
$ 50
SEP o 8
Totsl $
i;
I hereby apply for a Residential Plumbing Permit and acknowledge t.at,the information is complete and accurare; that the work will
be in conformance with the ordinances and codes of the City of Eagan randwrtH=€Iie--Tlumbing-Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a per ' the work 'll be in accordance with the
approved plan in the case of work which requires a review and approval of pl
J?? c s ?M A? wt
ApplicanYs Printed Name App? nt's Signature
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pi1ot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when pertnits are required for each unit
?
Date d
Sit
Add
? :2
(5:? ?
it #
U
ress
e
--
? n
Pro
ert
Owner hone # ??-
Tele
p
y p
Contractor
J!N ? A ?. L I iuu •
Street Address410 WEST LAKE STREET City
MINP 55408-2998
State 612-824-2656 ZiP Telephone # ( )
The Applicant is _ Owner ? Conhactor _ Other
Add-on, modiFcation or alteration to existiug dwelling unit $ 30.00
fumace replacement
? air exchanger
air conditioner
_ other
?
State Surc6arge $ 50
T
t
l $
o
a
I hereby apply for a Residential Mechanical Permit and aclmowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the iry of Eagan and with the Mechanical Codes; tha erstand this is not a
pemrit, but only an applicarion for a permit, and work is ot to start without a that the work ' b in ccordance with the
appr d plan in the case o work? c jequues a review nd approval of pl .
Ap?UanYs Printed Name - Applicant's Si
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complcte for: commercial/industrial buildings
mulri-family buildings when sepazate permits azc not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State ' Zip Telephone # ( )
The Applieant is _ Owner _ Contractor _ Other
Work Type
Newconstruction UndergroundTank _Install _Remove
Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minionum Fee (includes SEatc Surcharge)
ContractValue $ x 1% _ $ PermitFee
• 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 Permit and aclmowledge that the informarion 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; that I understand this is
not a pernrit, but only an application for a permit, and work is not to start without a pemrit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanYs Printed Name
ApplicanPs Signahue
Approved By: , Inspector Date:
53 lkob1
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Comtruction Raauiramen[s
• S:egisteretl site surveys showing sq. R. of lot, sq. tt. of house: and all mefed areas
(20°'o mazimum lot cove2ge allcwed)
• 2 cones oi plan snowing beam 3ainecw s¢es; pouretl four.d aesgn, ztc.)
• 7 set o( cnergy Calcula(ions
• 7 copies of iree Preservation Plan if lol platted aRer I11i93
• Rim Jois[ OeWii Optians selection sheet (6ldqs with 3 or less units)
DATE
SITE ADDRESS _
TYPE OF WORKJ
APPLICANTI?
STREET ADDRESS
TELEPHONE #?o
CELL PHONE #
T?
L..?5? STATEqk) ZIP'_?M t -1
PAX # b5I' D- la-O 1 (JS
PROPERTYOWNER TELEPHONE#lr°iA"`-iN "I2"IZ
---------------------------------------------------------------------------------^--°--------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y?INNE:SO'l'.1 RUI.ES 7670 CYtEGORY ] N4I\"\I:S(YC.1 R['LL5 7672
(v'submission type) . Residential Ventilation Category 1 Worksheet Submitted • New EnerSy Code WOrksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ___
Plumbing system includes:
Mechanical Contractor:
Mcch;uiiril svstcm include,:
Sewer/Water Contractor:
-- .lir Condiuonin;
Hral Rccoccn' Svstcm
---------°--°---------------°-----------°-------------.....---
I hereby acknowledge that I have read this application, state
with all applicable State of Minnesota Sfatutes ond City of Ec
Slgnature of
Fce: ,y90.00
Pcc: 570.00
Phone #
------•--------------°-----------•------------
information is correct, and agrje'e to comply
0`4 -;y, 10 OFFICE USE ONLY
Certificates of1Survey Received _ Tree Preservation Plan Received _ Not Required _
_ 4Vater Softencr
Water Heater
` No. of Baths
_ Plione R
Iaim Sprinkler
No. oC R.I. Baths
Phone #
ftemodellReoair Requirements
• 2 cooies of ,Iar.
• I set of Energy Calcula[icns for heated additons
• 1 srte survey for ex:enor addi[ions S Cecks
. Indicate d home szrvetl by septic system rer aCtlilions
VALUATION -.9C\03
MULTI-FAMILY BLDG _Y
FIREPLACE(S)
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 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 Levef ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Misceilaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) Fina1'C.O.
_ Footings(deck) FinaU?!o C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Ochzr
Roof _ Ice & Warer _ Final _ Pool _ Ftgs _ AirrGas Tzsts _ Final
_ Framing _ Siding Stucco _ Stone
_ Fireplace _ R.I. _ Air "Cest _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
SSW Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
INSPECTION RECORD Control No. 0956
CITYOFEAGAN PERMITTYPE: auiLoiNs
3830 Pilot Knob Road Permit Number: 001283
Eagan, Minnesota 55123 Date Issued: 08 /18 /92
(612) 681-4675
SITEADDRESS: LoT: 5 BLOCK: 1 APPLICANT:
1200 DUCKWOOD TR Q2MUN BLDRS INC
ST FRANCIS W000 6TH (612) 431-5000
PERMIT SUBTYPE:
sF owG
TYPE OF WORK:
NEW
INSPECTION
FQOTING .. .
FRAMING .A
INSULATION FINAL
FIREPLACE
REMARKS: S& W CONTRACTOR - PEINE PLBG
?
7
?
- - - - - - - - - - - - - - - - - - -
PEIZMIT
CITY°OF LAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
Control No. 0956
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
001283
08/18/92
SITE ADDRESS:
1200 OUCKWO00 TR
LOT: 5 BLOCK: 1
ST FRANCIS WOOD 6TH
DESCRIPTION:
Building Permit Type SF OWG
' Building'Work 7ype NEW
UBC Occupancy R-3 M-1
Construction Type V-N
. Zoning R-1
6uilding length 68
Building Width 28
i ?
'-
REMARKS:
S& W CONTRACTOR - PEINE PLBG C 02-oT 5-3
FEE SUMMARY:
VALUATION $146,000
Base Fee $800.50 MISCELLANEOUS
Plan Review $520.33 Total Fee
Surcharge $73.00
SAC $70@.00
SAC 8 100
SAC Units 1
Subtotal $2,093.83
$1.610.50
$3,704.33
CONTRACTOR: - Applicant - s7. I.I OWNER:
OZMUN BLDRS INC 14315000 000104 OZMUN BLDRS
15136 GALAXIE AVE 15136 GALAxIE AVE
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 931-5000 (612)431-5000
I hereby acknowledge that I have read this application and state thaC the
information is correct and agree ta comply with all applicable State af Mn.
Statutes and City af Eagan Ordinances.
APPLICANTIPERMIT IGNATURE
:SIGN TU-RE h?
1? D A B'
I li.3
cinr oF EacaaN
1992 BUILDING PERMIT APPLICATION
681-4675
4j I q v4•L
AU 6 13 RECD
SIN61 & 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 typin? of permit is requested, but not picked up by last working day
of month in which re uest ts made or lot chan e is re uested once ermit is issued.
Date (! / / Yaluation of work
Site Loca ion: 1900 QJE?k)O M, V'tzl ? (900
STREET STE 1?
Tenant Name•
LOT BLOCK ? SUBD ?. P.I.D. #
3%
-
Descri tion of work: f Ok e 1°
-1 4 am, i
The applicant is: ?I Owner Contractor ? OCNEI' (Describe)
Name C Phone -
Property LAST FIRST
owner ?51?? ae
1`P
. Adaress %
t
/ SiREET
City 1?A?1 STE 11 -
State ?? Zip ?
Company W9 Phone +??
I? ? # 1
aci 'e
Contractor Address License
City ll State ? Zip
a
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber "& f ea ? . Processing time for
sewer & water permits is two days once rea has tieen approve .
I hereby acknowledge that I have r th' app ication and state that the information is
correct and agree to comply wit 1 ap icabl State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: . Y
BUILDING PERMIT TYPE
? 01 Foundation
4;102 Single Family
? 03 Two-family
? 04 Multi-fam. T.H.
? 05 Apt. Bldg.
WORK TYPE
OFFICE USE ONLY
1106 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 11 Res. Add./Porch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
O, 14 Comm./Ind. Rem
? 15 Public Fac.
d 90 New El 93 Remodel ? 96 Move
? 91 Addition ? 94 Repair ? 97 Demolish
? 92 Alterations 0 95 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy R."-1 Basement sq. ft.
Zoning R-l lst F1. sq. ft.
Const. (Actual) V_N 2nd F1. sq. ft.
(Allowable) V- N Sq. Ft. total
# of Stories Footprint Sq. ft.
Length ? On-site well
Depth 2 g On-site sewage
APPROVALS
Planning Building
Engineering Yariance
REGIUIRED INSPECTIONS
? Site
? Wallboard
? Footing .
? Final
? Framing
? Draintile
? Insulation
? Fireplace
\
P
it F
800
So
YetLiati«,: ?
/yC, o00 -
erm
ee
Surcharge .
, pb G ARotGEt 2? xa z= y6Z x? 6=17392
Plan Review ,
License
_ BSMt? 3$X?.$- /06y
MWCC SAC
City SAC 0. 0 OF
oo -
/$x 8= 1yy
Water Conn. o? ?20g X 15= /g lZO
Mater Meter
Road Un i t qs,oo
j
Isr FLoDa ;
Treatment P7. :3 00,o'o RsMr_I zo3 x 53= 6?l,OZ?l
aeed-crR;tsow -ft.oo
RazLjk4 - c
?OV. ,3?•vs 2uaFtaoA'.28x38= I06yx53 = S6.3g2
T
.
Copies
Other
q2$
Total:
SAC % LOo
SAC Units ?
l.?Y y
r `y' r
f
• ? ?? ?.
? 16 Agricultural
0 17 Building Move
? 18 Demolition
? 20 Miscellaneous
MWCC System YES
City Water Yes
PRV Required
Booster Pump
Fire 5prinkler
Census Cade /Dl
SAC Code ?L
Assessments
P.02
* * *
* (?IONEEp
2422 En}erprl9e Drlve
Aiendoto Haighta, L1N 55120
672) 881,7914.Fax 881-948$
? -- ---? -- ---------?•_?.??.? 625 Hiqhway 10 Narlheas!
* * ? * Blaine, MN $5434
(812) 783-7880•Fax 783-1883
Certificote of Survey for OZ UP1 B iid rs InC.
/
?4
\ \
1 A \ \ ?
1
\
\
\
? ? 1\ \\
\ ? 1 \
_ ?o Denotes Existing+ Elevatio
Denotss
Proposed n
Elevation
? Denotes Drainage & UtilPty Ensement
- Denotes Droinage Flow Direction "
-0- Aenotes MonuMen t
D t
House Address: u wo T'I Ea n
`
\
S ?g•OD' 6
? r-
?
? p s o 1 d `? 0 `
` ,o y
` q \ Q &? N -4?
? w 1
p \ p Q'm
? \\ ? ?
C) ? ?as s? zH? ?r?r1
? ` L N1r _ _ _ N
0
0 \ ?o \ .??? ?u' 1r-JOa,1ga ?
` Q
„•?? ;i s?
?
Dat4'
EAG?iPd EN
?
d
0D
1 ?
G=,
.?
s...._.: ..
PROPOSED HOU_ SE ELEVnroy
Lawest Floor Elevation @8,'15
Top of Block Elevation qOb,s
Goroge Slqb Elevation 9D6,1 6
-19 eno ca Offaet Hub Bearings shown are assumed
LOT 5, BLOCK 1 ST. FRANCIS WOODS
DAKOTA COllry7y, MINNESD7A A D D TI 0 N
I hGYe6Y C?ft11Y thit Ihls lUrvpy. Plen DY nPOrl wes PrqJYGd bY m6 O u.w undar Me laws of tha State ot Mlnnaat0. Dated this ?I
n? ?-end Surveypr
R.mv. RRoQ, EtEUS, ??IY,?Z„? -?'a•vof a.o.la .
S?P?J,PfIaR£L8'Vt. ?-Itf.e?? ',
S G p le: j inp-h - 0 1eet aoaenr nec. no', 1ee91
rfa s2a70,ao
R=97%
08-14-92 09:56AM P002 if06
OZMUN BUILDERS, INC.
DESIGNERSAND BUILDERS MN Lic. 0001044
15136 GALAXIE AVENUE, APPLE VALLEY, MN 55124 (612)431-5000
_ Avera e 'o W.Domputation
Job Site Address _I /?? ?i?.?L ?}"y,? ?•'1('?? ?( rEs?? w
Legal Description: 1 . /,-?
Lot ?? Block l Addition?'? ?G(UG ??v?`/ Date_(f2?
AVERAGE LINEAL FEET OF
EXPOSED WALL AREA ABOVE GRADE
.w-rr i
kl'ti -I
11
If
Main Level ' • r p.-,
Lineal'£t of framed wall above gradei"/x heiqht of wallG? I aI??C/
Second leveY g-,
Lineal ft of*framed wall above grade??J2 x height of wall V= ???0
Vaulted Area
Lineal ft of framed wall above grade ' x height of wall
Rim Joist Arita.
'Lineal ft of rim ?5±x height of rim?_=
Lower 1eve1 •
Lineal ft of framed wall above qrade - xheight.o£ wall
.•Lineal ft of framed wall above grade - x height of wall
Lineal ft of.masonry wall above gradelEx hcjt..aboVe•:qrgdZ==
Total Wall •ar.ea .above grade including windows and doors
WINDOWS: Brand and'mvne
q.fft.
q.t.
Ve'a q.ft.
q.ft.
q.ft.
q.ft.
' q.ft.
sq.ft. x
sq.ft. x
.. sq.ft. x
. , sq.Et. ic
sq.ft, x
• sq.ft. x
' sq.ft.. x
DOO?RS: Area."U?" ? lue ?7? „ (? f r/?x
sq.ft 2x
sq. ft. x
sq.ft. x
OPAQUE WALL•CONSTRUCTION:,Area x"U" ve ue.
Framingmembers sq,
Framed wall
sq.
Rim Joist Area sq,
Masonry wall . sq,
Total wall area including
Windows and•Doors
Total(U) Values
Divided by?tota wa 1 area
AVERAGE "U"
a. ?Z?
b, a25,5y =
a.17g
„6„?_e ?,II
uVu ?
?
uVu _
?
nUu _
uUu _
nUa - i
uUa t-:
nUn ?
uVu a
uVu a
uVu .
nVu _
nUu _
,
?? ?? ?
?
?? u ?? , 17)
?
3---?-
11Uu _
?
11 Ud
,
nUu 4- -3
Hull 40
I ,
??u H
b
Avg. n0" FZO
Minimum .ll:or less.for 1& 2 family dwellings
?F-MML, _ JWaLL- I 9-\4,.WE
?
tX'TE21pIz. J=Ifz- FILM
SI Dlu&
SI-fEATH I Wla
5???? ?oF7 V10oD
?12? UYP• P.?I7 '
, 17
2.C?Co
!o : 8'75
.?
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U=!/IZ
L_;5,_, eL ? CITY OF EAGAN CITY USE ONLY
PLUMBING PERMIT
SUBD. ?J/ect?,.e? (aNJ (612) 681-4675 RECEIPT # I
? DATE 7S 4?-
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. AL50, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
NO
ADD ON _ L
REPAIR
?
OWNER NAME: ?
SITE ADDRESS:
- - ? n TZ
l.s.c f'
INSTALLER:
c q??
ADDRESS:
CITY:2IP:'-?
PHONE _ z1 ? 17" Gl
SIGNATURE OF PERMITTEE
___________________'
COMPLETE THE FOLLOWING:
FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
SHOWER 3.00 ?
WATER CIASET 3.00
saxH TTrs 3.00
3c-a
IAVATORY 3.00 _Z,
KITCHEN SINK 3.00 _jLtIV
IAUNDRY TRAY 3.00 3??Z
HOT TUB/SPA 3.00
WATER HEATER 3.00 ?
FIAOR DRAIN 3.00 ?-Q
GAS PIPING OUT.
(MINIMUM - 1) 3.00 wLts
ROUGH OPENINGS 1.50
OTHER
W?.TER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
STATE SURCHARGE .50
TOTAL: S ?-} 1.! . OO
' COMMBRCIAL
PLEASfi COMPLETE THIS PORTION FOR ALL COM4ERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE m $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CTI'I' OF EAGAN .
L 5 B? ?/ MECHANICAL PERMIT
SUBD. ?- ?-7rta.wa.,o Gc,411' (t'y' (612) 681-4675
RESIDEIVI7AL
RECEIPT # G c) uj -13 -7
DATE 9 5 9 ?
PLEASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAMII Y DR'ELLINGS. ALSO, COMPLEfE FOR
TOWNHOMFS/CONDOS WHEN SEPARATE PERMITS ARE REQUIRID FOR EACH DWELLING UNI1'.
OWNER. ADD-ON A/C ADD-ON FU?tNACE?
STfE ADDRFSS:?
' o o ADD ON/REMODII. (E7QSTING
CONSTRUC170N ONLl) $ 13.00
nvsTnLLEx: .?ce avnc: aioo M aTTr
?
24.00
PHONE +If: 3??'p'S"? ?. ADDTI'IONAL SO M BTU 6.00
ADDRESS: GAS OUTLE'1'S • MINIMUM 1@ $3 EA. ? o U
CI1'Y: SURCHARGE: $ .50
SIGNATURE: TOTAL: $ tQ-
NO PERMIT REQUIRE? FOR DUCTWO?tK ONLY!
COMMERCIAL
PLEASE COMPLETE TfiIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNTf.
?Q,/5-
CtTY USE ONLY gr?
L S BL ? RECEIPT #: _i/3???
SUBD. /L?• ?? LVDW!( ? ? DATE: (01a'? 915
69. ?OOG? 1995 MECHANICAL PERMIT (RESIDENTIAL)
PA&u_ Y?ej. ?v?q5 ,, CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New co struction Add-on furnace
Add-on air onditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: C9
FEES
? 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 Q$3.00 each)
? State Surcharge ?
TOTAL ?G
SITE ADDRESS: 19071-
??
OWNER NAME: ?/f?? ? PHONE #:
INSTALLER NAME:
STREET ADDRESS: ????awe?? '0*?
CITY: ??STATE:42kz_ ZIP: ?a
PHONE #: (
?
f- /,j? 3-%.S ,QX
cirv use oNLY
L BL
SUBD.
RECEIPT #:
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 = required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ?$25.00 minimum fee pr 1°h of contract price, whichever is greater.
. Processed piping - $25.00
? State surcharge of $.50 per $1,000 of rm' fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
01NNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:.
ADDRESS:_
CITY:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITfEE
TELEPHONE #:
STATE: ZIP:
CITY INSPECTOR
RONALD L. SNF.LLINO
JOSIIPH J.GHAISTENSEN
THOMAS d.BAIANT
HOBEHT P. LAUL+
JOHN A.MUBRAY
SNELLING, GHEISTENSEN, BAIANT Sc LAUE, P. A.
ATTORNEYS AT LAW
SUITE 400
5101 VEENON AVENUE SOUTH
MINNEAPOLIS,MINNESOTA 55436
TELEPHONE 16121 927-8855
April'5, 1993
Michael and Diane Ciardelli
1200 Duckwood Trail
Eagan, MN 55123
OP GOUNSF.L
WALTHR C.GUSTAFSON
PAGSIMILE 16121 927-5427
RE: St. Francis Wood 6th Addition/Street Landscape Islands
Maintenance
Dear Michael and Diane Ciardelli:
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 joininq 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 maintaining 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 participating. 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 leqal counsel has any questions. If not, please have the
enclosed Consent to Declaration of Covenants for Maintenance and
April 5, 1993
Page 2
Repair of Landscaping signed by each owner of the lot and spouse,
if any, 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, BRIANT & 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 COVENANTS
FOR MAINTENAINCE AND REPAIR OF LANDSCAPING
The undersigned, being the Owner(s) of the following described
property:
Lot 5, Slock 1, 5t. 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
Maintenanoe and Repair of Landscaping executed on behalf of Richard
Land Associates dated the 8th day of March,
16th day of March, 1993, in the office
Recorder as Document No. 1107468 (the
undersigned also hereby
of the Declaration shall
date this Consent is re
Recorder.
Dated this
agrees that all of th
be binding upon the
corded in the offic
day of
OWNER(S):
1993, and filed on the
of the Dakota County
"Declaration"). The
e terms and conditions
Lot from and after the
e of the Dakota County
1993.
'yMichael V. Ciardelli
y
Diane L. Ciardelli
STATE OF MINNESOTA)
)ss
COUNTY OF )
The foregoing instrument was acknowledged before me, a notary
public, this day of , 1993, by Michael V.
Ciardelli and Diane L. Ciardelli, husband and wife.
/\Notary Public
THIS INSTRUMENT WAS PREPARED BY:
Snelling, Christen5en, Briant & Laue, P.A.
5101 Vernon Avenue South, Suite 400
Edina, Minnesota 55436
2007 RESIDENTIAL PLUMBING PeRnniT aPPUC,nrioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date Z s / 0 7 MiKE KNEELAND
Site Street Address 1200 Duckwood Trail Unit #
Eagan, MN 55123
Property Owner 6514541292 ione # ( )
Telephone # (lefZ ) 8Z7-UO33
Contractor /VO?,414I'!7 P!L!?'y
/
Address 2qOS Gsrfi[?d - City o? State.,*1 Zip Sfy08
The Applicant is: _ Owner ? Contractor _Other
Septic Sysiem New Refurbished Submit 2 sets of plans and MPC license
- Includes County fee
- $ 100.00
Per as-built $ 10.00
Fire Repair (replace 6umed out fixtures, etc.) $ 90.00
Alterations to existing dwelling $ 50:00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are insfalling onlv a water saffener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Tumaround (add $136.00 if a 5/8" meter is required)
Other:
WaEer Softener ? Wa.er Heater $ 15.00
`
_ new Y- replacement
Lawn Irrigation _RPZ _PVB _new _repair _re6uiid $ 30.00
State Surcharge $ 50.
Total - $ 1_S SD
I hereby apply for a Residentiai Plumbing Permit and acknowledge that the information is complete antl accurate; tnac cne
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permi work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is requir t be revie and approved.
J?? AJorblo?
Applicant's Printed Name p canYs Signature
Of L`J r Permit
I
E) I Permit Fee. V
3830 Pilot Knob Road 0 C T I D 2009
Eagan MN 55122 j
. Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
L-----------------I
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: ~V V✓ ~~(e~
Tenant:
(eSuitte#:
RESIDENT / OWNER Name: 1)(f V Phone: n, ` jN - t Z q L
Address / City / Zip: 1 V D 0a 0(w, O o d +(I
CONTRACTOR Name: Appliance ConnectIUFJW 11111t; License \ X
Address: r►.,.,:f-• ~`r
I
City: Shakopee, MN 55379 State: Zip:
Phone: 15Z-44Ho 99~erson:
TYPE OF WORK -New _~,Replacement _Repair _Rebuild _ Modify Space _ Work in R.O.W.
Description of work: ^
PERMIT TYPE RESIDENTIAL
Water Heater y Water Softener
Lawn Irrigation
Add Plumbing Fixtures
RPZ / _ PVB) Main _ Lower Level)
Septic System Water Turnaround
_ New
_ Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
"Water Turnaround (add $136.00 if a 5/8" meter is required) '
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90,50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
"-TOTAL FEES $ JV°
I hereby acknowledge that this information is complete and accurate; that the Aork 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 a Tication fora and work i
Y P not td
P permit, start without a permit; that the work will be in
accordance wit the approved plan in the case of work which requires a review and approval pia s.
X~ ,
x ~Ulil I
Applicant's Printed Name lAppticant Signat e
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under round -Rough-In
~ Air Test- Gas
Test Final
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA093843
Date Issued: 05/06/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 1200 Duckwood Tr
Lot: 5 Block: I Addition: St Francis Wood 6th
PID:10-65905-050-01
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Renewal Andersen Michael J Kneeland
1920 County Road C West 1200 Duckwood Tr
Roseville NIN 55113 Eagan NIN 55123
(61)264-4777
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
2011-09-0610:48 » 651975 5694 P 112
Use BLUE Or BLACK Ink V°
For Office Use I
R 1 Perrnlt t:: 1P "14~. on
Cif of Ealan
4P 1")
PeMlit Fee:
JY I 1
3830 Pilot Knob Road I ,
Eagan MN 55122 Cb t Phone: (651) 675676 S E it
scan:
Fax: (651) 675-694 L
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ( I Site Address: j ,,4: j I
Tenant: Suite >d:
11 RESIDENT I OWNER Name; ' Phone: ~
Address ! City / Zip:
CONTRACTOR Name: I License f7 3
Address: azz 1.u1n t., - i1 V6 City: ( ak1
State: - Zip: 5s 35_ Phone. La V a 9tD19 ~4 to ec
Contact: 3tjSO(J1 Email:
I
TYPE OF WORK New Replacement Repair Rebuild _Modify Speoe _Work in ROW.
Descrl on of work fiiL
PERMIT TYPE RESIDENTIAL
_ Heater -Water Softener
Water
Lawn Irrigation RPZ PVB) - Add Plumbing Fixtures C_ Main 1 Lower Level)
_ Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES.
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $6.00 State Surcharge)
$38.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonrrignt, Water Twnaround' (includes $5.00 State Surcharge)
'Water Turnaround (add $166.00 if a 518" meter is required)
$105.00 Septic System NM ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes 55.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Cali Gopher State One Call at (661) 4844002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www h r n 11. r
t 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 1 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 requime a review and approval of One.
Appllcaftt's Pdnbd Name Appll s S nature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test -Gas Test -Final
Use BLUE or BLACK Ink
-----------------i
For Office Use 411100 j Permit
qty of Eajan TO,
~E~ Q ~ I Permit Fee:
3830 Pilot Knob Road G -7 '1
Eagan
MN 55122 I Cate Received:
Phone: (651) 675-5675 I l
Fax: (651) 675-5694 Staff:
2012 MECHANICAL PERMIT APPLICATION
Date: Site Address: i Y3
Tenant: tell ('0 t,~C J Suite
RESIDENT /OWNER Name: r~r Phone: GZ~ -
dress City / Zip: i t r I ap, ,
IT Ad
Name: Ron's Mechanical Inc License
Address: 12010 Old Brick Yard Road City: Shakopee
CONTRACTOR
State: MN Zip: 55379 Phone: 952-445-8585
Contact: Linda Email:
New ✓Replacement Additional Alteration Demolition
TYPE OF WORK Description of work:
NOTE: Roof mounted and Wound mounted nvocha >~lW equipmont is required to be screened by Clity
Code. Please contact the Mochanicai motor for Inibrrnation on permitted screening metModa.
RESIDENTIAL COMMERCIAL
✓Furnace New Construction _ Interior Improvement i
PERMIT TYPE - Air Conditioner Install Piping _ Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) (OD-00 $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge) = $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1%
$60.00 Minimum (includes State Surcharge) = $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.aopherstateonecall.ora
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 'thout 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.
X L1ndWI`R',1Q~lQ'f ✓ X
Applicant's Printed Name Applicant's Sign u e
FOR OFFICE USE
Required Inspectiat>4tc. Reviewed Or. Date:
Underground Rough In Air Test Gas Service Test _ In-floor Heat Final HVAC Screeriing
Use BLUE or BLACK Ink
r
For Office Use
f
non ~ Permit
City of Ea ~
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 5 I
Phone: (651) 675-5675 f I
Fax: (651) 675-5694 I Staff: f
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4 Site Address: la D G~ w nad ~1G2' Unit
I - Name: 8r ~ Z c-
~C Phone:
y` Resident/ a
Owner Address/City/Zip: /ADO J)x61<1--0V '~rAr1
a
Applicant is: Owner K Contractor
Type of Work Description of work:
q~ ,l
Construction Cost: lJ j 7 Multi-Family Building: (Yes / No
Company: &-nsrl n r1'i5Q J~B~4 ~~~~~e+ ~r7 s Contact: ~r~ h S
~ D
Contractor } Address: 13 q5 City: t'~'
79, Phone: 6 ~a
State: M N Zip: rSj Sl3 ~~6
License _ ~ & S 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.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X-14 Lw\-, x &th,~ 400;::~
Applicant's Printed Name Applicant's Signature
Page 1 of 3
• , For OiMiw tlpzie G,� 1 1
• • i , } Permit 8: ni
• /
Date -- `
t
38 30 PLOT KNOBROAD F_A►GAfri,fav 55122-18 10 FEB 0 9 2018 1
(651)675-56751 TDD:(651)454-8535 I FAX:(651)675-5694tSeer ..
L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:2-8-18 s Address: 1200. DUCKWOOD TRAIL :
MIKE &AMY KNEELAND
Ptw
Name: rae� M
1200 Duckwood Trail, Eagan Minnesota 55123
Address/City/zip:
e ac
Applicant
is: Owner X Contracts
• ADD ON TO EXISTING DECK & RE-SKIN
Description of work.
Construction Cost: /.3)000 Multi-Family (Yes !No
Company:
ARCHITECTURAL LANDSCAPE DESIGN,INC. : jKeL DI'j QS
s. 19151 BROOKWOOD ROAD Cay: PRIOR LAKE
AddresMN 55372 t9€2r;�s INFO LDMN. OM C/ I
State: Zip: Phone: Email:
95a dol aY 7tig seaCe-)
license#:13_ 10 SW0 Lead Certmcate
If the project is exempt from lead certification,please explain why: e/(2
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BULGING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
_oYes _No if yes,date and address of masters•. plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
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.cityofeaaan.cornfsubscrtbe.
Exterior work authorized by a building permit issued In accordance with the Minnesota Stats Building Code must be completed within 1E9
days of permit issuance.
CALL BEFORE YOU Dm. Cat Gopher State One Call at(651)454-0002 for protection against underground ut y*mar. Colt 48 hours before you
intend to dig"to receive locates of underground utnities. pvwcoocherstatecinecat.org
I hereby acknowleciae that this information is complete and accurate;that the work will be ki conformance with the and codes of the City of
Eagan;that I understand this Is not a perms,but only an application for a permit,and work Is not to start a pent Mat the work will be in
accordance with the proved plan In the case of work which requires a review and approval of piers
xApp vC ) •x -4 ,
- 4-
!cant's Printed Name '+E• 1.' • ,net ,,
*.2 0 0 DU-C/400dd 74 . /47‘ig --?'
DO NOT WRITE BELOW THIS LINE /
SUB TYPES
_ Foundation _ Fireplace Porch(3-Season) _ Exterior tion(Single Family)
_ Single Family _ Garage ! Porch(4-Season) Exterior Alteration(Multi)
_ Multi Deck _ Porch(ScreeNOazebo!Pergota) _ MleceNansous
_ 01 of_Piex Lower Level _ Pool ^ Accessory BuSding
WORK TYPES
_ New _ interior improvement _ Siding Demolish Building*
Addition _ Move Building ___ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows ^ Demolish Foundation
Replace Repair _ Egress Window Water Damage
Retaining Wail *Demolition of entire bullLnng-give PC/►bandout to marolleant *.
DESCRIPTION �/
Valuation `$` 5 9,44- _• �'— Occupancy '_L-P-L— 1 PACES System
Plan Review Code Edtion Jin)h Zo 4S--- SAC Units
(25%_100%22) Zoning ",�I City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction U6 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O.Required
_ Footings(Addition) p Final I No C.O.Required
Foundation Foundatbn Before Backfill HVAC!Gas Service Test Gas Line Air Test
Roof:_ice&Water _Fk�l Pool:_Footings AidGas Tests _Final
Framing 30 tuvnutes,_1 Hour Drain Tile
Fireplace: Rough in _Air Test Final Siding:_Stucco Lath Stone Lath Brick EFIS
insulation Windows
— Sheathing Retaining Wall:_Footings Backs—Final
_ Sheetrock Radon Control
Fin:!Walls Fire Suppression: Roti in Final
— Braced Walls Erosion Control
—
Shower Pan /j/) /� Other:
Reviewed By: 1 29 j� /AF l V/ ,Building Inspector
RESIDENTIAL FEES RTip: 1, b 4 aL TIEX:Si%n 9
Base
4 e j e c K-i'A d- 6-of-,P-D)-2,4-,`
SurchargePlan Review 3 b I fg. l 3–• U ) 17. 147`-
MCES SAC
City SAC
Utility Connection Charge
SSW Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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• , For Office Use
E AGA N
•� `. .� .� Permit#:
Permit Fee: (t) - OD
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received:
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694
Email: buildinginspectionsacitvofeagan.com Staff:
Commercial Plan Submittal:eplansecityofeagan.com L
2018 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: o ZD o Site Address: /2 /GA 'O4Q T,-4t/L
Tenant: Suite#:
R sid@r11/Owner Name: /�/e/�1¢E�L /e��E�,I17✓Q Phone: ‘015-1--• 9,'30099
- Address/City/Zip: /ZOO ,?)U A✓O'O Ti4>L
ll�
Name:i9SS(/leEJ COYJ 7 c6Per /IC License#:
Address:_9b( /47i' City: �Z41�
tontraotpr
State: Zip: 7�Z3 Phone: lP/2-2 //2' 63
Contact: i)ei /) 1c-` Email be $Uftt/C ►? '#Avc e 4i
RESIDENTIAL
Furnace
10 Air Conditioner
Permit Type
Air Exchanger
Heat Pump
Other
New (10 Replacement Additional Alteration Demolition
Type of Work
{
Description of work: /R,e p l a Ce a!r C OK Cc -
RESIDENTIAL FEESr-
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
42610-
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
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.citvofeagan.com/subscribe.
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 th s 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.
Bob a/1/40,77- $111-C_—
Applicant's
Printed Name Ap icant's Signature
OFFICE E
I` It n
t spections.,- Revt� y
Underground trt f t a,
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164868
Date Issued:10/09/2020
Permit Category:ePermit
Site Address: 1200 Duckwood Tr
Lot:5 Block: 1 Addition: St Francis Wood 6th
PID:10-65905-01-050
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 -
Michael J & Amy B Kneeland
1200 Duckwood Trl
Eagan MN 55123--115
Jtr Roofing
11200 Stillwater Blvd N, Suite 106B
Lake Elmo MN 55042
(651) 777-7394
Applicant/Permitee: Signature Issued By: Signature