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4350 Wood Duck CirPERMIT City of Eagan Permit Type:Building Permit Number:EA127917 Date Issued:10/20/2014 Permit Category:ePermit Site Address: 4350 Wood Duck Cir Lot:33 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-330 Use: Description: Sub Type:Garage Work Type:Overhead Garage Door Description: 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 - Thomas A Hamilton 4350 Wood Duck Cir Eagan MN 55122--224 Applicant/Permitee: Signature Issued By: Signature ~ ~ . _ _ • - • C~;e~~cate nf cccuvanO . of ftgau I ~tc~t .(r $ritii% 3noccflox This Certificate issued pursuant to the rrquirrnunts oj rhe Uniform Building Code I certifying that at 1he tinee of issuance this structure was in compliance with the various ordinances of the Ciry rrgulatirig buildirig cwutrrrction or use_ For the following: ~ uMcUMrKr;M: S+' nr ew& ea. t No. 25718 O-MP-y Type R3611 - 7zoina oea+a Rl rya conu. VN owwu ur so;lding T C 1C1'[(YN Aaa- 147R4 ggN= _ eVgr . T a s~wn '?aa.., 4350 WOm D~rK crRa.t~ Locwky:.,33,E3. *Mtiir JIRD RARt: M ~ u„c. ~ e~~ o~ POST IN A CONSPICUOl15 PLACE CITY OF EAGAN Remarks - Addition D2a.llarti Park Third Atitiitinn Loc 33 Blk 2 Parcel #10 47252 330 02 Owner street 4350 Alood Duck Circle stete Eagan, MDV 55122 4350 Nort oo gate ane .Jl h~ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1 8 2698.43 y? STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 19$1 3412.34 682.47 0". `7:'• WATERMAIN * WATER LATERAL jJHl WATER AREA STORM SEW TRK 73 1981 467.74 93.55 5 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUIIDING PER. SAC PARK . r INSPECTION RECORD ~ 0 ~ Nr, CIT~( OF EAGAN PERMIT TYPE: $r r 1 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ; i~;~~~~ ,ir~ ~ TI~ ~ , .~i! i ; i:~ PERMIT SIJBTYPE: TYPE OF WORK: . , I j,I ; liiitiilt;I i ~~I+il11i~J 1 I(~1111~~.1 i!4 i{ 1:i. :rtli.fi I Fi kt l ! ! ilitl ! } I FlA4 ! I t4rs1 I'I:L ,;.1! t liljl: r'+t IIi! F L ~ Pwmit No. PsrmR Holder Date Telephone ~ ~ ELECTRiC ` PLUM G HvAC 'O - kupwtlan Dau Inap. Cormmnts FOOTINGS Q / 0 ~ FOUND ~ FRAMING AOOFING ROUGH PLUMBING 7-14 PLBG }y n AIR TEST ROUGH HEATING 7 /p It' ~fT GAS SVC TEST INSUL j OYPBOARD FIREPLACE FIREPLACE AIR TEST FIPIAL PLB(i , G FlNAL HTO °ES~rT BLDCi FlW1L BSAAT R.I. BSMT FINAL DECK FTG *,2 DECK FlNAL ~ L 1 837 D/~V ~ 5 33 &~2 D av aea est Da e na N. ~Gghin li~I~on Reqmred Inspeclion Olher Than Rou hln (VOU m~ ^I c inspector when reatly~ ~ floa~y Now ill Noiity Inspecior es ? No Date Reatly I? licensed contractor ?owner hereby request inspechon of above electrical work at: Job Atldress (SVeet, Fioe or Roula No ~ Gly 3 5- o ~ Lii i ~ A Setlmn N. TownSM1ip Name or No. Range No Coumy ~f Occupan RINTf) Phone N. Power Suppli Atldress Eleclnwl CoNractor (Company Name) Conhaclor's License No AI - ELEC, IfVC q ^q Mailing Aatlr euctoror pwner Making Installauon) _ r ~ LANE APPIE VALLEY N AwM1OnzM Si ofirr c orlOwner Making Inslallalmn) Phone Number ~ 431-6364 MINNECpTp E D OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT - ` ` altlg. - Poom S428 BE ACCEPTED eY THE STATE BONRD ~ "•-oaul, MN 55104 UNLE$$ PROPER INSPECTION FEE I$ ~ ENCIOSED. 7/& 195 REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os See iretmclwns lor compleung Ihis larm w back ol yellow copy. ~ 0012837 "X" Below Work Covered by This Request Ne Add Rep Type ot Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heatei Electnc Heating ApL Building Dryer Load Management Comm.llndusinal Furnace Other (Speci ) Farm Air Contlitioner OtM1Oe (5pecdY) Conlratlm's Remarks: Compute Inspeclion Fee Below It Other Fee k Service Enhance S¢e Fee # Circuits/Feeders Fe Swimming Pool 0 to 200 Amps to 700 Amps Transformers A6ove 200_Amps Above 100-Amps Signs inspector's Use Onry: \ TOTAL Irriga4on Booms U Q Special Inspeclion D •D Alarm/Communication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO I, ihe Electrical Inspector, hereby R°°qmio oata ~Cl? certify ihat ihe above inspection has Finel oata - C been made . OFFICE USE ONLY This requesl vma 18 monihs Irom Address 4350 wOOD DvUc CIR Zip 5512 3 f , Lo[ 33 Blk 2 Sub MALIARD PARK 3RD THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: Yes No Inspector: Final grade (6" from siding) v Permanent steps (garage) ? Pennanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass ? TraiUcurb damage Porch Dasement finish Deck t/ Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to the outside lawn faucet before freeze poten[ial exists. Contact engineering division at 651-4645 befgre working in rightof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contracror Copy ~ PERMIT C~,~.~~q~ I~K CITY OF EAGAN 3830 Pilot knob Fioad PERMIT TYPE: g~ 411A G Eagan, Minnesota 55122-1897 Permit Number: 025718 (612) 681-4675 Date Issued: 0 6/ 0 2/ 9 5 SITE ADDRESS: 4350 W00D DUCK CIR LOT: 33 BLOCK: 2 MALLARD PARK 3R0 DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type VN Zoning R-1 Building Length 64 Building Width 36 Building stories 2 Sq'uare Feer 2.122 REMARKS: PRV S&W CONTRACTOR - FEE SUMMARY: VALUATION $150,000 Base Fee $1,137.25 MISC FEES $1.892.50 Plan Review $398.04 Total Fee $4,352.79 Surcharge $75.00 SAC $850.00 SAC % 100 SAC Units 1 Subtotal $2,460.29 CONTRACTOR: - Applicant - sT. Lrc. OWNER: T C CONST INC 14693723 0001076 T C CONST 19784 KENNICK AVE 19789 KENNICK AVE LAKEVILLE MN 55044 LAKEVILLE MN 55044 (612) 469-3723 (612)469-3723 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 Mn. Statutes and City of Eagan Ordinances. L 4t1CRAT/PERMITEE S ATURE) ISSU 9Y. SIGNATU~E INSPECTION RECORD CITYOF EAGAN PERMITTYPE: auiLorNs 3830 Pilot Knob Road Permit Number: 025718 Eagan, Minnesota 55122-1897 Date Issued: e 6/ 6 2/ 9 5 (612) 681-4675 SITE ADDRESS: Lo T: 33 B L 0 C K: Z APPLICANT: 4350 WOOD DUCK CIR T C CONST INC MALLARD PARK 3RD (612) 469-3723 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION D. . . FOOTINGS FOUNDATION FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROU6H IN HTG FINAL PLBG FINAL REMARKS: PRV S&W CONTRACTOR - L ~ ` CITY OF EAGAN ~~J Sot 5 O~S 7 I~ 1995 BUILDING PERMIT APPLI ATION (RESIDENTIAL) ~,w~-r-~GQ.• 681 -4675 New Gonstruetion Reauirement< Remodel/Reoair Reauirements ? 3 registercd ake surveys ? 2 copies of plan ? 2 copies of plana (inGude beam & window saes; poured fid. desipn; etc.) ? 2 ake suneys (mcterior add'Rions 8 dedcs) ? 7 enerpy ealaulations ? 1 energy calculations tor Mated adddions ? 3 copies ol tree preaervation plan H lot plattad afler 711/93 ' required: _ Yes _ No DATE: S o~t 7s CONSTRUCTION COST: ~D`~~ Gv/ Lpr DESCRIPTION OF WORK: STREET ADDRESS: I 3 S ~ W Q c~ ol IJ r. JC C. LOT BLOCK ~ SUBD./P.I.D. ~U l ~uu Z ~PCAv` PROPERTY Name: / t C C OkIS7~ Phone OWNER , StreetAddress• ~K/,Ni1,G,' L41&vi - City: 2G.C=u, ~ State: ' / Li,~r Zip: CONTRACTOR Company: SGcGy ~ Phone Street Address: License City: State: Zip: ARCHITECTI Company: Phone #ENGINEER Name: Registration #Street Address City: State: Zip: Sewer & water licensed plumber: 0 CO I d -76, Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY c /Yes l U VE o Certificates of Survey Received _ No MAY 2 3 1 9 9 5 Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish Af- 02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. 0 17 Swim Pool ? 03 SF Addition ? OS 8-plex o 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 12-plex • 0 14 Fireplace o 21 Miscellaneous ? OS SF Misc. 0 10 _-plex o 15 Deck WORK TYPE oa-~ 31 New o 33 Akerations o 36 Move n 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System cl~ (Allowable) -N Main level sq. ft. /,SO? City Water D<-' UBC Occupancy 0-3 cc-/ 00. sq. ft. GVf Fire Sprinklered Zoning 2-/ sq. ft. PRV fi~S # of Stories sq. ft. Booster Pump Length 4~_ sq. ft. Census Code. Depth Footprint sq. ft. Z, /ZZ SAC Code o/ e Census Bldg i S'~ Census Unit / APPROVALS ~I.14(y Planning Building Engineering Variance Permit Fee Valuation: $~s0, o 00 ~ Surcharge Pian Review License S~7 MC/WS SAC 2 b x Ya ' l, / zo City SAC Water Conn. j z,~ WaterMeter &•s = 77 Acct. Deposit 7 ~,rKs.r,:•r~"= S/W Permit 6.ts - S/W Suroharge ~A,~ .sFZ-~ .z•r = 3 i y~~X Treatment PI. 376 Z~ yS- s~ Road Unit Park Ded. ~ti ti • v Trails Ded. ~ ` Other ~ 2 ,r x zY " ~ 7Copies ly s x`/° . 3 r X 5 3 = Total: g.6.,~ 2s.s = (~,~c•~3~ ~ ~ \'SK~.Sr~•s~ % sAC SAC Units I D ~J ; 77i5 c ~ Cities Di ig tal Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content, from the original page. ~ , ~ _ _ . ~ . . ~ Cidlv~ ---~~,%__4~-'~,`•-*-~ ~ :v.'"l _ . . . % ~ . ~ . - . _ l<C='k iPS SOli2_'e. =0C`c;~c. . SG. . . . 1 _ =0tn1 :CS°C '+:c-- -2 TO L G 1 CVe O'J:' _~.,c_ . . ~ - . . . c_'-. . . . . . . . . . . . . ~ _c~~.=~t'-- rea ~ - _i.. ' ?"1. _ - . . . . . . . . . . . . . . . . . . ' ' " "..'c.. - _ y--- - f J- i~_ J - u ~ - = n ~ . . - . ~ _ . ~ i . _ " c5. . lntent , • ' f Oi.?: z::GOS2Q ?'OOfICEi =i.^.g 2r@a ~=C55 700 "/C2~._.~':~ . .i • - z~2= Sf :'2^2a . . . . . . . . . . . . . . . . :•OCf/C°-{=Jn.g5 c-r2:T.:F1~arad""" net insuiatedroo=; c°1._ing 2rna 1. _ I I,U~~ -Jai _32 oac~~ : ~cof/ce11;n~g se~~ent ~e~e: nine . ' ~'e - • - F: ~ ~ ~ „ _ - j. . U. rL~D ~~liG ~ ' . . ` . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i.ll° E.^: ,s> 0~ , `=s t:^a„ .::z, ye, na.'• s_-e - ~ r~ r.-r. I 01 =lues est2b,is:-~eci 'oy S'j5i.°Ci-.,.°tIiC.~, tQ^ `r s_I''B i~v_ng an-"4, s::2_1 nc _ be ;"e 2. - "R ' ~ • _ - v - e .r._' " C'.,Xi,2T'1 0=. n Ir SiQ_:15 ~.°"'_.~c_ . ~ - . S(1°2tnin. . Tn5t:12i,i0^ ' ~T"•~ jE]2_ OC . S;:•~<<s i: I_' 'MRY 25 '95 08:19 TO e12 681 4612 . FROM PROHE EFGINEERIFr', T-184 P.02 aOBE CONSUlTINO ONO NNIIS TC ,rcr~.~T~~ PlI1NNt6f mnd ~pNO JUIIYlrOqi MG~NEERIN6 P~ECTND. COMPANY, INC. P~' ~ 1000 EAST 1181h BTREET, BURN6VILLC, y1NNEtOTA 56331 pN 432-i000 CERTIFICATE OF SUR1/EY Legal Descriptlon: zoT 3.7 p~ DENOTES EXISTING ELEVATION ' (934-t0 ) . DENOTES PROPOSED -ELEVATION INDfCATES DIRECTION OF SUqFACE DRAINAGE 3~ = FINISHED GARAGE FLOOR ELEVATION ~ Z = BASEMENT FLOOq ELEVATION ji4z b = TOP OF FOUNDATION EIEVATION B" A44eK: fiesr .sa?. Rp. Easra< <o-ras a~ 2, BCAIE : t• e yy 72P r 930, a9 ADl~?ESS ~ 4350 WAA7 GY~GK C/RGE ED GLIN F11T IIVEER,YRTGB YDEPT. T(~It~~ 9g~'q3 0 ` (93°'7 3oF~.- .SE'rB~e'K 4.~E q~~,t~.~ R • 5° : = g"i~~-'• 15 D REVIEWE ,D 1 _ P, ~ ~go93ag, IOgo~~C 3Y .l~ -p r~j29•5~ N ~ t W tJ~ C G wf. m s .f.~ 1 da6~o o N qyqM~ - $~5) BOO I~.T AP41N96E Avo (-Zb 64 0 G~ UT/U7Y ERSE/~l~r 1N, 1 i~~z ~ Z~a / 91.5~ .i 1.- A" y. ~.9'L9,10 ~ 9510$ 5p ~ ~ ° N~9T~ Cp J7,D D O r1 f' poG3o~Io G~~ `a ~ I hareby certify that this is a true and correct representation of a tract oP land ae shown' nnd deeoribed hereon. Ae prepared by me thie IS-7# day of d/If}Y , 19f5. ' . ReVr~ S TiF-9s; A[utD SotvAt6 toW nav ~ ; Minn. Reg, No. 'f+~Aw' CIT~ B~K/N~nPI/?(r ~J' . . /bnA.s R-95% 612 432 3723 05-25-95 08: l5Atd P002 'St15 LOT 87RVEY CHECRLIST FOR REBZDENTIAL ffi • HIIZLDING FERMIT ]?PPLZCATION ~ S2 PROPERTY LEGALp Date of 8ep: pOCIIMENT BTAxns,Rns -4~ s--/ a q~- / 1 0 • Reqistered Land Surveyor signature and company i'D 0 • Building Permit Applicant 0,~-0 0 • Leqal description 0-~13 0 • J?ddress GYD 0 • North arzow and -bnrscale D~(] 0 • House type (rambler, walkout, split w/o, split entry, lookout, ete.) i9~0 D • Mrectlonal drainaqe arrows with slope/qradient t. M-*'7 El • Proposed/existinq sewer and water services 0 • Street name 0 0 • Drivevay ELEVATZONS Eaistinc 0"~0 D • Sewer cervice CA~ D 0 • Lot corners D~0 • Top of curb at the driveway LY D 0 • Elevations of any existing adjacent homes Pzofloeed EJ~-D 0 • Garage floor D • First floor 0 13 • Lowest exposed elevation (walkout/window) 9~A 0 • Property corners ' 0 0 • Front and renr oi home at the foundation PONDING 71REAS (if aaolicable) ? L~? • Easement line 0 D~ 0 • NwL D 0' D • xwL ? 0-~ D • Pond # designation 0 I3`13 • Enerqency Overflow Elevation DIlSEHB201Q8 0'~13 0 • Lot lines 3~~ 0 • Riqht-of-way and atreet width (to back of curb) ra' 0 0 • Proposed nome d3mensions including any proposed decks, overhangs qreater than 21, porches, etc. (i.e. all atructuzes requiring permnnent footings) L~D 0 • Show all easements of record and any City utilities within those easements D~0 0 • Setbacks of proposed structure and setback of adjacent existing home • Retaining re irements, if any Reviewed: N e / ate October 1992 ~ ~ . ' DES16N PRqFILE MH-22 - CO STRUCTION ROF7LE 9~34 E 931~'7 MH 12 . - - ~ ' 93177 / ~ y~y. /'O/(~ • r: 1G! ~ ( 1.1 ..\r) ~ . . l~,:fvCy 'CF U.TI{ 1'j°y 00H~IMs . . 1K- 1 r° c` I (1 i~) i'~R . : ~ . I/~ VI Afv J.....I~~il_ ~i . ~D 30 fi~`oR;"(Ai IO~J PU,~PO~~a C:;!LY .3 •p ~ C.~, 'ESdTr. - - I ---T-~- - _ m _ a, - o_ h N . . ~ ~ M Orf) O Oti - +m.. OONi / \ Y SEE ` BuFCiEO V ABOVE 2 2 dEvF PER $ , ? ~A~, \ - 33 N ~ . 26 35 ~ ~5t25 14t15~ ~ ° y12t70 ~I I t80~ 25 36 ~ c~ ~6t30 r 9.~.~~ p m 9190 t20,~ ,~.1 63.4 9441 2 \ H-17 ~ 3o.4`1v4k1-16 ' ~MH-I$ o , - ` 9~.4i T~TYPI*I 8"G.V. 8 BOX 485'-8"D.I.P . 8"x6"TEE 8" 6"TEE 8 HYD. 8"x6"TEE ' ~ a HYD. 56.8 :E 8 HYD. 11 9t60 - - WOODGATE LANE M H 2 0 - - - 94~.87 H-19 ~ I 6 3 . 4' 44 4 ' I.-y ` 8 M H - I 3 ~ ~MH-15 END r~~.a=* SEE 1~ 300-g 91.4' r'"°) ~ MH-14 RIGHT ~ SX6 TEE,~I d: B~~GV. 9 BOX 485'-8"D.I.P ~ 9 ~ 10 & HYI~: ~ x6"TEE g"x6~~TEE \y~,/ 8t00 ~h 7 50~.~ ~ YD. 8 HYD. 56.a 6t75 qtl' ~ 10 I I I ` - 9t60 \ , --r ' fFiE FtoC't1PAACV O~F U714J i~~.:.-I~~ ~,0 _A N E ~;?~Q o, ELEv~a~ioi ~ ca,~^ .-D (OIV PuR, o..z3 WOODGAI rrj(l-n,a51 lfSIfVG IT 8i-f0:" ~ 14YF6n;a9TlOtV ON W'c:.~~ ~ . CONSTRU TION P DESIGN ROFILE - - MH MEL-1;~_-. _ MH-I6 V93 .10 MH-13 MH-17 934.31 933.82 932.43 6 ~ ~ - _ , NAT. ~ 5'R 6'R , LINE ---I - I ' I 5 R5`R 4'R P C- I. 5% ; ~P-1l~--f}: - - - --1- - 8 PVC-0.4335d -PVC 0.40% ~ 75 -8;'PVC 216'- "PVC-0. I - 0.3 7, % i I MO O~ pM u)~ ~AN O~ I~~ t Q~ L + I 7 1 F, I~, I d i 7---- i i i n o--- - Q-- 7 . w ~ L BL CITY USE ONLY ~ RECEIPT SUBB~"I~a~d( ~cr~~ ~ ? DATE: 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x 7_ Water Closet 3.00 x 'Z Bath Tub 3.00 x Lavatory 3.00 x C:5?- = h Kitchen Sink 3.00 x 3 Laundry Tray 3.00 x 3 Hot Tub/Spa 3.00 x 3 Water Heater 3.00 x i = 3 Floor Drain 3.00 x / = 3 Gas Piping Outlet * minimum - 1 3.00 x Rough Openings 1.50 x Water Softener 5.00 x = Private Disposal " Dakota Cty. license 20.00 = U.G. Sprinkler' home underconst. 3.00 = Alterations ' to existin9 20.00 = Water Turn Around 20.00 yo-5o STATE SURCHARGE .50 TOTAL `7 • oC~ SITE ADDRESS: o:gZ DLcA OWNER NAME: ( - - ~Q\j-- _ . INSTALLER NAME: z - STREET ADDRESS: Z L 71 :L CITY: LQ p ~,f Q, STATE: °~~d1LK'- ZIP:' PHONE dgz~A d f ~Mjl r • CITY USE ONLY L BL RECEIPT SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ~ all commercial/industrial buildings. • multi-family buiidings when separate permits are ~ required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT CITY OF EAGAN r . CITY USE ONLY L BL RECEIPT ~qq SUBD. DATE: 7 'S 95 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace Add-on air condiiioning Alid-Gtl aii' BkCiiAngei-, i.E. v 8n2E SyStEti'!, 8tc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ~ Gas Outlets (minimum of 1 required @$3.00 each) 3,0 ? State Surcharge .50 TOTAL ~ ~ s~ SITE ADDRESS: LIQ C1~1-6 OWNER NAME: C ,15,~• PHONE ~ INSTALLER NAME: STREET ADDRESS: ~ CITY: STATE/01/ ZIP: PHONE (2--) 272-- b1UNA . . , CITY USE ONLY L BL RECEIPT ~ SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. w multi-family buildings when separate permits are IIg1 required for each dwelling unit. DATE: GJP!TR?,CT oolCE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: P $25.00 minimum fee gl 1% of conhact price, whichever is greater. • Processed piping - $25.00 • SWte surcharge of $.50 per $1,000 of Qg= fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR ~-----------------i 4111~ ~ For Offce_Use ~ Clty of Ea~an ; Pertnit# I Pertnit Fee. ~ 3830 Pilot Knob Road i Eagan MN 55122 ~ oate Received 7 ii Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: ~ - 2008 MECHANICAL PERMIT APPLICATION Date: 4-I/'+'ZDC'eO SiteAddress: 4350 VLW R Cv- Ci,tke . Tenant: Cvk~ . L E Suite RESIDENT/OWNER Name: 12Yut!~ i<<<•z Phone: Address / City ! Zip: ? •L~ ~~''ti6~ ~/~c ~ 1.,:: c~E L6c ` r~ _JS Z CONTRACTOR Name: S{~C++6 License#: Address: ~S ~f3~(` Ylti£ S City: U"\i'LInPctV-1AJ 65_166 State:_18&_ Zip: Phone: fGO- -7.J~4''q3z2 ContactPerson: TYPEOFWORK -New _?~_Replacement _Additional _Alteration _Demolition Description of work: lC 9E tckCeI,-&jJ- NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanica! lnspector or one of the Planners foi information on ermitfed screertin mefhods. RESlDENTIAL COMMERCIAL PERMIT TYPE New Construction - Interior Improvement ,Furnace - ~ Air Conditioner _ Install Piping _ Processed Gas EMerior HVAC Unit Air Exchanger . - * HVAC units must be screened _ Heat Pump Under / Above ground Tank L_ Install Remove) Other " When installinglremoving tank(s), call for inspec[ion by Fire - Marshal and Plumbin Ins ctor RESIDENTlAt FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 FIfO fBP81f (replace burned oul appliances, ductwork, etc.) (includes $.50 Slate Sufchafge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contrect Value S x 1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $ 50 - If Permit Fee is > $1,000, surcharge increases by $ 50 for each 5tate Surcharge $1,000 Permit Fee (i.e a$1,001-$2,000 Permit Fee requves a$1 OD surcharge) $ TOTAL FEE I hereby acknowledge that this mformation is complete and accurate, thal the work will be in confortnance with the ordinances antl codes of the Cdy of Eagan, that work will be in a cordance with the approved I understand Ihis is not a pertnit, but only an application (or a permit, and work is nol to start without a W plan in ihe case of work which requires a review and approval of plans. xV~F12W 1.fA~ Irie`.~y^ x R 's Printed Name A plicant's Signature Applicant `FOROFFICE;USEz'~~ ReviewedBy: Date• Required~lnspections ` : UnderGround _Rough'In;_-_AirTest' ,'t.GasSer`viceTest "_In floorHeat"_Final ---------i I Fo~ Offce U'se ~ I Clty Of EapII ; Permi,# S~9ga~ ; I permit Fee: i 3830 Pilot Knob Road ~ Eagan MN 55122 Date Received: V' z 2' Cl ! i i Phone: (651) 675-5675 j starf i i ~ Fax: (651) 675-5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT I OWNER Name: (..~KH'~ c[ L~ ~ 11 1 Q.!v 1F/~f Phone. Address 1 City / Zip Applicant is. ~ Owner ` Contractor TYPEOFWORK Description of work: ?24TkrU0r0- ~LC7~?~-U G Construction Cos .tr/~) ~0o Multi-Family Building: (Yes No 41 CONTRACTOR Name: 66L-r License Address: • Cdy State. Zip: Phone: Contad Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculatwns Submitted In the last 12 months, has the City of Eagan issued a pertnit 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 8. Water Contractor: Phone: a NOTE:.Plans and supporting docuinents that you subinit are consideied fabe priblic,information.. Portions.of ` the"information'may be classifietl `a':non-public, if,you piovide'specific reasons tiiat would perm'it.the City to " ~u"' • , `conclude~thaf the ..are traofe sec"rets: 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 rewew and approval of plans ~ r xl ri6t)l/'~& "q - 14 X V_ ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 ~ Fo-r Office Use ~ j Permrt#: .2 City of Ea~a~ ' 7 ' I Permit Fee' I 3830 Pilot Knob Road i Eagan MN 55122 ~ Date Received: Ja~ j Phone: (651) 675-5675 ~ I Fax: (651) 675-5694 I Statt: ~ 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT 1 OWNER Name: &.C-. r Phone: Address / City / Zip.~~(Al,( b.bl~(1L1~~-~ Irl~C -~~(%~-I3OJ ,t'I /lJ ~-Tic~ 1 Z Z CONTRACTOR Name 6~LF License Address: Ciry: Stale: Zip: Phone: Conlact Person: TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modity Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener _ Lawn Irrigation ~Add Plumbi g Fixtures RPZ PVB) ~ Main Lower Level) Septic Syslem _ Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.SD State Surcnarge) ~ $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) "Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 S2p?iC Sy5t2m New ($10 00 per as built) (includes Counly fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, dudwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan, that I understand this is not a permil, bul only an apphcation for a permd, and work is not to start wRhout a permR; that the work wdl be m acwrdance with the approved plan in the case of work which requires a review and approval of plans. X 1'hNrigA 311-auA /~r X lY ~ ApplicanYs Printed Name ApplicanYs Signature FOR OFFICE USE Reviewed By: M~'kt- Date: • Z"L-a Required Inspections: ~(-Under Ground ~Rough-In _Air Test _Gas Test )!5~'Final City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4350 Wood Duck Cir Lot: 33 Block: 2 Addition: Mallard Park 3rd PID:10- 47252- 330 -02 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: P Fee Summary: Valuation: 3,000.00 Contractor: Signature Home Services 758 Reaney Ave. St. Paul MN 55106 (651) 731 -1147 ctures are not acceptable in lieu of inspections. PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Owner: Craig A Rice 4350 Wood Duck Cir Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA079546 08/30/2007 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4350 Wood Duck Cir Lot: 33 Block: 2 Addition: Mallard Park 3rd PID:10- 47252- 330 -02 Use: Description: Sub Type: e - Fumace Work Type: Replace Description: Furnace Comments: Expired Perm Fee Summary: Contractor: Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824 -2656 PERMIT City of Eaan Closed w/o Required Inspections. Letter sent. 12/10/2008 pf Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec 952- 445 -2840 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature - Applicant - Owner: Craig A Rice 4350 Wood Duck Cir Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA081739 01/22/2008 ePermit cal Inspector, I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA122752 Date Issued:05/19/2014 Permit Category:ePermit Site Address: 4350 Wood Duck Cir Lot:33 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-330 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Jarrod Stenzel 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 - Thomas A Hamilton 4350 Wood Duck Cir Eagan MN 55122--224 (612) 720-3794 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA124438 Date Issued:07/01/2014 Permit Category:ePermit Site Address: 4350 Wood Duck Cir Lot:33 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-330 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Thomas A Hamilton 4350 Wood Duck Cir Eagan MN 55122--224 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature