1183 Kittiwake Cir
Use BLUE or BLACK Ink
r
T-or Office Use
Permit
City of Ea an
V I
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 3 (L"t ` "`j"'
Tenant: Suite
RESIDENT/ OWNER Name: Ira -E' ( le Phone: 1 K ° 7767'
Address / City / Zip: S 3
i
Applicant is: Owner Contractor
TYPE OF WORK Description of work: Re R4-6
i s
w
Construction Cost. 3S-0 Multi-Family Building: (Yes No)(-)
(1A, CONTRACTOR Name: E,`y-cr ryt,N
t ~-e5/ c l ct S License Z O b33 T41 7
Address: L(O c3 i7 S S ° City: A- Plz>
State: 0'~- Zip: ~S?» Phone: ( Z- Z--~o -
Contact:~IT~ f-csS Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.-gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of s. -
x x
Applicant's Printed Name Appli 's Signature
Page 1 of 2
,
CASH RECEIPT
CCi'Y'`-OF EAGAN
P.O. BOX'21-199
/EAGAN, MINNESOTA 55121
nnrF #ccsrveo
FR
AMOUr,
1 1 9_
E?
?D
& DOLLARS
1 oa
E)CASH ? CHECK
ROR
1
1 .
.._. ? . ? . ?, FUNp CODE AlADUNT
J
)
_J
Thank You BY
White-Payers CoPY
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT
CITY OF EAGAN
P. O. 80X 21•199
EAGAN, MINNESOTA 55121
DATE ? g
wecerven ' ''
FR«,
?
AMOUNT $ I. .
? . ;/!,? ??: . s i?• ? %?'-.,
FUNO COOE ' pAlIIIIryT
I
? _ S ti? ,,?C! c
Thank
BY
White-Payers Copy
Vellow-Posting CopV
Pink-File Copy
6 DOLLARS
?oo
? CASH ? CHECK
V
?
CITY OF EAGAN 9680
3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121
PHONE: 454-8100
BUILDING PERMIT ReceiPt # J? - % 'I
T. L. w.A si.. SF nWG/GAR $68,000 ti._ NOVEMBER 9 84 ?
rvame
4724
POINT
'
Addres? 454-2698
City Phone
Erect Occupancy `"
Remodel ? Zoning
Repair ? Type of Const. V
Enlarge ? No. Storie,s
Move ? Length 4
Damolish ? Depth ?-
Grade ? Sq. Ft.
Avorovals Feas
?? A?r?6 20055 LILLEHEI AVE Assessment
F Ci ?, YIASTING5 phone 437-9317 OT Water 8 Sew.
Police
bW Name 4 -233 fire
U(9 Address Eng,
Z. City Phone Plonner
Countil
I hereby acknowledga that I hove read this opplicotion ond stare that Bid9. Off. 11/6/84
the intormotion is correct and ogree to comply with all oppiicable APC
Stote of Minnesota Stotutes and City of Eagan Ordinonces.
Vaa Date
Sipnofure of Pertnittee
Permit U
Surchorpa 34.50
Plan check 168.50
5AC 525.00
Woter Conn. 470.00
WaterMeter 63.00
Rood Unit N A
Parks
Total
A Building Permit is issued to: on the expreu cwdition thol
all work sholl be done in accordance with,,611 opplicoble State p6 Mjnnesoro Statutes ond City of Eogon Ordinances.
Buildinq Official
G-) ?-
Site Addresa 11 V J 1\ A 1 1 11?A1\l? 11l
Lot 51 Block 1 SecJSub.
Percel No.
Parmit No. Permit Holder Date
Plumbin9 I!1'\,ILr yJ )-?'l S "
H.VA.C.
ei.ct.ic a 3 '. cz)
Sohenar
Inspection Date Insp. Other
Footings
Foundation
Framing
Rough Plbg. f-3O• • ?
Rough HVAC ? g
Inwlation
Final Plbg. 3
Final HVAC 3
Final fQ
Cert/Oec. '
Watar Describe Lotation:
Well
Sewer
Pr. Disp.
Receipt MECHANICAL PERMIT Permit No. ?-
/ ? j. CITYOFEAGAN Fee
FiII in numbered spaces
I S/C
Type or Print /egibty
Tot. ?
1. Date 2. Installation Cost 00 .
3. Job Address Jig3 Ki rT LvqLaL glk. ? Tract
I? I I- ? v K `j on i
4. Owner ??%
5. Contractor l/ R???J 4e u T/ rY?! Phone y- 3 5? e577
6. Address ? 7 70 /< e ,,vY ely tt,4UP w
7. City L c-i Ke V /Ile State
Y'1 N
ziP SSo V u
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe H 'e u T-, Fuel Type 8
11.
No.
? E.quioment BTU - M. Ea.
Forced Air ? Z/ No. Equipment CFM
Air Handling:
L C^
Mfg.
Boilers
_
Mfg. _ Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and code verning this type of work.
Signed : ?
for
Rough Finel
Inspections: Date Insp. Date lnsp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 464,8100
Receipt i /->= r PLUMBING PERMIT Permit No,
CITY OF EAGAN Fee
Fill in numbered spaces S/C
Type or Print/egibly ,
Tot.
1. Date 2. Installation Cost
,3. Job Address// Y3 ?I A'u k E' Lot c-, ? Blk. Tract ' 6
-
4. Owner J
/yll°/ p//?M??l? ?? 7 y
5. Contractor hone
6. Address 1 35 J-'a,ws 5. as ?y??s
7. CitY I dir State ?z. ? ', ., .. . ZiP
8. Building Type: Residential_j:;?? Commercial ? Institutional ? j
9. Work Description: New,,P-- Add ? Alter ? Repair ?
I 10. Describe
I 11.
No,
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
/ Lavatory Softner
Shower Well
? Kitchen Sink
Urinal/Bidet
Other
? Laundry Tray
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
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.
Signed : / 1 % f/i / ll"/i?i, •??1 ? for
Rough Final
Inspections: Date Insp. Date Insp.
I This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
i Improvement Date Amount Annual Years 45 Payment Receipt Date
STREETSURF.
STREET RESTO jm . 1981 1739.35 347.87 5 -
GRADING
SAN SEW TRUNK 1971 109.77 5.49
i6EWER LATERAL
i
n
'
WATERMAIN
• WATEFi LATERAL
WATER AREA 3
55 n n
; _
service -
t STORM SEW TRK
e STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREETLIGHT
WATER CONN. 470.00 #47589 11-9-84
HUILDING PER. #4680 it "
s.ac 525.00
PARK
I
'OFEAGAN
Pi9ot'(nob Road
Box 21199
i, MN 55121
fo eanyy wilA f6e Ciy o1 Eayae
SERVICE PERMIT
..,,
ConnectionCharye: ``-!•UU ?
Account Deposit: = ? ??;7 nd
Parmit Fee:
Surcharpe: .
Misc. Chorpes:
Total:
Date Pald: _
CITY OF EAGAN WpTER SERVICE PERMIT
3830 Pelot-.Knob Road
P. Q. gox 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Za,iny: '-:1
No. of Units:
p,,,ner; P1I1 Pilla BR Ericksot3
llddrcss:
Site 1lddress: 716; 21*_tiwake f:ircle L5' <1 :iuckwooci EstaLes
PIuMber:
AAeter No.: Connection Charge: 40 . 00 Dd
SiZQ: IICCOUIIt DEPOSIY:
Reodar No.: Permit Fee: - 1.;i.Y0 Ptl
I g0me t0 f0mply Mah Nlf City OF EYgaA $YfChOfgB: , jf;
O?JinanoM. Miac. Chorpes: 63.00 r,_' -aerer
Total:
BY Date Poid:
Date of Insp.: Insp,;
CITY OF EAGAN
3830 Pilot Lnob Road WATER SERVICE PERMIT
P. O. Box 21799 PERMIT NO.:
Eagan, MN 55121 DATE:
2oning: No. of Units: ?
Owner. ?
,i.? EY'ici
Address: ,
ff€ ?+"-
PILmb`er: ,... _ - `
Meter No.: 7 3 ?- Conneetion,Chorye: 470.00 Fd
siZe: Accoun+. qIPposir: 15 Reader No.: S2 -D2 /J 7 ?f 9 Permit Fee: z
? .
? M aasV,?I IM Ciyr ef Eayan Surcharge:
nanc... Mlac. Charoes: F?3.00 nd mot:>,
Total:
"^---' DoM Poid:
Date of Insp.: 3 insp.:
?/ es-
0. *
337• 00 +
34•50+
168•50+
525•00+
470 • 00 +
63•00+
1 9598•00 *
BUILDING PERMIT APPLICATION
Zb Be Used For,?? Valuation ??? ?1 Q C
Site Address: %/ ??
Lot jL Bloclc % Sec. /Sub. ?-Ls-c ?kw..+dd,
Parcel # : /6 - 21 q 0 - S16 - [o / ?a ? r
.
Owner: :'// i 11P
Address: 75 v J40,lvi ' eI 17
City/Zip Code: A:AC p nJ InN. .J.5 i ? i-
Pho*e q :St/
Gontractor:
Y
AddY'eSS: '-? 0 CI $ S A 4?1)1 [L !` .0 if s •
City/Zip Code: ?-I p? rrri'S ?7%?' 530:?3
Phone # : (13 I - eJ 31 r
Arch. /Eng.
Address:
City/Zip Code:
Include 2 sets of plans,
1 Certificate of Survey &
1 set of energy cal.culations.
Date
OFFICE USE ONLY
EreCt X OccuPancl' _ i?-3
Alter Zoning K-I
Repair Fire Zone
Enlarge Zppe of Const.
Move # Stories
Dezrolish Front 4 S ft.
Grade Depth 48 ft.
APFRO)ALS Fr.^^r S
Assessments Permit
Water/Sewer Surcharge 3 ? . 5
Polioe Plan Check I(o8, -
Fire SAC 525 • °-
Eng. Water Conn. 4,0. a
Planner Water .Meter (03. «
Council Road Unit N A,..
Bldg. Off. //- -
APC
Phone #: TO'I'AL /, ? ) (J
-T-?
44x, 2(? = 1i44x 54 = (c 0 -7 k??
22 ? 489 x i? = 5324
(n7 I od
?
?
?
?
?
4
i CITY OF EAGAN N? 9680
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ReceiPt # 7x
BUILDING PERMIT
To bs wad !a SF DWG/GAR Est, Volue $68, 000 Dafe NOVEMBER 9_ 1 q 84
SiteAddress 1183 KITTIWAKE CIR erect YJ Occupancy R3
Lot 51 Block 1 SeclSub. DUCKWOOD EST Remodel ? Zoniny . Rl
Parcel No. Repeir ? Type of Const. V
Enlarge ? No. Stori?
a Name BILL PILLA Move ? l.ength
z 4724 ANNE POINT oemolish ? Depth - 4-9
Address
9 City EAGAN phone 454-2698 Grade ? Sq. Ft.
o Name B.R. ERICKSON /?nprorols
ZG
Address 20055 LILLEHEI AVE
Assessment
r City HASTINGS phone 437-9317 OL' Woter 8 Sew.
b
437-2334 Palice
W Name Fire
?? Address Enp.
=W City Phone Plonner
Council
I hereby ocknowledge that I hove rend this opplicotion and state thot
4
gldg. Off, 1-1/6/8
The inlormotion is correct and ogree to comply with oll oppliccble APC
tes?pnd City Eagan dinonces
State of Minnesota Stat
- .
7 Var. Date
7
$ipnMure of PertniMee
B I N
Fen
Permit • o
Surchorge 34.50
Plan check 168.50
SAC 525.00
Woter Conn..4.ZQ._Q0
Woter AAeter 63 - 00
Road Unit N/A
Parks
Total $1, 598.00
A Building Pe?mit Is issued to: ? R. ER CKSO on the express tondition thot
oll work shall be done in ocrnrdonee wlth pplicable ate M nesoto Stotutes and Ciy of Eo9an Ordirwnces.
Building Officiol -L 1?
REQUEST FOR ELECTRICAL INSPECTION - E8`-000011A
' See instruetions for comple4Rg [his form on back of Yellarr copY.
A II nd B 7 on "X" Be1ow Work Covered by This Request U?
oi Buildinn I ADDliancea Wired I Equipment Wired
ial
p Fee ServiceEntrenceSize # Fee Feeders/5ubfeeders N Fee Circuits
(0. 0 to200Am s 0 to30A s 1 101 Z50 0 to30 Am
Above 200 qmps 31 to 700 Amps 31 to 100 A
Swimming Pool Above 100_Am Above 100_AnW
Transformers Irrigation Boorc?s PartiaL'Offier Fee
I I _... I S'gns I Special Inspection TOTAL? E
Remarks ?
Final
.
m, hereW
that the above
iim has been
v?
P roada.
Th18 repuest voiC
'nis request void
18 rtpnths fram ?' ) r c 7
A 100290 516 iA
Fequgggst Date Fire No. flough-in Ir?specNon
Required?
I
E)Ready.Now
N Will NotifV. InsPec'
? ? PdYes ? No ,
[w When Ready
? Lfcensed Electrical Contractor 1 hereby raquesi inspsc[ion of abova
? O'Nner electrical wwk irmtalled at:
Street Ad?dr+egss, Bax or Route No. J City
eclion o. Townshi Name or No. Range o. County a
iyu ;i
Occupant IPRiNT1 Phone No.
Power Sup li¢r Address
i
QJ .,?i?.? ?
?'L?
Electric Contractor (Company Name Coniractor's License No.
? 7.? 74,
Mailinq Aress IContractor or Owner MakinB tailationl
' -
? zr
? . t -V56033
?
Auth ed nat re 1C tractor Owner Milking, Instatlation) Phone Number
u? . 29'i ' ?- 9-!735
MINNESOTq STATE BOARD OF ELECTRICITV y THIS INSPECTION REUUEST pILL NOT
Grigga-Midway Bldg. - Room N-191 BE ACCEPfED BY 7HE STATE BOAND
1821 Univarsity Ave.. Si. Vaul, MN 65704 UNLESS PROPER INSiECT10N FEE IS
Phone 16121 2973111 ENCLOSED.
n
Eneripy Conservation Supplement T0 31ding Perrreit Application
BUILDI@11G AR3D SdFETY DEPARTMtENT
CITY OF
DATE: October 25, 1984
This suppfement is provided to assist the applicant in computing the EXTERIOR ENVELOPE
AVERAGE "U" FACTOA {NFORMATION. 7his information is required so the BUILDING
OFFICIAL can determine that the submitted plans comply with the ENERGY CONSERVATION
DESIGN CRITERIA of the STATE BUILDING CODE (Section 6001). It is the APPLICANT'S
responsibility to accurately and completely compute the daka; reflect the proper DESIGN
CRITERIA in the plans; submit product specification, as needed to support the ",R" and "U"
factors used; and to assure that constructlon is accompfished per the approved plans.
JOB LOCATION
OWNER(5) PHONE
CONTRACTOA William EriCkson PHONE
A. Determine the Total Exposed Wall Area as follows;
1. Total wali window area
2. Total door area
3. Total sliding glass door area, and dtl'lufn door
4. Total firep{ace wall area
5. Total wall framing area (average 10°la)
6. Totat net wall area above floor
7. Total rim joist area
Subtotal: Total exposed waii area above floor
B. Total foundation window area
9. Total net foundation area above grade
Subtotal: Total exposed foundation area:
GRA?vD TOTAL EXPOSED WAI.L AREA
B. Multiply the GRAND TOTAL EXPOSED WALL AREA X, 11
C. Determine_ the T.otal Expased Roof/Ceiling Area as follows:
10. Total skylight area
11. Total roof/ceiling framing area
12. Total net insulated roof/ceiling area
120 sa. ft.
38
78
34
228
1770
111
63 sq. ft.
2442 sq. ft.
119 sq. ft.
1073
2379 sq. ft.
63 sq. ft.
?
Item 1 268.62 GRANQ TOTAL EXPOSED ROOFlCE{LING AREA 1 192 Sq. f t.
D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X. 026 =
,
Item 11 30.99 %
E. Determine the "U" value of each segment (1-9) and multiply by the area as follows:
t. 120 sa. ft. X,-U-- .32 = 38.40
2 38 X ..U.. .45 = 17.10 .
3. 78 x„ull .42 32.76
4. 34 X ..U.. .28 * -- = 9.52
5. 928 xl.U.. _ 085 -- = 1 4. 38
.6.' 1770 X ..U^ .042 = 74.34
7
111 X "U" .040 4.44
,
8. --- X ..U.. --- _ ---
63 X "U" .073 = 4.60
ADD 1-9 FOR TOTAL WALL SEGMENTS = Item III 200.54 ?
F. Determine the "U" value of each segment (10-12) and muitiply by the area as tolfows:
---
10. --- X .1u. - - -
11. 119 sq. ft. X,•U,• .031 _ 3-69 72. 1073 X .,u., .025 _ 26.83
ADD 10-12 FOR TOTAL ROOF/CEILING SEQMENTS = Item IV 30.52
G. !/ item No. lfl is fhs same as, a fess then ltem No. i, you have met the intent of State Building Code 6006(c) 2.
H. 11 item No. JV is the same as, or fess than ftem No. Il, you hava met the intent of State Building Code 6006(c) 1.
1. Add item No. I 268•62 1 ItemNo. II 30.99 _ 299.61 ? J. Add Item No. ill 1 200.54
+ Item No. IV 30.52
_ 231.06
K. !f the sum of ltems f!I and IV are less than ltems 1 and if, You heve met the intant of the code lot tofa/ envelopa
system.
In addition to the above items you may have to add for such items as floors over unheated spaces, such
as cantileverd areas, etc.
To arrive at "U" value divide the total of the R values for each segment (as above) into 1,000. Answer
you have is the "U" value for that segment.
Example: A total "R" of 35.08 divided into 1.000 =.028 "U"
i hereby certif,y that this plan, specification oz '
report was prepared by me or under my cd'xrp-et
supervisian 2nd that. I ana a duly •12.egisterr.ei
Ax•cla` c?e?r t?:e ia?'s z4 bt° at a; :t$
esota MA&421_0?
Datew' Keg. No. 10833
The undersigned, as applicant for a Buifding Permit, hereby
aftirms the above information has been prepared and submit-
ted by himself or wider his direction; hereby acknow{edges
the information to be correct and accurate; and hereby pre-
sents the information with required plans in support of the
Building Permit Application
Date
Sipnature
, ,
.
u ext. walls
int. air film R= 0.68
1/2" gypsum bd. = 0.45
6" F.G. 'insul. = 19.00
25/32" Nuwood shthg. = 2.06
112" steel sdg. 2/backer= 1.50
ext. air film = 0.17
U = 1/23.86 = .042
u ext. wall framin
U = 1/1.1.74 = .085
u rim joist
R = 23.86
int. air film R= 0.68
112" gypsum bd. = 0.45
5-1/2" softwood = 6.88
25/32" Nuwood shthg. = 2.06
1/2" steel sdg. w/backer= 1.50
ext. air film = 0.17
R = 11.74
int. air film R= 0.68
6" F.G. insul. = 19.00
1-1/2" softwood = 1.88
25/32" Nuwood shthg. = 2.06
1/2" steel sdg. w/backer= 1.50
ext. air film = 0.17
U = 1/25.29 = .040
u ext. found. wall
U = 1/13.70 = .073
R = 25.29
int. air film R= 0.68
12" conc. block = 2.40
2" s tyrofoam = 10.00
1/2" gypsum bd. = 0.45
ext. air film = 0.17
R = 13.70
? . .
Uceiling/roof
U = 1/39.78 = .025
u ceiling/roof framing
U = 1/32.04 = .031
u fireplace wall
U = 1/3.53 = .28
int. air film
5/8" gypsum bd.
11" blown cellulose
ext. air film
R = 0.61
= 0.56
= 38.00
= 0.61
R = 39.78
int. air film R= 0.61
5/8" gypsum bd. = 0.56
3-1/2" softwood = 4.38
7-1/2" blown celiulose = 25.88
ext. air film = 0.61
int. air film
12" masonry
ext. air film
R = 32.04
R = 0.68
= 2.40
= 0.45
R = 3.53
Assigned value Taylor steel walk doors U= .45
Assigned value Semco insul. dble. hung w/storm U= .32
Assigned value insul. Semco sl. gl. door & atrium door U= .42
1 , I I
,.
? I
2/84
CITY Or EAGAN
i?.
APPLICATION FOR PERMIT
• SEWER AND/OR WATER CONNECTIODi
'' (P EASE PRINT)
L
7
'
1) PROPER
Y ALDRESS : .?
1
?-
IEJ73AL DESC.RIPTICN:
(Io t/Block/Subdivision or Tax Parcel I.D. Ntnrber)
? I'r' ST^.?C'=E, DATE 0F pRIGutAL Eii2LDL??`:G P-.:, ST ISS???tG:
PRFS= "-^`IP:r/pT?C»POSLTJ C7.S?: .m'R-1 =k;=- FPMILY
? R-2 DUPiu { ('IS,iO UNITS)
? R-3 ZC:,7LWICY?SE (7-I-7P= + L^IITS) ( L'D12mS)
? P?_'} !-^''?-?RTT1E.'/CaZCA%7TLjMi'1 ? UN2=
o caML%=,cLaL/RE:AIL?oFFzc::
? mnvsTR=
? IiVSTITGTIO?L/GGVE,.?ZIE:,?'T
2) APPLIC-.NP (PLEASE PRINT)
NArE: _
ADDRESS:
CTTY, STATE, ZIP:
PHOiNE: C,f 1_7
3) Paj,,ffim NAME .
. 1 PLEASE? I?) ? fOR CITY USE ONLY
ADDRESS: 5 '??c fL,:.C'? ? 5 PLUMBERS LICEBSE:
? Attive
CITY, STATE, ZIP: l4? (/Yl s 0P71v( Q Expired
PHO,?_ 31 ?
PLUMBER LICENSE // 3 7? Q Not of Record
C41<11?
a nitia
4) OCC[JPANT/CI.%IPIER lrLcAat rnini)
?: L?.iin ?n
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) INDZCIITE WHICEI 7C?CNNECTION S BEING RDQLTES'TID:
TJ CITY SF.irIER
,0--CONNECTZCi:I TO CITY WATER
C] OTIMR (PL.ZISE DESCFtIBE)
6) I21DIG,TE C:T-:
7) sz?zATuRE:
U P=E I?QID APPROVID PER%LLT FOR PICFC-UP BY ONE OF ABWE
? PLFlsSE MAIL APPR(JVID PERbLIT 'IC) 1, 2. 3. 4 IaBOVE
//1 (Circle one)
Z :el 4 --z7 -h/
DATE: f? ?y
. . . .. . .. .. .. . . .. . . . . . . . .. . .. .
F O R C I T Y U S E O N L Y
PERMIT .°- ISSUED
FEES: $ SE:^iER ?'DRMrT (I`ICL:= SU°Cfi?RGE)
$ WATER PERU4IT ( INCiUDE Sli RCHARGE )
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SE;vER TAP
c - .. _ ?
-
AC^OUNT DFP(1SIT - UTATER
$ G, ?-d WAC
$ c s `c%.-?J SAC
$ TRli"NK T4ATER ASSESSi?ENT
$ TRliNK SEWER ASSESS:?E.1T
$ LATERAL BENEFIT/TRUNK SEWER
$ LATE:2AL BENEFIT/TRUNK 6QATER
$ OTHER '
$ TOTAL
$ 7'?.? a ANIOL'NT PAIDjRECEIPT ?
?'
2
1t
7
9
DOES UTILITY CONNECTION REQUZRE E XCAVATION IN PUBLIC RIGHT OF WAY?
C? YE5 IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST 8E ISSUED BY THE
? NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLO[9ING CONDITIONS :
'_.
APPROVED BY:
TITLE:
DAT° :
we
'11 434
2005 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 pennits aze required for each unit
* -2-0 ?z
Date ! ( / 3 / >,5-
Site Address 1193 K- 44; ?,jc- kf_6i rde__ Unit #
Property Owner ? o ? o- r? C c S?? 4w Telephone #( G S? ) ?sq - 77 g 9
Contractor
12253 Nicollet Avenue South
Street Address
enN 5.887
ALWnR
19211e city
-
,
Telephone: 952-746-5U ?
State
C?..• e52_746 52 0 ?p Tele hone #
` P
Bond #: 0 cT6 7 Expires: /d f°
The Applicant is _ Owner L,11 Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace
- _Additional -Replacement _ New - - ?
'
_ air exchanger
e• ?-
?'?
air conditioner <
? heat pump
other
_
State Surcharge $ .50
$ 30. Sa
Toeat
I hereby apply for a Residential Mechanical Pemut and acknowledge that the informa6on is wmplete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; ihat I undersYand this is not a
permit, but only an application for a pemut, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case work which requires a review and approval of plans.
?.?y ??„e,n,.?.,
Applicant's Printed Name Appli Knt's Signature
2005 COMMERCIAL MECHA1vICAL PEItMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindushial buildings
multi-family buildings when sepazate permits are not required for each dwelling unit
Date / I
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor - , ,
Street Address .. r
City'
State Zip r
Telephone # ( ' )
Bond #: Eapires:
The App6cant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove **see be/ow
Interior Improvement _ Insiall Piping _ Processed _Gas
Nature of Work:
'°"When installing/removing underground tank, call for inspection by Fire Marsha/ and Plumbing Inspector
P¢rmit FCCS: $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1°/a = $ Permit Fee
$ State Surcharge
If neimit fee is less than $1,000, add $.50
If persnit fee is more than $1,000, surchazge
is $.50 for every $1,000 owed.
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that flie work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a pernut, and work is not to start without a pernut; 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
Approved By:
Required Inspections: _ U.G.
Inspector
R.I. Air Test
Applicant's Signature
Date:
Gas Service Test
_ Infloor Heat _ Final
r
Certificatie and House Loc ation For:. w
Mr. & h?rs. Blll Pilla
' 79/14
4724 Anne Point ?
Eagan, MN 551:2 .
DELMAR H. SCHWANZ :
- L
Reqisteratl Un r URVEVOR $
of TDe State o I uG. . . - . .. . . . • ..
t Minnasou -
..2978 - 145TH STREET W. - BOX M/ R S OUNT, MINNESOTA 55068 PHONE 672 4231769 -
SURVE OR CERTIFICA TE
^
v
? ? ..
? ?. ? .
,J? Q
\•
l?1 •
.
? ,
!
I hereby certify that thia is a
5cale: 1 inch = 50 feet true and correct representation
O- Iron pipe of Lot 51, Block 1, DUCKWOOD
-` ?= Set wood hub FSTATES, according to the
901! ? Existing eleva?ion recorded plat thereof, Dakota ,
County, iHinnesota.
o \? ; ... .
. Also ahowing the location of- a
proposed house and garage aa
syaked theraon this 24th day of
Septemoer, 1984.
0
? Proposed garage floar elevation
r
p
?
? NOTE: Nortnerly property corners
; ? not set or Iocated.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108215
Date Issued:11/26/2012
Permit Category:ePermit
Site Address: 1183 Kittiwake Cir
Lot:51 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-510
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
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 -
Robert L Cashman
1183 Kittiwake Cir
Eagan MN 55123
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132637
Date Issued:08/26/2015
Permit Category:ePermit
Site Address: 1183 Kittiwake Cir
Lot:51 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-510
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 4,000.00
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 -
Robert L Cashman
1183 Kittiwake Cir
Eagan MN 55123
(651) 451-6835
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA141011
Date Issued:02/08/2017
Permit Category:ePermit
Site Address: 1183 Kittiwake Cir
Lot:51 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-510
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Robert L Cashman
1183 Kittiwake Cir
Eagan MN 55123
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170486
Date Issued:07/06/2021
Permit Category:ePermit
Site Address: 1183 Kittiwake Cir
Lot:51 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-510
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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 -
Robert L Cashman
1183 Kittiwake Circle
Saint Paul MN 55123--111
(651) 269-4152
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172890
Date Issued:10/20/2021
Permit Category:ePermit
Site Address: 1183 Kittiwake Cir
Lot:51 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-510
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 -
Robert L Cashman
1183 Kittiwake Circle
Saint Paul MN 55123--111
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature