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4360 Wood Duck Cir Permit No: Date: CITY OF EI?GAN Oc 9 70 ~ d size: 3830"PNot Knob Rwd Meter No: 3 9,~~ O'7' Data ' p:0. Box 21189 Reader No: Eapan, MN 55721 Fasic `.;:il'ers . i Ownec ~,c ;;ood Duc c e Site Address: 1Plumber Genz-R an SSQ.OOpd p Ca,u ~r R1 Conn. Ch~y: p 1q~~i~ • Acct Dap: p ~ n Permit Fee: I. ~comply with tha City ol Eayan Surcharfla Tr. Plant nsnc~s. Meter 67 8r Misc.: WATER SERVICE PERMIT l . . Date: l CITY OF EAGAN Permit tr Date: . ~ 3630 Pilot Knob Road B/P No: i P.O. Box 21195 " . ~ Eagan, MN 55127 i Owner._ ~ 4•~F,r ~,*o~ ~~ck C{rcle L?R T? ',:~llard ?'ark III ~ I Site Address: , j Plumber. ; MWCC: z -F an ~ Zoning' ! 1 I I' City Chg: t0'1.1Ipd No. of Units: Acct. Dep: i~.0f) 'yi 1 ayree to comply with the Cf1y of F.s9an i Ordinances• I Permit Fee: i Surcharge: By ; Misc.: gEVyEp gEpVICE PERMIT _ . - TS-9-88 • ~ r I~ CITY OF EAGAN Permit No: `)55' Date: i 3830.Pi1o1 Knoh Road Meter No: Size: Date: - ~ P.O. Box 21199 Reader No: i Eagan, MN 55121 ~ ~ ;~aaS;c rLilclere ~ Owner. ~ SiteAddress: 436( Wovd DUcK :ir le ':Rl,ard Qar?~ I.T.I , { Plumber ~ renz an ~ I 55Q OQ~p~- Zoning: I Conn. Chg: 15 d)d No. 01 Uni1s: 1 Acct Dep: I~. 00"Ll ~ Permit Fea Surcharge: 5t;'P~ I ayree to comply with the City ot Eagsn ~ Tr. Plant 7f'A 00Pd - Otdinances. Meter. Misc.: By WATER SERVICE PERMIT . '.ti.iwGP.i7R"a' Y-r~. ~,-'~'yyj;~.'•..-;~x;p4nq°(~7~r.:Mf,`~tn<v;'v.:r;ji~•.i~''.Q':`""~ ,Y' ..•.g~..... ,~..r•n..!e•yw,~.~.o.. _ ' _ CITY OF EAGAN ` 1788~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 _ PHONE:454-8100 ~ BUILDING PER~IIIT ~ Ct ;1. ~ Receipi # ~Y 1 ; an~~ To be us r Est. Value Date , 19 Site Adifes3 OFFICE USE ONLY - Lot - Block - SedSub. P3fC21 N0. Occupancy ~ FEES Zoning - $35•00 W Name (Accuaf) Const - Bldg. Permit _...1. ~ Address (~10W~1e) - Suicharge ' City Phone • ol stones - LeVh _ Plan Review $ Name oevm - sac, cily ~i Address S.F.Total _ ~ City Phone S.F. poopx;ncs _ snc, nnCwCC ~ ~te Sewage _ Water Conn UW Name on sae wen Water Meter ol Addre Mwcc system - ncci. oePmc tw Cjty / PhOne C i t y Wa ter - PRV Required - ^r+/W Permit I hereby ackrawlege thal I have read this application and state at the Baosler PumP - gMl Surcharge information is correct and agree `to comply wrth all licabl State of Minnesola Statutes and City of aq~[Clinan yj' ~ Treatment PI Signature ot Permitee APPHOVALS Road Unit / " Planner A Building Permit is isslled to: - Park Oed. on the express Condition that all work shall be done in acCOrdance with all Council - applicable State of Minneso tatutes and City gLEagan Ordinances. gldg, ph, _ COP*$ TOTAI Building Official ~ L•~'`_,}' Variance ~ S 1 ~ Pormit No. Peindt Mo1dK Dde TNepfwm # WATER - SEWER PLuMSarc , Kva.c. ~ EI.ECTRIC ~M+sPeuoM Deft kwoP• Conwnwft I Foo&W I ~I r~~s - Foundaoon ie kwning r- Roorrw Aoun p". uJ ~2~f iT/ ~ I~ R.*ft. Freplsce S- - t o ot- E•W FnalFilg• [ ~f[C f Finat Pbg. Canst. Me1er Plbg. Inspector - Notify Plumber EfigrJPlan 81dg. Fmw ~ Detk Ftg. ti G~ Dsqc Final WeY Pr. Ditp. . '''~-e: - a 3 . , . . . 4 . ^PLUMBING PERMIT (.--For Off . , nl • • CITY OF EAGAN PERMIT#~ y CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# PRICE PHO E 454- 1 QO DATE: Site Address G Q BLDG. TY WORK DESCRIPTION Lot Bbdc Sec/Sub Res. New Mult. Add-on~- Name - Comm. Repair AddreS. O Qyq ~ Other c City S~ Phone RES. PLBG. ONLY - COIiAPLETE THE FOLLOWING: - NO. FIXTURES TOTAL Wamr Closet - $3.00 $ ~ Name ~ a Bath Tubs - S3.00 ~ Address W x 4-0 Lavatory - $3.00 ~ ~ City Phone Shovrer - S3.oo lGtdmn Sink - a3.00 UrinaVBidet - $3.00 FEES COMMJIND. FEE -1% OF CONTRACT FEE Laundry Tray - $3.00 Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES Wa r Heater - $1.50 TOWNHOUSE & CONDO - RES. RATE APLLIES p~ - S3.pp MINIMUtA - RESIDENTIAL FEE ;12.00 piping Oudeffi _ $1.50 MINIMUM - COMM.IND./FEE $20_00 NIINIMUIiA -1 PER PERIAIn STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADO $.50 SJC PER EACH $1,000 OF PERMIT FEE) Well - $10.00 Private Disp. -s10.00 Rough Openings - $1.50 ~r~~-~ • : IG OF PE RM E U. G. Sprinkter System - $12.00 . PERMIT FEE: STATES FOR: CITY OF EAGAN S/C: Sv GRAND TOTAL: ~ i • ~ -~-~---7 ? CITY OF EAGAN n^~ I : 1 3830 rilotiKnob Road, P.O. Box 21-199, Esgsn, MN 55121 i PHONE: 454-8100 - r-- BUILDING PERMIT Receipt T.o be used for L' Est. Value a118,OW Date Ard1L cT 19 Site Addrft~ ''3r.u k'C?O[r ~)~`CK ~:1 OFFlCE USE ONLY I Lot ~IOCk`' ` SeGSub. ''.A~'~U FAdli '~it ~ On 3fte 3ewape Occupancy ~ r' MWCC Syatem •'Zoninq A' ~ ! Pareel No.* On Ske Well (Actual) Conet V- I c Name 1t 1 t.E'F~'tS, I3~C Ciry Water ~ (lUlowable) W Address t " •.'-'R•+T TR PRV Required ~k of Storiea ~ z ~ City " Phone L•1 -31 l 4 Booster Pump Length 7' ; Depth 45 •I Neme S.F. Total Address FootprintS.F. ~ City Phone APPROVALS FEE8 , I ~Ic Engr./Assess. Permlt 031.00 W Name ~ Z Planner Surcharge 59' A dress ? ~ f) Council Plan Review C W City Phone Bldg. Off. SAC. City I hereby acknowledqe that I have read this application and state that the Variance SAC, MWCC information is cunect end agree to comply with all applicable State of Water Conn. S 54. V•~ Minnesota Statutes and City of Eagan Ordinances. F y~~,- Water Meter Signature of Permittee Road Unft 32 ''of - A Building Permit is issued to: SA~JC bt 1LDEkb , 1NC Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota StetutiM,and City of Eagan Ordinances. Parks TOTAL Building Official Prnrdt No. Permit Holder Wte TeNphone ~ Plumbing ~ / 7 v ~ H.G.AC. CII)dl Electric 9,G~~~' Softener I Inapection Dats, Insp. Commenb Footings I Footings II I Foundation Framing ~1` Roofing Rougn Plbg. .~y. Rouqh Htg. f /o Isul. Fireplace ~ Final Htg. % Final Pibg. Bldg. Final Cert.Occ. a ~ Temp. LP Deck Ftg. Deck Final Well Pr. Disp. . _ . . _ . 7 . a' . . ~ . . F . . „ ' . ~ PERMIT # PWMBING PERMIT CITY OF EAGAN RECEIPT q--~ 3830 PILOT KN08 ROAD, EAGAN, MN $5122 DATE: mY 6, 1988 CONTRACT PRICE: PHONE: 451-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot 7g Block 2 SeciSub Res. xxXX New Xxtx M u It. Add-on ~ Name - Comm. Repair ~ Address Other c Ciry Raammur+t.f Npd Phone-471-1144 RES. PLBG_ ONLY - COMPLETE THE FOLLOWING: qc;AAA Np, FIXTURES OTAL 'Name QSWater Closet - $100 _/--Bath Tubs - $3.00 c ~ Address ~.1445 -A-Lavatory - $3.00 p Ciry Phone 413-'411 a --/-Shower -$3.00 _ _ _~Kitchen Sink - $3.00 _ ?1 - - - ` FEES ~ - UrinaVE~ et - $3AQ COMM/IND FEE - 1% OF CONTRACT FEE =Laundry firay -$3.00 APT. BLDGS - COMM RATE APPLIES / Floor Drains -$1.50 O TOWNHOUSE & CONDO - RES. HATE APPUES -LWater Heater -$i 50 -h MINIMUM - RESIDENTIAL FEE - $12.00 -_L_Whirlpool - $3.00 - ~ MINIMUM - COMM/IND FEE - $20.00 -,I-Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.d0 BEYOND $1,000.00) Well - 510.00 Private Disp. - $10.00 -3-Rough Openings - $1.50 0 SIGNATUERMI , - FEE: ~a STATE S/C: ' SD FOR CITY OF EAGAN GRAND TOTAL• S~ , r.- . . a.ww+R. . . . . PERMIT It . MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: X"IZ MNY 1998 CONTRACT PRICE PHONE: 454-8100 Site Address 4360 pudc C C e BLDG. TYPE WORK DESCRIPTION Lot 28 Block 2 Sec/Sub R~ xxxx New XXXX Mitl. arc9 2ark 3rd Additi.on Name GenZ-PWn P Mult Add-on Address 14 Comm. Repair c CityBO9en+ounts MIIQ Phone 4 -1144 aher FEE3 ~ Name RES. HVAC 0-700 M BTU -$24.00 3 Address t Trail ADDITIONAL 50 M BTU - 6.00 p Cityl3neemounta !bI Phone 423-3114 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WOAK - COMM/INDFEE - 1%OF CONTR{1CT FEE _ Forced Air 1n0 M BTU APT. BLDGS.-.- COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RE5IDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 . B DD O$.D OC~I; PERMIT PRICE GOES Gas Piping Outlets # Other 25.5 FEE ~ f ~ l::.(: Cz - S/C: SIGNATURE OF PERMITTEE TOTAL• . a 6 . QO FOR: CITY OF EAGAN CITY OF EAGAN Remarks Addition Mallard Park Third Addition Lot 28 Rik 2 Pe,cei #10 47252 2xn 02 Owner street 4360 Wood Duck Circle stete_ Eagan, NW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ~ 539.71 A014004 6-7-84 STREET RESTOR. GRADING SAN SEW TRUNK ' * SEWERLATERAL 7 6$2.50 A014004 6-7-84 WATERMAIN * WATER LATERAL WATER AREA N81 STORM SEW TRK 46 93.58 A014004 6-7-84 * STOFiM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ~ CITY OF EAGAN ~ 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 . BUILDING PERMIT PHONE: 454-8100 Recei t# p J~w ~ To be used tor SF DWG/GAR Est Value $118 ,040 Date APAI L 27 ~ g 88 ~ Site Address 4360 Wooa nuCK ciR OFFICE USE ONLY Lot 28 Block 2 Sec/Sub. MALLAA~ PAitr 3RD On5Re5ewaye Occup$ncy R-3 Mf-1 MWCC Syatem X Zoniny R"1 Parcel No. On Site Well (Actual) Conat v-N aASTC auiLnERS, iNC Ciy Water ~ (Allowable) v-N a Name a, z Address s 14450 S ROBERT TR PRV Required ~ of Stories o City i20SEMDUNT phone 423-3114 Booster Pump Length 761 Depth 451 , Q Name SAME S.F.Total O ~ Address Footprint S.F. U4 11 City Phone APPROVALS FEES ~ac Engr./Assess. Permit 632•oo W W Name ~9~~ _ = Address Planner Surcharge cc Z City PhOne Council Plan Review 316o00 ` W ~ Bldg. Off. SAC, City 100.00 I herabyacknowledge that I have read this application and state that the Variance SAC, MWCC 550•90 information is correct and agree to comply with all appticable State of WaterConn. S~fQQ Minnasota 5tatutes and City of Eagan Ordinances. ~ , ~T.~ • Water Meter Signature of Permittee f~Z~~O~ Road Unit i A Building Permit is issued to: X?S1C $UILDERS, INC Treatmant P1 204'00 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL 2'~~ ' Building Official__ , . CASH RECEIPT ~ CITY OF EAGAN 3830 PILOT KNOB ROAD . EAGAN, MINNESOTA 55122 ~ DATE i FliOM t' ~ ~ ~ AMOUNT $ , I 1 s nauuas 1 t ? CASH ` ? CHECK F PUND OBJECT AMOUNT ~ ~ L•( ~ , Thanklou I ' c°°'' T~1: 83523 ~ a~~k~r CO°r CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD . EAGAN, MINNFSOT-A 55122 . ~ ' ~ oAre ~ U 19 ~ ~ ~~r~.~ aWunrr & DOILARS ~m ~ ? CASH [I/CHECK ]a v 1 v • FOMR L4 FUND ~ OBJECT AMOUNT i ~ n f r~ : Thank You ev White-PaYars CADY valbw--Pos*ie copy . ~ Pink-File coar ~ BLDG. PERMIT N0. ~ D -~(GCI . • a 01-3210 Bldg. Permft 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 1~t3860 Road Unit 24~2 75 SAC 20-3865 Water Conn. i 20-3868 Water Trmt. 674Z 0/7 ~ ~ 20-3716 Water Meter 20-2252 Acct. Dep. , i 20-3713 Water Permit I 20-3743 Sewer Permit , 79-3866 Sewer Conn. D1~3855 Park Ded. i ~ i TOTAL ,3 C This request void ~~C/ p~k o 'F5~/ 9 4~1 e 18 nnmhs po m / ~ •96005 ,?8 13-~2 Ca. p. Rpquest UOte Fire N. Ro ph-in InsVeclion .~A 'i^~J ReqOneA~ ? Reacfy NowWiII Nouiv Insoec- ? ~ n~~es ~or Wh¢n Peady 4P Licensod Elec[ricol Contrector I heraby request inspection oi ebove Owner elec~rical work installed e1: Slreet AdAress. Box oF Rome No. Giv /J a<~ CK- (i r n. ~~7 ecLOn o. Township Name or No. Rnnpe No. Coumy OccvUAm IPflINTI / T Phone No. Power Suou~ier Adtlress 7LA Ve-. JF Elect ical Contractor (ComVany Name) Conlrnetor's License No. l~o2'uCW le~tc~L MaiM1 g tlJress ICOnVactor or Owner Makmy Instailauonl Authorijed $ nam re Cont ctor/Ow~r Mxking bistallauonl Phune Number ~ ESOTA STATE BOARD OF ELECTflICITY THIS INSPECTION REDUEST WILI NOT 'Ewey BIAB.- Room N-191 BE ACCEPTED 9V THE STATE 60P.ND itv Ave.. St. Fnul. MN 55100 UNLESS PHOPEH INSPECTION FEE IS -0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ^ ee-ooaoi-os III, ~ See inshuc4ons for comolebng Ihis form on back of vellow coCY. 96 0ll 5 'X" Below Work Covered by 7his Request Aqd Nep. Type oi BuJding Appliancee Wired Equiument Wue,l HUme Nanye Teniporary ServiCe Duplex Water Heater Lightiny Fixtures Apt. Bwldmg Dryei Elecinc HeaLn Commercial Bldy. Fumace Silu Unlonder InAusVial Bldy. Air ConditionCr Bulk MiIk Tenk Farm Oonrr o,.- v ihc, Isu,c,iv; Succ.i v t cr O'hcr ompute lnspecuon Fee Below p Fee ServiceEntrenceSixe b Fea Fexdors/Suhfentlers N Fn,u Cvcuits .)ti U to 200 qm>5 0 to 30 qm s . bv~ 0 tn 3Am's Above 200 qmps 31 to 100 Ainps 31 to 00 Am s Swimming Pool Abov¢ 100-Amn Above 100_/>mUy Transiormers Irrigation Booms Partia ' Fee Signs SVecial InspeCtiUn , $ TAI~iE Herrwrks ' ~O ~ "w ?w floueh-in Inspectar, heroby ~ certily thnt the ibove Final inspection hes been ~ made. Thb roQUest vaiA IB moMlu Irom CITY OF EAGAN NO ~ ~$S4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ! '1 BUILDING PHONE:454•8100 ~ ~P~opa PERMIT Receipt # p Tobeusedfor BASEMENT Est Value $1,500 Date MAY 17 1y90 Site Address ~ 4360 WOOD DUCK CIR Lot 28 Block 2 SedSubMAI,LARD PARK 3 OFFICE USE ONLY . P8fC01 NO. Occupancy _ FEES Zomng w Name JERRY GROTH (ncwaqConst - Bldg Permit $35.00 Addf¢SS (Allowabie) 1.00 o - Surcharge City Phane 688-8097 xoiSiories _ Length _ Plan Review o Name BASIC BUILDERS INC Depth - SAQCtly ~a Address 2810 145TH ST W SFTotal - SAC,MCWCC x Ciiy ROSEMOUNT phone 423-3114 S F Footprints - On SRe Sewage _ Waler Conn r uw Name onsiiewau rw - Water Meter 0az Addf2SS MWCCSystem _ aw City Phone CAy Water _ AccL Depostl PRV Required - S/W Permil I hereby acknowlege lhat I have read ihis app6ca[ion and st that Ihe Booster Pump - SiW Surcharge informanon is wrrect and agn to comply wtlh all ~P plic tate of Minnesota Sta[utes and of a inance~~/~jj,!/ ~ Treatment PI Signature of PermRee ~ L"v APPRO4pLS Road Uml AS.. BUIL R Pianner A Building PermR is is tl t. - Park Ded. on the express condition ihat all work shall be done in accortlance wtlh alt Council applicable State ot Minneso StaWtes and Ciry o Eagan Ordinances. eldg Olt CoOies 8utldingOflicial LC p!-~~ Variance - TOTAL $36.00 e r CITY OF EAGAN No 14g g 7 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 f~eJo a- BUILDING PERMIT PHONE:454-8100 Receipt # U~JJ 7o be used for SF DWG/GAR Est Value $118,000 Date APRIL 27 ,1988 Site Address 4360 WOOD DUCK CIR OFFICE USE ONLY Lot 28 Block z Sec/Sub. MALLARD PARK 3RD OnSiteSewage - Occuaancy R-3 M-1 MWCC System X Zon{ng R-1 Parcel No.. On Srte Well _ (Actuap Const V-N a Name BASIC BUILDERS. INC CiryWater X (Allowable) V-N z Address 14450 S ROBERT TR PRV Required _ # of Stories ; 0 Ciry ROSEMOUNT Phone 423-3114 Booster Pump _ Length 76' oeptn 45' , o Name SAME S.F.rotei o a Address Footprint S F. u m~ City Phone pppppVALS FEES ww Name Engr./ASSess. Permit 632.00 ~ i Planner Surcharge 59.00 i~ Address a W City Phone Council Plan Review 316.00 BItlg.OfL SAC,Cdy 100.00 I herehy acknowledge ihat I h read this application and state [hat ihe Variance SAC, MWCC _550. QO inbrmahon is correct a agr t omply with all a61e State ot Waler Conn. ~~Q. QQ Minnesota Statutes an Cily n Or ' L ~ WaterMeter .__(]]._QQ Signature ol Permittee L _ 325.00 Road Umt ABuiltlingPermitisis ued~o: ASIC GILDERS~ INC_ TreatmentPl 204.00 on ihe ezpress condihon that all work shal I be done in accordance with al I . applicable State of Mmnesota Statuteg and City of Eagan Ordinances Parks ~TOTAL Zr803.00 BuildingOfficial_J~,Uj-~pAl,~ I Ih C I ~ (grr#ifirtttr nf (Orrixpttnry , Citp of eagan lgppttrtmmt ~ Butiahtg JWprrion This Certifrcate issued pursuant to the requiremenu of Section 306 of the Uniform Building Code cerlifying that at the 7ime of issuance lhis structure war in compliance with the various ordinances ojtke Ciry regulating buifding construction or use. For the jollowing: ux cjzjru60~ 13,7 A'-ATl Bldg. 14rmit Na I4E07 Oxupancy Type It3/t'1 Zomne Usma R~ Tra c~. Owner of Bmldins ~nuc um> ]Y,- nee,m 1a5J 5~~ R.Oz.DiL'3P BwldingAdd. 43fiO j= Mla CIE= laxhry W.8p B2p T1-WI1`l.~ l?V1.~ L'S~' ~t I ~-MY 27, 1°E9 a,imins armi POST IN A CONSPICUOUS PLACE RESIDENTIAL BUILDING PERMIT APPLICATION r ) ` CITY OF EAGAN ~ 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConstmctionReauirements RemodellReoairReauirements D ~ • 7 registered site surveys showug sq k. of lot, sq. R. of house; and all roofed areas • 2 wpies of pian (20%manmum lot coverage allowed) . t set of Energy Calculations for heated addiGons • 2 copies of plan shovring 6eam 8 vnndow sizes; Doured found desgn, etc.) . 1 sde survey for eztenor addi6ons 8 decks • 1 set of Energy Caltulations . indicate if home served by sephc system for additions • 3 copies of Tree Preservation Plan d lot platled after 711l93 . Rim Joist Detail 0 ons sel ction sheet (hldgs vnth 3 or iess units) DATE VALUATION / 7 SITE ADDRESS ~(QO Vlv MULTI-fAMILY BLDG _ Y N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT 0 STREET ADDRESS (ZVZI~ CITY /S~TATE/'! ZIP ~ TELEPHONE CELL PHONE #&12(OF~CJi~~ FAX ~7S-/ Z~Y PROPERTY OWNER v t' - TELEPHONE # 6S/ -(.oU9 U COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINVLSO'fA RULES 7670 CATEGORY 1 MINNLSO'I'A RULLS 7672 (J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phonc Plumbing systcm includcs: Walcr Softcncr _ I,awn Sprinl:lcr Fcc: $90.00 Watcr Heatcr No. of* R.I. 13adis No. of 13adis Mechanical Contractor. Phone # Vlcch.mir<il systcm includcs: :1ir Condiuoning D~~~ c y; . 0 _ Hcat Rccovcn• S}stcm D Sewer/Water Contractor: Phone 0 1 2002 ~ °-------P=~-- - I hereby acknowledge ihat I have read this application, state that the i f m ion fifrreand agree to comply with all applicable State of Minnesota Statutes and City of Eagan Signafure of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3•sea.) ? 31 Ext. Att - Multi ? 03 Ot of _ plex ? 09 07-piex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant 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 Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Final/iVo C.O. _ Footings (addition) _ Plumbing Foundation H VAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Tes[ _ Final _ Nindows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC W ater Supply 8 Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , , . 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ZNCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WEiICH ADDftESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS 0 OF UNITS INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURYEY - CHECK WITH BLDG. DEPT., t SET OF ENERGY CALCULATIONS COhAlERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTUAAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENEftGY CALCULATIONS To Be Used For: Valuation: t{Zg~ Date: e/ Site Address OFFICE USE ONLY 1 ~ DOv Lot ~ Block On site sewage_ Occupancy P, 3 M-~ ~ ~ MWCC system ~ Zoning Q _ 1 cel/Sub y' ~1!' / 111- On site Well Actual Const Par V-N City water ? Allowable V-N Owner (S(- C'+G` PEiV required _/1 of stories /J Booster Pump _ Length ~ o Address /f~/y, ~ Depth S.F. Total City/Zip Code~SS/~?U!=/~/~//'~. Footprint S.F. Phone I~) Ua~d-~~ APPAOVALS FEES Contractor Engr/Assess Permit Z, 00 ~ Planner Surcharge 59, o J Address j ~Y 52 ~p , ~J6fif~ ~ ~ • Council Plan Iieview 6.0 c~ 1~y Bldg. Off. SAC, City 100.00 City/Zip Code ~0<S{VVUZ~iF1\~/~~n-JS~ Variance SAC, MWCC SS0,00 Water Conn 550. 00 Phone ~o/,; J~iprJ ~/~7 Water Meter W71 00 s j~ ^ Road Unit 3Z5.00 Arch. /Engr. Treatment Pl ZO LI , 00 / Parks Address L Q" Copies ~ 5 TOTAL City/Zip Code ~rl. ' J Phone Ik f~ . 1i,4LUATioN , GARAC~E.~ ~ . . ~ • • - . . • ~ ~V7r. XIyc 9cl6y 135?'YtT; ~ wYX30 = 13ZO . ~ -z.. - - I sT 7.~1+ X 13 = Z. Z SLl Z •"?`ti'~;.`'~.1'9~.(::%~G?W~=Vfl~::«~»~a::J_t._:~.:`1.+~..x ~7-1:~%. ~:y~y.;y,~.::lN'~j:E~:,-~¢.~s.-~.~~~.....~..~ . . 30 X 44 = I 3ZD ~ Zu X Zo - 400 z 7 x ?~~z= ~O . ir 4 = ~S L+sL _ . . . . . I1~yGz . : . . . I o n ~ ~ , ~ ~ ~ 'i • ,1 J . " `iy'•UU+ . . , ~:~w~ ~ . ~ ~ ~il ,•Ili~ r ~ -i~J•UU+ 5?J •i1J r ~;•T • tl~~+ ~ . . ' • ~ . • i' ~vn •UJT iLJli•tw+ ~ , . . . . . " - - ir/ -:J< ' 'l, e 11) ~ • 11 V . - " . ~ • ~ ~I . . ~ ^t -~rW~.~-W_~,`• . . ' • . ~ . . ~ ~I~ - . ~ . ~ • ' . .'I.4 ' • ~ . rv • ' ~ -_-?.~~,,,~N;.~t:Z ^rq_: :n.,,,`,:.i~:=CA.2'..'.;J.~'.~ ~1k~.~~-~"~ .iyr,~.~•~ "F~ ,Ae.w: • ' - .i~ y,~~."~ ' '`~.LLti~,` Nw ; ~ry:~e~ "„~a•^. :.,+'+'~Y "r•+Ce~ .v"aL`. .~•.?Y.'^ f;_i!-...:...r.-• r~•.'a~+~~~T''3'~.+,.:a'-~'~'~'-:i~.~":~~'fa~" . ,r•.' L. ~ , .4,..;tir:.--,: v.~ ~<E.T;.,« _s..~: . . . ' ' _ _ 1!t . ..~:'.._it' ? . Y•`'•'., u . Certiiicace fur: ~ . • • Basic Builders Inc'.• ' 3650 Upper 193rd St. ' ' . . Rosemount, Mn 55068DELMAR H. SCHWANZ Book Page 2S UND BVRVE'/ORS. INC , 1110912 Nr~U UnMr Le" W TM BHIb ol Mlnnwols 11760 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55088 812/1231789 . SURVEVOR'S CERTIFICATE :r17_ Ic ~'L~[GF?tTEL-•P? / V` n • ` .~o ~ ~ ~ ~ I :v ; v~ ~J ~ ~ I ~ O N-d Q 13 g o ~ ~.`1b4 - 00ti.l I ~ . . ~ 0, y~ • q~ti,B ~T°,~°,~v 3 8 Drainage ,I Q Utility ~ ~ • 0q Easements~~ ~d . t-\ I ~ ~ 8•a G z . ~1. , y,A7' A' 2 Scalei 1 inch e 30 feet D' L O Denotea iron monument Lot 28, Block 2, YAi.iAR11 ppRK THIRD ADDITION, according to O Denotes se[ wood hub n ~ the recorded plat thereof, . ~I Denotes existin Dekota County, Minnesota. ~3z•$ elevations 9 CM Denutes Naraae Elnnr Also ehowing the location of BM: '!'op' of sanitary aewer ~ a propoaed house as stnked . manhole at'south end of, ' • thereon. Wood Duck.Circle,. 1 heroDy osrllly tAat thls suney. Olan. or ropoh was . . . Drspsn0 Dy me or undM my tllncl supervlWn and , . IAa1 1 sm 0 Ouly RplabraA laM 8urveyor unWr Me Iaws o11M Slat! ot MlnrwWa. . . , ~ " , • Dalmaf M. SNweni . DatW 04-19-88 ' . MlnnaoU Rp4tntlon No. 8!26 ~ • : . - . . - : . ' . ~ . . ~ . . ' . . , . _ 'COMPUTATION,-~ . . . ' ' , . • . .'.~'EXTERIOR ENVELOPE AVERAGE " : ' owt~ii~ I~tR JFSZ~.~ ~ G~''t'K ~ • siiE iwoxEss ~.360 l,[)2nd 17u,,-k l'.,Pa.~a A,e, i~A:2,ek /o cocaxRacroa P~~ ~LO2•~, naaE~lg~ PHONE~ _ _r-- Determine workinq square fooiaqe of each. 3. Total expoaed wail area sq. ft: x . 1 . • _ - . z. Torai roof/ceiling,.area l1q...re: ~ A. Toial wall window area LP . • - 55.4 , . . ' . • ' . " B. Total door area C.-TOtal alidinq qlass dooz area.......:....:.......' .O ' - D. Total fireplace wall area:'.'.:.::~::.,::. x u. . . E. Total wall Praminq area (evaraqe F. 1bta1 Rim joiet•arna............~ . • . . ~ ~ G: 1bta1 Net wall area.abova.,floox: - : 'rotal exposed tonndaEion~raresl= =4"' 5 . " ; , F• . a 14~ „JV., ' . : . . s , .•i . . : ;.::~e;4~9 iT4::i~~r~. :?-f._~it,r'_ .;ue~•_, e•« , r~ . • ~ . 1bta1.foundatioa viadow aren........:. Z, Total net fouadation area above grade....i~.::.:~ 10~:.0 " ~ . . . ~~r.~.°~'<~.,L;a:3,~'-:; Y'....o.y ~:..5~..; ..i... . . . . • . patasmiae "D"' dalue'of "eh'va21'-eoqment.,,. Y'ntlw .,y,+ iv.,'`~,'~:K,,. • 7' - ~ ~ . b . ' _ . , ` : , . , . . ~ . . • - ~ . . ~ ' . . ~Q° ' • r'~'isZ~-~ . " ' ' . . . . • - • • • L '•,`11'~ ~~l ` • b•'•FI ~ i y . . , • . • c. "D' , ' , d.~~~. 7_112.0 IL nD'w. 'n:"~, - . ' . . . . . • . . , . . _;~;rti~: _ , - ~ . . . , . . ' . . ; . : . :.r .:~Y ? »e~.. • f, s,'r. ' ~ . . ' . . r /J?'1~1 'C~ .X ' ' ~ ~~'r.;i• :~~r"ai;''~'~LI ~.i;:.,..;'vct: ~+i'> . . . - ~ ' 4. ouw ' ~hi''."" '-'l ~ . ~ . ' . . . . . %t.. _ k .`...•{,s.•'.:~+.,::''t;t=;:"^`;: • . . . ca--~ . • . n: -o- 'x~ro." . . ~ . . . . . ~ , • ~C w . ~;3. ; . ':1+~s ~"S a S.T,: c.. ~.^'.:7^' t , . , X Y 'f . . • i.~ ."D!:. A :4':~~.;,*~in': : , ~ "<~,.,ts;;;_~;::.:,: . . . . ~ _ • , . ~V. s~,*~-t . " . ~ - . 3....................'.'....... . .Totil~,.`-.~~6.`'~~ 1', . V`. • ..r . ..'s:.•S<.aan::,~;~".',.._'.-, . . . if item #3 is the same as, or laes'thari;item~'i'::Y~4?ide-tiiet' the intent of ~ 58C 6006 (c)2. ~,;n . . . ~J;r,~: C~~~'`~1~~~~t~w~•~{Te~a'Y44~..`.~f ..~~'..F;~,K~~ 'y~.~ . . , , , ` ~,3_A.... . . . . . . i~~, ~r;' s~; Y a.~ t~ . . _ . . . -~-4 . _ `«n:~~~s3°,;~?,''~i~~i- " ~°4~:^~:~.* •'J•:. . ~ ~ . _ . . . . _ . . ..:bd....:. ~"':ni .~=_Ad . _ ..1`~F:.G~. ~C _ . ~ ~ ~ ~ , ..l . : : . . . . ' . ~ ~ . . . ' A . . . . . ' . . . ~ . . Total exposed roof/ceilinq'area ~ 2 , j.'TOtal skyliqht'area 0 ~ k. 1bta1 roof/ceilinq framing area .(average 10i)...... l']3,4 1. Total net,insulated roof/ceiling`area I~=s7 Lp Detarmine "U". value for each roof/ceilinq segment. J. X "U" 0ILO . . k. \23,4 x ^o• .0215 - 4175 ' . . . 1. 1 :J~Z' • lY X -U° -SI 4 .............................:.......TOta1 If total of q4 i.s the same as, or less than #2,,you,have mat tlie intent of SBC 6006(c)l. , . • _ . ~ Altesnate Huildinq Enqelope Deaign:,' ~r. _ ~ To utilize the tot,al envelopa syatem,mathod,_the,valuea-'eatebliahed by,the ' sum of items N3 and N4 shall aot be qrenter than'the aum'oP items 91 aad 92: ~ . . , . . . _ . . . . _ . . . 25(P.~ + s. ' o15~~',s'~~..;:Y_ .:301 . , ~ a. + a. °lpe ~I . . ~ . , . ~Fi` , . ' . . . . . • . ~ , y . ' " , ~ ` •i~}• • , ~ , ' . . . . . • n- . . . _ ' . ' - . - . . . . . . ~ • , ~ . ~ . . „ ~ . ' . ~ . ' . a.~_.~..„ y . i ' . , . • . ' ' : , , . • - _ • - . .r.. ' - . ' . ~ . . . . ~ ..A ' 1 ~ , . . ~ . ~ i.~ ~JT . nY'~u r:Y`^*-^,1 ~ . . • . . . . . } ' I~I • • : .P~t' k`. ..n . . . ' . . . . : n` . ~ ~ , ` . . i' o r h..30.. ^~..,-P{ '4•- r , ~ . ' . - • ~ . 't,js~, . . ~ . . . • . . . , ?t .l':~.'~ ~ . . . . . . . . , - ' ' . ' ' • . . . ' . , ~ ' - . , ' " - ~.-....--o...-'-.._. - ' ' • . - - , " . - - `.:"._,r'i~^'".-. • n•• ' .-r.Nm- ~ : ..e"'';'^r-:^r. x . . . . . . . . . , s, .r: 11 :.F. . ~ , . _ . . . 9~;T ~K• . . . d' . ~ . ' - `WALL ~~;r.•r;oNS.~, Nc+P' ~ Us~l15s. uf'op~quc', wall area tor. . ( ;framEr conatruction..-'~_ . . ConstrucY.ion. R-Valuefi;' : I l. anterior aiz film 0.68 • 2. %ta" -,Ni4't'12oC.1< - - . 4cS i.nches sofr. wood $Co i " a. .4 5. SiQit~lr~ .4e~ eAS=C 6. Exterior air film ' 0.17 ~ i WALL. ' . 1bta1 FIG. Nl TOPVIE[9 OF pgpME wAyi, 1. Interior air film 0.68 _ 2. • ~I~'c_ rx~L .,45 . • ~3. ' • . . ' ' ` . A. ' ~ 'S. . ~iU11.C~ .4r'~ ' 6. Extezior air film 0.17 FIG. N2 Total 41 . 4 ' . ' ' , . , ' . ' v ~ • lY 1. `,interior air film 0.66 , •,•i ~,~,~U ' . .2 „ I 47SUL :s. 4. ~ a " ~ StiB IA1L1' 3 .5: .45 :1,~5eral ~ . . . . _ ~6.~ Exterior eir Pilm 0.17 'nr n11 i:t ^ • 4: h _ i,.v.:, 'ibt51'. {s .k.~. . . . • , . ~ . . ,,~:f., ~ :-f., . ~ V _ ( ~ •U• • v • • . ^ , ~ ~ ~'t~?~,1"t~~_.Mf:r. ~ Interios air7film 0.68 . ~ : ,t v ' 2.: )M9axzox . ~ . . , s.: ~~~:~.,r ,,~zr~., WALL •d• • 'oc `4.;~ . • ' ~ V\ ~r , • i-L~ 5: . . . : ~ - r =:~~'j.• , . 6. . Fxterior "sir"film 0.17 . . . . . TOtal ..Vi.,.~ . _ • `a; , , ,,-r..:' + _ . SLAB ON-GRADE-.- ' . . • . , . . . :1~' ~`ti::• , ~ _ _ , , . . . ~ ~:.d., .:y..~' f e, . ~'t~ • ' , •'4,.+...•a; ti . L4^ ~1~: ~ _ r . ~ ~ a ` . . • • w . < . •t. . . .4'~'S ~'Ll.'MMn.~ ti; ~ ~ ~ . ~ _ ~ • ~ . , . , 41ILL -,~ir k . . • _ ~y(. p.` ~ ~ ~ i lf( ~V d ' • ' . ~ . ' ~ l(r /r/ . iri : ' ' ' , = ' ' , • i~i . ' r FIG. H4' FIG.'#3 ' ~ • ~ ~ ~ . • ~ : ~ X . ~ _ ~ ' • ~ . 4` _ u~_ - , . . ~ NOTEs 'Indicate typc, "R" value, denth and ' . • • ` ; ' . Placenont of insulation. . _ ` . _~-....-..'~-~,-_s :.r.~..~'~-,~--,,,'' ^~,;~`i___'~;'.~""_ • ? '.a4~1 ' '.r, . . . . ~ . ' . . ~ - . . . . ~ . . . • - ~ ~ Constructioii (Use for Ztem L) . x-Value ~ 1. Interior air film ' 0.61 A Z• 3. ~Z~~ e~~.>?.~ 4. Exterior air film (still 0.61 ~ vEtyT • . . . . Toeal q1~p ; U-7 ` . , . ~ . . . ~ ~ • Y ~F. . L/ ~ , FRAMING(Use, for Item„K) Vented Heac flov- . • . . _ ~ . . ~ . . uP T:'-Znterior Air film - 0.61. , , . ~ 2, •~~l-14~f"(~~r~.., . •4ES . . ~ • ~ , . , . , „ . . , ?,3.Inches soft wood FIG. i5 . . ' , ~ - . . : . ~ . ~ • ' • .,'4. Znches inaul~above framina" ~ . . . . < • , , . ~ . .5. 'Air Pilm : ; ~ • . . ~ 0.61`- ~,1A1T.'.~Y.}V~~~~~'.LlY~Si~f~.~r~~3S"~ ~ ?1~ _ ' `1 ' i~.;';!u xa-n _ u=~O~ • ~ . . ~ . ('r~.rn'e.Mrv . f . . .\`I. "S.' : . ' 1:taisrioz ais`,Pilm 0:61 . • . ~ ~ '~~.Z. ~ ~ ~ .y~ tif~.-~-. :.•%,r... s. - . ~ ( !t~ :'3' } , ..G~ ' i F. . "Exterior a3r••filtn °(sti13) 0.61'.' e+t++..•«+.• 1'Ot81,.! . . , . . . :-V . ~ . Y. • ~hy . : ~ 4~ t4k~°e.. l. .w i. _ } ' ' 45V,'.7y . : ~ . . . ..y...r?fH~~: . . . , • lieat'flosr ventad: ;ti;`: s::'`°, ~=9.~~ ~ ~ ~ . . ' . ~ . . . ,i,,.,,,.. sFZG: M6 • . _ . . ,~.xL"' : ° ti - - . . ' . • . , . . ~ - • - . _ ' . . • _ . D I v . Li Inside 'air`'film ' . 0. Gl 2. ' ~ : . , ~ ' ~ ~ ~ e. PY['~P ' ..~~+ti'!. ' . - > • ~ . . ' , r.~ •G?1.'•`t'~'1 ' ~ ~ ~ ,4 _ . , , , . . . ~ a~y'1••••:•.:~~'. +5.•~• a OUfsidu'Sir1-film. ~0.17 : ~J° ,z3 ,ki~~•~- ;'-•`s; .TOtal ' - „ ; '~n~. r.w . . . ' . . ~ ~ ~,t','S~',', ~ . " t ' . . : . . ' . . OPO.`aflditional shcuts`if more cpace'ia - • ' . ' ~`r eedeFor dFtails,and:celculuttons. . , . . . pQ8t . . R flov 'up~ ~ RT.Q, 47 . . . ~ ~ . , , ~ ~c,:~..t~` ~o. , r~ ~ , . t . ' . ' • . . . ' i - . . ' . " , . . . . J.r: .'a' ' ' . • li . • ' . ' . ' - . .'.7''~1.:~.• ,q"^tn' -•-.{m-'.. 1 5. , . _ , . ..~a. #5..~ . .....Y.`.rY .A.i..'~v J+5~:3..r' 1 .h..,,. .•rn:i'`.:'a.: . . . , l 990 BUILDING PERMZT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGI CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PIGKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. • LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORPIER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SELIER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COPIPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. / *ar 1,5 RECo To Be Used For: Valuation: Date: Site Address OFFICE USE ONLY Lot 14) Block FEES Occupancy n Zoning Parcel/Sub Actual Const Bldg. Permit 35 / Allowable Surcharge Owner ~r/ y (~-/-o # of stories Plan Review ^ Length SAC, City Address Depth SAC, MWCC c S.F. Total Water Conn Gity/Zip Code `a¢t„¢ti/,Footprint S.F. Water Meter I Acct. Deposit Phone (p p p On site sewage_ S/W Permit ~ On site well S/W Surcharge Contractor i MWCC System _ Treatment Pl. ~ City water Road Unit Address 2e-(6) ~`ls-~ PRV Park Ded. Booster Pump Copies City/Zip Code grs4~~ SUBTOTAL APPROVALS Penalty Phone Planner _ TOTAL _31n.()!1 Council Arch./Engr. Bldg. Off. ZjE5/16 Variance Address City/Zip Code Phone # . *#*k*t##*kt*fk**lttttYff!?t1*#!f4!*!F • C I T Y O F E A G A N *NUTT,' PAYMMNC OF FF.E AT TLME pF ; ~ APrLxcATzoiv ooFS NOT ooNSizTUIE * *t APPROVAL OF PFI2FIIT. * APPLICATION FOR PERMIT * * * INSPDCrION OF SEFEt ArID/OR FR,TII2 ,*F it$'TAT.TATIONS WIId. P]OT BE SCEm- • r • SEWER AND/OR WATER CONNECTION : 131 UWM PMMT HAS BEEN * ~ » APPROVID. * * * • * » • **r**f r**r~*+xw*t,t+,t,tt**+,t,r**tt,t~,rt* P ease Print 1) PROPERTY ADDRESS: y~~pD W oo 0 CK (7 LEGAL DESCRIPTION: L-DT c;29 [OC&L ~K- -(Lot Bloc Subdivision or Tax Parce ID ) 302 IF E}QSTING STRL'CIVRE, DATE OF ORIGZNAL BL'ILDING PIIRh1IT ZSSL'ANCE: ~ PRESENf 7ANING/PROPOSID LSE: (Nbn Year ) ~ COA?MEEtCIAL/RETAIL/OFFICE SZNGLE FAMILY ~ IISJPSTRIAL f-I R-2 DC'PLEX (7tvo C~nits) n ZNSTI7[JTIONAL/GOVIIUZElp ~ R-3 MWNHOL~SE (Three + Units) ( L~nits) ~ R-4 APARTNE[VT/CObIDOMINiLT1 ( Units) 2) NAh1E•~17~/~ ~U/~-OCr~S . ADDREss: • ciTr. STATk, Z7P: OSE)yl(Id/CJT, 53306 ? PxorE: ya3- 3/~4/ 3) r~• For City Ose . Plumbers License: ADDRFSS: ~f~J~/J~ S D UTT`~ ~D,O c"7'ZT 7Jl~it~ N Active CITY, STATE, 2IP' . o ~ Explred ~ ~ St'7'YJOd~dr,~ Vyj /.J 3Z,7~ $ Not recorded PHONE:~oZ3-//~/5/ MASTER LI(ENSE# /85(91;~7 St~tial 4) eM • i51• tuanE: ADDRESS: • CITY, STATE, ZIP: 6HQ'YL : • • vM: : a • o~ a. o~ 2(CONNECTION TO' CITY SEWEF2 aeCp(q[1ECrION TU CITY WATII2 ~ pTHER . 6) • ~ PLEASE HOLD APPROVFD PERMIT FOR PICK-UP BY ONE OF P,BOVE . [~PLFASE MAIL APPROVID PERMIT TO 1, 2, 3, 4, ABOVE- ~j,l•u~ D7J . (Circle one) 7> • 7' ~ Y• y I: M Y 1~ ~ • r N I ~ u r ~ / ~ ~ ! 1 ~ • /1~• IJ ~ ~ Y f fOR CITY USE ONLY - PERMIT # ISSUED , S ' • Pd w/Bldg. Permit FEES: $ $ /D•S~ SEWER PERMIT (INCLUDE SURCHARGE) $ $ I0'5-2) WATER PERMIT (INCLUDE SURCHARGE) $ ~ 7'0 ~ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCL[iDE CORPORATION STOP) $ $ SEWER TAP $ $ ~S•d D ACCOUNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $ ~S'- U •fJ'D $ WAC $ W SD ~ $ SAC $ $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT • $ $ ` LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ r,2,0 y- 6-0 $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ I'Y 71, v' v $ .rI• ~Z~ TOTAL - (~33a z s-z 3 RECEIPT RECEIPT DOES [)TILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC Q ROADWAY" MUST B° ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITIONS: APPROVED BY: ~_.~_B_,~~ /y~z(J~j'~~ • TITLE: DATE : 1 RECORD OF'COMPLAINT DATE: /0- 9o COMPLAZNT TAKEN BY: ~C-7p-GE-y f1-l~ NAME: wC.S t-qn1 L ADDAESS: ~1 3 S~o ~ o 05~ ~uc ~c C~ R, PHONE NO.:_ ~IS Z- P»iSSI C~~ COMPLAINT: r' 1.Jr.(C-f-173~%y1 ,47~t~36C N45 13E~J Lv 177-JcuT M I T r T ~ ~ c.qN N-e16H.Sc,e i-,~c,vr ACTION TAKEN: `tz, T-~ -L2 D s7'c~lz=rz'r-e Cf:~n/T~'}c~T /U~rG-Nk3~x FG 1'' f7i ~n vw cUci oni s'~2v-~rvK COMMENTS: 3O ~ANk C LL%D Li F-1E 'D,~D IUiJT ,4 i2CPL4 DA-- K\kJ c Y0 A-L] u 5,i5 HIS iU A-1l'1(=~. TYPE OF BUILDZHG: LEG6L DESCRIPTION: C~j(~~ r~ ~ SIGNED. - ~ ' . ; RECORD OF'COMPLAINT DATE: COMPLAINT TAKEN BY: ~a le el, ~ NAME: 06.C La„~ ADDRESS:_ ~/-3 5 6 PHONE NO.:_ COMPLAINT: --~e~6yido~k~~_~i~~nr,~ v _VOne( 6uck__ C%/' nan.l - Ter~v arot~ - ACTION TAKEN: -:25 CDn faGfP~ ~'~+C GaiPi C00%NC rz/ e II ~ - /~.S Obfaih;h0 c~ vi~ ~ nO~vy~;~ 7- COMMENTS: . lJ~PC' Lc-r,P 's virc'o~ 62Cavc t<te Aoo,qcowi,ee i s _/'EV++QGrdiGrq tAp h C[- nt t0 n+a kc an Aptt~e t, I-f2r 7L.0 1.,p ~'o ~~e huil~Pr it iz{lt bP ~ i('/Bo TYPE OF BUILDING: n - - LEGAL DESCRIPTION o~ -Z ~ SIGNED: ~ ~ - - RECORD OF COMPLAINT DATE: COMPLAINT TAKEN BY: S O'E I"1 C.RCH A< NAME: WtS L,qNE ADDRESS:_ (~E E PRE~Ich.tS R~fsbS OF e-oM P~AiK'T'~ PHONE NO.: COMPLAINT:_ C~OMPt.AiNTI\i~ S~.l~"'{'~D THAT Hr- S-N SPEc-TC?R`~ AR~ NdT SNf'bP.VN6. T;J£ L,4W5 t1 Nb HIS Ri(,rl'1'Sp A,S ,4 CiTiI OrJ ARZ 3tING Woc.a7eD roR.- _Eg,qMPLE 16!SPS=M1k5 a#D NoT $Taa CpNS`mtkcTiON op~ Dc) i1•ISPa-T1oSS 6W A 7~1EfG-+lBo~2~5 +IOME ,4N'E) TH.4T AN ACTION TAKEN: PAQ1'7v~t~T W ~1 (f NI~T ~lIU4dTZ1/l~ Oi~'-fHS NIN 6 /C~` ~,'l~ai ~IE IS N INSONto + FVAMZ o ou R R"65uC E ca ti,a PL41Al -rt,> C~ L. H'C w t Ll w,ANrT To r N sOFGt aGliQ (Zsr.OR1`Fj COPPIENTS: ' . I N FO'eNIE.p COAtiFt iNT.nNT THAT D APF-R.MiT hAS t3t--SH /k Pt~~kED ;=aiZ 2' .~ctE '~ROCr."SS JvtU~r Bt f:O(.l:OwcTj , EG WE NEED1-LRA1iSS/ONTp 9ENTEN PR/UfiTE Noewjj?~ (A~ -T+mI4T TNE US~ oR -ZDWN& Lfs' AN 'lj~;vr.(E THAT MclST 8E .4DAR~-°C'^D 5'tPE1Q4M Y) L~_WE UJ/LL ,'g"E ENFO+C'G~NGy?~E $ CAA~ ~,,5~ Z ll/~1S f.llJrkW+11~. O~-^ TYPE OF BUILDINGe - ~t~ t' u R(t~NT ti4TZtS ~F ~l.lh2 ATl~~hr! ~J . LEGAL DESCRIPTION: ~ SIGNED. Jo~. xlIZ-eC.H aY, 3830 Pilot Knob Road Eagan, MN 55122-1897 ity oF a~gan (612) 454-8100 • Fax. 454-8363 RECORD OF TELEPHONE CONVERSATION DATE: S 3~~ SO TIME : y. 20 P NJ• TALKED WITH : - Terrv GroJ-~ REPRESENTING : Je ( -749 PHONE NO. : ':~o 6 ~ p SUBJECT/PROJECT/CONTRACT : - 6.5"'4 Aih;s'l ITEMS DISCUSSED :-f~°rrv o7AP his bs.yt ~or Ai1 ~72 ~ //ia~ f!on % t /+oh2.ii /~nt PhGLicLViqG/X Ot ~~e 7LG,in area s 60ere C.rc/ut'vp 7~9 fhose ocGv~aHts /!?:S Sitiia.7~ien CYi~X ~+df i'//>2Qi+ ta -/701"cP DQie s~~o~~~y~ CITY STAFP ' cc : THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3830 Pilot Knob Road Eagan, MN 55122-1897 ity oF aagan (612) 454-8100 • Fax. 454-8363 RECORD OF TELEPHONE CONVERSATION DATE TIME: TALKED WITH : Oe-r lQ~ e- - y3s6 waW &ck G',- REPRESENTING : I PHONE NO. : .33 SUBJECT/PROJECT/CONTRACT: 1~~ - heis~~nr G~aihq 00r/< in 6s...,t l?Pi941irS a4ziesl'- ~13(0 lJoo~ bi, ck Cir. ITEMS DISCUSSED : GJe r 744e-f ks 4e0,44or Sr~t. ~/of~, is ~~•,;.s~;n9 ~is bs..f ~~r tiis ~~`~e~ a~~L /vJaGtiEr rt c~avl~ de G v%a/afte„ Oh~ /xoiie v G,~z r P.rc~d•.Qee~ Y (I I1e 71~ e f'wo arPas were G~.rclus:ve ta ~-~eS'e 6cc.g~s Da~e Sc~2oh 2r CITY STAFF cc : THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY ~)O 5D 2006 RESIDENTIAL MECHANICAL PExMiT arrLicATroN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please wmnlete for. sinele family dwellings 8 townhomcs/condos when pcrtnits arc rcquired for each umt Date 1 Site Address y J&V w(')od, Dl lf't, ~A f(~.1 eJ Uni[ # Property Owner r-e{e, v i2X-(3 Telephone #(~,5 1)~ 5~-- ~q ~Jb Contrac[nr voCITc 0 ~ t e.C Street Address ~D E[1, ~~n ,~\)-e-A 1 Aei City ~94~ State M~ Zip 56(~3q Telephone#((--51 Rond Expires: The Applican[ is _ Owner I/ Contractor Other Add-on or alteration to existing dwelling uni[ $ 30.00 ? furnace _Additional /Replacement r- _ New airexchanger air conddioner heat pump • 1 ~ ; ° other Sta[e Surcharge ~ .50 Tot,l ~ 3c~.5D 1 hereby apply for a Residential Mechaoical Permit aod acknowledge that the informatioo is complete and accurate; that the work wfll be in cooformance with the ordinances and codes of the City of Eagan aod with the Mechanical Codes; dhat I understand [his is not a permit, but only an application for a permit, aod work is not to start without a permit, that the work will be m acwrdance with Ihe approved plan in the case of work which requires a review and approval of plans. ~ u~ ) Applicant's Printed Name Applicant's Signature - ~ far oluoe use _ _ _ _ _ _ , Clty of Eapll I Permil H_~_~ ~ ~ I I 3830 Pilof Knob Road IPermit Fee: Eagan MN 55122 I Dale Received. f Phone: (651) 675-5675 ~ I Fex: (651) 675-5694 ~ Slall. ~ I 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Dale: ~510I v~ Sile Address: WvL)~-ULCk ~L Tenanl: e. Sulle q: RESIDENT/OWNER Name: e.~ Phone.~_ Address I Ciry 1 Zip l•l_~~Q 5 0~;) CONTRACTOR Name,Y-Qz'~~x~lY~l(1,~~ Address _tL`[_Ll ~ 1 - City: ~State: Zip PhoneL 1~ Q Q IX~~ Conlact Persoriy~~'-1 TYPE OF WORK _ New 'Y-Feplacemenl _ Repair Rebuild Modily Space Work in R QW - - - Descii-lionol work:- PERMIT TY,PE , ,RESlDENTIAL . . . . . , _Waterl~leater ~ ~WalerSoftener . ' . . < Lawn Irrigalion Add Plumbiny FixWres RPZ PVB) Main Lower Level) Seplic System Waler Tumaround New Abandonmenl RESIDENTIAL FEES: $50.50 Minlmum Water Heatzr, Water Softener, or Wafer i-leater and Soflener (indudes $.50 Staie Surcharge) $30.50 Lawn Irrigalion (includes $ 50 Slale Surcharge) $50.50 Add Plumbing FixWres, Septic System Abandonment, Water Tumaround' (includes $.50 Slale Surcharge) 'Waler Turnaround (add $136.00 il a 5!8" meler is required) $100.50 Septic Syslem New ($10.00 per as built) (includes Counly lee and $.50 Slale Surcharye) $90.50 Fire Repair (replace bvmed oul appliances, duclwork, elc )(includes $ 50 Slale Surcharge) TOTAL FEES I hereby acknowledge Ihal Ihis infonna6on Is complele and accurale; Ihal lhe woik will be in conlonnance wilh Ihe ordmances anA wdes ol Ihe Cny of Eagan; Ihat I undersland Ihis is not a perniil, bul only an applicalion lor 2 pennil, and work is nol lo sl2il wilhoul a pennil, Ihal Ihe wmk will be m accordance wilh Ihe approved plan in Ihe case ol work which requires a review and approval o lans. Appllcani's Printed Name Appli Signature FOR OFFICE USE Revlewed By: Date: Requlred Inspections: _Under Ground _Rough-In _Air Tesl _Gas Tesl _Final City of Earn 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 #: 05, " Permit Fee: Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ,/5 , ,�d/2Site Address: .4/56,6 1, CI 00 G ( k /27l-K:�: (e Unit #: RESIDENT', OWNER Name: Address / City / Zip: Applicant is: v Owner Contractor Phone: 07-.47(7--D ,;79,5-e) TYPE OF WORK Description of work: Construction Cost: 6, )O n Multi -Family Building: (Yes / No 'V-) Company ,14,--/(3I-5 wC c. - Contact: fSivt-[ L� Address: ''A ( 2 Lj �-k I City: State: A/A1 Zip: 653/1 Phone: to-/-- _553 7 License #: (_ �, ,53F e7 Lead Certificate #: /SA / — "7-6 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes ✓ No If yes, date and address of master plan: Licensed Plumber: 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 may 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.gopherstateonecall.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 Building Co' - must • ompleted within 180 days of permit issuance. cant's Printed Nartie x Applic Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA130456 Date Issued:04/27/2015 Permit Category:ePermit Site Address: 4360 Wood Duck Cir Lot:28 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-280 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 - Pedro O Verdeja 4360 Wood Duck Cir Eagan MN 55122 (651) 246-3696 Mc Exteriors Inc 274 New Brighton Rd St Paul MN 55112 (612) 221-0084 Applicant/Permitee: Signature Issued By: Signature