1207 Duckwood TrINSPECTIQN RECURD C°ntr°l "°. 082
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: t or S 17
l6,e 1 aM: Kwooo Tft
S7 FRAMCIS Noot? 6fH
PERRIT WIPTYPE:
TYPE OF WORK:
OESCRIPT?ON
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??- ---J----- - - - --- -- - - - - -- -- -------,-
PERMIT TYPE: agoiL t i' j "
00984"
Permit Number.
07116192
Date Issued:
K ? ia, t APPLICANT:
F+t OE NSOM
(612) 462--8996
RE MAF1KSa t2FTE IPT # SEPARATE EI ECTRICAL PE.RNI t ttku1111lrl'0
PsMtt No. Parmit HoWer Dete TNspfwne #
SIVN
PLUMBING
HVAC
ELECTRIC
ELECTRiC
Inrpaation Date Insp. CommerNs
Footings I
FotKldedotl
Fran?ing
RooTinp ,
Rough Plbg.
Rough Htg.
Isul. ,
?
Freplace
Finel Htg.
Oreat Teat
Flnal Plbg. Pibg. Inspector-NotHy Plumber
GonBt_ Meter
Engr./Plan
Bldg• FhW o o?ec,rs 9l? Ca-e
Dedc Ftg.
Dedc Finel
P? -
weli
Pr, otsp.
j DATE: JAN 17. 19 91
RE:? 1207 DUOWGTOOD DR (LIFESTYLE HOMES IiiC)
.
X ?
- Your Sewer &<?ater Pe"rmit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice. '
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Please submit a copy of qour maater plumber license for 1991.
Secretary, Building Inspections Dept.
..
CASH RECEIPT ,
.C)
CITY OF EAGAN
3830 PILOT KNOB ROAD I
EAGAN, MINNESOTA 55122
?
DATE
?
RECANE0
I
I . \
AMOUNr
DOLLARS
too
? CASH BrCHECK
?
l._
? ? - -
l cJt ?`l `L;+. ?. ?? G L? ?-J.?L?C v + i?•
BY -i'?4 : I \ (- , r-
C 11706 ??,,
,_,:,?..,..
Thank You
a.
SEWER & WATER PERMIT
CITY bF EAGAN ?.
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE JANUAftY 15, 1991
(11 i 17 /91
METER # PERMIT DATE
CHIP # PEFiMIT # 117 79
METER SIZE B.P. RECEIPT # ^v 117 6
ISSUE DATE B_P. RECEIPT DATE (t 9?
- PRV _ BOOSTER PUMP
SITEADDRESS ?`'`'% ryUir'0`) bR1.Vi:
LOT 17 BLOCK ? SEC/SUB '7 gRAW"I5 WGOp3 61N
APPLICANT: L 1rCJ d I LC nvrow
ADDRESS: 987 gTRATFOii4) RD
CITY, STRTE "IENpOTA HTS Z1P 5? 11 ?
w 34
78b6
PHONE: -
PLUMBEFi: COKLEY PLEIMBING
ADDRESS: O RD 1
CITY, STATE VIEW ZIP ? r 12?
PHONE: 4 84- I 406
OWNER:
ADDRESS:
PERMIT REQUESTED
11
x SEWER ''
WATER TAPS I
_ COMM/IND Y RESIDENTIAL ?
x NEW - EXtSTING
y
?
Lawn Sprinkler Meters are to be Installed '
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
? ??•?--°'?--...._ ?
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
CITY, STATE ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR fNSPECTiONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
' 3830 Pilot Knob Rd. '
Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
METER #? y(P -2 2 7 A 7 pERMIT DATE O 1/ 17 I9].
CHIP # f2 2 9 e,L 7 PERMIT # 11779
METER SIZE -549 S? 10 S 5 B.P. RECEIPT # C 11706
ISSUE DATE B.P. RECEIPT DATE 01115191
_ PRV - BOOSTER PUMP
SITE ADDRESS 0UCV04D dF.tVP:
LOT BLOCK 'SEClSUB ST F2V•:. S'P;C,t)DS 67:1
APPLICANT: LZFEST'r'Lr HOMES
ADDFiESS: 987 S'CRATFORJ RD
CITY, STATE '^NpOTA f•iTS ZIP
!:54-7^r,h
PHONE:
PLUMBER: ?"UKLEY PLUMBING
ADDRESS: 1014 W ;;Tl ?tD ?
CITV, STATE S ' FW tilq ZIP s5126
PHONE: '! F fi•- 114 0 6
OWNER: _
ADDRESS: _
CITY, STATE
ZIP
PERMIT REGIUES7ED
X SEWER WATER - TAPS
^ COMM/IND ' RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH C1TY OF
EAGAN ORDINANCES
? P) .
PHONE: SIGNATURE HEN METER ISSU D
PLEASE ALLOW 1'WO WORKING DAYS FOR PR4CES51NG. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT EMGINEERING pEPT.
7ANUARi' 15, 1991
LI.FESTYLE HO"IES INC
BUIIDING PERMl7
_ . , . 1?p t7 wG
Lof _
Parcel
15/91 CITY qF EAGAN4 g?4 18653 ?
t830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
/C A ?v 1 5 s? 000 3AN[fARY 15. 01
_ Block Sec/Sub. w I
„
W Name --- -- - --- ?-- __- _- T
? Addre
0
City Phone ?
Name
Phone
Name
Phone
I have read this application and state that the
I agree to comply with all applicable 5tate of
ty .,of Eagan Ordinances
L1FE$TYLS 1i0MI& 1NC
Ito:
iat all work shatl be done in accordance with all
6T}l ? OFFICE USE ONLY
'? '
R ?-?
occupancy R---r Fe
Zoning
?
? ? ?
