4471 Mallard Tr NSEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
• .,?
DATE * NQV 14. 1991
METER #
OFFICE USE ONLY
CHIP # -
MCTER SIZE
ISSUE DATE
PERMIT DATE 11 / 18/91
PERMIT # 12385
B.P. RECEIPT # C 016217
B.P.RECEIPTDATE 11/15/91
BOOSTER PUMP
SITE ADDRESS 4471 N:fAI.LAkD TR
LOT 4 BLOCK 4 SEC/SUB THCMAS I.XiCE W40D5
I APPLICANT:
ADDRESS: _
CITY, STATE
PHONE: -
ZIP
PLUMBER: BRUCKMUELLER PLUMBING
ADDRESS: 3750 KAtOLL BIDGE DR
CITY, STATE EAGAN !iN Zlp 55122
PHONE: 688-6250
OWNER: BLILIE CONSTRUCTION
ADDRESS: 644 SUPERIOR CT
CITY, STATE EAGl?N MN Zip 55123
PHONE: 454--1438
PERMIT REQUESTED
X SEWER x WATER - TAPS
- COMM/IND -)L RESIDENTIAL
x 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 d611lEE TO OMPLY WITH CITY OF
EAGAN ORDI ANCES
SIGNATURE WHEN METER ISSUED
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 PILOT KNOB ROAD ?
EAGAN, MINNESOTA 55122
DATE I I 1 ? 19
?FV4° I-':L?Li ??
i I jt? 1 5 ?
AMOUNT 3
`, II Y[I. ??Wi...??l1-?'I I?rC ?l.•?l IL?V?L3?& tDOLLARS
? CASH -CHECK
r
? ?
? X---
-?
HnLd ! L 011-7::?q Olk Li
FUND I OBJECT I I I AMOUNT
Thank You
eY.?
C 096217
tll1
vvniie--Payers copy ?
ve+aw-Posw,s copy
Pink-File copy
SEWER & WATER PERMIT
CITY OF EAGAN -
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE c NOV 14, 1991
OFFICE USE ONLY
METEFi # ? PERMIT DATE 11 / 18/91
CHtP #. 0 /3-? 3?-3 (Q PERMIT # 12385
METER SIZE ?qk Se/I/ u 5 B.P. RECEIPT # C 016217
ISSUE DATE ?^ ,LO -f-A B.P. RECEIPT DATE 11115Z 91
_ PRV _ BOOSTER PUMP
SITE ADDRESS 4471 N MALLARD TR
LOT 4 BLOCK 4 SEC/SUB THOMAS LAKE WOOnS
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
PLUMBER: BRUCIQMUELLER PLUMBING
ADDRESS: 3750 KNOLL RIDGE DR
CITY, STATE EAGAN MN ZIp 55122
PHONE: 688-6250
PERMIT REQUESTED
_L. SEWER XL WATER - TAPS
COMM!IND X RESIDENTIAL
X 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 a EE TO
OWNER: BLILIE CONSTRUCTION EA N ORD
ADDRESS: 644 SUPERIOR CT
CITY, STATE EAGAN MN ZIP 55123
PHONE: 454-1438 SIGNATURE
. / 2 - 3 - yr ,':
PLEASE ALLQy? 'tW0 WORKING DAYS FOR PROCESSIN?. CALL 454-5220 FOR
SEWER PERMITS, CONTACT ENGINEERING DEPT. ,1C •??r??'?i ??;+- 7,-.
Y WITH CITY OF
METER ISSlJED
INSPECTIONS. FOR STORM
Z . '
BUILDING PERMIT
To beLused toL SF nM
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? Y y ?9 V. 3
PHONE:454-8100 '
Receipt #
Est.
Site Address 4471 N t
Lot '4 - Block 4
Parcel No.
W Name BLILIE CON$?RUCTIOl1
z
3: Address 644 SUYERIOR CT
0 City EAGAN Phone 454-1438
,o Name 5?
?4 Address
? City Phone _
?
W W Name
? ; Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
intormation is correct and agree to comply with atl applicable State of
Minnesota Statutes and City.of Eagan Ordinances. ,
Building Official
ILIE (;OitSTR11C'Ci0l1
?hall be done in accordance wil
and City ol Eagan Ordinances.
Occupancy ?3 Mmi
Zoning PD &-t
(Actual) Const V-N
(Allowable) v?
# of Slories
Length
72s
Depth .7q
S.F. Total _
S.F. Footpnnts _
On Sita Sewage _
On Site Well
MWCC 5ystem ?
City water x
PRV Required
Boosier Pump
-- APPROYALS
Planner _
all Council --
BIdg.OH. _
ariance _
1
Bldg. Permit 668•00
Surcharge 54.00
Pl
R
i 434.00
an
ev
ew
SAC, City 100000
SAC, MCWCC 65O•OO
? WaterConn 6W'00
water Meter 95.00
Acct. DepOSit ?.oo
S/W Permit 30'oo
S!W Surcharge • 50
276'00
Treatment PI
370.00
Road Unit
Park Ded.
Copies
3 .357.50
TOTAL
Pertnit No. PermR Holder Date Tefephone #
WATER
SEWER
PLUMBING ? 9 Ci'ou l??`5v
H.V.A.C. " ?c? ?
ELECTRIC a 5 S
Mwpecdon Date Insp. Comments
Footings I
/
?J!
Foundation
Framing /
Rooting
Rough Plbg. e- L6 ?
Rough Htg.
Isul. q: D(,tJ ?
Freplace ?
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspec,Kw - Nolify Plumber
Const. Meter
EngrJPlan
Bldg. Final ? 1 c-/L
ke-
Deck Ftg.
Dedc Final
Well
Pr. Oisp.
el- a ? -V,(
Q - " • ..?p'
? (gtrttltral? ?f (O.Crupaury
Citp of Cagan
Brpatcptcf of lixildittg 3tuwprtinn
Thfs Catifkate issued pursuant m the reguiranentr ojSectiort 306 of the uniJorm Building
Code oerrill'in8 dat at rhe tune of issuance lhis s&ucarr+e xas fn complianae with the Narious :
ordinaxcPS of the Cuy regulatrng building caamorucdai or use For rlre jollowing: ?
usea.ffiuwion S'F BE/gar ewa. ra rm 14M
00;W-7 Type R3/M l T,oning Disfticl PD I T C409 ?
o? ac e? SLII?E flONST?ICIT?i ?? 644 SIJPF?t1?CR G'T, F.ACAN
_- ,. .. 4471 N MALIARO LRAII. .-L4, B4, IHiIMAS LAKE 4x1C06
POST IN A CONSPICUOUS PUCE
DATE: NOV 18, 1991
RE: 4471 N MALLARD TR (BLILIE CONSTRUCTION)
X 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 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 Qirk House (Plumbing Inspectors - 454-8140) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON PULICY.
'I Secretary, Building Inspections Qept.
??2745.
,? -
Request Dale Pire No Rough-in spection
Req ired7
? No
? ReeGy Now
A.1hen'Feady4`dw
I?icensed contractor ? owner hereby request inspection of above electrical work at:
Jab AtiGress (SVee1. Bos,or Route N'^'1.?
[.FCV d 1 ? 1
, ? rv 1 Cib ?
SecM1On No Townahip Name a No. Pange No Counry?
?
OccuOan PRINT) PhonS
?( -
Pow uppL r L Atldress
EIxV¢al C`M , wq or Co pany Nari Conirector5 Lcense N.
Matlin Atlarese IGOnVaotor wner Making Inslalla[ion)
? 3 zv ?L, 3 7
Authonzetl SignaNreSCon rad rlOwner Making slallatio ?
j < ;,?,c?, Plone Number
?IC) 0 - 3
MINNESOTA STF?D QF EIECTRICRV ? I THIS INSPECTION REOUEST WILL NOT
GrlggoMtdway BICg. - Room &113 ? BE ACCEPTED 8V THE STATE BOARO
1821 Unlverolly Ave., 51 Paul, MN 55104 LINLESS PFOPER INSPECTION PEE IS
Plwne (612) 642-0800 ENCLOSED
/ry? REQUEST FOR ELECTRICAL INSPECTION EB-00001-08
/ I/ ? See inslmdions br mmpleLng Ihts foim on back of yellow copy.
H 4? 7 4 5 °X" Below Work Covered by This Request ?
e A d ReG. "'- TYPeofguilding AppliancesWired EquipmentWired
Home ange Temporary Service
Duplex Water Hea[er Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial 'Furnace
Farm Air Conditioner
Olner (specity) Convacmr5 RemaMs
Compute lnspection Fee Below.
F Other Fee # SernceEntranceSize Fee # Cimuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps ?
Transformers Above 200 - Amps Above 100 Amps
Signs Inspecmrs Use only. '7(J v TOTAL ?-t)
Irrigation Booms ( O ? ?
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY)3E ORDERED DISCONNECTED IF NOT
01her Fee COMPLETED WITHIN f
1, ihe Electrical Inspector, hereby PO°9h-'n
certifythattheaboveinspectionhas
been made. Final oa?a
OFFICE USE ONW '
This request wid 18 months Irom
Address: 41+71 NpR1H K4111gp 'pgAi[, Lot 4 Blk 4 Sec/Sub THQ7AS IAM yApAS
These items were/were not complete at the time of the final i spection.
Dat : 2/27 92 Yes No TnqPPrfOr,
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass ?
Trail/curb damage e ?NOw,
Porch
Basement finish
?eck
Please verify vith tha builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to tha outside Lawn faucet before
freeze potential exists. ?
necK?coartn
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN ND ? gg83
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 454-8100 y?
BUILDING PERMIT Receipt # L ??wa ?1
be used for SF DWG/GAR Est. value $108
Site Address 4471 N MALLARD TR
Lot 4 Block 4 SeGSubTHOMAS LAKE WOODS
Parcel No.
wlName BLILIE CONSTRUCT70N
o Address 644 SUPERIOR
City EAGAN Phone 454-1438
o Name S?
gQ Address
'- City Phone
Jr
Ww Name
?? Address
a W City Phone
I here6y acknowlege thal I have read Ihis application and state that Ihe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and CWnclEaqan Ortlinances. .,
Signature ot Permitee
OFFICE USE ONLY
Occupancy R-3 M_7
Zoning PD R=1
fActuaq Const V=N
(Allowahle) V-N
M olStOries
Lengih 72'
Depth 36'
S.F.7otal _
S F. Footpnnts -
On Site Sewage _
On Site Well
MWCCSystem X
Ciry Walar x
PRV Required
Booster Pump
APPROVALS
FEES
elag. Permn 668.00
Suroharge 54.00
Plan Review 434.00
snc, Ciry 100.00
SAC, MCWCC 6$0.00
WaterConn 660.00
waier Meter 95.00
Acct Deposil 30.00
Snv Permn 30.00
S/VJ Surcharge • 50
Treatment PI 276.00
RoadUnit 370.00
A Building Permit is issued IG, BLI]L,IE CONSTRUCTION Planner - park Ded,
on Ihe express condiLOn Ihat a all be tlone in accordance with all Cwmil
applicable State ol M{?mnesota pSlatutes and City of Eagan Ordinances. Bldq. ON. Copies
BuildingOtlicial!?D[J II0 1 ?r}I}? Vanance - TO7AL 3,367.5n
?V
CITY USE ONLY
L ??-qBL RECEIPT t1: i -f?' ? / ?S
SUBD. REGEIPT DATE: /"I U' C? 0
PERMIT #
8000 PLUM$INfi PEiMTP (USID£1VTIAL)
crrY oF F-nsnx
S$SO Pll.OT KNOB RD
f.fi6akN. !!M 5St EP
es1-6e1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
., «
A
TOTAL
f 1^1 VnLJ
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.0 D x = $
Floor drain 3.00 x = $
Gas i in Outlet ' minimum - t 3.00 x = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Se tic S stem newl?efurbished • re uires MPC Iie. 75.00 x = $
Se tiC S stem abandonment 30.00 X = $ ?
RPZ new insWllaUoNre aidrebuild 30.00 x = $ ?
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dweliln is under wnstruction 3.00 x = $ i
Under rounds rinkler ifexisun dweuin 30.00 x =
?
$
Water closet 3.00 x = $ ?
3
00 X = $ 31?
Waterheater . = $
W ater softener if dweuin under eonstructlon 5.00 x
Watersoftener itexisnn9dwewn 30.00 x = $
Waterturnaround 30.00 x
> $
50
$
State Surchar e .50 --> ---> ---- .
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
ceru
---- - - ---
-------------•---•
I hereby aclcnowledge that I have read fhis appliptlon, state that the infortnation is correct, and agree to comply with all epplicabla Ciry of Eagan ordinances.
It is the applicant's responsibili to noti the properly owner Ihal the City of Ea??n assumes no liability for any damages Wused by the City Ouring its normal
operatlonal and mamt? ? mit within City property/right-of-way/easement.
SITE ADDRESS:
GARDING, LEN
4471 MALLARD TRAIL NORTH
EAGAN, MN 55122
(651) 432-9241
OWNER NAME: :
INSTALLER NAME:
STREET
-- - - I
TELEPHONE #:
(AREA CODE)
TELEPHONE #:
(AREA CODE)
CITY: i) Avr 20 STATE: ZIP: -
La?ttlIVFJ1POLlS1 Mf1! _55403. j
SIGNATURE OF P RMITTEE
III illTIAPPLICATION
DSINGLE FAMILY DWELLINGS
CITY OF EAGAN
M[TLTIPLE DNELLINGS
:?
COMMERCIAL
2 SETS OF PIANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALGUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 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 IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED.
PERMIT MUST SHDW A LICENSED PLUMBEA.
To 8e Used For: aluation: IQ?,0(X^ Date: -?
Site Address Z4 t4 7( /(lt M(A C.( A ?C. OFFICE USE ONLY
Lot +-? Block FEES /
Occupancy 3 M- ? Bldg. Permit C'?tcgl00
?f Zoning D R-i Surcharge
54.0?
Parcel/Sub 1? utn ut S
_u
Actual Const
V_ ,..?
Plan Review `I pp
344.
Allowable V_N SAC, City 00 i00
Owner # of stories SAC MWCC 50-00
Address
City/Zip Code
Phone
Contractor e- 5 7
Address c- I
City/Zip Code
Phone y S L4 " L( ?
Arch./Engr.
Address
City/Zip Code
Phone #
Length 72'
Depth -J6'
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System
City water
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. / -?( OS
Variance
Water Conn. O,
Water Meter 95,00
Acct. Deposit 30, oo
S/w Permit .30,00
S/W Surcharge 15*0
Treatment P1. an ,ao
Road Unit 3rin.oo
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL
Sewo? /Water Licensed Contr. ? ?Z' k C- k '/ Rl
agrees that all work shall be do in accordance with
(Si oature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
VaLua-1?1.01 "
GP2 q6E
?yXZZ=5Z8xi5',= ?920
$SM7',
3zxZy. 76B xly_ l? ?SZ
1S'f rLOJ2-
----------
3ZX??I a "103
22X?2? Z6?I
IXn3?= 6y?
_?--
? (0$0 ?? 53= ?S?j v l o
?07?7l2 a2 10KOc?J.--
.
Certificate For:
Wlayne Blilie Construction
644 Superi.or Court ?
Eagan, MN 55123
DELMAR H. SCMWANZ
LANO SVRVEVORS INC
PegiateroJ UnCer Laws of The Slete of Mlnneaote
14750 SOUTH ROBERT TRAtL HOSEMOUNT, MINNESOTA 55068
SURNEVOR'S CERTIFICATE
?r?i?
M?L` A
n
,InR?? qb°VX
,P
?r
97.9C
0"
a /D
2.2
33
,? --?
14
// nM FlR
A
I ?/.bj?-.
? P
{?
oo M ?
n1
?
9' Qoi'n'.r-n
,O
b
?
? HovSE
h k v
/ \v` ?
S/ ?P w
\ \
?
?
SR/•'? \,?
Descri.ption:
Lot 4, Black 4, THOMAS LAICE Wpppg,
accordi.ng to the recorded plat thereof,
Dakota County, Mi.nnesota.
?
Scale: 1 inch = 40 feet
qbq? O=, lron pipe monument
? = Set wood hub
r9 = Existing spot elevation
6?U
o i i' :o.y3
^ I ?
t?
oA,?.y t` ?
? Q aV
Mp.
z Z .
l
151/76
872/-02&1769
P ? f-n
4b'4
+ qV
0
?
I ?
m
/B ;
._. %
?
?.-???
..*
? -
d
J
-j
Also showi-ng the location of a proposed house as
staked thereon.
I hereby certify ihat this survey, plen, or report was
prepareA Dy me or unAer my direct supervision and
ihat 1 em a duly Registered Land Surveyor under
the lewa o} Ihe Stale o1 Minnesota.
Dated 11-06-91
01 WxE, RtNT G D E P T
Prbposed garage floor elev. -9-7S, b
?-?-?-?
Proposed top of block elev. 7 S
Proposed lowest level elev.
'4?,???
Delmer H. Schwanz ?
Minneeote Reglstretlon No. 8625
.. - ?
EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION
ONNER
SITE ADORE55 LeC '41 54D_??vvy0.?
CONTRACTOR o.51I? & c'0tir71?uC71 ppTE PHOME 4 SV ` I 93£3
Determine working square footage of eath,
1. Total exposrd wdll area .,.... /Z S'3, ?Cd Sq. ft, x .11 Q Z O.
2. iotal roof/c.e`lin•j arcr. ..... (DFiS-oo,r.sq. ft. x ,05' •
rotal expo;ed era11 area above floor • l2C0.010
a. Total wail window area ........................... ?.g4 Dd
b, Total door area . ................,,,,,,,,,,,,,,,, ,; ?
c. lotal sliding ylass door ?irea ................... ;o
d, 7ota1 fireplace wall area,,,,,,,,,,,,,,,,,,,,,,,, -
e. Total wa11 frarning area (average 10%)....
..,.,... •??
f. Totai net watl area above floor .................
g, Total rim 3oist area ..,.,,,.,,. .. ...,........,,, tizoU
Total e;:posed foundation area • V .`d ?
h, Totai foundatio; window area.. ,,,,,,,,,,,,, 7, 7 +
i. Toat nct foundatian a rea above gra??P,,,,,,.,,,,,
Detcr-mtne "U" value of eath r0l segment.
..
a. BG•.O?? ? x"U" ??? = 4 r•,? o
e,3 -5i x °u° ??3 s -4 9L
c . ---9-0' °-z, - X
"U". ?
?.
_
d. ,.--- X "U" _ .
e. g „u. .(Z . /?.24
t. g407°f !c ^U• .07 . ?'9-41
,
e,_ Il2_vp x •U• -oG • -72:
n, ``1. P`i z "u. • SS . q.; Z
t, l33-93 z ^U• ? 47 . 40•3,ft
3........ ?.? ....... ........... Tota1 • DI 2
1f item 13 ts the same as, or less than ttem /1s you heve met the 4ntent
of S6C 6006(c)2, ,.
.
'otal exposed roof/ceiling area = Tp ,f3 f o0
••• •
j. Tota1 skyliqht area ......................
k. Tota', roof/ceiling rraminq area (average 10q)...•
" 1. Total net insulated roof/ceiling area...........
Determine "U" value for each roof/ceilinq segmenl.
• '_ __ X uVu ?
k. z ^u° ••
,. roSS.oo _ z ,luw .or • r"
a .............l.0.$.S•,o o.....,..,.Tota1
If total of d4 Ss the same as, or tess than f2, you have met the intent of
SBC 6006(c)1, \
Alternate Buiiding Envelope Desfgn
To utilize the total envetope system method, tne values estabtished Oy the
sum of items 03 and 44 shalt not be greater than the sum of ltems I1 and 02.
1. z?D?(4 ------+ 2.??•2r • 284?39
3.
1804 Malody Lana 8963063
Bumwille, Minnews.
• '7
WEPJA CO. PL41V SERVICE
ED ANDERBON '
ARCHITZCTVML C6lIGNIN6 AND P?.NNIN6
O}11Cl:
I »n ruue__w j; G )1 f?4'k /{tifaSQ' Offier:
Bumaille, Minnesote et KcLa 89D4636
Lot ? Block -L
Subd. id-C W 6y?
UNDERGROUND SPRINKLER SYSTEM
PLUMBING PERMIT
Date -7 ? ?
Receipt # (101975??
_ 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.
_?W Exosting residential: $15.50 (Plumbing permit not required if backtlow preventor was
previously installed).
_ Residential develoQments: Fee to be determined by building inspections department.
May require payment of water permit, plumbing permit, WAC, and water treatment
plant fees.
vy7/ AI/?,1 i v? N
(Address to be sprinklered)
?
Phone #: ho7 7 87 /
Street Addtess: 5Lo$ ?lGo ?/? Sv
City, State, Zip: l?l d /5 4/d ,?''l!9
Owner Name: l cs? ?K04
Street Address: 217r /NEcCc.-d . -71- lV.
Phone #: (0$ 3 ` 2ti/? x
Inigation Contractor. ?q t,w C%':E??!r_
0
Phone #: )I /IO
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with a?I applicable City of Eagan Ordinances
cc: , Engineering Department
ff?2,,'_ 11( /c1,?" 2ao ;?
CITY OF EAGAN
3830 PIIAT &NOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
?IECHANTCAL :YERMT?
?SIriEi?TXP;L:
--------------- ________-------------------'
---------------
WORK DESCgIPTION
/
NEW CONST {?
ADD ON
REPAIR
OWNER NAME:
SITE P.DDRESS: 71 NO MA-LC.k",D fC.
IAT:___ BLOCK _l SUBD. A/YJ/I'tll?Jrl"-
INSTALLER:.lE,4 1oA/fl_- &A/7-t4?*L-- ?AfC
CITY:K/'V1LCLb RW ZIP:
PHONE o??
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDlTIONAl 50 M BTU
GAS OUTLETS - MINIMOM
OF 1 PER YERMIT
SUBTOTAL:
STATE SIIRCHARGE:
DWELLINGS 6
$15.00
24,00
6,00
3.00
$-L?
.50
OT : $-.1=v
?+GC.?"
SIGNATURE OF PERMITTE
CtJ7IIiERC;AL,iNDDSTRZAL:. YLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUIIIIINGS,
M ...... .. . .... .. .. . ... ....
APARTMENT BUIISIINGS, AND ?NLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
____- - ________________________- -_______- _
ma
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE p:
FOR:
FOR CITY USE ONLY
PERMIT #
RECEIPT #7 /
DATE: ?
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE 1
TOWNHOMES/CONDOS VHEN PERMITS ARE REQIIZRED FOR EACH i1NIT.
FEES
--------------------------
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
F.p.CH ?1,000 OF PMiIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
( S IGNAT[TRE )
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT RNOB ROAD
EAGAN, MN 55122
PHONE: -(?j6?12) 454-8100
?G;M
FOR CITY USE ONLY
PERMIT #
RECEIPT # o'l
DATE: 9
PLEASE COMPLETS UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERHITS ARE REQIIIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
?/ r J
OWNER NAME:
SITE ADDRESS: 7/ 71 iY /J?LZapel;
LOT:? BLOCK _?/ SUBD. 70Hlu?) LCfHP
INSTALLER:
c
ADDRESS:
CITY: 2IP:
PHONE #:
SIGNATURE OF PERMITTEE
COMPLETE THE FOLLOWING:
ND. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
2 WATER CLASET 3.00 ?
2 BATH TUB 3.00
/ O(
LAVATORY 3.00
? KITCHEN SINK 3.00 3,047
LAUNDRY TRAY 3.00 ?3 Ov
HOT TUB/SPA 3.00
? WATER HEATER 3.00 3,oO
FLAOR DRAIN 3.00 0,?7
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 ?,O-
? ROUGH OPENINGS 1.50 <5 0
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
SUBTOTAL S 3 ?ii ?B
ST. SURCHARGE .50
TOTAL: $ ,w
Ct?MMEI<04"DMMM PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACN
DWELLING UNIT.
-------------
CONTRACT PRICE:
CWNER N?,tNic: _
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
( S IGNATiTKE )
CITY OF EAGAN
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4471 Mallard Tr N
Lot: 4 Block: 4 Addition: Thomas Lake Woods
PID:10- 76100 - 040 -04
Use:
Description:
Sub Type: e- Reroof
Work Type: Repair
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Gopher Company
2701 36th Ave S
Minneapolis MN 55406
(612) 331 -1555
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Permit closed without required inspection(s). Letter & correc
If there is no ice protection inspection prior to final, you must meet inspecto
acceptable in lieu of inspections.
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Leonard Garding
4471 Mallard Tr N
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Building
EA085708
09/02/2008
ePermit
on notice sent to applicant on 8/21/09. (pf)
ith ladder and flat bar. Pictures are not
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114537
Date Issued:09/17/2013
Permit Category:ePermit
Site Address: 4471 Mallard Tr N
Lot:4 Block: 4 Addition: Thomas Lake Woods
PID:10-76100-04-040
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 -
Leonard Garding
4471 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