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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