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4431 Mallard Ct Use BLUE or BLACK Ink r For Office Use I n Permit I Per City of Ea~a mit Fee: / C1 t I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _j 10 Site Address: AA3k Tenant: Suite RESIDENT/ OWNER Name:A L~ l~ ALSO Phone: a-~a" 03 3 7 Address/ city/ Zip: 443 1 AdL.6 CGS - EAA~ A r ~,_A Applicant is: K Owner Contractor TYPE OF WORK Description of work: (~nPtS Ft A. Construction Cost: Multi-Family Building: (Yes /No ) CONTRACTOR Name: > License Address: City: State: ip: Phone: Contact: Email 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 A_No If yes, date and address of master plan: Licensed Plumber: Phone: I I Mechanical Contractor: Phone: Sewer & Water 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 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.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 requires a review and approval of plans. X_ ~i tom. Ls o tA x t; ~U _ u/-,l J` Applicant's Printed Name Applicant'rs Signature Page 1 of 3 ? HOUSE '}1EATING TEST RECORD L;ty g/ 'rPa?O? isf 7foy00 e??10 D/ ADDRESS APT. FLOQR CITY SUBURB CYO-6- OCCUPANT OWNER HEAT LOSS DATE HTG. INST. - ? SOLD BY INSTALLED BY Elsetrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. _ UNIT HTR. OTHER ? GAS DESIGN MAKE ? MAKE OF BURNER _ Model $ 0 Model Swial hkx. BTU Rcting _ INPUT ? MAKE OF FURNACE Model CONTROLS THERMOST E_ ' Heot Plug Va Ivs 11, Limit JOVit Limit Setfiny Fon Ssttiny ? Pilot Type Pilot Make ? 1t Pilot Model Vsnt Sizs KIND OF Draft Hood Rsgularor Filtsrs Size umbor Chimnsy Loeation Inside_--Outside Chimney Construttion --. !111 Smok* Bomb Wirinp ? / Pilot Timing , Draft Test Toy L.W. Cut Off Door Prsssure Lightiny Inst. 0 Pressure • Percent COZ Date Tasfed Input CFH • • Percent OZ Company Tssting Stack Temp.-SaO` Net_Pareent CO Name of Tsstsr d Arc Form 235 ? ? CASH RECEIPT go • CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RGCEIVEO FROM AMOUNT $ I & DOLLARS 1 oo 0 CASH [DCHECK FOR White-Payers Copy Yellow-Posting Copy Pink-File Copy Than u BY i Receipt - PLUMBING PERMIT Permit No. CITY OF EAGAN - Fee __ • C t c- FiII in numbered spacea S/C Type or Prrnt legibly Tot. 1. Date ? fy 2. Installation Cost 3. JobAddress J/ZLLAA, C_1ot ? Blk. Tract 4. Owner //. '/, r ` ? - - - 5. Contractor L"Yc/1z-c 11 Phone 6. Address .??. C 1 7. CitY State Zip ?-- I 8. Building Type: Residential C)` Commercial ? Institutional ? 1 9. Work Description: New CQ Add ? Alter ? Repair ? I 10. Describe I 11. No. -=-' Fixtures Water Closet No. Fixtures Cesspool/Drainfield / Bath tubs Septic Tank ?- Lavatory Softner 1 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. Siyned : for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks - ' ? Addition TIBERON ADDITION Lot 24 Bik 1 Parcel 10-76400-240-01 Owner Street 4431 MALLARD COURT State EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STFiEET SURF. ? 7 21 30.73 10 30.73 A014936 12-7-84 STR E ET R ESTO R. 19$1 953.23 190.65 -- GRADING SAN SEW TRUNK Z 1974 128.30 8.56 15 25 . 79 A014936 12-7-84 * SEWER LATERAL q Q 1979 1483.09 98.87 15 91. 00 it it WATERMAIN * WATER LATERAL StUb 1979 1$ WATER AREA 3LAQ 1977 128.22 8.55 15 2- - 4 STORM SEW TRK STORM SEW LAT 4 1981 79.71 15.94 5 ---- CURB & GUTTER SIDEWALK STREET LIGHT 260.00 42252 3-30-84 WATER CONN. 470.00 BUILDING PER, $918 sAC 25.00 PARK -? . . : . . --,--- -? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: • Eagan, Minnesota 55123 ? Date Issued: (612) 681-4675 SITEADDRESS: AqPLICANT: ? 1 ? PERMIT SUBTYPE: TYPE OF WORK: =-? ? - ? NSPECTION D• . D• I !! ..r d?'y t r•- - ? ' •?ri?^ - . ,?'.=R?". `.•i?? i = • • - ? Permit No. Parmft Holder Date Telephone M S/V1! PLUMBING HVAC ELECTRIC p 00 ELECTRIC Inspection Dete Insp. Comments Footings I ple- Foundation Framing n9-G- Rooiing Rough Plbg. Rough Htg. Isul. Fireplace Fnal Htg. Orsat Test Final Plbg. Plbg. Inspeclor - Nofi(y Plumber Const. Meter Engr.lPlan ` Bldg. Final v { ? Deck Ftg. Deck Final Well Pr. Disp. s L? / ? Receipt ? MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print /egibly -?? '- •7C? „_....?. S ? 1. Date L/1.7 2. Installation Cost 3. Job Addressl? Lot Blk. Tract " 4. Owner /dktG t.y? /'`-"'? 5. Contractor Phone ? 6. Address ='?? G? ???,,.r:• «L ?/?t . 7. City State 2ip 8. Buiiding Type: Residential ? Commercial ? Insiitutional ? 9. Work Description: New ? Add O Alter 0 Repair ? 1 10. Describew?""'-?"?" ?+? f! Fuel Type /? fc'?- 11. No. Eyuioment STU - 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 above information is true and correct, and I agree to comply w?h all ord' nces a d codes governing this type of work. Signed : j for ? ough Flnal Inspectjdns: Date Insp. Date Insp. This is your permix vyh,n numbered and approved. Approved l CITY OF EAGAN 464-8100 BUILDING PERMIT Te be raed fe. .: Ci GAR Site Addresa - Lot Z 4 ela Parcel No. oWc Name - = Address - r City ' O Name? ?? Addreaa ? Clty - Neme _ Address City _ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-81 QO Phone I hereby acknowledge that I have reod this applicotion ond state that the informotion is correct ond ogree to comply with oll upplicable $tote of Minnesoto Stotutes and Gty of Eogon Ordinonces. Siqnoture of Permittea nFrvrrr5 (•FTrTIAP Assessment Permit _ -= . 00 Water 8 Sew. Surchorga 34 . 50 Police Pian check 168 ,50 Fira SAC 525.00 Enp. Water Conn 4 7 0. 0 0 Plonner . Water Mefer 63.00 Council Road Unit 260.00 eidg. otf. 5 0 U APC Totol ? A Building Pem+if Is iuued to: on the express condition thni cll work sholl be done in ;occordonce with all appliwble Stote of Minnesoto Stctutes ond City of Eagnn Ordinonces. $68,000 N° ss is Receipt „_,_ r;AxcH SU, 84 Erect p XX p???ncy :? 3 pN Alter ? ? ? Zoning Repoir ? Firc Zone Nf A Enlorfle ? Type of Const. v Move ? # Stories Qemolish ? Length 4 7 00o Grode ? Depth- 3?Sq. Ft. Buildinp Officiol A - ?_.??) Permit No. Permit Holder Misc. Psrmit No. Hoider Plumbing H.V.A.C. ?! Well Water Disp. Sswer Ekctrio Inspection Date Insp. Other Footinqt Foundation Fnminq ??, .'? ?'r{? : : • f -? ? ' ? Rouyh PIb4, Rouph HVA Insulation Final PI6g. ? Final HVAC ? . Final ? Cj ?.+7 water Dsseribe Loc ion: • Well Sewer Pr. Dhp. 3830 Pilot Knob ?toad P. O. Box 27799 liDwner. CITY OF EAGAN Eagan, MN 55121 ioning: . li ress; ite Address: lumber. _ T'? AAeter No • ? eron k- 7ze: << H' f Tn- - • 40,01 npft ion Charge: pd f???r?t Deposit: PC Q[?l L gs? f?'`o P Reader o.: ? ? sg? ro ? Permit Fee: Plf wltG Nw Ciry of Eagap Surcharge: Oe?dinaneer. . J Mlsc. Chorpes: P tseter BY Taral: Dofe of In D?e P°id' sp.: tt1Sp,; CITY OF EAGAN 3830 Pilot Knob Road P. O. B, k 21199 Eagan, MN 55121 Zoning: _ nnie ("elPiar SEWER SERVICE PERMIT PERMIT NO.: DATE: ?- 3-; • % No. of Un(ts: ' ress: Address: ?-laIlard Courr_ 1 i6er, i- .,'. • . 'r ) so t0 ? • J? ?).: ? ?' "'?' ? ?r of Eagaa Caanecttor, cho?e: 42 5. 0? or ACCOUnt Deposit: n - Pom,n r-e.: SUrW1aroQ; r , ) "rff Misc, qhorpes; of Insp.: Totol: Dote Po7d: CITY OF EAGAN 3830 Pilot Knob7Raad WATER SERYICE PERM P. O.'Box 21199 IT Eagan, MN 551Z1 PERMIT NO.: Zoninp: DATE: Owner: . .;ar I No. of Units: ; 1lddress: . ? Site Address: arn :.(0, titt i,,Oron Plumber. !i -Meter No.: Sise: Conneetion Qarge; -' _ ' • -' ?' ]f r'- Reoder No.: oaourrt t? • `•? .? A posFt: ? o!? to iom PIfr willr !M Ciey af Eaoo Permit Fee: ?•`' ' • n Ordleeep?a, Surchorge: . Misc. Choroes: - • c' BY Totol: Dote of Insp.: DOte Paid: insp.: CITY OF EAGAN NO 891g ,. 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 • 4 PHONE: 454-8100 BUILDING PERMIT Receipt .{p y S To bs wed br SF DWG/GAR Est.Vulue $68,000 Date MARCH 30, ?q 84 SiteAddrew 4431 MALLARD CT. Erect pXX Occuponcy R3 Lot 24 elock 1 Sec/Sub. TIBERON qlrer ? Zoning Rl ParcelNo. 10-76400-240-01 Repair ? FireZone N/A Name DENNIS GELHAR Address 7668 W. 150TH ST. City APPLE VAL.phone 432-0000 p - Neme _ ?? Address ?- City _ Name City Phone Phone Enlarge p Type of Const. V Move ? # Stories Demolish ? Length4Z_ G'nde ? Depth-3_8_Sq. Ft.- Approrals Faes Assessment _ Woter & Sew. Police - Fire Eng. Plnnner _ Council _ Bldg. Off. _ APC - 1 hereby acknowledge thof I hove reod fhis application ond state tFwf fhe intormation is cotrect ond ogtee to comply with all applicobte State of MinnesoM Statutes and City of Eagon Ordirwnces. Signature of Pertnittea - A Building Permit Is issued all work shall 6e done irv6 Permit $# 133 7.00 Surcharge 34.50 Plan check 11619,50 5qC 525.00 Water Conn. _470.00 Woter Metet 61. 00 Road Unir 7r(1.00 Total 1,858.00 DENNIS GELHAR on the express condition thnt with oll oqp"e Stote of Minnewto Statutes ond City of Eagan Ordinances. Buildinp Officiol U? CITY OF Ei\GAN Include 2 sets of plans, Ovy// 1 Gertificate of Survey &_ BUILDING PERNIIT APPLICATION 1 set cf energy calculations. m Y , Ud1UdtLOT1 ?64Q6? Date .3'.jD -?'`/ Be Used For Site pcldress oFFzcE vss orrLY Parcel #: ownex: ? Bloc]c Sec./Sub. Esect Occupancy T A"3 ?d - 7(D U Alter Zoning Repair Fire Zone Eniarge _Type af cAnst. Address: City/Zip Cocie: Phone #: Contractor: P-' p+ D1 3 C-G ? l k? ri Address: 72cy w City/Zip Code: L'? 44 11N ? Phone # : :og- i7 Arch./Ehg.. Address : City/Zip Code: Phone #: Nlove # Stories Demolish Front 7 ft. Grade Depth 3 ? ft. APPROVALS FEE5 Assessments Permit 3 3 ?4ater/Se,aer Surcharge _?? Police ? Plan Check //, ?9- Fire SAC S °? s gng, Water Conn. SI lD ? plymer Water Meter Council Road Unit Bldq. Off. APC TOPAL S ? ? Y REQUEST FOR ELECTRICAL INSPECTION EB-00001-0-0 4? See insiruetions lor completin9 thns form on back of yellow cooV. 0 ? "X" Below Work Covered by This Request H Rep Type of 8u,ltlrng Appliuncas Wired Equipment Wire9 Home Range Te orary Service Duplex Water Heater L "Cighting Fixtures Apt. BwlAmc? D er Electnc Heatin Commercial Bldg. umace Silo Unloader Industrial BIAg. Air ConArtioner euik Milk Tenk Farm otner peer.ify OtnE, ISUCUty1 t er Sneci y t or Othcr Compute lnspeciion Fee Below p Fee ServiceEntrence5rse # Fea Faeders/Sabfeeders Fnn Cirowts 0 to 200 Am s 0 to 30 Am s 'S 0 to 30 An! s Above 200 qmps 31 to 700 Amps ? 04 31 to 700 Am Swimming Pool Above 100 -Amps Above 100_Amps TransPormers Irrigation Buoms Par[ial/Other Fee Signs Special Inspection I, Re rks RouBh-m inal ? ( ? Da?tP/ ? C ?70 7 /??'ite !O -p he-f ectncal Inspector, he?eby cerlily thet lhe abpve insoection has been mede. Thia requast vmC 18 months irom This request voitl U ?'??? 18 mon[hs trom / A 47846 L.1 4, Bi '`i 6.illl l It wo 37.Sa 446 2. fe Reque t Uat Fi e No. Rough-in I specLnn Require E]Ready Now <l NntifY InsUac? s ?Nu tor When Reatly 12"Eicensed Electncal Vonvnctor I hereby raquest inspection ot ebove ? Owner elacVical work instelled nL Street Addres? ox or qoure No. City ^ / iVA?l t7 ect on o. Tuwnship Name or No. RanBe N. County PAL Occ antlPqlNTI , Phnne No. Pawe Supp iar Addr s • Electncal Contrec a I trar.tor?s License No. LAIdE o ]A MailingAddress onppeCqr?pr$.m /y}{?i][RY?' ?W 1Lr 't ¢J'Ylri? V?'bdFAES?d xyvy: } 4ou Authonzed Signa[ fo q a P?one Number MINNESOTA STATE BOAND Oi ELECTRICITY ' THIS INSPECTION REQUEST WILL NOT Grig9s•Midway eldg. - Boom N491 BE ACCEPTED BV THE STATE eOARO 1021 UnivarsitV Ave., 51. Paul, MN 55100 UNLESS PPOPER INSPECTION FEE IS Phone (812) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION `?°"?aEB-OOOOb ` ? See insimcLOns br completing this lorm on Cack oi yellow copy (?pp?+ 6 ? 3 J O O 17 "X1 Below Work Covered by This Request e% Adtl Rep TypeoButlding AppliancesWired EquipmentWired Home Ranqe Temporary Service Duplex Water Heater Electric Heating Apt. Bmlding d Dryer Other-(Specity) Comm /Industrial Furnace Farm Air CondiUOner Omer (syearyl Canbacrorg Re Compute Inspechon Fee Belaw # OIDer Fee # Service Entrance Size Pee # Circuits/Feeders Fee Swimming Pool 0[0 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Above 700 _ Amps Signs inspecmr§ Usa only. Tp Irrigation Booms ?? Special Inspection Alarm/Commumcation THIS INSTqLLATION MA E OR 4SCONNECTED IF NOT Other Fee COMPLETED WITNIN NT I, the Electrical Inspecroi, here6y certity ihat the above inspection has been made. Rough-in F,oei oace oe?e ? ? OFFICE USE'JNLY This reqoest voitl 18 months iram Reque Date ??yy / ? ?? Fre No. . Rou hin tl?lnspaction Re ire Ves ? No ? Raetly Now ?11 NotAy Inspecror When Reedy7 ID licensed contractor ;Vowner hereby request inspection of above electrical work at Job Atl r Sy(eet, 8ox or e No?1 I ?Ci r ?f • ?%/ Ciy Secnon No, Township Name or No. Range No County Occup ?R%NT'? 1 '-4 ? V2 J0? Phona No. Pawer Suppher AGtlress Elacm al C mreclor (Company Name) ?, ????? GonVactorS License No MaNng AtlCress ICo ract r or Owner Maeing Installavon7 J Aulhonzetl Sqn Wre o Vact Ow g Insteilatwry ? A Phona Numb¢r ysa ^? - ??? d.. MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WIIL NOT Grig9c-Mitlwey Bltlg. - Raom 8.173 BE ACCEPTED BV THE STqTE BOARD 1821 Vnlversity Ave., St. Peul MN 55100 UNlESS PROPER INSPECTION FEE IS Phone(612)6<2-0800 ENCLOSED. ? Pertnit#: I i ? Pertnit Fee: I ? ? Date Received: I ? ? Staff: I I ------------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ?- a-a Site Address: 1`131 mcc1(ceri G!- Tenant: 001 P, NC)S() l\ Suite#: RESIDENT 1 OWNER Name: T)n.Ae OalSOv, Phone: %-D'o9,9-0337 Address/City /Zip. +1?)l MOL[((,LYA a Applicant is: _ Owner X Contractor TYPE OF WORK Description ofwork t?e- ?w? Construction Cost: 7,X0, cJ Multi-Family Building: (Yes_! No b? ) CONTRACTOR Name: 1JJl-- License#: ?03?131a/?7 Address: 1'? ? ? P, ` City: kr ny v,1 IL State: P) iv Zip. 5533 ? Phone: 563S Contact Person: i tJ_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worlcsheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit 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 Contrector: Phone: Pot'tions oi . oifing.docum'ents thafryou submit'are consider?d to be?pubiic inforination. NOTE: PIans ;and supp ? . ? h?e C?fy'to ,?,? -!fie inforinatron'may 4e classdied as non-putilic d you provlde specir teasons thaf would perm?t t ? P { .. =.concl`ude-thaf th ";are trade?ecrets.:'' I hereby acknowledge that this information is complete and accurate, that the work will be in confortnance 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 permi[; that the work will 6e in accordance with the approved plan in the rase of work which requires a review and approval of plans. X - /t? n ?/,Lb15 x ? ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Numher: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: Lo r: 24 B L 0 C K: 1 APPLICANT: 4431 MALLARD CT NELSON TIBRON (612) 452-1962 DALE BUILOING 022532 11/18/93 PERMIT SUBTYPE: TYPE OF WORK: SF pORCH NEW DESCRIPTION (ZNCL 7'x 14' DECK) ?CITY OF-EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 4431 LOT: 24 P.I.N.: 10-76400-240-01 rzPCRoN PERMIT PERMIT TYPE: Permit Number: Datelssued: MAIIARD CT BLOCK: 1 BUILOING 022532 11/18/93 1vo J? ? L? ,,`,? I? DESCRIPTION: (INCL 7'x 14' OECK) Building_Permit Type SF PORCH Building Wbrk Type NEW ?UBC Occupancy`,,, R-3 ? Building LengtYr' i, 18 Bu3,lding Width ? -? 14 i i il''r???;` r c C?za?? REMARKS: FEE SUMMARY Base Fee Plan Review Surcharge Subtotal VALUATION $144.00 $93.60 $6.5@ $244.10 $13,000 COPIES $1.50 Total Fee $245.60 CONTRACTOR: OWNER: - APPllcan NELSON DALE 4431 MALLARD C7 EAGl1N MN (612)452-1962 55122 I herebq acknowledge that I heve read this application and state that the information is aorrect and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. .; L va?.e" rlLL4-n- ?(w ? - APPLICAM/PERMITEE SIGNATURE ? SUED B SI ATUR ` J U n Isr • - 1 REACTI4ATE _ ?? ? CD PE;?IT r' OCT 7 1993 ? ' ------ CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLICATION G Lt}? , ?0 ,O. SINGLE 3 MULTI-FAMILY 2 sets of pians, 3 registered site surveys, 7 copy of energy calcs. , COMMERCIAL 2 sets of architectural 5 structural plans, 1 set of speciflcations, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but nnt picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change 1s requested once permit is issued. Date Oc-°ZIE2 /Lc?92 Yaluation of work Site Address: 4'A 3 I iTREEi SUITE # Tenant Name: (commercial only) IAT A4 HIAC& I S? B,D. i I E.?Loal ??1?0?ti'???1 P.I.D. M Descri tion of work: S SEPEL,?n1 Plz?, e-c-- The applicant is: 19 Owner ? Contractor 0 Other (Deccribe) Name N LA(-p- Phone 45a- tjG7o't Property LAsT FI0.5i Owner Address 4'431 Ao?? ?--c' ; STREEt sTE r City E42sr,:? r`L State Z;p ?S? ZZ Company S?Li= Phone CUI1tfeCtOf Address License N Exp. City State Zip Lompany Phone Architect/ Engineer Name Registration / Address City State Zip Sewer 5 water licensed plumber . Processing time for sewer 8 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 Lity of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? Ob Duplex ? 11 Apt./Lodging O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Nisc. ? 03 SF Addition ? 08 S-Plex ? 13 Garage/Accessory ?04 SF Porch ? 09 12-Plex O 14 Flreplace ' 05 SF Misc. C] 10 Multi. Add'1. ? 15 Deck WORK TYPE . O„}b i&semer?t,Finish O 17 Swim Pool ? IB Comm./Ind. O 19 Comm./lnd. Nisc. ? 20 Public Facility ? 21 Miscellaneous 31 New ? 33 Alterations ? 35 Tenant finish O 37 Demolish 13 32 Addition ? 34 Repair 0 36 Move GENERAL INF ORMATION Const. (Actual) Basement sq. ft. MWCC System (A1lowable) lst F1. sq. ft. City Nater UBC bccupancy Zonin 2nd F1. sq. ft. Sq. Ft. total PRY Required Booster Pump g i of Stories Footprint Sq. ft. Fit-e Sprinkler length /y=3f On-site well Census Lode q3X Depth iyr On-site sewage TT? SAC Code I APPROVALS l o Planning Building Assessments Engineering Variance REQUIREn IN SPECTIONS( _?3,5E_7rov\!) Ls?) ;DE-7 C-K ? Site ? Footing ? framing /7EICInsulation ? Wallboard )U Final ? Oraintile 0 Fireplace Permit Fee lqq,C» Surcharge Plan Review ?'.?.4;o License MWCC SAC City SAC 4later Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Co ies t.?Sv Other Total: Wluatim: $ Ita X/ (6- Z.S2 x?/?-- //J yc? )?ez? _ ?2? cf?o ?--- /23L(0 SAC % SAL Units a.k y,3 ? -'? SIGMA SIJFaVEYING SEF3VICES 3908 Sibley Memorial Highway e Eagan, Minnesota 55122 Phone: (612) 452 3077 Certificafe For: GELHAR HOMES \ ? . 1 ,??x a 00 -,% 52b? \ \ \ ? SCALE : 1" = 40' Denotes Iron Monument DenoLes Wood Elub Set -N- ?.`oA PROPOSED GARAGti rL00R ELEV. == 940.5 _ ,vao Denotes Existing Spot Elev, PROPOSED TOP OF BLOCK ELEV. = 940.8_ ?- llenotes Drainage Direc[ion PROPOSEU BASEMENT PLOOR ELEV. = 937.1 w/o - PROPERTY DESCR7PTION - Lot 24, Block 1, TIBERON iST ADDI'CIOIV, according to the recorded plat t-hercol, Uakoca County, Minnesota. I hereby cerLify that [his survey, plan or report was prepared by me or under my direct supervision [hat I am a duly Registered Land Surveyor under Lhe laws of the Sta[e oE Minncsota. W(I t --- -- Wayne D. Cordes, Minn. Reg. No.14675 Dace: March 19, 1984 E7(TERIOR ENVELOPE AVFRAGE "U' COMPUTATION OWNER SI7f ADDRE55 LONTRACTOR E), S_L ?rL NAtt DATE PHONE 412 -ooeu Detei-nlne workin9 square footage of each, 1. Total exposrd wall area ..... (666,/?t sq, ft, x ,17 a 2. Tota' roof!ceili??; arc,, ......?(,?9?.A`? , sq, ft, x--,05' • 7otal ezpQ?,ed ?:ait area above floor • fZAG.aG z. Tota` wall uindow area ........................... C 3J. 7 a, 7ota1 door area ................................. 3 7L;i c. Total sliding ylrss door area ................... 4 c a{ d. 'otal fireplace o-rall area ....... ... ........... -- e. Totel ,+all frz-ninti r.rca (average 10%)...,...,.... f. Totat net wa11 area abeve floor ................. _t 7? o Totai rim )oist ?r?a ............................ o ?ot;0 c:;,nosed foundation a. ?,a = 74-G 1 - h. Totai fiound.t:c°, vindow area ..................... i. Toa 1 nLt faundaii on area above g..r,.e , . , , . .. , . . . . JC7?-- Detcrnr,5ne "U" value ofi each :s411 segment. a. l 33.7.2 X uUn `?L- . b.l%-7_SI _ z "U" ?f3 = 4.9 c. 40.0-L 1l "u" • 5? • z-1.of a. ? x "u" L_ • . e. x "u° t. ? 27 3, (4 z uun - c7 q, f?S-Z x oU' 106• n._S?lr" x "u` - s3; . 2 i, ?9=e1G z ^U" .. cr7 3 .................?.f??r?:? ?..... .... ,Tota1 • 4 , / tr irom 13 ic tho sam2 as. or less than item f1, you have aet tF?e fntent Total exposed roof/ceiling area ¦, f136 0d j. Total skyliqht area ............................. ? k. iotal roof/ceiling framing area (average 10%)... 1. Total net insulated roof(ceiling area...,,...... iia •OG Determine "U" value for each roof/ceiling segment. X eluil . k. X "U" ` 1. d--- X " U,01- ' S?fo.4'0 4 .................(e.Q0 ....,..,.1ota1 • GO If total of 64 is the same as, or less than A2, you have met the intent af SBC 6006(c)l. Alternate Buildinq Envelope Design To utilize the total envelope system method, the values established by the sum of ttems A3 and 04 shall not he greater than the sum of items il and 02. 1. ?-'31_- -----_' 2•__s'/.94 = 173•2/ 3. 244.4/+ 4.,?0 1804 Metody Lene 8963083 Bumsville, Minnasota. WEPJA CO. PLAN SERVICE ED ANDERSON /.RCMITECTURAL DESIGNING ANO PLANNING 0151CB: ' ' ? ?o rrfr ? OtfKe: Burnsville, Minnesota 8964636 t a?k y,j SIGMA 86JF7VEYING SERVICES 3908 Sibley Memorial Highway Eagan, Minnesota 55122 Phone: (612) 4523077 Certificate For: GELHAR HOMES \ \ \? \ ?3N _ . ... ? r t, r ? y , -•-? ,-- ? -- . ? y ?, ,- 139' o o V? 1? M1d V\ / ? ? ? ? y .; 1140' 09 F ? .Y" _ i ? ?•. ':ts`ti /l ? LO1/ nn, 69059 . r .. ?? PROPOSED GARACE FLOOR ELEV. = 940.5 PROPOSED TOP OF BLOCK ELEV. = 940.8 PROPOSED BASEMENT FIAOR ELEV. = 937.1 w/o - PROPERTY DESCRIPTION - Lot 24, Biock 1, TIBERON 15T P.DDITION, according to the recorded plat r.hereot, Dakota County, Minnesota. \ ? \ SCALE : 1" = 40' 0 Denotes Iron Monument ° Denotes Wood Hub Set x^'8D Denotes Existing Spot Elev. -+?'- Denotes Drainage Direc[ion \ \ -N- I hereby certify that this survey, plan or report was prepared by me or under my direct supervision that I am a duly Registered land Surveyor under the laws of the State of Minnesota. 4?- a (WL- Wayne D. Cordes, Minn. Reg. No.14675 Date: March 19, 1984, . '? y - tf ? 2/84 CITY OF EAGAN RPPLICATION FOR PEF2MIT / SEWER AND/OR WATER CONNECTION (PLEASE PflINT) 1) PROPE[YPY ApDRESS: 442t Mallarri r+ r'rraT• DESCR.IPTICN: 24 1 Tiberon lst ? (LOt/Block/Subd.ivision or Tax Parcel I.p, N?r) . 'F F.XiST_. '.1 ? n = ry?'- . "G t=T ISZ_..._.. YE3 ) PRESEdT --^`IPX;/PROPpSED USE: 0 R-1 SINGLE FPMILY ? R-2 DUPLEX ('iyd0 UNITS) ? R-3 1Ci^7NFIOIISE (TfIIiEE + UNITS) ( UNITS) ? R-4 APAR'ItM1T/C0rIDCi'4iNIUP4 ( UNFTS) ? CCtM'EEtCIA:,/REPAIIfqF'FICE ; O IIMUSTR711L t ? INSTI75JTIONAL/GO?PP 2) AppISCF1NT PLEASE PRINT) NAME: GELHAR HOMES ADDftsSS: C/0 Edina Realty ---7558-id i56t-I L' : ; CrTx, sTA'rE, zxP: _--Apple Vallev, Mn 55124 PHOiNE: 3) PLumBER NAM• PLEASE PRINT) fOR CITY USE ONLY ADDRESS: WENZ@L MECFiA PLUMB RS LICENSE: ? 0.•u" cF1? -EkRAd? ` ' Active , 1 E CITY, STATE, ZTP: 3mKfNN 452•1565 [] Ezpired ; MASTER 0 ' Nat oF Reca?d PHONE% PLUMBER LICENSE 1/ 001445M2 (? 1 a ni ia 4) OOCUPA,T/OWNER (PLEASE PRINt) ?: GELHAR HOMES , . ? i1DDRESS: samP ac # i CITY, S"I`A'I'E, ZTP: 1 P[lONE: I i 5) INDICFI`I'E Wt1ICH P£RMIT IS BEINC; REQUES'CED: ? C(X?TION ZU CITY SESdER ? CONNF7CfION 'Ib CITY WATE[2 ' ? dPEIER (PLEASE DESCItIBE) 6) INDIGl7'E ONE: ? PLFA.SE FIOLD APPR(7VF.p PEPMIT FOR PICK-UP BY ONE OF AYAVE ? PLEIaSE NtAIL APPROVF.p PE?2[1IT 'PO 1. 2, ?3 4 AEqVE (Circle one) 7) SIGIAZV'RE: ??, DATE: J?,4V ? wlR?xw s? a.?-- . . .,:? ?i? ?t YMI e??yr1 ?ill A11i411?iwFx+'it!I?f? h?!k?!k .?'.r .?a!hl????!?! !!"!! ? T}!14?i?l;?sr s? O R C I T PERNiIT # ISSUED '7 ? FEES: $ $ ,.. ?a 5 $ $ $ $ $ $ $ $ • U S E O N L Y SEWER nERMIT (I°3CLGDE SUP.CIiARGE) WATER PEW4IT (INCLUDE SURCFIARGE) WATER METER/COPPERHORN/QUTSIDE REAAER WATER TAP {INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCODNT DEPOSim - WAmF.R. WAC SAC TRUNK WATER ASSESSMEN'P TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFTT/TRUNK WATER OTHER $ TOTAL .Si ?-t> ': :.:;•?;.: ,- -,._„ .",.. ' . ? AMQU $ NT. P?; ID%RECEE1 1''-'# ? - .. :.r, ..?u .. :" .. . DOES UTILITY CONNECTION REQt3IRE EXCAVATION IN PUBLIC RIGHT OF WAY? C? YES IF YES, THEN A"PERMIT FOR WORK WTTHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING_ DIVISLOP.. - LIST- AS A-CDhD3' ------ - ----- TION. SUBJECT TO TI{E FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ,4? ,.. -Dr -S- 47? me sZM w? na?? ws? atmaa atw w? s?t .4 0 ?+"R ?+#?I?+f *? wa+w wt??a f?+*k+ *4!1?f s.r? w? PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA078503 Eagan, MN 55122 . Date Issued: 06/25/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4431 Mallard Ct Lot: 24 Block: 1 Addition: Tiberon 1st PID 10-76400-240-01 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Window World AKA Probuilt America Dale W Nelson 2211 11th Ave E, #130 4431 Mallard Ct N St. Paul MN 55109 Eagan MN 55122 (651) 770-5570 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA094047 Date Issued: 05/19/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4431 Mallard Ct Lot: 24 Block: I Addition: Tiberon 1st PID:10-76400-240-01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Apple Lake Heating & Air Conditioning Dale W Nelson 207 150th Street West 4431 lolallard Ct Apple Vallev NIN 55124 Eagan MN 55122 (952) 431-4328 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Building Permit Number: EA105097 Date Issued: 0612612012 itj of 0n Permit Category: ePermit R Site Address: 4431 Mallard Ct Lot: 24 Block: I Addition: Tiberon I st PID: 10-76400-01-240 Use: Description: Sub Type: e-Siding Construction Type: Work Type: Siding Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: 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. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Spotless & Seamless Exteriors Dale W Nelson 8715 Jefferson Highway North 4431 Mallard Ct Osseo MN 55369 Eagan MN 55122 (763) 428-1111 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building Permit Number: EA106113 Date Issued: 0811012012 itj of 0n Permit Category: ePermit R Site Address: 4431 Mallard Ct Lot: 24 Block: I Addition: Tiberon I st PID: 10-76400-01-240 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Spotless & Seamless Exteriors Dale W Nelson 8715 Jefferson Highway North 4431 Mallard Ct Osseo MN 55369 Eagan MN 55122 (763) 428-1111 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. Applicant/Permitee: Signature Issued By: Signature PERMIT Permit Type: Building City of Eagan Permit Number: EA105097 Date Issued: 06/26/2012 Permit Category: ePermit Site Address: 4431 Mallard Ct Lot: 24 Block: 1 Addition: Tiberon 1st PID: 10-76400-01-240 Use: Description: Sub Type: e-Siding Construction Type: Work Type: Siding Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure Comments: maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: Owner: - Applicant - Spotless & Seamless Exteriors Dale W Nelson 8715 Jefferson Highway North 4431 Mallard Ct Osseo MN 55369 Eagan MN 55122 (763) 428-1111 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118441 Date Issued:10/31/2013 Permit Category:ePermit Site Address: 4431 Mallard Ct Lot:24 Block: 1 Addition: Tiberon 1st PID:10-76400-01-240 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Dan Maus 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 - Dale W Nelson 4431 Mallard Ct Eagan MN 55122 Maus Construction 13432 Geneva Way Apple Valley MN 55124 (612) 703-5025 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162493 Date Issued:07/16/2020 Permit Category:ePermit Site Address: 4431 Mallard Ct Lot:24 Block: 1 Addition: Tiberon 1st PID:10-76400-01-240 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dale W Nelson 4431 Mallard Ct Eagan MN 55122 Roof Company Na Inc 5565 Quam Avenue NE St Michael MN 55376 (763) 550-0444 Applicant/Permitee: Signature Issued By: Signature