1165 Duckwood DrCITY OF EAGAN Remarks
Addition DUCKWOOD ESTATES _ Lot 55 gi k -.1-
ownerstreet 1165 Duckwood Drive
rr' r; Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREETRESTOR & Im , jQ$j 1739.35 347.87 S
GRADING
I
SAN SEW TRUNK '.J 1971 109.77 5.49 20 e ()D-17, (4 9 R"-2 3-61
+t SEWER LATERAL 421 980 0p'( Z& - Z3-%/
WATERMAIN
* WATER LATERAL
WATER AREA 1972 ill .$1 5.59 2 C OU -12,
?
' service
* STORM SEW TRK
* STORM SEW LAT
CURB & GUTTER
51DEWALK
STREET LIGHT
Road Unit 185.00 23871 3-29-81
WATER CONN.
BUILOING PER.
sAC 525.00 23871 3-24-81
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
RECEwCD
FROM
AMOUNT $ I
(] CASH ? CHECK
DOLLARS
1 oo
FOR
`"?t-->?l . ?f ???• ? Y( . ,i_...? f C.- ?
FVNO CODE AMOUNT
Thank You
B Y _
?
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
, ._ ctrr oF EAGaN
- `" 3795 Pilof Knob Road Eagon, MN 55122 N2 6569
- PHON E: 454-8100
BUILDING PERMIT Receipt #
Te be usad for Est. Volue Dote , 19
Site Address Erect p Occupancy
Lot Blxk Sec/Sub. Alter p Zoninq
p Repotr ? Fire Zone
arcel
E
l T
f C
t
n
arge ? ype o
ons
.
W Nome Move p # Stories
? Address Demolish Q Front ft.
Ci phone Grade ? Depth ff.
Q? Name PDrova
c e
s
°
z
Assessment
Permit
v? Address
~ Water & Sew. Surchorge
Ci Phone Police Plan check
FW N°'^e
? Add Fire
E 5AC
L
W
C
?
ress ng. ater
onn.
<W Ci Phone Planner Water Meter
Council Rood Unit
I hereby ccknowledpe that I have read this npplicotion and stnte that gldg, pff.
the informotion is wrcect and agree to comply with all applicable
Stote of Minnesota Statutes cnd City of Eogan Ordinances. APC Total
5iynature of Permittee
A Building Permit is issued to: on t e
J
F
A
he express condition thot
oll work sholl be done in cccordance with all applicable State of Mlnnesoto Statutes und City of Eagan Ordinances
? Building Official
I
?erslf # Dah Irswd rKwIfTN
Plumbing ?',3 Y ?__ /y- i? ,
Mechonical .42 Y" -
'LF ?
?lE.C,I
iNSPECT10N5 DATE INSP.
Rough- I n
Finol
Footing5 ? Dafe Irnp. Date insp.
Foundotion Plumbing - ?
From ins _ ? - Mechonicol G?
Final *_ '
Remorks: (?. - /a- a/
Receipt Q2
1. Date - ?
3. Job Address
4. Owner
5. Contractor
6. Address -
7. City
MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spsces S/C
Type or Print legibly Tot
2. Installation Cost
Lot Blk. Tract
8. Building Type: Residential ?
Zip
Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe . • Fuel Type /.. i
I 11.
No. Equinment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. an
r
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed : for
? Rough Flnal
I Inspections: Date Insp. Date Insp.
'rhis is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot. ?
1. Date 2. Installation Cost ?
3. Job Address • r_.:r . Lot Blk. Tract •
4. Owner .
5. Contractor Pl ur-} ,i r-. • Phone
6. Address
7. CitY State . Zip
8. Building Type: Residential Commercial ? Institutional ?
I 9. Work Description: New 0 Add ? Alter ? Repair ?
I 10. Describe
I 11.
No. Fixtures
Water Closet No. Fixtures
l/D
fi
C
i
Bath tutss esspoo
ra
n
eld
S
i
k
Lavatory ept
c Tan
S
f
Shower o
tner
W
l I
Kitchen Sink e
UrinaUBidet Oth
Laundry Tray er
Floor Drains
Drinking Ftn.
S
lop Sink
Gas Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
$igned :
for
Rough Final
InspeCtions: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN WATER SERVICE PERMIT
3795 P31nt ICnob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: _ No. of Units:
nurnor,
ite Address:
lumber.
Aeter No.: Connection Chorge:
'Ze' Account Deposit:
eoder No.: Permit Fee:
a9ree to eomplp with the City oF Eugan Surcharge:
?rdinances. Misc. Chprges:
Total:
y Dote Paid:
OF EAGAN SEWER SERVICE PERMIT
Pilot Knob Rodd PERMIT NO.:
MN 55122 DATE:
: No. of Units:
Address:
T`
9e to eamply with fhe City of Eagan Connection Charge:
?onees.
Account Deposit: _
Permit Fee:
Surcharge:
h+lisc. Charges: ?
of Insp.:
Total: _`_
Date Poid: -
CITY OF EAGAN
3795 Pilo! Knob Raod Eagan, MN 55122 N2 6569
PHONE: 454-8100
BUILDING PERMIT APPLICATION ReceiPt #
To be umd fer $F Dyd('/GAR Est
Value 000 Date
46 ?^2 4- 1981-
. , ,
Site Address 1165 i)u-kwond Dr_ Erect 19C Occuponcy R3
Lot 55 Biock 1 Sec/Sub. DUCkI900d Alter ? Zoning Rl
- 10 21900 550 Ol Repair ? Fire Zone NA
POfCel #
E
l T
f C
t V
n
arge ? ype o
ons
.
s Ncme jad ROn C`nm_ Move ? # Srories
; Address 1000 E. 146th St. oemolish ? Front 64
ft.
° Ci BLtY11SV1112 phone 432-8131 Grode ? Depth 24 fr.
p Approvals Feea
o Nome _
?
Address
Name _
Address
I hereby ocknowledge tMt I have read this application and state that
the information fs correct ond agree to Comply with oll opplicable
SMte of Minnewta Statutes ond City of Eagan Ordinances.
AssessRAenRS^123-251 Permit 1SU.SU
Water & Sew. Surcharge 23.00
Police Plnn check 65.25
Fire SAC 525.00
Eng. Water Conn.335.00
Plonner Water Meter 60.00
Council Road Unit NA
Bidg
Off
.
.
APC
Total 1o138.75
Signature of Permittea
A Building Pertnit is issmd ro: Jad Ron Corp
oli work shall be done in acmrdance w' h all applicable _S?ta_te of
Bullding Official I..
_ on the express condition that
ond City of Eagan Ordinances.
U? ..c -
?
Zb Be USed Fo
CITY OF EAGAN
BUILDING PERMIT APPLICATION
r ,S valuation 0 SO
• -T
Site Address ://( T T ) 0 c ,v o dd Dr .
Int J'S Block r Sec./Sub. JIE4Arect
?-
Parcel # : /Q 419/J/J gQpair
Owner: ?J-*q,7)/Goh? Enlarge -
Move
Address: Demolish
City/Zip Cocle: Grade
Phone #: ???'R= e/3/
Contractc
Address:
City/Zip Code:
Phone #:
Arch./Ehc
Pddress:
City/Zip Code:
Include 2 sets of plans,
1 site plan w/elsvations &
1 set of energy calculations.
Date '3 -/7- g&Z'
OFFICE USE ON[,Y
occuPancy 1e3
Zoning /lr J
Fire Zone NA
Type of Const. ?"l
# Stories
Front ft.
pepth 2y ft.
APPROVALS ? F'EES
Assessments Permit /30 ?
Water/Sewer Surcharge ?
Police Plan Check S' ??-
Fire SAC ? 2.5 A-1
Enq. Water Conn. Planner Water.Meter 0 ?
Council Road Unit
Bldg. Off.
APC
Phone #:
SR-me f/aC) se AY 8lac/? iDuc 4J0 ad
'IL7PAL I/ If 7, / S'
P14v QY>&?f
ys1
,!.
.
?
,_ ,
7/-->y0`/
This request void
] 8 mon?h?from
?.? ? sa
. -
Date of this Request Fire No. u Y9J O2
I, as O Licensed Electrical ontractor ? Owner, do hereby request inspection o( the above electri-
cal wuing installed at:
Street Address or Route No.
Section Township
Which is occupied by
Range County
Is a roughin inspection required on this job? No ? Yes"?r Ready Now ? Will Call ?
Poder Supplier ?._..? Address
Electrical Contractor
Mailing Address
Contractor's License No.
A3urv,5V i'1( _- 5
?ieciri nnva? c[pc.a?uwner makin9 rnis Instanatlon) ??
Authorized Signature . ? ?%S•wPhone No. ?i
(Electrlcal Contractor o1 owner Making 7hls Installatlon)
S?j ??? ?O??D .?o??1?J This inspection request will not 6e accepted 6y ffie
?? Q D 0 il State Baard unless proper inspection fee is enclosed.
a?a u ry
Griggs Midway Bldg. - Room N791
1821_ University Ave., St. Paul, Minn. 55104 - Phone 297•2111
? 46QUEST FOR ELECTRICAL INSPECTION
CHEtk BELOW WOAK COVERED BY THIS REQUEST
EB-Q0001-02
1-s? 33
T 49502
Type of BuOding New Add. Rep. Check Appliances Wved For Check Equipment Wirdl Foi
Home ? 0 Range ? 7'emporary Wiring ?
Duplex ? ? Water Heate[ ? Ligh[ing Fixtures ?
Apt. Bldg. ? 0 0 Dryei ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace ? Silo UNoader ?
Industrial Bldg. ? ? ? Aa Conditioner ? Bulk Milk Tank ?
Fazm Lis[ List
O[he[ ? ? ? p¢(ers1 ?
tt O[?hers
t? I
COMPUTE 1NSPECTION FEE BELOW
Seivice Enuance Size: # Fce Feeders&Subfeedecs: :v Fee C'ucuits: n Fee
0 to 100 Am s. 0 ta 30 Am exes 0 20 30 Am eres
101 ta 200 Amps. 1 w 100 Amperes 31 to 100 Am ies
Above 200_Amps. li bove 100 Amps.
[ Above 100 Amps.
Transformers RemoteCo-tiolCirc. Partialor o[hecfee j Isle>
Signs pecial Ins ection Minimum fe
Remaiks
n 1 ?1
TOTAL F ji -
I, the c heliby cerY t th e iflspection has bee9 ?tede? y? A 3 tod
(Rou f / Date b -/F9-?/
(Final)
-14 - - Date /f-g3'J(
, z- t' -
F' - -
This request void
18 months hom
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Naw Conatrudion Reauirements
• 3 registered sde surveys shovnng sq. N. of l04 sq. ft. of house; and all mofed areas
(20%maximum lot coverage allowed)
. 2 copies of plan showing beam & window saes; poured found desgn, etc.)
• 1 setof Eneyy Calculations
• 3 copies of Tree Preservalion Poan if lot platted after 711/93
. Rim Joist Delal Options selection sh et (bldgs wAh 3 or less units)
DATE
RamodeUReoairReuuiremenb
. 2 copies of plan
• 1 set of Energy Calculatbns for heated additiom
. 1 sile survey for exterior addifrore & decks
. Indicale'rf home seNed by sepfic system for additions
VALUATION 5 (a v ? • ?y
SITE ADDRESS Il (PS D?2CICW uoD ba MULTI-PAMILY BLDG _Y /N
TYPE OF WORK 9(6-V06F FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS
TELEPHONE 403;'7 74 " $"G iS CELL PHONE #
PROPERTY
FAX #
TELEPHONE #
COMPLEiE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNES01'A RULrS 7670 CATEGORY 1 MINNESOTA RULF.S 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted •??
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing syslem includes:
Mechanical Contractor.
Mechuucal system includes:
Sewer/Water Contractor:
_ Air Conclitioning
_ Heat Recovery Systcm
Phone #
Phone #
--------°-------------°-------------------------------------------°-°---------------
I hereby acknowledge ihat I have read this application, state that the information
with all applicable State of Minnesota Statutes and City of Eagan Or ' ces.
Signature ot
P'ee: $70.00
OFFICE USE ONLY
_ Water Softener
Water Healer
No. of Baths
_ Phone #
Iawn Sprinkler
No. of R.I. Bad
MAY 15 2002
_? A
Fcc: 691
? f(zI(STATE/t4V ZIP sJ??
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mul[i
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
-------------------------------
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Approved By
Building Inspector
PERMIT # L - tJ &
RECEIPT DATE:
7
2002 ii£.SIDEPTIAL PLUM$IR6 PERMIT APPLICATION
Ci7'Y og gasAN
3830 Pu.arr icivos ttn
Ek6k1V, stN 55122
851-681-4678
Please complete for: single family dwellings, townhomes and condas when permfts are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: )i?(95 4Uuc(Ci.cxb61 D1',ve
OWNERNAME:: 3-40mts d- h-nae fY1Grxf?- TELEPHONE#: (e Ff! 956(n
(aaEa, cooe)
INSTALLERNAME: Jumes ytqorxP? TELEPHONE#: 3
(AREA CODE)
STREETADDRESS: //CnSJ Duckwoc? 3r Ve 4(WAr3
CITY: STATE: M'V ZIP: ?5?23
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply °--
• MODIFICATIOWIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures lo lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
Water tumaro
und - existing dwelling unit (+ 5/8" meter if needed -$118)
?1
,y?--Bther: _l?[i,? VY`.iJ- -V?:! v"??---
- RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
Total $ ? •
I hereby acknowledge that I have read this application, sfate that fhe information is correct, and ag '6,Itb comply with all applicable CiryyfE"Pn ordinances. It
Cjty durirg its normal
is the appliranYS responsibility to notify the property owner that the City of Eagan assumes no ' inry for any dafna9es caused llylfie
operational and maintenance activi6es to the facilities constructed under this pertnit within gy?pgerty/rigM?ayA9'dse nt. j
1102
CONSUtTIH6 EHdINEfllf
?NGINEEAING PLRaNens ond IAHD fUlIVEYOfIS
C4MpANY, INC.
?I000 EAST I461h STAEET, eURNSV1LlE. RIINNE30TA 55337 PH 432*3000
?' \I
`` ; ;y 1`) 1
V
? Leaat .Diescs-LA?'? n: Lor ss; Btocx ),
? QuC,CaJooa ES7A76S , bAKa7%q 6UN7"'s/, /V0NNESO7iT}
LOT 55
G9R,
N r f?Fb5E4
? P m
an FL. FCEY.j SPLiT EV7'RY
? N ? egb.o ? F,ennrC psE.
I
f
I
H
?
?
NORTN
1.47(0?E'eN9N4)
SGACE I"-30'
IVorE c A« QFARiNGS E{SSUMIE,D
3fl. fKcrri' S?TBerJC
D¢awvc 4ND ?nLrrV FASEhzN'r
g ?
? •
- -
DuckwooG DR'7E ti
lj?
htreby certify that this ie a true and correct repreaentation of a tract ot
¦nd a• ahawn and deecribed hereon.. As prepared by me on tris /? day o!
m?.??.. . 19?.
Minn. Reg. No. a]
,?4
???/ L RESIDENTIAL Jr
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements RemodeURaoairReauirements
• 3 regislered site surveys showing sq. ft. of lof, sq. R. of house; an?ll rooted a2as • 2 wpies of plan
(20%maximum bl coverage al6wed) . 1 set of Energy Calculafions for heated additions
• 2 capies of plan showing beam 8 windovr sizes; poured found design, etc.) . 1 site survey for exterioradditions 8 decks
• 1 set of Eneryy Calculations . Indipte H home served by septic system for additions
• 3 wpies of Tree Preservatlon Plan i( lot platted after 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less unils)
DATE I- Z 6- p 2
VALUXION
JOB SITE ADDRESS 116? DucLrsx?vr4 J)r?,)e
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER poRpoipWt S4rv+e.5 b QeHee Y!'la rxIV
TYPE Of WORK_ I.?QSeInPnT F1o;54 FIREPLACE(S) _ 0 k 1_ 2
APPLICANT _SAwrPS 1'1'tCerXpr PHONE# ?e5/-(ofjl-b!S"S?
ADDRESS116.S Duckr?vrxR Priue,uAa,,; ZIPCODE 3
v
PAGER # CELL PHONE # 651 - 378 - 193 FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
energy Code Category _ MINNESOTA RULES 7670 CATF,GORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA AULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor.
Mechanical System Includes:
Sewer/Water Contractor:
Water Softener
Water Heater
No. of Baths
Air Condiaoning
Heat Recovery System
All above information must be su6mitted prior to processing of application.
I hereby acknowledge that I have read this applicafion, sfate that the
with all applicable State of Minnesota Statutes and City of Eagan Or<
Signature of Applicant
Phone #:
Iawn Sprinkler Fee: $90.00
No. of R.I. Baths
Phone #
Phone #
Fee: $70.00
? ? m 5
m
Certificates of Survey Received _ Tree Preservation Pla?Xeceived _ Not Requ' d_
Updated 2002
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ,kll 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New X 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 WindowslDoors
? 34 Replacement "Demolitian (Entira Bldg onfy) - Give PCA handout to applicant
Valuation Occupancy A -3 MGES System
census code zoning 2 i city water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Y_zv W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water Final Air/Gas Tests
Pool
Ftgs Final
? Framing _ _
_ _
_
Siding Stucco Stone _
,X Fireplace _ R.I. _ Air Test _ Final _ Windows (new)replacement)
_X Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
0 p°`
Building Inspector
PERMIT #
L49r33
RECEIPT DATE:
2008 ftESIDENTIAL PLUM$INH PERMTI' APPLICATION
CITY dP £AHAN
3830 eu.or Kivos [tn
E*snx, biN b51 EE
851-881-4876
Piease complete for: single family dwellings, townhomes and condas when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: \ t ?D 5 JU \; ET
OWNER NAME: : TELEPHONE #: 6?? - tvgJ -
(AREA CODE)
INSTALLERNAivit: -;NLL10-e tN?,eL`v-"? ?Lo? TELEPHONE#:
n/? (? (AREA CODE)
STREET ADDRESS: { z-?] Z ?Tti-YC?I nSr ? n r,1G i J-? {??X
CITY:
STATE: lmAJ ZIP: SS J
_ 3EPTIC SY3TEM, new/refurbished (requires two sets of plans and MPC license) $ 100
00
includes $40.00 County fee .
Note: AddlHonal consuitant fees may apply
• MODIFICATION/ALTEF2ATION TO EXISTING DWEI.IING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water sokeners and water heaters. $ 50.00
_ Abandonment of septic system.
Water turnaround - existing dwelling unit (+ 5!8" meter if needed -$118)
> - ?
t/ Other. MaJef 2']?SZ.?r?•? -k? ?v?v? i-cc?rw?
_ RPZ: nr,w in;tallation/repaklrebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $
-: 15.00
State Surcharge 10 FEB 2 8 2002 $ •50
Total BY $ 5-o s O
I herebyacknowledge that I have read this application, atate that the informatlon is correcl, and agree to complywith all applicable Cityof Eagan ordinances. It
Is tha applicanPs responsibility to notity the propeAy owner that the City of Eagan as s no li bilily for a ma es c ed by the City during its normel
operational and maintenance activities to the facllltles constructed under this per it wi hin 6ity?propertyfright-o a! erpent. ?
V
?
SIGNATURE OF PERMITTEE 1/02
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177857
Date Issued:07/21/2022
Permit Category:ePermit
Site Address: 1165 Duckwood Dr
Lot:55 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-550
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Paul & Melissa Pekarek
1165 Duckwood Dr
Eagan MN 55123--111
One Hour Heating & Air
15191 Boulder Ct
Rosemount MN 55068
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature