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4356 Wood Duck CirCity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 2011 SEWER AND WATER REPAIR / DISCONNECT PERMIT Date: q/k71I Fee: $55.00 City Sewer City Water Repair Disconnect Description Of Work: 5'Qw-c.-- i/3 - Street Address for Proposed Work ��°a�i <<s� OWNER Name: Nth Fercle✓ Phone: 9.j' 35--— X177/ Address / City / Zip: i 54" wroodlid t‘ r'''' Applicant is: Owner K Contractor Licensed Name: Jc�;o,-r la,A Pipelayer Master Plumber Property Owner Phone: 1957— (9 4I' C6a Address / City / Zip: g.4 70 Lp/ iZQ P 1 .y%/v. S rll r Pipelayer Training Certification Card #: or Master Plumber License #: 0t 7i 5-‘ ftiM I acknowledge that the information is complete and accurate and 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. !/G/ Applicant (Print Name) Applicant's Signature CALL BEFORE YOU DIG. Call Gopher State One CaII 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.orq ü ÿ þýý üûúùû úú øýýùüÿðìþ öï ñø øñø ãñ þýö þýüû úöêé òøýû ú öøû úöêé øàêéùúë õý òýòñíýú ð þïýøî ëúøáëììëøïýøëøüøëè÷ø êêú ÿ÷ø÷øë ý úèò÷ø÷ú÷øè òøüëçøøøïýøü ê ÷ë ìëè îåñäåèã èã õø þýøìø æýåñäå èãâ è âã æýñÿè ôó öòñ úú öêô îøüø ãñãìáàÛ ñãö ýòø ëýìàãã àãã ßñÞã ìøü ê ììáøìúúìì÷øëøø øëú êìúúüþ ÷þýò ÷ íøè úúé øëþ ýøý þ ýø ' CITY OF EAGAN WATH! SERVICE PERMIT 3830 P,ilot K"b Rwd 7 ~ P. O. Box 21199 PERMIT NO.: -~7-.,, ~ Eegan, MN 55121 DATE: 1 , Zontnp: ?:l No. of Units: ~ I Ste h-An r inmea ~ Owner: AAdress: ~O rc e ~ a ar ar r ~ t~ llddr+~: tr, Plurnber . p ~ r~efol' - diQQing ca, oca u~ c,r,~+i«, ao.p: 15. n ' s~~: CTRiC - A~ ttc~,nt oe~t: 10. Reodsr rmit Fee: . ~ ~ M.,~. • Surd'°'p°, 63, p me er. Or~iMna~. 3 ya 19 7s Misc. Choroes: Total: By Dote Pofd: ~ Date of insp.: I^sp.: CITY OF AGAN sEWER SEMCE PERMIT 3830 Pilot 'nob Road P. O. Box 2. ^9 PERMIT NO.: 4--2]--84 Eagan, MN 55121 DATE: Zan(np: No. of Units: 1 Owrnr: Steph-An tiomee Addross: 4(35.!2 - Site Addmm lrr}+- Woodduck Cixcle L3DA2 "tallard 1'ark 3rd p~umber wenael 'Zech 4-27- ;34 42857 100.00 P 1 MM to wn* wMb eM Ckf of iow. Connectton ChaMe: 425.00 p 1 O~i~..e... /tiooount c.vaits 15.00 p~t pennit Fee; 10.00 pd wrdwrp: .50 ~pd By Mtae. (horges: Date of Insp.: Totol: Irbp.: Doh Piold: CITY O \GAN WATER SERVICE PERMIT 3830Pf1o nobRoad pE~µ~T NO.: 5437 P. O. Box . 'A9 4-~27-5 Eagen, MN 55121 DATE: 1 Z~~. P.1 No, of Unlts: Qwn.r: Ste h-An iion?ee ''Mma' 0o uc rc e lic 3-4 ~ ar arK r Site Addross: Plumber etnze eC . P MsMr No.: Connectlan Q+orye: P Size: Acaount Deposit: 15. Reodsr No.: Pe?mit Fee: . P 1 prN to amvly vuh tlw CMy of !yP¦ Surchorge: p me eI' OrltMmaa. Misc. CF+orCes: Total: By pats Poid: Date of Insp.: Irop.: CITY OF EAGAN 3830 Pilot Koab Road, P.O. Box 21•199, Eagao, MN 55121 N? 90-4 t, PHONE: 454-8100 dU1LDING rERMIT Receipt , T~_~ f,. SF nIvc/GAR Est, volue $98, 000 Date APRIL 27 19 84 4356 WOOD DUCR CIRCLE R3 Site A~dre Erctt ['r` Occupancy Lot ~jlock 2 Sub. ~'LARD PK Aiter ? Zoninp R Parcel No. i0 -4 252-30Q-0 Repoir ? Fire Zone ~ A Enlorpe Type of Const. V ac Name ~STFPH-AN HOMES ~e 4340 PiLOT RNr~ ~n D # s+ories7o ~ Address Demolish p Length City APPLF VAL Phona 423-3322 Grade ? Depth 45 Sq. Ft. SAME Approvab Fees ~ Name o~ Address Assessment Permit • . ,0u~ City Phone Water 3 Sew. Surchorqa 9. 0 0 Police Plan check 213.00 ~W Na"1e Fin SAC 525.00 E?dd?ese Enp. Water Conn. 4 7 0. 0 0 ~ W City Phone Plonner Water Meter 63.00 Council Rood Unit 260.00 1 hereby ocknowledpa thct I how read this opplicotion ond stote tF?at gldg. Off. ' the inlormotion Is correct and ogree to comply with oll applicoble Taol ~ Stots of Minresota Statutes and City of Ecqan Ordinonces. Slpnoture of Permittee A Buildinq Permit Is Issued to: ST},PIi-AN HObiFS on the exprau condition thm oll work sholl be dore in ocoordorxe w" o lico6le State of AAjnnesota Stotutes ond City of Eapan Ordinantes. Buildinp Offidol - % • ~ Pamit No. Permit Holder MKC. Pwmit No. HoFdkr Ewo ~ n n Disp. S~r ENebi e ~ 5"3 10.00 .e Iruaction Dm Insp. Other Footinys FoundKion F..ming y Rouqh Piba Rough HVA 1 nw IKion Finsl Plbo. - Final HVAC _ Final ~l Wour Gicribe Loeation: IMe11 - Sftwr Pr. Dhp. ~ Receipt rMECHA1a1CA-[. PERMIT Perrnit No. ~ CITY OF EAAN FN $ 20.00 Pil! in numbered apecea S/C .50 TYPe or Print /egiWy Tot 10.5 C 1. Date `--~-~a 2. Installation Cost 3. Job Addross 4 3 5u wcod Duck Lot Bik. ' fract 4. Owner Weasma;in Hor!es, Inc. 5. Contractor Yleve Y.eatinq &A/C Inc. phons 88 941--4211 6. Addre:s 1.3075 Pi.onecr "_'rail. 7. City Eden PrairiA State )-,fnnesota 2ip 55344 8. Building Type: Residential LN Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter 0 Repair ? 10. Describe '''`-'w i,cuse heatincr Fuei Type t'Tatural Gas 11. No. EQuipffyent BTU - M. Ea. No. Equiament CFM 3 Forced Air LeMl°x tAodel Mf ~~.'~r,3--O ' , Air Handling: 9• Boilers X Mech. ExhaustVentir.c? Mfg, f . l;irCtke*; Inood, : Unit Heater b_a 1i Fans Mfg. Other ~ Air Cond.T.ennox. :Acd~l IL.' 1'AII Mfg. 1 Gas, PipingOutletsFurnace o v 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : . - for RouQh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. i Approved CITY OF EAGAN 454-8100 ~ ~ ~ Receipt ~ ~ 5 4 PLUMBING PERMIT Psrmit No. q / CITY OF EAGAN Fae . FiII in numbered spaces S/C Type or Prrni legibly Tot . 1. Date XY 2. Installation Cost 3. Job Address Trect~f ~ - ~ K 4. Owner 5. Contractor c Phoney~, _2 - /S L- I 6. Address 7. City L .nl c=, ~ ~ ~t~ State ~ j1^ ) Zip 8. Building Type: Residential ~ Commercial O Institutional ? 9. Work Description: New ~ Add O Alter ? Repair ? 10. Describe 11. No, Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well / Kitchen Sink i Urinal/Bidet Other,&;f ki /1, Laundry Tray J , - ' Floor Drains ~ Drinking Ftn. , Slop Sink Gas Piping Outleu 12. I hereb certi th e ve ' I y fy at th abo information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. I Signed : • _ i 6' - for Rough Final I Inspections: Date Insp. Date Insp. I o This is your permit when numbered and approved. I Approved CITY OF EAGAN 454,8100 I - - ~ PERMIT # PLUMBING PERMIT RECEIPT t~ GTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 Sfte Address BIDG. TYPE WORK DESCRIPTION Lot ^ Block ~ Sec/Sub '-r-- Res. New ~ Na?11@ t- fw 7J7)Mult Add-O?1 ~ Address A ' Comm. Repair c City ~ fL Phone Other NO. FIXTURES TOTAL ~ Name Water Closet - $3-00 t ~ Address Bath Tubs - $3.00 Q Cliy Lev8tory - $3.00 ShoWer - $3.00 FEES Kitchen Sink - $3.00 CAMM/IND FEE - 1% OF CONTRACT FEE Urinal/&det - $3.00 MINIMJM - RESIDENTIAL FEE - 510.00 Laundry Tray - $3.00 MINIMUM - COMM/IND FEE _ 20,00 Floor Drains - a1 •50 STATE SURCHARGE PER PERMIT - •50 Water Heater - $1.50 Whi~lpool - a3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUe1s - $1.50 BEYOND $1,000.00) Softener - $5-00 ' Well - $10.00 Private Disp. - $10.00 { _.(aough Openings - $1.50 I SIC3NATURE OF PERMITTEE FEE SUTE S/C: L-7-11-C7 OF EAGAN GRAND TOTAL: J• j G CASH RECEIPT ~ CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE r.. 7 19 RtCtIV<D - ~ . FROM AMOUNT ` ~ . J, ae OOLLARS ioo ? CASN _-0-CtiECK 1 4 c J ~ FUND COD6 AMOUNT C . 4f` ~,J ~C ) 1 ' J Tha ~bu B Y ~ I ~ ; . - White-Payen CoPY ~ Yellow-Postinp Gopy Pink-File Copy CITY OF EAGAN Remarks Addition Mallard Park Third Addition Lot 30 eik 2 Parcel #10 47252 300 02 Owner Street4356 Wood Duck Circle State Eagan, NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 539.71 A014137 6-28-84 STREET RESTOR, GFADING SAN SEW TRUNK ' * SEWERLATERAL ig8i 12 82 S 682.50 A014137 6-28-84 .47 .34 WATERMAIN * WATERLATERAL 1981 WATER AREA STORMSEW TRK 1981 467.74 93.55 5 93.58 A014137 6-28-84 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 260.00 42857 4-27-8 WATER CONN. 47O.QQ 8UILDING PER. 9017 s,ac 525 . 00 PAR K RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ^F 651-681-4675 New ConstrueUon Rwuiranmb RemoMYRawir RwuirmrnU v~ . 3 regMwW site surveis sfbwiN s4. ft M Wt, sC. R. o} house; and II mokd areas • 2 copies of pan (20%maximvn bt coverage allvwred) • 1 set af Emrgy Calaiations for heated edditbns . 2 copW ol Wan sMwinp beam d wirxkw eizes: poured fard dasig4 elc.) I sae swvey rar exceior aadabns a eedk, . 1 sal of Enagy Calalafbns . Indicafe H Mme xrvM bY sepbc ristem fa additias • 3 copies of Tree Pretervation PIan if lot plattad afler 71153 . R'vn JoW DNai OpWns seleclkn sheel (ddps wHh 3 a less wWS) DATE f0-3 a - ~2V0 I _~I VALUATION ~ JOB SITE ADDRESS S U Vl< G(Z 'e-- IF MULTI-FAMILY BUILDING, HOW MANY UNITS? 3 PROPERTY OWNER CAAld A SU c-.(1 ~b~. 3~ ? Fl a c~ 3~ ~ TYPE OF WORK e i no~n FIREPLACE(S) _ 0_ 1_ 2 APPUCANT S i C CLG PHONE# 250 2'3'16'Oa8'5 ADDRESS S~J aQ' M ZIPCODE oZQ PAGER # CEII PHONE ~ a" Rg FAX N 9Sa'3/b'0cZg~ NIE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULFS 7670 CATEGORY 1 (check one) - Residential VenGlation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNFSOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbiny Contractor. Phone M: Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Conhactor: Phone # Mechanical System Includes: _ Air Conditioning Fee: n _ Heat Recovery System Sewer/Water Contractor. Phone # All above information must be submitled prior to processing of applicalion. - I hereby acknowledge that I have read ihis application, siate t at ih infor n is c e t, a agree to comply with all applicable State of Minnesota Statutes and City of E an di`nan ' Slynafure of Applic nf Cerlificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ uPaaiaa 1ro1 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex O 13 16-plex O 20 Pool O 30 Accessory Bldg O 02 SF Dwelling O OB 06-plex O 16 Fireplace O 21 Porch (3-sea.) O 31 6d. Alt - Mulfi O 03 01 of _ plex O 09 07-plex O 17 Garage ? 22 PordUAddn. (4-sea.) 0 33 Ect. Alt - SF ? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) O 36 MuMi ? 05 03-plex ? 11 70-plex O 19 Lower Level O 24 Stortn Damage ? 06 04-plex O 12 72-plex Plbg_Y or _ N ? 25 IuGscellaneous ? 31 New O 35 Int Imqnvement O 38 Demolish (Interior) O 44 Siding ? 32 Addition O 36 Move Bldg. O 42 Demolish (FOUndation) O 45 Fire Repair O 33 Atteratan O 37 Oertafish (Bldg)' O 43 Reroof O 48 WindowslDoors 13 34 Replacement 'Wmolitlon (EnHn Bldq onM - Giw PCA handout to applieant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinktered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. Footings (deck) _ FinsUNo C.O. Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Roof Ice & Water Final Ot6a gmmmg _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ RI. _ Air Test _ Final _ Siding Stucco Swne Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge a U c) Plan Review MC/ES SAC City SAC W ater Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Ct ~ RESIDENTIAL ` BUILDING PERMIT APPLICATION ~ 0 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681•4675 NewCoosWNionRwuinments RemoMYReoahRwuinmenh . 3 ieg'skred aite surreys showio9 aQ. ll d b4 a9. IL d howe; ancM mokd aeas . 2 capies o(pen tff~~'1 (20%muYnumblcove%ealbweA) . isetdEneyyCaNulatlom(orhestedaAdNbns . 2 copies of plan shawinp beam 6 window sizes; Fouied touM desiga, etc.) . 1 site wrvay for exlerior adAitiona 6 decks • 1 setolEnergyCakulation5 . Indicatedtwmexrvedbyseptlcryatemforsaditlons . 3 aopies of Tree Pmervatbn P{an d Id pletled aftw 771193 • RinJoWDehaiOplbnsaebdionsheM(CldpswiUi3orNpunils) DATE ` .0 VALU/[ION 6 o DD~ ~l JOB SITE A DRESS y 3-57'9 ~~0 C, ~u G/L- IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER aL t'~US4 c: TYPE OF WORK eG<-- t 2 u~a IACE(S) _ 0_ 1_ 2 APPLICANT p-~, PHONEN~S~2COI38rI7 0(> ZIP CODE S S/ d ADDRESS l'F PAGER ~~S~ o~~OI 3~77CELL PHONE # &rl Zbl 9277 Fax # /ps! lej6 D1 ' - ' 9 NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULFS 7670 CATEGORY 1 (check one) - Residential Ventitation Caiegory 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNFSOTA RULFS 7672 - New Energy Code Worksheet Submitted Plumbiny Coniractor: Phone Plumbing System Includes: _ Water Softcner _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Meehanieal Coniraetor: Phons # Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System r=;~,,- ri Sewer/Water Confiaetor: ?hon ~j 11 a0 All above lnfortna6on must be submitled prior W processirq of application. By IUL,- I hereby acknowledge that I have read this application, stote ihat the information is correci, and agree to comply with all applicable State of Minnesoto Staiutes and Ci1y of Eagan rdinances. Siynaluroof AppNcant Certificates of Survey Received = Tree Preservation Plan Received _ Not Required _ Upa.,Wa 1ro1 ,;.y , ~ OFFICE USE ONLY ? 01 Foundation O 07 05-plex 13 13 16-plex ? 20 Pool p 30 Accessory Bldg ? 02 SF Dweiling O 08 O6-plex O 16 Firsplace O 27 Porch (3-sea.) O 31 EM. Att - MuRi O 03 01 of _ plex O 09 07-plex O 77 Garape2` ~ 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF ? 04 02•plex O 10 0&plex ~18 Deck ( l) O 23 Porch (scxeened) O 38 Multi O 05 03-plex O 11 taplex 19 Lower Level O 24 Stortn pamage O 06 04•plex O 12 12-piex Plbp Y or _ N O 25 Misceqaneous O 31 New O 35 Int Improvement 0 38 pemoGsh (Interior) O 44 Siding O 32 Addition O 36 , Move Bldg. O 42 Demolish (Foundalion) O 45 Fre Repair ~ 33 Alteralion O 37 DertaYeh (BWg)• O 13 Reroof O 46 WindowslDoors O 34 Replacement 'Damolitlon (Entin Bldp onl» -(ilw PCA handout W applleant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ~ Footings (deck) ~ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Pool _ Ftgs _ AidGas Tesu _ Final _ Fireplace _ RI. _ Air Tat _ Final _ Siding Stucw Stone _ Insulation _ Windows (new/xepluement) Approved By , Building Inspector Base Fee~ Surcharge ~ Plan Re~riew MCIES SAC Ciry SAC Water Suppy 8 Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Pertnit Mechanical Permit License Search ~ copies Other ' Total This reauesl void Y 33 18 momhs Irom ° 1 DY Q..7 5~241 1. 3 U(!j 0 a- 4A6i,Q,Q,44 P3 Rnquest Data Fire No. Foueh-4 n Inspaction ~ 7 y~ Fe9urtedl OR2atlY Nuw v~ Will Nolilv. InsPec- QVes ?NO ~ [nr When ReatlY .Q+ Licansed ElecVical ConVactor I hereby repuest insoection oi nbova d Owner elechical work installetl at Sueet Atl~ess, Box or Route No. CitV 7 j (r.' &A-vcl udC r, i: , 4-. 6~,4 ecuan o. Township Nama or No. nneu No. Counly Occvpdnt IPFiINT) Phone No. -574/'4 -d4A( Power SupVlier Address /)i!l/(oT/+ f fe.../..' El,e)cbical Comracror ICOmpany Namel CFumracmr's License No. ` % Z MailinB Address ICOnlracior or Owner MnWnp Installa/u/onl /I j ) 3 / Tsl 1 ,t 4 UC '`1"ir+,1f Authonzed Signn[ure (COnvactodOwner MakinB Ins[allatioN ~Phonp Number /1~-~.~.i% 2- MINNESOTA STATE 90F D OF ELECTqICITV THIS INSPECTION NEQUEST WILL NOT GriB9s-MidweV BIdO. - Roam N-191 BE ACCEPTED BY THE STATE BOAHD 1821 University Ave., St. Paul, MN 66104 UNLESS PflOPEN INSPECTION FEE IS Phone 1612) 297-2111 ENCLOSED. ~1331~a~ REQUEST FOR ELECTRICAL INSNECTION EB-00001-1U See inshucLOns lor com leti 0 A ~ 5~ 2p nq thia form on back of yellow coov. "'X" Below Work Covered by'This Request ~ Fdd fleo. TvOe ol BuilCing Aoolionem NIraE Eqmument Wired X Home Range Tempor ry Service Duplex Water Hea[er Lightin,y Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. Fumace Silo Unloader InduStnal BIAg. Av COnditioner Bulk Milk Tbnk Fafm 01hr.r oeci y ther ISUer.dy) t er Specify Ot cr Otnm ompute lnspection fee Below p Fee ServiceEn\ranca5iza p Fea Fenders/5ubleeders # Fee Gircuits J( IA--~ U to 200 qm s i ~ d:Z N~ 0 to 30 qm s 0 in 30 Am s Above ZQO qin ps 1 i~ 31 to 100 Amps 37 [0 700 Am Swimming Pool Above 100_Am s Above 100_Am ~ Transrormers Irrigation Booms _t cPartial'Other Fee Signs Special Inspection 5 Nemarks TO *F~EtE Y Rough-in the ricel 5/ I p~ Impacbq he,eby certily tliet the nbova final O'11e ` insoecdon has Eeen mede. R" fBqUB9tvOiElBmOniM1airOm ' This reQUesl voltl ,4 a~ ,e ,,,onms r,om A 053227 L3J~ ga- h,Ag" k 3 -Te~. . rv.~ Raquest Da1e Fire No. Roueh-m InspecUOn ~ - , / Required? (~Ready Nuw ?WiII Nobfy, InsPec- 7 ?Ves RLN. [or When Pe~tly -RLicqnsed Elec[rical Convacmr I hereby raquast msoection ol ebove Owner electrical work installed et: Sheet Atldress, Box or Route No. City -413 G~C,>aC/ Cl<f d- ecuon o. Townshio Name or No. Range No. County Occapantl%iINTI Phone Nn. S G ~ ~N h* a~ 'ZiC. Pbwer Sup lier Address OT cY~6lJ ~ hyA EI¢ctrical Contractor ICom any Namel Contractor's License No. ¢ u%r C Ma ling Atldress (Convacmr or Ownar Makine Instailationl a m / c. -c Z~ //,t- (2 AuM 'z Signa ure Conhacto n r Making InstallaLOnl Phone N ber y3z-Yoz Z YINNESOTA STpTE BOA OF ELECiqICITY THIS INSPECTION NEQUEST WILL NOT Griqpy.NiEway Bldg. - Hoom N-191 BE ACCEPTEO BY THE STATE BOAPD 1821 University Ava., St. Peul, MN 56104 UNLESS PflOPEP INSPECTION FEE IS Pionr (612) 29]-211t ENCLOSEO. y~.~ gg REQUEST FOR ELECTRICAL INSPECTION r EB-00 001- og ' See instruc[wns for comolatinry thie form on back ot vellow co0v. A S X" 8elow Work 'overed by This Requesa Add RaP. Tyya of BuiIEinO AOClioncea Wiretl Equioment WireE Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Etectric HeaNn Commercial Bldg. Fumace Silo Unloader IrMustrial Bldg. Air Conditioner Bulk Milk Tenk Farm ther oeci v ther ISnecifyl [ r uoci y t er Oihur ompute lnspecfion fee Below • Fee ServieaEntmnca5ize a Fee Fexdees/5ubiaeders N Fee Circuite Oto200qm s 0 to30Am s 0 tn30Am s Above 200 Am ~s 31 to 100 Amps 37 to 700 Am s Swinmin Pool Above 100_Am s Above 100_Am ' Transiormers Irrigation Booms Paitial,'Dther Fee Signs Special Inspection 5 Je.S ~ ror D• Rouph-in Date 1, the mxl Insoector, heraby certilV thxt ~he nbove Final Oste inspaction hes been made. llb npeast vd718 montM hom /J CITY OF EAGAN Include 7 sets of plans, 1Q e ~l 1 Certificate of Survey•'& 6 ~ h BUZLDING PERMIT APPLICATION 1 set c£ energy calculations': ; •y G G ~L Zb Be Usecl For v Valuation _ Date site paaress oFFzcs vsE oNLY Lot361 Block Sec./Sub. rect Occupancy Parcel / D"~ 7a So`~ -3 o a~ d Z Alter zoning Repair Fire Zone A/ Qaner: IIZlarge 'Iype of Const. a Nbve # Stories Address: Denlish Front 7n ft. City/Zip Cocle: Grade Depth ft. Phone pppgpUpTS FECS Contractor: Assessments Permit ~/027 Address: Water/Sewer Surcharge yU Police Plan Check 913 City/Zip Code: dge Fire SAC .5~a5 T Phone ~~-~3'--~ water Conn. y70 ~ Planner Water Meter •/3 Council Road Unit ,y /o ~ ~~./~g.: Bldg. Off. - ~ ~ Adclress: APC City/Zip Cale: _ Phone # = TOTAL , ~ 7• 9-b • ~ r l , I ~7i zy I , 427•00+ 49•G0+ 213•OG+ 525•00+ 470•00+ 5i•OC+ 260•00+ 2007•00* i CITY OF EAGAN 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 N~ 9Qir~ 1 PHONE: 454-8100 ~ BUILDIN~ PERMIT Receipt # Te xuw~ for SF DWG/GAR Esr. Value $98,000 Date APRIL 27 ,1 q 84 4356 WOOD DUCK CIRCLE R3 SiteAddress Erect [~C Occuponcy Lot 36 elock Z Sec/Sub. MALLARD PK 3 - Alter ? Zoning Rl Parcel No. 10-47252-300-02 Repair ? Flre 2one N/A Enlarge ? Type of Const. V W Name STEPH-AN HOMES Move ? # Stories 3 Address 14340 PILOT KNOB RD pe,,,ol;sh ? Length 70 ° City APPLE VAL phone 423-3322 Grade ? Depth 45 Sq. Ft.- $AME ADDrorals Feea o Name Z~ ~ Assessment Permit S 427-n0 oU Address ul 1- City Phone Water 8 Sew. Surcharge 4 9- 0 ~ Police Plon check ?1 3 _ nn ~w Name Fire $AC 595 _ 00 r ~Z 0 Address Eng. Water co„n. 47n _ n n 'Z City Phone Plonner WaterMeter-(1 QO Council Road Unit 9f+fl nn I hereby acknowledga fhot 1 hove read this epplication ond stote fhat Bldg. Off. the inlormation is correct and ogree to comply with all opplicable Q~ State of Minnesota Stotutes and City of Ea9an Ordinances. APC Totol $2 007. $Ipnolure of Permittee A Building Permit Is issued to: STEPH-AN HOMES on tha express condition thn, oll work shall be done in occordorxe w o pplicable State Minnew_ ta Sfatutes and City of Eapan Ordinon<es. Buildinp Officiol ~`-Q'~ ME _795(o I -<p 50: G;o 2007 RESIDENTIAL MECHAN CAL PERMIT APPLICATION C' n 3830 P' o~ a, an MN 55122 D 3120~i- -s67s A~G Please complete for, single family dwellings & low es/cundos when pc quired for each unil Date K_ / c7 ~ / 0-7 By Site Address 4Z-'S-L a~ . Unit k ~ Property Ownez/:~d-n -o y/ p Telephone ~-3 ~ Contractor BdRNSV1EEE I IEAifP}6& AdC; IN , 3451 W. Burnsville Parkway Street Address City state Burnsville, Mj;;5337 Telephone #(/J ~'J r UGYJ ~ Bond tf: ~ S~~/e a~/ 3 Expires: c~9 d The Applicant is _ Owner ~ Con[ractor _ Other Fire repair (replace burned out appliances, ductwork, ete.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or al[eretion to existing dwelling unit $ 50.00 ~ furnace _Additional _iReplacement _ New air exchanger air conditioner , heatpump other State Surcharge S .50 To[al $ ~ I hereby apply for a Residential Mechanical Pertnit and acknowledge that the infortnation is complete and acwrate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes, that I understand this is not a permit, but only an applica[ion for a permi[, and work is not to start without a pe Ihat the work be in accordance wi[h the approved lan in the case of work which requires a review and approval of plans. S Ct,t. ~bo I (J l/i-~ ApplicanYs Printed Name Applicant's Signature . + ~ ~ . ? ~i , `i~" ,!~?4 ~ W o00 \ ~ . ?Q ex,sr ~;e,s ~ C 'O `p ~O ~'v ~J60 - r c„ 9:0• a~ p. , ~:y~ ^ ~ a•~~ y 1•3 x'y ~ ~ / ~ ~'r ~y ~ lC~M ~ 33 / J ~f 5 ~c~ '3 j/ 9 • ~ ~ ?,G.u? ~ a +r•aa 2 F . 9? s se N ~r . e \ C.e ~ SN IP I T ~ 0 a r, y ~~A o~ IA AVp 4A6 L«tE ~I ^ l ~~i~Mcu I ~y~ \ ~~~5o9Tog ~ 0 .Sprp r tM'~ q S I h N ,.'M 9000 ~ Z5. ov N 3~` S4' 54" t ~~T I yZ~r.4 ~ - ~y•~ , - . - - L.oT 3a ~ 81~lX.K. Z, ~JrLALE 1" ~;v' MAL-1.. ARA PAR1L A.I.L SEARIIl4f Ad#13MEp 'TUmC A~~wrtow., e pEMoTO 1Cat1 Mo1iuMENT t>AK-oT A C.ouNZ -c, MI NI n~1.oTy I hereby certify that this eurvey wae prepared by me or under my direct supervision and that I am a duly Regiatered Land Surveyor under the laws of the State of Minnesota. Datei p„T~ ?954 Dr~ LeRoy . Bohlen Registered Land Surveyor No. 10795 . ~ 3G. ur> 2/84 ~ CITY OF EAGAN APPLICATION FOR PERMIT - SEWER AND/OR WATER CONNECTIODI -~P"* (PLEASE PRINT) 1) PttoPIIrty aDDrieSS: 4356 Woodduck Circle r•rraT• DESCFtzPTION: Lot 30 Blk 2 Mallard Park ' (Lot/Block/Subdivision or TaY Parcel I.D. NuTber) T^T^ Sr_'.°.Cc=, O-° :..-=:G FEFI4IT PRESEN'I' Z,;Nlix;/P?2pPOSFJ CtSE: IM R-1 S7NGLE FP3IILY ? R-2 DUPLE{ (TFTO UNITS) ? R-3 ZC7ADII-IOiJSE (THPEE + UNITS) ( UNITS) ? R-4 APAE2'iPIENT/CODIDOf1NI[M ( UNITS) ? COfM'fERCIAL/REI'AII,/OFFICE ' ? IMUSTRIAL ~ ? INSTITUTIONAL/GOVERrA'ENP 2) APPLICAN,P (PLEASE PRINT) Npt'1E: Steph-An Construction ADDxESS: 14340 Pilot Knob Rd Ap CITY, STA'rE, ZIP: Apple Valley, Mn 55124 PHOLN: 3) pLU[yggR NAI~E. PLEASE PRINT) - FOP CIiY USE ONLY V PlUMBEHS LICENSE: ADDRESS: 3NO KF-NNEBEC DRIVE, EAGAN, MINN. 55122 ~ 452•1565 Active CITY, STATE, 2IP: Q Expired Not ~~cond MAST~R PHONE: PLUMBEA LICENSE N 001445M2 0 o CJ a nitia q) OCC[JPINT/aWNIIZ (PLEASE PRINT) . same as #2 ' i rIDDRESS: ~ CZTY, STATE, ZIP: ~ PE IONE : 5) INDICATE WHICH PE.RMIT IS BEING RDQUFSTEp: ~ ~ CONNE'CPION TO CITY SD]ER ~ Cb[VNECPION TO CITY WATER ~ dPfER (PI,EASE DF.SCItIIIE) ~ 6) IINDICN1E OiNE: ? PLEl'vSE EiOID APPROVID PERMIT FOR PICK-UP BY ONE OF ABOVE 1 ~j PI.EASE NII1IL APPF20VED PII2MIT TO 1, 2,C3,_i 4 P,BWE (Circle one) 7) SI~r'lZU~2E: DATE: i1 " E=Anf~..ylii~i"f',.'.~;..,.............. . . . . . . 1~ ar w w~ rF¦F ' tr ~ u~k ~afai;~!!;i'!:!! ~ n! !~4 ~'~w~ssa s ~ F O R C I T Y U S E O N L Y PERMIT ISSUED FEES: $ SEWER PERMIT (INCLi;DE SUP.CHARGE) $ S a WATER PERA1IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER S WATER TAP (ZNCLUDE COP.PORATION STOP) $ SEWER TAP ACCOUNT DEPOSIT - SEWER $ iS• ACCOUNT DEPOSIT - WAmF..R $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ ' OTHER $ TOTAL . r.. $ ~ - AMOUNT PAID/RECEIPT%.,.# -~-7 7 cSr~ DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi-IT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DZVISZOC,. LIST RF, A COP:DI- TZON. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TZTLE: -L/& e~C~U DATE : -'f7-/ -a 7 - g SO a*= w Mw MUM wMOa ~ OL" w,a ~ wT~ Oar~ wa se ~~a R~ ~.c~ ra sr w~ AaaA.. ' ~ ' vi,n # o.a 4 -IJ ~'~"~o ne • NEAT LOSSCALCULATIONfI o~al Heat Loss -Total Btu Input I nu w;ndow,s doon a+wmh«sirWp8d Room ~ l9th •Wtn. Ht. FI. . Room LOth. 3WtA.IC~ Ht. ~ i. _ . W41h N~lyiI HO.Ot LIn~YI. I n~ WiCM M. t NO.oI LInW . M' NO. OI bKY q. 11. ' No• OI M ol pMM I P OI CnCt A.11. OI pfM I U W OM~~ _ v " raoo-~ f ~aoan _ / f' • ~~n ( CaN. BiL j~. o~/z" yy/aoon 7 ~O. Cw1. BTV •i unbnWuWOw~ J G In111V~tbnWfnOow~ p \1B - 118 In1UVation WfDOOn vn~ w/DOw, H n vnbn5/Ovon 'r 71 In1IIVN1onSlDOOn - J n. O ew.wri 36-40 r 'N41 n e ooo.. ~ 36( a cw, e ooor, e i e 7 H.t e.a.w.u ' ~ Y~ EW.WNI 4 6 ~ 6 4 amro _%(l 3 ~ 4 d ~ - ~ • SE~ 7 io 1 d aw. ; •au e~~. . . . FI. Room LOM. .-r _Wt` ^ Mt. ~ L Lpth. Wth.'- Ht ~ i~Yr Room " I/ W0T N~{shl Mo.ol LbrNlt Arn No. ol wdm a .ht pw~ 1 No. n o, U p~ck c rN q.h. MO. ~ p~ I' t~ OI RKY q.11. ~aom CoM CoA. 0TU 1~~~ . BN Idoon 78 Z ' 1 JvNbn Wf~ 38 In111tnJOnWl~ ~18 118 InlihnUm WlDoon I ~IVnionwlOOer• ~ 71 InlHttnbnS/Doon 71 1 alvnbn3/DOOn % 1 a.wtll EYp.Wdl r.u ~ Doa~ 36'M G4u 8 Doa% =..EaD.WN1 4__6 NrtEap.WMl ~ s - + c.mro ti Wro ( s a 3 ioor 7 10 Floor - ' Toul Btu. nul Bw. • Roan LVn+•I _Vnh• ~ ~ Mt FI. Aoom Lpth. "Wth. • Ht. ' FI. . ,r..• _ wam .M~t Ko.or u a. i+. " WdIp ~pht Na.ol Llrwwlll. Mq No. pf ~ry O/puN I u alen[k p.it. No. at ~ ol 1 U ol cncY q. Il. I~~ ~ p• ew6 O~l lEmn CoN. BTV Idoo,v q ~ 1BtntbnWlnOOm ~ ~ InlNwntbnWiiWOw~ O ~ hl"ntionW/Deon 118 InHhnJOnWlDoa. q 71 InIlloNionB/Ooon ^ d~ " ~ ndvnion 0/DOOn W. WNI Ery. WMI ~ - f , ,weood. cruaoor. InE~D.WW d.a7 ~ N.tEM.WNI 1~~8 ' - CL ,a e Z ' ' C) - f'24 36 GHinp Q :NOK . cpo. ' 7 10 7 1 . n t av Bm 7 Tou1 erv. . # ~ X5~ • aq Addnms HEAT LOSB CALCUUTIONE T 1 Gf I n f I All windows A doun era wsoth~rstr ~tal Heat Loss %d X . , Room LYth. Ht. FI. Room I LCth. Wth. " Ht. ' FI. W yM • ~ Na. a UnW ~ M' WgItl, NdpM No.01 LlrrNl. Mo NO. ol M Olpnw 1 U olMGk .16 , No. 01 WM ol pam II nts al <rY p.lt. ~ O Ipeen rdoa~ coa. aru ~ ca.t. sw ~aoon . ,~8 .blvwien Wvdwv~ Q ~ In111vNlon WIMOw~ 118 ,+JV~vmwlDow~ 11B INIltntlonW/DOOn 71 71 IMllv~tlon BlDOOn nldvnbn S/Own EKp.Wall - i0. Wail 76 - . craeooa. e 7 1ow 6 Doa~ ) 2L t' ~8~ No1 E.O. Ws11 -4 5- W~II 4 a 4 :.w.q - 2~ a Glllnp Flow, v,,,,, 7 io Teut em. . . - Roam LYth. Mt. F1. ~ slu.;rw Roan LOth. „Wth. " Ht. ' FI. ~ Wwlth d~Vht No.O Llrv I rn No. WWtn • t Na.o 1 t. rp ol W ! u ol McY . h. No. p~ p1 1 u M crm4 q. N. ' 0 - lGOers ~aom A 4.~ coot, 67u doon Cpe1, BTU / ~ 38 4 { ,O Inflllntlon WlnOow~ inlll~nlion WlPdow~ 1 ~ 17B tla ~n+inn~~onw/ooa+ ~nlllunion W1DOat 71 71 1 Inliltn11on57DOOn nnlvaiwn S/Daon Q ° iD. WNI E.P. W.II 3" .w.i Ooa• Gbu 6 Dow, 0 e N.t Eap. WNI 4.4 •:n F w.wr~ _6 • 4 6 c.niN ~ w 6 , Uiro 2 3 3 Fbor . f q~r 7 1 iW40W. Tou10m. , • " , FI. Fo Roan L9m• Nt. an L7th. Wth. . „ Ht. ' FI. ~y~ ~Ip1~1 No.el LI~rYIt. Arr Wdth ~qla Na.al Llm.llt. Mu No. pf MM ol 1 L ol~d M.n. NO. p~ M OI qMut 1 LL OI cmk q It. ~ IAopl~ 1aow. . /EOOn CM. eTU /dmn ~ ~ in111~ntioaWlndow~ 118 - 11B InlllwnlOn WfOoan ~ IdJinrian W/DOOn 71 In~Inrnion57Doon , ~ InlAVwbn3/Doan 71 EeD.Wdl v f E.o.wM~ 16-~q 36-48 Glw 6 Oowl, ( Gw, 6 Dowf d . 6 7 ~tE~.WNI 6 ~ N.tFg,.WMl 1 8 e ~ 4 6 cdllnp 1 Gl~inp 3 6 Fbar 7 t0 1 Fba 7 10 ~ Tot.l Blu. . TWIBIU. aderv.. l r . rw~ # r-. ~-Dan ` MENT LOSBCALCULATIOPIS ;t Heat oss °TotalBtulnput I Allwindows&Ooanarvwptl+attriPPb P ^ Room I L9th. ~ ~•Wth. " Ht.) Raom Lpth•~ "Wth. • Ht. • . M1' W ip HdpM No.ol Llew~lll. Mn WdiM1/ e t No.o L t. n~ ' ' . . al uw ol I t~ alcncY p.ll. ol ol 1 4 olcnct p.h. / 3, O , ) /Q v /eoo,. 1,0 V Q reoa. Cwl. BTV ' fOOOn c~' " B~ /OOOn e .rienWinOOw~ In111vHbnWlnWOw, d amW/Dow~ 118 InfilunimWlOOOn /ta ar~bn8/Doon ~ Inlllvn~bnSlOOOn 71 711 Eap.W4I I 1 Dow~ ~ ~ G4a e Oea+ e 7 V. Wdl 4 7 Not Ew. Wul 4 21 ft Glllry S• o' . 7 10 Fbor 1 om. ~ Q 7aN etu. Raom LYth. "Wth. d• „ Ht. FI. -O fuAoom LOM• "Wde. ` • " Mt. ' Wdth • Ight No.ol hr N. rn No. Wldth • 1 No. ti 11. nP . W o1 11 t~ el crftk q. It. ol M 1 tl ol cna4 . h. ,n O, _ \ i IpppA loq~ CoM. BTU cool. , ON lAOen ~ +1 rNion WinGOw~ ~ d INNtntbn WlnEOws 118 IeflltnUOnWlDoon i1B I +1 rhion W/DOa" M rnbnb/Daon 71 Inlilhnlon57DOOn Wo1 EaV.WNI ~ C G4nb Oe>~ " ',6 a Ooor. U 36 48 u V. Wtl1 Nn EaP. WNI - • e • = Glltrq _ 7 l ~ ri 73t0 A n Bm. ~ ToUI Brv. O / I. :~l• Foom l9th. "Wth. • Ht. ' FI. . 7,i/. Roan LYm~ • ' Mt ' lo. Wdt~ M.Nht No.ol Llir 1i. Ar~~ Na. 01+Wn~ OI~pY, No.tf olrnc1t q.h. ol p.M olp.n. I t. ol u~[k p.lt. ,0 r /A CoN. BTU /p~n CoN. OTU mn 38 u, 1.1w. wi~ n 3s o inuit,.,ionwind", ~e ,nionwmcon >>8 INUo-.bonwioow, tts 71 Inllqrnlon S/DOOn Ir ,nionSfOoon E wJl Evo.Wdl Q I G~~bDoon 3 Gw.aOow, 0~ e° r! M E W. W811 N., ERD.Wa11 6 C np ~ 24~ Glllrp j . f 'r 7 10 Flam ~10 t•~1 8~~. ' Q Totml Btu. ~ . COOUNO LOAD SHEET ' Dnw Addnu Plan # Time: IPM Design Conditiorn: Ouuide : Dry Bulb 89; Wat Bulb 76 Inside: Dry Bulb 78; Wet Bulb BB AREA 8ENSIBLE LATENT ITEM DIMENSIONS SQ. FT. U TD HEAT HEAT CONDUCTION HEAT GAINS Exterior wall, gross - - Exterior glaa .66 11 ' Extarior well, nat •08 111 wellf end windows •17 11 Floor .08 11 Ceilfnq or roof ZU- .08 11 EXCE8880LAR OAINS WALLS (dlnction f~ad) Wnt .08 28 - Roo, .oe sa S a I oLnss(ei..ction +.aal - Weet .66 17 Skylighb •66 118 BODV HEAT (iAINB Sonsible No. of people z 226 Latent ' No. of people x 230 - ~ ~ EQUIPMENT NEAT OAINS ElocVic motors ~ HP x -~-ippBT~ Infiltration - Sensible 1.085 x ( CFM x 11 6 Infiltration • Letent CMF x.87 x 30 - TOTAL HEAT GAIN (SENSIBIE) ~ TOTAI HEAT GAIN (LATENT) - 1"C~ TOTAL HEAT GAIN BTU PER HR TONNAGE EQUIVALENT Of COOIING LOAD •Oro~ Tons # 102 G~~ ~"C L• /•l y 3 Q~' ~ p, s. 4~~ A`~'`• Q• VJ OC~ ~ P%14T d41, 9 yy ~~A~ / MM ~ 3 I ~ / 5 93 319 i ~ItG V~ /4-~ ~'0 ~r / • > / b. ~T o 33 v qQ Mi~H r 9~> 932 `4e~ 1 ~ 3tz ~ ^ ze ~ ~~•s ~ 3' ~ LL ~ ~e 933 . ~ ~ • • d ! ~ SN~ 1? I uT7!I kAT Y Eq q+ve \ \ ~„CNT f ~ 4A6 - l ~ ~~+iFMcu ~ I ~q~ \ Do<-~°5o9Tog / 70 -•So,oo - 1 h~ q~g.b , ~tiT ~ z5.ov tA ;d.' S4' 64" 9 ' 9z~t'9 ~X ` ~E~.L21PTIoN Noe.TH 4.oT 30 ~ 8?I.0cK. S~ALE 1" ~ 30' MAL.t.. ARA PARIL a.1.L iEAft.Mlbf AKI3MED TH11ZD ADoiT1ofJ., e p~0'I'E!• liGd~1 MD11U?dIENT CAK.oTA GoU1JTY, MI N NE1•oT11~ I hereby certify that this eurvey wae prepared by me or under my direct eupervision and that I am a duly Regietered Land Surveyor under the laws o£ the State of Minnesota. Date:A ' lfo~%9°v4 LeRoy If' . Bohlen Registered Land Surveyor No. 10795 1999 FIREPLACE PERMIT APPLICATION ~ cll CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 i Date: 0 'i - I S)000 Description of Work: ~ Construct new fireplace ~Gas _Masonry _ Alterntions to existing Install eas insert onlv _ Install gas line onlv Other Job address: 3.S e r ~ ~ Lot: Block: Subdivision/P.I.D. M Applicant (circle one only): Owner 'Contractor Permit Fee: $60.50 Name: e rbor AU vi Phone PROPERTY Last Fust OWNER ~~p ~~C~(')~~.~ C ~ I r~ • Street Address: City _0- (10 State: Zip: S~ Company: Ff)" P:Sje~( a/~tl(~i^/Ajk2'Ct~'C~ Phone 00 -S'7Dr'~~sg (area code) FIREPLACE ) INSTALLER Street Address:~J /3 ~Y City !11(2 State: Zip: Company: Phone (area code) GAS LINE ~ n INSTALLER Street Address: 1 City 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 Ci#ofagan SigItue J 1. . OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove ? 32 Addition ? 34 Repau ? 40 Gas Insert GENERAL INFORniATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. ~tXC Xc~kXc~C%c %c%cXc~C ~v ~C~#~C~c%t~C~C~~C XcXc~C~C~c~c%t~C~C~c~C~C~~c~c~c# CITY QF EAGAN CASHIER: S TEFMINAL N0: 683 DATE: 07/09/93 'iIi1C: 16:03:13 IG: NAME: ALLIED FIFESIDE INC 3210 9001 4356 WOOD DUCI: 60.00 21.55 3001. 4356 WOOD LUCF: 0.50 ~ I , ~ To+,al Receip+, Amount,: 60.50 ~ CR1130i.3 USER ILt NANCY I M~FYCi M~k7Y7~c%t~X~k%~#~CXC%~X~~XX~~k7k%CMM~f#~YF~k~k~XKC~Y MYR M%~KC~k CityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: _ Permit Fee: gs Date Received: b L (- Staff: - Staff: X% 2013 RESIDENTIAL (PLUMBING PERMIT APPLICATION b Date: 6` 1 t " is Site Address: 4S � �� 1✓Uc Tenant: Suite #: mi Name: br)93 FE)e-12E)k. Phone: f2;51-344- I Vr‘ X3.5 oo 1 �c �n� Address/City/Zip: �� \'� �1�'C)�_� Name: 51N �-6.i P() --f Address: \ ®Yip State: 53 Zip:'4( b Phone: Contact: O\ I.714" Email: 51' CC-✓1NVf''tt�t »3 -Q -6N )%(t" License #: P I \obs (357 City: P.116.S0)3 5l- 775 / \ New Replacement Description of work: f RESIDENTIAL Water Heater ic Lawn Irrigation (_ RPZ / Septic System Repair _ Rebuild Modify Space _ Work in R.O.W. New Abandonment �(ILAS-6 )(PVB) Water Softener Add Plumbing Fixtures (_ Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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 1 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 st�withoyt 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. Applicant's Printed Name x Applican ature PERMIT City of Eagan Permit Type:Building Permit Number:EA113206 Date Issued:08/30/2013 Permit Category:ePermit Site Address: 4356 Wood Duck Cir Lot:30 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-300 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. 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: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Daniel Tstes M Ferber 4356 Wood Duck Cir Eagan MN 55122 Purpose Driven Restoration Llc 325 Main St NW Elk River MN 55330 (763) 633-4737 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA115906 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 4356 Wood Duck Cir Lot:30 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-300 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Daniel Tstes M Ferber 4356 Wood Duck Cir Eagan MN 55122 (651) 344-1846 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162340 Date Issued:07/09/2020 Permit Category:ePermit Site Address: 4356 Wood Duck Cir Lot:30 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-300 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 Tstes M Ferber 4356 Wood Duck Cir Eagan MN 55122 Champion Window Company Of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 Applicant/Permitee: Signature Issued By: Signature