3596 Widgeon Way
CITY OF EAGAN
3830 Pilot Knob Roed WATER SERVICE PERMIT I
~
P. O. Box 2119'0 - PERMIT NO.:
Eagan, MN 55121 , p~TE.
Zonirg: ' i -.No. of:UnO: 1
Owner: ' -
Address:
51ta Addrcss: . . `e- o n Srav L36
Plurriber. , . . ~
; Mater No.: Connection qharQe: 500. OOPd
~ Sl:e: S~fL'~ ~ac~~? Acoount Deposlt:
~ aeader No.: Por.,,ic Fee:
I yPM t0 00111/y M11~ ~ OF $Ut+C}1Cf~:
i Ordieenow M~ac. G,orpes: _ 132.0
0 p d S/
7otal: _ 63.OOnd mrt, .
BY e Paid:
Date of I . Insp.:
o .
CiTY OF EAGAN , WATER SERVICE PERMR
!
3830 Pilot Knob Road ri 347
P. O. Box 21193 PERMIT NO.: ~
Eagan, MN 55121 DATE: 1 -
Z~ing; R 1 No. of Unin:
Owner: Jad-?iOLi
AddMSS:
Site Addross: 35Q6 Widpeoa Waq L36 Ei :~uckwood I'st.
Plumber ~1C'J~t„e]tt Pltr'~.) lrig
ConnecNon O,orge: • OOpd
Meter No.:
Size: Acaount Deposit:
Permit Fee:
Readsr No.: I
1 yne eo eomvhr whl~ oM Ciry of Eeyee Surchorge: 32 . OOgd S C I
~Mlsc. Chorpss: 63. ~,Opd v~etel~
Totol: ~
~ gY Dote Paid: ~
~
Date of Insp.: I^sO•: CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Raad 7535
P. O. Box 2119S , 'PERMIT NO.: r
Eagan, MN 55121 DATE; - ~
r.1 No. of Units:
Owror .iad-kon
Address:
Sita ,~ddmss: 3596 Widgeon Way L36 B Duz kwoo a.
i PIumber. D. Mc =t P tFbi nj
5-22_e35 51918 •
1.yn. ta es .p1l wiM 16s plp.f Rops C.onnedion C1,arpe: 425. 03pd
OMdinwnam Ntoount Depalt: =
PMnlt FM: ~
Surehorps: . ~
BY Mitc. CFargm
Date of Insp.: Total:
lrvR: OoN Paid:
~
, . CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21•199, Eagan, MN 55121
PHONE: 4548100
eU1LDING rERMIT Receipt #
T. w w.r fe. W DWG/GAR be. vo,u. S 73, 000 pwe MAY 21 19 8S
SiteAddrsa 3596 KIDG$OH WAY Erert _M Da:upency A31
Lot 36 elocic 1 c•C/sub. DOC1CilOOD !tB'! Rm„oaal ? zonin9 Rl
Percel No Rapair ? Type of Const. V
.
Enlarge ? No. Staies
Nu^e J~~Wil INC Move ? Lenqth 52
~
Address lOZO 8 1461'H ST Demolish ? Depth gZ
Grade ? Sq. Ft.
City BVRNSVITiTiS Phone 432-8131 InsW11 ?
~ Name J8~gAO~I Apprwak Fas
At Addross Assasunent Permit • `Q)
City Phone Water E~ Sew. Surchorys ~~~~i ~
Polict Plan Review~t Qi
Nama PR06a SN~R Fin SAC 525.01
Addroa 1000 ~i TH b1'
Enp. Woter Conn. Soos 01
city SYILLR?hone 4 2-3000 plonrwr woter AA*ror ---Ll~ 01
Councfl Road Unir ma
I hereby ocknowlodqe thot I how rcod this opplication ond state that gldg, pff, rj ZQ 8s T.S. 132.01
fhe inforrnotion is ootrect and agree ro comply with all applicable APC Total =1 • 78~ . s~
5tote of Min~wsoro Stotutes ond City of EoQon Ordino?~us.
Vsr. Date
Sipnotun of PenniffN
A aWldinq Pennit ts iswed to: J11D-RON INC a, rtie exp..a condino„ «o
dl wwk shall be done 1n oaordona with all oppliooble Stota af AAlnnstofo Stotutss ond City of Eopon Ordinoncts.
9uildfnp Offkial - -
Permit No. Pwmk HoMlW Doa Tele hon*
Plumbino a u- qG
H.,,A.C.
E"a 3(. ~a 4 s-u
Softsnwr
Iropsetion Date Imp. Othsr
Footinyt
Foundstion ~
Frsminp 7 ' r
Rooting
Rouqh Pibp.
Rou9h HVAC 1 s
7
~o ~atioo /
Final Plbp.
Final HVAC
Final
CMt/OoC. ~
Wotftor W;fbe Loeati.
YWII
Sawer
Pr, Dbp.
Receipt - - ' PLUMBING PERMIT Permit No. CITY OF EAGAN -
, Fee
fill in numbered spaces S/C
Type or Prin[ legibly ~
Tot.
1. Date i'> 2. Installation Cost
3. Job Address Lof. Blk. Tradt
4. Owner
5. Contractor l: o Phone
~6. Address ; " ' ` %
7. City State Zip' ?
8. Building Type: Residential ~l Commercial D Institutional ?
9. Work Description: New O Add ? Alter ? Repair ?
10. Describe
11, No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
~ Kitchen Sink
Urinal/Bidet Other
r' Laundry Tray
~ Floor Drains
Drinking Ftn.
Slop Sink
' Gas Piping Outlets
12. I hereby certify tfiat the above information is true and currect, and I agree to
comply with all ordinances and codes'governing this type of work.
Signed : ~ for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Racsipt MECHANICAL PERMIT Pe?mit No.
CITY OF EAGAN FN
F/II in numbered spaces S/C .5C •
Type ar Prini legibely Tot SG
t. Date 1. Inatallation Cost
3. Job Addreas <<ot Blk. ' Tract
4. Owner S. Contractor . Phone
8. Addres: 7
7. City State Zip •
8. Building Type: Residential D Commercial O Institutional ?
9. Work Description: New El Add ? Alter O Repair ?
10. Describe Fuel Type
r • 1.. P
11. No. Equ6i2ment BTU - M. Ea. No. Eauipment CFM
Forced Air " - • ~ - Air Handling:
Mfg.
E Boilers
Mech. Exhaust
~ Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
' Gas, P'iping Outletx
, 12. I hereby certify that the above information is true and correct, and I agree to
comply with a{I ordin8nces and codes governing this type of work.
Signed : _ for
Rough F inal
Inspections: Date Insp. Date Inap.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464,8100
CITY OF EAGAN Remarks
Addition DUCKWOOD ESTATES Lot 16 Blk I Parcel
Owner =t r c• , u,-- L~gf- street 3596 Widgeon Way state Eagan, NIN 55123
Improvement Date Amount Annual Years ' Payment Receipt Date
STREET SURF.
STREET RESTOR. Impff 1739.35 347.87
GRADING
SAN SEW TRUNK 1971 77 5.49 2 -5 J~ O - - 85
• SEWER LATERAL 1980 2902.16 193.48 IS ' 'kS
WATERMAIN
1t WATER LATERAL
WATER AREA ,5S -
•
f STORM SEW TRK
t STORM SEW LAT
CURB & GUTTER
SIOEWALK
STREET LIGHT
WATER CONN, u n
BUILDING PER, 10256
SAC 00
PARK
~ CASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-798
EAGAN, MINNESOTA 55121
- , ~
DATE
i
'
~escs~v~o '
aMOUnrr $ - '
Ae DOLLARS
2 oo
~ CASH UCHECK
FUND CODE AMOUNT
1 j ~ ? : , ..~1J :J
1 1'" .i I
7 , J c.~ J
;
Thank You
y
8 r ' /
White-Payen Copy
Yellow-Posting Copy
Pink-File Copy
35_[ 4 Kos/Y
` HOUS HEATING TEST RECORD rn
ADORESS ''"j" n J rrV~ ~APT._FI.OOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY tNSTALLED 8Y UOG L 't' 7+
Electrical Work By Gos Line By
TYPE OP MEAT GA _ fA ' MW _STEAM _SPACE MTR. _UNIT HTR. _OTNER
/~~4µW GASDEStGN CONVERSION
MAKE ff MAKE OF BURNER
Mod•I ~U 1v d O L'Y. ({U Abd.l
5«ial QM7j 77613 Men. BTU Rstinq
INPUT MAKE OF FURNACE
Msd•I _
CONTROLS f~
THERMOSTAT ~s piuq V•nt 51s. _
Volr~ ~ KIND OF LIHER SIZE N(ppJN~~([~
Limit S7hW ~D Drah Hoed Rpularor
Limit Soninq ~ U c Fillaa Sise MumMr
Fan Settinp almney Lorotien Inside~~!--Ou d~
Pilot Trpe V almray Conanuaio t
n (fL, ~
Pilot Mek• ` ~
n ~
Pila Med•I ~ - Smo4• Bomb Wi.inq
Pilot Timinq ~ S 4a(1 Tost Tay
L.W. Cut Off Doar Presswe_~-Llphtlny In.t.
Pnawn Perceni COZ Da» Teated 0l01 ~
Inpu~ CFH 7U~P~rc~nt O2~ Company T~e
Sbck Tomy. ~_o ~ P~runf CO Neur e( T~~ee~ _ ~~~T
q t~
This reduesl void J l, ~)/,5- 'Q ~
f~°~
~ J~ U l1 ~4 L ( ca ch~.a o
Heques` ~~e / Fire No. fbugh-in I~u^pection
flequired? QNeady Now~Will Notity. insce~:-
I kD es ?No 1ar Wh¢n n qeady
~,.lice ed E ectliwl Contraclor 1 IbrebY request impec[ion o1 ebova
? Owner electrical rork imtalled at:
Street AOdress, Box or Noute No. Citv
l ~WA U)
r.uon o. I Township Name r No. nge No. Cou y ~
Occupam IPRIN I Phone No.
, -d'l 31
Pow'e ~ooI~~er Aadress
(~~4zu
Elec[(r~1'~a I CO tractw~ rry amel Gonha tor's Licen'se No. '
~ 1+
Mail' g Addr s ICOntracmr r Owner Makin IretailaH nl
~ ~1~
Au ized Signawr (Cont~actrn~ wner kiiq Iretallavon) Numberpq
MIN~dEgOTA yTpTE BpqRO OF ELEC7AICIT' . THIS INSPECTION NC4UEST WILL NOT
gldg _11~ N_791 BE AGCEPiEU BY THE STATE BOARO
1 B21 Universiry Ava.. St Paul, MN 55104 , UNLE55 PROPEX INSPECTION FEE IS
Phona (612) 2972111 ENGIOSED.
I' INSPECTION Ee-°°°°'-°°
0, See iretruetims iw completinp this ivm m baek ot yellow eooY. ~
3 0 "X" Belaw Work Covered by This Request
Adtl eD- -I'YOe oi BuilOi.g Appliancss WirW Epuipmenl Wired
Fiame Range Temporary Service
Duplex Water Heater lightiny Fixtures
Apt. Building Dryer Electric Heatin
Conrnercial Bldg. Furoace Silo Unloader
Industrial Bldg. Air Condi[ioner Bulk Milk Tank
farm othe. ueo otnc. IsueciWl
< < wn:i Y Other 01her
ompule lnspection Fee Be%w
p Fee ServiceEnlrenceSiza tt Fee Feetlers/Subfeeders Fee Circoits
0 to 200 Amps 0 to 30 Amps 0 to 30 Am s
Above 200 Amps 37 to 100 Artips 31 to 100 An4is
Swimmirg Pool A6ove 100-Amps Above 100_Am s
Trans{odners Imgation Boo(rB Paniai.'Other Fee
Signs Speciallnspection S / \
TOTP1 FEE ~
3~~0
flough-in ~ Dale ~ 1. the Elac - J/
' Iespector, M1ereby
~zrtifY ~hat ~he abova
Final tion has been
~ ~~6tP ao.
mm.mauest .aaiemmftrm i
` -
CITY OP EAGAN N? 10 2 5 6
e ~ 3830 Pilot Knrob Road, P.O. Box 21•799, Eagan, MN 55121
BUILDING PERMIT PHONE: 459-8100 ReceiPt #
Ts M mwd fw SF DWG/GAR Est yalm $73,000 Date MAY 21 19 85
SiuAddren 3596 WIDGEON WAY Erott ~ Occupency R3
Wc 36 ei«k 1 sclSub. DUCKWOOD EST Remodei ? zoniny Rl
Repsir ? 7ype of Canct. V
Parcel No. Enlarge ? No. Storiea ____52_
JAD-RON INC Move ? Lengtn
~ Nama Demolish ? Depth SZ
~ qddren 1020 E 146TH ST Grade ? Sq.Ft.
city RiTRNSV7i.I,E phone 432-81 31 Instan ?
Neme JAD-RON AvMevay hu
u SAMF. Assessment Pertnit 0
Addrese
36.y
~ City Phona Watet S Sew. Surchorya
Polfca Plan Review 176 . 0
GW Name PROBE ENGR Firo 5qC 525.0
qddms 1000 E 146TH ST Erp, WoterConn. 500•0
City BURNSVILL~hone 432-3000 pimner WaterMerer-523..0
Countil Road Unit _111/.8..
I hereby aekrwwladpa thot 1 mad this epplica ion ond sroro thot gldg. OH. 2 0 $ 5 T . P. 132.0
the Inlormation iz correct *JAD ro mmol ith ell applicabla ApC Total S] . 784 _ Stab of Minnesoro Statute~ of nces. Var. Deta d~4 /7Slpnofuro o4 Pem+ittea ~r A Buildirp Pnmit i~ issued toRON INC on the sxpras conditlon IMt
oll work shall be dona in uccordanea wi~r1 all a~pplimb1I6-,5t/ate of Minnesafa Statutea and Ciry o4 Eoqw Ordimneea
, 8ulidfrq OffiGal .
~
73 oa~
2005 RESIDENTIAL BUILDING PERbIIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Constructbn Reauiremenfs RemadelfReoair Reauirements Ofice Use'Onlv
3 regis[e2d site surveys showing sq. ft of lot, sq. ft. ot house; and ali mofed areas 2 copies of plan Cert of Survey Recd _Y _ N
(20%maximum lol coverage allowed) 1 set of Energy Calculations forheated additions T2e Pres Plan Recd _Y-_N.
2 copies of plan showmg beam & window s¢es; poured found desgn, etc. i site survey for additbns 8 decks Tree Pres Reqwred a7 Yr _ N
ise[ofEnergyCalculations AddiGon-indicateifon-sifesepticsysfem On-siteSeptic§ystemf - ==Y'l"_N
3 wpies of Tree PreservaGon Plan'rflat platted after711/93
Rim Joist Oetai7 Options selecGon sheet (buildings with 3 or less unils)
Date ConstructionCost
Site Address UniUSte #
Description of Work '46 zdu"Pc~- oZ
Multi-Family Bldg _ YX N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ' ~~ir1 GS~~[ Telephone #(Gh~) fc'ff~~ ~y~ y
Contractor
, .
Address 4100 EXCELSiQR CLt/D. CitY
State ST. LOUIS PARK, Pd1N 55-4tF ZiP Telephone #(y~)
096
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionrype) Submitted Submitled • Energy Envelope Calculalions Submitted . `
Have you previously constructed a building in Tagan with a similar plan? _ Y _ N If so, 25% pian review
fee applies.
Licensed Plumber Telephone ~
Mechanical Contractor Telephone # ( )
Sewer/WaterContractor 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 5tate of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is nof to start without a
pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
--l~ppTicant's"Prinfed Name - App icanYs Signature `
OFFICE USE ONLY
K
Sub Types ~
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 5F 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 EM. Alt - SF
? 04 02-plex ? 10 DS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-p1ex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
Work.Types____ . .
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fira Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacertient •Demolition (Entire Bldg) - Give PCA handaut to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units ` Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUII2ED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~
CITY USE ONLY
'PERMIT ii: RECEIPT DATE: 4- j ~
WKSIDENTIAL M£GHANICAL PEiiMIT APPLICATION
Cl1'Y OF f.Afi!?N
3$80 PILOT KNOB RD
f.AfiRN MN 55122
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: -c) I
SITE ADDRESS: 35 W Ia \.v
OWNER NAME: MQZ ELEPHONE
^ (AREA CODE)
INSTALLER NAME: /'rt `5e I,c&T Y 1 TELEPHONE
(AREA CODE)
VWH€lf=8 AIN CONORIWUN3
STREET ADDRESS: 3M QW-W AVE
CITY: ""'~E STATE: ZIP:
Place a check mark next to the ermit work t e
New residential dwelling unit under constructionand not ownerloccupied $ 70.00
Add-on, modification or alteration to existin dwelling unit $ 50.00
• furnace replacement
• air exchanger ,
• air conditioner
• other
Nature of work: " Vb axy
Q(M 1 ziD alP\T C-
~
State Surchar e $ 50
Total F ~ ~ ~ 11 $ ~Q•$~
i I
Rerainder: Cal! for inspectians.
Y-
~
4
'A JRE OF P RMITTEE
Updated I.C/I
CITY USE ONLY ,
PERM IT REC EI PT DATE: ~
APPROVED BY: , INSPECTOR
COMMWACIi4L MECHlENICl4I. PEMTf APPLICATION
CITY OF £i46lk1V
3$80 PILOT KNOB gD
EtsM,Mv 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buitdirg; .vhen separate p2rmits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE
(AREA CODE)
TENANT NA-ME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE#: -
(AftEA CODE)
C1TY: STATE: ZIP:
WORK TYPE: _ New conshuction Install ti'.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Pipin¢
Specify Nature of Work:
Wken insta!/ing/removing undergraund tank, ca11 651-681-4675 for inspecfion by Fire Marshal nnd
Plumbiteg lii:spector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
Stare surcharge calculare at $.50 for each 51,000 Base Fee
TOTAL ~
SIGNATURE OF PERMITTEE
Updated I/O1
.
~1985 BUILDING PERMIT APPLICA'fION - CITY OF EAGAN
NO7E: ALL CONIRACTORS MUST BE LICENSED ilITH 'IHE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
N ew 1 SET OF ENERGY CALCULATIONS
l 3, caoo .
To Be Used For: Sr~v /Q y ` Valuation: 651 'L Date:
Site Address: Z ' L i OFFICE USE ONLY
pvc~.eiu~~
Lot: 3L Block L- Sect/Sub EkrafP e,. Erect X Occupancy Q-3
Remodel Zoning ~
Parcel 0 Repair _ Type.of Const Q
Enlarge # of Stories
Owner Move _ Length Sz
y~ Demolish Depth 5Z
Address /U,~~ F• l f G'° Grade _ Sq Ft
City/Zip Codep _ 2Yv ,J~.~7
-i
Contractor r APPROYALS
i
Address
„ Assessments Permit
, v~ Water/Sewer Surcharge
City/Zip Code Police Plan Review
c~J Fire SAC 525,
Phone 0 Engr Water Conn C?o.
Planner Water Meter ~
Arch./Engr ~ry, ~rj.t Council ' Road Unit
G Bldg Off Parks
Address APC Treatment Pl 132•°~
7 ~l-
Phone 0 6 3o~ , Variance ~AL ~ 73 y' S O
2~3x 4r~ ~ IIZ~),c s4 = ~o4F3o , '
Ic~~cg= go x4l = 3280 .
3 2 x 2c~ 'FS 44 &
~22~~
~
49
AO BE PNGINEEAING `P~pNNEp: ond~LAND SfURVEYORf
COMPANY, INC.
~ 1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 5533T PM 432'3000
cer~i}'i ccc~ Surz-e y
jaQat l]ascrio tost: LOT 36, 3LOCK I, DUCKWDOD ESTATES,
DAKOTA CDUNTY, MINNESOTA
DENOTES EXIST//VG ELEVATlON
(905.0) DENOTFS pROPOSFD ELEYAT/ON .
SND f CA7E5 DIRECT/UN OF
NORTH SURFACE DRAINAGE
~ 20'BUILDING
SE7<3ACK L/NE N83'26155~
\
- N K N L 0 T3 6 ~
/_l0 F
~ I I a~V - m 6ARAGEo'
9~• o I ~
- - - -T ~ I PROPOSED ~ ~ W
I 1 Ho~sP p
~ o i ~ a0
~ 3O S ~ .2-) L.7•O ~ ` ~ r« $0
C30 O I ` 2~°~ 47i ~ ~
W 0 qo4'~' 90* BU/LDING $ETBACK ~
V~ o n ~qoo,Z~ ~ L /NE
Q
~
~-,0RAINAG~ t UT/L/TYEASEMENT
5J 00
' "
(997-0) 12 1N
O O~
DUCKWOOD DRIVE
gq y ~
IhereDy cartity thet this ie a true aad eorrect rapreeentation of a tract ot
land as shovn'and descriDed hereon.. As praparad by ae on thit Zon? day ot
/~1?wl • 19~ .
~
i~ }iinn, ltes. No. Go~S
PIINLhIUPI "U" VALUL ANU It-FACfUIt A'P ItOW', IVALL, Kln nr+u w~~~~~~:~~•
. . ~
Provide insulation baffles in every' ~ ROOF ~(,EIL?NC,
rafter space. . ~ (R) VAc.utl-
' . 5 Q Ir/~-(E.~lo~ ~ F:tR fILM •61
Q 518~~ U~P QTJ. ~ rS~4+
_ ' ~ QQ INSULA"[1oN a6
OO EXj6R1o(~ AtR FILM
(5"fILL)
~ ToTa,L (R)= J~s, 7.S!
~ ~ .
• . : ~ . . . WAIL
~ s . • . o ~N iCa?R f tLM . , bs'
• . ' ' • O 2" GYP.' 13D.'
' ~ ~ ~ • ~ 10SULATIoN 151YP'= / o0
' . ' • ' . Q 2Sr3z~~ Bv1~7,-j.'1Tc• • • ~.p~
• . , ' (D MASONIjc SiDjNCti , 67
• : u eX jEr-IoC AM FlLr'1 . 17
14 "lj"- I / fZ = .043 ToTRL. (tt) = ';1501 .
. . ~
~ . ~ IZ1M vAtUe
IIt7E1'•loR AlR FIu1 ~
• . . ~ ~ ~3 6 I/i INSULATiot-4 " ~ ly,.oo
2" FIR '911-1 ,O1Sr '3 ,12
. 11 IS i5 zS/Sz Sv:LT.-~,'i'Tc . • • . a'G ~
. u• t1ihSOr'ITE stotNG ~ -67
~ . . . ~ 4 . "TeWoR AItc JFtLr? .17
~ o 11.U° = 1•~R=.~1 • ToTP~ CIt)=~~~ .
_ . .
<0- ~ , .
~aJNDATtor~ ~ ' ~ . • (tQ VAUJt
. ' p INTEt?Io~ Airc F«tl
is . ~ . . .
g~' • R ~ ~ ct~,., c P,. SLK.
'rt n ~c0D.NI
~Y-~
. . Q EXjERIo(t AIR FtLM 17
~
e ~Q 1 n
10~7
I e v~ • IIUn '`/l`_ l~ 1PL (R)-''ai 1J
~•r
~ - -
Floots over unheated sp2ces must have minimum R-factor of R-20 (tuck-under garages).
. •
Floors over outdoor air (overhangs) must have a minimum R-factor of R-38.
. . .
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CITY OF EAGAN
APPLICATIODI FOR PERP4IT
SEWER AND/OR WATER CONNECTZODi
(PLEASE PRINT)
1) PPOP=-.! acDREss :
~T ~
rFraI, Dr ^ ~_.?Tr _CV_
(Lot/Biock/Suiivisicn or Tac ?arcel I.D. NL:mer)
' I"r =-':IE_=i:, S??.U(:.'^r'v°., Crli~ O° GcZTG^;~u', uiIT'`)L'G
PF_°SL.^_ L'SZ: ~t'J R-1 Si,i.~"-. :r!flry .
? R-2 DL= (T•:0 L':?ITS)
R- u ~cr mt.~o^ + .r-.-
. 3 ~.i t:.~l~C) ~ LN1TS) .
? 4 ii:.,':^`c•:'?'%CC.'.L~,Ci"iT:i;.~l ( GiVi_-Ci
? CCi r=CT'L /RE^'II?0: FT_Cc:
? ~<sT2. ,^_IC\.~L,/GGV."~nr~;T
2) AP?LIC=''T ~e i .Z./2C Qc r~~vJ` Rlsr) /
' ,17.
ACD.tLr.SJ: ,-Zd 0~ Y e 5 4 Yt- C G. /-L . .
crT=, s:«TE, zzP: <5-3 s9
PFoNE: ~~r g~~ ~ogy
3) P=,Ec~R (PL`c;.SE Pfl14iI) fOR CITY I15E 0.41Y
NA1tiL: `L ?2 ( ~Y ~ /K/ ~ ~`K w~ p KL/~- PlU!!BERS LIC;YSE:
ADD_^~ESS: ~ Lao ,~u < s.., .z 4~i •v' ~ Active
CZT'_',..STAi'E. ZIP: Htif 0 Expired
Q Not of Necard
• PHO~: $QO--S'oS~c PL(1MBER LICENSE N ZS7 ~
4) pcc2,a~~rr/Cr.;NE2 (PLEASE PRllli)
NVME: .2~ G o S ~
ADDRESS:
CTTY. ST:+TL, ZIP:
Pho*E: S132 -pZa (
5) IIIDICF.TE ;v'HICH PER•lIT IS BEI.:G RF~UESTED:
:"VECPIO:I 'IO CIT'! SETriEi2
.".QECrIC:I 'IO CZTY S•7ATE4
~ Cli'iM (PI.Z,'1SE DESC°.IBE)
6) .7".:DIG,= C:.c.: •
. Q PI"5-- F?OLD APPP.aVID Pg2:^ST FOR PICi:-L'c BY O;JE OF AEC,'VE
? P?E'S :•7LZL APPRMF.D PEF_•iIT TJ 1. 3, 4 ABC7V7E
(Circle one)
7) SI=%'IL'2r.-.:. _ DATE: /
Af~lCA"~1.i1~1RA:f~ll~t!!!g~lsl'Rlii:r#riY~if~s~:aai~!!!']~O-~J~~1! tlissgr
FOR C I T Y US E ON;,Y
PERNijT u 2SSUz'p .
rrES: $ $E:•i°~ OcDtiT^`
$ /D. SZJ WATER PER."lIT {IiICL~DE Sii?C?i:eRGc.i
$ waTER METER/COPPEai?ORN/OUTS:DE REn^u:?
$ WATE.°, TAP ( INCLUCE CORPORATZ0:1 STCP )
$ S ::•;ER i A?
•S /.~-Z~
$ accoUNT DEPnS2T - FIr1T9_2
$ WaC
$ sr.c
$ TRCi.`IK ['.1.1T°R i-.5S-',SS::?:IT
$ TRti`7?C S?:iER ySSES`3:`Nm
$ LnTEP-AL BE;vr.r ZT/T°U`::C S-::E:
+S LATERaL BEVEFIT/TP,U::K ;•7ATT'R
$ WATER TREATMENT PLAATT SURCHARGE
$ OTHER:
$ TOT?L
D
$ AMOL":T PAZDjREC°I?^ R S~.3Ja0
DOES UTILITY CON:JECTZON REQUIRE EXCaVATION IN PUBLIC RIGHT OF WAY?
L YES IF YES, THE:: A"PERD12T FOR 'AORK WIT?iIN
PUBLIC ROADWAY" MUST SE ISSUED BY THE
'NO ENGINEERING DZV:SION. LZST AS A CONDI-
TION.
SUBSECT TO THE FOLL0:9ING CONDITIONS: •
APPROVED BY: -7'~ ~
TITLc: .
DAT°_ :
w = r~ W6M ww wk4+ "c4W