4432 Mallard Ctl <?, 87 0-r'? J"rHOUSE -HEATING TEST RECORD
ADDRESS APT, FLOOR CITY SUBURB
OCCUPANT IF-IK OWNER
HEAT LO55 DATE HTG. INST
SOLD BY
ALLED BY
Eleehical Work By Gas Lino By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. _
GAS DESIGN
MAKE C7- F MAKE OF BURNER _
Model L_u ogo P 4 a y.? ? Model
$.rial W uy Sg3 - R ?
.5
Mox. BTU Rotlny -
INPUT g0i nnn MAKE OF FURNACE
CONTROLS
THERMOSTA H/sa,t Plug
YalVf
Limit P
Limit Setiiny
Fan S?Hing c
Pilot Typs
Modsl
y„
Yent Siz•
KIND QF LINER SIiE??? NONE
Drah Hood Reyulawr
Fi Iters Sis* ? x umb.r Z
Chimnoy Location Insid&? Outsids
Chimnsy ConsTruction ?/?,?/&
Pilot Make . S /'??-
Pilot Model t/ Smoke Bomb Wiriny
Pilot Timing Draft Tesf Tap
L.W. Cut Off Door Prsssure Lightiny Inst.
! 1 ? ` .J, L•
Pr*ssure c Psreent CO Date Tested
Input CFH Pereent 02 Companr Testing UZ?f.17Z2!/ Stock Tamp y ? Percent CO ? b Name of Tsster ,,
UNIT HTR. UTHER
CONYERSION
Form 235
CITY UF EAGAN
3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121
PFI Old E : 454-8100
BUILDING PERMIT Receipt *
N° 8863
y/ 7 -7U
To b? wwd fee Est. Volue'' ? _ . nj n ? ?e ,±? 7% I19 , A
'
Site Addreas !' n 3 2 "TALL," R') CT. Eroct `d Octuponcy R 3
Lot ? Block 1 5ecls.b.T IPT RON Alter 0 Zoning T?' 1
Percel No. jr?- 7C'41?} -190 " O 1 Repoir ? Fire Zone n1/r•
U
E?torpe ? TYpe of Const.
W ?.?,... ?
Name ?'' , rL7I_;
. Move
O
# Srories
_
? Address
. ST.
Demolish p Length 4 C.
cit,, r_TL. v.? L.
Phone 4 3 2- 0 n n n Grod, ? Depth 4 F sq. Ft.
?• ?, . -,
? Name `
?? Address
l- City Phone
?,??,+, Name
I hereby ocknowledge thof I hove read this opplication ond state that
the informotion is oorrect and agree to comply with oll applicable
Stote of Minnewta Stotutes and City of Eogon Ordinonces.
Assessmenf _
Woter 8 Sew.
Police
Firo
Enq.
Plonner
Council
Bldp. Off. _
APC
Permit uvl
SurcFarge -' 50
Plan check ?
5^C
Woter Conn. 4 5 0. 0 0
? ?
? ?
Woter Meter •
Road Unit
S1 7-?2.50
Totol 1
Sipnoturo of Pertnittee
i '
l1 Building Perrrdt Is iuued to: on the express condition thm
otl work sFwll be done in xcordorxp with all opplicable 5tote of Mlnnesoto Statutes ond City of Eapon Ordinances.
Bulldinq Offitiol "..?- < , . I _.
Psrmit No. Permit Hoider Misc. Permit No. Holder
r 6 ? GC,?i?2C ???
H.V.A.C. 2 C ?7' g
Disp.
Sawar
ENetri
c
A 1?-? 9
ndr i ck
s-JL-S
37.5 0
Inspection Data Insp. Other
Footings
Foundetion
Frsminy
Rouph Plbp.
Rouqh HVA ? ? ?.?%
Inwlation 3
Final Piba . ?g
Finsl HVAC
Final
Waftr Dftaiba Location:
YMsll
Sewer
Pr. Dhp.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee '
fill rn numbered spaces S/C
Type or Print legib/y
T
t
•
o
.
1. Date 2. Installation Cost -
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor -? Phone
6. Address ? " -
7. City State - Zip
8. Building Type: Resideniiai M Commercial ? Institutional ?
9. Work Description: New L? Add ? Alter O Repair ?
10. Describe Fuel Type -
11.
No, Equipment STU - M. Ea.
Forced Air No. Epuiament CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outtets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all prdinances: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 464-8100
:ipt PLUMBING PERMIT
_ CITY OF EAGAN
?-
Fill in numbered spaces
Type or Print legibJy
1. Date 3/1184 2. Installation Cost
Permit No.
Fee S/C '
Tot.
3. JobAddress 4432 Ma11ard ftot, 16?? Blk. Tract ., ,,) ?
4. Owner uelhar C011St
5. Contractor Wenzel Mech. Pnone 452-1565
6. Address 3600 Kennebec Dr
7. City Eagan State Mn Zip 55122
8. Building Type: Residential q
9. Work Description: New 12?
10. Describe
11.
Commercial ? Institutional ?
Add ? Alter ? Repair ?
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
.<- Lavatory Softner
_L Shawer Well
Kitchen 5ink
Urinal/Bidet Other Wato?' hPat[2r
Laundry Tray grinder
_L Floor Drains d i shwasher
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 : 1' .1 1? I - /f? /
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?: .
?
CASH RECEIPT ?
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, M I N N ESOTA 55121
DATE 19 _
Rcceiveo
FROM
AMOUNT $ I
}
DOLLAR$
?oo
? CASH ? CHECK
?. . ? ? .
J /
/?-? . / [G'L
FUND COUE AfAOUNT
?
. J
Thank ou
!1.
ev
I White-Payers Copy
/ Yellow-Posting Copy
?/ Pink-File Copy
CITY OF EAGAN Remarks
Addition TIBERON ADDITION Lot 18 e1k 1 Parcel 10-76400
Owner street 4432 MALLARD COURT state EAC'AN MN
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 430 1977 307.21 -30-73 10 ()1.45 A013874 5-10-84
STREET RESTOR. 190.67 +1 if
GRADING
SAN SEW TRUNK Z 15 34.34 A013874 5-10-84
t SEWER LATERAL 889.87
WATERMAIN
* WATER LATERAL $tUb 1979 15
WATER AREA 59.90 A013874 5-10-84
STORM SEW TRK i
STORMSEW LAT c? 1981 79.71 15.94 5 15.95 A013874 5-10-84
CURB & GUTTER
SIDEWALK
STREET UGHT
260.00
WATER CONN. 4S0A0 if it
9UILDING PER. 8863
SAC .00
PARK
CITY 'iN SEVUER SERVICE PERMIT
3830 .?. _:wb Road
P. O. Box 21199 pERMIT NQ.:
DATE:
Eagan, MN 55121 1
, Zoninp: No. of Unlta:
p
wner.
/WdrC55: 4432 '`'Ic11 1 arK: CC11T 'L T1 S'j:..: tl, t' A: I4
5ite Address: _
Y(@7!Zel '.1BC:1
plumber.
?- . . . .
, ? .+ . i1? ;
• - ,71
th0 Cft Of EA9a11
f ey(N to lolllphl ?Yhh Cd1r10CfiOr1 C101yQ: i-
Ordinaneas.
i Account Deposit: ......
PermR Fee: _.? ? `-? • ? C _ -
Surcharpe:
g Mfsc. Charoes:
y
Dote of Insp.: Total:
Inan_• DGte POid'
WATER SERVICE PERIIAIT
PERMIT NO.: •' ? ? ' DATE:
No, of Units: ?
ess:
Address; 4432 'tallara Court L18 B1 :tberon Ac.cn
No.: Connectian Chcrge: ...,. . ~ r -
ACCOUrM DepoSif: ?
10.00 1)
No.: Permit Fee:
to oomply wuii 1M C*y of Eo9on Surcharge: ..ri J p
63 . . . m&t Ar
nnix. c?wroes: .
Totai:
Date Paid:
Insp.:
? BY
Date of Insp.:
REQUEST FOR ELECTRICAL INSPECTION ea-oooot-oa
' Sea instructions for comoleun9 this farm on back of yellow caoV. 0 '? ''? 7 Q;y '"X? ? Below Work Covered by This Request ' 5 ?
? g
New{Adtlj Nep.I^ Type ot Bmldmg I Aunlionces Wirod I Equipment Wired I
Duplex Water Heater LiyhUny Fixtures
Apt Bwldinc? Dryer Electnc Heatin
Commercial Bldg. Fumace Silo Unloader
industrial BIAo. Air Conditioner Bulk Milk Tank
nn
# Fea ServicaEntrenceSize # Fee Fenders/Subieaders k Fee Cvcwts
0 to200qm s 0 to30Am s / 0 to30Am s
Above 200 qmpy 31 to 100 qmps d 31 to 700 q y
Swimming Pool Above 10D-Amps Above 100-Amps
Transiormer$ Irrigation Boorns Partial'Other Fee
IJ(J Signs SUecial Inspection 5 ?ryeL.i T L FEE
flem?rks
\' ,t _ 37. J'?
carbfy thet the above
InspOCllOn hdb bB8r1
made.
ThlareQUeat
This request void 3.12 4"y
18 months from
A ? ? 27TS ?18?81? 14e2,o Yk)
37•SO
yi q ss
flequ s[ Date Fire No. Rouph-in InsOer.LOn
Re
qm
retl7
0 Ready Now ill Noufy, Insuec-
?
,
? ? ?
./
?y*es ?No ?or?When Raady
ER'Licensetl Electncai Contract(ir 1 hereby request mspecbon of nbova
? Owne/ elecfncal work instelled nL
Stre ddr ss. Box or flovte No.
3 Cit?
L)
ecLOn o. Township Namo or No. fianye o. County?„?
/ `l?
Oc uUanllPpINT) /• //?l
1 Phone No.
Power. $uppl'¢r +???.Gt
v `?.?+L , ? Addres< .
L?' ??fisu ?i'i'
Electncal Convactor (COmpany Name)
KE1tT1? C
nlracmr's License No.
CC? c? ?
?g_nsta?k
MailinB Addres1§4g;E rpy,[Uopj?gf46ia
Authoraed o r n r M I 1 t .
_ i Phone Number
MINNESOTA STATE BOAPO OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
Gripgs-Midwey Bldg. - Poom N-181 gE ACCEPTED BY THE STq7E BOARD
1821 Univarsity Ave., S[ Paul, MN 55104 UNLE55 PflOPEH INSPECTION FEE IS Phona I6121 297-2111 ENCLOSED.
/U aO/y REQUEST FOR ELECTRICAL INSPECTION
12 ? See Inehuctlons lor complating Ihis lortn on back ol yellow copy.
"X" Below Work Covered by This Request
Ne Add Rep. T e of Building Appliances Wired Equipmant Wired
Home Range Temporary Service
Duplex Weter Heeter Electric Heahn
Apt. Building Dryar oad Management
Comm./Industrial Fumace Other S LecLfYL
Farm Air Condltioner
OViet (specity) Contre<tar's Remarks.
Compute fnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Am s
Trensformers Above 200-Amps Above 100 -Amps
SI f15 Inapectore Use ONy / 1\ TOTAL? v
Irrigation Booms j ?7/`j ?" U --
S ecial Ins ection ? ?r?
?
Alarm/Communicatlon DISCONNECTED IF NOT
THIS INSTALLATION MAY 8E
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electricel Inspector, hereby
certity that the above inspectlon has
been made. Aoughdn
Finei s f oace
e?,, ,( ?11/, (,
7
OFFICE USE ONLV
This request void 18 months imm
'eot'? es-ooaoi-os
????1 ?233 i43
?
D
12-
/-/A k ?. u-
Request Dete Fire o Raugh-In Inepactlon Requlretl
(YOU sl call mspactor,?,hen?reetly) Ins cti her Than fiough-In
eady Now ? W? NotVty I sp or
a ? Yes ?I?o Data Reatl
I icensed contractor ?owner hereby request inspection of a6ove elecfrical work at:
Job Atltlress (Slreet, Box ar Rouie No ) / Ciy p
/r/Iw ?ZO G l? M
Sec4on No. Townshiq Nama w No. Ffange No Caunty
Occupant(PRINT) Phone No
Q
/, • ??
PowerSUppler Atltlreae /
f r'? a /V1.L
ectrical Contrector (COmpeny Name) Con[ractor's License No
- .2
Madmg Atl?d/ress (COMreclonr or O
r/??a king InstellaHOn)
ne
?
?
Aut?otlzetl Si (COMractod0 er M Ing Inatellatlon) Phone Number
4MI/NESOTA STATE BO G OF ELECTRICITp/l THIS INSPECiION REQl1EST WILL NOT
Gd99a-Mitlwey 91e1g - Room 5128 BE ACCEPTED By THE STATE BOARD
1827 Universlty Ave., St. Peul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phom (812) 642-0800 ENCLOSEO,
CITY OF EAGAN ?T Qp
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 jr ? 0063
? PHONE: 454-8100
BUILDING PERMIT Receipt # ?7?7U
To be und for SF DKU/C'AP Est. Value $ 51,000 oate --- MARCH 119 84
SiteAddress 4432 MALLARD CT. Erect 10 Occupancy R3
Lot 1$ eIock 1 Sec/Sub.TIBERON Alter ? Zoning Rl
Parcel NO. 10-76400-180-01 Repolr ? FlreZone N/A
Name DENNIS GELHAR
Address 7668 W. Zr'JO $`I'.
City APL. VAL. phone 432-0000
o Name SAME
?
?U Address
1- City Phone
C?
?uw Neme
_? Address
u
?W Clty Phone
I hereby acknowledge that I hove reod this apDlicotion ond state that
fhe informufion Is Correct ond ogree fo comply with ull upplicable
Stote of Minnesota Statutes and Ciry of Eagan Ordinonces.
Enlorge p Type ot Const. V
Move ? # Stories
Demolish ? Length 4 0
Grade ? Depth 46 Sq. Ft.-
Approrals Fees
Asse55ment -
Woter 8 Sew.
Pollce -
Fire
Eng.
Planner _
Council _
Bldg. Off. _
APC
Permit :? L C b. V U
Surcharge 25.50
Plon check 143.00
snc 525.00
Water Conn. 450.00
WaterMeter 63.00
Rood Unit 260:00
rotol 51,752.50
Signatum of Permittee I
A Building Permif is issued to_ on the expreu cordition Ihnt
all work sholl be done in accordanyRr with all pppljcoble Stote of Minnewto Stututes ond Ciry of Eaqan Ordinancea.
Bullding Offkial
%N WATER SERVICE PERMIT
ib Road . 5325
?i1yy PERMIT NO.:
., .dN 55121 oATE: 3-1-84
Rl
l
Z of Units:
No 1
n9:
on .
Dt+nnis Ge1haT
p
,Mr
N
;
Addrea:
Site Mdress: 4432 Mallard CouTt L18 BI Tibexon +4ddn
plumyer. Wenzel Mech
eter No.• ?9!40 ?? I, 3 30 ConnectionCharge: 450.00 pd
Size: `l A?y5 "2P Acwunt Deposit: Is
Reader No.: 15 -4 /- 39 3_ ? - Permit Fee: 10.00 Pd
1 ayree ro comply wiM Mw Ciry ef Eagan Surchnrge: • SO
63
88 D Pd
c; IDet
Ordinancn. Miu. Chorges: _ .
Total:
Date Paid:
Datc of Insp
• Insp.:
.
V'i
-*SRqq
ot- yr336
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122 rtNew Conafiuclion Reaulreffmnri
?.. 651-681-4675
`,,`'
?'?" 13aaQq aamoaeveaoair aeawrer„ann
(_,IL . 00
3 reglsfered Yfe surveys showing sq. H. of bl, sq. H. W house "-"
and gp raofed areas (20X rt=um bl coveraae albwed]
2 coplea of plans (slww beam 8 vrfntlow stzea; poured tnd. dealgn; etc.)
1 set of energy calculaHons
3 coples W hee preaervaflon pian il loi plaHed alter 7/1/93
DArE: (0' I 4' O c
DESCRIPTION OF'
STREET ADDRESS;
LOT: ?
2 coPfea of plan
1 set of energy cdculallcns ros heated addNlons
i sifa wrvey tor axteAOr adUiMau d decks
?
CONSTRUCTION COST:
Name: lw?/6e? ? `) Phone #:
PROPERTY laat flrst
OWNER SfreetAddress: ZY`fCv ImI??I/u- r ?
City ??--? Siate: /lYI ? Lp:
Company: Phone 9: ?? -707- l 9s?
(area code)
COMRACTOR
Sheet Addresx Ia?? tlsd?ce&? Sd- Ucense 9GkZ&q&.3 ExP•3-1,100/
aty v° 4ty-lLSVi//e- _ sra#e: M4) zip:.f3?7
ARCHITECT/ Name:
ENGINEER Comparry:
Telephone i: (
meet
Gty
ReglshaNon #:
State:
Zip:
Sewerlwater licensed plumber (If installina sewer/waterl: Pho^e #:
I hereby acknowledge lhaf I have read this appikafion, afate that Ihe info IMM ply wNh all appAcableSfate
of Minnesota Sfatufes and CMy ot Eagan Ordlrmncea ,
Signature ot Appficanh 0 FICE USE ONLY
Certificates of Survay Recsived , Yes - No
Tree Preservation Plan Received , Yes - No ? Not Required
sLocIC I SUBD./P.I.D. #: I IbCY() h i SI,-
CITY OF EAGAN Include 2 sets of plans,
(p 1 Gertificate of Survey &
' y - BUILDING PERMIT APPLICAT N 3 1 set cf energy calculations.. .
To Be Used For Y cya? _ ,*I uiation p-D-v Date
Site Ptldress Q' 3?-- /l?p,?` ?
? ?L OFFICE USE ONLY
Lot r? Block Sec./Sub. ( 6-e r" v Erect Oc cupancy
Parce1 #: /D - A 90 (I /? D al Alter zoning
(?
?"? n K?S ?2 1 h G"- -T- Repair Fire Zone
?
Owner: l Enlarge _ 7ype of C onst.
Adclress:
? Stories
lish Fsont ft. lqt)
City/Zip Code: ?"'? Grade Depth y ft.
Pnone #: ?f 3? a o 0
tPP?vau s r?s
Contractor: Assessments Permit ?jetA
Address: ??Tater/SEwer Surcharge
- police Plan Check ? y3 ?
City/Zip Code: Fire SAC &'? ?
Phone #: Etig. Water Conn. 3p ?
-?
Planner Water Meter
Council Road Unit
?
???g : _
Bldg. Off.
Acldress: AFC
City/Zip Code:
Phone TOTAL
?i ? J? a' S o
dl?. ???IC)
SIGMA?
Sl,lFlVEYING
SERVIGES
3908 Sibley Memorial Highway
` Eagan, Minnesota 55122
Phone (612) 452-3077
Z 1
b ?
0 1
?
Certificate For
4-SEZ HAR HOMEV
. `
A?-- N 89041'52"E 131.63 --\
N ___ _..46.00-- M
r -- -- o';
=r-?-''--- j
?1 r+ Ormna9e ft
UtJify Eosomenl
c o r i 81\
i
i
?
, n Drainaae E b};i.4?
? ..?
0
'` - IS 89044'37"W
MAL.LARD
COU RT
tv o
o
ti
\ ?Q, a
? •,
c
PPPG? o p..?<..?
? p
???•- __ _
I
'? 000
?-.
s?
?
?7`?'00
9 Hafemea.? w ?n •• ?AQG60
?+ •T ??
9V.88 ' ?1 -s? ?"•'
?x
1 60
c?
_J
\ ?\
\
\
X9'S 56
I ,
PROPOSEll GARAGE FLOOR ELEV. = 941.0
PROPOSED TOP OF BLOCK ELEV. = 441.3
Scale: 1 inch = 30 feet pROPOSED BASEMENT FLOOR ELEV. = 937.6
-N- t' Denotes Iron Monarnent
? Denotes Wood HuU
x9"'2 Denotes Exi.sting Spot Elevation
--*- Denotes Drainage Direction
*BEARINGS SHOWN HEREON AR$ BASED ON ASSIIMED DATUhPF
I hereby certify thaC this is a true and
correct representation of tho location of
the proposed hause and existing elevatians.
That I am a duly Registered Land Surveyor
under the laws of the State of Minnesota.
Wayne D. rdes, Minn. Reg. No. 14675
Date: February 8, 1984
PROPERTY DESCRIPTION
Lot 18, Block 1, TIBERON IST ADDITIDN,
according to the recorded plat thereof
Daketa County, Minnesota.
.
r
Oetertnrne tror'King square TpOwy.. ..o a.on.
1. Total exposed wall area .... 1011 5.5 sq. ft. x i8
2. Tota1 roof/cetliny area ...... 1033,56 sq. it. x .04
?.
Tota1 ezposed ti+a11 area above floor - I f09
a. Totat wall reindow area ........................... l52
b. Total door area .................................
t. Total sliding glass door area .................... . y
d: Total fireplace wall area ........................
e. Tota1 wall framing area (average 10S)...:........ (,.
f. Total net wall area above floor ................. J l.
g. Totat rim joist area ............................ I;4
Total exposed foundation area - g 5.5
--?
h. Total foundatioo xindorr area.....................
1. Toal net toundatlon area abpve grade ............ ?
Detemine "U" value of each wall sayment.
a. I St X "U" 'S5 ¦ li. lo
b. 36 x Mu• ,139 = 5•'t6 -
C. qq X "U'S_ u 2Z
d. x NUw ? a
!._ X wUn a?? ? ? .L•? , ,
f. 13i5.a X yU"
. y. 134 x Mu„ ,•o q
h. ---- X "U" `_"_- ¦
t. 85.5 x °u^ q I0 - go. 6,9.
3 .:......:............) q 1 S: 5......rotal '
?
If ltem #3 is the same as. or tess than iteu 01, you have met the intent
of 58C 6006(c)2.
. . . ? .
ToLI exposed roof/ceiling area ¦ to33.5B
. ? .? . .. _
, Total gross roof/celling area ¦ lD33?SB .
3. Total skylight area ........................ -
k. Totai roof/ceiling framiog area ............ 0?,35
1. Total net insuTated roof/ceiling area....... g,?p,tst
Determine "U" value for each roof/ceiling segment.
J. X Nym a ?
k. 1?3358 x •uM ,035 - 3.1a 1
,
' I. 93o.izz x ^u^ 003 - 29,9
4 ..................1.Q3 3. -.54 ......Tota1 ? 1. 1
If totai af ;4 is the same as, or less than i2, you have met the intent of
SBC G006(c);,
To utiifzed the total envelope system method, the vatues established by the
sum of items #3 and /4 sfiall not be greater than the sum of iteias 11 and /2.
1.
KArnIALS
Ektarior Air
81Qieg Matarial
8dsalhiag
Lnsulation
ShLeetroClc
IntericQ sir
Qtuds
Aie
Cono. ilks,
+ 2,
t 4.
'l??rn. 8aaistaaoa "R"
,1?
g -
,
s
4?> City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RESIDE
?-----------------
? Fo%OKice;Use' ?
j Permi[#:
? Permit Fee:
? Date Received: j
I ?
-._. ..._,_,?. I Stafl: ? I
i
BUILDING PERMIT APPLICATION
i .... ° w.t -- ' '-
Date: ' &^JIVa Site Pddress:
Tenant:
Suite #:
C1
RESIDENTlOWNER Name: ? Phone:412 5?
.
Address / City / Zip:
'
Contractor
Applicant is: r
TYPE OF WORK Description ot work:
Construction Cost: Multi-Family Building: (Yes _! No
n
e #:
bc -20y??
AW,
CONTRACTOR ,
ce
s
Name:
Address: 1 NJW ? A,
City: ?? Tl?V V ate: Zip:
Phone ? ??31'?) M ContactPerson: ,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitled Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has The City af Eagan issued a permit for a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting iiocuments tfiat you submit, are considered to be public inf'ormation. Portions of
the informafion may be classified as non-p,ublie if yo"u'provlde';'specif/c,,reasonsYhat would permit;the Cityto
` conclude that the are trade crets:
I hereby acknowledge ihat this iniortnation is complete and accurate; that the work will be conformance w t ordinances and codes of the City of
Eagan; that I understand Ihis is not a permit, but only an application for a perm%plica ' t to s? wl out a permit that Ihe work will be in
accordance with the approved plan in the case ot work which requires a review and x T?111.?.?V 7????
Applicant's Printed Name natu
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116433
Date Issued:10/07/2013
Permit Category:ePermit
Site Address: 4432 Mallard Ct
Lot:18 Block: 1 Addition: Tiberon 1st
PID:10-76400-01-180
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 .
Jonathan Estebo
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 -
Hong T Bui
4432 Mallard Ct
Eagan MN 55122
St Paul Siding Inc
1597 Niles Ave
St Paul MN 55116
(651) 698-7777
Applicant/Permitee: Signature Issued By: Signature
•
•
n ;t t , • For Office Use (�/
t to ee •
1510476
1 e ee
�„ ` e „� :'• Permit#;.
i l
... ..;� •r. G A F.7- EIVED •Permit Fee: 62 V
3830 PILOT KNOB ROAD I EAGAN,MN 55122-18.10 AUG ® 6' 018 Date Received: 3-, `'
(651)675,5675 I TDD:(651)454-8535 I FAX: (651)675-5694
buildinginspections{o•cltyofeagan.pom Staff:
L
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2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:1--2:5---\ D Site Address: 41-119-c )\14.0-4 (A .,�,,Teriant: �l vl���
Suite#:
114.14 VA:
rwrg,,,,,r
�3� ' �!'t �wy�Ar /.f_ . k`� Phone: •)`; 'r �`
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F � , • ,
i,,,e low
t Name: MILBERT COMPANY dba CULLIGAN WATER
FA, PIPA 4't ' License#: WC641376
,'' 4-0.4 f=N. iN Address: 1801 50TH STREET EAST
/ �•Q'n� 8 Y i:s4 Cit INVER GROVE HEIGHTS
i, i �''; yt, State: MN . Zip: 55077 :Phone: 651-451-2241
t..
yjt 1 '�u.� rtYj Contact; BILL MILBERT
- 4.�
pro, .ki�, � ,,�� —•----, Email; loria.abas@culligan4water.com
',
r"I e•• t'Vi 0 kti. _ New _Replagement —Repair Rebuild
.'45 11Y`-1,, Zito,'f+tb;4 Modify Space Work in R.O.W.
{t' w,m,ta z44i1 Description of
y >,�,{4}r. �'s�� work:
fi 2(f{) if' ') ri(r RESIDENTIAL
• Ir<.7; 'e.v. fj.;,., ,,J, _Water Heater •
r.kvtY,}e fi �i,, ff44''
•,P.,e -1.rr •f+,,�:v _Lawn Irrigation X Water Softener
ti . 9 ( RPZ/ PV(3)
is i�,� Sf,((�,t r� {{4;x��Ytt;; _Septic System Add Plumbing Fixtures( Main/ Lower Level)
;eft�t �,`r o CVi/{ rfr,i'(' NewWater Turnaround
riy6Zi:4t qJ fir}A`.�e1e z,
,.�: +.,.k.;S,"dn .•g.t4F,�,;,,_,,f Abandonment
RESIDENTIAL FEES: W -- _ _ _ _-
$60.00 Water Heater,Water Softener, or Water Heater and Softener(Includes State•Surcharge)
$60,00 Lawn Irrigation (includes Stale Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround"(Includes State Surcharge)
'Water Turnaround(add $280.00 If a 3/4"meter Is required) G
$115.00 Septic System New(Includes County fee and State Surcharge) TOTAL FEES.$ 60.00
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage;Call48 hours be ore you
Intend to dig to receive locates of underground utilities. www•gopherstateonecalt.orq
You may.subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an emelt update on the City's
website at www;citvofeaaan,com/subscribe,
k 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, ut only an application for a permit, and work Is not to start without a permit. that the work will be in
acc rdance withç( ov ,Pta In ih rk whici'requires a review and approvalplansl c
Applicant's Printed Name x A IL
App leant ss
Signature
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5'-FO?Re, / E , >x ey ,4 434 Ss �4 ;r 'xii08 W® �BYa0- 4r, r ,, c vY( i* wa. :, fDiate 4.; i:g 3,
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YM� fbRg�4t0dfit,- . � t-,,.1l$ i -` ?)nl !,,! Fae t ,p,.um,f vi. Y �Srfly 0S ,0 : 1 li ;raes , Fpter zecapd:: RBad,,, _ 101, nOKeter *� laff t� P ° 4. i `1 ,
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159155
Date Issued:11/25/2019
Permit Category:ePermit
Site Address: 4432 Mallard Ct
Lot:18 Block: 1 Addition: Tiberon 1st
PID:10-76400-01-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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 -
Eric M Harlson
4432 Mallard Ct
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature