4467 Mallard Tr NSEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd. - - .?
Eagan, MN 55122-1897 .
?.
DATE • ? V ? L - ?,.
SITE
36
ADDRESS:_
CITY, STATE
PHONE: _
PHONE: `-OFFlCE USE ONLY
PLUMBER:
ADDRESS:
CITY, STAI
METER # PERMIT DATE ' 1/ 17/ 89
CHIP # PERMIT # 1 1 106
METER SIZE B.P. RECEIPT # C 4673
ISSUE DATE B.P. RECEIPT DATE
- PRV - BOOSTER PUMP
PERMIT REGIUESTED
- Z-,s z1
? .,, •,-, , / ,lC c.Ct-?..
?
E ZI R
OWNER: _
ADDRESS:_
CITY, STATE
PHONE: _
ZIP
,f
? SEWER
- COMM/IND
)< NEW
X- WATER _ TAPS
? RESIDENTIAL
- EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
'N-,?X 211?..??-l1 :
GREE TO COMPLY WITH CITY OF
GAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM I
SEWER PERMtTS, CONTACT ENGINEERING DEPT.
? CASH RECEIPT ?
CITY OF EAGAId
3830 PILOT kNOB ROAD - -
EAGAN, MINNESOTA 55122
OATE I I- IVI 19 U( ?
REIArvEO ? ?
F?. ;,) ?. ? lzi.CGI
AMOUNT S 1 ( j f•- r.
S OOLLAR$
? CASH )?CHECK
"0
r00 1 ? /V'
?
16. 4 1 '%,?v{!?J
FUND OBJECT AMDUNT
Thank You
ev
C 4673 wm°-P°- copy ?
YdWw--Posting Copy ?
Pink-File Copy . J
SEWER & WATER PERMIT
cmr oF EAGnN
3830 Pilot Knob Rd. .• - - Eagan, MN 55122-1897 ,
DATE
OFFICE USE ONLY
MET'ER #?13 to 2- 79 PERMIT DATE 11 / 17
CHIP #0d 46 87 !{ l PERMIT # 11166
METER SIZE Roc/ g,p, RECEIPT # '
ISSUE DATE B.P. RECEIPT DATE
_ PRV - BOOSTER PUMP
SITE AQQRESR-- ` j`! PERMIT REQUESTED
LOT ?=' BLOCK T_SEClSUB SEWER `,INATER - TAPS
APPLICANT:. '
ADDRESS: COMMIIND --"? RESIDENTIAL
CITY, STATE '?'=' '` - ZIP• ??-' ??f !y NEW - EXISTING
PHONE:
? r? ? ,• Lawn Sprinkler Meters are to be Installed
PLUMBER: t-4 Ahead of Domestic Meters on Water Line.
ADDRESS: Credit WILL NOT be given for Deduct Meters.
CITY, STATE "% ,', •,''?.? ??-Lx?-l'?-f ZIP ,--
PHONE: !!2Y...? ; 9 "(r'
. I AGREE TO COMPLY WITH CITY OF
OWNER: Cwca UIiU11VAPl?: -
ADDRESS: ,
CtTY, STATE ZIP PHONE: SIGNATUR WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
C-
s, . - •,
To be
PERMIT
SF DtiiClCAR
Site Address "qof r FULLAMAM
Lot 3 Biock 4 Sec/Sub.
Parcel No,
t? Name ?
OU ` Address
¢ City Phone
Name _
Address
Phone
I hereby acknowiege that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesola Statutes and City ol Eagan Ordinances.
Signature of Permitee
A euilding Permit is issued to: JOE NILLSR {MT
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building OHicial i
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
-?Q 17308
ls , 19 89
OFFICE USE ONLY
Occupancy R"3 M-1 FEFS
Zoning
(Actual) Const R 1
-V--N
Bldg. Permit
776*00
(Allowable) V N Surcharge 69 *50
# ol Stories
62'
PlanReview
38$'?
Length ?
100•00
Depth - SAC, City
S.F. Total - SAC, MCWCC 575•00
S.F. Footprints - g?.oo
On Siie Sewage _ Waler Conn
On Site Well Water Meter ???
MWCC System xx
???
City Water ? ?l. Deposit
20*00
PRV Required _ S.'W Permit
Booster Pump - S1W Surcharge 1.00
228e00
TreatmentPl
APPROVAIS Road Unit 340•00
Planner
il
C - Park Ded.
ounc --
Copies
BIdg.Otf. _ 3,197.50
Variance - TOTAL
Permk No. Permit Hoider Date Telephone #
WATER
SEWER ?
PLUMBING
H.V.A.C.
ELECTRIC 7-
Inspection Date Insp. Comments
Fooungsl /'C "LC'' C4 f;c:f? ?•? ?t?d fz n
Foundation
Framin9 - C..71Gt-l ? LI:E" S <M-
Roofing
Rough Plbg. /
Rough Ht9. ?/Q rn ,k/
Isul.
Fireplace
Fnal Htg. -k5
Fnal PIDg.
J
Const. Meter Plbg. Inspector - Notity Plumber
ErgrJPlan
Bidg. Finai
Deck Ftg.
Deck Final
weli '
Pr. Disp.
Y
(Itrtif iratr u# (Orrupaury
Citp of eagatt
lgrWtmmt n# iWdircg jWrrtinn
This Cernf cate issuedpursuant to the requirements of Section 306 of the Uniform Building
Code cerlifying fhat ar the time of issuance this structure was in compliance with the various
ordinances of the Crty regulating buiJding rnnstruciion or use. For the fallowing.•
Ux a.,jr.,io SF DWG/GA.R BWg_ Pe„o;, No. 17 308
oocup.,q, Tyx KR3IM 1 Za,,;ug nistria R 1 7ype conat. V'1
ownaorB„aaing JOE MILLER CONST. ,,dd,,.R18113 EMAR AVF S. FAmrr
Building Addl!ess 4467 ,w;l,,L3, B4. DOW 1AKE WOWS
FEMM 15, 1990
Z Da,c
ewIaRg qffic„i
POST IN A CONSPICUOUS PIACE
PERMIT
. , MECHANICAL PERMIT RECEIPT #
CITY CF EAGAN
?
DATE:
-
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address
Lot ,_ Block Sec/Sub gL,p(;, TypE WORK DESCRIPTION
+
Res. , New
M ult Add-on
Name
Comm. Repair
Address
Other
c City Phone
. FEES
? Name RES
HVAC 0-100 M BTU - $24
00
c Address .
.
AODITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
50 EA
?
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. FiATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.04
Air Cond. M BTU ' MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # gEYOND $1,000)
aner
FEE:
,
. .
SIGNATURE OF PERMITTEE I
S/C:
TOTAL• . ? FOR: CITY OF EAGAN
.?. •_ v -?w..a ;{•- - CITY OF EAGAN '
. 3630 Pilot Knob Road, P.O. Box 21 199, Eagan, MN 55121
BUILDINC; PERMIT PHONE: 454-8100 Receipt # I :
To bAused f•9F' DBClC Est. Value sl_mn natP _13 17. 11 ln0f
. .
Site Address 41111167 1i MLI-1JRD 'PB
Lot 3- Block -4 Sec/Sub. THMA3 I.AC! LIXID OFFICE USE ONLY
Parcel No. occupancy - Fees
Zoning
¢ Name L&M W *jBMa (Actua1) Const BIdg.Permit Zs.m
W _
o Address 467 N MALLMD TR (Allowable) -
?
' Surcharge -
City ?
? Phone - ?r ot stories -
Plan Review
Length _
? Name SwME - Depth SAC
Ciry
_ -
.
o?
a Address S.F. Total
? SAC, MCWCC
? City Phone S.F. Foocprims -
W
t
C
On Site Sewage a
er
onn
_
?
u W
Name
on site wen
t
t
W
M
? W
_=
Address
atwccsyscem -
a
er
e
er
_
Q W City Phon@ City water _ Aect• DePosit
PRV Required - S/W Permit
I hereby acknowlege that I have read this application and state Ihat the Booster Pump - SNV Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City ol.€agan OrdinanCes. . Trealment PI
Signature Of Permitee ';!- ? --- APPROVALS Road Unit
A Building Permit is issued to: LMMY w FISCNRR Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable Slate of Minnesola Statutes and Cily ol Eagan Ordinances. gldg, pry. _ Copies
8uilding OHicial
Variance
- TOTAI 25.50
Pamit No. Permk Holder Date Telephone X
WATER
SEWER '
PLUMBING
H.VAC.
ELECTRIC
InspeeNon Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Final Htg.
Orstat Test
Final Pibg. Plbg. InspeCtor - Notify Plumber
Consf. Meter
EngrJPlan
Bldg. Final
L
Dedc Ftg.
Dedc Final
WNI
Pr. Disp.
IN
CITY 4F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: .
«;i! ! A ?;i1 i,; H
I • ., i .,iJ!)O?A`i
PERMIT SUBTYPE:
I I .11 iNr,!;
I f '?I I
i ft; tt C K :
4N RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
I 1 ,,1 Nfi
N1,
/k?/fi7
-? APPLICANT:
t t> l .' ? •i. . 1 .?vu
TYPE OF WORK:
... . ? ?? . , ..,
Nf'W
Eti[11fnf `: I7F1'1
r knM I Ni,
I '-ia1ft1(`it SEf'ARATE F'UKM1T : RFqu.rR?n f-nF: ANY 1=iEE:l6etf.A1 nF fI.UMR1N1i WiiRM
?
?7V
?
?
???
PsrmR No. Permit Holder Date Tilephone N
ELECTRIC
PLUMBING
HVAC
Intpectlon DsN Inap. Cammenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBINQ
PLBG
AIR TEST
ROUGH
HEATIfJG
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL _
BSMT R.I.
BSMT FINAL
DECKFTO .`2' rt/A ^1°'j' e?c7y
DECK FlNAL
DATE: I1/17/89
` 4467 NORTH MALLARD 'fItA1L, W. 114. TkiOMAS LAKE WOODS
RE;,
xx
? Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be compieted for the following
reasons:
S
• Your Sewer & Water Permit for the above property has been completed, but the meter cannot
; be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE
11J17/89
RE: 4J67 NORTH HALLARD TRAIL, L3, 1114, THOMAS LAKE WdODS
xx Ycaur Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBIIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your'Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued er occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
HOLD C 0
BUILDING PERMIT
To be used lor" SF
CITY OF EAGAN N2 17308
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?? i l l n1?
Receipt # ?' ?'??V?
GAR Est. value $139,000 oate NOV 15 , 19 89
Site Address 4467 N MALLARD TR
Lot 3 Block 4 SeGSub. THOMAS LAKE W00[
Parcel No.
wlName .70E MILLER CONSTRUCTION
o Address 18133 CEDAR AVE S
City FARMINGTON Phone 431-2001
o
?Name S°*F I
? Address
City Phone
1851 Name
m; Address
a W City Phone
I here6y acknowlege that I have read this applwation and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Pty of Eagan an es.
?' -
Sgnature of Permrtee Z?'?i' ?
A euddmg Permit is issued m: JOE MILLER CONST
on ihe express condihon thal all work shall be done m accordance wilh all
applicable State of Mmnesota StaWtes antl City ot Eagan Ordinances.
Building OtOcial
OFFICE USE ONLV
OccupanCy R-3-M-1 FEFS
Zoning R-1
(ACtual) Const V-N Bldg. Permit
0
776.0
(Allowable) v-N Suroharga 69.50
s ot swries
62 '
Plan Review 388.00
Length
Depth -AW SAC, City 100.00
S.F.TOtal - SAC,MCWCC 575.00
S.P. Footpnnts _
580
00
On Sne Sewage _ Water Conn .
on Ste weil - Water Meter 90.00
MWCC Syslem _XX
ACCL Deposit
?
30.0
Cily Water
PRV Requiretl _ SM' Permit 20.00
Booster Pump - S)W Suroharga 1.00
Treatmant PI
0
228.0
APPROVALS ROadUml
n
340.0
Planner - park Detl.
Caunal
BIdg.Ofl. _ Copies
Variance - 707AL 3,197.50
CITY OF EAGAN N2 19365
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454- 8100
/1 ,)
q ry
BUILDING PERMIT
`
Receipt p l? ?l ?y-
d
t
To be used fo( DECK Est. Value $I-1709" Date .IUI. 3 1 gQL
Site Mddress 4467 N MALLARD TR
Lot 3 Block 4 Sec/Sub. THOMAS LAKE WOOD OFFICE USE ONLY
Parcel No. occupancy - Fees
Zornng _
w Name ??Y ?'1 FISCHER (ACtual)Const Permit 25.00
BIdq
? Address 4467 N MALLARD TR _
(Allowable) _ .
50
0 City EAGAN phone 647-9866 W k of Stories _ Surcharge .
Plan Rewew
Length _
F Name SAME Depth SAQGt
i
0
¢
Address _
S.F. rotal - y
, SaC, MCWCC
? Clty PhOnB S.F. Faotprirns _
t
W
C
On Stle Sewage - a
er
onn
r
um
Name
onsiawen
M
W
tw - aler
eler
x?
l
i AddfeSS MWCCSystem
? Acct. oeaosit
a City Phone cirywater _
PRV Required - S/W Parmit
I hereby acknowlege tha[ I have read this application and state that the Booster Pump - S/W Surcharge
inlormation is correct and agree to comply with all epplicable Stale of
MinneSOla SWtutes and City o agan OrdinanCes. . Trealment PI
?
SgnaNre of Permrtee
APPROVALS
Road Unit
A Buildmg Permit is issued lo. 1e1RRY W FISCHER Pla""a' - Park Ded.
on the ezpress condilion that all work shall 6e done in accordance with al1 CwmcA
apphcable State of Minnesota Statutes and
C
iry of Eagan Ordinances. Bmg.On. Copies
?.
d
BUiltlingOflicial ??<<?f? Iy I11/l Variance - TOTAL 25.50
I/??/f 9 y?o?'5
06419 2,1
FeQUes[ Dale Fire No Fough*in Inspeclion
11-28-89 Re iretl? ? Reatly Now WAI Nollty Inspector
WM1enRaetl
9
y
Yes ?NO
I'censed contractor ? owner here6y request inspection of above electrical work at:
JoD AOOress (Sheet. Bax or Roule No I City
4467 North Malla rd Trail Eagan
Secnon No Township Name or No Range No. Counry
Dakota
Occupant(GRINT) Phone No
Joe Miller Const ruction Co. 431-2001
Power Suppher Aatlress
Dakota Electric Farmington, MN 55024
Electnca) Comractor ICompany Name) Conlrzctor's License N.
Midland Electric Inc. 041610
Maibng Atlaress (Conrtactor or Owner Making Installation)
14055 Grand Ave So, Suite E, Burnsville, MN 55337
Aufi e ?ConvaclonOwner Maki Inslall ? Phone Number
892-6688
MINNESOTA STATE BOAflO OF ELECTRICITY L THiS INSPECTION PEpUEST WILL NOT
Griggs-Mldwey BIEg. - Haom S-173 BE ACCEPTED BV THE STATE BOAflD
1821 UnivttaHy Ave, St Paul, MN 55104 UNLESS PPOPER INSPECTION FEE IS
Phone (612) 612-0800 ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION ee-oooo,o7
/ ? See IRstmcbons lor completing tNS form on back ol yellow copy 9j08s
@ 06419 'X" Below Work Covered by This Request
ew Adtl Rep ° TypeofBmlding AppliancesWired EqwpmenlWired
Home Range Temporary Service
Water Heater Elecinc Heating
ding Dryer Other (Specity)
t
ndustnal Fumace
Air Conditioner
cdy) ConVactor5 Remerks
Compute Inspection Fee Below
8 Other Fee # ServiceEntrance5ize Fee # Qrwrts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs lnspector5 use only TO7AL
Irngation BoomS j 1::6 T 150
Speaal Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M HS.
I, the Electrical Inspector, hereby
cerhfy that the above inspection has
been made. Rouqn,m
?e / J?
F,nai
-
OFFICE USE ONLY
Tnis reqvest wia 18 monlns irom
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
J 3830 PILOT KNOB RD, EAGAN MN 55122 a ??• ??
651-681-4675
New CanatruMion Reauiramanh
• 3 registered sila surveys showiig sq. ft. of lot, sq ft. of frouse; and all roofed areas
(20% masimum lot cOVerage allowed)
• 2 copies of plan showing beam & winCOVr sizes, poured faund design, etc.)
• 1 set of Eneryy Calculations
• 3 copies of Tree PreServaUon Plan if lot platted after 7/1193
• Rim Joisf Detsil Optiws selectlon sheet (bldgs vnth 3 or less unib)
DATE //' ,z /' (?Z-
SITE ADDRESS `'?n`?'?7 ?o• ??l b ?i? L
TYPE OF WORK ?CEf1bpG?.trCt
APPLICANT
MULTI-PAMILY BLDG - Y !::?'N
_ FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRE55 S211 1Jog'H )r No .
TELEPHONE 44bZ-5 351 CELL PHONE #
&±M? STATE W ZIP .5S1I0
FAX #?s?) 76z • qsyi
PROPERTYOWNER TELEPHONE#(6s(-) &Y7- 93VL
COMPLETE FOR "NEW°" RESIDENTIAL BUILDINGS ONLY
Energy Coda Category
MINNESOTA RliLES 7670 CATEGORY I M ? ? ?E1sS 7If
(J submission type) . Residenhal Ventilahon Category 1 Worksheet Submitted • M?ervLnergy cod ? Work5Fi
• Energy Envelope Calculations Submitted I ?
Pi NoV 2 1 2C02
, 1,1
Plumbfng Contraetor. Phone #
Plumbing system includes: Water Softener I,awn Sprinkler °- F:$!
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor:
Mechviical system includes:
Sewer/Water Contractor.
Air Conditioniiig
Heat Recovery Syslein
Phone #
Tcc: $70.00
Phone #
I hereby acknowiedge that I have read this application, state that the information is conect, pnd agree to comply
with all applicable State of Minnesota Statutes and City of,Eagan Ordinar)res.
5lgnature of Applicant
OFFICE USE ONLY
RemodeUReoair Reauirements
• 2 copies of plan
• 1 set of Eneqy Calculatans for healed additions
• 1 site survey foreAenoraddiGom 6 decks
• IrMicate if home served by seplic syslem for additions
vAwano?v ?` 1°. 67s " `?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
qq5y Ll RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construdfon Reauirements RemodeVReoair Reauirements
. 3 registered sNe surveys showing sq. ft. of lot, sq, fl. af house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calcula6ons for heated additions
. 2 copies of plan showing beam 8 wlndow s¢es; poured found design, elc.) • 1 site survey for exterior additlons & decks
• 1 set of Energy Calculations • Indicate if home Served by septic system for addNOns
• 3 copies of Tree Preservation Plan if lol platted aNer 711193
. Rim Joist Detail Options selecUon sheet (bldgs wHh 3 or less uniGS)
/o ? ? ouz VALUATION IO, G/I4 "-
DATE Y- G?
JOB SITE ADDRESS v/yG7 ? t-P
If MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
TYPE OF WORK Wj2a,? i,rJ ,?---- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT Wau<,_ atiAL4 .d- .,:7.,: i- PHONE# sv7-S-3.S?I?F?y
ADDRESS„ oY, 7a?¢-71-t,4 1 ,.1 cura? °1.tti` ZIP CODE 61, C>f3
PAGER # CELL PHONE # S07- 83 t-l-oa 9 FAX #.?a2 _4'35 =/ y 7 g
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COM
Ener9Y Code Category _ MINNESOTA RLJLES 7670 CATEGORY
(check one) - Residential Ventilation Category 1 Worksheet S
- Energy Envelope Calculations Submitted
_ MINNESOTA RUI.ES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing Systam Includcs:
Mechanical Conhactor:
Mechanical System Includcs:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery SysLem
Tee: $90.00
Phone #
Fec: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, 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
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
Water Sottencr
Water HeaCcr
No. of Baths
Phone #:
Laevn Sprinkler
No. of R.I. Baths
llr ? DT m
APR 10 2002 D
d
:?
z"???::??Ftlt?MVIQ ? %* W *Y,:* #?N XY,<k"t ***
C;:f.l'`r t:tl= F..'.AGtlN
C;AL;I-17:1:_R:, f1G I"I.-.I:6MTNqL NUr, C,[,
rcAiF„ n"r; ir3 /S7 !'7:Mli.r, Qe0,:01.
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3210 ? ?r'r'
4/ MAL.I_F1F?:D 1'.: 1.24,?'r'Ei
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G ?•/II?.S.I.
2J.SJ A
?I"i'fJ(
Mrj,._Ln:tt; TR
3.50
-
'Yr1ta:'. ft.;rei.pl, Amu,tnl;: Ic?ri,.PS
C,'r'0 i f3 7';!c,
IJ;!iiPi '[Da ti(':F.'?.VP!i.
?;(,k?kr*1 :F:F>YuX:YtY,(Y,(R(Y,i:f;Y01 Y'F?4 11!* *;'F'Yn*>m, Ynv Y6#*3 *
PERMIT e
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
qECK
SF PORCM
NEW
434 ALT. RE5IDENTIAL
INCLUDES
Baild'Hg? Permit Type
Building Work Type
-Census Cod?e-`°,
d'
! r?
` a ri
F
L.1 ?Z,
' ..>'-1?>^'-. •-v
Base Fee
Surcharge
Total Fee
BUILDING
030429
e7/17/s7
REMARKS:
SEPARATE PERMITS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
FEE SUMMARY:
?
PERMIT TYPE:
Permit Number:
Date Issued:
/""1,??`?
{ } 1 ?3
i: E, ] ? ?.,.} `'.:1.au t?
$7,eee
4467 MALLARD TR N
LOT: 3 BLOCK: 4
THOMAS LAKE WOODS
VALUATION
$124.75
$3.50
$128.25
CONTRACTOR: -
THYREN CONST, MARK
202 SUNRISE LN
CHAMPLIN MN
(612) 422-1499
Applicant - ST. LIC
14221499 0006425
55316
?
OWNER:
FISCHER LHRRY
4467 MALLARO TR N
EAGAN MN
(612)452-6333
I hereby acknowledge that T have'read tfiis appiicatian and?sta'Ce that the
znformation is correct and,agree to comply with all applicable State of Mn.
SLatute#.and Glty of:Eagan_Ordin?pees.?
`r
APPLICANT/PERMITEE SIGNATURE ISSUED BV: SI NATURE
?
1997 BUILDING PERMIT APPUCATION (RESIDENTIAL)
3 d?.?? CITY OF EAGAN
8830 PILOT KNOB RD - 65122
681-4675
New Construetian ReauiremeMa
RamodeVReoair Reouiremenis
? 3 registered sita suneys ? 2 capies M plan
• 2 copies of plans (indude beam 8 window sixes; poured fntl. deaign; etcJ ? 2 alte surveys (exterior additions 8 dedcs)
? t energy calwlations ? t energy celculatlons for heated addkions
? 3 copies of tree preservation plan if lot platted aRer 7/1193
required: _ Yes No '
DATE: 7?411q 7 T CONSTRUCTION COST:
DESCRIPTION OF WORK: ? Y?Ik'6k /4-"
STREETADDRESS: 7 r12I[,
T ? -
LO
BLOCK ! SUBD./P.I.D.
PROPERTY Name: ,' S?'?? ?vY y7 Phone #: 45-2 -?3 33
OWNER
StreetAddress:
City: State: Zip:
CONTRACTOR Company: Phone #: 4-2 L -
Street Address: ?Z ?v?vcse L-'? License 6'¢zS
City: GbtQi`"y State: Alw Zip: SS 3 f6
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water Iicer.5ed plumber (new construction only):
and lot change are iequested once permit is issued.
Penally applies when address change
I hereby acknowledge that I have read this application and sfate that the infortnation is cortect and agree to comply with atl applicable
State of Minnesota Statutes and City of Eagan Ordinances.
i
Signature of Applicant:
D
CEIVE
OFFICE U3E ONLY 7,w
Certiflcates of Survey Received Yes No 4 1997
Tree Preservation Plan Received Yes No Not Required BY
OFFICE USE ONLY - -''-
BUILDING PERMIT TYPE
o Ot Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dweiling o 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex n 13 Garage/AccQSSOry o 20 Public Facility
J2r 04 SF Porch ? 09 12-plex o 14 Fireplace n 21 Miscellaneous
? 05 SF Misc. 0 10 = plex o 15 Deck
WORKTYPE
0 31 New o 33 Alterations o 36 Move
X 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNUS System ?
(Allowable) Main level sq. ft. City Water ?
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. u 3?/
Depth Footprint sq. ft. SAC Code o i
Census Bldg ?
Census Unit v
APPROVALS
Planning Building A/43 Engineering Variance
?
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Traits Ded.
Other
Copies
Total:
% SAC
SAC Units
Valuation:
Sc?e o.? '???M
$ 71 oo0_ r'
Soq O. ?
?
?:)
--?
D C0.
:YING
,2- -0,-? /ICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
LEGAL
x
SCALE: I"=40'
^? N83op NORTH
?oo??w ? MALLARD
--^ _ 12187
q„o TRAIL
o Q
p-56056'06"
p ? ??? R-60.00
? 59.62
o
N
3 se+• ? ' ? ?10 ?
o \ .
1 \ 1M1 % b? nA?A ? 0 ? ?_V
/
%
I LOT 3
,
3 V.
'
N ??a?
? ?'i' ? `!'y`V
?
? t
?o Qt'' 0'?? ,,. ? ,._.. ,.
0 d =? °o
?I I Z` aO y y ..?.-:.. ,
DEC 8!
ggg ' c?
o.ea F:AGAI ''?'."[A?T? ' Ezl?iG'' IJfi•137
?
SITE PLAN FOR:
MILLER C4NSTRUCTIONI
DESCRIPTION: LOT 3,BLOCK 4, THOMAS LAKE WOODS
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hersby certify fhat ihis survey,plan or
rsport was prepared by me or under my
direct supervision ond that I am a duly
Reqistered Land Survlyor under fhe
Laws oi the State of Minnesota.
P'RoPoS6D FW.L BASEMENT -!Jo wqlKvuT - KNCC wnl(
INVERT ELEVl1TION AT SERVICE EXTENSION=
PROPOSED GARAGE FIOOR ELEVATION = e, °
PROPOSED FIRST FLOOR ELEVATION = ,_(,j?_
PROPOSED BASEMENT FLOOR = `1bl - ,
ELEVATION
NOTE'• VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Bradley J.
Date ?
, Mn. Raq. No. 15235
y i.
i . I
1991 BUIIANII 5LICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRIICTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For:
Valuation: Date: 6° Z8 ° IV
Site Address qY0 Al- M9LL9Rta 11Q_
Lot 3 Block I/ E4 &4 A)
?
Parcel/Sub ?('fO K+A 5 l.g jc.i ?!p 06S
Oumer 44Rkl1 kl. r-1 Sf N fA
Address y\( (+') /L A4(.1,/ti R.'6 18-
City/Zip Code c?y 6r9RJ Md' S? t"L I-.
Phone kljL -W(0q 7` Y6Ri1/
Contractor -5?- yti 2,
Address
Gity/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit z-S
Surcharge ,SD
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL r.?l
Phone #
~ agrees that all work shall be done in accordance' with
(Signature of Contractor
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
• n..?.--
\?EVsED ?
- -- --- D C 0.
s`"2U"1 :YING
,/ L-0 -?n /ICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
SITE PLAN FOR:
MILLER CONSTRUCTIONI
LEGAL DESCRIPTION: LOT 3,BLOCK 4, THOMAS LAKE WOODS
ACCORDING TO THE RECORDED PLAT
? THEREOF DAKOTA COUNTY,MINNESOTA
SCALE: I"=40'
pc?c??ad??7
oEC 81989
LEGEND
41 4.
10
3
W
N
W
M
e a
0 -
Z
T
?L, 1 L
? NORTH
V83°p 'op„W MALLARD
- ? -? - 12187 IttiA q,e TRAIL
a ? ,74,- . X. _
p-56°5606
?
07 R=60.00
59.62
1 q?Llb
d_
S•?? k
?p y N' ^41 \ 14, ?
ryH ' a a'
p1 l 0 ? f(?
tK',
' LOT
4?0
C?
a DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I herehy csrtiTy thot this survey,plan or
report was prepared by mc or under my
direct supervision and that I om a duly
Repiatered Land Surveyor under fhe
Laws o} tha Stote of Minnesota.
3 ?
? ?T44?? ?
L ? .?
?}?,. ` T-- `-' / •-7 ??? . : .,
`, . .•s?q,y ,C?a?•,?;? i.?i?.t`7
EiAG,A.i1
PiCOPo56D FULL 6N556ME+.lT - Ne WqIKou7 - KNCC wnl(
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = A, °
PROPOSED FIRST FLOOR ELEVATION =1 T? e-
PROPOSED BASEMENT FLOOR = 1G7 -
ELEVATION
NOTE' VERIFY ALL FLOOR NEIGHTS WITH
FINAL HOUSE PLANS
-l .
Bradley J. ?fion, Mn. Req. No. 15235
Date - I l r i f'" 1
UNDERGROUND SPRINKI.ER SYSTEM
PLUMBING PERMIT
Date: / 5 _9 I
Permit #
Date 9??- /S- 9 I
Receipt # /Oc? 1053?-
Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
? E3dsting residential: $15.50 (Plumbing permit not required if backtlow preventor was
previously installed).
_ Resi3ential deve;c mer,ts: Fee ta be uetennined by buuaing inspeciions department.
May require payment of water permit, plumbing permit, WAC, and water treatment
plant fees. 43t
4??6 7 174.4 [l,+,c 9 ??A; /
Address to be sprinklered)
HeRFawmaer/Plumber: -?gAi+l - 5w•1lk •/?7?c r. !?/b + 4-4)
Phone #: 209 - 3S-9-0
Street Address: q 8 - _?-S
City, 5tate, Zip: 1;?,I, !575 yolo
OwnerName: ?..¢jtf iZ? CLte?-
Street Address: --//4f 6 -7 1`17,461^9 Phone #:
Irrigation Contractor. IWII. kfl,*,v
Phone #: Yci Q- 7 0 o S-
I hereby ac wledge that I have read this application and state that the informarion is
conect and gree to com with all applicable City of Eagan Ordinances
cc: Engineering Depanment
.? ? 4
3INGLE £AMILY DiPELLIPGS
? SETS OF PLANS
. SEGISTEBED SITE SDRPEYS
' SET OF L+'IiERGI C1F.CS.
1989 BITILDIAG PEAMIT IPPLICATION
CITY OF E?GAN
1q,3 0
lIDLTIPLE DiiELLINGS
2 3Ef5 OF PI.lNS
8E13ISTfiAED 3ITE 30AYET3 -
(CHECg iiITH BLDG DIY.)
1 SET OF EBERGS CALCS.
r
COlBMERCIAL
2 SETS OF IACSTlECTURAL
i ST60CTORAL PLAN3
1 SET OF SPECIFIC9TION5
1 SET OF EBEAGT CALC3.
MULTIPLfi DiiELLING3 MNigL VNITS FOH SALE OHIlS 1 OF DBITS
IOTEt WDRE43k5 FOH COR1oEA LOIS - C01!lAALTOAIHOKEOi1NER MIDSY DE42GIiATE iiHICH ADDAESS
IS DFSIHBD. BO CHlNGES iiILL BS iLL01iED ONCE BUII.DIAG PERMIT 13 ISSOED..
3EWER i FATER PE1dITT FEES ?RD ACCOiJIPT DEPOBIT FSBS 1iILL 88 IACLiJDED ttITH THE HIIILDIND
PEt@iIT FEE. PAOCES3ING TIlg FOR SEHEA iIQD i/ATEA PERMITS I3 TiiO DAYS 017CE 6 PEAMIT HAS
BEEP (OMPLEfED IHDIC9TIAG A LICENSED PLOlMER.
PENALTY APPLIFS HHEN: PERMIT IS NOT PAID FOA IN S9MF: MOlITA IT IS REQUESTED.
LOT CHANGE IS REQUESTED ONCE PEAMIT IS ISSOED.
? RE'D NOV 13 1989
To Be Used For: 7?&1LL Valuation. ? Date:
SAte Address `l7i ^
Lot Block ?
Parcel/SubJ4riL&o-,c"
Owner
6ddress
City/Zip Code
Phone
CoatracEo c
Address
"Sty/Zip Code
Phone
lrch./Engr.
Address
Citq/Zip Code
Yhone #
" 1.3`t, tavl> .... .,... .....
Occupaney ? R3 NI-I
Zoning R-1
Aetual Const V- N
Allowable V-N
# of stories
Length fo 2
Depth SO
S.F. Total
Footprint S.F.
On aite aexage
On aite xell
HWCC Syatem ?
Cit; vater ?
PAV required _
Booster Pump _
1PPAOOEIS
Planner _
Council
Bldg. Off.
Yariance
-U
Bldg. Permit
Sureharge 619 " 50
Plan Reviex SS ?
SAC, City 100.00
SAC, H?tCC 5 S,c?a
Aater Conn 5F.),00
Nater Meter o)aa
Acet. Deposit ?.w,op
3/R Permit ,?OiDO
S/N Sureharge 1,00
Treatment Pl. Pa8,00
Road Onit 3L1a,00
Park Ded.
Copies
SOBTOTAL
Penalty
iOTAL
? ??
- y
VALUATIDQ
GA'RACtt
?.. .?
3?xz4. _ ?68 ? ;
2 X1Z
?uu X lS= l116v
v't G k sz, ? 3S ?-
5
.__--
I Z`i2, Xiy .- I gosB
IsT FLCCQ
g"SVr,T = 129z
I?z x ! c? ? 1S
__.----?.
13
°? X5p 4 ??3Su
QNb F'tca,r
ZZ k 3e - 83?
loxZ= -Z? v
? ?3rz= ZI
.-.-----?-?
8'? ? X 50 -?- y?
. ?
; .:
89-163
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
SITE PLAN FOR?
MILLER CONSTRUCTI
LEGAL DESCRIPTION? LOT 3,BLOCK 4, THOMAS LAKE WOODS
ACCORDING TO THE RECORDED PLAT
? THEREOF DAKOTA COUNTY,MINNESOTA
SCALE: I"=40'
??. ?-?? ?,;
a?
ID Q
? ,? `
O I K`'?
v
N
?E?J i S ED
?11UC?
/ Z-?'?
3
?
N
D CC???dG ?.
DEC 81g89
LEGEND
T
L?? 1 L
rs
?
?a
v ryy ? _ k q^ry.? \ ??? ? ?`
? q'{{.% ??
1
N1hR 0 ? (??
• ? ???.
/
/
?
? NORTH
? ?2r.s?
?? _
A \
\ q1
d?
\ '- 6 ? q?0 N?
74
`1 ? 71.29
F/.
=? ?, f? F= ;?
i .;'?I°??\.I '? ?''•:., ?yt.??,??'?' `_'..J
?? ?i ' ' ? ,
, ?, „ .._?
???`..)'"?? 1 A
LOT 3 ?,
,
?o
o DENOTES IRON MONUMENT
a OENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE .DIRECTION
I hersby cerfity thot this survey,plan or
report was prepared by me or under my
direct supervision cnd ihat I am a duly
Reqistered Land Surv?yor under the
Laws of the State of Minnesota.
a?J ??? _?:?
??, _,, _.?- -??? :.?r
? t'?'ikl, ,?d?.l?`..sdP ..k..Y?'. ?v'
E E?.G..c°?.?
PROPo56D FULL BAS6ME7JT - No WqIKouT - IWC6 wAlf
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = ?
PROPOSED FIRST FLOOR ELEVATION =] 7' s
PROPOSED BASEMENT FLOOR = `??7 --
ELEVATION
NOTE ? VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Bradley J. o?, Mn. Raq. No. 15235
Date ? I f I '?,' `l
MALLARD
,?ti4 ,,? TRAIL
-o p=56°56'06"
? R=60.Q0
5?9.62
a ...?c?
olae or Trvo Family
llll 0ltter
tlx1'Y OE' BUILbIflq bEPArilldEllm ' -? `!: •• :
NXTE1tZOR Et1 VF.9,OPn AVEIlAQE IIU 'i 00I4PUTATION
(To.be eubroitited rrith building permiE epplicalion)
bwelling ? pwner ---???----_..
ConkrNOEor
LIIIEAL FECT OF ?
E}(POSEII YlALL
8ite Address _ l-OT
. fiH O7r1AS ?AKE WowF6 '
Date Phane '
above grade a 'Z+v11 1796
TOT1lL EXPOSED {9ALL 11REA Q+ FTa
oFAqUB WI{I,L Cot15'PRUCTIUfi) IIUII Value x Ared
DeEail
' sa.
reterenae _ [.?.}A
?. 1111
U
x
8R,
from 41
40 x Sq.
ettaclted x Sg,
sheobel upn x SR•
• nUu x 8Q.
Y7IHD0{Y8t " U" Vqlue x Aren
Fialce & T
yha
Mva?T'ii111l
? ?
L x
tlutl SQ.
„ X
flui eQ.
? X sa.
. . x sq.
DooA51 I!U" Yalue x Ares .
Flalse & Type
u u hpn 4 r x 5Q:
upu`
11 n liun x $Q:
h
x 8q,
npu x Sq.
? TOTAI,B 7[..&111 !? So_
TOTAL (U) ( A) VALUES •••?,.,.??, ?v •_
bIVIbED BY TOTlIL {7AI,L AAEA
i
AVtNAaE ??U?? ???5 lene tor 1&2 tttmily dwallr ?
ROOF/OgILINOt .
roTlu. AREAi
beleil roference
trvm
nltaclied slieete.
bencribo openingo
in roof& •
ToTAL (U)(A) VdI,UEg DIVIllCb BY
7 ?? #
''PO'PA1. It00F'ICEILZU4 NiEA ??tt 1
AVERAUE ?? ??'" 25 fo entilnbed rooieC,f .? .
fl„it A . 6 21
upu x s4.
s4.
,_,_----^upu x SR:
R
3S
M 1a7LI(. ?5 (u)(A)
fT. , (U)(A) ,
FT.
U) (A) ,
Fm•
- ? U)SRI
(U) lAl
fT. = (U)(A)
Fm4UIt75"? /Zo.¢. (U)(A)
Fx+ = . M(A)
Pms = (u)(n)
FT: ? (U)(A)
M ? , 1 ??75 i U) (A)
FT.-cto (u)(A)
FT. ? (U) (A)
FT• - (U) (A)
(U)(A)
?
Fm.'?. 3l 20 (U)(A)
(U)(A)
M _ (U)(A)
FT: - (U) (A)
1?t? = (U) (A)
rAL6_ (5g1 5g,ft
3320! ?U??
--?
, 02l
?_
1? '.. I *; •r .*.I;t, k? ? r=' S . . `! 1 '
}?ttR 1?
Z
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4}..
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B3x 2 ? 3 -- ?,4,y?
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2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & rownhomes/condos when permits are required for each unit
Date /L l D -7
Site Address ? 6 -7 X4AeJ 7n I V i Unit #
Property Owner 'T/ M C?iL vfu-So At1 Telephone #( ? ?) 238 -767(9
Contractor Y.. 11,h IV 2? r '-
Street Address 1-1 City 1--A"1??vi ) 1-e-
State /vl ? Zip ? Telephone # (ni ?2 ) /?cG}S'//g 3
Bond #: 3(e? Eapires: Ge_? Co?y/ 9? y36
?
The Applicaut is _ Owner zfs?_Contracror _ Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to eaisGng dwelling unit $ 50.00
-x furnace _Additional _Replacement _ New
air exchanger
? air conditioner
heat pump
other
State Surcharge $ .50
T
l ?
ota
I hereby apply for a Residential Mechanical Pemut and aclrnowledge 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 with the Mechanical Codes; that I understand tlils is not a
pernut, 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.
C?r t 1L?.A l/ a
ApplicanYs Printed Name Applicant's Signature
?L???_ ? T T
RI JUL 1 7 2008
? -------i
? Permit#_
? i Sn
I Permit Fee 'f5O
?
I Q ?
? Date Received?
I Staff ?
L ___ Cz lICc( 7,)l"09'
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION -
Date:l / U, 6? Site Address: T`"h?? ?? M4L1__?0 ?qR
Tenant: 4,_rk1wN Suite #:
RESIDENT I OWNER Nam : ? Phone: I?Sj 4YN,2_4
Address ! Cjty / Zip. 'y 1 m Aiz) eI&-,A tC4 Z)?z
CONTRACTOR Name: License #:
Address:
City State: Zip:
Phone: Contact Person:
TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descri tion of work:
PERMIT TYPE RESIDENTIAL
_ Water Heater _ W?ter Softener
_ Lawn Irrigation ?? dd Plumbing xtures
? RPZ / _ PVB) ? Main wer Level)
Septic System _ Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
•Water Turnaround (add $136.00 if a 5!8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, duchvork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work will he m conforrnance 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 aM742
?n, CeA?J?l X
Ap IicanYs Printed Name IicanYs Signature
FOROFFIC
E USE Reviewed.By
,
? I L 44
Requved lnspection`s =Under Grountl ?Rough °YGas ?!?
? =.._._. ??'
411)b City of Eagn
3830 Pilot Kno6 Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(657)675-5694
?????T ?
Ill JUL 1 7 2008
?-----------------
?
? Permit#:
? Pe"itFee: l 30. D b ? C?
? Date Received: r? ?0 9? ?
i ?
? Staff. I
-------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION ?'?
Date: 1 _?J ULCSR Site Address: 9"'f V7 /IiJ M 4t-t-*ZO 7I Z
Tenant:
Suite #:
RESIDENTf OWNER Name:?.-?y ?jM19?Z?( Ce--A& I_ kvJ Phone: ?,SZSZ.
Address ! City / Zip: 7 4lh? ? M&=? 7-e
Applicant is: t?wner _ Contractor
TYPE OF WORK Description of work:
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CONTRACTOR Name: License#:
Address:
City: State: Zip:
Phone. Contact Person:
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 Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Su6mitted
tn 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 8 Water Contrector: Phone:
Plans,a`nd'supportir'ig.documenis that:you submit,aFe consiiiered to be ubliaittfortnatrqn.?Portions of
P
_ =
`specrf?c reasons thatwoulaf permitfhe Crty ta '
the tnformafion may be classified as;non=public ?i you p?ov?de
?
I? aa ' conciiide that fhe : are trade secrets n.
I hereby acknowledge that this information is complete and accurate; that the work will be in wnfortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a pertnit, but only an appliration for a permit, and work is not to s[art without a permit, ihat the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans
X /M CG,,?,L?W X /l.?y/.
ApplicanPs Printed Name icanPs ignatGre
Page 1 of 3
'4
DO NOT WRITE BELOW THIS LINE
SUB TYPES
?
/Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool
.
?J Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screenlgazebolpergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interiorlmprovement ? Siding ? DemolishBuilding*
? Addition ? Move Building ? Reroof ? Demolish Interior
C3? Alteration O Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation -97 0171) Occupancy nl ?? MCES System
Plan Review Code Edition SAC Units
(25%_ 100% _) Zoning City Water
Census Code '- Stories Booster Pump
# of Units ? Square Feet PRV
# of Buildings ? Length Fire Sprinklers
Type of Const. s' t?j Width
REQUIRED INSPECTIONS
Footings (new hldg) Sheetrock Meter Size:
Footings (deck) FinallC.O.
Footings (addition) FinaUNo C.O.
Foundation ? HVAC
Drain Tile Other:
Roof: _Ice & Water _Final Pool: _FOOtings _Air/Gas Tests Final
y' Framing Stucco Lath _Stone Lath _Brick
Siding:
? Fireplace: ?R.L ?Air Test 1(Fina1 _
Windows
Y Insulation ReWining Wall
Reviewed By: -i - 2
---------------------------------------------------- Building Inspector
---------------------------------------------------------------------------
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
Use BLUE or BLACK Ink
F F - o-r -Offi-c e-Use----------- ~
I I
Permit#:
of ; 4q/37~
Jr I I
buy of Eap
I Permit Fee:
3830 Pilot Knob Road I 9-3~
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I Staff: I
Fax: (651) 675-5694 1 I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: oj\ \ C -ir-'C' I
Tenant: C_t v~ S C~Y~ Suite M
RESIDENT /OWNER Name: 1 YYl I C~ l.L> COY, Phone: U -l Z L-7&19
Address/ City /Zip: Applicant is: Owner Vontractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No )e)
CONTRACTOR Name: QY) License -3391/-)
Address: l . L-jT _~X-)
City: MLo Stater Zip:
~ ~Q~~ ~ Ztr~
Phone: U 2 Contact Person: u5
Lor
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:
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.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; th the work will be in
accordance with the approved plan in the case of work which requires a review and approv of plans.
xON-V-11 IyRil S GYM C1~.
Applicant's Printed Name Applicant' Signature
Page I of 3
I
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA086702
Eagan, MN 55122 . Date Issued: 10/07/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4467 Mallard Tr N
Lot: 3 Block: 4 Addition: Thomas Lake Woods
PID 10-76100-030-04
Use
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Chimney/flue must be inspected prior to concealing. 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.
Andrew Hoffman
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:
Fireside Hearth & Home Timothy A Clawson
20802 Kensington Blvd 4467 Mallard Tr N
Lakeville MN 55044 Eagan MN 55122
(952) 985-6675
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:EA115268
Date Issued:09/25/2013
Permit Category:ePermit
Site Address: 4467 Mallard Tr N
Lot:3 Block: 4 Addition: Thomas Lake Woods
PID:10-76100-04-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Ivan Tkach
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 -
Timothy A Clawson
4467 Mallard Tr N
Eagan MN 55122
Marshall Building & Remodeling Inc
6975 Washington Ave S
Suite 215
Minneapolis MN 55439
(612) 369-0123
Applicant/Permitee: Signature Issued By: Signature
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411-1,awri
W:01 5 1-1111-414.1-zio-A
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A FOUNDATION WALL MOISTURE
BARRIER IS REQUIRED BETWEEN
INSULATION AND FOUNDATION WALL
7-ROAAFI OOR TO GRADE
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City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA126273
Date Issued: 08/19/2014
Permit Category: ePermit
Site Address: 4497 Mallard Tr N
Lot: 8 Block: 4 Addition: Thomas Lake Woods
PID: 10-76100-04-080
Use:
Description:
Sub Type: Reroof
Work Type: Replace
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
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.
Amanda Hanson
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Hammered Solutions Llc
4343 136th St W
Rosemount MN 55068
(612) 298-6620
- Applicant -
Owner:
Thomas H Burton
4497 Mallard Tr N
Eagan MN 55122
(651) 452-5417
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
CityofEaaaft
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
QCT } A 1V3
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: / 7c
Date Received:
Staff:
467
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date/Ude{. t Site Address: - / ` 4(MILJ r 11 l ( Unit #:
Name: /1 /v‘ CLAt,J..S k)
Address / City / Zip: lq A rw.1'_L412A
Applicant is: el,/Owner Contractor
Description of work:
Construction Cost:
Company:
Address:
State:
License
Multi -Family Building: (Yes / No
Contact:
City:
Zip: Phone: Email:
#: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
xQJ4r J,
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:
Phone:
Phone:
Sewer & Water Contractor:
Fire Suppression Contractor:
NOTE: Plans and supporting documents that , ou ,submit are considered to b...
the information may be classified as non-public if you provide specific rsason
conclude that they are trade secrets.
CALL BEFORE YOU DIG. CaII 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.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days nce.
x / / 'Lf x
Applic t s Printe • . meApp i f nt's Signat
C-641A)S
Page 1 of 3
-ife
( 7 `l //(�}i (DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace Porch (3 -Season) _ Exterior Alteration (Single Family)
Single Family _ Garage Porch (4 -Season) _ Exterior Alteration (Multi)
Multi ' Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of _ Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Ail Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation
Plan Review
(25%_ 100% Y )
Census Code
# of Units
# of Buildings
Type of Construction
loaa
X34
REQUIRED INSPECTIONS
Footings (New Building)
Occupancy PIG. • / MCES System
Code Edition „o/' SAC Units
Zoning P,D City Water
Stories '" Booster Pump
Square Feet et,5? PRV
Length /,A, Fire Suppression Required --
Width (2/^O"
Meter Size:
Footings (Deck)/ C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation Foundation Before Backfill HVAC _ Gas Service Test Gas Line Air Test
Roof: Ice &)Nater _Final Pool: Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test Final Siding: Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _ Footings _ Backfill _ Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In _Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
/d3
22--
, Building Inspector
0,301D/coy 6) f6 /
Page 2 of 3
TRI -LAND CO.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
13Ce-/g 2-89-163
Lige 7 .frilAki T4,
SITE P AN FOR:
MILLER CONSTRUCTION
LEGAL DESCRIPTION:
N
SCALE: I"=40'
41
4.
0
N
LOT _1_, BLOCK 4 , THOMAS LAKE WOODS
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY, MINNESOTA
1 T
`1/4. 1 L
'6 -
NORTH
MALLARD
TRAIL
Q=56°56'06"
1 (.
R=60.00
59.62
\0.05
q10
UILDING INSPECTIONS DIVISION
DEC 81989
L
o DENOTES
0 DENOTES
DENOTES
DENOTES
DENOTES
NO°38'26"W
EGEND
IRON MONUMENT
WOOD HUB S E T
EXISTING SPOT
ELEVATION
PROPOSED SPOT
ELEVATION
DRAINAGE DIRECTI ON
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.
FRopoS6P FULL BA56M MT - No wAIKovT
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION= 9 74
PROPOSED FIRST FLOOR ELEVATION = 1 TS.
PROPOSED BASEMENT FLOOR = 141
ELEVATION
NOTE. VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Bradley J.
Date: It
on, Mn. Reg. No. 15235
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
buildinginspectionsc citvofeagan.com
Date:
For Office Use
Permit #: /I—Kg / 7
Permit Fee: 96. o o
Date Received:
Staff:
L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Resident/
Owner Address / City / Zip:
Applicant is: - Owner Contractor
Site Address:
Name:^ k)
Type of Work
Contractor
Phone:
Unit #:
J
A062 M) /1146U.��p gyp_
Description of work:
Construction Cost:
Multi -Family Building: (Yes / No
Company: F Contact:
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:
Phone:
Fire Suppression Contractor:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non- • ublic if ou • rovide s • eciffc reasons that would • errnit the Ci to conclude that the 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.citvofeagan.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 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.
ff
Appli�s Printed Name A ucant's Si9 riati re