1211 Duckwood Tr
Use BLUE or BLACK Ink
---------=-------i
I For Office Use ~ I
City of EaV~ ~ Permit ~ ~ 0~
Permit Fee: I
3830 Pilot Knob Road I
Eagan MN 55122 j Date Received`.
Phone: (651) 675-5615 I
Fax: (651) 675-5694 Staff: j
M-11-0 2011 MECHANICAL PERMIT A~ICATION
Date: Site Address: + DLi [J aw lea")
Tenant: Suite
RESIDENT/ OWNER Name: Phone: Cs''
Address /City /Zip: C. l~a66 7" / c
CONTRACTOR Name: V~icensey#::
Address: -lit l C md , S4 City: ► / r
State: N L Zip: 5 S LIy1 Phone: /a- OY-i Ca/
Contact: c--7{2-{>! t Email:
TYPE OF WORK New placement Additional Alteration Demolition
Description of work: I- ttaz. ' &,R160-
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE V -"Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank Install / _ Remove)
" When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ y TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010411,010 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.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 th work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans. a
x
Applicant's Printed Name " - Appicqn~it Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground Rough In -Air Test -Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening Inspection
CITY OF EAGAN • ?
?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan; MN 5 5121
PH O N E: 454-8100
BUILDING PERMIT Receipt
To be used for .. _:k,_./( ,.. Est. Value Date ,19
Site Address 1211 D['CKW`t3UD i. OFFICE USE ONLY
LOt I ? BIOCk ?- SeC/Sub. -?i a1 t;On Site Sewege Occupancy '
MWCC System X Zoning
Parcel No. '-?
On Site Well (Actuaq Const
cc Name AL::EkiLbjAN37 CU?ti'STkUCTION City water (Allowable)
' Z Adi?res5? ?r723 i-?.[CHHOQ?t -?A.Y PRVRequired #ofStorles
0
City AuPLE 4?1LL}:?hone '?
goosterPump
Length ,,
??
? Depth 38
0 OC "ame S.F.Total
O ?
Ua A?ress Footprint S.F.
? City Phone APPROVALS FEES
W Engr./Assess. Permit 00
W Name "
50
?- Z Planner Surcharge '? •
_ -
UZ Address
Council
Plan Review
406.00
`W City Phone
Bidg. Off.
SAC, City 100.00
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550•00
information is correct and agree to comply with ali applicable State of WaterConn. 550.00
Minnesota Statutes and City ot Eagan Ordinances. Water Meter 67.00
SignVure of Permittee
Road Unit
325.0U
• . , . , : c.. ?
A Ruilding Permit is issued to:
Treatment P1
204,00
on the express condition that atl work shail be done in accordance with all Parks
appliceple State of Minnesota Statutes and City of Eagan Ordinances. -,-?-?
'' ?
Building Otticial_ _ TOTAL
CASH RECEIPT ?
. ?? --
CITY OF EAGAN • ' 3830 PILOT KNOB ROAD
. EAGAN, MINNESOTA 55122
DATE __- 1g
REcenVEo _
FTI'DU
y
AMOUNT $ 1:
R
& DOLLARS
,oo
O CASH CHECK
FM
_ ? ( ?. . . . .
,
FUND OB.IECT AMOUNT
Thank You -
,
ev
White-Payers Copy
,?? • $ ?,? 4. ;r ?. ) Ye1bw-Postin9 GoPY
Pink-Fle CoPy
( ? 7
??`-`-
1
... > . . . . . . . . . ??,
PERMIT #
' . • MECHANICAL PERMIT
- - ' '
• '
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAd, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100 ,?
Site Address ? ? 511 wOF
Lot Block ?--= SQc/S I'u ;
up
BLDG. TYPE WORK DESCRIPTION ?
.'?
67
Res. h New
/
Mult Add-on
?
°
' t
Name 0 & r
-
eg ?fy o
Addre Comm. Repair
?
c
Ciry i or e Phone Other
Name L? Ht r
? FEES
$24
.? 0-100
M BTU
c Address ? 1> '`'
' ? 6
ADDITIO AL 0 M g
_
p City f'7A t' Phone - 65Y7 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PEkN11
50 EA
1
(
-
n -
. .
TYPE OF WORK
?UO
0* CaMM/IND FEE - 1% aF CONTRACT FEE
APT
BLDGS
- COMM
RATE APPUES
? Forced Air M BTU .
.
.
TOWNHOUSE & CONDOS - RES. RATE APPLIES
' Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
, Unit Heater M BTU REMODELS - 12.00
I Air Cond. M BTU $ MINIMUM COMMERCIAL FEE _ 20.00
;
Vent
CFM
? STATE SURCHARGE PER PERMIT .50
. (ADD $.50 S/C IF PERMIT PRICE GOES
? Gas Piping Outlets # ? ', BEYOND $1,000)
?
Other •
FEE
S/C: SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
Cities Diaital Qualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
?.
PLUMBiNG PERMIT
CITY OF EAGAN
3830 PiLOT KNOB ROAD, EAGAN, MN 55122
PRICE:
? Name ` -
a?
? Address
c C'riy - ?'- Phone
Name
City
Phone
f
FEES
1A/IND FEE -1% OF COTJTAAC7 FEE
3LDGS - GOMM RATE APPLIES
4HOUSE & CONDO - RES. RATE APPLIES
4UM - RESIDENTIAL FEE - $12.00
+IUM - COMfvI/IND FEE - $20.Od
E SURCHARGE PER PERMIT - .SQ
$50 S!C IF PERM4T PRICE GOES
CI7Y OF EAGAN
PERMIT #
RECEIPT # '.
pATE:
BLDG. TYPE WORK DESCRIPTION
Res. - ` New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3 00 $
= Bath Tubs - $3.00
`Lavatory - $3.00
' Shower - $3.00
' Kitchen Sink - $3.00
Urinal/Bidet - $3.00
---
` Laundry Tray - $3.00
' Floor Drains - $1.50
' Water Heater - $1.50
Whirlpool - $3.00
% Gas Piping Outlets - $1.50
(MiNIMUM - 1 PER PERMIT)
Sonener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: '
- r
STATE S1C:
GRAND TOTAL ' '? ?-?
Trrtt#tratP uf (Orrupttnry
Citp of (eagan
Dppal't1tTptlt Af N1toTtlg J1t8pPtftDtt
77iis Certlficate issued pursuant to the requiremenu of Section 306 of the Unijorm Building
Code cern;fying tlwr at tlce time of issuance thrs.rtructure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
[Jx qwi6atioa iF A??! C?• 1?. Bk1g. Permit No. 15010
p-?p-.y 7'yPm p3 /: ? yoningpis? .i.ra COM VN
Owner ot Bmlcting Addrm -' UXV) StiAY. ?''?-1 VA' TE-Y
L 1 ? ? ,';.? :`(1?": ?:? c', ;•r_l:f , 7 i-.' ;
Bwlding Addma L-"ty
? Dek: ? R ?9 ? i? i??
Bw7ding Offr.ial
POST IN A CONSPICUOUS PLACE
, . CITY OF EAGAN ` 3830 Pilot Knob Road, P.O. Box 71-199, Eagan-, MN 55121 ? PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for - Est Value Date
Site Address +'42 `) ^ '
Lot 81ock Sec/Sub. .Cf?1) b,
Parcel No.
City
Name
Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: on the express condition that al I work shall be done in accordance with all
applicatrle State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
On Site Sewage Occupancy 4-3 h"f
x-1
MWCC 5ystem Zoning
On Site Well (Actuaq Const
Ciry Water # (Allowable) "'
PRV Required # of Stories
Booster Pump Length 76 '
?• e
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
'
? :' • t,?
Engr./Assess. Permit
Planrter 5urcharge '
Council Plan Review '
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
d
Water Meter
Road Unit
Treatment P1
Parks
?
TOTAL } ?
` Permit No. Permit Holder Date Telephone #
PlUmbiRg
H.v.ac. ?
Electric ?^? f' 'Y --
Sottener
Inspectfon Date Inap. Comment8
Footings I / 4-)
Footings 11
Foundation ?
Framing
?.
Roofing
Rough Plbg. 61? ?
Rough Htg.
Isul.
Fireplace
Finai Htg.
Final Plbg.
Bldg. Final
Gert Occ.
Temp. LP
Oeck Ftg.
Deck Final
Well
Pr. bisp.
-
- LA
' OF EAGAN Permit No: "
i Pilot Knob Road Date:
Meter No: ?? Size: c
Box 21199 Reader No: vk?
? f
in, MN 55121 Date: 14
- 3v -??!
er. ?1 '',=rmana Const.
Akddress: 9.
1__ ••t'._ •7 T 17 11P n9 ct . i?Z'AII[`iG TITnnAc !
Conn. Chg: Zoning: R1
Acct Dep:
Permit Fee: No. of Units:
Surcharge: _ Sf1nd I agree to comPI wifh the CIty of Eagan
Tr. Plant ?n?? R^? y
Ordinances
Meter.
M1- . .
CITY OF:FAGAN
3830 Pllot Knob Road
P.d. Box 41199
Eagan, MN 55121
By
WATER SERVICE ERMIT ??,?? ?/6a
Permit NO: ] '"
B/P No: -,•.,:`
Date: 6-9-EF
Date:
Owner. ? ?"Lir,
Site Address: Tx31 1 `
MWCC: `i0. 0o p : Zoning• -
CItY Ch
9? Oilpci -,
No. oi Units:
Acct. Dep:
Permit Fee: '
I agree to comply with the Cify oi Eagan •
Surcharge: ' Ordinances.
Misc.: B
Y
SEWER SERVICE PERMIT
CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road Meter No: Size:
P.O..Box 214-99 Reader No: Date:
Eagan, MN 55121
Site
Conn. Chg: »v. vvpa
Acct Dep: 15. 00V0
Permit Fee: 1? . U"T?d
Surcharge: • 50pd
Tr. Plant 204. 00r'a
Meter fi7 . 0C', (!
Misc.:
Zoning: _
No. of Units:
1 agree to comply with the City of
Ordinances.
WATER SERVICE PERMIT
BLDG. PERMIT NO.
? ZI 1 1 -) l )r1r 1,,r,r?,nl
01-3210
Ot-3422
¦ 01-3445
01-3446
01-2155
75-3860
20-2275
20-3865
20-3868
20-3716
20-2252
20-3713
20-3743
79-3866
28-3855
Bldg. Permit
Plan Check
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
TOTAL
1
d0
, CITY OF EAGAN N2: - 15 010
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PIiONE: 454•8100
B
ILDI
U
NG
PERMIT Receipt#-
To be used for SF DWG/GAR Est. Value $173,000 Date MAY 12 ,19 88
Site Address 1211 DUCKWOOD TR OFFICE USE ONLY
ST FRANCIS WOOD 6
Lot 18 glock 2 Sec/Sub OnSiteSewage _ Occupancy R-3 M-1
. MWCCSystem X Zoning R-1
Parcel No. V-N
On Site Well _ (Actua1?Const
c Name AL HERRMANN CONSTRUCTION cirywater X (qllowable) V-N
81 -1 dAWgW 8723 HIGH4JOOD WAY PRV Required _ # of Stories
a City APPLE VALLE)f+hone 688-0696 Booster Pump _ Len9th 72 '
Depth 38 '
o Name SAME S.F.TOtai
,
? a Address Footprini S.F.
? City Phone pppROVALS FEES
w W Name Engr./Assess. Permit 812.00
?i
x-
Address Planner Surcharge 86.50
Q W Cityphone Council Plan Review 406.00
BIdg.Off. SAC,City 100.00
I herehy acknowledge ihat I have reatl ihis application and state that the Variance SAC, MWCC 550.00
information is correct and agree to comply with all applicable State of Water Conn. $50.00
Minnesote Stetutes and City ol Ea n inances. 67
O
Water Meter .0
Signature of Permittee
Y Road Unit _325-pjD
ONSr
A Building Permit is issued to:_ AL RMANN Treatment P1 204.00
on Ihe ezpress condition that all work shall be done i n accortlance with all
applicable State of (M?innesota Statutes a
ntl
City of Eagan Ordinances. parks
3,100.50
ry
?
Building ONicial 7 I Mll???1.? TOTAL
This Iequas? void
18 months Imm 6 f
df-?
D 929 7 2 a
Hequest Uata
G^?,'??
Fne No. ? ,
RouPh-in InsVection
Reqmr
?qeady Nuw i I Notfty, Insoec-
«'
Wh
r.?..s es ONO r
en qeady
? ucensea eiec[ncai Conbac{or 1 hereby requast inspaction oi above
? Owner elactrical work installed at:
5[reet Atldress, Box or Poute No.
tali a?c- V-- wQdID rR, Cily
cgC-7 a??
ecimn o. Township Name or No. RTnge No. County
fl4i4o`r+
Occupe/nl(PqlNT) Pho No. /
??? O
?
J
Power $upplier Address
Electrical Cpantrar.tor (ComUany Namel Contrar,lor's Liconse No,
?
-
-
-
1 ?
C-cL
G
1
721L IN? OYO S
MailinB AtlJress IConirector or Owner MakinB Instailalwnl
rc
vac ?Owner 'ng Installationl
kit
Phone Nwnber
9 S/9
MINNESOTA STqTE BOKpD Of EIEGTRICITY TMIS INSPECTION REQUEST WII.L NOT
Grie9s-Mitlwey Bldg. - Noom N•191 BE ACCEPiED BY THE STqTE BOAND
1821 Universitr Ave.. St. Paul, MN 65109 UNLESS VqOPEfl INSVECTION FEE IS
Phone (672) 642-0800 ENCLOSED.
CG/?5/8`g REQUEST FOR ELECTRICAL INSPECTION Epa-(o/ooori-?os
s? Ilf See instructions for com0leting this form on beck at vellow coFV.
? "'92g 7 2 "X" Be/ow Work Covered by lhis Request
Atl NeD. ' 'TVpe of euiltlinq AoPliancea Wired Equiument Wired ..
Home Range Tempprary $ervice
Duplex Water Heater Liyhtiny Fixhues
Apt. Building Dryer Electrii; HeaUn
Commercial Bldy. Fumace Silu Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tenk
Farm lher Peci v 00e1 Isnr,citvl
t .r Suecify Oihcr Othur
Comuute /nspection Fee Belaw
p Fee Service Entrenca5ize H Fea Feeders/5vbieetlers N Fox Circoits
1 .S 00 L 1) to 200 qm 5 0 to 30 qm s 2 00 0 In 30 Am s
Abave 200 qmpy 31 to 100 Amps 31 to 700 qm s
$wimming Pool Abave 100_Amps Above 100_/+mps
Transiormers Irngation Booms Fee
Signs Special Inspection S ? ?TOT
e
Remsrks ,)
f
flough-in
I. the cl '
L.41
(J" Insoector, narobv
cerlify thet the abova
I, Final insvection hes been
rtwda.
r
TMereauestvolAlBmonllnfrom .
?? RESIDENTIAL
5??? yJ BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4675
New ConeWCtlon Reauhemems
• 3 registered aBe surveys showing sq. fl. of bt, sq. ft of house; antl g,ll rooted areas
(201% maximum bt covarega allowetl)
• 2 coples of plan showUip beam & window sizes; poured tountl design, etc.)
• lsetofEnergyCalculetions
• 3 copies of Trea Preservation Plan if bt pletled aker 7f1/93
• Rim,bist Detall Optbns seleCGOn sheet (bWgs wHh 3 ar less units)
DATE
J
AemotleVNeoelrReauUameMa ? ?
?
?
• 2 copies of plan
• lsetotEnergyCalculationslorheatedadd0bns
• 7 slle survey for aAador atltlitinns 8 decks
. Indicate M home servetl by septlc soem for additbns
0
VALUATION
??? ? 1A CICIA?QD.D ??Z141 L. MULTI-PAMILY BLDG _ Y ?L N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT 1C V+l IN ' C
STREETADDRESS,a14:1 hllliCdt.lEr *t/E S.CRYQJtf11S. STATE ZIP?2
TELEPSN?E ?t ?07-GgS? CELL PHONE # F_AX # ?GP-$ ?'S?'?p
PROPERiY OWNER \:3 (J D Rr1 E& TELEPHONE # GS J"'99V'
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDIIVGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNF.SOTA RULES 7672
(d submfssion type) • Residentlal Ventilation Category 1 Worksheet Submitted • New ? S?
• Energy Ernelope Calculafions Submitted ? ?f) l5 Ll
JUL 2 4 2002
Plumbing Contracfor. _
Plumbing system includes:
Mechankal Conhactor:
Mechanical system includes:
Sewer/water Contracror.
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signalure ofApplicanf ??9.
....... °-°............ _._......... _ ............ ..._.-°.._.?..._....r...?._
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
_ Water Softener
_ Water Heater
_ No. of Baths
_ Phone #
Lawn Spruikler
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 DEplex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Mutti
0 OS 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Slding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Rapair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof O 46 Windows/DOOrs
? 34 ReplacemeM *Demolkion (Entire Bidg onty) - Give PCA handout to applicant
Valuatlon Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bklgs Length Fire Sprinkiered
Type of Const Width
' RE4UIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings(deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
W ater Supply 8 Storage
S&W Perrnit & Surcharge
Treatment Plant
Plumbing Pertnit
Mechanical Permft
License Search
Copies
Other
Total
Building Inspector
u•n
U•r,
? U • ,;
?- U i_l?r
R6•'?U'
UU+
•11U
, u.?
?.
` -
1988 BUILDING PERMIT APPLICATION - CITY'70F EAGAN
SINGLE FAMILY DWE INGS ?
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LQTS - CONTR9CTORIHOMEOWNER MUST DESIGNATE WfiICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNlTS # OF IINIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONA7ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: ? Valuation: ?Q,r25cJ Date:
Site Address / ?' & - _?- ?'-„ ;-rr_ -
Y
Lot _JL Block ? ? S_•?'G ? %?
Parcel/Sub Sy'?'.n¢s "i1d ???0 •
Owner fn AaV \ ?2
Address
City/Zip Code
Phone
Contractor
Addres
City/Z
Phone
Areh./Engr. 'C Y,?---
Address ? DEO
City/Zip Code
Phone # ? ?Z? ?-?
i?3,oov^--
On site sewage_
MWCC system v
On site well
C3ty water J/
PRV required _
Booster Pump _
APPROPALS
Decupancy R-3 M-1
Zoning K- I
Actual Const V• N
Allowable V-N
# of stories
Length 72
Deptn 38 •
S.F. Total
Footprint S.F.
FEES
Engr/Assess Permit ZSl,<,V u
Planner Surcharge $61
SO
Council
Bldg. Off. Plan Review
SAC, City 4406.0t
I00,OD
Variance SAC, MWCC -SSG p,DD
Water Conn ?O1 OI?
Water Meter .0
0
Road Unit 325,OD
Treatment P1 z D4,oo
Parks
Copies
TOTAL % =°s- 5
VA t t,tAT 10 Nl
CsAR/-\G6
Z o )C z?1 ?- y$?
12?c22= z?y
z y
966 xiy= l07s-L
y b-X 3z = ? 2so
?? x ?? ? Z gu
?---
15G8 -X l3- Zv3w4
Is? ?„? z
8Sm-r - !S(?8
2X-) = 14
ZK? = ?y
/6oZ x `?q= 7?4?iX
ly?t/6 ? 22u y?s? 33Gn
Z N a -Fi..o flr?
.-
x ? ?I = I 22`I
I 2 q- s9 3 Fsq
.?
,
172 3iZ
P E aoaE
NG(NEERING
COMPANY, INC.
? 1000 EA57 146tl1 S7REET,
'R?EM
N"CONZ A.vN
rRac rio,y
CONSVITIH?S ENOINEfAS ?'•N, /`;'27.n/
plAllllE(IS and IAHp '?llflVEVOIfS
,
BIJFiNSVILLE, 411}INE:OTA SS.?.37 pH 4.2-j000
Cr°T Z Z?Z C Q? e O? S7?L3"'?/E'- !f
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( 9iI,v ) DE%?OTES PROPOSED ELEwT/o4l
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EAGAN ENGiINLLi:_r::iG :Lt=ll'.
iNDiCATES .DiRECTioN ar- 51,1RF.9CE DRA/NA66'
9!l.33 c f/N/SHE'L7 GARAGE FLOOR ELE1?.9T/ON
I heriby carti,fy that thia ia a t:ue end corract repneantation ot a tract of
land aa shoxn'and dcecribed heraon,• Aa praparad by me an thia G? day ot
_ /0" , 19 6S . .
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' A' f• CI'lY OI' IIUILDINa DI:PART1dL11T '
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:ac'ribo openingDi upu . x 9R•
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Detorlniliilig iiUii valuoo ttt Roof? waii, Fliint 'and Cona. Dloclc
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2.) 5/D a
pa. 0.61
.56
3.) InoulnCion
Extorior dir Film
(e'PILL) .(.?
C
. .
uUd; v 1/R? I OZ? '1'OT1tL
(R)= ?.Sr7g
..
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? G.) _Intorior Air Film 0,68
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s.t 19,pp
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-
SPACE ? . .
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INLET DUCT RTH
5LAA
FOUNDATIpN
r,W: ,
- ?40 STANDARD DIMENSIONS -
.
°`'?TUModelA t
tr.tj.Number,,z',?-,.A; B C p. - O
D
troi? E
F G H .
.
j Flue
CL11v1341 ?z'.3c W?'21 24 40 34 30
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:....
• 28 53'/: 72
• 9 •13X13
sY r;?36.
21. 27 43'h 36 '
30 28
53A 12 •
. 12 13x13
21 ' 32 . . qg ;,.41 ,/j , .
30 ' 28 •. 53'/: 12
17 13x17
'tic^t48ow r _.25 .'37 54 •47 34 31 .
'58,/
76
...,_. . 20 17x21
'«`CONSULT LOCAL BUILDING C
WARNINC: This is an AlI Masonr ODES, OBSERVING MINIMUM MASONRY THICKNESSE$'**
Fi
l
y
rep
ace
Instructions first , not a Zero Clearance Unit. Read Installati
.
ICBO #3473 on
DATE
Craig: ? .
Would you please let us lmow if ddition?
is ready for Sewer and Water Connection.
' bK • Signed
NOT OK Signed C'
Thanks,
y Diane & Sue
FOR CITY USE ONLY '
PERMIT # ISSDED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /0 '5-2) WATER PERMIT (INCLODE SDRCHARGE)
$ ? 7,ee('i $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ f S-,oo ACCOONT DEPOSIT - WATER
$ $ WAC
$ ? ?? • ?Z? $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
,
$ '
$
OTHER:
S? f y I?'D Cl $ ???"C Z? TOTAL
z-
RECEIPT RECEIPT ,. __.
DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MLST BE ISSDED BY TAE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
S[!BJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY: !Jl.-s -rt-
TITLE:
DATE : ? / 9 / ,4,7
APFLICATION FOR PERMIT
SEWER ANQ/OR WATER CONNECTION
:. ....................x>.,.... -:
xx
? NdPE: PAYMEaIl OF FEE AT TIME OF a',
; ArriscaTTON oors NOr cav- ;
? STI1il18 APPRGVAL OF PII2M1ffT.
:
? INSPF7C•I'ION OF smm ADID/OR WATE[t
x'..
; xrisrncLATxais wna. NoT se scEnUn.m *
t[!NCSL PERMIT HAS BEQ4 ApPROVfD.
x????eritKxw?xtrf+ktii?»w>f.?r?rrr+++t•
oF eagan
(PLEASE PRINT
1) PROPERTY ADDRESS:
T.HTAT DFSQtIPTION:
)F ORIGINAL BUILDING PERMIT ISSOANCE:
rbnt Year
12?T R-1 SINGLE FAMILY
El R-2 DUPLEX ('Pao Ljnits )
Q R-3 TOWNHOLSE (Three + Dnits) ( Units)
Q R-4 APARTMENT/CONIDOMINIUM ( . Dnits)
IF EXISTING SIRCCT[Il2E, DATE (
PRESENT ZONING/PROPOSID LSE:
Q COPM'IERCIAL/RETAIL/OFFICE
Q INDTISTRIAL
Q INSTIZC?TIONAL/G0VERNNlENT
2) NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) i:?• NAME: fL y77 Ufq T'1k R u m 8 1N(>
ADDRESS: g3C'i/) 7 ???no ./ /_e../r
CITY, STATE, ZIP: f?.?oi "r '4.r'ia< 1147n/ L 6'
PxoNE: ?4 3 a 5?75? rw"szEa LzcEvsE #?O?S `
4) ij P,ctive
Expired
Not recorded
St Initia
v
?
ADDRFSS:
CITY! STATE, ZIP:
PHONE: (? p,f? - D C? ??
5) sl• a ?• • u ??!e
? CONNECTION 2O CITY SEWFR I?I CpNNECTION 717 CITY WATEE2 Q QTFIER
6)
*?*,r****r?*+??***,?***?************?*:?********?**??*************************:?****:r*??***+**********?
THE GOLD COPY OF THE PERNffT WILL BE SENf DIREC'I'LY DD PDBI.IC WORKS 10 FACILITATE METER PICK-OP. *
* PLEASE ALIiOW TWO FARKZNG DAYS FOR PROCESSING. SOMEONE FROM TfM CITY WILL OONPACT YOU IF 74iERE *
* ARE ANY PROSLF,MS. *
+
?*??+****???*****,?**x«+,r*??:*,r*r?x***+*,r**,?*******?:*******+,t,r*??*+,t+****??*****??x*?******?**?*,r**t
?: Y? e-iff -kk
SNELLING, GHAISTENSEN, BRinrrT & I.AUE. P. A.
ATTORNEYS AT LAW
SUITF. 400
RONdID L. SNELLINO 5I01 "EANON AVLNUE SOUTH
JOSEPH J.GH&ISTENSEN MINNEAPOLIS,MINNESOTi155436
THOMAS A.B$7AHT
aOHSRT P. 7dUE TELEP80NE I6121 027-8855
Joxxe.MuxTmr April 5, 1993
Patrick and Lisa Cline
1211 Duckwood Trail
Eaqan, MN 55123
OF COUNSEL
WALTEA G.GUSTAPSON
FACSIMILE 18121 027-5427
RE: St. Francis Wood 6th Addition/Street Landscape Islands
Maintenance
Dear Patrick and Lisa Cline:
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 Eaqan has required that a plan be
formulated to provide for the maintenance of the landscapinq 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 Landscapinq 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 undersigned, being the Owner(s) of the following described
property:
Lot 18, Block 2, St. Fzancis Wood 6th
Addition, according to the plat thereof on
file or of record in the office of Che Dakota
County Recorder (the "Lot")
hereby oonsents 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 the
date this Consent is recorded in the office of the Dakota County
Recorder.
Dated this day of
OWNER(S):
1993.
? -
Patrick V. Cline
v
Lisa A. Cline
STATE OF MINNESOTA)
)ss
COUNTY OF )
The foregoing instrument was acknowledged before me, a notary
public, this day of , 1993, by Patrick V.
Cline and Lisa A. Cline, husband and wife.
Y'
gbtary Public
THIS INSTRUMENT WAS PREPARED BY:
Snelling, Christensen, Briant & Laue, P.A.
5101 Vernon Avenue South, Suite 400
Edina, Minnesota 55436
-
HEAT LOSS CA -[/K---'? ?' - "U?"'?'7 . -_ _ .I??? .? I?1??u/'0'b!I/ _[__V`?/?
LCUL.ATiON5
DEPARTMENT OF BUILDIN TY OF BURNSVILL
' W
6 S
H
A
•
aal
erslrips .
.
•
Cuide Conatruttion No.?/?
,
nsulation
kindows
Y'es-No I Doors
Yes-No Reference II
19_ Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Lengih /
W' Width Heiqht,9 11 ) s FI.I Lly&Ay_ Room ? Length Os Width /&/ Heiaht'&'
mdowe and Doers-Crackage and Area
\\'LI?L IIri4M1l Rn. nf I.Ineal fl Area
nf Ian iA I•xm IlKhln nf ??nr4 • •
coe
t. B??
lnfillration 3S t 0410
Glaee
y s0 a o0
Fap. wall X ?
net exp. wall 0 / a
?TTMTIK'
lJwer-
Tolal Blu, 3, y
Reqmred sq. {t. E,D.R. or eq. ins. W.q, ?ader a r e a
f?-? If,'IZtIeNJ Rooml Length /y Width ii 14.ce6e d
Infiltration
Glass
Eap. wall
vel exp. w
1R1.wa11 /,
fotal otu.
n.
ft. E.D.R. or sq, ins. W.A. l.eeder area
end Area
'n6ltration
,la»
?xp. wal
Vet exq.
*M++eU
fotal $lu.
2equired sq. (t. E.D.R. or aq, ins. W.A. Leader area
1:3-1c, I>l0 :
Btu
Wi ndows a d Doors -Cracka ge and Ar ea
Nnm \Vldth
nf pane Ilelk?t
n( D+ne No. of
1111M1U I.Ineel tt.
of n.. M Arc.
e,. ff.
/ y bo 3 L?S 7 Y
Coe(. Btu
Infilttalion ,!?
cdas, , a o
- Ezp. wall I.T'.A I y X4W .01 301
Nel exp. wall
aM.....ll Qnrj
-GuliD?
.FJaaf-
lotal tltu. 1141,TJ
Required sq. (t. E.D.R. or sq. ina. W.A. Leader area
134' FI.I FOylRoom I L.ength / y Width 4 Height 9
Windows sad Doors-Craclcsve sod A...
Nom WIAIh
et pa
n
s He1sAt
of Dan, Ne. ef
Ilthb Llne?l ft.
e( v?cM Are4
sq. ![.
o /
?
W ?• l I 0
0
ef. Btu
Infiltretion 33is y -9O
Cilsaf 9 0
ExP. Weu Kx8
Net esp. wsll
inh-wsll &0 ?r (o ?l
'Eeiling
'ffoor-"
iotai ntu. 22-27
Required sq. (t. E.D.R. or sq. ine. W.A. Leader ares
1 FI•I LAr.e,1nB Room I Length / tl Width 7 HeiahtSt
Windows sndTDoors-Crackage snd Atea
fla Wld1 ?
a! pana He1gM
ot pan? No. vt
Iltnb Llnul fL
e[ cra
e
k Ana
so. ft.
?
/
Coef. Btr
Infiltration is O
Glasa Aqt(w 0 / Q
_Erzp, well 74-14 k I /440
-
Net exp. wall 'y 44 = 5/
Iw.wa m ? f. I li
-Pefftrtg
-Fieer-
T?._I Q... ?
-----? - --- e( {
Required sq. ft. E.D.R. or sa. ins. WA. liader •.'.
d3
HEAT LOSS CALCUL.ATIONS _..____.._._......_-DEPAR7INENT OF BUILDINGS
"Weateentri s A•S.H. .
P Conatruction No. Insulalion
Guide
lindowe I Doors Referenee I Out. Wall lnt. Wsll Ceiling Roof Floor II Kind How Applied
?s-No Yee-No 19_ -"
1
I.4t.(j Room Length p Width / Height FI.1 /,jpJ?p" Room Length Jy W--id??th /----G--? Height
Windowe and Doors-Crackage snd Area II Windows and Doors-Cratkage snd Are
R'I?111? IINRht Nn. ot Lle.al fL Atta WIJ1b Ilel[nt No. ot Llne?l f6 Ara
Vo. nf onne a( p.nr IiRhd ?( t,.i?k ?0. «? a Ne. of oana ef nnne Il??b ef ar?ck sq. ft.
Infiltration
Glaae
F.zp, wall
Net exp.
4ntrwell,
TOILl
ft. E.D.R. ot aq, ina. W.A. l.eader area
3Prf?j Room Length / [-J Width
and Doon--Crsekave nnd A...
Btu
No. WIUth
ot p?ns HNtbt
a[ pana No. ot
IIgn4 Llnetl 11,
et ene4 Area
sq. tt.
a
Coet. Btu
Infilttation
a
"ns
Glaas i a 0
Exp. wsll /t/X ?
Nel cxp. wsll g.q a
lec:,valt 2n / c i
y
Ceiling I O
Floer- W
i aiu.
uquired aq. ft. E.D.R. or sq. im. W.A. Leeder sres
I.? gQd??„? Room ?Length /u Wideh Heieht $
Wmdows and Deers-[_..,6.. ....1 e...
No. WIAt
of pane Helghl
et Dane No, e
11[htm Llnaal tt.
et eraek Area
q. Il.
LI 4 .? d Y
Coef. Btu
Infiltretion
Clsss , a y
Sv ??
990
E
xp. wall / }? X 0
Net exp. wsll
.u R `
Ceiling 1
p
Weer-
aoml olu.
Required sq. ft. E.D.R. or sq, ins. W.A. Lesder area
I Cotf. Btu
In6ltntion ? ? ? ?C
Glan
Exp. wall
Net e:p. I
IwU-wall j
Ceiling
.FOOh
T-..1 Q...
_ Required sq. [t. E.D.R. or p. ina. W.A. Leader ares I
Fl.I St.Wepm Room ILength / Wideh / q Height
Windows and Doors-Crscka ge end Atea
Na Wldlh
et pan* HNtht
at p?ns No. o[
llght. Llneal fl.
ot er?e4 Area
w. «.
r a Ng a ay i9
e . Btu
lnfiltution a () )q I S-)(s
Glsit /9. $v pQ
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_ Required sq. (t E.D.R. or sq. ins. WA. l.eader arca
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'es-No
LOSS CALCUI.ATfONSDEPARIMENT OF BUILDINGS----'-...---_-,----.--.._---....
rslrips A•5'V.E• - Construction No. Insulation
Guide
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Yn-No 19_ II
64
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?
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PERMIT
City of Eagan Permit Type: Mechanical
Permit Number: EA105401
Date Issued: 0711212012
itj of 0n Permit Category: ePermit
R
Site Address: 1211 Duckwood Tr
Lot: 18 Block: 2 Addition: St Francis Wood 6th
PID: 10-65905-02-180
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Scott Howe
123 Cedar Street
Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Boiler Exxperts LLC James B Orner
123 Cedar St 1211 Duckwood Tr
White Bear Lake MN 55110 Eagan MN 55123
(651) 653-5757
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119267
Date Issued:11/20/2013
Permit Category:ePermit
Site Address: 1211 Duckwood Tr
Lot:18 Block: 2 Addition: St Francis Wood 6th
PID:10-65905-02-180
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 12,000.00
Fee Summary:BL - Base Fee $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 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 -
James B Orner
1211 Duckwood Tr
Eagan MN 55123
(612) 723-6345
Gates General Contractors, Inc
3500 Vicksburg Lane North, Suite 400-351
Plymouth MN 55447
(763) 550-0043
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121957
Date Issued:04/21/2014
Permit Category:ePermit
Site Address: 1211 Duckwood Tr
Lot:18 Block: 2 Addition: St Francis Wood 6th
PID:10-65905-02-180
Use:
Description:
Sub Type:Reroof & Windows/Doors
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.
Windows/Doors: If altering the opening size, a framing inspection is required.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
James B Orner
1211 Duckwood Tr
Eagan MN 55123
(612) 723-6345
Gates General Contractors, Inc
3500 Vicksburg Lane North, Suite 400-351
Plymouth MN 55447
(763) 550-0043
Applicant/Permitee: Signature Issued By: Signature
r For Office Use
g6
�: • r. Permit#: /6.; 6-6
1/
, ., E AG A N
..... ..,„ --
Permit Fee: -7Z ' -7,..s
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionst cityofeagan.com J
2019 RESIDENTIAL BUILDING�.^ / PERMIT APPLICATION
Date: .5 -0 ..--// Site Address: f�I/ ciuC,j I.t)c —If// Unit#:
Name: Jl/j E0(fl of Phone: C67 303-1220
Resident/ ) l
Owner Address/City Zip: l a1f LiO ,AI/1Jo 177'
Applicant is: Owner 1 Contractor
Type of Work
Description of work: I'/C, /nel ,/o un— 7 / /C(� „„,,T
i------
Construction Cost: Multi-Family Building: (Yes /No 1/ )
Company: c+ 0/P 'l�2Ml c� Contact: VIDV5)/ 4
l
Contractor` Address: / 0 12fo &d 42/j City: ,51-,-, /✓/
State* Zip: 55/17 Phone: — �g Email:J7',OL&a,4Lt"..di' <'/A- T9Z 4ii A
License#:Di,(771/142 Lead Certificate#: f/L{T - 52 "(
If the project is exempt from lead certification, please explain why: I
11l me )v'% a ,� /7/0,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaqan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aooherstateonecall.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 pproved plan in the case of work which requires a review and approval of plans.
3 /-;4—til .551/6 -
Applicant's Printed Name Ap• i ms's Si•nature
DO NOT WRITE BELOW THIS LINE •
SUB TYPES
_foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
Multi _ Deck — Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
y/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 2060 . Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%_) ..--' Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV 1
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size: l
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required 1
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
/Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
V Insulation •-r- V/1-fd,L 8 -jf Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
/1
Reviewed By: v , Building Inspector
RESIDENTIAL FEES
Base Fee 73 7C--
Surcharge
4Surcharge / . °`'n
Plan Review p • °`'a
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL P 74-, 7C
Page 2 of 3
i.
i
•
` , r For Office Use _ l
:, 0 `,4V,1 e i3O, r • t,
::::
,-- -- -&-z
� � e:
1' €= . V"(- EJVED > -d'6 7
Dale Received: �Of
fl 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
'!I (651)675-56751 TDD: (651)454-8535 I FAX: (651)675-5694 DEC 2 6 Staff: .
buildinginspeclions(a�cilyo(eagan.comli
® 2019 - _J
Ill .
:li
IA
!h
i 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
;� Date: - S la
I
)?`-'51 Site Address: .. l 11u J.. . �.,r_ A :�
Tenant: V Suite #: •
.-3 D3 'd0
t tit ResldelltLOwner, 5 Name: 01) it/11/ - Rhone: /
r ``�'•{- Address/City/Zip: 4JI
V
Name: MILBERT COMPANY dba CULLIGAN WATER License/F: WC641376
Contractor Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS
State:_ma _•Zip: 55077 Phone: 651-451-2241
} Contact: BILL MILBERT Email: gloria.abas6cultigan4water.com
New Replacement Repair Rebuild Modify Space—_ Work in R.O`W. ._
,Iii
'Ill
Type of Wolk: . '. —
1IDoscription of work: •
.i{ Water Healer .. .. .
,ir T _Lawn Irrigation:( RPZ/ PVB):
i)• ;' _-__y_Water Softener —
i'!!1 DOSCrIptIOl1Septic System Add Plumbing Fixtures ( Main/_Lower Level).
ii
I .,t
New Description:
•
' ___Abandonment Connection to City Water from Well
RESIDENTIAL FEES ,
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
'!i � $60.00 Lawn Irrigation(includes State Surcharge)
i. , $60.00 New fixtures, adding or removing piping (includes State Surcharge)
I $60.00 Septic System Abandonment
I $100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well" + $290 for Meter and $190 for Radio Read = $540
`Sewer&Water Permit also required for connection charges
TOTAL Z=EES
60.00
c.AI L BEFORE YOU DIG. Call Gopher Slate Ono Call at(651)454-0002 for protection against underground utility damage, Call 48 hours befo're you
)tend to dig to receive locates of underground utilities. www.gopherstaleonecall.orq
You may subscribe to receive an electronic notification (rein the City of proposed ordinances by signing up for an email update on tho CIty's
wobsito at www.cilyo(oagan.comisubscribo.
r., I hereby acknowledge that this information is complete and accurate; that the work will be in conformance viilh II c ordinances and codes of the City of
{{ ' Lagan; that I understand this is not a peril-11i. but only an application for a permit, and work i not to,start •i rut a permit; that the work will be in
accordance wit the approved pia the case of work wnich requires<i review and approval of pl.ns.
iF r �� x rV , I/ / / / / ..
AI pllcant's Printed ame
I., Applicant's Si ifr/re �' •
rol
i; a [� i /1 .i, / ''''
Page 1 01-2
I;
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165752
Date Issued:11/18/2020
Permit Category:ePermit
Site Address: 1211 Duckwood Tr
Lot:18 Block: 2 Addition: St Francis Wood 6th
PID:10-65905-02-180
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James B & Judith A Orner
1211 Duckwood Trl
Eagan MN 55123--115
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175885
Date Issued:04/20/2022
Permit Category:ePermit
Site Address: 1211 Duckwood Tr
Lot:18 Block: 2 Addition: St Francis Wood 6th
PID:10-65905-02-180
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Judith A Tste Orner
1211 Duckwood Trl
Eagan MN 55123
(651) 303-9220
Paul Bunyon Plumbing Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177727
Date Issued:07/14/2022
Permit Category:ePermit
Site Address: 1211 Duckwood Tr
Lot:18 Block: 2 Addition: St Francis Wood 6th
PID:10-65905-02-180
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Judith A Tste Orner
1211 Duckwood Trl
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature