The URL can be used to link to this page

4358 Wood Duck Cir41,11 City of kap Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: L 04, Si( Permit Fee: 5?' Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION '/fie Address: Unit #: RESIDENT / .: OWNER Name: (5(514-A,6l > a,r—e Phone: (06/- ,3() ^ k`6 3 Qom/ .. // d� Address / City / Zip: 'ge.65g. fig) C�2 ,K-•tvt.l� ( cz. -.-`7 , /ter l^ .) Applicant is: Owner ✓Contractor 55/(9-.2 TYPEF W O WORK Description of work: &a y- DP;�. dGvGll�r 3a 4-� �1L Construction Cost: ,/, OL.C.J Multi -Family Building: (Yes / No CONTRACTOR Company: i..laL --C.K .G/'CDk 5 Contact: (051- 363- (4'"eq - Address: 'USS! Ji/ City: /6'�Z,y�6'/,'/.4",_ State: /11/A1 Zip: 5j3/ ( Phone: License #: [ -<33 .g7-. Lead Certificate #: , // / - 27'1 -4? -7/0 - l If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildi r,%• C days of permit issuance. 1 Ap cant's Printed Nam Appl Page 1 of 3 CITY OF EAQAN WATER SERVICE PERMIT d0 Pilat Knob Road (,637 R. O., Box 211i'9 PERMIT. NO.: Epan, MN 55121 ~ y DATE: Zantnp:. No. of Uoits:', , Owror: ~ ~ . i . , , ~ " • ~ . I wddnw. 3 { 5ih Addr.s: A Plurnber. Oen ze 1: ~ 1ln f,~(~d /D Conr,sction c]wroe: 50Q.)0 x] ~ ~AMrr No! ` .161 Acoouxtt DepoWt: .l 2 . i~0;id f R.oa.. No.: P.rmlt Fe.: ~ I Nme h wm/h wil6 IIM QM of aNM SuRhorge: I 132. OCt.x3 'I'P ; ~ p,O„M"L 11ru,c. G,oro.s: F 3. 0 0-,)'] r.~ e t~ r Tatol: i BY Doft PaW: ~ Dah of I nsp.: I''IP6' : I ~ CITY OF EAGAN WATER SHfVICE PERM ~ 3830 Pilot Kra6 RoW ! P. O. Bo)C'~1189 PERMIT NO.: j EaW. MN 55121 DATE: - No. of Unfts: 1 . Zonirg: _ , r' Owrw. ; i z~")•1-cill tjKYii@. ~ i I Add~~J,~ 2'~G ~ ~.•~~i~..T~ r, ~~J rlj f-llarll 1~~~ ? . I c .7~~ ~~ri ` ~ flumber: Camcfion CF+a?q~: 500.0 M.+.r No.: 19 0~~ 'Sl~s: Ao°°`xrt ~ft: 10. C~7~ ~ ~r P~rrnit F~e: ~ ~ M.~ ~nwrh? ~ tM Ckf oi I.N" 5"rch°ro.c 13 ~i . f]~ T'' Mite. ChonD~s: 3 ~ Totol: By Oo" PiOtd: ~ Do1r of Imp.: lnsp" CITY OF EAGAN SEWER SBVICE PERMIT 3830 Pi{ot Knob Rwd -;~~~4,~ P. O. Boi? 21159 PERMIT NO.: Eaqsn. NiIN 55121 DATE: Zanlhp: Na of Units: I Owner. "t1?S , Addreas: 3 4359 `bcxi~ic:k Cr: T_:~? ;~3 Plumber. ''enZ@1 ~'4..'ChctTilCal 5499-31 1s~ h wNl/ rrM W CIl~r of iWN Ca+rnction Chap~s O 1 Aooa,nt avc.M: r~w. , . Prnriit F«: 5 L~)c.? Surchoe+pr . SQiac? gy Misc. Gorom DoM of Irrp.: Total: Insix: Doft Poid: { CASH RECEIPT ~ CITY OF EAGAN , P. 0. BOX 21-199 'i EAGAN, MINNESOTA 55121 QATE 19 I - I RtCt1Vi6 ~ , • ` ~ ~ rROM AMOUNT ~ r - DOLLARf . ~ ? CASH [~-C/HECK . • y, ,Y+ I r011 ' . . 1~1 ' . I ~ I ~ '/UNO COD6 ` . . /,MOUNT . ~ •'I C Thank You _ ev 1. . . . YVhite-Payen CoDY Yellow-Potting CoPY - - Pink-File Copy , CITY OF EAGAN 1087$ 3830 Pilot Knob Road, P.O. Box 21-199, Eapn, MN 55121 PHONE: 454-8100 . eU1LDING PERMIT Re«ipt # - ~ T.40 wW4 /e. nUv/;srR Est. value $81,000 oace AvG!-'sT a9 ~s SiteAddress 4358 W04D DliCK CIR Erect CR Occupancy g -1. •2 9 2 t4AIsLARD PK 3RD Remodel ? Zoning ~ 1 Lot Bixk Sec/Sub. Repair ? Type of Canat. Parcel No. v Additlon ? No. Stories STFPFI-!"'ti 910rA%:s Move ? Length •i h ~ Name Demoliah ? pepth Address Int Impr. ? Sq. Ft. City ' Phone Instal! ? Name ApProvob Fees ~ Addreas Assessment Permit - 11 jj City phane Woter E, $ew. Surcharge Police Plan Review - i• ou ~W Name Fin SAC • ~ • Q fi x~z AtJdress Enp. Water Conn. 0 (l - <W City Phone Plonner WaterMeter 53.0 Countil Road Unit a • ti'-' f hereby otknowtedye fhat 1 have mad this opplicotion qnd state thaf Bldg. pff. 8/2y%$ 5 Tr. PL 1~' 0 the inlormation is correct ond ogree to tomply with all opplicable 5tate of Minnesota Stotutes ond Ciry of Ecgon Ordinonces. A~ Pa?ks Var. Date 5ipnoture of Permittee i - ,1 - Copies l) rotal $2,104-50 ~'r:: . ;iO,~~t.:~ A Buiiding Pem?if Is issued to: on fhe express condition tlra+ all work aholl be done in accordonte with oll oppliaable State of Minrusoto Srotutes ad City of Enpon ardirwnces. Buildirq Officiot . , ~ . _ , ~ I Pwmit No. Pwmk Holda Date Telsphona ie Munt*. 5 g ~ I -Y 5 ,KvA.c. 9y ys// ' E~t ~ Yo a yo P 9l3 d vil ' sakmw ~ Impeetion Daa Insp. Other Faotinps 1 Footlnpsll ~I FoundstiOn ' Fnming RooAng Rouyh Plbp. . Rouyh Htp. Inwl. Fihplaw Final litg. FInN Plby. i -i--~ Final C.rtiocc. G w.ar o.re.ib. Lor,ieian: WNI S"er Pr. Dlap. - - - - ~ Racsipt ir PWMBING PEAMIT Permit No. CITY OF EAGAN ~ Fse ~ frll in numbered spaces - S/C ~ TyPe or Print legrbly Tot 1. Date 2. Installation Cost ~ ~ 3. Job Address 4V 7zi L&t" ` ;+Blk. Tract' ~ 4. Owner ~ ~ 5. Contractor ~•+E:IZZ ; EL'ii, Phone 4-') 2-15b5 K.~.;d!, ~.n;•.. 6. Address 3600 , 7. City State Zip S S 1 i f 8. Building Type: Residential O Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter O Repair O ~ 10. Describe 11. No. Fixtures No. Fixtures ' Water Closet Cesspool/Drainfield .2- Bath tubs 5eptic Tank ~ Lavatory Softner a2. Shower Well / Kitchen Sink Urinal/Bidet Other-~.~'. ?~.J Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets ~ ~ t 12. I hereby certify that the ahove information is true and correct, and I agree to ; comply with all ordinances and codes governing this type of work. Signed : ~ . for Rouph Final Inspectiortf: Date - Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ~ I I Reaipt - MECHANICAL PERIYIIT Pwnnit No. CITY OF EAOAN FM ~ 2': , 00 • - FJI/ in numbwrod Waces ' S/C _.50 Type or Prln[ MpibJy ToL $ 20.50 1. Daa 9-25-85 2. Inxtsllatfon Cost 4358 Floodouck Lot Cizc Blk. Job Addr~u Tnct [Ynk~ k 3 ot 4. Owner Wonsmann IiawAs, Inc. 5. Contractor Kleve Heating s A/C In,-.Phon@ ' 1= g, qddrm 13075 Pioneer Trail 7, City Eden Prairie gmte miruiesota Zip 55344 8. Building Typs: Rssidential 75 Commercial O Institutional O 9. Work Desaiption: New 13 Add ? Alter O Repair O 10 paaibe Nw~ House Heatinri puel Type `7aturai ^as 11. No• EquWIDwt BTU - M. Ea. No. Equiament CFM 1 Foroed Air 'ennox Mode l Air Handling: Mfg. r:1493-80 pulse 8oilen " Mech. Exhaust Vent l.nq Wg• oiilv for kitchen hood & Unit Heater batt, fans ~ , Mfg. Other Air Cond. . Mfy. Gao, Rping OutletsFurn~ce +~r 12. I hereby certify that the above information is true and correct, and I ayree to oomply with a11 ordinances and codes goveming this type of work. Siqn°d : ~ f for Rouyh F iMl I Inspections: Date Insp. Dete Insp. ~ This is your permit when numberod and approved. Approved CITY OF EAQAN 4644100 ~ ~ _ _ ~ CITY OF EAGAN Remarks Addition Mall rci Park Th'rd Add' _;on Lot 29 Rik 2 Pe,cei #10 47252 290 02 ~ Owner Street4358 Wood Duck Circle State Eagan, MV 55122 Improvement Date Amount Annual Years Payment Receipt date STREETSURF. j 1981 2698.43 539-69 5 539.71 A014788 10-25-84 STREET RESTOR. GRADING SAN SEW TRUNK ' dw * SEWERLATERAL 1981 3412.34 682.47 5 682.50 A014788 10-25-84 WATERMAIN * WATER LATERAL 1981 WATER AREA STORMSEW TRK 1171 1981 467.74 93.55 5 93.58 A014788 10-25-84 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. n n n „ SAC 59500 PARK /8i5 re0~ev1"' oid FQ l// ~ ~30 I4 f 60 J~ 1L ~9 6 d. /Yk..Q-Qe..A o 6 Request Ua~~ Fire No. ~uah~~l ~~adV N. Will NaGlv Inspe Y ~ j~es No .or When qeady o- LiconseA Elecvical Conlnc1u1 I pprebY repms[ inspeetion of above ? Owner eleetnml xxark irsmllad et Street /Address, Box or Route No. GIY ,73j-? Cc./o trdoc lC i/-}frA1,l ecuon o. Townshup Name m No. Nanp: No. Gaunty l~~ r/~ OccaG.'m (PqINT) / T Phoac No. ~l -('~'/Y l'•l Power Suo ~er Aedress Ele~.}ncal Cnntractor (Company Namew) Cmerar,mr's Liecnse No. //{..p e it { J 61'l (~y i ~ C.::) 2ilin0 AdJress ~CoMnclor or Ownar MakinB Instailationl 3 5 .al/- sjW.rD-al Authnrite $iB~ ture ICont a clor rw MaknB ~~sla~lati Phore uvnber MINNESOTA STATE 90APD OF EIECiAICIT' TMIS INSPEGTION RFQUEST wILL NOT G,i98s-MiCwoy Bldg. - Room N•191 M ACCEPTED BY THE STAIE BOAND 1821 Univarsity Ave., 51. Peul, MN 55104 UNlE55 Pf1pPEN INSfECTION FEE IS Pn,.n.. 16121 297.2111 ENCLOSED_ REQUEST FOR ELECTRICAL INSPECTION 1Ee-000011-0+ 55 n1,qt4" ' See instruccions Ior covpbtinp this.fao~qp heck of Yollow capY- B40040 ""XBe/ow Work Cofered by This Request pI's TvOeof BuilUing Applionees Wir.A E9uiament qired Home Range Tenq~orary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer BecUic Heaun Commercial Bldg. Furnace Silo Unluuder Industrial BIAg. Air Conditioner Bulk Milk Tank Farm eihu, lsce.~tyl t .r SUCOIy Other OhM:r pection Fee Below Y Fee ServiceEnlrance5iza p Fee Feedeo,/SufhteMers A ice Circuils oU 0 to 200 Am 5 0 to 30 A 2-+0 0 to 30 Am "s Above 200 qmjs 31 to 100 AFnps ) ~-eo 31 [0 100 q Swinming Pool Above 100_Mqri Above 1(10_/am{xi Transtormers Irtigtion BoonF Partial~ Oiher Fee Signs Special Inspection TOTAL E Hemarks Nouph-in Oaie ~I 1. the E ctFicn Inspectw, .oby ~ cer41Y ~M abovo F.nal Dalc/ ~~p~iion has Eeen ~de. TRit repuesl voitl 18 montle irom CITY OF EAGAN N°_ 'I O H 7 H 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 ' PHONE: 454-8100 ~ BUILDING PERMIT Rece+Pr # ..7 / Te 6e uwd lor SF DWG/GAR Est. Value $$1,000 Date AUGUST 29 19 85 SiteAddreu 4358 WOOD DUCK CIR Erect IX OccuPancy R3 Lot 2 9 Block z SeclSub. MALLARD PK 3RD Remodel ? 2oning R1 Parcel No. Repair ? Type of Const. ^f Addition ? No. Stories STEPH-AN HOMES Move ? Lenqtn 46 W Name Demolish ? Depth 46 z 14340 PILOT KNOB RD Address intlmpr. ? Sq,pt. ~ Crty A.V. Phone 423-3322 1nstau ? ' ~ Approrela Fees o Name uu AddreS3 Assessment Permlt • ~C I- City Phone Water & Sew. Surcharge 40.5( ~ Police Plan Review 1$ O C FW Name Fim SAC 525.~~ ~2 Address Enp. " WaterConn. 500.04 ~Z City Phone Pionner WaterMeler 63.0 a Countil Road Unit 280 . 00 w I hereby ock`wwladge that I have r p~.1 opplicati nd state that gldg. Off. 8/29/85Tr. PI. 132 . 00 the inlormation is corrett and o yke fo c I ply it I opplicoble Stote of Minnesoro StaNtes and Y1hy o( qon r nces. i4PC Parka L~ Var. Date Copies Slpnature of Perminea Totel '$2.104.50 A Building Permir Is issued ro: STEPH-AN HOMES on the exprou conditian that all work shall ba done in occordonce with cll aj~((p (c~ob~le, Sta~e of )VIInnescito tyatu--te-s ond Ciry of Eaqan Ordinances. Buildinp 04fidal PERMIT /i RECEIPT DATE: I 0_J _01 )Cf-t(cAax, - "11FC" ' Uso SIDENTIAL PLUM$INfi PEiMIT ~4PPLIC~FTION ~ CITY OF EA&AN o 3930 PII.OT KNOB RD EAfiAN, MN 55] EE 651-681-4675 Please complete for: : single family dwellings ? townhomes and condos when permits are required for each unit % backflow preventer for irrigation system SITEADDRESS: y~s56 ~A'k•r,r,0~~~( C,~cC~e. OWNEP. NAME: : 7~f'MQO.ir-['ti, TELEPHONE (AREA CODE) INSTALLER NAME: TELEPHONE C(10(3, g3~ -9 STREET ADDRESS: MCGUIRE Ft S NS (AREA CODE) 605 1 2th IlYenue SOUth c~rv: Hopkins, MN 55343 STATE: ZIP: Place a check mark next to the ermit work t e _ New residential dwelling unit under construction and not owner/occupied 3 90.00 Y Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround Nature o° work: ~r_0 2 t . `lc&t `XP.a ~C' r- Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ 50 Tota I $ ~ Reminder: Be sure to schedule inspections of alteretions, i.e. water heaters, water softeners, etc. I herebyacknowledge [nat I have rv.atl this application, state that the infermahon is corr=ct, and agree!o complywith all apphczble CiD/of Eagan crdinances. It is the applicanPs responsibiliry to noh(y the property owner that Ihe Ciry of Eagan assumes no tiability for any damages caused by the Ciry dunng ds normal operational and maintenance activities to the facilines constructed under Ihis permit within iry prop Inght-of-wayleasement. . ~ i. SIGN TU E OF P ITTEE'i 00T 0 9• ' Updated 7101 L,,, ' .T . 7985 BUILDING PERMII' APPLICATION - CITY OF EAGAN NOTE: ALL CONiRACTORS MUSi BE LICENSED ffiTH iHE CI1R OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY • 1 SET OF ENERGY CALCULATIONS ~I,Opa = To Be Used For: A444.~ Valuation: ~ Date: ~ Site Address: yjsf/ Ct Ci20FFICE USE ONLY Lot: 4pli Block ~ Sect/X *//J Erect x Occupancy Q-3 r Remodel Zoning R-~ Parcel # 3 R/~ Repair _ Type oP Const Enlarge 0 of Stories Owner Move _ Length 4(o Demolish Depth _ Address Grade _ Sq Ft City/Zip Code Contractor 5',40,~j`w yiwts APPROVALS Address IVe/ AqW` Assessments Permit 37(0.'~ Water/Sewer Surcharge 40.so City/Zip Code Police Plan Revieu -r Fire SAC 52S Phone Engr ' Water Conn Soo. Planner Water Meter (03. eO Arch./Engr Council -roQ Unit 2t3p.`" Bldg Off Parks Address APC Treatment P1 l3Z'~ Variance v . Phone S TOSAL ~ ~ i ~ , 2= I~oa x St~ = Sv4~¢; ' . ~e Zg x 4 ~ ~ ' _ - ZZ4X °o K 8 = (D4 x S8 ` 3-IZ 4 X ~2 SBn~ 22n 22 - 4E3 g0`~~~ ~ G~ F~ k C.~'~, /S~~ `~,L ~ ~ . a~,~, ~,.c • ~ ElcO4T 933,1 d. 23~g F1N { roc ~~afl 60~ P N ~ ~ \ O O • Zoy P ~ 0 1 M/ ~N 'O -9 9d r ,G `4•S` ~ •b 11 d / , r µ 9 p Om~ ~ r N ' QO ~ ti / °`~°92'°,S ~e~ 3 F~¢ S~ ! 'T`f 4(CC r'3g 9359 J~o M N s F,q 6 _ 4 sE~'4~ ~ 9:s•b l' (n - Et~T 'i r~ F,,j 4oc,~ I h >oS l I o Z ~y - - - - - s DESG2IP~'~ot3 \ 7.9 ~ bLocK. 2, Me.LA-aa.v oa?¢.u.. NcRTH Yql¢p ADCIT IOW , ~X~E 1 =30 ALL gTmWa AuuMeD DAK.oT a couNTY, o 06N07E4 I2oN MONUMINT M~N MESoTA I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of t e State of b1innesota. Date:~13 7,aRoy H. r'ohlon keglutdi•ud 'l,und C;urvuyoi• No, 10%1j5 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) r CITY OF EAGAN 3 J~~ 3830 PILOT KNO$ RD - 55122 651-681 -4675 New Conslruction Reouiremenls RemodeUReoair Reauirements ? 3 registered site surveys showing sq. ft of7ot, aq. ft ol house ? 2 copies af plan and lf roofetl areas (40% ma:lmum lot eoveraae allowed) ? t set of energy calcula6ons for heated additions ? 2 co0ies of plans (show beam 8 window sizes; poured fnd, design; etc.) ? 1 site survey for euterior additions 8 decks ? 1 set of energy ca!eulations ? 3 copies o( tree presenation plan if lot platted after 711193 DATE: ~ - I (O CONSTRUCTION COS : ~ 377 DESCRIPTION OF WORK: I STf2EET ADDRESS: toz~)cd L C LOT: BLOCK: _:)L SUBD./P.I.D. M0, ~ Q QU,ti 0`l Name: VV Phone #i: PROPERTY F~t OWNER Street Address: Ciry State: _ Zip: RIGHT-WAY ROOFING Company^ Phone ti: co:~"rttnCTOR Bloomin ton, MN 55425 Street Address 9 _ License k bO0 3 y9~/ Fxp. (612)853-0042 Ciry e; 7rp: ARCHITECT/ ENGINEER Company- Phone H: Narne: Regisaation H: Ctreer qddress: City Scate: Zip: Sewer 8 water licensed plumber (reauired for new construcHon onlvl: Penalty applies when address change and lot change is requested once pertnit is issued. I hereby acknowledge tha! I have read this application, state that the infortnation is rrec and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. - Signature of Applican • ~ . ; OFFICE USE ONLY ~ Certifcates of Survey Received _ Yes _ No iih~ I"~ FQ~ Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace 0 21 Porch (3-sea.) O 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23- Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level lff'24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New O 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia O 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors O 33 Alteration ? 37 Demolish Bldg. ?,41 Wood Stove ? 45 Fire Repair ? 34 Reoair ? 38 Demolish llntarinrl Q? d? paror,f GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License , MGES SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/4V Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC ' - I ~ i z/aa CITY OF EAGAN ~ \•°}1 APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIOrT (PLEASE PRINT) 1) PROPE.iYi'Y ADDRESS: _1135-S ri/' r FraI. DESCRI°I'IC:1: )q _,2 r',-j 12k (LOt/Block/Subdivision or Tax Parcel I.D. Nunt>er) i t":IS='_ :C, STFL'CPJ:2E, DeIT' 0=' ORIGi 1AL EUILDLTG P----_IIT ISS'j?vC°: ~ F.-~~~r-`_- ~..••1I•;;/~:••G'?'C5~ iS_ C} R-1 SINGLE rpHSLY ? R-2 CUPI"{ (?4ti'p Wi ITS ) ? R-3 7G{v1i.~I0CJSE (TIIRE" + [T^1TT5) ( Wi ITS) ? R-4 ApP.R'II^.E:`]T/C^v~IDG`1PiINi°S ( U'itIT51 ? COmMERCIAL/RETASI,/OFFICE ? I~i'DUSTRIPS, ? INSTITUTIONAL/GOVERNIIMETTr 2) APPLI= (PLEASE PRIHT) NAr.E: ADDRESS: a~~nf CTTY, STA'!'E, ZIP: PHOiNE: ~ 3) pLU,BER PLEASE NP1NSE: PRINi) FOR CITY USE ONIY Vp'ENZEt-Mtcrh0PdI6AL PLUMBERS E: ADDRESS: 3600 MENdERFG DRIVE EAGAN, MINN.55122 Acti CITY, STATE, ZIP: 452•1565 Ex ired mAsith ~ ot oi Record PHONE: PLUMBEN LICENSE N 001445M2 r lnttla 4) p=pj•pP/~'f•TIER (PLEASE~ PRINi) tvAr~: :.S'~/~~//-//~ . ~ ADDRESS: CITY, STATE, ZIP: PF301VE: S) II`TDIC=,TG WHICIi PEP,h1IT IS BEZIv'G RfQUESTID: Q CONNFCTION 'ICJ CITY SESdER Q COnIF_Ci'IO:I 'IC) CITY WP.'I'~,?t ? rJI'FiER (PLEA.,E DESCFtiBE) 6) L~,'DIG;.:: ? PLEASE E?OID APPROVID PEP,~ILiT FOR PICF:-UP BY ONE OF 71BWE -C °LEaSE MAIL APPROVED PEF_%IIT 'IO 1, 2,~; 4 A&7t7E . (Circle one) l 7) SZG:,~aTL.:~E: JV1149a7u, l~//i~.(n DATE: do/'Q,f~ (I` U r F 0 R C I T Y U S E 0 N L Y PERM2T ISSi3ED F=L'S: $ Srr,;Ev nEvMTm (I'iC:.::D- SliRCciP.i<GE) $ WATER PERP1IT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE REauER ~ WATER TAP (INCL'uDE CORPORATION S:OP) $ SE:4En Tan $ ACCOUNT DEPOSIT - SEi^1ER $ ACCOUi9T DEPOSIT - WATER $ WAC $ SAC $ TRUNK ['7ATE° ASSESSME;IT $ TRliNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUiVK SEl4£R $ LATERAL BENEFIT/TRUr]K WATER _ $ OTHER $ TOTAL • $ AM0tJNT PAID/RECEZPT ~ DOES UTILITY CONVECTZON REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY? YES TF YES, THEN A"'PERMIT FOR WORK WZTHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ~ NO ENGINEERING DIVISION. LZST AS A CONDI- TION. SUBJECT TO TEIE FOLLO?^1ZNG CONDITIONS: ' APPROVED BY: TITLE: DATE: ~r ¦ ~04 aa P* W sa OW wt+ fc= 20 Jnr~y~~f'Addron ~ Plen #_1rI'if L' ~rL_Det~ , y-i r l HEAT LOSSCALCUlAT10NS 'o~el koat Loss --P qfi x°TotDl Btu InpUt I All window~ & doon ero waatherslripped _FI Room ~ LOth. " WtA. • Mt. ' FI. Room Lpth. • Wth. ' Mt. No. W u~^ No.e~ Ar- ? V~/ Witlth N~10hl No,al UmfHI, n~ OI INn "1O1O 41 po_ IIObb OI UiCY YI.II. No• of . ol an, II nU of critY q. N. i ( . C~~~ ~\rJ• . I.J, 0 1 "b~' lono.s lgnon ld~~, Coal. BTU ~da~ Cu~. BTU mumwnw~imw~ ~ 3 47 a Inrinenoowloaows ~ 47 J.i1rMIMW/DOOn 11B In1i11n11onW/Duor1 110 ' dinmlo. alDOOr. 71 In111n.tlonslooon » ~D. Wpl G wp. wall d pop~ ~ Q 48 Q Gleu S Ooon 48 '.'t E.P. Wall 7 Net EaP. WaII . ;11Irq Iwr 7 10 8 G G~~~~Y Q Floor g 8 'o~d Om. Toul Btu. fl, ,,.p.•• Room LBth.-~' "Wth. " Ht. ' FI, Room L9th. ' "WtA. Nt,~ N0. Wiatn HnYm No.ol Uneeh. Aio WiEin HeIpN N0.0 ~ LI"01~6 Nru of t~ane ol yena II hb of creck IL No. of ne of .m II ht, ol <nt4 W. 11. : O » I• leoon ltloon /doon; Coel. BTU /tleort C"f' BTU Ailuatlon Winaow, 47 ?,,2)c In111Helion Wintlow, 47 118 Inliltntion W/DOOn 118 IIilunlon W/Ooon Miivnlan8/DOOn 71 ' iniiiunion5/Ooon 71 ap.Wstl EtD.Wall Y {4w d Oow, 48 ~ Gleu d Doon 48 N.~Eao.'Nd~ ~ in ¢.v. WBu 7 i3lirq g Cellin0 6 Floor 3 6 fm~1 Bm. d Toul Bw. Fl, Room LBth. ' "Wth. FI. Room LgtA. ' "Wth. W~dl~ NuphI NO.OI Lineelll. Ar0 Witlth NepM No.ol LiroNll. Anw ND. al Psne ol Psne IiQhu al cmck p. iL NO. of Wn. of pan. II n OI crac4 q, fl. /tloon /tloon Coel. BTU /tloon Cwl. BTU laoon Nit"nbnWirWOws 47 Ia111tmionWintlaw, 47 nlihmfon W/Dow. ~ 118 Inlnvnlon WlDOws 11B nfilvHion 8/DOOrt 71 INitlrulon 5/DOOn 71 `..o. Wtli E.o. Wau ;iw b Uuu, 48 Clan IY ooo., 413 _ ith, ExD. Well 7 Net Evo. WaII ~ w11inp 6 Ceiiiiq '5 T- 3 6 Flwr F loor 7 106 ) 10 7oW Bro. Toul B[u. ~ s~, ~'1 ~ Addrea EA Plan# c CA LCUlAT10~f ~~NS Date HT LOSS oi~l'rlaLt Losi -F g fi X 1,16 ° °Totel Btu Input I All windowt & doon ars weathentripped ' - _ ~ . . I Fi. ~ Room I L9th Wth. " Ht. ' FI. Roam L9th. /J Wth. Ht. ' Nm. W^lln Map~t No.ol LInu11L Aros itlth N~10~1 No.al LIN1It6 Ar~~ OI Veno ' OI p4u, II h" 01 CfOCY w. h. No. oi wm Ot w"• I hb OI <fK4 0.1~. ~ - , V - leoon feoon co.i. eru laool. C.I. eru a~ ~r,n,.no.wi~dow, ` 47 innuu.ao~wi~aow, ifIhn0on W/DOw, 118 Inlllunion WlDoon 118 'fa"qilon6lDOCn » InlilnaJOnS/DOOn 71 ~O. WNI ~ EKV. WaII ~ iWS60oa~ ~ GI.uBDoon ~ 4t E.O. WsII 7 Nn E.P. W.11 7 S A' 10.0 6 bllirp 3 B 8 Floor 7 10 9oor 7 10 ~~.i otu. o row etu. d ~ F~. • oZ Room LOth. " Wth. Ht. FI. ' Roan L9th. ~ Wth. Ht ' Wm~p MeiOh' No.ol Llnoll6 bu Na. ~O~h HapM No.ol LIoTIL - MO. ql~_ ol P~na 11 Ml 01 ciwk q. h. OI Wm OI n~ 0 M~ OI cnck M. 11. 31 ~ Q itloon / laoon /dwC.O. aru !p C, ~ /aoo.. ~ cwf, erU 4 1 - V &iR ~ibn~~ion Wiwow~ 47 InlJtrotion WlnCOwg 47 n~llunion W/OOOn 118 inlllvazion W/poon 118 ) ~ ,L 71 Inlilvetion 5/OOOn 71 O nfil~mion 5/Ooon iaP. Wall ERp. Wall ~ 000~11 " Glan d Doon ~ G 1 Jrt EM. WaII 7 Net E~O. W~II f _ 7 1 REVIFU~~ - 8 C~Illnp ~ 6 ~ ~Ilip M TIT Gi. 7 10 floor By / Q _.y_~VV inul01u. Q ~ ToulBtu. x ~ ~ FI.-#- ~ Raom L9th. " Wth. " Ht. Roan L9th " Wth. Ht. Wy~1p Hai4h~ No.ol Llne 111. Aru W~EIn Nupht 17~0~~ mIIL A~N N0. ol iwnn o1 Vav II nb ol crack w. h. No. of pen. ol Wn. li M~ ol k n, f1. 0 laoort fAOOn Cod. BTU /tloon Cwl. BTU /Qoori, 47 n1illmionWinOOw. 47 In1iltnHOnWlnEOw, ~ Inlilvuim W/Doa. 118 MD~11 \ 118 In~ihmlon S/Doon 71 71 Ein.WNI G4w b Doon 48 ~ fln 8~W W~11 ~ / 6 I Fww 7 3 6 10 F~~~ 7 106 ~ . ~ TOtIl B W. ToUI Blu. i I . . . Vr.~..~._. . . ~u.~ COOLING LOAD SHEET Date: - /-7 Name ym~ A~ Addrau 'Plan # 7,7,7 dTime• 4PM i Design Conditions: Outside : Dry Bulb 89; Wet Bulb 75 Inside: Dry Bulb 78; Wet Bulb 86 j AREA SENSIBLE LATENT• ITEM DIMENSIONS SU. FT. U TD NEAT HEAT CONDUCTION HEAT GAINS Exterior wall, gross Exterior glass .65 11 Exterior wall, net 08 11 Totel walls and windowt 171 It d Floor • .pg 11 Ceiling or roof .06 11 ~ EXCESSSOLAR GAINS . WALLS (direction faesd) fl p WOst OS E P9 lTlBi R;NIE ED Roof ~ ~jG ~ 64 GLASS (direction feced) DATB . Weat * .55 - , , , Skylights ~ .65 118 BODY HEAT GAINS Sencible No. of eo le x 225 Latent A No. of people x 230 EOUIPluJENT HEAT GAINS [loc[ric motorn } HP x 3B Iniiltration • Sensible 1.085 z 171, CFM x 11 'nfiltration - Latent ~ CMF x.67 x 30 fOTALHEATGAIN(SENSIBLE) 17 fOT,ALHEATGAIN (LATENT) ~ ¢ yio TOTAL HEAT GAIN BTU PER HR fONNAGEEQUIVALENTOFC00LINGLOAD=.26 71J' . pc,#Q Tons i i 102 . DO NOT WRITE BELOW THIS LINE . , Sub Tvpes ? 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 ? 10 OS-plex x 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous WorkTvpes 19 rm, tGS ? 31 New 9-11 ? 35 Intlmprovement ? 38 Demolishlnterior ? 44 Siding /1!1- 32 Addition / ? 36 Move Bwlding ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WndowslDoors ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant D@SCflptlOfl: WaterDamage,Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code ~ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ~ Width REQUIRED INSPECTIONS Fooungs(new bldg) _ Shee[rock Y Footings (deck) FinallC.O. Footings (addition) Final(No C O. Foundation HVAC Drain Tile Othcr Roof Ice & Water Final Pool Ftgs Air/Gas Tes[s Final _ Framing Siding _ Smcco Lxth _ Stone Lath _Bnck _ Fireplace _ R.I. _ AirTest _ Final _ Windows Insulation _ Rctaining Wall Approved By: 2 , Building Inspector Base Fee Surcharge - ~ ~ Plan Review MC/ES SAC 2I City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ( r ' J ~ 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruc6on Rewuements RemodellRepair Reomremenls OKce Use Onlv 3 registered sfte surveys showing sq fl, af lot, sq A oF house, and all rooted areas 2 copies o(pfan showmg foohigs, beams, joists Cert of Survey Recd Y_ N (20% maeimum l01 coverege allowed) 1 set of Energy Calcula4ons for heated additions Tree Pres Plan Recd Y_ N, 2 wpies of plan showing beam 8 window s2es; poured found design, etc 1 sile survey for addihons & decks Tree Pres Reqwred Y N 1 set of Energy Calculahons Adddion - mdicate rf onsde sepficsystem Omsiie Seplic System _ Y_ M 3 copies of Tree Preservation Plan if bt platled afler 71193 Rim Joist Detatl Ophons selechon sheet (bmldmgs wtlh 3 or less units) Minnegasco mechamcal ventilation form (p/' r Date Construction Cost / UU0 Site Address ~c 3 58 U2C,(~~yy~~• C/~.c~/~ V/_C UnidSte # ua~ ' / ///V Description of Work IR (n,1 tLtVIA, ~ CJLkih.s Multi-Family Bldg _ Y_ N Fireplacc(s) _ 0 loe~i _ 2 Property Owner ~0/-) ( //`C'( ~ l v l1l:CJ ~iY,i~Cili~?'elephone # (~y~ -7lJ G~rY~ ~ ~ Contractor 21 Address ~ City State Zip Telephone#( ) COMPLETE THIS AREA ONLY IF COPISTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy COde Categofy . Residential Venlifation Category 1 Worksheet • New Energy Code Worksheet submission type) Submitted Submltted • Energy Envelope Calculatwns SubmRted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a masier plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber r~n~ iTelephone ~ ~ Telephone J ~~"cchanicalContractor h~ n-I - ~ li' i ` CWC IIJ ~ Sewer/Water Contractor i Telephone # ( ) I hereby apply for a Residential Building Pennit 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. Applicant's Printed Name Applicant's Signature ~ ~ ~ . G~ G~~, `~L ~ ~ ~J : wvop v uev.. ExPsT 933,t 2'23~8 - ~1N / n 931 ,'1 i ~ w ! ~ ~~ZO~ Q~ ~y ~ ~ 4 ryo S4~ =2 " M 40 m j9 v 5 q41-•.~ m~ y-v3 93 ~4,1. (h 'r ro Ti~- 1~ r~t ` p ~ 0 00 ~ y 93 ~ • ~Yj~ ~~<i ~~Va~~ ` _ F~4 9 5~ ~ 3S, g ~ (n 5 ~q 3g . 4 - S F ~ ~ ~ \.1~~~ e~, ~5x8•b \ ~ (/1 , ~ . S ` Soy> ~ 5?--- ~ s exiaT yii.1 1l0 ~~-,s-cyz~.t DEScR.1P~'1o?.! \ LoT 29 ~ bLOC~ 2~ MALLe.R.o pp.a.V,. N~RTH T'Nl2n ACCITIO?J, xALE 1~~=30 ALt 6EARIN44 AUUMED CAW-oT a GouNTYI 0 06NOTE1 IRoN MONUlyENT MONWESoTA I hereby certify that thie survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of t e State of Minnesota. , Date:~)Wq., t ~ 9; 1,oRoy H. ohluri Iluglttturud l.und :;uLwuyor Plo, 1U%y~ Clly of Eapu 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651).675-5694 't.$$ $ 2014 Use BLUE or BLACK Ink For Office Use, Permit #: Permit Fee: Date Received: Staff: 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION, Date: 9 — (� --1+ Site Address:4351Vuoitect.7A �l✓1 N r�i f , Tenant: x�,nA�i-cwr� Suite #: _S"Phone:40_5-0--30—)F5.] Milbert ompany Inc • •a CuiIign Water Name: ucense #: Address: 1801 50th Street East City: Inver Grove Hgts. MN Zip: 55077 Phone: 651-451-2241 Contact: William `:R'Milbert Email: eplacement _ Repair _ Rebuild Modify Space _Work` in R.O.W. RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures L_ 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) $115.00 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.orq I hereby acknowledge that this information incomplete 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 approved plan in the caseeowork which requires a review and approval of plops. Applicant's' Printed Name x Mete el PERMIT City of Eagan Permit Type:Building Permit Number:EA131313 Date Issued:06/15/2015 Permit Category:ePermit Site Address: 4358 Wood Duck Cir Lot:29 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-290 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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 - Sandra J Stensgard 4358 Wood Duck Cir Eagan MN 55122--224 (651) 230-2853 Mc Exteriors Inc 274 New Brighton Rd St Paul MN 55112 (612) 221-0084 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA139461 Date Issued:10/24/2016 Permit Category:ePermit Site Address: 4358 Wood Duck Cir Lot:29 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-290 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sandra J Stensgard 4358 Wood Duck Cir Eagan MN 55122--224 (651) 230-2853 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA145266 Date Issued:08/31/2017 Permit Category:ePermit Site Address: 4358 Wood Duck Cir Lot:29 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-290 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sandra J Stensgard 4358 Wood Duck Cir Eagan MN 55122--224 (651) 688-0878 Centerpoint Energy 1240 W River Pkwy Minneapolis MN 55454 (612) 321-5597 Applicant/Permitee: Signature Issued By: Signature House heatin test record CenterPoint. r Energy SL:=-' i. 20!7 OwnerSGndra 5ke•-,Se,aY� Controls Conversion ,, Address 4358 tJr{,40J(1)Ok Apt-Li-ide Thermostat t7v litt Heat eat plug Vent Size V6 City 4,401 Valve 1 �)0. g.ro Kind of liner/size Heat loss J/ Date htg.inst 1-1$--1 7 Limit `0.0 F txc Draft hood j v J kit C gulator Sold by CenterPoint Energy Limit setting 15-0 Filters:Size Iii,ykefernpfrq/ Installed by CenterPoint Energy Fan setting `/ i en ei Chimney locations: 0 Insideode Electrical work by CenterPoint EnerQY Pilot type 5)0(.4 iK Chimney construction Heat type A FA Q Space heater Pilot make Wiring L,-- Test tag Gas line by Gp c Pilot model Lighting Inst ✓ Date tested 9 -1.5----1) Unit heater —! Other — Pilot timing Company testing CenterPoint E ray Gas deli Pressure:Hi fire/;to fire ,,�. 3.5/1 E-7 Tester's name ,i/1 5 , iitII,, t/p� 1 Percent CO2 f `(QP Make �V�:� Model (��U/�/�'d (� Serial no. G)10 57 13 Input CFH 70 Percent 02 1126r +�—/" Stack temp 3�I Percent CO 9 5pfillInput '7 0,0 0 a r/ „1 CNP 235(11-2006) PERMIT City of Eagan Permit Type:Building Permit Number:EA172797 Date Issued:10/15/2021 Permit Category:ePermit Site Address: 4358 Wood Duck Cir Lot:29 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-290 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 - Sandra J Stensgard 4358 Wood Duck Cir Eagan MN 55122--224 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature