1189 Kittiwake Cir
Use BLUE or BLACK Ink
r----------------I
I For Office Use 1
I I
Permit I
City of Ea ~aIl 1 ~ 1
1 Permit Fee:
3830 Pilot Knob Road 1 _(7^ t/ j
1
Eagan MN 55122 -f Date Refeived:
Phone: (651) 675-5675 rK( I 1
Fax: (651) 675-5694 j Staff: I
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: /Unit
-3 Flo ?3t.,
D Name: &S QAZ Phone: x
FcESIENT, f/~Cf l~
OWNER Address ! City /Zip:
Applicant is: Owner Contractor
Description of work:
v
4JV
TYPE OF WORK
Construction Cost: /J Multi-Family Building: (Yes ! No ✓ )
Company: A Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 inances and codes of the City of
Eagan; that I understand this is not a permit, but orgy an application for a permit, and work is not to start wi permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
4_(1Xa4_6'0A1 App rcant' Printed Name Appiican 95"S5 ature
Page 1 of 3
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
REC EI V ED
FROM
AMOUNT $ I
6 oOLLARs
,oo
? CASH []CHECK
Fow J
Thank You
°r 6 ,
BY
White-Payere Copy ?
Vellow-Posting Copy
Pink-File Copy
? CITY OF EAGAN
?3795 Pilot Knob Road Eagan, MN 55122 N2 5523
PHONE° 454-8100
%BUILDING PERMIT • Receipt #
To 6e uted for Est. Value Dote , 19
Site Address Erect ? Occupancy
Lot Block Sec/$ub. Alter ? Zoning
Parcel # Repair ? Fire Zone
Enlarge ? Type of Const.
W Name Move p .# SMries
; Address Demolish ? Front ft.
° Grnde rl Decth ft.
p Name
?? Addre
1- r...
Name _
Address
AssessmeM -
Water & Sew.
Police
Fire
Eng.
Planner -
Council -
Fees
Permit
Surchorge
Plan check
SAC
Water Conn.
Water Meter
I hereby ocknowledge that I have read this opplicotion and stote that Bldg. Off.
the information is correct and agree to comply with all opplicable APC Tota?
State of Minnesota Statutes and City of Eagon Ordinances.
Signature of Permittee
A Building Permit is issued to: on the express condition that
cll vrork shall be done in cccordance with all applicable State of Minnesota Statutes and City of Eagon Ordinances.
Building Official
lpenaM # DaM hw) d
Plumbing O
Mechanical ? 23 Cv ( d ? 9-
`? 9f 19) ?
INSPECTIONS DATE INSP.
RougFr-In
Final
Footirgs Inap. Date Insp.
Foundation j Plumbing
Frame/ins. Mechanicai
Finol j,q- ?
(j
Remarks: Q?0 _4?
C
CITY OF EAGAN
3795 PiIM Knob Reod
Eagan, Minnesota 55122
• • Phona: 454-8100
_., i ? ?•!!;
PERMIT
Date:
"ittfvkke Circle
Site Address:
?'- .. Ti1C?"?NCN)1.
Lot Block Sub/Sec. _- _
"«deraon Inc.
Name
. . :f 23>
; Address
;G3-45?5
City Phone:
i%t<..
Name
.
?
g Address
V
City _ Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and City of Eagan Ordinances.
n ri.-: r
No. _
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind.
New/Alter./Repair
Cost of Installation
Permit Fee
Surcharge
Tota I
done in accordonce with all applicable Stote of
Building Officiol
? ? ;3?g3ING
?- :
Dote:
CITY OF EAGAN
3795 PiIM Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT
Site Address: _?' ? ; ?,°- a • ? r?le
-
Lot Block Sub/Sec.
Name
°e Address BdX 235
?
City Phoneli";
`
Name
9.
L
g Address
e
e
?
.
Gity _ Phone: , . ,
This Permit is issued on the express condition that oll work shall be
Minnesoto Statutes and City of Eagan Ordinances.
No.
Receipt No.:
Single
1628
Residential ?
Multi Res., Comm./Ind. I
New/Alter./Repair. ''
Cost of Installation
Permit Fee
Surcharge
Tota I
done in accordance with all opplicable Stcte of
Building Official
INSPECTION RECORD
CITY OF EAGAN ' PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date issued:
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
, ,!? .,
?
APPLICANT:
TYPE OF WORK:
1-tt ';t. t: 11' i I taN
kauiioaroFa
0: 1 :'sa
?
H r +> 0+ i r+
FtOilt- t Nt1
Permit No. Permit Holder Dete Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Faotings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
l6UI.
Freplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector- Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAfA
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
INSPECTION RECORD
? PERMIT TYPE:
Permit Number:
Date Issued:
i o r . ns+
? i;:•? F: 1 t f LWAtr F i,lk
?
PERMIT SUBTYPE:
ks k! I l li t Ni:
N <' 's rt 1 C,
x6/cs//11n
(11 Of r APPLICANT:
TYPE OF WORK:
Nl li
I M'nr;r
I?
l ItEfIV POi:CN +IN i:, I',1 fNri UkI h
FVAitA1E. PtkMll', i1Nf N1 0U110.0 FOH AN'( 1'lilMt4lNEi OI: tLll 11;ICAI 6lQfti
PermR No. PermR Holder Dete Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. CommeMa
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector- Notiiy Plumber
Const. Meter
Engr./Plan
Bldg. Final ?-
i 6 i--vsrf
Deck Ftg. ie'A -ID
Deck Final
w
46
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition -DUCKIQ1n0ILESTATES Lot
1?1R9
Owner ?F Street K
48 Blk 1 Parcel__j
ittiwake Circle Eagan,
Improvemeni Date Amount Annual Years Payment Receipt Date
STREET SUR F,
STREET RESTOR, IRP.?f .? 1981 1739.35 347.87 5 1391.48 C007107 3 26 81
GRADING
SAN SEW TRUNK 1971 109.77 5.49 20 49.49 C007107 3 26 81
tSEWERLATERAL 242$,94 C007107 3 26 81
WATERMAIN
• WATEfi LATERAL
WATER AREA 1972 111.81 5.59 2 55.91 C007107 3 26 81
t service
• STORM SEW TRK
t STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, 270OO 6885 1214179
BUI LDING PER. ?i n
SAC it n
PARK
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, MN 55122
Zoning:
Owner. --
Address:
Site Address:
mb
r
Pl
:
e
u
Meter No.: Connection Chorge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to aomply with. fhe City of Eagan Surcharge:
Ordinaneas. Misc. Charges:
By
Date of Insp.:
CITY OF EAGAN
3195 Pilof Knob Road
Eagan, M!1 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
1 ogree to aomply with t6e Ciey of Eagan Connection Charge:
Ordinanaes. Account Deposit: _
Permit Fee: -
Surcharge:
gy Miu. Charges: -
Date of Insp.: Total:
Insp.: Date Paid:
Total:
Date Paid:
I nsp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. ot Units:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
-
! L CITY OF EAGAN
8795 Pilot Knob Road Eogan, MN 53122 N2 5523
• PHONE: 4548100
BUILDING PERMIT APPLICATION Recetpt # ? ?f s
To ba ured for SF Dw1g.& GarageEst.Volue 99,000.00 Date 12/4/ 19 79
Site Ad?Tss
Lot
Parcel #
Block 1 Sec/Sub. Duckwood Est.
Zo-21900 80-01
? IName Ozmun - Pederson Inc.
; Address Box 235
b rr,.Farming-ton, oti,..,e 463-4555
? Nome _
,o
Addreu
1- r:...
Nome _
Address
I hereby acknowledge that I have reud this applicotion and sMte thot
the information is correct and agree to "Mply wit al ppplicable
State of Minnesota Statutes and ?aganes.
SignaTure of Permittee ?? ?
A Building Permit is issued to: ?
all work shall 6e done in accorda e i h oll
Building Offlcial ? ?
Erect 6C Occupancy R3
Alter ? Zoning Rl
Repair ? Fire Zone III
Enlarge ? Type of Const. V
Move ? # Srories
Demolish ? Front 52 ft.
Grode ? Depth 42 ff.
Approvols Fees
ASSB55fTICnt J
Water & $ew.
Police
Fire Eng.
Plonner -
Council _
Bldq. Off. _
APC
Permit cl.w.vv
Surchar9e 49 • 50
Plan check 107. 00
sAC 525.00
Wcter Conn. 270.00
Woter Meter 60. 00
Total 1,225.50
on the eupress condition that
Stotutes and City of Eagon Ordinarices.
,- CITY"C Include 2 sets of plans,
?' EAGAN
1 site plan w/elevatians &
g[7ILpING PEid4IT APPLICATI Ot; 1 set of energy calculations.
- ?
To Be used For valuation _ - .? ? Date /V4 ?( r3 d,
Site Address // 49 k-,.. ?'-. L --? )
Lot f& Block ? Sec./Sub.
Parcei #: PT ?.?.?
OFFICE USE ONLY
Erect OccupancY
Alter zoning ?
gepair Fire Zone .?
owner: 2*C • EnlarJe lyPe of Const. !/
Nbve # Stories
Address: QCyc Z3 r Demlish Fmnt ft.
City/Zip Code: &g2'r1//?k 1"?vJ iV '?3011? Grade DePth 5z- ft.
Phone #: r?s
APPROVAiC Contractor: 0
Address:
City/Zip Code:
Phone #:
Arch./Eng. .
Pddress:
City/Zip Code:
Phone #:
Assessnents 771
1 Pertttit
[4ater/Sewer Surcharge 'e,/9 ?-'
?
Police Plan Check /p y
Fire
?
? '4-As-
gnq, water conn. a? =
W t,er 'Meter ?
Planrer
Council
Bldg. Off.
APC _
Road Unit N6
? ? ? 1 y ?.
S C 9?? :
. ??
_ _. _. ??? .?
? ?
,.??._?,??_
.., ? D o y. ?
???
`?- g'
Minnesota State Board of Electricity
A 954 Urvversity Ave., St. Paul, Minn. 55104-Phone 645-7703
' REQUEST FOR ELEC7RICAL INSPECTION
CJIECK BELOW WORK COVERED BY THIS REOUEST
? 7,0 --5/ 4
S - Pi ql 7
Type of Building New Add. Rep. Check Applian ces Wired For Check Equipment Wired For
Home
? ? ? Range xx Temporary Wiring ?
Duplex ? ? Water Heater ? Lighting F'uctures n
Apt. Bldg. ? El ? Dryer a Electric Heating ?
Commercial Bldg. ? ? ? Fumace Ki Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner xx Bulk Milk Tanlc ?
Fazm ? ? ? List ) List
Other ? ? ? R¢hers}
f Rehers?
COMPUTE INSPECTION FEE BELOW
Secvice Entrance Size: # Fee Feeders& Subfeeders: # Fee Circuits: # Fee
0 to 100 Am s. 0 to 30 Am eies 0 to 30 Am eres 4 32
101 to 200 Amps. 10,00 31 to 100 Amperes 31 to 100 Am eres $
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Trxnsformets Remote Controi Circ.
F Partial or other fee •
Signs Special Inspection Minimum fee $5,OW
Remazks TOTAL FEE P . 50.5q
I, the Electrical Inspector, hereby
(Final)
This request void 18 months from
has bee?} ade?,-j 1° ?
Date / ? T
Date 5-4?, y
This request void 18 months from
r-
/ 7
Date of this Request 12-7-79 S 21916
I, as M Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at: lOt 48, blk 1, Duckwood Estates
Street Address or Route No. 1189 KittewakE CirCle City Eagan
Section Township
Range County Dakota
Which is occupied by Ozmun-Pederson
(Name of OccuDant)
Is a roughin inspection required on this job? No 9 Yes ? Ready Now K7 Will Call ?
Power Supplier
Dakota Eleetric
Electrical Contractor Jemm Electric Contractor's License NoA33-164
(COmpany Name)
Mailing Address 20480 Jacquard Av. W., Iakeville
Authorized Signature
Controctor or Owoer
Address Farmington
Installation) 469-493$
'hone No.
? j? /} VE n???B C??V ?n This i?pection request will not he accepted by the
?? /v ? U State Board unless proper inspeetion fee is enclosed.
?1
This request void 18 months From 1 7 D? G
Date of this Request 12'7-79 S 21917
I, as EI(Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri-
cal wiring installed at: Lot 48, Blk l, Duckwood Estates
Street Address or Route No. 1189 Kittewake Circle City n-
Section Township Range County Da.kota
Which is occupied by Ozmun Pederson
' (Name of Oceupant)
Is a roughin inspection required on this job? No 0 YesX.J Ready Now ? Will Call El
PowerSuppiier Dakota Electric Address Farmington
Electrical Contractor Jemm ElectriC ComaanX Contractor's License Nqq;&464
iCOmpany Name)
Mailing Address 20480 Jacquard Av. W., Iakeville
Authorized
(Electrfcal contractor or Own4
NAM o MW ON
W Owner Making This Installatlon) -
Phone No. 469'4938
ki hls Installatlon) This inspec6on request will not be acoepted 6y the
5tate Board unless proper inspection fee is enclosed.
(IPrtiftrttt.e uf Orrupttnry
titp of (Cagan
Drpttrtmrttt uf Builbing 3tts.pertimi
This Cati fitatt itsued Purtuant to tix rc9uirementt of Sertion 306 0f the Uniforrrs Building
Codc catifying tbat at tix time of ittuana thit strurturt wat in tompliunct with tht variout
osdirutnns of tht City rcgulating buildipg connrunion or urr. For the f ollourng:
u.c,.?dtim SF I7NTG/GAR 5523
lMde.reffidt xo.
OmPawY7YP R3 TYWComwction V FinZ • ? Zo?tinBDistnct ?
a,,,w,f B,,,,di,` Ozmun-Pederson A,,. Box 235,Farnungtcn
e..n.,_ .,.y 1189 Kittiwake Cir, M.,:, 148.B1,Duckwood Est.
(/- By 3-11-81
a,d,? flkw - - mw:
IOtT IN ? ?GYW. MC.
Go0<5 ?& .. .? . UTMUIN u S.A.
6 7 ?.?/
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. fl. ot lot, sq. fl. of house; and all mofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies o( Tree Preservatlon Plan if lot platted after7/1193
Rim Joist Detail Options selection sheet (buildings with 3 orless units)
Remodel/Reoair Reauirements
2 copies of plan
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate i( on-site septic system
4?7 O,ov
Offce UseAnlv
CeA of Survey Recd _ Y_ N
Tree Pres Plan Recd _ Y_ N.
Tree Pres Required _ Y_ N
On-site Septic System _ Y_ N
Date Construction Cost
Site Address ??g 9 Kj' ?7 j,112tF' Unit/Ste #
a ssra 3
Description of Work _611(,t 5L??. e•1' 491?,?Qp0-k_1-1•r 7'
Multi-Family Bldg _ Y Y_ N Fireplace(s) X 0 _ 1 _ 2.
Property Owner Br,,,Zd BL"Y1,S6,,7. r2 ?/?V?t' &ey' Telephone # (LPS-! ) GIGS_-6?t9?
i ?- 5?1-- c)
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category 0 Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(?I submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
N If so, 25% plan review
Telephone # ( ) _
Telephone # D
LS l??
Telephone # ?
I hereby apply for a Residential Building Permit and acknowledge that the info 'nn iS??v?P?.v;P ?n? a curate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 plans.
a1l 17,e
AppTicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04: 02-plex
? 05 D3-plex
? 06 04-plex
Work Types
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex x 19 Lower Level
? 12 12-plex Plbg_Yor7? N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screenlgazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
? -
Valuation Occupancy MCES System
Census Code 3?1 Zoning City Water ?
SAC Units -- Stories -- Booster Pump -
# of Units -- Sq. Ft. ? PRV -
# of Bldgs - Length ? Fire Sprinklered
Type of Const lTT?
T?- Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundation ? HVAC
Drain Tile Other
Ice & Water
Roof Pool _ Ftgs _ Air/Gas T
Final ests Final
_
_
? Framing _
_ Siding _ Stucco _ 5tone _ Brick
Fireplace _ R.I. _ Air Test Final _ Windows
? Insulation Retaining Wall
Approved By:
Building Inspector
U r
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
??
.?/?`?°car?e Lrzc??i n?eei--i ?gr Corrtr yct?y
l?Ol a3?-a???r?.sr ?'r-czi?, .Bur?n?svttle," ?'Is?tat
pAoste 890-471241L
: Cer1?z?}'z
?gQat .L74eIcr4.o&0n: i-i,t 41a, Hiocn 11
Uakota C.??inty, i!innesnka,
N tt? RT"f-t
? (, )_
? r?_..• L- v j... .4
Nn7'Ef?i.? }N4WN -Aii.G.
L.? V ? AS?iVM ?4?
44- . t ?
; ? 2 sJ-C.? ` - - - -- - -- -----n
0
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t ? • ? ?/ ?
Qr
ul
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.+ ?
3°
? N ???? . ?? ?? •',?.? .%a
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,
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P!
?
< gr?Ui9`??i'W i 1
t +
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10 D?pirrP.fw?. AntL? UYi4iTY
t"?' j^I 7 . . . . . .
I hereby certify that this is a true and correet representation of a tract of
land as shown and deacribed hereon. As prepared by me on this 3 day af
ti?reh , 19_?.
? .?? ?, ..- ` -,?,6-' ' _?°, ,, - ? , E, C_" _,?--r` .f.,• Minn. Reg, No. 515r?
'Pf7?rD?:??B SY`3
:2=Ox 2S5 =y'?-1 ? tii:?ta? MN • ?
_ a i I-Z`779 sso?.¢
,
? Z;-,o ..VM?
Q
--?CIT'V OF EAGAN PERMIT
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
ck 2q 04 a
PERMITTYPE: gUILDTNG
Permit Number: 023815
Date-Issued: 0 6/ 0 7/ 9 4
SITE ADDRESS:
1189 KTTTIWAKE CIR
LOT: 48 BLQCK: 1
CIUCKW00D ESTATES
P.I.N.: 10-21900-480-01
DESCRIPTION:
\
? _.
6'uilding -Permzt Type
f?Building Wo.r,k Type
? 7_ ..
?J
.._\
? ?.
c .3 L?j. ?
.-?-
,Ui
\,, !l
SF PORCH
NEW
?.--? --
?:?
REMARKS:
SCREEN PORCH ON EXISTTNG DECK
GFpARATF-PFRM-TTS ARE REQUI-RED Fnrz ntiv ni iiMCxrNr nR ci Errarrni iinaK
FEE SUMMARY:
VALUATION $5,000
Base Fee $72.00
Surcharge $2,60
Lic. Search Fee $5.00
Total Fee $79.59
CONTRACTOR: - Applicant - ST. Lzc. OWNER:
HAMRICK CONST, GEORGE 14641717 0006267 CSRO CHRI5
640 ARBOGAST ST 1189 KITTIWAKE CZR
SHOREVIEW MN 55126 EAGAN MN
(612) 484-1717 (612)686-5473
I hereby acknowledge that I have read this epplicetion and state that the
infarmation is correct and agree to camply w3th ail applicable State nf Mn.
L Statutes and City ofi Eagan Ordin-ances. ?
I nd
A PLICANT/PERMITEE SIGNATURE -fSSUED 8: SI ATURE \
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
023815
06J07J94
SITE ADDRESS:
LOT: 48 BLOCK:
1189 KITTIWRKE CIR
DUCKWQOD ESTATES
PERMIT SUBTYPE:
SF PORCW
APPLICANT:
1
HAMRICK CONST, GEORGE
(612) 484-1717
TYPE OF WORK:
NEW
INSPECTION .. . ..
FOOTINGS FRAMING
FINAL
REMARKS: SCREEN PORCH ON EXISTING DECK
SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
F
?
?
J
'•, n :. ,
?
, ?
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
t
SINGLE & MULTI-FAMILY 2 sets of plans, 3 regis ered site surveys, 1 copy of energy
calcs. '; 0 2 1-94
COMMERCIAL 2 sets of architectural str.urtura1_,p1.4ns, 1 set of
specifications, 1 copy o ener
.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date .?L/hfl tq
Valuation of work `1800
Site Address: L?rr__lc
STREET SU1TE #
Tenant Name: (commercial only)
LOT ?g BLOCK ? SUBD.
P.#
I.D.
Descri tion of work: Yz._4?
The applicant is: ? Owner ? Contractor ? Other (Describe)
Name ??,r•? ? ? r? Phone ??? gS 73
Property LAST F,RST
Owner qddress 1 kw'z k? <<rcle
STREET STE #
City State to fj Zip
Company Cr-Ur - -. 1•?-?; W. rtc E c;,t,, ?- Phone u?'1 I'7 1`1
Contractor Address License #e?0 ?-2F'? Exp. `>
City rtState k J`) Zip SS)21
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
?
Si
t
f
gna
ure o
Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging
0 02 SF Dwg. ? 07 4-Plex 11 12 Multi. Misc.
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory
,0 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
Zf 31 New O 33 Alterations ? 35 Tenant Finish
E3 32 Addition 0 34 Repair ? 36 Move
GENERAL INFORMATION
? ?, . •
-••...r°?.o ',? '
.,...:,?_?•
O 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd Fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ?/3 y
Depth On-site sewage SAC Code ?
Census Bldg i
APPROVALS Census Unit o
Planning Building Assessments
Engineering Variance
REQUfRED INSPECTIONS
? Site P Footing R Framing 0 Insulation
? Wallboard q Final ? Draintile ? Fireplace
Permit Fee
5urcharge
Plan Review
License ?
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
veiac;o,: $ SAC %
SAC Units
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I hereby certify that this is a true and correct representation of p tract of
land as shawn and described hereon. As prepared by me on this Li day of
Ilarcit + 19T)•
_ , . , .. ' .
, .?'•' ???-?.r' /'.?c.: '` riinn. Reg. No.
e I I-Z'7 `79 I
T,?ax 2?s ?nw?lirii?o!? r?r-t ?soz?
A?I(;. '1[111 l :)=' -i
r-
?G? ITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-21900-488-01
DESCRIPTION:
PERMIT `
1189 KITTIWAKE CZR
LOT: 48 BLOCK: 1
DUCKWOOD E3TATES
?. ROqF2NG
iPermit Type sF (MIsc. )
?u31d„i,rig rk Type REPAIR
?
?
Yt +
t ? . ., 3.....
J F? lv.3i. ' .
"?. tss
ty 1 {??` .kY 't
? "S?4,w?'`S.'..., d.T...,A? ?? .l
BUILpING
/
021236
06/15/93
REMARKS
FEE SUMMARY
88se Fee
Surcharge
Total Fee
VALUATION
PERMIT TYPE:
Permit Number:
Date Issued:
$3,000
$54.00
$1.50
$55.5@
CONTRACTOR: - Applicant - OWNER:
PRAISE GQp! CpNS7 ING 15501570 GAIRO CHRIS
P 0 BOX 582553 1189 KITTIWAKE CTR
M1IINENEAPOLIS MN 55456-2553 EAfaAN MN
(612) 550-1570 (612)686--5473
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
021236
06/15/98
SITEADDRESS: LoT: 4e BLOCK:
1169 KITTIWAKE CIR
DUGKWOOD E3TATES
PERMIT SUBTYPE:
SF (MISG.)
1 APPLICANT:
PRAISE GOD: CONST ING
(612) 550-1570
TYPE OF WORK:
REPRIR
DESCRIPTTON ROOFING
INSPECTION .• . .,
FINAL
r
!l, i i , I r- 16 i°io;.V j,A L:=. kl l VJ:K
;:iiiI?{rud ;,r;,:wfa: .1.A bG ,?r {p?i;•;?°?
!SOt,I- f!'.?'
I? I L1' I 0 • 1 tfNid 1 43fV" N?
??f1CVN1(1111"1 F.;ll+1!?..
? 1?:,s b 1 t! 1 i`1H!' I f' _a h
tV +"?. .I ?? ''? <; : •
! I'i ? 1 1 U:I '?i r'
r
REACTTYA'i C_ CITY OF EAGAN $?jff,.?(
PEwMi # 1993 BUILDING PERMIT APPLICATION
1113 (* 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month•
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: Ltr"
,
STREET SU1TE 9
Tenant Name: (commercial only)
IAT ? SLOCK _J_ SIIBD.
rl.? lti?.{.l1?Jbr/? ?.?1 P.I.D. M •
Descri tion of work: Jt ?'rft
The applicant is: ? Owner Id"Contractor 0 Other (Describe)
Name Phone Ll"scl ?3
Property LAST fIRST
Owner C 1
4?9 ?a"l
Address
.
STREET STE M
City ?I?Ci?4"1"L State Zip ?
Company r Phon ?L SSa?? ? ?
COt1tYeCtOt' Address ??- 34jp -q? 3-s?s ? License k Exp.
City Ak?? ? State
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this a lication and state that the information is
ith all ap li e State of Minnes a Statutes and City of
correct and agree to compl
Eagan Ordinances.
K
Signature of Applicant: La ? e- C/m
u
?j
OFFICE U5E ONLY
.?
BUIL DING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16r$aseme?nt Fin sh
O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. °O 17 Swies"Poatow"''?-
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind.
0 04 SF Porch 13 09 12-Plex 0 14 Fireplace 0 19 Comm./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
0 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
[3 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. tity Water
UBC Occupancy 2nd fl. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
C] Site
? Wallboard
D Footing
? Final
? Framing
? Draintile
0 Insulation
O fireplace
Permit fee v.Luas;«,:
5urcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Oed.
Copies
Other
Total:
S
SAC %
SAC Units
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PIL4T KNOB ROAD - 55122
651 681-467?5
Date:
Description of Work: _ Construct new fireplace _Gas `Masonry _ Alterations to existing
• Install gas insert only _ Install gas line onlv
? Otherl/YS7At1_ 7Z-e- D.V. 4Q&
,
?s Z,114ZL'
K "?i9c4r9r?f [.Z?,
]'/?`? f W 1q ?! , ?, (? L
Job address: ?
Lot: ? Block: ( Subdivision/P.I.D. #: /?li[ r?
Applicant (circle one only): Owner ontractor Permit Fee: 560.50
NameCR I P.C? ?'r4" ? ?UZy9rL nD ? Phone #: 6069 -66&"'r,?
PROPERTY Last First
OWNER
Street Address:
city ?Csb9 N state: /y1N, ziP:% `?72
?sz- y?n ? S6a?
Company: V/ 142-9-&15, jE P-5i 134.,Y@ 45L. ' Phone #!.
(area code)
FIREPLACE • ????/ ?? rN / ! IF 4-- ?"
INSTALLER Street Address:
City o "-. State: / / f /4 Zip:?_
GAS LINE
INSTALLER Street
City
t21&L_,Phone #:
(area code)
State: Zip: _
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 d City of Ea an O inances.
?
/J,j A
Signature ` ,/, ????1?
,?&/F
? ('.
UFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New
? 32 Addition
? 33 Alterations ? 39 Gas Line ? 41 Waod Stove
? 34 Repair ? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code 01
REMARKfS
Chimney/flue must be inspected before wncealing.
..
r
RtCEIVED02C 1 1281
rnvi;r?nri?rt: n^in t+i'.^.T1t1r°rTnt1::
Y.NC:P ALL MPW DY TItESC PRCSENTS, that the undersigned,
Edward E. Parranto and Valentine Parranto, hushan3 and wife, of the
County of Ramsey, State of..biinnesota, Robert H. Karatz and Naomi
Haratz, husband and wife, of the County of Maricopa, State of Arizona,
and Kenneth nppelhaum and Sally Anpelbaum, husband and wife, of the
County of Iiennepin, State of A7innesota, beinq all of the fee owners
of the followina described lands situated in the County of Dakota
and State of Minnesota, to-wit: .
;Lots 1,'3, 4, 5, 7, R, 10, 11, 12, 13, 15, 16,
-17, 18, '19, 20, 21, 29, 25,,29,30, 31, 32, 35.,
39, 40, 41, 93t 93, 44, 45,98,:49, 50, 52, all
in!51ock 1; and Lots 1, 2, 3, 5; 6.,_7, 9, 9, 10,
11,, ?12,-13"14, Dlock 2; all in'Duckwood Estates,
according to the recorded plat thereof, sometimes
hereinafter referred to as "the land",
1 _ .., . .
do hereby set out the following covenants and restrictions, which
shall run with the land and bind the parties hereto, their respective
heirs, reoresentatives and assigns, an3 all subsequent purchasers of
the land or any part thereof, and their heirs,representatives, suc-
cessors and assigns, to-wit:
1. These covenants and restrictions are to run with the
land and shall be binding upon all parties and all persons claiming
through or under the undersigned for a period of thirty (30) years
from the date hereof, after which time said aovenants and restrictions
shall automatically extend for successive,periods of ten (10) years
each unless an instrument signed by the majority of the then owners
of the above described lots has been recorded, aqreeing to change such
covenants and restrictions, in whole or in part..
2. No lot shall he used except for residential purposes
No huilding s?:all he erected, altered, nlaced or'permitted to remain
on any lot other than one detached sinqle-family dwelling not to ex-
ceed three stories in height and a private garage for not more than
three (3) cars.
3. The size of any dwelling, exclusive of one-story open
porches and qarages, shall be: (a) in the case of a single floor
structure, not less than 1,200 square feet in area on the main floor;
or, (b) in the case of a split-level structure, not less than 1,200
square feet in area on the floor directly under the roof; or (c) in
the case of story and-a-half structure, not less than 900 square feet
on the ground floor, and a total on the main floor and second floor
of not less than 1,300 square feet; or (d) in the case of a two story
structure, not less than 750 square feet on the ground floor and a
total on the ground floor and second floor of not less than 1,400 square
feet; or (e) in tha case o: a solit-entry structure, not less than
1,200 square feet in area on the unper level, but a 258 credit will be
given for finished area of lower level which is SOa exposed over fin-
ishe3 grade. No structure shall have a side exposure more than three
stories in height from ground to eave line, considering as a story, an
exposed walk-out basement.
4. No dwelling shall he constructed or maintained on the
above described property without a garage. The garage may be either
a separate structure from the house or attached. If an attached or a
- basement garage is utilized, then the overall length of the dwellinq
structure, er.clusive of eaves or open porches, shall not be less than
forty (40) feet. All garages shall harmonize with the house as to de-
sign, naterials and finished floor elevations.
5. Fasenents for installation and maintenance of utilities
and drainage facilities are reserved as shown on the recordea plat.
S7ithin these easeJnents, no structure, planting or other material shall
he placed or he per.nitted to remain which nay damage or interfere with
- the installation and naintenance of utilities, or which nay chanae the
direction of the flow of the drainaae channels in the easements, or
_1_
which m:iy obslruct or rctard thc Ilow of watcr thr.our7h 4rainaye chan-
n,-lr: in thr, ra:r•mr•nt.^.. Thr nnrrmrnt ?rpn of nnr.h lnh nn,l nlt imrrnv?-
ments in it shall be maintained continously by the owner of the lot,
except for those improvements for which a puhlic authority or utility
company is responsible. Lots which hord?r on wet lands (Lots 24, 25,
20, 30, 41, 92, 43, 45 and 50, all in Dlock 1) will not be cut or
filled within the easement area borclering the wet land, as shown on thr
recorded plat.
6. No noxious or offensive activity shall be carried on
upon any lot, nor shall anything he done thereon which may he or may
become an annoyance or nuisance to the neiqhborhood.
7. No structure of a temoorary character, trailer, hase-
ment, tent, shack, garaqe, barn or other outbuilding shall be used
on any lot at any time as a residence either temporarily or permanentl;
6. No sign of any kind shall be ciisplayed to the public
view on any lot except one professional sign of not nore than four
square feet, one sign of not more than eighty square feet advertising
the property for sale or rent, or signs used by a builder to advertise
the property during the construction and sales period. .
-•_- - --- -...-------
9." No animals, livestock, or ooultry of any kind shall
be raised, bred or kept on any lot, except that dogs, cats and othez
household pets may he kept, provided that they are not kept, bred or
maintained for any commercial purposes.
10. No lot shall be used or maintained as a dumoing groun3
for rubhish, trash, garbage or other waste, and any such materials may
be kept on the premises only in sanitary containers. All incinerators
or other eguipment for the storage or disposal of such material shall
be kept in a clean and sanitary condition.
11. The exterior of all structures shall be finished in
wood, stucco, brick, stone pr other approved exterior hard materials.
12. T:o filling or storage of refuse, discar3ed materials,
junk or other obnoxious matter shall be permitted upon said prenises,
except within the house or garage. No storage of commercial, struct-
tural or business equipment or materials shall be permitted upon the
preriises,_ except within the house or garage. No parking or storage
of cor.unercial vehicles shall be pernitted upon the land, except for
the maY.inq of usual and customary deliveries to and from the premises,
and escept that each owner may park one (1) commercial vehicle owned
hy him and not exceeding one (1) ton upon his lot at any time. Pri-
vate vehicles upon the land shall be kept within a garage accomodating
normal passenger-size vehicles.
.rCaa, MN\?f.?hiR'.wi
13. No fence in excess of a height of six (6)feet shall be
permitted upon the land or any part thereof, and all fences constructec
thereon must be of new material in metal mesh, wood or metal picket or
ranch type wood construction. All such fences shall at all times he
properly painted, stained or lacquered, and shall be naintained in a
nea't anpearing condition.
14. F,nforcement shall be by proceedings at law or in equit%
against any nerson or persons, violating or attemoting to violate any
covenant or restriction contained herein, which proceeding may be eithf
to restrain violation hereof or to recover damages for such violation. I
15. Invalidation of any one of these covenants and re- !
strictions hy judgment or court order shall not affect any of the othei
provisions hereof, which other provisions shall remain in full force
and effect.
IN TESTI140`]Y M3ERE0F, the undersigned have hereunto set
their hands this ,•, day of1979.
-2-
CITY USE ONLY
PERMIT #: RECEIPT DATE: lJ/
MIDENTIAL MECHANICAL PERMIT APPLICATION
crrY oF EAsAu
3830 f'u.oT Fuvos [tn
ERfiRN 1HF 55122
651-6$1-4675
Please complete for: : single family dwellings
townhomes and condos when permits are required for each unit
Date: 5 -? 5-Q I
SITE ADDRESS:
OWNER NAME: C'r\ric' e(?uJC'Z? TELEPHONE #: (a5l C2$6 514173
(AREA CODE)
INSTALLER NAME: TELEPHONE #: -Cj6_J\-- ??t ?E-OUOS
(AREA CODE)
STREET ADDRESS: N? y w?N ?Q, ?S`G?lYS1_ '(? S•
CITY: STATE: V`?N ZIP:
Place a check mark nezt to the permit work tvpe
_ New residential dwelling unit under constructionand noi owner/occupied $ 70.00
? Add-on, modification or alteration to existinq dwelling unit $ 50.00
• [furnace replacement
• air exchanger
• c-am con iha'? o
• o er
Nature of work:
State Surchar e ?
$ 50
Tota I $?
Remiirder: Call for inspecteons.
SIGNATURE OF PERMITTEE
Updated I/Ol
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
COMMEtCIAL M£GHMICAI. P£RMTf APPLICATION
CTf Y OF EAfiAN
S$SO £ILOT KNOB RD
KA6A1v, Mv 55122
651-681-4675
Please compiete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE:
ZIP:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
Specify Nature ofWork:
Wher: installing/removing underground tank, call 651-6 1-4675 for ixspection by Fire Marshal mrd
Plumbing Iiizspectar.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removallinstallation = m;nimum fee
Contract price: $ x 1%_$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL
$
SIGNATURb OF PERMITTEE
lipdated 1i01
? RESIDENTIAL BUILDING
?Q ow Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements RemodeUReoair ReQUirenents Office Use OnN
3 registered sile surveys showing sq, fl of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y _N
(20% maximum lot coverage allowed) 1 set of Energy CalculaUons for heated addiGons Tree Pres Plan Recd Y _N
2 copies of plan showing beam & window sizes; poured (ound design, etc. t site survey for additions & decks Tree Pres Not Reqd _ Y_ N
1 set of Energy Cakulations Addition - indicafe if on-site septic system Omsite Septic System _ Y_ N
3 copies af Tree Preservation Plan ii lot platted after 711l93
Rim Joist Detail Options selection sheet (bldgs with 3 or less uniis
Date ;9_ /o f / o?s Construction Cost
Site Address IiR Q ki-f-I - jcval?. (:ffr/'C je. UniUSte #
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ Z
Property Owner Frck C) Telephone # ((05 J)
Contractor _? ?4fQ tr
Address City p(CaMOUIt4-?
State /% Zip 4$w Telephone # (IX3) -!Wl -o3Oy
41s7 !5?_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
(?( submission type) • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a wr'
fee applies. ID
n AUG 2 1 2003
Licensed Plumber
plan? _ Y
N If so, 25% pian review
Mechanical Contractor
Sewer/Water Contractor
Tetephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 plans. ? ?_„
d V i
Applic nt's Printed Name pli anYs ignature
OFE'ICE USE ONLY
Sub Types
? 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 0 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex C] 19 Lower Level ? 24 5torm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscelianeous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
0 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. Air Test _ Fina]
Insulation
Occupancy MClES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width REQUIRED INSPECTIONS
FinaUC.O.
FinaUNo C.O.
_ Plumbing '
HVAC
Other
Pool Ftgs Air/Gas Tests Final
?- - - -
_ Siding Stucco Stone
_ Windows (new/replacement)
Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ?. 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bidg)* ? 43 Reroof ? 46 WindowslDoors
•Demolition (Entire Bldg) - Give PCA handout to applicant
Building Inspector
,.
. a
- li?;TEK70R ENVIiLOPE AVERACE "U" C(1MPUTAI'ION
. """ F "' w,,,, ??"?_ ',r .?-.,
^??3--?ttr.:?.,??,i:??t?f•'"-..?s1;,,J?ddress hone '
?.,.. ,
gal Description of Property: Lot Block , Addition:J???<^`_ ";".Date
te Address ?? ?:2 Vi`c"C11 1E^.\<K:-. !L?1yC' x--
AVERACE LINEAL FEET OF
E?CPOSEp WALL AREA ABOVE r.,RADE
in_ level 4 ze? 7 r? ?
Lineal ft. of framed wall above grade x height of wall V --
? c: \ ?T ?
m joist area LV_
Lineal ft. of rim`? .A?) -'? x height of rim
= y-z?
,wer level r - -;• ?-
Lineal ft. of framed wall above grade !z?;?x height of wall ?, - -'- --
Lineal ft. of masonry wall above grade x height above grade
TOTAL wall.area above grade including windows and doors - -
LhDOk'S: Area x "U" value (U)(A)
ske & t ype sq. . ft.` X
, UU" - (U) (A)
ft x
"Ut" (U)(A)
n n sq. X
ft.
sq. ft. nU.1? I Q-, aC''s ?U) (A)
n W) (f1)
n
rr n ?
=?
?^ \?4 ? .L?7 sq. ft. ?t`?,t71 g U
u
n
(U) (t1)
`"'
n „ -?
s;-
? : ?,, •z sq, ft. `7.50 X L
?=
•. l?C?
?.
?? (l?)(A)
„
aq
.
X
ft.
U
??
??
(U) (A)
X
ft U
?
?F-'?
°
? - sq. .
' ---
n 11 (U) (A)
s ft
'? ?
?
S
?F? q. .
x S '
,
= L
nUll
?
(?) (A)
._ ? ft _
. Z?
1 nc--? i
'f=,v? 54' .
X.
(U) (A)
sq. ft.
??U?? ?
_(U) (A)
sq. ft. x _
$fU?? ? (U) (A)
sq, ft. X
x (11) (A)
5
sq. ft.
X (U.) (A)
sq, ft.
X (U) (A)
"u" _
of of sq, ft.
X
(L ) (A)
it sq. ft. '
U ?L
? (A)
it sq. X
ft.
1 4cik' 7
)OORS: Area value
x "U " "U" (U) (A)
&
l
k e
t ? S ,
Q ft. x
a
e yp
sq.
ft. 1 -?7 X
?U.?
,(it) (A)
„
it ,
e a
r'j
z
1 ?sq .
x
f t. L-> > igUis (U) (A)
.
? _ ??U,? (U) (n)
s?.S" _S9• X
ft. '?? =•cr'
"
" ? ?
4
==
"'
" .^>? • z7C.'..
)PAQUE WALL CONSTRUCTION; Area x value
U -
?
?
X _
flU,t _ (t'.) (A)
sq. ft. I?-(11) (A)
Sq ft. X ?. -
?
? < . fo
lI (U)(A)
Detail refe r
- sq. ? X
ft. Z??.7•Zl U
;i , l? (?T) (.A)
n
ence from sq. ft. ]C
?2Z
U
attached ? ,
sq.
x n?? (A)
U
([T) (A)
??
u
sheets sq. ft. =
U
,l
?? _ (U) (A)
-Sq• X
ft. U
F-?- A
??
\ 1?. - ,.
TOTAL Wall Area Including .-? __? e:,:.:
Windows & Doors 7? .rk.-.)'POTAL (U) (A) "c ; ? - ?-- •'
TGTAL (U) (A) VALUES rt D??,'? = AVG.
UIVZDED BY T'OTAL WALL AREA
AVERAGE "U" Minimum .11 or less for?l & 2 family dwellings
Minimum .22 or less for all other buildings
NE)TF.: Tf average "U" values as calculated above do not meet the Energv Code requirements, the
"Alernate F.nvelope Design" as indicated on Page 5 may be used.
r
RQOF CEILING
_ ?- --.?
_ Outside air film
Insulation
Drywall
Interior air film
o = i/x
.61
TOTAL R =
Outside sir film
Insulation ^?_.--- ---- _
Drywall .45 _
Interior sir film
U = 1/R
Outside air €ilm
Insulation , ? Wood decking
-_ ,' - -
Interior sir film
? , / ` - -- -
j ?
----
U = 1/R
.61
- --
?
.45
.61
TOTAL R =.
- --- --: 111?:.,?
--
U
.17
-- -- -- -- .61
TOTAL R =
U
ROOF/CGILING:
TGTAL AREA: t Lt ?? ? sq. ft.
Detail reference x sq. ft. _ (U)(A)
from above. .?Ui. x
?- r Ll. sq. ft. I d :E- f? _ 'q. ?.Z (L') (A)
Describe openings A
"U" x sq. ft. _ (U) (A)
in rnof x sq. ft. _ (T;) (A,)
x sq. ft. _ (t') (A)
tfUll x sq. ft. _ (C')(A)
- liUn x sq. ft. _ (U) (A)
` TOTALS ?A S1? sa. ft. (l1) (A)
TOTAL (U) (A) VAL UES
DIVIDED BY TOTAL RGOF/ AVG. "li"
CEiLINf; ARF.A
AVEitAGE "U" .^S for ventilated roofs
.10 for all other construction
NU'fF.: ]f averaYe ";'" val.ues as calculated above do not meet the Engerp,y eoae requirements, the
"Altcrnate f:nve]ope ?esign" as indicated on Yage 5 may be used.
(3)
TuT View
Wnii $:,C`:ivTv?
bUTh: ?se lU? oi opaq;:e
wall xrel
for frami
11
meubera
i
FiZAMING MEMfSERS IN WALLS
_Exr.erior airfilm
Siding..._+??
Sheathing ?
iW soft wood
dr.y wall •
Interior air film
R-Value
_ ._. . ..17-. -._
? :. ,:-
-
?
.45
.68
TOTAL R
U=1/R U=
FRAMED WALL
(2)
Exterior air film ,lj
Siding rL? 1
Sheathing
tt i
tio
? b
l lc?
a
a
n
nsu _
if" dry wall - -- - - .45
Interior air fi_ I? - - - '68
V? ?
?
?
T(1TAT R =
•
'-
-..
U = 1/R U = ??-?-
.__ RIM_ JOIST AREA
Exterior air film »
Siding
Sheathing y L _-----?' `-?`----
1. 88
, ?"
soft wo2d - -
., ? ? .
'
Insul tion -? -
.68
Interior air fi m - - .--.-?------------
? TOTAL H = ? '? ; ?i Z• -
U = 1/R U
MA50NRY WALL_
Exterior air film
12" concrete block
Insulation
Interiar air film
7
t'==----
.68
TOTAL R
U = 1/R U =
? ?-? l
i,_ Use BLUE or BLACK Ink
City of EaEaR PermIt
* I
3830 Pilot Knob Road I Permit Fee:
Eagan MN 55122 I t
Phone: (01) 675-5675 Date Received: Z I
1
Fax: (651) 8754694 Staff:
2011 RESIDENTIAL PLI~M ING PERMIT APPLICATION
Date: [ l v'~
Site Address:
Tenants
Suite S.
RESIDENT16W R 'Name: Phone: /
Address I CRY I zip:
Owl
CONTRACTOR Name:-MILBERT COMPANY INC.dba CULLIGAN _A_ TER
Address: 1801507% ST EAST Il~
any, : M GROVE 1-I=
State: • MNzi;r _ 55.077-
65.1 ':451-2241
Phone.
Contact: BILI..MILBMT 1. Email:
TYPE OF WORK _ New Replacement -Repair _Rebuild _ Modify Space _ Work k1,R.O.W.
Descrl tlon otWork-
PERMIT TYPE RE~IDEN77AL
Water Heater .Water Softener
Lawn l rlgatign RPZ PV9) Add Plumbing Fixtures L. Main / Lower Level)
septic System Water Turnaround
-Now,
_Abandonment . '
RE.S!DE_MTIAL FEES: .
• $55.00 Minimum Water Hater, Water Softener, or Water Heater An Softener (Includes $5.00 State Surcharge)
$35.00. Lawn Irrigation ancIddes $6.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (Includes $5.00 State .Surcharge)
• • ' `Water Turnaround (add $166.00 If.a 518' meter is required)
$105.00 Septic System V_2~E ($10.00 per as built) (Includes County fee ind $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, eta) (Includes $5.00 State Surcharge)
TOTAL FEES;
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for proteetlon against underground utility damage.
Call 48 Hours before you Intend to dip to receive locates of underground utillaes.• www.oooheratateonecall.om
I hereby acknowledge that this hd~rmatlon N complete and accurate; tliat the work will be in conformance with to ancea and coda of the City of
Eagan; that I understand this Is slow a permll. but only'an sppllcidor for a permR, and work, Is not to sta a p1mill; that the work will be In
accordance wllh tM approved pl In the case of work whkh requires ra,wAsw and a
Applicant's tinted Name Appl ant's•Slgnatur9
.
FQR'OF IC
Rev ewed~By
'
*yw4~!1fe-dnsP~~~,k` ,cl ~p~g, ~ ~
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171778
Date Issued:08/31/2021
Permit Category:ePermit
Site Address: 1189 Kittiwake Cir
Lot:48 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-480
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 -
Daniel Brett Reisig
1189 Kittiwake Cir
Eagan MN 55123
Twin City Fireplace & Stone Company
6521 Cecilia Cir
Minneapolis MN 55439
(952) 529-5797
Applicant/Permitee: Signature Issued By: Signature