4468 Mallard Tr Ncirv aF EaGaN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPE
N REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
I 51TE ADDRESS:
, I F1H , ! i.r !
PERMtT SUBTYPE:
MAY
TYPE QF WORK:
INSPECTION . ..
IF
Permft No. Permit Holder Date Tglephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footingsl
Foundation
Framing
Raofing
Rough Pibg.
fiough Ntg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Pfbg. Inspector - Natity Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg. CCy??i ? ?
na ZA ? ,r ? ; g, ,.
SSG's
wen T?l?l. -?T T????? Us?= l•?vsP
Pr. Disp.
?r
SEWER 8 WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
?
r
Y'.
DATE ?
m-
METER # PERMIT DATE i2I03I90
CHIP # PERMIT # 11743
METER SIZE B.P. RECEIPT # C11 247
ISSUE DATE B.P. RECEIPT DATE 11L01?0
- PRV _ 800STER PUMP
SITE ADDRESS 4146S :,or r ti iria l1 a r d T r a i 1
LOT I BLOCK 4 SEC/SUB y 91
TliOMA3 I.AKF WOOGS
APPLICANT:
ADDRESS:
CITY, STATE
ZIP
PLUMBER: :'.+s. u-s:-;.. v11,.sbt„a
ADDRESS: 121 Redvood Dr CITY, STATE +rLp1 AV:31 ??? y 4% ZIP -i51 24
PHONE:
OWNER: Mi11 m r HomQ s
ADDRESS: 18133 Cadar Ava, S
CITY, STATE F e r m i n g t o n ,4'1 ZIP 556 :t =
PHONE: '? 3 1- 2 Ju, 1
PERMIT REQUESTED
? SEWER ,?. WATER - TAPS
- COMM/IND ? RESIDENTIAL
? NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER tSSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CASH RECEIPT
CITY OF EAGAN . ?
3830 PII.OT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE I F% 1
/
REOEIAo
FFOI.
OUN7t
& pOLLARS
O CASH ?CHECK "0
?
0,-?.
u
? UI 'i' ?r ?;?;.(? ?,?? !1 ?.jr ' f ,i' ? •
? 1 i 247 ?'??„
Pink-File Copy
Thank You l ?-
BY 'v' ??
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE _,, ,i ou ni mb a r 24 , 199-0
_ PRV _ BOOSTER PUMP
SITEADDRESS 4468 North *4a11ard Trail
LOT 1 BLOCK + SEC/SUB '{ XZ??Z2A1&
'rHOMAS T.AI:E 1,40CUS
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
PERMIT REQUESTED
? SEWER ? WATER - TAPS
_ COMM/IND A- RESIDENTIAL
I NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: gm}n Ahead of Domestic Meters on Water Line.
ADDRESS: 21 Rg aw-aa I)-- Credit WILL NOT be given for Deduct Meters.
r •-
CITY, STATE _A.pplE 11, 7 1?v 14- ZIP s 4 19 4 PHONE:
I AGR E TO COMPLY WITH CITY OF
OWNER: ? ri i 1 1 e r H o sr. e s EAG ORDINANC
ADDRESS: 1 S 1 3 3 C e d e r Av e, S. N
CITY,STATE = armington Zip
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOA STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
OFFICE USE ONLY
METER #p ? a J g? PEflMIT DATE t0 3 / pL
CHIP # Q a?O ?l ?/ 3 PERMIT # 11743
METER SIZE Q R B.P. RECEIPT # C M4?
ISSUE DATE ?^ ? ' 9Z B.P. RECEIPT DATE 1 ! f' Q? 90
L:---• ? • CITY OF EAGAN
'. ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 „
PHONE: 454-8100
UILDING PERMIT Receipt ? ?--'
be used for S?? ?/?R Est. Value $i L6' 0? Date ?24
Site Addrgss ' ?°° S ?"'''n°?
Lot ? Block SeclSub,
Parcel No.
W Name JOE HILUR HMS
3 Address DAR A
0 r1:4.. YARMNMN 431-2001
Name
Address
Citv Phone
?; Address
i W City Phone
I hereby acknowlege 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. ?:___...--
A Buiiding Permit is issued to:
on the express conditian that all work shall ba done in accordance with all
Bwlding
19 90
OFFICE U SE ONLY
R!3 M-1
OCCUpancy
PD-? f FEES
Zoning 801.00
(Actuaq Const V_- „ Bldg. Permit
(/Ulowable) 73?00
- Surcharge
# of Stories ,
52000
Len th Plan Review
I00
•?
Depth SAC.City
F. Total
S - 6?.00
. SAC, MCWCC
S.F. Footprints - 625.00
On Site Sewage _ Water Conn
???
On Site Wetl -? Water Meter '
MWCC SyStem -?- Acct. Deposit 30.00
City water - 30.00
PRV Required _ SIVN Permil
8ooster PumQ - S/W Surcharge . ?
Zg2.CO
Treatment PI
APPROVALS
Road Unit 3SS.OU
Planner - Park Ded.
Council -- 1.00
BIdg.OH. _ Copies
3,4?b.rJO
Yariance - TOTAL
PernAt No. Permit Holder Date TNophone #
WATEF
SEWER
PLUMBING Q wzw ,
?+.v.n.c.
ELECTRIC
Mspection Date Inap. Commsnts
Footings I
Foundatian '
Framing
Roofing
R.Wh Ptbg. i- r -
Rough Htg.
Isul.
Freplace
Fnal Ht9- - '
Fnal Plbg. 14 4
Const. Meter Plbg. Inspector - Notily Plumber
Engr.lPlan
Bldg. Final
Deck Ftg.
Deck Fnal
weli
Pr. Disp.
t--' '_ 4•
W
(gtx#ifiraft uf (Oxrupattry
Citp of Cagari
Devatttind uf strilbmg ittapprtintc
This Cerrihcate tssued pursuaiu lo the requirrlneals of Sectioa 306 ojlhe Uniform Bur7ding
Code arrlifJ+i?i8 that at the time of issuanoe thisslniclurr was in canpJiance witlc 1he wwious
ordi+ycnces ojthe City regub&g but7dix8 aonvuctdon or trse For lhe foUowing.
the a.isaem SF--U616 " 14Ali eiea- FUWA rto. 18 584
0-"-T Trm R3141 ZOC66 oiwid _Pl1/m ry;. ca.., vA1
owm* d ana&M UES Add= 1 R I 3't CEne_R AE S F?Tw'?T,XV
POST pV A CONSPICUOUS PiACE
DATE
Site Address
Lot ?-
? Name _
? Address
c City ?
? Name'_
oc Address.
?
City _
TYPE OF Wl
CITY OF EAGAN PERMIT # _
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PHONE 4548100 DATE: ?
Boiler M BTU
. Unit Heater M BTU
Air Cond. -?. ?. M BTU
Vent CFM
Gas Piping Outlets # 7
. Other
CommJlnd. Contract Prk:e x 1%
PERMIT FEE
S/C:
' TOTAL:
BLDG. TYPE WORK
Res. _?- New Cc
Muft. Add-on
Gomm. Repair,
Other
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW ,
CONSTRUCTION)
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS (INCLUDES GAS PIPING) - 12.00
GAS OUTLETS (MINIMUM - 1 PER PERMIT- ;.
NEW CONST.) - 1.50EA. '
COfuiM/IND FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S!C PER EACH $1000.00 OF PERMIT FEE)
Q..
CONTRACT
PRICE
i
?
a
?
CITY OF EAGAN PERMIT # Z-Y
3830 P/ILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# ?
PHD E 4548100 DATE: BLDG. TYPE WORK
Block ? SeclS b ?5' New G
? L fmuh. Add-0n
? Comm. Repair
. „ .. Other
Phone
FEES
COMM./IND. FEE - 1%OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND.lFEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.Sq,SJC PER EACFy$1,000 OF PERMIT FEE)
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ?
NO FIXTU R ES TOT L
? Water Closet - $3.00 $
Bath Tubs - $3.00 ?
Lavatory - $3.00
SMower - $3.00
Kitchen Sink - $3.00 -?
UrinaVBidet - $3.00
Laundry Tray - $3.00 ?
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
? Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT-NEW CONST.)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
? Rough Openings - $1.50 ?
U. G. Sprinkler System - $12.00 ?
PERMIT FEE: ?
STATES S/C:
GRAND TOTAL:
?. _ . .. .. DATE:
RE: 4468 p MALLAxD TR (JOE MILLER HOAQ?S)
x Your Sewer & Water Permit for the;above property has been completed. It will be held at the
Publie'Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
,,CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DEC 3. 1990
Addxess: 446$ Np?tTf1 MAidARp 1RAII, Lot 1 Blk 4 Sec/Sub IFI(MAS LAKE GIppDS
These items wece/were not complete at the time of the final inspection.
DATE: 'r'EBRUARY 19, 1991 Yes No INSPE!;tpR;
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry f
Permanent driveway
Permanent gas
Sod/seeded grass
Trai1/curb damage a S,?OW e
Porch
Basement finish
4
_ ?
Deck
Please verify with the builder the removal of roof test caps from the plvmbing
system and the shut-off of water supply to the outside lawn faucat before
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN NO 185$4
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 a ?
Receipt #
To be used rot SF DWG/GAR Est. vatue $146, 000
Site Address 4468 N MALLARD TR
Lot 1 Block 4 Sec/Sub. THOMAS LAKE WOOL
Parcel No
.
Name JOE MILLER HOMES
W
3 Address 18133 CEDAR AVE 5
° City FARMINGTON Phone 4 - 001
o Name SAME
0a Address
? City Phone
Name
wW
? ; Address
iw City Phone
I hereby acknowlege that I have read this application and state that the
infortnahon is correct and agree to comply with al1 applicable Stale of
Minnesota StaWtes antl,Clity ot Eaganp ' ance .
• V W?
Signature oi Permitee
A Bwlding Permrt is issuetl to: JOE MILLER HOMES
on the express condihon that all woik shall be done in accor0ance with all
apphcable Sta1e ol Mmnesota Statmes and City of Eagan Ordinances.
8uilding Otticial
OFFICE USE ONLY
i
Occupancy R -3-IL-1 FEES
Zonmg PD_$-1
(Actual) Const V-N Bldg. Parmic SOl .00
jAllowable) v-N Surcharge 73_ nn
x ol stories
52,
PlanReview
0-00
Len9th
Depth 44' SAQ City 100.0
0
S.F.TOtal - SAC,MCWCC 600.00
S.F. Foolpnnts _
625
00
OnSneSewage - WaterConn .
OnSiteWell WaterMetar 90-0
n
MWCC System X n
nn
City Waler Acct Deposit _
a
VRV Reqmretl _ S/W Permil ln _ nn
Booster Pump - SM' Surcharge • - Sn
Trealment PI 9 57 _ Ofl
APPROVALS Roatl Umt 3 5 S_ 00
Plennar - park Ded.
Council O
?dg.Ofl. _ Copias ?
Variance - TOTAL -c?e+?-?
?
39114
a
Fequest Daie
9 2/ 9 4/ 9 0 Flre No Poug?-in Inspecnon
urratl?
? ReatlY N Wtll NWIy Inepeclor
ow
Yea G No en Reatly7
I 'censed conhactor O owner hereby request inspectbn of above elechical work at:
Jo0 AtlOress (Slmet, Bmc or Route No ) Ciry
4468 No2tfz (1aQQa2d 72atig Eayarz
Sectwn No. Towrishi0 Neme a No. Raye No. Counry
Dakota
Occ ant(PRMT)
?oe 17iPizA Komez Phone No.
431-20U1
Pawer $uppliar qOtlrgyt
Dakotu ELecf2ic 77¢2minyLon, l7N 55024
Electrrcal Gomracror (COmpany Namel Conbectw9 Lcense No
Plicl?¢ad FQect?.Lc Inc. U41690
manrg naaress tcmvacror or owne. Mexing Instnlletanl
94055 G2and Ave So, Suite E, Bu2rzht??QQe P1N 55337
Fu gna r ConV2ctpr/Owner Maki?g Instella GMna Numbar
? 892-6688
MINNESOTq STATE BOARD OF ELECiNICRY THIS INSPECTION REQUEST WILL NOT
Grlgps-MlEway BWp. - Naom 9.113 . BE ACCEPTED BY THE STATE BOARD
1821 UnhrortMy Ave.. SI. Paul, MN 55104 UNLESS PROPER INSPECiION FEE IS
PMro Ibtt) U24800 ' ENCL0.SED
REQUEST FOR ELECTRICAL INSPECTION esa oe
? See inRrucuons forbompleting this form on back ol yellow copy. S 7
? r9 0 ?;,'
a3 9 114 "X" Be/ow Work Covered by This Request ?•?: Z 9(-g
ew Atltl Rep TypeotBmltling ApphancesWiretl EqwpmemWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
ApL Building Dryer Olher (Specity)
Comm./Industnal Furnace
Farm ir Gondiuoner
Olher(spenty) ConVactor5 Ramarks
Compute Inspection Fee Below:
# Other Fee # ServiceEmranceSrza Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trensformers Above 2D0 _ Amps 0 Amps
Signs Inspectors use onry TAL
Irrigation Booms
Special Inspection
Alarm/Communiration THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT .
I, the Electrical Inspector, heieby R°"qn"n oa ?
certdy that the abOVC inSp2ction haS
been made.
OFFICE USE ONLY
Thi4 reque4l v0itl 18 montM Irom
SSu?R-7 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Construction Reouvemenb
• 3 registered s2e surveys showing sq R. ot lol. Sq ftof house, and all mofed areas
(20%maximum lol coverage allowed)
• 2 copies o( plan shawing beam 8 winOCw srzes; poured founC desgn, etc.)
• 1 setofEnergy Calculanons
. 3 copies of Tree Preservation Plan d lot platted aftei 711/93
. Rim.loist Detail OphonS selec6on sheet (bldgs vnth 1 or less unAS)
DATE C?"3 " v,- '-?
SITE ADDRE55 44 6 6
TYPE OF
OD
I VQru? MQI10.ra Q51O-?MUITI•FAMILY BLDG _Y %?-N
a- h e _
APPLICANT l.-
12,8 - aS
RamodeUReoair Requirements
• 2 copies o( plan
• 1 set of Enerqy Calculations for heated adddions
. 1 site survey for extenor additions & decks
. Indicate if hane served by sep6c system for addihons
VALUATIO? 5??0 .
STREET ADDRES? CITY
iELEPHONF(#(PS)'*k5QL-1q3'a' CELL PHONE #
1-`^-- STATMVO ZIPPS la 1
FA" "?S?? "LIrDa3
PROPERTY OWN ER -C d?-? TELEPHON46 ,aJ3-15^Ll 5`J'?
COMPLETE TH15 SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ?fINVF.501'.\ RC`LES 7670 C:\'I'F.GORY 1 MIYNTLSO"T:\ Rf'LLti iG; Y
(J submission rype) • Residential Ven6lation Category 7 Workshee[ Submitted • New Energy Code Worksheet SubmitteC
• Energy Envelope Calculations Submitted
Piumbing Contractor:
Plumbing system includes:
Mechanical Controetor.
Mcch.wical scstcm includcs:
Sewer/Water Contractor:
Air Conditionin,
-- Heat Rccovery• 5ystcm
D l i? n.;
SEP 0 3 2002
ine #
370.00
-------•-----------------------------------°°--------------°-----------•°----------°---.- ,._- ---------°----------
I hereby acknowtedge that I have read this application, state th e information? rrd ogree to compiy
with all appticable State of Minnesota Statutes and City of Eag n r inances. ?
Signafure of Applican
OFFICE USE OtiLY
_ bVater SoFtener
_ Water Heater
No. of Baths
FIREPLACE(S) _ 0 _ 1 _ 2
_ Phone #
La;m Sprinkler
No. of R.I. Baths
Fee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Upda[ed 4102
?
. 1990 BUILDING PERMIT APPLICATION
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 REGISTERE? SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIDNS
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 SY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
hOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL SE 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: -1 Qll) 4" 1` Valuation: ijeZ;±?df)_ Date:
Site Address,-\
Lot ? Block '?-
?
Parcel/Su6 IM&O
Owner
Address
City/Zip Code
Phone
Contractor
Address
City/Zip Code
OFFICE USE ONLY
r-
Occupancy R-3 M -1
Zoning ?
Actual Const
Allowable V- N
# of stories
Length 5 Z-
Depth qv_
S,F, Total
Footprint S.F.
On site sewage_
On site well
MWCC System V
City water _ie'
PRV _
Boaster Pump _
U ' APPROVALS
Phone Planner
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
FEES
Bldg. Permit
Surcharge
P1an Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
80 I. 00
7100
5-101-00
I 00 fao
D0100
(oZ 1OD
50,0
0
ct?
304
30,00
,sa
Z54., Oo
sss', ou
J,vD
Phone #
'- ` vA LuAT I D i-,J
? .....,
? ?;?
GA...E
zZx3?? G?o '
s8? x 15= ??Zo
gSm t-
.?----
3ak2?=- 78a
yx? ° 72
22?1 y = ?30?d
_„-?---
? I?? X /?=1Gz+-lo
2 k? ? ? `I
? ?u xsi : 5?8?1y
Z ND f"LDpI?
Bsrn?_ ? i-??r
?}??xs?= GI09a
,..,- . , -%
r
?
brondt-enqlncc.rlnq Q iutvaying 2705 woodi trail '
burniviila, ininnalota S5331
(612) 43S-1466
I??! ?P ?- N o/? Tff fl'] ff - L L?9ve- d
?'f?'om R S L?4 6 a d S
? ?6'? ??NcRE7?',
i • U1R?L 1
I
I
I
-?-
? ., 6? Mf1X.__ .. F3onN4
? nPEHIU? ? _. _
.
.
_ . . ?, ?^ • ??? E
?D • , ?
M
/ N
BARS PA
e)(7)L
S?' ?'NO a' '?a?ING NcF ?'c,?uR? `iZ) THC O(?IN6
•,?`
A poured concrete wall, as sriown above, w111 carry.a . ';
]oad of at least 6000 pounds per lineal £oot, cxcTusive of the weighc of the wail, £or a maximum unsupported
length of 6 feet.,
? r
? i
?
x5
Ray N.. Srandt, Minnesota Reg.' No, 8740?,,''
Date 2 ?
bronclt anginaarfng A tvr,uaying
2705 woodt .troil .
,burniu111a, minnarote 55337 .
(vl2) 435-1966'
13 Aoril, 1930 , Re/pour•ed cancr-ete walls vs concr-ete block wa,lls
Ta whurn it rnay cancern:
The sketch shown below with an B" thick paured concrete wall and wi$h
•Bl Gackfilled earthen rnaterials will outperfar•ni 12" cuncrete block
,wall uf the same height.
-T Pt C L 2ES 1 D??AL 1) R71 N,
.? ?
Ro? 6?? ' ' •
OD
318 Wid'
S/?R°o
8''
7/8 R 6It
Ie, (-2 DowELS 46R ' ' .
WAI.LSEcTtON v,J QW 1 (IU
?:uLt
., ,
, ? .
. /41 (q.
. ; ,
METRO 1875 PLaza oR
SURVEYDRS suIrE zoo
INC. (612)52-'7650l22
- Certificate of Survey for: ,
MILLER CONSTRUCTION ,
LEGAL DESCRIPTION: LOTI,BLOCK4, THOMAS AK WOODS ACCORUING 70 THE RECORDED PLAT
THEREOF nAKOTA COUNTY,MINNESOTA
S 89° 3$ 54'" E
23.72 OU?'! _QT B ?
?6
252'
?
53o 45
N
EN
J1? ` ?T%UtY ?SEM o I
ORpINA?E g / ry /
LOT I '
? /'6J ? s
?1 y
40 '
, ? ?y0 ? q // 0,? ?' ? }- .._ 2 / ? „??L?Or ?A? 0 1 q?s 9'yc) / f r? ?Yy ,
N
N I b ' rf?us? . 9 ? Q rym g?
;
_..i 1S MJ 5-._
G N 4??a'v
a 1 `L ?
?
? A 411 /? / ',
s
0 \ / /
s u /_
,26
:??
D'9(I
'??• ? ;
0 j
,`oa
4
r,
?•
LEGEND qL46 ?
o DENOTES IRON MONUMENT
o DENOTES WOOD MUB SET
973`0 DENOTES ExISTING SPOT
ELEVATION
(q7y.6) DENOTES NPOT
OATD
PEOP
E
O
? DENOTES DRAINAGE DIRECTION
I hreq cOrtlfy Inot this surv6Y,Plan or
teDaft was prspond Dy rtw or un0er my
direct •uprvision ard ihot 1 am a duly
Reqislered land S%irveyor un" tM
" Lows of m• Stat• ol Minnsiotu.
L'y?tji?i?r+J
!?T/?o , ; ?
SCALE I"•40'
INVERT Et.FvATION A7 SERVICE ExTENS10NA
PROPOSED GARAGE FLOOR ELEVATION
''ROPOSED FIR5T FLOOR ELEVATION ? z
PROPOSED BASEMENT FLOOR
\LE VAT I JM
NOTE'• V£RIFY ALL FLOOR MEIGN7S WITH
FINAL HOUSE PLANS
?
Brodl?y J? i+onwn, Mn. ROy No. 1a23b
?j ? f' ,
Datt : l ? ' ''
- ,.. , t`Po
atia al' Trio Faroily bw
All Otlicr
Coutrnctor
•----•..?•.:.c.l.vrr; nvEA<AUli "Ull Cp41PUTn•rioit ?be eubnti,t?riitli building parmit applicntio.n) 311ili6 . Owner
Sita Addxaee lngffj
1 f? /] S?OM??-LA?'
DuEe Pltono
LIIIEAL FECP OF
EXPOSEU Y7ALL ft. above grnde =_ Z 103??0'? ?' '
. TOTAL EXPOSEU IYr11,L AREA, SQ. E'T, ,' ' oPAQUC WALL CotlS'tROC'PIUIf t IIUII Vatue x Aroa
uotpii --?-An1E "u"-_ •°4? x s2. FT. Zz51. . q(a.$D (u)(a)
;
reCOranca ° °?°--- .?7(9 X 8Q. FT.
from ?J?A apu .?4o x SQ. FT.`J??S?-_
aCtctclied iipn X S FT.S?)??)
???u - R' - (/U)(R)
Gi190E0 IIV11 X arQ. F'T. _ \/U) (n?', , i
H .?iq.' FT. \V)(A)
YIIIIUO{Y5I "U" Valua R Ara& •
11n1w & TyPe ?71fd!_LMIT npn ? x 5Q. FT. ! ?s• `'
1n n u?n h?, M S FT. In ?-(U)(A)
R• - (U)(n)
n „ nun-----?- x x Sq. FT. - (U)(A) ;
np° x 5q. FT. _ (U)(A)
uooas ? 'full vulue x nseu .
Il:dce & Type flU° , ? .
n If ----?_ X SQ. FT. ,5?•00 = ,9 (U)(A)
ii utlu
u x$Q. FT. e Z.pp=- N_ (1I) (A) '
u n x 5Q. FT. - (U)(n)
_ x S2. FT. _ (U)(R)
TOTALB 210?,j?2? Sq. F'T._ 7cI (U) (A) I
AYE1tiA(iE "p n
To•rnL (u)(n) vnt,ues Z18•7q
DIUIDGU DY TOT11L }'rAI,L AREA Z9123•(P3 • ' avLisnaL "Ut . ? ?5 r lone for 1&2 faml.ly 1gB . ?
rxooF/CEILIIIai ; '
T0'TAL AREAt ?y
iietail roierenco flUti ?.pZ x 9Q. FT. z(0 - z3• ?p)?A)
from ilUto x S(j. FT. .
a,ttnchad clteate. npu ??)??)
i)eocribo openingo uUn X?R• FT. - (p)?n)
fln root. npt? X SQ. FT. _ (U) (A) ;
x 5Q. F.T. = (U)(A)
'1'0'1'AL (U)(A) VALUE3 DIVIllliD bY Z?.?yc? r7' ??Jz? 54.rT z_ 3•(?. ?V?>
"1'o'PAI, I2ooF/CEI1,III0 N2EA ?jz(? y .OZl
AVE[iAaG ?? ? .025 or veittl.lated roafq.
11 vop..K. S48F? T I1
bWl,, 60d`.f-b \AjjG(..
183; K (sz+-sz+zco +z?? = zS??.4g
S on x 8.83 44• ?S
? zi°3-(03 71?
Et? FD
,691 X (sz+sz?z?+-z.?? = SZ ?
?. ?o ?
?.lv7 x(sz?-sZfz(p+-??? = Ztno-sz
.53
X s - •Z?-. (v
??f?pocJs
Nx
I?x3c? _ ?.o x z =
ZoX3ca
Zc-c48 = (v •7 X -3 =
Z4 x 48 = S. o X q=
Z.o X coo -- g• ? >C g=
?s
.? 57L• Wf Z S-C. • _
zg ellTL. ?? -
l? - P,4-tr v
S. oo
Zo. ?o
7z,no
(D7, zo
rgLs.?o ?
35, oo '
Zl,oo
?z.d a
98, o o ,'
dE7 k?t-L EQvwuS.
&Roe,S 2qo3.lv3.
L?ss co?1 c ? 104.5Z
Uq., cv7
1
p klbw's ISs.ro ?SZ,?'4
Ir pooR?s 98•0o Z ?J, ?
Z??•?,
2?X?o
14x z?
!x'14
j.SX )(0
7So
3og
? Z?4 ?
I! z?n-ot7 ? ?
I
Determining "Ulf values t R f W 11? Rim, and Conc. Bloclr
ROOF/CEILINa
i.) Interior Air k'ilm
2.) 5/81, c3yp. Bd.
3.) InsulaCion'
4.1
5.) Exterior A1r Film
(sTZLL)
(R) VIILUE
0.61
? .56
-9. 00
.61
-----
uUu = 1/R_ .OZ(' TOT/4L
? (R)=,XTp ?
YIALL It VALUE
6.) .Interior Air Film 0.68,
7.> 1" GYp. sd. .45
8.) Insulation
9.)
10.) Ptasonite Siding
ii.) Exterior Air Film .17
°p" - 1/R- .OQ-?; TOTAL (R)= Z3.01
RIM (R) VALUE
12.) Interior Air Film 0,68 '
13.) Insulation 19.00,
14.) 211 Fir Rim Jo1eE ' 1.88
15.> purc.T- P-,r z•aq_
16.) Masonite S?ing .67,
17.) Exterior Air Film .17
'fUll = 1/R= , 09o
? TOTAL (R)- Z¢.?
FoUI7DATI0N ' (R) VALUE
18.) Interior Air Film 0.68
19. )
20.)
PlAa?-?
1lkkA7ioA ) ?.oo
21.) 12" Concrete Block 1.28 ,
22.) ,
23.) Exterior Air Film .17
npn _ 1/R= .076p ToTAL (8)=
r
a oa ? a
PERMIT p RECEIPT pATE '"
T1?
MSID£NTIAL PLUMSIN6 PEgM1T lkPPLICATIUN
crrY or E,asax
S$SO PII.OT KHOB Rp
EA6AN, MN 551 EE
651-6$1-4675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: _i_qlpg N t ' \t7tli?mA 1C'Q?
OWNERNAME::??ey'vI TELEPHONE#:(0,5? Ip?? -%,? (pa
(AREA COOE)
INSTALLERNAME: 4nnCtua? ? ??••- TELEPHONE#: 9Sa 9 --"l'?'iG,"-7 Co
•11.cx C;,'IVJ (AREACODE) '
STREET ADDRESS: 605 122I1 AvBti!iR Sp;1th
? FlulliMilb, il Ya+H
C ITY: STATE: ZI P:
Place a check mark next to the permit work tvpe
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: 1-52 D?c?e ?n?..¢? ??O?P?
i "? 1 5
Septic System, new/refurbished - ' - $ 225:00--
9 includes County & Consulting Inspector fees
• requires IVIFC license
State Surcharge $ .50
Total $?
_
i
?
Reminder. Be sure to schedule inspections of alterations, i.e• water heaters, water softeners, etc.
I hereby acknovAedge that I have reatl this appOCation, state that the information is c rect, and agree to comply wifh all applicable Ciry oFEagan ordinances. It
is the applicanf5 responsibihty to no[ify the pmperty owner Ihat the City of Eagan a s es no liahilit amages caused by the Ciry during ils normal
operatlonal and mainlenance acUvdies to lhe facilifies constructed under this perm wi in Cil , pmpertylr' -of-way/easement.
RM
Updated 1l01
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuILozNG
3830 Pilot Knob Road Permft Number: 021699
Eagan, Minnesota 55123 Date Issued: 10 / 0 4/ 9 3
(612) 681-4675
SITE ADDRESS: L0 7: 1 B L 0 C K: q APPLICANT:
4468 MALLARD TR N MAY LAWRENCE
THOMAS LAKE WOODS (612) 688-8110
PERMIT SUBTYPE:
DECK
?
L
TYPE OF WORK:
NEW
-1
-j
?CITY C'F EAGAN
830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permii Num6ee:
Date Issued:
SITE ADDRESS:
4468 MALIARD TR N
LOT: 1 BLOCK: 4
THOMAS LAKE W0005
DESCRIPTION:
8uilditit,?y, Permit Type OECK
?uilding IaAprk Type NEW
?u,ildietg Ler1§th 24
BuiTding Mti•dCh'^ 18
REMARKS:
a
E? tV? ?'x
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR:
r? j%'
?
?
auiLozNe
021699
10/04/93
OWNER: - APPlicant -
MAY LRWRENCE
4468 MALLARD TR N
EAGAN MN
(612)688-8110
T hereby acknow2otlge tjhat I have read tbis application and stata that the
infQrmstion is aorrect arid agrte t6 comply with all applicable State of Ftn.
Statutea and City of eagan Ordfnances..
L-
??? LICA?? NATU(iE IS? D 8 A' S1? ATU ?E?
REACTIVATE CITY OF F-AGAN
PEPWT,?` ., 1993 BUILDING PERMIT APPLICATION
J U L 3 0 1993 681-4675
---------------
SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 3 structural plans, 1 set of
specifications, 1 copy of energy catcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 7 9.3 Yaluation of work
Site Address: /Vo,-1h Mcrllard 7'r,eil
sraeeT suITe r
Tenant Name: (commercial only)
IAT ? BLOCK ? SUBD.? P.I.D. M
Descri tion of work: /JecK co?s-f?vc-<?'or?
The applicant is: Lk7 Owner ? Contractor ? Other (Deccribe)
Name N1a?, Lau/.-?y,cP Phone 6??' -iii0
Property L?ST 7FIRST
Owner qddress -1,141 j? il/orlh til?r/Iqlcr° TrGi ?
STREET STE X
City ,Enacrn State fi_%N Zip
? -----
Comparrq, Phone ----? -l
Contractor Address _? - '- -- - ? `? License # Exp.
City - State??- _Zip
Company_. Phone ---_ "
ArchttecU - - - --?
Englneer Hame -Regi`tration #
Address - - ----
.--- , -
_
CitState ~ Zip
Sewer & water licensed plumber . Processing time for
sewer Wwater permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ?
?
Signature of Applicant:
Y
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
0 05 SF Misc.
WORK TYPE
?31 New
32 Addition
? 06 Duplex
O 07 4-P1ex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
? 34 Repair
O 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessary
? 14 fireplace
,?in5 Deck
0 35 Tenant Finish
0 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
'Zoning
N of Stories
Length ?
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Build9ng
Variance
19 Footing
SC final
0 Framing
C_1 Draintile
3m
/
0
O Insulation
? fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Lonn.
Water Meter
Acct. Deposit
S/F! Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
? .00 I atLac;an:
e?
? 16 Basement Finish
? 17 Swim Pool
O 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MFJCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
+ ,.d.i?I} G??' ,C'yj,i'?M JL(il: '?U!)
a
? f ,
f
.
LE:.T».L
r
C.l
?
G
.J
i
?
?
?. ?
r
-?
V
UCw.,tnl?P T,:}'__!_;8i_:::.d._4??__'?'??:,'?`!=',;!?_5v',:`tlS_, ?
?:,'?!:Fl?I?cCi ?iJ 7N,? ?tG(,GiJY ?J }"r
S 8? j° 3:3' 54'`E
0 ;,l7 l..C, 1" .P,
h f 1 ?
/s.
,?-•...-'. -;,;,;,an?_ e?..:??v tt',:..::?+ / ry! ?/ Jr
I..OT I
\` ???AJ
,
N
?
n, ? ? ?,• ? . ?
.?v
0
?- 1
?
1Q,
,`
? \L 17
?J f
9 ?
N• LEGEN qya?
o OEnoTES IRBN TaCkiVM£N
= DENOTES Y+G09 F?ti8 SET
`?7s"o CEnOTES ExiSTiNG SPOT
EIEVATfON
(47y:? OENOYES ?Q?AT?ONPOT
? OENOTES GRAIkAG€ DIREC710N
i • .
SCPLE 1`40'
INVERT E.-EVATia^I AT SERYCE ExTE1.5iQ,1*
PR4FOSED GaR,aGE FLOOR ELEVaTiCCi•
OPOSED fipST F100R EIEVATIOW • Z
\PROPOSE4 8aSEL1ENT GLQOA .
?. EI.EYAT1,Xi
HOTE? VERIF'f ALL FLCOR nEIGnTS YJIT%
? FtkAl. IiOUSE PLANS
1 txroty corttfy Itwt IMe eWroy,pia^ or
roport wao DfeDafas bY p**sar undar my
dirocf supuvuian and IhQ I Om a dulr
RaqialaraC Lend S.uveyol ulrb& tha
Lams ot ina 5rate af kainn65014.
&oQIOY ?a??? tnn. Raq.3io.15230
Dare
4 -3.gIg 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauirements
3 registered sile surveys shaxiig sq. R. of IoL sq. it. of house; and all roofed areas
(20% maximum bt coverage allowed)
2 copies of plan showing beam & window skes; poured found design, etc.
1 set W Energy CalcuWtions
3 wpies of Tree Preservation Plan dlot platted after 711193
Rim Joist Detail Options selecGon sheet (buildings with 3 or less uni5)
MinnegasCO mechaniral ventilatbn form
2 C„ ° Gce'?
?-- 0 . ZS
Cr'Vi 611y..afJ
,RemodeVFteoair Reauirements ?ffice Use'(3nN
?2 copies of plan showing footings, beams, joisis Ged`nlSur3=_ °?•?'? Yai:?`?N
.?-=: ?Y. - ?--? ?
1 eet of Enercgy Calculations for heated additions Tree?P.res P,Wn E3eoi ,?.•: ?=,Y -_t?
?lsitesurveyforadditions&decks T*,Pr
Addifion - indicate d on-sRe sepfic sysfem On=site:Septic Systemr?;?;E _ Y.`'?u N
Date :5 / Zq / 6C Construction Cost om 60
SiteAddress Ciq(,S ?ffiA((c'4 -1Yt.c. ) UniUSte #
Description of Wark ?S xzs ? ?C C>4(A `_'
Multi-Family Bldg _ Y _ N Nireplace(s) _ 0 _R 1AY 820
200
D
P
t
O T
l
h
#
wner
roper
y e
ep
one
( )
Contractor ??tr `-?''11 ?vl?
Address 14`lm W 13?scA NL City I?Xn Sc?k
State N.?') Zip c*337 Telephone#(QSZ) y`/U'77SO
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calcula6ons Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Su6mitted
In the last 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address af master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residenrial Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 ?e case of work which requires a review and
approval of plans. J ??
Applicant's Printed Name
Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvoes
? Ot Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
X 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
DBSCriptl0n: WaterDamage_ Yes
?
? n
Valuation 1424V Occupancy MCES System ?.
Plan Review/3& 100% or _ 25%
Census Code Zoning City Water
SAC Units Stories - Booster Pump '-
# of Units - Sq. Ft. - PRV -
# of Bldgs - Length - Fire Sprinklered "-
Type of Const Width "-
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings(deck) Calrec
X _
cZy fo+yeQ'.l FinallC.O.
Footings (addition) ?L FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Au/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation Retaining Wall
Approved By:
Building Inspector
Base Fee ?
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
TreaUnent Plant
License Search
Copies
Other
Total
LS
.`
.?
?
?
,
_. . . ?.... ? ? . _, . . ,.-<
,
f
I
i
v?1
l
1
?
?
?
?
?
.:..? ?
a
;
?
!
1
' ' •_ - ' ,., ?.; , f 1
_ . j i i•,i- -•
.._ .,_. . -. ... .. _ i ? _ . (_ . ,.-? i
? i
?
d
q
t ? ? '` C.
?
_ •? __
..' 1 ?.e .
i .' a s
•?y; ?
, rik. I ? ':
1 : ? ??
?
4 ?
?- °,1a?i• ?
U R r.?r 5.
._! Z
I
o?
,
? , ?? , I fI
?-
,-,
(Jf//'\
?
t
--? :a
? q t:', ?•'" e'
q:`•? ?,
0
?1. UveN,q a4,
o DEtaGTES !RCH f3CP:VlaEtd
= 0£raC7£5 4Y000 KA $ET
9?73`0 uE?10TES E7ct5TING SF'4T
fLE'sATl9y
C47Yv) GEH97E3 ?ft9F95Ep SPOT
ELEVRTIOM
? OENOTES 9894'"e?^ OVR£G71CH
?47
?
?y '-
\`4.' /? 1f
?L "
scaLE 1°=40'
lNYE`2T Es"vATIUtl A7 5£ftVKE ExTcn"4-
PR^v=05£:) G,iRdGE sLCC43 @L£ti'RTICA•' ??T
opOSED iI757 FLOaR €LEvArIm.y• ?Lf,z.._.,.
FFi9PC5£QB.i$Em€?4'f FL90N •'Zp?
E6EVATR ,M '
H0?7EYERtFY ALL fL44R t".EIGHES ?Sii9
F;t+AL. MGu5C i'L.."S
I IW00y C{ril}'( 11147 OF45 &bYYt%,y19(f Of
rayor! wea praparo9 6Y tsa ar unsar my
flifs[P eupsfYmon aM i9Q! i p!ii 8 Ouly
Rspiafered Land 5ava7or urda 9Aa
Laa$ aP lre S9CSi 0t k7i71M1i600y
n
Btcdloy gsnw; Mn. RagMa 15233
D414: f /1 1, 1:"
7 7Y`5 V 2007 RESIDENTIAL PLUMBING PERMiT,aPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date! ('J /(YI
,..S
Site Street Address Unit #
PropertyOwne Telephone# (K?),
Contractor,? Telephone
Address ???? 0-kZ [_kl Qc5l? City State Wk Zip ?.
The Applicant is: _ Owner ? Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Alterations to existing dweliing $ 50.00
_ Add plumbing tixtures. This fee includes installation of a water softener andlor water
healer at the same time. If you are insta!ling oRIV a water sofiener and/or wafer
heater, do not complete this section; move to fhe next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
? Water Softener Water Heater R 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _re6uild $ 30.00
State Surcharge $ 50
Tofal $i
I hereby apply for a Residential Plumbing Permit and acknowledge that fhe information is complete and accurate; lhat the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand lhis is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required t e rev wed and approved.
??
Applicanl's Printed Name A cant's Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173864
Date Issued:12/09/2021
Permit Category:ePermit
Site Address: 4468 Mallard Tr N
Lot:1 Block: 4 Addition: Thomas Lake Woods
PID:10-76100-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Marc & Jane Matsoff
4468 Mallard Trl N
Eagan MN 55122
(651) 226-7647
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173865
Date Issued:12/09/2021
Permit Category:ePermit
Site Address: 4468 Mallard Tr N
Lot:1 Block: 4 Addition: Thomas Lake Woods
PID:10-76100-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Marc & Jane Matsoff
4468 Mallard Trl N
Eagan MN 55122
(651) 226-7647
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature