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4428 Mallard CtCITY OF EAGAN Remarks LAddition TIBERON ADDITION Lot 19 BIk Owner Street 4428 MALLARD COURT EAGAN frQd 55122 Improvement Date Amount Annual Years Payment Receipt Date S.k1jiF- 5 10 1977 307.21 30.73 10 61.45 A013862 5-8-84 STREET RESTOR. qk8 1981 953.23 190.65 5 190.67 " " GRADING 5AN SEW TRUNK 19 1974 128.30 8.56 15 34.34 A013862 5-8-84 *SEWERLATERAL t 1979 1483.09 98.87 IS $$9.$7 of ti WATERMAIN • WATERLATERAL StUb 1979 15 WATERAREA 1977 128.22 8.55 15 59.90 A013862 5-8-84 STORM SEW TRK STORMSEWLAT 4bq 1981 79.71 15.94 5 15.95 A013862 5-8-84 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 450.00 11 11 BUILDING PER. SAC ,25.00 PARK k I q1 16. /) ?+?f o-r\ ! S7 HOUSE "HEATING TEST RECORD ADDRE55 Z ?! a p • I(7/4jJ` a C-OaC/ APT. FL+OaR CITY OCCUPANT pwNER HEAT LOSS DA7E HTG. INST. - SOLD BY Electrical Work By TYPE OF HEAT INSTALLED BY Gas Line By - GA FA -4-HW STEAM SPACE HTR. UNtT HTR. OTHER GAS DESIGN MAKE ?• ? ? MAKE OF BURNER _ Model J3L-U0g QF!q4 A ? Model Serial WL41 ??90 10 ` Max. BTU Roting ? INPUT l?L+1 000 MAKE OF FURNACE CONTROLS THERM0?5?T±L' bG gHJ t Plug Ya Ive ?L 14 ?.t7GM Limif ?(1Q? O Limit Setting 01.fl1(} Fan Setting Pilot Type Pilot Make :1'n n d?/' O/1• -ir Pilot Model Pilot Timing L.W. Cut Off 11 ? `^ Q Prossure .3`1 w .G w Peresnt C02 Input CFH r? ?./? Percent 02 a Stack Tamp. ?w ?sA/• Psrcent CO ? a Model Vent Size 1/ KIND OF LINER AIl,07. SIZE_.?. ?.1 NONE Draft Hoad Regulator Fi Iters Sixefi!?%15 X/ Number Chimney Location Inside-X --Outside Chimney Constrvction /22e;62ZYC/?? Smoke Bomb Wiring D?aft Z Test Tag Po? Door Pressure ? Lighting Inst. DaTe Testad r Compony Testing ? t+lame oi testsr r SUBURB CONVERSION Form 235 . ? CASH RECEIPT • CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DA7E 19 wcccrvKa PRdA AMOUNT $ I DOLLARS ?oo [] CASH ? CHECK FON a' FUND CGDE AM OUNT Than, u sv J White-Payers Copy Yellow-Posting Copy Pink-File Copy urY oF E?G?N 3795 Pilot Knob Road Eogen, MN 53122 PHOMIEs 454-8100 ? BUILDING PERMIT Ir.. L. .m" 6~ Mll 62,000 S'te ? .,JJrc? '. `2 GJ "lilLliL 111?_ l.'J V?\ 1 ?, Lot Blxk 1 Sec/5ub. TIFr' ZO-' Parcei # 1C--76400-190- r)1 oc Nome 1_)?;:?:?IS CELf;AR W ? Addross 7F?g W. 1 i0i'II ST. ,... r,Dnr.V Irnr. .,.____ n.i')_nnnr, ? $ NOms u? Nddra. ? ri... Name I hereby ocknowledge thot I have read this opplication and state that the intormation is correct and agree to tomply with oll applicoble Stute ot Minnesota Statutes and City of Eogan Ordinonces. Permit .42 11 y- t)U Surcharpe 31.00 Plan check i 5 3•-' () SAC 575 .QD Water Conn. - n-. Q 0 Water Meter 61). 0 Road Unit 25 0- ? 0 Totol ? 1, 7? 7• F? Siynaturc of Permiftee I /l Buildinq Permit is issued to: (Ii-.LI-Ti;: on the exp?ess condition that oll work sholl be done in pcco?dance with oll applicable State of Mlnnesoto Stotutes ond Ciry of Eoqan Ordinonces. 8uildinq Oificial `12 ; F ? ? Receipt #' ? f m_._ FT:BRUARY 2 Erect 13 Occuponcy ., , Alter p Zoning Repair ? Fire Zone T- Enlarge [] TYPe af Const. V Move 0 # Stories DemoUsh p Length 4 4 Grode ? Depth 52 Sq. Ft. Appro va I@ Fees Assessment - Woter 8 Sew. Police Fire Enp. Plonner Countil Bldg. Off. ? APC Psrmit No. Parmit Holder Misc. Permit No. Holder Plumbing w?z, ir V H.V.A.C. ?+ w.u wna. Disp. Sewar Electric 127 7 Sw d ?c 14 r 3 (? Inspectian Date Insp. Uther Footingt ??! ?,?,t • Foundstion FraminQ A«,g,Pibg. I•17-s q Rouph HVA Inwlstion Final Plbq. _ .? Final HVAC ? Finel p . Water Wscribs Locstion: VYell Sowsr Pr. Dkp. _ Receipt MECHANICAL PERMIt CITY OF EAGAN Fill in numbered spaces Type or Print legibly 1. Date - - D 7 2. Installation Cost 3. Job Address : - Lot • Bik. w 4. Owner 5. Contractor 6. Address No. Fee S/C Tot. Tract 7. City State Zip _ 8. 8uilding Type: Residential C Commercial ? Institutional ? 9. Work Description: New {z7 Add ? Alter ? Repair ? 10. Describe Fuel Type , 11. No. Eauioment 9TU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other : - Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the abave information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-B100 Receipt PLUMBING PERMIT CITY QF EAGAN Fi!l in numbered spaces Type or Print legib/y Permit No. Fee S/C Tot. 1. Date 2124184 2. Installation Cost 3, JobAddress 4499 ,AaVPatrr! Blk. .-? ; Tract _ 4. Owner 5. Contractor wenze..[ Mech Phone 452- l 565 6. Address 3680 KQ.1'tt[24eC 1?n 7. City E[LgRJ2 State Ain zip 55122 8. Building Type: Residential OX Commercial O Institutional ? 9. Work Description: 1Vew IT- Add ? Alter ? Repair ? I 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank ? Lavatory Softner `L Shower Well ? Kitchen Sink llrina4/Sidet Other nizhtw C?he.K ? ?r- Laundry Tray . qIZiydQh Floor Drains ?"nh liCn tnh r u? Drinking Ftn. . . Slop Sink Gas Piping Outlets 12. I Signed : This is rtify that the above information is true and correct, and I agree to th all ordinances and codes governing this type of work. ; for Rough Pinal : Date Insp. Date Insp. permit when numbered and approved. • CITY OF EAGAN 454-6700 v . .. . . .. 4:..' .. '3'.7?r.°'..vl..r...T.:.... .- .. . y,., F [.. .. .. ? PERMIT # ?i MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-e100 For Office Use Only Lot Block Sec/Sub ? Name ? Address c City Phone Name L c Address p City Phone TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent. CFM Gas Piping Outlets # FEE src: TOTAL• BLDG. TYPE WORK DESCRIPTION Res. ` New Mult Add-on ' Comm. Repair Other - $24.00 - 6.00 1.50 EA. REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGpdAPURSrOl?26 EE FOR: CITY OF EAGAN rI FEES RES. HVAC 0-100 M BTU 7 ?1??/ ?' G%`? / SEWER SERVICE PERMIT PERMIT NO.: DIITE: No_ of Units: 'f h Contpll? vrilh tlw Gh of le9e¦ ConnacNon Chorqe: Account Depoait: ? Permit Fee: Surcharpe: Misc. Charpex Totol: CITY OF EAGAN WATER SERVICE PERMR 3830 Pifat Knots f{oad P. U. Bor 211$9 PERMIT NO.: Ergan, MN 55121 DATE: Zoning: No. of Units: ? Qw ? ner: Addreas: Sita Address• Piumber. Connection Chorge: 1?(' . ? il •,.; Nkter No.: Siu: Account Deposit: Reader No.: Permit Fee: 1 proo h eompip wM !M Cilq of Eaqea Surcharge: OrdiwewoN. Misc. Chorfles: " - - - Total: g Date Paid: y Date of Insp.: Inap.: TY OF EAGAN 130 Pi1o+. Knob Road C. Box 21799 igan, MN 55121 _,__. ,1 REQUEST fOR ELECTRICAL INSPECTION EB-00001-04 See mshuclions for comGle<in9 <his form on back ol Vellow coVV. (/V O X8elow Work Covered by Thrs RequesY ? AAtl fle0• Type ot Bwldmg ApPliancea Wned Equipment Wired Home Range Temporary Service Dupiex Water Heater ightiny Fx[ures Apt. Bwlding yer Electnc Heatin Commeraal Bldg. Fu mace Silo Unloader Industnal eldg. Air Conditioner gulk Mi Ik Tank Farm orne' Spec,fy Otho? ISOOCify] ther Specify Other Othci Compute lnsoection Fee Below p Fee ServmeEnhenceS¢e p Fee Feeders/Subfeeders # iee Cvwrts Um200Am s 0 to30Am s 0 to30Am Above 200 qmps, 31 to 100 qmps 31 to 100 A s Swimming Pool A6ove 100-Am s Above 100-Ampn Transiormers irngation Boorris Partial-'Other Fee ` Signs Specialinspection $ T AL FEE Remarks ? Noueh-in O, ical nspectoq herehy cervly "at the above Final ? Onle inspecLOn has been made. rMS repuesl voitl 18 montln from This request voitl / ? ?? le moncns r,om 7 A° TiP7 a?;?. 3'7,S d - - -- ? ..?. ....?..._... Rea?mr > E]Rendy Nuw ?II Nolify Inspec- ? ? No When Heady LL;Oncensed Electrir,al Contnctm I hareby repuest inspaction of above ? Owner elecViwl work mstelled at. Sheet ddr s, eo or floute No. City 19?I'7' Q ecUOn o. Townshiu Name or No. Ran o. County ^ Occupant IPRINTI ' oe/Il /F ? Phone No. 41 2 - 60 b Power Supplier Address . ectrical Con c o mUany a e 14,940 PEMOCK F.A1VE Cnnhact r ?censc No. Z1`' 1nq ? Mailing Addre s 1iU?Cgi-w- aR?• i {.?pQyp{go[_pRpy,]q? p?L?fiP'nLvlg??'}?itl}i55 7<+II Authorized Signawre (COnVaclor/Owner MakinB Installation) Phone Nu t MINNESOTA STATE BOARD OF ELECTRICITV THIS INSVECTION flEQUEST WILL NOT Griggs-Mitlwey Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOP.ND 7827 University Ave.. 5[. Peul, MN 55104 UNLESS PROPEH INSPECTION FEE IS Phone 16121 297-2111 ENCLOSED. . This reouesl vmd 18 months from ? E 26363 93aa? Reque Dat . 11 Fire No. flouph-in Insper,bon Reyu?reA? HeaAy Now ?M1ill Novfy InsDec 7 1 ?' ? ? 1'es No or Wh¢n fleadv &L.censed Electncal Contracmr 1 hereby request insoecLOn ot ebove ? Owngr eleclricel work inslalled et: Streei Address(.Box or MRoule N?on. y 4? d I"? CtX?C Q/1? ? Wl ! Gtv ?GL QN\ ecuon o. Townshi0 Name or No. Nange o. County t7a L? f ? Oc upani IPRINTI Phone No. q s'6 - 97Sd Powet Suppl er Address I 1 Electncal Co1ntractar (Company Name) ?SOI?t'SwUun. 'Y I PC,7 v! L Contracio?'s Licen)se No.7 0 I R d-' o? Mailin0 AAdress IConvaclor or Owner Making Inst''labon) ?? ? ?, J-e ,,.? ??-c- La??.;i Au[honzed Signature ICon[ractor O/wner- Mankiny Installat,on) Ca., v--?._ ? v?X.? P, 7 ho/ne Number / 6C/- MINNESOTA STATE BOANU OF ELECTPICITY Griggs-Mudwey Bldg. - floom Nd97 1821 Universitv Ava.. St. Peul. MN 55104 cn,...o 19191 s42-osoo THIS INSPECTION REQUEST WILL NOT eE ACCEPTED BY THE STATE BOAPD UNLESS PNOPEH INSPECTION FEE IS ENCLOSED. REQUEST POR ELECTRICAL INSPECTION Ea-ooooi-os See in`sRacliens lor compi¢vng this form on Lack o1 vellow copy. ? E 2 6 3 6 3 "X' BeloW Work Covered by lhes Request Fdd Rep. TyOe ol BwlO,ng Appliancae Wired Equiument Wved Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt Bwldmg Dryer Electnc HeaLn Commercial 81dg. Fumace Silo Unlodder Indusinal Bidg. Air Conditioner Bulk Milk Tank Farm otner per.i y o?nerlsprc?tyl t er Speufy Other Other Compute Inspection Fee Below p Fee ServiceEntrence$ize fl Fee Fextlers/5u6feeders k Fe,e Grcurts 0 to200qm s Oto30qm s 0 to30Am s Above 200 Amps] 31 to 700 qmps 31 to 100 Am s Swimming Pool Abave 100_P.mps Above 100_Amps Transiorrners Irrigatwn Booms Parnal,'Other Signs Special Inspection TpT FEE 1 Hemarks ? „ N/ ? floveh-in Date the E lbm? Inspector, herehv certify het the »bove Final DI', mapection has been mede. rn.: rmuwzl mid 18 manllu Iran CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Knob Road SZ82 P. O. Box 21'f 99 PERMIT NO.: Eagan, MN 55121 DATE: 2'7'$4 Z'ng; Bl No, of Units: 1 ?; Gelhar F?mes InC ren: Si Addrcss: •_,.__? r,...?« r?e n? msi.e?.,,. Arldn 01....,Mr. _ W n e] Pih¢ P. Htg Meter Slze: . Reodai No.: La( FI v " i 1 Mm M eomVh rhh Hw Gry of Eagen aa?mee.. . ey Date of InsD.: Connact{onCharoe: 450_0(1 4id Aocamt Deposit: Pertnit Fee: 10 _ 00 Pd Surchoree. - _50 pti_ tiu.c. cnorom Ra nn ?a mar? raoi: - Data Pold: CITY OF EAGAN 3793 Pllot Knob Raad Eagan, MH 55122 PHONEi 434-8100 BUILDING PERMIT T. 6e used fer .SF $62,000 N° 8792 Receipt # Date FEBRUARY 2_ Iq 84 $It@ Address 44L21 L1k1LL1R1lU I:VUK'1' Lot 19 Block 1 Sec/Sub. TIBERON Porcel # 10-76400-190-01 W Name DENNIS GELHAR Z Address _7668_W. 150TH.ST.^^^^ o Name SAME ?? Addreu r n... o?....e Nome _ Address 1 hereby ackrwwledge that I hava read this applicotion ond state thaf the inlormation is torrect and agree to [omply with oll aOPlicoble $tote of Minnesota Statutes ond City of Eagan Ordirwnces. Signature of Permitlee A Building Perrriit Is is u ull work sholl be d ne ir Buildirg Official Erect 11 Occupancy R3 Alrer ? Zaning Rl Repolr ? Fire Zona N/A Enlorge ? Type of Const. V Move ? # Stories Demolish ? Length 44 Gmde ? Depth 52 Sq. Ft.- Approvals Feea Assessment _ Water 8 Sew. Police _ Fire Eng. Planner - Council _ Bldg. Off. _ APC Permit $ 319, 00 SurcFwrge 31.00 Plon check 159.50 sAC 525.00 WaterConn. 450 0 Worer Meter 63,9 0 Road Unit 2r;0- 0 Totol $1,797.50 to: DENNIS. GELHAR on the exprem condition ehnl :mrdancyar1fV) a},yppliw6le Stote of Minnewta Statutes and Ciry of Eapan Ordirwnces. CITY OF EAGAN BUILDING PERNffT APPLICATION ? P. f/ yz Include 2 sets of plans, 1 Certificate of Survey & 1 set of_ enPxT! calculations. 'Ib Be Used For S I Valuation Date Site Address: y4/? ? ??1 01 OFFICE USE ONLY Lot Block f Sec./Sub. ' Erect X_ Occupancy Parcel #: / ? ? ? ? ?(Ta ° / GJ () _ ? ? Alter Zoning . / Repair Fire Zone n/ Rvner: p? /M6 ?. -e / h O'vN Enlarge _ Zype of Const. Pbldress: Nbve DeTrolish # Stories Fmnt ft. City/ZipCode: ryf?? ???lPy 5'7?Zy Grade Depth ft. Phone #: 2(-3,3?, ocx" AppTMALS FH'FS Contractor: Address: City/Zip Code: Phone #: Arch. /F1ng. : Address: City/Zip Codec Phone #: Assess[ents ? Water/Sewer Police Fire Eng. Planner Council Bldg. Off. APC Pesm_it Surcharge ? Plan Check ? SAC Water Conn. 5+so Water Meter f.; 0" Road Unit 'IC)TAL /? ? 9 7" S 0 2004 RESIDENI'IAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?? 0 , 0v New Constmdion Reqmrements RemodelfReoair Reamremen4s D€fice lJSS ONV 3 registered site surveys showing sq ft of lot, sq. fl of house, and all roofed areas 2 copies of plan Cerkaf Senvey Recd -Y _(J (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addtlions T[2e Ffies Plan ftecd _Y _N, 2 copies of plan showing beam 8 window sizes, poured found design, efc 1 site survey for addiUons & decks Tree Pfs RequkEd Y N lsetofEnergyCalculations Adddron - mdirateifon-sitesepticsystem QresifeSeplieSysiere ,_Y _N 3 copies of Tree Preserva4on Plan if bt platted after 711l93 Rim Joist Detail Ophons selecUon sheet (bldgs wdh 3 or less umis Date 04 Construction Cost Site Address p}??'27) - ?( Q(?A o. UniUSte # I ftion ZZ Descriptian af Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone # ( (p51 Contractor M j q-A N6SOTr r UN WiNBOWS & SIDIlYG CO• Address 8609tYNDAI'EAVC'• 'ity State ZipBL00WC ' e?ephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateaorv 1 _ • Residential Ventilation Category 7 Worksheet (J submission type) Su6mitted • Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Conhactor N If so, 25176 plan review Telephone #( ? Telephone #( ) Telephone #( . „ ? " LX ?',U 4 1, I hereby apply for a Residential Building Permit and acknowledge that the informati "4s complete and accu?ate; that the work will be in conformance with the ordinances and codes of the City of an and the State of IVIN ?ithout a Statutes; I understand this is not a permit, but only an application for a permit, and wor is not to-start permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approvalpf plans. ? Applicant's Printed I4ame Applicant's Signatu CITY OF EAGAN CASHIER: JS TERMINAL NO: 004 DATE: 03/29/00 TIME: 15:17:50 ID: NAME: ABC PERMITS 3210 9001 4428 MALLARD CT 97.25 2155 9001 4428 MALLARD CT 2.00 3210 9001 4348 HAMLTN DR 125.25 2155 9001 4348 HAMLTN DR 3.00 Total Receipt Amount: 227.50 CR125382 USER ID: JAN ---------------------------yy 2000 BUILDING ,?tJ 4t05 4q9 a s PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD - 55122 ? 651-881-4875 Remodel/Reoalr Reaulremenb > 3 refllateretl Ate wrveYa alwwinp sq. R ol bl, sQ. tt. of houae and gD raofed areas (2096 rtwxlmum lot coveraae allowedl > 2 coples of plans (ahow beam & wlntlow aizes; poured Mtl. design; etc.) > 1 set o1 eneryy cWculations > 9 coples ol hee preservatlon plan if tot plalted atter 7/1/93 DATE: DESCRIPTION OF WORK: I Clif - STREET ADDRESS: `74,XD 2 coWes d plan I set W energy calculallons tor heafed addltlons 1 site survey for extadOr addiflons & decb CONSTRUCTION COST: !A 41 bOO I T LOT: ?? BLOCK: ? SUBD./P.I.D. #: ?l?P Y b n / sr Name: C"1cx? CLG l, d JL,I.? _ Phone #: (D J 1- 4?)4-"1 tn PROPERTY wst flrst OWNER ,! l 1 /-\C,7 An ^ f I ^ .-.,I ?T Sireet CitY Us??- State: Zip: i1j i: b(oZ `101- (n`?fS?'i (area code) CONTRACTOR Sheet Addreas: ? . _ Licerue # 2ll0 9<3?'3Exp. ?d / fo2o2?? ??/'?• ci+r srate: ? zip: S5?3Z `l ARCHITECT/ ENGINEER Company: Name: Telephone 0: ( Sheet Address: RegishaNon a: CI1y Sta1e: Sewedwater licensed plumber (if instalflna sewer/waterl: Phone #: Zip: I hereby acknowledga ttwl l have read Ihia applkation, sFate that fhe infortnatbn is cortect, and agree to comply wilh a0 app8cable StatE of Minneaota Sfatutes and Cffy of Eagan Ordinances. / l i • Signalure ol ApplfcanY. ( JLZe?!?? .i' ?I L OFFICE USE ONIY Certificates of Survey Received _ Yes _ No ' Tree Preservation Plan Received _ Yes _ No _ Not Required OFFiCE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-piex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelfing ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck 0 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? OS 03-piex ? 11 10-piex Plbg _Y or_ N 0 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pooi ? 30 AcCessory Bldg. WORK TYPE ? 31 Ext Alt - Mutti ? 33 Ext. AR - SF ? 36 Mutti ? 31 New ? 36 Move Bidg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code Na. of Units No. of Buiidings Const. (Actual) (Aliowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Permit Fee Valuation: 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 Total: Variance SAC Units % SAC t `` . EXTERIOR ENVELOPE AYf.RAGE °U" COMIPUTATION OkNER SITE ADDRE55 CONTRACTOR (-t_LNAYf DATE PHOHE 41z-0000 Detei-nine workinq square footaqe ot each. i, Tocal exposr-d wall area .,,.,. rE,66'(;:5 s4• ft, x ,17 0 lr3'? 2, Total rooF/ceilir,; arE?? ......-Wi•lri - Sq, ft. x„Y.05' • .?? 7ata1 expu?ed i'ail area ebove floor •t7,g 6^00 a. Total Ka'il tiaindow area .........................•• C 33• 7 D, Total door area .... ........................... 3 7 ai c, Total sliding ylass door area ................... 4 e.oz --- d. 1ota1 fireplace .rall area........................ e. Totzl wall fra•nin? t.rr.a (average 10%).,.......... j f. Total net wall area abeve floor ................. t 7?.ia g. Total *ir.j ;oist zr?a ............................ / / ? c) 7ot>.1 c,<pos:d foundatioo ai?'a = h, Totai foijnC?tic„ ?,indow area ..................... i. Toal net fc.indation area zbove grrv° ,........... O.vL_..._ Detcrnone "U" value of each :.z.ll segment. a. _ f 3 3.72_?! X"Un b, _?,7_ 81 _ X "U° .13 ` 4'_ 11r C. YII.QZ A MUa ` 5? • Zz .OI d. ? X ^u° L- • e. 1 ?6_06 x "u°_,_LL_ • 22;12, r. r,273, i a x,?? . c7 q, z •up ? • ?9i . n. S-lc" x °u• • ti? - • ?-?` t. ?9=?(c x ^u" - 1-17 . 3 . ...............l&A A r ..........Total • RE- 4 , / , ? • • ` , • 1 T 'otal exposed roof/ceiling area = fl3 • o j. Total skyliqht area ............................. k. Tota1 roof/ceiling framing area (average 10%)... 1, Total net insulated roof/ceilin9 area....,...... Determine "U" value for each roof/ceiling se9ment. X itu 11 , k. X nV . ?. a e --x ?,U„ 01 ? _. ?,6.ra I j 3 Y - 4 .................??.;1',? ?...,,....Total = ? P G If total of 44 is the same as, or less than 12, you have met the intent of SBC 6006(c)1. Alternate Buildinq Envelope Design To utilize the total envelope system method, the values established by tF?e sum of items 43 and 04 shall not be greater than the sum of items fl and 02. + 3. 24?/_?+ 4._?r ?0 = ??•3 ( 5804 Melody Lene 8963063 Bumsville, Minnesota WEPJA CO. PLAN SERVICE EO ANDERSON /.RGMITECTUWL OE8IGNING INO PLANNING Offwe: ' O(fica. Surnwille, 8964636 < { 8 4 £j f 4 ? k+ £ LJ6 ^L6.1T LOT 19? O ! S 89°41'52??W SCALE: 1 inch = 30 feet Denotes Iron Manument Denotes Wood Hub Denotes Existinp Spot Elevation -?'?? Denotes ?rainage Direction PROPOSED Gr1RAGE FLOOR ELEV: =940.0 PROPOSED TOP OF IlLOCK ELEV. =940.3 PROPOSED BASEMENT FLOOR ELEV.=935.5 *FlEARINGS SHOWN FIEREON ARE BASED ON ASSUMED DATUM>'? I hereby ccrtify that this is a true and correct representatio? of the location ot [he proposed house and existirig elevations. That I am a duly Registered L,3nd Surveyor under the ldws of Che State uf Minnesota. /`{'",?j,,',,,?''?"?WaynD: Cordes, Minn. Reg. No. 1467i Date: January 26, 1984 EYING VICES Memorial Highway nnesota 55122 12) 452-3077 V?p?\ Certlficate For : GELHA1i -----?- --_a?'? 1 °i o?a;.,?jc? $; *Uttk?y 1 N0 [?wk /('9 HOMES 7 r z43v ss ; L=5 6pp0 „ ?O ? 55?28 ? p---- '.i?:C:?`..?.'? N PROPERTY DESCRIPTION I Lot 19, Block l, TIBERON 1ST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. I Use BLUE or BLACK Ink - I For Office Us K~':: I I Permit I City of Ea a~ !3 a~ Permit Fee: 3830 Pilot Knob Road I' I Eagan MN 55122 Date Receiv • Phone: (651) 675-5675 I I Fax: (651) 675-5694 L Staff: ---------_I INFLOW & INFILTRATION PERMIT APPLICATION Plumbing Sewer & Water Date:- Site Address: 1 v~ Tenant: L Suite Name: Phone: ( ~ J RESIDENT / OWNER p/ 1 ) Address /City /Zip: Name: 111 ,Uaa ~ ~~r1I°' License b 6 L J Address: 44 _7p, Cit „ Vod~v CONTRACTOR y State: Zip: -5r2-2- Phone: 03 Contact: Email: _ rh~~ .X,-x- -C~C'✓(, PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORKSump Pump Repair Repair Other: Other: Description of work: DESCRIPTION FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit III repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaclan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.goi)herstateonecall.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 re uires a review and app val of plans. x00"d~~ ~~raa ~L-L x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Final PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155510 Date Issued:05/20/2019 Permit Category:ePermit Site Address: 4428 Mallard Ct Lot:19 Block: 1 Addition: Tiberon 1st PID:10-76400-01-190 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - David W Goodell 4428 Mallard Ct St Paul MN 55122 (651) 454-9117 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature I— For Office Use LP • Permit#:E AGA N UU Permit Fee: /D-0 :51) Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionst cityofeagan.com 2019 RESIDENTIAL BUILDIN PERMIT APPLICATION Date: b 1 9 Site Address: LI g • Unit#: Name: O OCn Phone: 6 `c-7-1511 Resitient! �.g M Owner Address' /City/Zip: IV� � � j Applicant is: x Owner Contractor (J T pe of Work Description of work: ,'‘ cA/er4 Y _ Construction Cost: Multi-Family Building: (Yes /No Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: 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 they are trade secrets, You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.aopherstateonecall.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 s = without a permit; that the work will be in accordance with the approved plan in the ccase of work which requires a review and a••r• •f plans. £lJ1 x dId Gi ��- I Applicant's Printed Name A. licant's Signature PP p 9