(Actual) Const Bldg. Permit
(Allowable) V n
Surcharge
# of Stories 5-
Lengih 7
- Plan Review
Depth ? - SAC;?City
S,F. Total ' -j--
S.F. Footprinls
- §AQ, MCWCC
On Site Sewage _ Water Conn
On Site Well XX-- Water Metei
MWCC System ?- AcCt. Deposit
City Water -
PRV Required - S/W Permit
Booster Pump - S/W Surcharge
Treatment PI
APPROVALS
Aoad Unit
Planner - park Ded.
Council
BIdg.Aff. _ Copies
Variance t - TOTAL
es
$ 822
.
.
H.V.A.C.
DeCk Final
Pr.
r ?, : • -- .. , . . ? . . ? . - - - - ?,? = y-'_ - . ?. _-?
? . ? ?•-? ? , , , ?-?
r
i
(ltr#ifiratr uf (Orrupanry
titp ot eagart
ar,prartmrrtt o# sttdbng jwrrtumt
This Cerkfcafe issued pursuant to the requirements of Secrion 306 of the Uniform Building
Code cerlifying that at the tirne of issuance this sMtclure *as in contpliance with ike various
ordinances oj the City regulating building constructlon or rrse. For the following..
use clanifiemion SF D1G/GAR Bldy. Ftnnit No. 18653
FUM r _ .. . VN
WI(M
Dtw-- 4/16/91
POST IN A CONSPICUOUS PLACE
Address: 1207 DUaWD TRAII. Lot 17 Blk 2 Sec/Sub ST. FRANCIS 4700DS 6TH
These items wara/were not complete at the time of the final inspection.
Date: 4/16/91 Yes No
Final grade (6" from siding) ?
Permanent steps - garage L/
Permanent steps - main entry ?
Permanent driveway ?
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch ?
Basement finish r/
Deck
Please varify with tha builder the removal of roof test caps from the plvmbing
system and the shut-off o£ vater supply to the outside lavn faucet before
freeze potential exists. t?
ucumeure
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN 18653
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT ? Receipt #
To be used for S F D W G/ G,S R Est. Value $152 , 000 Date JANUARY 15, 19 91
Site Address 1207 DUCKWOOD TRAIL
Lot 17 Block
Parcel No.
Z SeclSub. ST FRAN::IS WOOD
p IName LIFESTYLE HOMES INC
z 987 STRATFORD RD
o Address
City MENDOTA HTS phone 454-7866
o Name _
g¢ Address
? Clty
-
?w Name _
Ez Address
sw City-
Phone
I hereby acknowlege ihat 1 have read this application and state ihat the
informa6on is correct and agree to comply with all applicable State of
Minnesota Slatules an Cify of Eagan Ordinances. /J
SignaWre of Permitee
ABuildin9Permitisissuedto: LIFESTYLE HOMES 1NC
on the express condition ihat all work shall be done in accordance with all
applicable State of Minnes ? Statutes andC' of Ea ?n Ortlinances.
Building OHicial _- U
.? -3
Phone
6TH OFFICE USE ONLY
Occupancy R=3? M-1 FEES
Zoning R-1
(ACNaI) Const Vn- Bldg. Permit $ 822. ?Q
(Allowable) UFI- Surcharge 76.00
8 of stones - 534.00
Length 75 Plan Review
Deplh
32?
SAC, Ci1y 100.00
s.P.iotal -
SAC,MCWCG 650.00
S.F. Foolprints -
660
00
On Site Sewage -
WaterConn
.
On Site Well - Water Meler 90. 00
MWCCSystem Xx_
Acct_Deposit
30.00
City Waler
PRV Requirad _ S/W Permit 30.00
Booster Pump - S;W Surcharge • 50
Trealmenl PI 276.00
APPROVALS Road Unil 370, ?0
?
Planner - Park Ded.
Councii -- ' 1.00
Bld . Ofl.
9 _ Copies
$3,639.50
Variance - TOTAL
a 02268 - '
FeQUest Dete Fire No. Rough-in Inspection
Repuiretl? ? Ready NOw f?Nill Notify InSpector
/ es G No When Feady?
I/Klicensed contractor ? owner hereby request inspection of above electrical work at:
Jpb Adtlress (SVeel. Boz ar Roule Not Ciry
li
j
? l.r.?..?
/flL
/
'
Section No. Township Name or No. Range No. CouMy
Occupant (PFINT)
A I r-?- a Phone No.
-?-?t -
Powe7'SupOlier
1?/?Kd%14 ?LL-L Atldress p?
?bp ,?6"? ST W ???jra<nX?
Elacincal ConVactor (Company Name) Coni License No.
Malling Adtlress (COnirndor or Owner Making Installetion)
g iec/W 4 4.W4tz=??
Aulnonzed nalure ICOnvactonpwner Maki/nInstation) Phone Number y/?
/?y /?O
MINNESOTA STATE 60APD OF ELECTRICITY THIS WSPECTiON FEOUEST WILL NOT
Grlgga-Mltlway Bltlg. - Raam St]S BE ACCEPTED BY THE STATE BOARO
1831 Universtty Ave., SA Paul, MN SS10C UNLES$ PROPEP INSPEGTION FEE IS
PMne (613) 642-0800 ENCLOSED.
Q REQUEST FOR ELECTRICAL INSPECTION
/ // I? See InsVUCtiQns for wmpetinq ihis fotm on back ot yellow copy
H02268 °x" Below Work Covered by This Request
`` !?4' ea-oa
x
Ik.evy AppiiancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Oryer Other (Specity)
Comm./intlustrial ' Furnace
Farm Air Conditioner
Other(specify) Convador's Remarks:
?
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Cirwits/Feeders Fee
$wimming Pooi 0 to 200 Amps 0 to 100 Amps
Ttansformers Above 200 _ Amps Above 100 _ Amps
SignS Inspecmr's Use Only. l TOTAL
Irrigation Booms ?
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT
Ofher Fee COMPLETED WITHIN 18 M TH5.
I, the Electrical Inspector, hereby Rough-in ? oa?e
r
certify that the above inspection has
been made. Final Date
OPFIGE VSE ONLY
This requesl voia 18 manihs fmm
i/asVs/ /0615,e.7-
02267 $/go°
? v1st Date ^
?? C./
? Fire No. Rough-in Inspection
Requiretl?
? Ves Q,No
Reatly Now ' Notity Inspeclar
?
When Reatly?
I ?Alicensed contractor ? owner hereby request inspection of above electrical work at
r '
JoD AtltlrCCS (Slreet. Box or Roule No.) /
O tL4 Cit/y
Section No. Township Neme or No. Fange No. Counry
Occupanl(PqINT)
L, ? ?L-` z-.? Phone No
PoweKs upplier Atldress
Elecv¢al Contractor (Company Name)
-!S ConVaclor?5 L/lcens!e No.
Mailing Aatlress (Gontractor or Owner Making Inslallabon)
// ik?1f ?4?c--
Autnorizea Si9 aWre (COnlractor/Owner ak' Inslallalion)
-alz ?,??2t,c Phone Numoer
77 9- 9ao /
MINNESOTA STATE BOAqO OF ELECTFICITY THIS INSPECTION REOUEST WIIL NOT
Griqqe•MIEwry 61dg. - Room 5473 BE ACGEPTED 8V THE STATE 90ARD
1821 UMVVsIty Ave., St. Peul. MN 55106 UNLESS PROPER INSPEGTIDN FEE I$
Phone(61R)6C2-0B00 , ENCLOSED.
i/?.i/91 REQUEST FOR ELECTRICAL INSPECTION
,
1Lj?°` ) lll? See inslmctii;ips for completing thiS IOrm on back oi y¢Ilow mpy.
Inl n2?F; -] "X" Below Work Covered by This Request
a 5F` EB-OOOOL08 a '
ew Atld Rep: Typeof Building AppliancesWiretl EquipmenlWired
Home Range Temporary Service
Duplex Waier Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial ' FUrnace
Farm Air Conditioner
O!her(specify) Contractor5 Remarks:
Compute fnspec[ion Fee Below:
# Other Fee # Service EntranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 ro 200 Amps / o to io0 Amps
Transtormers Above 200 _ Amps Abov?7oo _ Amps
Si91t5 Inspectar's Use Only: TOT ?
Irrigation Booms l?"?
Speciallnspection
nlarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Ro°qn-'" oate
certify that the above inspection has
been made. F;,,ai oa?e 7 G?"j/
a?d
OFFICE USE ONLY
Tnis repuest voitl 18 manUS irom
?y,-p -7 l
Z0 - S0
2007 RESIDENTIAL PLUMBING PeRnnir aPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 ,UN 13 29p7
Please complete for modifications to existing residential dwellings. ??_l:.4 /?//?
!J
Date ? 1 I ! ?
Site Street Address ?d-U?l T)LIC LWCC,GI Tl-C( I 1 Unit #'-'
PropertyOwner LY11'? ? y.?hl(.U Telephone# (p!??)?iJ'?'J-q?7
? ?-M C?\1,?( ? I?,- . Telephone# (??) c??-?i?'2
ContrectorTf(iY`()e-Fo t?
n
,
I
??
Address 3q?U ?- (OYn?t UA.YI C_ V-?F? City YY) L?- --- State ZiP„?'
?
The Applicant is: _ Owner V?Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Aiterations to existing dweiling $ 50:00
_ Add plumbing fixtures. This fee includes instaflation of a water softener andlor water
heater at the same time. !f you are installing onlv a water softener 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:
Water Sottener Water Heater $ 15.00
, new _ replacement
k?2 QI ?t 144pVt ' CYu w;,.via S g 3j(o
Lawn Irrigation ? RPZ PVB 1 new _repair re6uild $ 30.00
State Surcharge $ 50
Total
I hereby apply for a Residential Plumbing Permit and acknowiedge that the intormation is compiete ana accurate; cnac tne
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 permit, work is not to start without a permit and work will be in
pp ccordance with the approved plan in the event a plan is re ed to be reviewed and approved.
??I?f.vi? f?? UYIA?I/Y?(
1canY6 nnted Name AppiicanPs Signature
1991?I?ING P3p]CATION
` y CITY OF EAGAN /I
SINGLE FAMILY DWELLINGS MTLTIPLE DWELLINGS COMfERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1,SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WIiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER HUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: 71;?c4C Valuation:
Site Address 124'7 b?u?K??ona lCA-??
Lot /`7 Block 92
Parcel/Sub 47mfiA f11m(`
Owner Yapa?e.J Address
City/Zip Code GA Ca /9nJ
Phone ?'j? -?/??l(o
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Date : y - l -q I
OFFICE DSE
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL
?'E
ewer/Water Licensed Contr.
s? agrees that all wo[k shall be done in accordance with
(Si ature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
16 ID:JFIPIES R Ii1LL INC TEL Iltl:btc N:?4-'y51t? f+a?o i U_-
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BY7.4 I
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CERTIFICATE
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BULDINfi DIMEqSIONS SMOWN ME FOR HDRQO!lfAl- NOTE: NO lPWFIC SOILS IN1lES7Ifii?110N HAS lEEN COMPLETED
S V01T1CAL LOCATION OF lTINJCTURE OIiY. 9!E pN 7MIg LAT BY -T1?( 0UI1V[Y00• TIE l1MTAIIIIILfiY OF
ANQIITECTUAL PUW! PoR BUILOINfi 6 I""TION WILb TD 3UPfCRT 1'i1C EP6IRIC F10U9f rlpr0lEO IS
qh01lI?IS. . NOT T!i?'.MfPONltMLITY Of TME lUIMY'OR
f- DENOTES PROPOSED SURFACE DRAINAGE '
O DEN07E5 IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 907 S FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSEO LOWEST FLOOR - 89y. I fEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - FEET
WE HEREBY CERTIFY TO LIFE STYLE HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTAT?ON OF A SURVEY OF THE BOUNUAHIES OF
Lot IT, BloCk 2, ST. FRANCIS WOOD 6TH AODITION, uccadinq to fhe reoor0e4 plal
thereof, Oakota County, Mlnnawta.
IT DOES NO7 PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 7T H PAY OF JANUARY , 1991.
Pfi0P0'SED GftADES SHOWN WEfiE
TAKEH FROM TME GRAOING,
DRAINAGE d EROSION CpAAOL
PLAN FGA 8T. FIIANGI$ W000 6TM
AODITIOH, PREPARCO !Y PROBE
ENGINEERING CA., 1NC., LAST
DATED II-23-87.
? ° 0 o a
r
- m o ?4 y ,p D a
? ? 2 -4 y Z t0 m.? 7? Z
.n A . O a m cn <
R. HILL, INC.
C
?
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-864-3029
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ( I ( a 1 (_-) q
Site Street Address C' C ? AUnit #
PropertyOwner?ba\ Telephone# ((d5n
i.ontractor ,?2mpf--i? Teiephone 4 (COS!) i????70? !
Addresss?>S- YY`? (`Z?R'1 ?U-e-k City 'tD?State rV)t-----) Zip 5 S1
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
-Septic System Abandonment
I
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ replacement _ additional
,
Lawn Irri9ation SY stem RPZ
new - rePair -rebuild
- $ 30.00
State Surcharge $ 50
Total $ ? . Sb
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved ,
\C Z?
ApplicanYs Printed Name ApplicanYs Signat
???n
I ?? JUL 1 5 2004 I ?U I
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permiu are required for each unit
Datea v /_ )& l y
Site Address c Unit #
Property Owner L L) Y] n ?C??) Telephone # ( ?s "{ O
?'
Contractor 1- ?
Street Address ?? ?p ? / `( ?? ?? lJr? ' City
State M?V • Zip c7? Telephone# (CQ51 ) ??" (J /??p
Bond #: Eapires:
1
The Applicant is _ Owner
?-Con6ractor _ Other
Add-ou or alteration to existlng dwelling unit $ 30.00
furnace _Additional ? Replacement
V-
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ .50
IJ LJ
Z'otal MAY 1 7 2004 g?? •.??
I hereby appiy for a Residential Mechanical Permit and aclaiowledge tr
be in conformance with the ordinauces and codes of the Ciry of Eagan
ermit, but only an applica6on for a permit, and work is not to start N
appro ed plan in the casept?work which?requi es a review and approvY
-7 i s ?
ormation is complete and accurate; that the work will
the Mechanical Codes; that I understand this is not a
permit; that the yrezk,will bg in accgrdance with the
ApplicanYs Printed Name
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commercial/indusvial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
5treet Address City
State Zip Telep6one # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ 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, cal! for inspection by Fire Marshal and Plumb)ng lnspector
Permit Fees: $70.50 Underground tank installation/removal
$50.50 Miwemwn (includes State Surcharge)
or
Con4actValue $ x 1% PemutFee
• If pernut fee is $1,000 or less, add $.50 => $ State Surcharge
If pemut fee is over $1,000, add $.50 for
every $1,000 nerxnit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and aclrnowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand dns is
not a permit, but only an applicafion for a pemvt, 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.
Applicant's Printed Name
ApplicanYs Signahue
Approved By: , Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
DU? 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675
New Construction Reauirements
• 1 regntered site surveys showirg sq. A. ol;ot, sq. R, of house: and all roofe0 areas
(20°'o maximum lot coverage allowed)
• 2 copies of plan showing beam 3 windew sizes; poured found desgn, etc.)
• 1 sat of Ener9y Calcuianons
• 3 copies of Tree Preservation Plan i( lot ;latted after 711J93
. Rim Joist Detail Opuons seladion shee[ jCiCgs wflh 3 or less units)
DATE -0- 1 ;2 - C?) a
SITEADDRESS ?01 a ?? DucJcwuna
TYPE OF WORK R e- 2ua ?
APPLICANT
S,
TI-FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS (2S" Ys' tEde^3 vwk e. (31UcK CITY STAiE ,?k/NNZIP .SS 3ff
TELEPHONE # 9s.P 49y 5n3t' CELL PHONE #
FAX #
PROPERTYOWNER 6?R• D 4N k C) TELEPHONE#
---------------------------- ------------------------------------ --------- -.....................
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y[[YNE;50'l'.1 RULES 7670 C_A"C1:GORY 1 -MIVN150"1':1 H['LL5 7672
(v submission type) . Residential Ventila6on Category 1 Worksheet Submitted • New Energy Code Wcrkshee[ 5ubmitted
• Energy Envelope CalculaGOns Submitted
1F?
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mcch.uiic,il systcm includrti:
Sewer/Water Confractor:
Phone #
Fec SiO.OQ
--° °--------°-------------°-----------°°-----•...---------•--°---•-----------°---------°----------°-----°•-----
I hereby acknowledge ihot I have read ihis application, state that the information is correct, and agree to comply
with all applicable Stote of Minnesota Statutes and City of Eagan Ordinance .
Slgnature of AppUcanf
loor-
------------------ -------------- --------------------------- -------------- -----------------°-----------°----------------°°°--------------------°-----
OFFICE USE ONLY
RemadellReoair Reuuiraments
• 2 coDies of plan
. 1 set of Eneryy Calculalions lor heated atlditions
. 7 site ;urvey for ex;enor additions 8 decks
• Indicate -f home served 6y septic system for addnions
VALUAiION Lj r ? ? • -?? 3
Phone+ tlpi?
_ NVater Softener
_ Water Heater
No. oFBaths
Lavn Sprinkl l
No. oC R.I. Ba ,
K,
Phone 1k
air Condiuoning
_ Heat Rccovcn.Systcin
Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plez ? 12 12-plez Pibg_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 (Bidg)' ? 43 Reroof ? 46 WindowsfDoors
O 34 Replacement `Demalition (Entire Bldg only) - Give PCA handout to appiicant
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) Final'C.O.
_ Foo[ings (deck) Final'Vo C.O.
_ Faadngs (addition) _ Plumbing
Foundarion 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 _
_ Recaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
INSPECTION RECORD I Control No. 0823
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMITTYPE: BuiLoiNG- . ,
Permit Number: 000848
Date Issued: 0 7/ 16 / 9 2
SITE ADDRESS: LoT : 17
1207 DUCKWOOD TR
ST FRANCIS W000 6TH
PER_-IIF ?bBCHPE:
BLOCK: 2 APPLICANT:
PEDERSON
(612) 452-8996
TYPE OF WORK:
DESCRIPTION
r-
JOHN
NEW
OVER EXISTIN6 DECK
?
REMARKS: RECEIPT M SEPARATE ELECTRICRI PERMIT REQUIRED
? CIT'Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
'?PERMIT
Control No. 0823
PERMITTYPE: BuiLorNG
Permit Number: 000648
Date Issued: 0 7/ 16 / 9 2
1207 DUCKWOOD TR
LDT: 17 BLOCK: 2
ST FRANCIS WOQD 6TH
OVER EXZSTING DECK
Permit Type SF PQRCH .
Work Type NEW
Length 12
Width., 14
-`-
r i?
L"??i'Ci
c
REMARKS:
RECEIPT # C O QDJ?7 SEPARATE ElEC7RICAL PERMIT REQUIRED
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
vaLuarioN
$63.00
$2.00
$65.00
$7,0@0
CONTRACTOR: OWNER: - APPlicant -
PEDERSON JOHN
1207 DUCKWOOD TR
EAGAN MN
(612)452-8996
I hereby acknowledge that I have read this application and state that the
information is correet and agree to comply with all applicable State of Mn.
?Stetutes and City of Eagan ordinances.
- ?
APPLI NT/PERMITEESIGNATURE ?UvErAY: IGRE ?-
Buildi-ng
' euilding
Building
' Building
:.
PERMIT 0
REACTIVA?E -
Y- Y
7T?
C17Y OF EAGAN
1992 BUILDING PERMIT
681-4675
(
APPLICATI
?4li 41 i b Rsse
G " 1g
a
SINGLE & MULTI-FAMILY 2 sets of
-Wcs. pians, ? registered site surveys, } -capy-of-errewgy
COMMERCIAL
,
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 i:ssued.
Date Yaluation of work .? D7J-D-a
Site Address: ?20'7
STREET SUITE / --
enant Name: (commercial only)
LOT 17 BLOCK SUBD. _'0_. A??S Gfio?? P.I.D. it
Descri tion of work: ?.-? ?qson arc ? 5C/ZCE?N ?v2c
The applicant is: EY-0`wner ? Contractor p Other (oescr;ne)
Name l?? c`rc-se.J ?D H.L) Fhone
Property IAST i1RST
Owner Address ?2-0
7
. STREET STE N
City 5tate Zip
Company Phone
C011t1'BCtOf Address License # Exp.
City
? State Zip
Company Phane
Architect/ ?
Engineer Name Registration #
Address
City State Zip
?
Sewer 3 water licensed plumber. Processing time for
sewer 3 water permits is two days once area has een approved.
I hereby acknowledge tha I have read this applicatian and state that the information is
correct and agree to comp 'th all I ble State of Minnesota Statutes and City of
Eagan Ordinances. i
Signature of Applicant:
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
04 SF Porch
? 05 SF Misc.
WORK TYPE
?W31 New
? 32 Addition
OFFICE USE ONLY
O 06 Duplex
O 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
0 11.Apt./Lodging
O 12 Multi. Misc.
O 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
O 36 Move
?. ? .
? lfi Basement Finish
? 17 Swim Pool
G 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Publfc Facility
? 21 Miscellaneous
? 37 Demolish
tonst. (Actual) Y- M Basement sq. ft. MWCC System
(Allowable) Y_/y lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. . Fire 5prinkler
Length z? On-site well Census Code ?
Depth On-site sewage SAC C.ode
APPROVALS
Planning Building ;- C, Assessments
Engineering Yariance
5cA eE?_,v REQUIRED INSPECTIONS BUH-D. ? Po?xcH oN «is'n?? ??K
? Site ? Footing JR Framing JR Insulation
? Wallboard ?k Final ? Draintile ? Fireplace
Permi t Fee ? 3 9-po vei?n«?: S---1 L94P=0- ?/OC o"r
Sur:iiarge
3rs-tj-
?
_ -
,
Plan Review l
6/5-s/h
IZK/q " S72 a
License --
MWCC SAC
C;tysaC Q s(- s) x ?Z- 1y = 3
Water Conn.
Water Meter ,
.
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Oed.
Trails Ded.
Copies
Other
Total: F95,0o
r
SAC 76
SAC Units
, `'g bv ,
\ .
'.al
cvy
6974 r 907.6
/
N o. ?
0)
6
LOT
N ??? 17
Q?
?
1
m L ?i
`J
F
O
?a t^ ?
'
?
?m
? 1 ` . a?oes ZTOF OfrAAA
40
N8 Olo'.56"E
'zs
?WTE: OULGIN6 OtMETI310NS 3NOWN ME IaR HORQODRAL- NOTE: NO lPWFIC f01L4*IN1(EST TI
S V0ITICAL 40CATION OF lTIIIlCTUI1E 011.Y. SEE 011 1H1! lOT Br'?
A1KlIITECTIl1?L R.ANS FOR W ILOM10 a/'OIA?IDJ1710N SOILS 71D 6!'w
OlhKlillDld. . NOT TM?,.5U 1??MG17Y ": Of
+---- DENOTES PROPOSED SURFACE DHAINAGE ' ?^hc£
.O DENOTES IRON MONUMENT SE7 SGALE i'INC
• DENOYES IRON MONUMENT FOUND PROPOSED GARAOE FLQG
X000.0 DEMOTES EXISTINQ ELEVA7IJN PROPOSEQ LQINEST Fl,"QC
(000.0) DENpTES PROPOSED ELEVATION PROPOSED TOPCSF BLQ,?
WE HEREBY CERTIFY TO LIFE STYLE HOMES THA7 THIS IS A TRUE ANQ
REPHESENTATION OF A SURVEY OF THE BOUNDARIE$ OF
Lot 17, Block 21 ST. FRANGS M00 6TH. ADQITICN, accar4lnq , 1o_`.th@'?[ac4i
ihereot, pokota CouMy, Mlnneaata
IT DOES NQT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS,"EXCEPT:"p
SURVEYED BY ME OR UNOER MY DIRECT SUPERVISION THIS 7T H UAY OF JANUAF
?u?u GRADES SHOWN WERE SIGNED---dAMES R. HILt., INC
7aKEN FROM THE 6RAOING,
ORAl11AGE 6 ENOSION ODHIAOL
PLAN PDp ST. FRANGIS W000 6TM
ACDITIOH, PRlPAREO !Y PROBE
EH61NEEqIN6 fA., MC., LAS1
DA?ED 11-25-87
U)
?
tD O m
W 0
?m
1
7I
O m
- O c. J O G ? D Vl D
m z
O
p p
-
?
A O m ? _ j
:J-?.-----?-??
JONN C.LARSON,LANO SURVEYOR ..
MINNESOTA UCENSE NUMBER 19828 _'
?w
E wWTA91LtTY OF .
U![ /IIQIQlED IS .
tu?vemR. ,
30 , FEET -
9'07, S :i FEET.
FEET . .
FEET ;
.
James R. Hil{, vhc.
PLANNERS I ENGINEERS;; I ;SURVEYORS
I 9401 JAMES AVE. S. • BLOOMIN(3TON, MN. 55431 • 612•884-3029
PERMIT # L r 50 ??
RECEIPT DATE: -o
MIDEATI*L PLUliBING PERMIT *PPL1CATI0N
ctrY or E,te?rr
3830 eaor tsxos Rn
SA6RN, AiN b81EE
651-881-4678
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS:
OVJNER NAh!E: ?ELEPHONE #:
(A EA CODE)
INSTALLER NAME: ??? °rI J tTf „vvG TELEPHONE #: 4W'22 S'7?T0
(AR
STREET ADDRESS: ?0S S?f /!{ G /V/?qiEXl_fe?
CITY: ???LC G STATE:
21P:-?r1dy
Place a check mark neut to the ertnit work t e
New residential dwelling unit under construction and not ownedoccupied $ 90.00
? Add-on, modification or atteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
. lawn irrigation system
• watertumaround
N
t
f
/fE????A
k
ure o
wor
a
:
Septic System, new/refurbished - $ 225.00
• includes County & Consulting inspector fees
• requires MPC license
Water tumaround - existing dwelling unit, including: $ 50.00
• 5/8" meter 175.00
$ 765.00
State Surcharge $ •50
Total
. ,?'6
$ ??
RemJnder. Schedule inspectlons of alterations, i.e. water heaters, water softeners, water turnaround, etc.
I hereby acknowledge that I have read this applicatlon, state that the intortnation Is correct, and agree to eo fylh all ap ca ble Cilyof Eaganordlnancea. It
is the applicanYs responsibiliry to notity the property owner that the City of Eagan asaumes ges used by the Cily durig its normal
operetional and maintenance activities to Me fecilfties constructed undar this permit within/ ' h ylmeM.
SIGNATURE OF PERMITTEE Updated 9I01
L /ry BL CITY USE ONLY L-L_ ? RECEIPT#: /?
7IDI,;7-
SUBD.Xj? JlCQ?,a?p G{J ?p ? RECEIPTDATE: 5 S u
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
' 3830 PILOT KNOB RD
EAGAN, hIN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
D backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G.Spfinklef `fordwellingunderconst. 3.00
U.G. Sprinkl@r * for existing dwelling 20.00 =
Altefations ` to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems "Abandonment 20.00
=
RPZ (new installation only) 20.00 =
STATE SURCHARGE 50
TOTAL
-------------------------------------------------- --------------------
-is -
tha
I hereby acknowledge t I have read this application, state that the information-
-coned, - and - agree to comply with all applica6le City of Eagan ordinances.
It is the applicanPs responsibility to notify the propeRy owner that the City of Eagan assumes no liability for any damages caused by the City during i[s
normal operational and maintenance activities to the facilities constructed under this permit within City propertylright•of-way/easement.
SITE ADDRESS: I Z OlI 'Di)Ci,C1000-D Q?1 L
OWNERNAME: CalRRA 14ULl.W
INSTALLER NAME: G02ik1&1 I?[.d=Sqali,v? i- J)AV(?O PjL-cfA) TELEPHONE#: (,P6- ?t?D Ql
STREETADDRESS: I2 0 fI 1JoCtzY,,100T) T2fNl_
CITY: ??Ikb LkhJ STATE: M; tsi ZIP: Ss-(Z3
(A) a? OO? ('C ?zJs
SIGNATURE OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 y?
?/ L-
191!9-
SNELLING, GHAISTENSEN. BAIANT 8c LAUE, P. A
ATTOANEYS AT LAW
SIIITE 400
RONALD L. SNELLIN6 5101 VERNON AVENUE SOUTH
JOSEPH J. CHRISTENSEN MINNEAPOLIS, MINNESOTi1 55436
THOMAS A.BRIANT
ROHERT P. LAUE TLrlEPHONE (6121 927-6855
aoHxe.muxanr April 5, 1993
John and Mary Pederson
1207 Duckwood Trail
Eagan, MN 55123
OP COUNSEL
WALTEE C.GUSTAFSON
PAGSIMILE {612) 927-5427
RE: St. Francis Wood 6th Addition/Street Landscape Islands
Maintenance
Dear John and Mary Pederson:
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 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 legal 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 undersigped, being the Owner(s) of the following described
property:
Lot 17, 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 "Lat")
hereby consents to that certain Declaration of Covenants for
Maintenance and Repair of Landscaping executed on behalf of Richard
Land Associates dated the 8th 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 trie
date this Consent is recorded in the office of the Dakota County
Recorder.
Dated this day of
OWNER(5):
1993.
John C. Pederson
Mary G. Pederson
STATE OF MINNESOTA)
)ss
COUNTY OF ?
The foregoing instrument was acknowledged before me, a notary
public, this day of , 1993, by John C.
Pederson and Mary G. Pederson, husband and wife.
Notary Public
THIS TNSTRUMENT WAS PREPARED BY:
Snelling, Christensen, Briant & Laue, P.A.
5101 Vernon Avenue South, Suite 400
Edina, Minnesota 55436
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # D Cr
DATE : -77/-'5
"go"m PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE 1
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR
OWNER NAME :
SITE ADDRESS: 4211 7 ?
LOT:-4y BLOCK ?Z SUBD.
1NJTALLER:
ADDRESS
Y DWELLINGS 6
FEES
CITY: ZIP: c??4 F-2
PHONE #: ZY-l- ? :3
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTI.ETS - MINIMUM 3.00
OF 1 PER PERMIT
j SUBTOTAL: ??CC)
STATE SURCHARGE: .50
? TOTAL:
?--
GNATURE OF TTEE
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCTAL/INDUSTRIAL BUILDINGS,
.............................................: :..:.
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLZNG UNIT.
------------
CONTRACT PRICE
OWNER NAME:
SITE ADDRESS:
IAT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE a $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT KNOB ROAD
EACAN, MN 55122
PHONE (612) 454-8100
log"""m
FOR CITY USE ONLY
PERMIT # /'Sl/?
RECEIPT # CI-LLW
DATE: `J
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
---------"-----------------------------------°--------------------
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS: ?aO'7 /?CtC?C?L? ?/lGGG?
LOT:1L BLOCK ? SUBD. 1 AK.ww? 6(/"
INSTALLER:
ADDRESS: `elq W ZY,
CITY: 2IP: -6-rl-26
PHONE
CDMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 3•60
? WATER CLOSET 3.00 A.o p
? BATH TUB 3.00 3.0'0
3 IAVATORY 3.00 9•00
? KITCHEN SINK 3.00 3rPG'
? IAUNDRY TRAY 3.00 3.00
? HOT TUB/SPA 3.00 3?VC
? WATER HEATER 3.00 3.OV
? FLOOR DRAIN 3.00 3.OfA
GAS PIPING OUT.
(MINIMUM - 1) 3.00
? ROUGH OPENINGS 1.50 '?•SO
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL $ 43.S?
ST. SURCHARGE .50
TOTAL: $ c,
?bMMERGZAL?i2?17iT3T$?#.?;x PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:_
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: • ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMIIM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
$
$
( S I GNATtJRE )
CITY OF EAGAN
4 1 4
SINGLE FAMILY DWELLINGS
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
MULTIPLE DWELLINGS
152-,000Date:
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: S FD
GA R Valuation
Site Address 1.)0"7 DiACtwncY1
Lot 1-7 Block Q-
Parcel/Sub S?r?Y71Y?fiSUltM45 SiK?'It
Otaner TphY1 QrA IU(i Ytl t"rftK'1"SO17
Address I IQ?j Jf`tXln????
?
City/Zip Code _FhCk(( y), M,y1 .
Phone y sZ ^
Contractor ? -tjornesi 9nC ,
U
Address rrL kj? ,
City/Zip Code ?ncb?u f"YU'1.?Dl?
Phone (464' -1W.c
Arch./Engr. I?de-?(ti K
Address Cl`?
City/Zip Code k-ehGi1 ?Ci 4?inlh,'TM
v
Phone # -N?c C
• ??
COMMERCIAL
ftEC 2 8 RECn
OFFICE USE ONLY
FEES 19R1 FEES
Occupancy FI-S, M-1
Zoning jL'I
Actual Const V-n4 Bldg. Permit 8Z;??00
Allowable V -N Surcharge C
# of stories Plan Review 534,00
Length 75.1 SAC, City lOp,O
Depth 32' SAC, MWCC (?SD,Y)O
S.F. Total Water Conn "O,C)D
Footprint S.F. Water Meter D, 00
Acct. Deposit
D,pQ
On site sewage_ S/W Permit ?
'„?O,??D
On site well S/W Surcharge 450
MWCC System ? Treatment Pl. 271e,aO
City water ?/ Road Unit ,'3 DD,DO
PRV Park Ded.
Booster Pump _
_ Copies . O O
SUBTOTAL
APPROVALS Penalty
Planner _ TOTAL
Council
Bldg. Off.
Variance
Ca,4RAGE
VALuATloN
Zyxz6 = ?Zy x15? 93Gv
?MT
4= l??u
,?x4%Zx.s = ??
3%zYzxs= ( y)
?yy /I X,s= los
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Z 1? X.e?= - z Z
2kly= Z1?
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822•00?
'T6•00+
534•00*
2,206•50F
1 '00F
3,639•5U*'
, ,
JAN-08-191 TUE 09:16 ID:JRME5 R HILL INC TEL N0:6125d4-9S1N A?z? r?c
SUaVEYOR'S CERTIFICATE LIFE STYLE HOMES
v ?s
.
-.-
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I
aenw rasK
IOPOF WPE
ELEV -sal.s4
`960
(vy?.kl\ ,' % ? ?
897.1 LL V, ? 88T.8?`
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BULDIHG OIM41910NS $NOWH 1UiE WN HDRQOPlfAL
e V0ITICAL tOCAT10N OF 9T11{ICTURE ONLY. SEE
MOIITlCfUAL R_ANS POR BUIlO1NG Ci fGU1qATI0N
onNaskm. .
Gq
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69i.8 - \
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ao i.o'/
/ „9z ?
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4 <
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ID 900.9
/
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BEN01 MYiK
903.2 TOP OF PIP!
ei.ev. = aos.s+
Hn?S.T?Hr:.. 1
L 9? ?. ?
NO7E: i!0 SlJCFIC SOILS IM(ESTI?p ?TION HAS SEEN CDMPLETED
OM T11iS LOT 8Y ?L ?l?111fVCY0R. -TiE lINTASIL[iY OF
lOILS TCl SUPWl1 T TNE E1WFIC FIdMJf MqPM6 IS
NOT TH-K-'.1Kl?OMlIML1TY OF TME lYRVE1fOR
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
* DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING EIEVATION
(000.0) DENOTES PROPOSED ELEVATION
SCALE:IINCH - 30 FEET
PROPOSED GARAGE FLOOR - qa7. S FEET
PROPOSEO LOWEST FLOOR - f3qy,1 FEET
PROPOSED TOP OF BLOCK - 96-7,9 FEET
WE HEREBY CERTIFY TO LIFE STYLE FIOMES THA7 THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUMDARIES OF.
Lot 17, Block 2, ST. FRANqS WOOD 6fH ADDITIGN, accarC:ng To 4he recofOBO plat
thereoi, polcota Couniy, Mlnnesota.
IT DOES NOT Pl1RPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVE`fED BY ME OR UNDER MY DiRECT SUPERVISION THIS 7TH pAY OF JANUARY , 1981.
PROFOSED GRAOES SHOWN WERE
7AKEN iROM THE GRADING,
ORAINAGE 9 EROSION COHTROL
PLIW fOR ST, f11ANt13 W000 6TN
AODITION, PREPAR[D !Y PROBE
ENGINEERING CO., MC, IAST
DATED II-23-8T.
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m R. HILL, INC.
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JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 18828
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMING?ON, MN. 55431 • 612-884-3029
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TO1pL Af?' B5AOi TOTAL U: ?
39?9
r.. _ .
Y'i?8 4
11 city oF eagan
PATRICIA E. AWpDA
Mayor
PAUL BAKKEN
PEGGY CARISON
CYNDEE FIELDS
MEG TILLEY
Council Mem6ers
THOMAS HEDGES
CiryAdminisvaror
Municipal Center.
3830 Piloc Knob Road
Eagan, MN 55122-1897
Phone: 651.681.4G00
Fax: 651.681.4612
TDD: 651.454.8535
Maintenance Facdiry:
3501 Coachman Point
Eagan, MN 55122
Phone: 651.681.4300
Fax: 651.681.4360
TDD: 651.454.8535
www.cityofeagan.wm
THE LONE OAKTREE
The rymbol of urengh
and growrh in our
mmmuniry
October 26, 2001.
BONFE'S PLUMBING & HEATING
505 RANDOLPH AVENUE
ST. PAUL MN 55102
RE: PERMIT FOR RPZ
L 1207 DUCKWOOD TRAIL
1
TO WHOM IT MAY CONCERN:
An RPZ was installed at the aforementioned address. Please be advised that a
plumbing permit is required when an RPZ is rebuilt or newly installed.
For your convenience, we aze enclosing a plumbing permit application with this
letter. Please fill in the appropriate information and return it along with a check for
$50.50 to the City of Eagan, Building Inspections Division, 3830 Pilot Knoh Road,
Eagan, MN 55121.
Your anticipated cooperation is greatly appreciated. If you have any questions, fee]
free to ca11 65 1-68 1-4675. Thank you.
3incerely,
City of Eagan Building Inspecrions
Encl.
cc: Paul Heuer, Systems Analyst
Dale Schoeppner, Chief Building Official
Use BLUE or BLACK Ink
For Office Use
I U z,
City of Ea I Permit #
I _ ~ Permit Fee:
I
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
I Staff: '
Fax: (651) 675-5694
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: __f 2 77 Dud (,300 [ ),r
Tenant: _ Suite
RESIDENT/OWNER Name:_ Phone:
Address r City / Zip: 120) Ua~ IDOQ) 1C
Name: License
CONTRACTOR Address: City: l/1 t ~t
State: _)y_/✓ _ Zip: SSOCPhone:
Contact ChM~~ Email:10-10- ~p pr~e"f /Cl ('co",
TYPE OF WORK - ew l Replacement Repair L-Rebuild _ Modify Space _ b~/ork R.O V.
Description of work:
- RESIDENTIAL
Water Heater
Lar✓n Irrigation (_Z P.P / PVB) Water Softener
I PERMIT TYPE
Add Plumbing Fixtures Main / Lower Level
Septic System
New Water Turnaround
i '
3 j Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Turnarounds (includes $5.00 State Surcharge)
"Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
1► TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Ca'l 48 hours before you intend to dig to receive locates of underground utilities. kmvw,gopherstateonecall.org
1 hereby ~:cxn %vledge that this informaLjn is ~~~rnplete and accurate, that the vvo:k ;!ill be in conformance with h-ic crdinarnees and odes of the City of
Eagan; that I L~ncicrstand this is not a permit, but only an application for a permit, and work is not to start `iou Qperr;it; th the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X_ -C L X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under urci Rough-In Air Test -Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116364
Date Issued:10/07/2013
Permit Category:ePermit
Site Address: 1207 Duckwood Tr
Lot:17 Block: 2 Addition: St Francis Wood 6th
PID:10-65905-02-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Jonathan Estebo
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lynn M Danko
1207 Duckwood Tr
Eagan MN 55123--115
St Paul Siding Inc
1597 Niles Ave
St Paul MN 55116
(651) 698-7777
Applicant/Permitee: Signature Issued By: Signature