4420 Mallard CtCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
%r-i iFni4l ! f?kt? ? i
I I frl.f:ltP#
PERMIT SUBTYPE:
I 7 ' , iI '( I
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
, Ht (,C V APPLICANT:
I 1? i .11!1 ? I!lf?l{
TYPE OF 1NQRK:
01.. ..1 S! { {r 1 I I1N
tTI: I.{
ii 4 Ilti, - )
11 ! JA I 1 I. ) 0A !
Permft No. PermR Holder Date Telephone #
S!W
PLUMBiNG
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date insp. Commenta
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
N OL
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Gonst. Meter
Engr.lPlan
Bldg. Final
Deck Ftg.
Deck Final
well
Pr. Disp.
CITY OF EAGAN Remarks LI / :
Addition TIBEROIV ADDITION Lot 21 elk 1 Parcel 10-76400-210-01
Owner streec 4420 MALLARD COURT state ?M MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 310 1977 307.21 30.73 10 61.45 A013092 10-27-83
STREET RESTOR. 19$1 953. Z3 190.65 5 190.67 to to
GRADING
SRN SEW TRUNK 1974 128.30 8.56 1S 34.34 A013092 10-27-83
* SEWER LATERAL StUWCb 1979 1483.09 98.87 15 889.87 " "
WATERMAIN
* WATER LATERAL Stllb 1979 irJ
WATER AREA 1977 128.22 8.55 I5 59.90 A013092 10-27-83
STORM SEW TRK
STORMSEWLAT 1981 79.71 15.94 5 15.95 A013092 10-27-83
CURB & GUTTER
SIDEWALK
STREET LIGHT
RO UNIT 250.00 35757 5-11-83
WATER CONN. 450.00 if
BUILOING PER. 8016
sAC 525.00
PARK
I
- CASH RECEIPT ?
. ?
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ' 19 '
neceIveo
FROM
AMOUNT $ I
? DOLLARS
?oo
? CASH [jCHECK
ROR
bca_or7
White-Payers Copy
Yellow-Posting Copy I
Pink-File Copy
Thank You
??.J ' BY
Receipt --•'
? - -1. Date 2. Insta
3. Job Address
4. Owner
5.
6. Address
' Permit No. .:-
Fee
. 1
? S/C ?
Tot.
? ?'-`7
?Blk. ? Tract'
- ?`-zl?
~ PlSone !i???J _e•'y1" ?/
. ,
-r
7. City State Zip
8. Buiiding Type: Residential ? Commercial ? Institutional O
9, Work Description: fVew ? Add ? Aiter ? Repair ?
10. Describe Fuel Type
,
.?
11,
No.
• Eouioment/`; STU - M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
?
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Qther
Air Cond. ?
Mfg. ? .
Gas, Piping Qutlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and c-odes governing this type of work.
Signed : - - for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?
ITY OF EAGAN
795 Piloe Kneb Raed
sgan, MN 55122
n.,in.,•
Address:
r: , .
to wmPy wtth ehe Citp ef Eagaw
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
_ No. of Units: I
t
Connedion Chorne: Account Deposit:
Permit Fee:
Suroharge:
Misc. Chorges:
Total:
of
CI'TY OF EAGAN WATER SERVICE PERMIT
3795 Pllot Knob Rood PERMIT NO.:
Eogon, MN 55122 DATE;
Zoning: No. of Units:
Owner
,
Address:
Site /lddreu: '
Plumber.
Meter No.: Cannedion Charge:
Sixe: Atcount Deposit:
Reader No.: Permit Fee:
1 sgree to eomplp with !he City of Eagan Surchorge:
Grdinancea Charges:
Misc
. .
Total:
By Date Paid:
Date af Insp,: insp.:
1 ,
Receipt_- PLUMBING PERMIT
. • CITY OF EAGAN
t
Permit No.
Fee
Pill in numbered spaces S/C
Type or Print legib/y
Tot.
1. Date - 2. Installatian Cost
3. Job Address' ' " - ?Lot?Blk. ? Tract
4. Owner
. ,
5. Contractor
6. Address
7. Gity .,. __ . ..
State ? Zip ? ? -
8. Building Type: Residential ? Commercial ? Institutional O
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
? Lavatory , Softner
Shower Well
? Kitchen Sink
Urinal/Bidet Other
Laundry Tray
? Floor Drains
Drinking Ftn.
Slop Sink
! Gas Piping Outlets
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
Rough Final
Inspections: Oate S'% -43 Insp. r.+-'el Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 454-8100
r---
CITY OF EAGAN
' 3795 Pita# Knob Raod Eogan, MN 55122
V 1)?Ek
' PHONE: 454-8100
BUILDING PERMIT
Site Address 4420 M811ard Court
Lot ? t Biock 1? $ec/Sub.--HME
Porcel # lo
a Name 'Marxiott Hornes InC.
i ??? 9549 Clinton Ave. So.
Rlikemminafnfr .,.,. , - .... .. ...,
a
z°
oU
u
?
Ncme
Receipt # -:3 9:7d 1
Erect n Occupcncy _ R-3
Alter ? Zoning R-•1
Repolr ? Fire Zone NA
Enlarye ? Type of Conat, VIl
Move o # stories _ A Sniir
Demolish p Length 49
Grade ? Depth -!Z-Sq. Ft.
Appeovals Fees
Address Assessmenr -
Water & Sew.
City Phone
Polict
Nome _
llddress
I hereby acknowledge that I have read
the informafian Is correct arrd ogree
State of Minnesoto Statutes ond City
5ienoture of Pertnittee
arr ott ome
A Bullding Permir is issued to:
all work shnll be do", in occo Ith all opplicabie
Buildin9 pfficial ':.`
** TO EECOME LQT 21_ BLOCY 1.
Fire
Erg.
Planner
Counci I
Bldg. Off. 4-22-83
APC
Permit (710
Surchorge V) _ Sn
Plon check 15$ . OQ
SAC - 525.00
Water Conn. 450. 00
WoterMeter 63.00
Rood Unit L5n-90-
Totul • 17 `? 9. 5 ?
on tha express candition thnt
of Minnesota Statutes and City of Engen Ordinancrs.
Psrmit No. Permit Holder Misc. Permit No. Holder
Plumbing a { ? p 2
H.V.A.C. ?S ?dK • `? i S-'T `?
w.u
w?..
D'ap. Sawar ?
Electrie ?S$ -?i'Euttk S-I -
Inspection Date Insp. Other
Footings
Foundation
Framiny /,C?
Rough Pibg. $3
Rough HVA 43 AP
Inwiation
Finaf PI6g.
z -?y
F{nal HVAC
Final
-/ -
Weter Describe Location:
YVell '
Sewar
Pr. Disp.
REQUEST FOR ELECTRICAL INSPECTION
' See instrue[ions tor comDleting this fmm on back o} yellow copv.
?- v?156
"X" Be/ow Wark Covered by This Request
j- EB-00001-04
3s-74z
l.dtl Nep. Type ol emldine Apuliances Wired Equipmenl Wved
Home Range Temporary Service
Duplex Water Heater Lighnny Pixtures
Apt. Buildmg Oryer Electnc HeaUn
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm OmPr peci v thrr (Suemfy)
t e. necilv t er Oih.r
Compute Inspection fee Selow
# Fee ServiceEMreneeSize # Fee Feeders/5ubfeeders k Fae Cvcorts
ill 0-0 0-to 200 Am s 0 to 30 Am s i 0 Am
, Ahove 200 qmps 37 to 100 Amps 0 A
Swimming Pool Above 100_Am s 00_Am s
Transiormers I rrigation Hooms . ther Fee
Signs Special Inspectron $ TOT FEE
Remarks ,? ? ?nOr.? D? i//1./IY7
Rough-in ? e ? I,the rical
? ? Inspactor, hereby
certJy thet the above
Final ? 0.,pe I ?nsDacAOn has been
C • ,??'(? meae.
Tnla rwniwnt vnitl 1P monins Irom
Thos req.est wid 57-1 ? Lq?,t T>w,K 35-z 4 d
18 months from
rl 058 156 qo,od
flequest Datc
L Y S' ? Pire No. Rough-?n Inspecbon
Reqmred?
es N.
[]
atly Now ? Will Nouty Inspeo-
[or When Ready
Lcensed EleCtncal Cmvactor I heraby request inspecnon ol ebove
Owner elactrical work installatl at:
Sveet Addre4s,Bux or Ro?No. ?
`7'1Z1? jl / Q[Y
ecuon o. Towr?9?ip me or No.
?t\/ RanBe No. Coui ?
Occupan[?IPflI/N?T?I? ?y
\,?, ?Y V Phone No.
DOIi
Power? 5? r
?,
? Add(rR` s's ^j .? ^ n. ' l
T . ?? G?A ??WL't W?
Electncal ConV ctor Company Name) •
rno? i??n ? l ZAET_.'YZ Contrar, r' License o.
Mailin AdJres (Coatractoror wnErMakinplnsteilationl
Authonz Uature ConVactor r Making I
11?, Ilaton) Phaone Number
OL.-5^ C Z ?
MINNESOTA STATE BOAflO OF ELECTRIGITY THIS INSPECTION NEQUES7 WILL NOT
Griggs-Midwey Bldg. - Room N•191 BE ACCEPTED 6Y THE STqTE BOAflD
UNLESS PROPEN INSPECTION FEE IS
1?821 University Ave., St. Paul, MN 66104 ENCLOSED.
L? RE?UEST FOR ELECTRICAL INSPECTION
Vl r]' p ? See insvuaons lor compieung this tortn on bazk ol yellow copy
6 9 9 4 O "X" Below Work Covered by This Request
ew Atld Rep. TypeofButltling AppliancesWiretl EqwpmentWired
Home Ran9e Temporary Service
Duplaz Water Heater Electric Heating
Apt. Building Dryer Loetl Menagement
Comm./Industrtal Fumace Other (Specify)
Farm Air Condittoner
Other(specAy) GonVector5 Ramarks
n(
-
?i
Co l
t1
mpute Inspechon Fee Below. w ' YP- u?
? Other
Fee # Service Entrance Size Fee # Circwts/Feeders Fee
Swimmmg Pool 0 to 200 Amps 0 to 700 Amps
Transtormers ? Above 200 _ Amps _ Above 100 _ Amps
Si9ns Inspector5 Use Only TOTAL
' Irnganon Booms zO. 50
Special Inspectwn
Alaim/Communicanon THIS INSTALLATION MAY BE DERED ONNECTED IP NOT
Other Fee COMPLETED WITHIN 18 MONTH .
I, the Electrical Inspectoc hereby Rough-in oare
certRy that fhe above inspecnon has
been made. F,nai oat „?Y
OFFICE USE ONLY
This request void ?8 monihs ham
r" •
??4? 2
y ?
sy
6 9 4
8,1?4//??
Repuesl Oate Frre No Rough-In Inpaectmn RepWred
fYOU muet cell inspe when reatly) Ins eclwn Othar Thilin
? q
r
W
ll N
lil
I
t
E
N
? ow
i
o
y
nspec
o
ea
y
Ves No Date ReaG
I licensed contractor p owner hereby request inspecUOn ol above electrical work at:
Job Atltlress (SVeet Box or Roul No I C&
2-0 s? A ??
Sectior N. Townshi0 Name or No Ranqe No Counry
I
Occu am (PRINi)
- - G?D Phone No.
Power Supplier Atltlress
EIecV¢al ConlractorlCO pany Namel ? GonVac?or4 L¢ense No
1 ?e ' al ? - C?4oo
MeiLng Atltlress lCOmracto, or Owner Makmg Installation)
2:? 8f1--ab e k-W YYtN 55I a
AWhonzeo S?gnalure ?COnlremonOwne/ Making
Installalionj Phone Numoer
?y
1
MINNESOTA STATE BOAHD OF ELECTRIqTY? a_ .?? ? O.? THIS INSPEGTION REQUEST WILL NOT
Griggs.Mitlway BIEg - Room Sl]3 ??M ? BE ACCEPTEO 6V THE STATE BOARD
1821 University Ave.. SL Peul MN 55104 ?? /j?? UNLESS PROPER INSPECTION FEE IS
Phone (61Y16i2-0B00 ???•??'°? ENCLOSED
?n?l?? r ? ;EQUEST FOR ELECTRICAL INSPECTION
U 2 See ir1stmctions tor compleiing fiis lomi on beck ot yellaw capy
"X" Below VNOrk Covered by This Request
: e?? 0?-
5?_- .
e Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Tem orary Service
Du lex Water Heater Electrlc Heatin
Apt. Building Dryer oad Manegement
Comm./Industrial Furnace Dther (Specify)
Farm Air Conditioner
Olher (speciry) Coniradafs Remarks:
Compute Inspection Fee Belaw:
# Other Fee # Service Entrence Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Am s
Transformers Above 200_Amps Above 100 -Am s
SI OS Inspacmr's Use Only AL
TOT
Irrigation Booms 0
' o ?
Special Ins ection
AlarmlCommunication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby
tif
th
t th
b
i
i
h Rough-in o?
y
cer
a
e a
ove
nspecl
on
as
been made. Final
OFFICE USE ONLY
TMS requesl voi0 18 mon[hs from
? ? ??
(?0???67
0
s
j/ /31.,?.?e,+w-?
Request Date Frt No Raugh-In InspeMion Reqwretl
(YOU must cell inspecmr hen reatly) Inspecllon Other Then Rough-In
?tly N WN In eclor
? ?
? ? Ves Date ReaG
I? licensed contractor ? owner hereby request inspection of ahove electrical work at:
Jab Atltlress (Street, Box or qoule No ) Ciry ?
C ? A
SecYion No. TownsM1ip Name or No Range No Couny
f A
Occupanl(PRIN
T) Phone No.
.
(,'r ./
lilc
Powar upplier Adtlress '
/u•
R( /?
Elecincal ConlreMOr (COmpany Name) ContraCiofs L¢ensB No.
6
c (T,s+o -aa -7
_
,
.
g
Mailin9 Atltlresa (ConVactor or n r Making Installation)
Q7'e tyAqc,
Authonxetl et (ConiractodOw r Mak g Installabon
) Ph
one Nvmber
` ^
V 6
MI SOTA STATE BOA OF EIECTRICI THIS INSPECTION REQUEST WILL NOT
rlggs-Mltlway Bltlg. - p m 5-128 BE ACCEPTED BV THE STATE BOARO
1821 Univercity pva., 51. Peul, MN 55100 UNLESS PPOPER INSPECTION FEE I$
Phou (612) 602-O800 ENCLOSED.
CITY OF EAGAN
Include 2 sets of plans,
??. 1 SiBUILDING PERMIT APPLICATION .r7 ?1 Set
? ?Od To sed Fora'F ?u? Cv?C- Valuation L?s Date
site Aaaress: y?(a?? M%l,lak?- ?ou?ck Cwas r704 or?zr? uss
r?ot 9 Biocx I Sec./sub. MnllahlPArK-I?Erect oc?,Qancy _
Parcel #: lv ?fZ Z?C? OQC7 C?( Alter Zoning
Repair Fire Zone
Owner: A/l0. ??f o? 4 v Enlarge _ Type of Cons
1 Nbve # Stories
Pddress: q S?? C?c"??o ??J'c , SU I Demolish Front
City/Zip Cocle: ,??or?/KC'vl?-4-on S5q ?(? Grade Depth
Phone #: '?'?l - ?( 532 / Vs
Contractor: Q W V? E?
Address:
City/Zip Code:
Phor? #:
Arch./Ehg.: _
Pddress:
City/Zip Code:
Phone #:
CTn bEC?o ++/te. L.rn ,BlocK r?vt
te plan w/elevations &
of enexgy calculations.
y -Zo
ONLY
APPROVALS FEES ?
.?
Assessments
Water/Sewer
Police
Fire
Eng.
Planner
Council
Bldg. Off.?. s a ?
P.PC
Pernut
Surcharge
Plan Checlc f ?-
SAC S 2-
Water Conn. ? e
Water.Meter
Road Unit
RT)TAL
+ Pl bf
cIrr oF E?"N p c
, 9793 Pllef Kno6 Roed Eegan, MN S3122 ?T lr ? 8016
PHONE: 454-8100
BUILDING PERMIT, Receipt # 55-IS-7
Te 6a wed !er SF DWG/GAR Est.value $61,000 p„*a May 11 io $3
Site Address 4420 Mallard Court (was 170
Lot 'Y' -& t Blatk 1 ? o
Set/Sub.
Porcel # in 4?259 non m
m IN,m, Marriott Homes, Inc.
? Address 9549 Clinton Ave. So.
,;,,B11omington e?___RR1-4537/L5?-RRRR
o Name_
il-
Addrezs
r ?:...
Nome _
Addrem
Erect gX Occupancy R-3
Alter ? Zoning R-1
Repair ? Ftre Zone NA
Enlorge ? Type of Consl. Vn
Move ? # Stories A Split
Demoiish ? Length 49
Grade ? Depth R Sq. Ft.-
Approvals Faes
Assessment
Water 8 Sew.
Polico
Fire
Erp.
Planner
Council
Permit [h Ait)
SurcFarge 30.50
Plan check 158.00
SqC 525.00
Water Conn. 450.00
Water Meter 60 .00
Rood Unit 250 _ 00
I hereby acknowledge thai I hove reod this opplication ond sfate that Bldg. Off. 4-22-83
ihe inlormotion is correct ond ogree to comply with oll npplicabl $1789.5?
State of Minrresoto Stotutes an ity of Eogan irwnces. APC Totol
Signature of Pertnittee
rriot omes, c.
A Building Permif is issued to: on the express condiHOn ihnt
all work thali be do in ccor?e ith?oll?bl?Sote of Minnesoto Stafutes ond City of Eagon Ordinances.
Buildinq Official ?--
** TQ BECOME LOT 21, BLpCK 1, TIBERON 1ST ADDITION ** _ 5-17'-8'3
C.? &? 1 v o?3
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
?? b 5 3830 PILOT KNOB ROAD, EAGAN MN 55122
L 651-675-5675
Please complete for modifications to existing residential dwellings.
Date 14 / V_ / 4 V_
Site Street Address
Unit #
Property Owner x/qa!`, 7/ La 2'a eqa-"? Telephone #(/P JCP ?99.5
Contractor Y`'?ie? 8-f
Address ?3 ?Q D cLaQ-v1 ,a2.2J
City G? Telephone # 1/0
State /r1/J - Zip ,51-1/.13
The Applicant is: _ Owner ?Contractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: $ 50.00
Water Softener
?,/ replacement _ VWater Heater
additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total $ I?_jv
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Mbptp ??eVenS t 4 r ? ? L1 L I1i
ApplicanYs Prin ed Name Applicant's S nature 110 OC1 2 7 2004
II
,11
15-5D
?t?tYh7K7G'k'?:%K:k%K??*i:?:YF?k?<A?7kY?C?:F:*7kiKk::k?????k*1K*7kdF ?
? C.T.T1' Gf- FAi;pN ?
!;ATH.T.FR-. .15 1'5F.MlNA'_ N0 " 7(]9 .
nATVew# 1002/99 7IMi...
,,
HAMa?y ABc • r EYrsr r:,'
;at:ci 9001 4420 Ant_LARD .r,r
:19B sf,.1a:: 4??I?i.'.l7 C?A1..1..Fi1iT' (:I ' t!p`J»
32:L'.7 '.',001 $ `I'f.fiiMQNTi L;i i7.1 e'r?S •:
. c'1.5:1 9001 A[? 5.`i 11T ilI`1I IhY't 7Np [' o`.i1J
3W ?r:rii 4064 o1.TV:tNE UR iiJ_KS
, c'I:;S 9t;G1 L064 1)t_1:V[N=_
f'.`i
3iA.?? ?:?..lt?J '?9 f?
Idi.l?171-jtJEt ?i.?7
' 1.J..
6
J
p
a(..li_ll -}i,(fCl
I..NTIS'.?I. I.`T A
w
1
4bn!lti.
R42r?,a1p, i.i.itPuni:::
t',n.^ :FG317
l.lSi;°R '{j;!I :IAN
-
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
??(a1 CITY OF EAGAN ,
0? 3830 PILOT KNOB RD - 55722 `
651-681•4875 w ConshucHao Reauhements
? 3 regislered sffe surveys showing sq. B. ol lot, sq. B. of house
and qll rooted areas [20% maximum lot eoveraae allowed)
> 2 coplea of plans (show beam S window shes; poured fnd. design; Mc.)
D t sef W energy calculafbns
? 3 copfes of hee preservation plan X IW plaMed alfer 711/93
DATE:
(D'7"cl?
DESCRIPTION OF WORK:
STREET ADDRESS? q (A
LOT: A
4
U i'']c, t larC? C
BLOCK: l SUBD./P.I.D.#: T4yVtq I S?
Name: aa'L? SG 1 v, Phone #: ?? I? L?S ?? S 5 S S
PROPERTY Last Ftrs+
OWNER L??'Ia,U Vl'1?UG.?t? {.-7 •
Sheet Address:
Ci1y Stafe: J/fn / V Zip. S S ? 02 v?
Compcny:4Ct;c? Phone#: M.? 7074555
(area code)
CONTRACTOR
Sheet Address: I ?t
d an) : Go ? I t=? p?t . S• license #?o C??Facp. 3 1 t?b00
city (?w n 5 v; state: V*1 A.) Zip: SS 33?j
ARCHITECT/
ENGINEER
Comparry: Name:
Telephone #: area code ( )
Streel Address: Registration #:
City State:
Sewer 3 water Iicensed plum6er (reauired for new construeHon onNl:
Penoliy opplies when address change and lot change Is requested onte permN is issued.
Zip:
I hereby acknowledge thaF I have read this applicatlon, sfaM thaF the iMwmation is conecf, and agree to eompty wifh all applicabl
State of Mlnnesota Statutes and CMy of Eagan Ordinances.
Signafure of ApplicaM: / 6 V
OFFICE USE ONLY
Remodel/Reoalr Reaulremenh
2 copies W plan
1 set of energy calcuiaHons for heafed addBioos
1 sBe survey fw exterbr addttions 3 decks
CONSTRUCTION COST: a?
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes _ No _ Not Required
CITY UF' EAGAN
CAtiNTFRa JS TI=kMTNAI_ NC): 693
narrE: 07/21/39 'Tf.t11=: 11:413-,31
ILi -
NFlME: SATIi fiL-_DA
3430 9001 44217 MAL.LAFiL+ CT 0.50
3210 9001. 4420 MALI._AI;D CT 6(:).00
2155 9001. 4.420 MALLFlFD C'f 0.50
?
r
Tnta:l. Receipt Amnurii:„ 61.00
CR 113'•1'r'2
IJSER [;1e JFtN.
. • • 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3 3830 PILOT KN06 RD • 55122
b 651-681-4675
New Conshuction Recuiremenfs Remodel/Reoair Reoulremenis `?
? 3 regiriered siFe surveys showing aq. M. W lot, sq. tt. of house 2 copies ol plan
antl all rooted areas (20% maximum lof coveraae allowed) 1sef ol energy calculafions for healed addMions
? 2 copies of plans (show beam a window sizes; poured tnd, desfgn; eSC.) 1 sMe survey for exferior addiHons 6 decks
D 1 set of energy calculations
? 3 eopies of hee preservation plan fl lot platted atfer 7/7/93
DATE: 0-7/2-0 /9 Q
Name: R ?DA 9?} ? ? Phone #:
Lasf Fint
Street Address: y y?(I /-?a %&'r,? r I
Ciiy - State: /yAl Zip: GJ J I Z Z
DESCRIPTION OF WORK: R C t i dP? b'd f?P. ( K
STREEf ADDRESS: / ly (7q1z tl'
LOT: ?D- 1 BLOCK: ? SUBD./P.I.D. #: ?i Y )-e \(C) v-\ ? ST
PROPERTY
OWNER
(area eode)
CONTRACTOR
ARCHITECT/
ENGINEER
City
CONSTRUCTION COST:
State:
Company: Name:
Telephone #: area eode (
Stree't
City
Sewer 8 water Ilcensed plumber (reaulred for new consfrucfion onlv):
State:
PenaMy applfes when address change and lot change is requesFed once permR is issued.
iip:
';-hereby acknowledge that I have read ?his appiication, state that the inforrtwtton Is correct, and agree to comply wffh all applicabl
Stata ot Minnesota Siatutes and Criy of Eagan Ordtnances. ?
Signature of ApplicaM:
Certificates of Survey Received
Tree Preservation Plan Received _
OFFICE USE ONLY
Yes _ No
Yes _ No _ Not Required
Zip:
Regishation #:
License # Exp.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 5F Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex §Z 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
?& 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration p 37 Demolish Bldg * ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
J
Const. (Actual) 5 " Basement sq. ft.
(Allowable) (5 ? Main level sq. ft.
UBC Occupancy ? sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Width Footprint sq. ft.
APPROVALS
Planning Building a!it Engineering _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Valuation:
Total:
Census Code 43
SAC Code ol_
No. of Units 1
No. of Bldgs b
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
SAC Units
°h SAC
F SIGMA W.O. 117-81 aK. t/49
SUAVEYING Certificate For?
SEFtVICEB
;
3909 Sibley Memorial Highway MARR/QTT H?IES
Eagan, Minnesota 55122
Phone: (612) 452-3077
o?j-Northern States Power Co. Easement per Bk. 62 Misc. Records Pg. 437
_ _ N; -- N 89°44'41" E 136.73
I vf Dr?b.ye U4_1; y F?`ew.Mt n_ ---
?
--
- 1-n H Sanitary Sewer y\Easement per poc. No, 409629 I5 _ti
d'
?L O?T Drt I# N
?. ?
nt
? MM-??RQ PARK FK,I" AqO. N
f? o ??+s?.?, sae s ' ?
` ? 1.0. 1M NW'
\ ? ; /?N ? ? 0` U225
to -
1 ? P. ' sas? -: is.e N• N e,s1 Lo.c -1
Tw q+ !? , //?- ?..# l
1 \9L21 \ ?e ? T u 4 • ?I flPllnRO ??/
\ \ \ ?. , • . FR'.T 0.00
? • ? di
• ? ?s?e 1 "i ?f
Lo 38.09
R ¦ 60.00
MALLARD
C?rb ktaLC1
SCALE : 1 inch = 40 feet C 0 U R T
0 Denotes iron monument
x"+•T Denotes Existing Spot Elev.
'*-- Denotes Drainage Direction
o Denotes wood hub
* BEARINGS SHOWN ARE BASED ON ASSUMED DATUM *
PROPOSED CARAGE FLOOR ELEV.
PROPOSED FRONT ENTRY ELEV. = 914 6.,
P°OPOSGD BASEt",yNT FLOOR ELEV. - 9'.(,•S '^'+o
I hereby cer[ify that this survey,
plan or repor[ was prepared by me
or under my direct supervision and
tha[ I am a duly Registered Land
Surveyor under the laws of the State
of Minnesola.
6? Q.
Wayne D. ordes, Minn. Reg. No. 14675
Apri119, 1983
PROPERTY DESCRIPTION
Lot 21, Block 1, TIBERON IST ADDITION,
according to [he proposed pla[ thereof,
Dakota Coun[y, Minneso[a.
(part of Lot 9, Blk. 1, MALLARD PARK FIRST
ADDITION)
r A N
R!-VIFWED
_-.__... .rv_____----?.?
BY
DqTE
? ?
SIGMA
suAVevIniG
seAVices
3908 Si61ey Memorial Highway
Eagan. Minnesota 55722
Phone: (612) 4523077
W.O. 117-87 BK. 1
Certificate For :
M,4RR/o TT f-?omEs
? ? - - -
o?Northern States Power Co. Easement per Bk. 62 Misc. Records Pg
N 8904441"E 136.73 -
I rI yf Drai..oq. Uf_?: y Faeweht n_
? ? ? ?-- -- -- ??
a Sanitary Sewer y\Easement per Doc. No. 409629 5
L 0 T
b?
?1 - r-; _ , , PI ?' ? ?? 2 ?- ? rsl
1 ??$ 9?s.t?
1 W?sl l•..e ?F t-0? 9 ¢???
f4 MAU._ARq PARK FwST n9A
1 rn
? 93i.23 `
. \
?
• ??
?
-N-
8
SCALE ; 1 inch = 40 feet
'///:
Y$ ; I
\0 ? . O
13ci
? /.
.?
\ J I
C..rb
o Denotes iron monument
X929,? Denotes Existing Spot E1ev.
?-Denotes Drainage Direc[ion
p Deno[es wood hub
* BEARINGS SHOWN ARE BASED ON ASSUMED DATUM *
- -T-
437?
?14
I?
-?
N I
IN
931.25
• N East ?'...e ?
?..t 9
? Ma.. aRo ?
F?R°;f Aeo
II
?`:? ?=36°22'21"
?'L¦38.09
R = 60.00
MALL?AR D
COV RT
PROPOSED GARAGE FLOOR ELEV, = 939.8
PROPOSED FRONT ENTRY ELEV. = 940.8
PROPOSED B:1SE."!.."NT PLOOR ELEV. _ q-V-5 ?ro
I hereby certify that this survey,
plan or report was prepared by me
or under my direct supervision and
that I am a duly Registered Land
Surveyor under the laws of the State
of Minnesota.
Cp(I -.
Wayne D. ,ordes, Minn. Reg. No. 14675
Apri1J9, 1983
PROPERTY DESCRIPTION
Lot 21, Block 1, TIBERON IST ADDITION,
according to the proposed plat [hereof,
Dakota County, Minneso[a.
(part of Lot 9, Blk. 1, MALLARD PARK FIRST
ADDITION)
E li G A Iq
REVIEWEp
BY
DqTE
SIGMA W.O. 117-81 sx. 1/49
SURVEYING Certificate For: ?
SERVICES
3908 Sibley Memonal Highway MARf?/OTT HOMES
? Eagan, Minnesota 55122
Phane: (612) 452-3077
? ? -- ?
o?Northern States Power Co. Easement per Bk. 62 Misc. Records Pg. 437?
N 89044'41" E 136.73
I -1 ? - - n Orf?_vg. ? Ut?_V? y EaaenetiT n _ - - -
N Sanitary Sewer y\Easement per ?oc. No. 409629 Is _ti
L 0 T N
Jr / ?\ Y
21 ? r •
1 ??Sp %66x 2Y.0 . ? V35.6 _ p Ax
i6A I(
?1a1<s? U?e lo1
T 9 Q`
MP?UIRQ PARK FRT ??QsQ? ?'?? ?b ? 4 I N
/
Lb Ilu?
a ? Tap
q.0• ? t3125
0 r
1 Tw ? ?. i a4c : isA „• N Eas4 L.-,e *
9f7.2f ? 93ia '?) oi? +n , V/ Ma?wR PAW
\ ? \ ? i '" • F?R•T Mo.
\ • \ '?? y,s? a J ( I
• ? ?o:. ..
i ?
-N-
\ '
• ? qy?? r`. -?
I t? - fr,°:Tn?
?=36°22'21"
?L=38.09
? iCo?? t IVIALLAR D
C.a6
SCALE : 1 inch = 40 feet
0 Denotes iron monument
xRi9'1 Denotes Existing Spot Elev.
'*?-Deno[es Drainage Direction
p Deno[es wood hub
* BEARINGS SHOWN ARE BASEU ON ASSUMED DATUM *
PROPOSED GARAGE FLOOR ELEV. _
PROPOSED FRONT ENTRY ELEV. _
PROPOSED BASEMENT FLOOR ELEV
I hereby cer[ify that this survey,
plan or report was prepared by me
or under my direct supervision and
that I am a duly Registered Land
Surveyor under the laws of the State
of Minnesota.
L?' 0.C'L'.a-
Wayne D. ordes, Minn. Reg. No. 14675
Apri1i9, 1983
COU RT
91ta.8
= 93C-.S ???o
PROPERTY DESCRIPTION
Lot 21, Slock l, TIBERON IST ADDITION,
according to the proposed plat [hereof,
Dakota County, Minnesota.
(part of Lot 91 B1k. 1, MALLP.RD PARK FIRST
ADDITION)
2
• .
? BeAT LU55 CALE(IiATIOHS FuR TNE AESZDfHCc OF MAi!RIdTT IiOMc5
s SOTiri BT11'S :91.5
------------
'6?Rt CFM HEfli3N6 338 !vXX%XXT ?LOOR
iOFAL CFM COuL:NB 425
- -
-=I R'S;LDtNB R VALUEb-----------
4RLL9 W?NDCIdS CIEL,NB FLODR5 IMFIL
----__----`-- _:i :V --
- ------------------------------------------
__-_ .____ _
-' FL'J{Ik A60M LEH6FH WIDTH NE:6HT
1tIVIN6 20 ;4
DUF TE?P *Y ?E?!p
..._-__._____._____--'
- -------- - - - -- - '
U -i? 70
" """""'"""""_'_"""'_""""""""""""_""'""_'
- - - -- - -
EYP fT Fl.ODR ROffM L'cNS?H WIDTH HE:GHT EXP F? ,
8 3? ! 1DIN & KST 13 4 9 2'
WINaOil5 AN4 DaG' RS -CP.AC#.AfiE AREA / aIND66I5 ANO OOOR5 -CRACh:ABE r`kEA
No 4IDTN HE3GNT NO l.TS GAAC KA&E AREA ( kp WIDTH 4EISHT NO LTS CRACKRfrE AftEA
? _ 1
-
--- ? ?
- 1 74 JJ
i i I
-
-- ' '
° " ----
- - 1 1'1
-------" _ - Q
--
---- -
° 1 5
4 2 36 96 1 1 ?1
T 2 :4 16
0 6 0 0 0 0 1 P 4 A p 8 k ?
' ---- - S9 fT _ COEF __ _ BTU- -- -t-- ----------- - SA_fT -- LJEf--- -HTU-. --- - -- -- -,--:-_,
INfILTftATIDN 69 ,8 2272 1 INFIL7AAii?N 36 3H 1368 --
' fiLASS 75 58 4306 J 6LA5S 25 59 1445
-_ `
' EXPOSEDpALI- ---=277--- -- ---U--- - ?- -EYPUSED MALL-- -- - -216.- - __ - - ?-- - --- ---
'I #EF WALI 198 t 789 I NEI IfALL 191 4 758 -
CIELINB 284 4 1914 ! CIELINS 162 4 624
J _FLOOR --- --280---- 4-- 4:46---- - I FL04A----- ------i-5&--- -4---?2t ----- -- ---- =,
IOTAL BTU 4587 1 TOTAL BTU 0416
TOTAI CFH HEAT iN6 150 COOLIH& 189 1 T6TAL CFM HEAt INB 76 COOLIHB- 96 =
? -------------- ------ ------------ -w? ?w----- -- I -------- ------- -------- -------- ----------- ----- - -
_
?- - - --- -- t ----- ------- -- - ----- -- - -?
z2
FLOOR ftduM
LEN6FH 4IDTA
HEI6HT EZP FT
!
FL46A R008
LEN&Tk WIDTH
HEIBNT EXP FT
19ATH 5 9 8 14 ! 18ED 1 15 14 8 24
-?
-
-
-
-?
------ _-_
-- - --_ ---
-- -- ---
-- _
-- =
YtNDON9 AN6 4QUft5 -CAACKA6E AflfA 1 61INDOM9 At3D ?a6R5 -CRACXA6E AEEi -
?
No WIDTH HFI&HT ND liS CRACR9BE AAEk % MQ WIDTH 4EI8Hi 40 LTS CHtiCKA6E AREA
J
4
/
f
4 %.?
u 0 0 0 D D ! _...?
? ..
0 p 0 ?J 4
, 0 4 U 0 6 0 i 0 0 0 9 0 0 _.,
59 FT CCEF BTU _ 5A fT__. _ CDEF _ _ 6T;! _
INFILTAA7ION 4 i8 0 ! IYFILTRATI6H 24 38 412
6LA9S 0 58 0 / 6LA55 16 58 925 ..
ESFOSEG AALL 112 0 / EYPOSED YIAII 232 0
NET AALL 111 4 444 1 NET WALL 216 § 957
'. CIELIN6 45 4 173 / CIELINB .10 4 804 ?
FLOOR 45 4 204 ! fLOOR 210 4 935
? -- -- ------- - ---?
TUTBL 8FU 818 f TOTAE STU 4438 ?
--
;.? TOTAL CFM HEAT IN6 17 CJOLIN6 ifi ; TOTAL CPM HEATIN6 59 couns 87 ?
.- ------ ---- --------- -- I ---------- ----- -------- ------- ------------ ---- --
.
?
? _
?
L FLaWI ROOM LEN6iN HIDTH HEi6kT EXP FT { fL00R RUflM LEIlfiIH WIDTH HEI6HT V P FT - ----_
=-
?, f 0 11 iZ 8 34 ! 0 4 4 0 0 0
js f 1 -
;o fflH?OWS RND D04RS -CflACi;ASE AREA ?T ! RIHUOY9 r1Nll DDORS -CBACKA6E AREA ?
4 NO WIDTH
HEIBHS NO LTS
CRACKA6E AREA
!
NQ WIDTH
HEIBHT MO LTS
CAACXA6E AREA
-.?
z 1 4 29 15 I 9 0 0 U 0 0
0 Q 4 p 0 4 f ? d 0 0 P 0 9 --
ha 0 D 0 6 0 4 ! Q Q 0 D 0 0
,s 59 FT COEF 9SU f S& PT COEF BTU
1e SNfILiRB1IQN 24 38 91: ( INPILFRATSON 0 3S 0
-
17 BLAS5 Ib 58 425 ! 81A55 0 5$ 0
E%P'JSED IiALL
a NET'MACL
? CIELFNB
FLQUR
19: 0
-
-
-_
. ! EXPflSED kAI.L
- 4
-
---
176 ?
---
_
_
4 696 ___
/ .__ _----
--
ffEF YALt -
-
0
344 4 555 / CIELIN6 0
TOTAL BTU
/
3731 I FOFfiL Bill
i
TOTAi. CFM REATIN6 34 CaptlN& 73 / TOFAL £fM H€ATiN6
?
'?sl -------- ------------ -------- 1
0- ? ?
-- - -
9 6
0
0 CCOLIM6 0
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: Lor:
4420 MALLARD CT
TIBERON
PERMIT TYPE:
Permit Number:
Date Issued:
suzLoiNG
924431
08J24/94
PERMIT SUBTYPE:
FIREPLACE
zi BLOCK: 1 APPLICANT:
FIRESIDE CORNER INC
(612) 633-1042
TYPE OF WORK:
NEW
DE5CRIP7ION (GAS)
INSPECTION .. . ..
ROUGH-IN FINAL
F
L
?
-? CITY OF EAGAN
- 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
4420 MALl.ARO CT
LO7: 21 BLOCK: 1
7I8ERON
P.I.N.: 10-76400-210-01
DESCRIPTION:
( G A S )
Build3n'g,)-Permit Type
,.,?u3Yding Work Type
?..
i
r ?
?.
i .?? 'p ' ?„?
PERMIT TYPE:
Permit Number:
Date Issued:
FIREPLACE
NEW
BUILDING?
024431
08/24/99
r?
?° -
j /°? l?\?. ? ? t? '? `.e? L" ",.•"'?" l4.*7?? ? ?? '?c.J?? i:I?,'
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $,50
Total Fee $25.50
CONTRACTOR: -
FIRESIDE CORNER INC
2700 N FASRVIEW
ROSEVILLE MN
(612) 633-1042
aPPiicant - sr. Lxc. OWNER:
16331042 0601068 WANG ALEX
4420 MALI.ARD C7
55113 EAGAN MN 55122
(612)681-0139
T hereby acknowledge that T havE resd this app3ication and state thaC Chs
informatian is correct and egree to comp7.y with all appiicable State of Mn.
Statutes and City of Eagan Qrdinances.
L
APPLICANT/PERMITEE SIGNATURE
.?N,,.e1 ?
ISSUED BY IG TUR T
I
4JL431
CIT1f" OF EAGAN
1894 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1} when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Val uation of work ???a?1lo . CX7
Site Address:-A?? lMCt ??aqx::? C''kAr,
STREET SUITE #
Tenant Name: (commercial only)
LOT _L_ BLOCK _L_ SUBD. 7 P. I.D. #
`? ? •
' Descri tlon of work: - ?-{,?.' r Vj
The applicant is: ? Owner ? Contractor ? Other (Deseribe)
Name Phone
Property FIRST
Owner qddress L-1L?202 `c'ro?Q? C2?-
STREET STE ti
State 'V? "_D Zi
??lO?"a
Cit
z
p
g?_
y
Company 1rCS??. - l0 Phone 'Fil
Contractor Address 10 • 01 eL,?D _ License ?I (I A Exp.
City s- State Zip L3
Company Phone
Archltect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
Xcel Energy
NORTHERN STATES POWER
Marcie 21, 2013
Deck & Door Co.
The Deck Store for
1-•leil Residence
4420 Mallard Court
Eagan, MN 55122
ENCROACHMENT AGREEMENT
Project: Deck I3uild
Line 0976 and 0989
Sec. 29, T27, R23, Dakota County
File: 2013.202
Dear Deck Store;
414 NTCo11F..T MALL, MILL
MINNFAI'OI.1S, MN 5.S -10I
Emailed
n1arkl<<i1l; edeckstore_itet
Please be advised that this Encroachment Agreement is not effective until signed and
returned to Xcel Enemy within 30 days of the date of this letter, after that period it is
NULL and VOID.
Our Transmission Engineers have reviewed the deck encroachment request submitted March
11,2013. The encroachment is acceptable to Xcel Energy by adhering to the following and is
conditionally approved with the provision that working clearances to Xcel Energy's transmission
lines are complied with during construction and subsequence operation, maintenance and future
decommissioning of the requested facility. The encroachment requester is responsible for
ensuring construction activities do not violate the working clearance without proper protective
measures and additional review froiri Xcel Energy.
(1) Residential Deck
A conventional deck attached to the existing house may be constructed within the casement area,
as shown on the three-page attachment, The deck, as described on the plans submitted, consists
of two sections, one approximately 8' X 12' and one 16' X 16' with a stairway.
The maximum allowable railing height is 950.5 feet. The estimated railing elevation shown on
the plans is 950.5 feet. The deck may not be covered by a roof, canopy or other structure.
(2) Grade change within easement.
Page 1 of 3
Page 2 of 3
3/21/2013
(3)
The ground elevation within the easement shall not be increased more than 1 foot above the
existing grade without additional review by Xcel Energy. Stockpiling of soil and/or material
within the easement will not be permitted.
Clearances to equipment and workers.
A working clearance of 25 feet between the electrical conductors and any cranes or digging
equipment used in or near the easement and a clearance of 25 feet to the physical proximity of
workers must be maintained at all times. In addition, any construction near the transmission
line(s) shall comply with all OSHA Safety Clearances. Willis clearance cannot be maintainer,
the contractor or developer must arrange for a line outage by calling Xcel Energy's System
Control department (Steve Rollin 6121330-2875). Adequate advanced notice must be provided in
order to schedule a line outage, if an outage is available. There is a fee of approximately $350.00
per day, per outage, for this service. This fee must be paid prior to outage.
The preceding two paragraph(s) must be included in a prominent location on the plan sets and
specifications given to contractors.
(4) Landscaping within the easement.
(5)
Detailed plans for landscaping (including light standards) must be submitted to Xcel Energy in
advance of construction for review and approval prior to construction start. Generally shorter
varieties of trees and shrubs, 15 feet or less mature height, may be considered. 1t planting is
permitted, the line's voltage and the tree's mature height and the distance from the line must be
considered. For maintenance purposes there shall be no planting within 15 feet of structure sites.
Building on easements.
There shall be no permanent or temporary building allowed except the residential deck as shown
on the three-page exhibit A attached hereto.
(6) Fences on easements.
If the easement area is fenced, gates must be installed to provide access to Xcel Energy for
maintenance purposes. Chain link or other types of fences using metal material and constructed
on or near an Xcel Energy easement should he properly grounded to prevent shocks,
It is the express condition of this consent that all other terms and conditions of that certain easement
granted by Harold E. Murphy on September 20, 1972, and recorded as Document No. /105155 shall remain
in full force and effect.
A copy of the signed Encroachment Agreement shall be kept on site, available for review by Xcel
Energy representatives, until all construction and site restoration has been completed.
To aclmowledge receipt of and agreement with the terms of this consent, prior to the commencement of
any activities, please sign this letter and return it to me by fax or email. Fax and email signatures are
accepted to expedite this process. If this signed agreement is not received back within 30 days of the
date of this agreement, it will be presumed that you are not in agreement with its content and this
agreement will be considered null and void, the file will be closed, your request will need to he
SIGMA
SELP2VE`:1b Iftd 0
v Ei t;IN.FilE'
3_0,8 Sibley 1•Aerrorial Highsrty
Eagan. 9 oSpta 5872
Pi )ne: (612j 4.i2.3 7
o \-%1 ortllctr< - SLaL..-Pc
. Yrnacr Cv. Se:,.rdrax+:•rt per At:. G? I!_s[. &CGrrfdC 4 f'
_ FL. 31'��
_ ivy°�'}a' 1U6.7 -. �,..
A a 5F 111 tar ;71 •_—
1.._._..
Y Sew-er it, \\dAeraent• psr Doc, tio. 4(19629) �, Pd,
ti I.
r_ J L. ty. , g
Cy
?1'f
.• 1 t.
:d, o, 1/1-8.1 B1C,. l /49
Certificate For
M Q , T Mtr ..
1
-N-
tj
th
Lal
i•n.. Au PAM
c�x� aec.
SCALE : 1 inch hlt fent
O Denotes iron, -monument
x11111 Peen tec ExistiI>8 4rot Eley.
tti
-LDgtla tes Drainage Direction
u Denote. wood liub
* ROARING$ sROVEt ARE BASED ON ASSUMED DATUM
asen
A1436°22'21"
R 60400
1.038.09
r %MALLARD
COURT
PEOPIJsr1 QUA05 FLOOR ELEV. =
pxopo ED YRONT ENTR 11 V. gYa.!g
F'c`tWPOS rry EASEMENT FLOOR EL! v. 9Y+C-,5- (4.
T hereby certify rhar this aorvey,
plan or report ciar prepared by rea
Or under 1ty MSirer.t supervision and
that k int a duly $egistcrod Land
Surveyor under rhe in,va of the Etate
0£ Minnesota.
MapnTJ). order, Minn, Meg. two. 1.1-6T5
Apr53.i9, 193
Fk0YRRTY I1ESC$XBTION
Lot 21. Flock 1, T1 -HERON :fR•1' ADM/UM
:.._•covd1np to the proposed plat thereof,
Dakota Coeiat:y, Tii,nivrote,
(pert of trot 9, 1?•1k. 1, MAI,J.Ai.L FARO FIRST
Page 3al' 3
3/21/2013
resubmitted and the City or County Zoning Office will be notified of our action. Any changes to this
oiiginal agreement shall make this a;,reement null and void unless initialed by both parties:
Thank you far your courtesy and cooperation.
Sincerely,
•
A ... ` 1 A (
,lean Borgen s ,
Land Rights Agent.
Siting and Land Rights Dept.
612-330-5517
612-318-4748(fax)
�eryl)a11...bcrgen CU\CelZnera . opl
cc: Tim Wachholz
Will Pim
(0976/0989 -NH-35318-16)
(0976/0989, Str. 146, 147)
ACCEPTED:
By - tV,Ad
Name: A4'J 2J /l -
.Its p P/-
S1'rlN(i & LAND RIGHTS I TRANSMISSION ENGINI'ERINO TRANSMISSION MAINTENANCE
{
3/21/13 Date Date
[_ �� r ! 'i: ! ` Signature _ Signature
Ctty of kall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 1 DIQ (0 t
Q
IPermit Fee: I 1
Date Received: r 11 /1 J
Staff:
ac
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Type
Site Address: 40-0 / I) A Ila-e.D CA—
Name: MTC\Akel iTYZ GA.) ..)X 14G --k- L Phone:
Address / City / Zip: II.O /Y\ Atk Lb Cik- 1
Applicant is: Owner ,/Contractor
Unit #:
Description of work:
/ 0cta 1&,,.
Construction Cost:
Multi -Family Building: (Yes / No )
Company: I "" ��s �ll5e Q 0,0 Contact: ni ICiC F
Address:`
62q01)
l 51 I0b City: 4'L I! at, le,
State: /4N Zip: 561 2.44
License #: 5-11 5-3
Phone:
q 2. -V32 -/
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
tS^ MIS 19-M fD &k\V
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: Phone:
Sewer & Water Contractor: Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information, Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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; thal 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 B ' • ng de mu: _ completed 80
days of permit issuance.
x»1C 1etIA
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
LfgO d a i' lard Cr
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Ak Addition
Alteration
Replace
Retaining Wall
Fireplace
Garage
.2K Deck
Lower Level
1 0'106
_ Porch (3 -Season) _ Storm Damage
_ Porch (4 -Season) _ Exterior Alteration (S ngle Family)
_ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
Pool _ Miscellaneous
_ Interior Improvement
_ Move Building
Fire Repair
Repair
DESCRIPTION
Valuation�'C
Plan Review
(25%_ 100% �/ )
Census Code N 34/
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
)1t Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
it Framing
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Siding
Reroof
Windows
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
_ Egress Window _ Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
>y Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
Page 2 of 3
SIGMA
SURVEYING
SERVICES
3908 Sibley Memorial Highway
Eagan, Minnesota 55122
Phone: (612) 452-3077
W.O. 117-83 BK. 1/49
Certificate For:
MARK/OTT HOMES
f
Northern States Power Co. Easement per Bk. 62 Misc. Records Pg. 437
art N 89°44'41" E 136.73 1,
rrto Sanitary Sewer
tr.-r•
$44, t --Ne. nt LA
A!� $44ry r w/ Yy�
)(Gr5`l
/ 1
PAGAN .
WED
ROA.
Use BLUE or BLACK Ink
r
For Office Usei t~ t~ G} I
Permit#:
City of EaRd as
Permit Fee: 105
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
2013 RESIDENTIAL BUILDING /PERMIT APPLICATION
Date: Site Address: 4 IZo Unit
I
Name: Phone:
Resident/ ,,,t ~t
Owner Address / City / Zip: _ ` Li2s) / ' aLr
i
t Applicant is: Owner _~.Zc/ontractor
Type of Work Description of work: v\
' Construction Cost: I~L:11100 Multi-Family Building: (Yes / No
j Company: Contact: xl~
I Address: 7S-30 Contractor ys h f City:
IV V
State: Zip: Phone: l01 Z 32S_" q,)S 8
. ..w License Lead Certificate
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: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: _ Phone:
PP
NOTE: Plans and su ortin g documents that you submit are considered to be Public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
i
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 m.._..
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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 Buildin Code must mpleted within 180
days of permit issuance.
x NICK af,Sv►'llee x Z
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122387
Date Issued:05/06/2014
Permit Category:ePermit
Site Address: 4420 Mallard Ct
Lot:21 Block: 1 Addition: Tiberon 1st
PID:10-76400-01-210
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 -
Michael J Heil
4420 Mallard Ct
Eagan MN 55122
(612) 584-0224
The Roof Guys
7630 145th Street, Suite 110
Apple Valley MN 55124
(952) 997-4777
Applicant/Permitee: Signature Issued By: Signature