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4489 Mallard Tr N CASH RECEIPT ? +. CITY OF EAGAN, ; 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 I J' ?cerv?o ? , _ , ? AMQUNT S - , - .. . / 8 DOLLARS ,oo O CASH ? CHECK .-3. _ , • ? Fa, _ - ? - 1 ' / ? - -- ?•! BY ? C 117267 ""'"°-P°ye's covr ? ve?aw-?voseny copy Pink-File Copy Thank You SEWER *'1(ATER PERMIT CITItOF E, GAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 . ., ? DATE FE$ 11, 1992 METER # CHIP # METER SIZE ISSUE DATE OFFICE USE ONLY PERMITDATE 02f 1$/92 PERMIT # 12537 , B.P. RECEIPT # ? ? ? ? ?' ? B.P. RECEIPT DATE 02 / 1S'2 x PRV _ BOOSTER PUMP SITE ADDRESS 4489 M MALLARD TR LOT 6 BLOCK 4 SEC/SUB THOMAS LAKE WGGUS APPLICANT:. ADDRESS: _ CITY, STATE PHONE: - ZIP PLUMBER: MA'fTti$W DANZELS PLBG ADDRESS: 15185 CAROUSEL WAY CITY, STATE ROSEMOUNT MN ZIp 55068 PHONE: 423-3 7 30 OWNER: PIETSCH BLDRS INC ADDRESS: 9543 BIRCH LN CITY, STATE LAKEVILLE MN ZIP 55044 PHONE: 461-3381 PERMIT RECIUESTED X SEWER - COMMIIND x NEW X WATER _ TAPS X RESIDENTIAL EXISTING Lawn Sprinkler Mete"rs are to be Installed Ahead of Domestic Meters on Water Line. Cred?t VykLL NOT be given for Deduct Meters. ?_ ? i ? ? 1 .? ?1--' /? I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ;F-" SEWER& WATER PERMiT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE FEB 11, 1992 X PRV _ BOQSTER PUMP OFFICE USE ONLY / iP 71 PERMITDATE 112/18/92 METER# -?17 CHIP #6a/10 3-3 3 PERMIT # 12537 NIETER SIZE 5 s??su S B.P. RECEIPT #C-0172 LO_7 ISSUE DATE TL ??g ? B.P. RECEIPT DATE 02/ 12/92 SITE ADDRESS 4489 N MALLARD TR LOT 6 BLOCK __4L-SEC/SUB - 'rHOMaS . xF WOODS APPLICANT: ADDRESS:_ CITY, STATE PHONE: _ PLUMBER: MA'PTHEW DANIELS PLBG ADDRESS: 1 51 R 5 CAROiiSLL. WAY CITY, STATE ROSEMOUNT MN ZIP 55068 PHONE: 423-3730 OWNER: PIETSCH BLDRS INC ADDRESS: 9543 BIRCH LN PERMfT REQUESTED X SEWER X WATER - TAPS , - COMM/IND X RESIDENTIAL '''J X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credy L NOT be given f r Deduct Meters. I AGREE TO COMPLY WITH CITY OF EAGAN RDINANCES CITY, STATE 1.AKEVT1.i.F MN ZIP 55044 PHONE: 461-3381 SIGN URE W N METER ISSUED , ;. / ??' /?- c- -PLEAS?'?QLLOW W riGOfIFII?}Ca DAYS F6R FSRObESSING. CALL 4545220 FOR SEWER PERMITS, CONTACT ENGINEERING DEPT. ZIP INSPECTIONS. FOR STORM I ?N / : e= - 452-2445 CITY OF EAGAN {n ,? ?.. ;ro55c?' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i /? aG L3 0'•? PHONE: 681-4675 ; PFRMIT Receipt # ? .. SF DWG/GAR Est. Value $142.000 Date rLS 11 , t992 Site Address Lot 6 Biock Parcel No. Nar,ne YIETSCH BUILDERS INC w Address 9563 BIaCH 1.N ?cay 1.11KEV I L.I.l: M Z'jP 5,5044 Phrna 461-3361 Namg bAME Address Ciry Trp I hereby acknowlege that I have read this application and state that the in}ormation is correct and agree to comply with all applicable State of Minnesota Statutes and City ol Eagan Ordinanoes. r? Signature of Permitee A Building Permit is issued to: PIETSCii B[.D&$ INC on the express condition that all wak shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE U SE ONLY . Rw? 114- 1 FEES Occupancy PD R-1 eldg. Pemwt 787.00 Zoning (o,ccuaq const V-N Surcharge 71.00 ifuiowablel V=H pw, PANIOW 511.00 * of stories 68 ? ?M S.QO Length 501 1 00• 00 Depih SAC, City S.F.Total - SAC,MCWCC 700•00 S.F. footprints - On Site Sewage _ Water Conn 67.5s..QQ on sita weii walor Me?er 99.00 MWCC 5ystem x ? ?t. Deposit 30 • 00 City water x i W P 30 ?? PRV Required S1 erm t Booster Pump - gryy Surcharge • 50 Treatment PI 300•00 APPFiOVALS RDad Unit 380•00 Planner - Park Ded. Council - Copies 1.00 Bldg. Off. _ S ?s ? ? Variance - TOTAL 1 '? Parmit Ho. Pe?mit Hoider Date Telephone # srw 53 ' PLUMBING ?1?-- Hvnc YNO9.2. *.-4•.?775 ELEcrF+ aFCTtIc InspecNon Date tnsp. Comments Footings I ? Foundation Framing k Ro ofing 7A?L Rough Pibg. .?' ? f. R?n ?. ?Y I5ul. Fireplace Final Htg. Orsat Test Fnal Pwg. Plbg. Inspecxor - Notily Plumber Const. Meter EngrJPlan eldg. Firial y 2 3? z Dedc Ftg. Dedc Final T'[a(f? weli s ? Pr. Disp. -? i rS (Itrt`f`rate oi 19?ru?aury Citp of (Eagan lurparrbaurcY pf smtd'atg iprrtion M CertiJ"raQ1e fssue+d pursttanl to lhe reqeeiremerrLs of Sectton 306 of the Umfonri Buildng Code certtfytng 11rat ar tlre rinae of rssuance diis muctun xas in compliasce wf1Ji tlu wrlars ordinances ol the (:it}' re8uladn8 buflding consduclion or m For rhe foflowing. Un Cb=T=A0m SF DWG/GAR Sk PowA Nm 20095 0-"-qTm R- M-1 Zodog Dbuiet PD R-1 ,?Cm* Y-N owmetemum PIETSCH BLDRS INC Add= 9543 BIRCH LN BoMmA 4489 N MALLARD TR L..?6, B4, THOMAS LAKE WOODS Dm APRIL 23, 1992 Bu&ws omcw POST IN A CON3PICUOUS PU1CE ,Addr.ess: 4489 N MALLARD TR I-ot 6 Blk 4 Sac/Suh THOMAS LAKE WOODS These items ware/weie not complete at the time of the final inspection. te: APR 23 1992 Yes No Tnsppcter- Fiftal grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seaded grass Trail/curb damage Porch Sasement finish t? Deck Please verify vith the builder the removal of roof tast caps from tha plumbing system and the shut-off of water supply to the outsida lawn faucet before freeze potential exists. fa 4ClIIEDM1E11 White - City copy Yellow - Resident copy Pink - Contractor copy CITY OF EAGAN ??Q2OO9r'J 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512 PHON E: 681 •4675 BUILDING PERMIT Receipt # . Tobeusedbr SF DWG/GAR Est.Value $142,000 paty FEB 11 1992 Site Address 4489 N MALLARD TR Lol -6 Block 4- Sec/Sub. THOMAS LAKE WOOD OFFICE USE ONLY FEES P8fC81 NO. R-3 Oaupancy M=1 PD Z R=1 Bldg. Pamirt 787.00 oning Nyme PIETSCH BUILDERS INC (ncwaqCOnst V=N gurchaTa 71.00 I' W Address 9543 BIRCH LN (nnowable) V=N Plan Review 511.0 0 Z 0 City LAICEVILLE MN 7jP 55044 N ot Stones n lh L 68? ?^? $.00 g e Phone 461-3381 oePm 50' snc, City 100.00 ? Name SAME SFTolal - SAC,MCWCC 700.00 S.F. Fwtprints O Address O Sit S H'ater Conn 675. 00 ewage n e _ ? City Zp On Site Well - Wacer Meter q s_ nn ?z Phane MWCC System X qul Deposit 30.00 o U # 0002358 City aywa?e? ?L . PRV Required _x S/W Permit 30.0 0 I hereby acknowlege that I ha ead this application and state that the Booster Pump - SMr Surcharge .5 ? information is correct ?nd re to comply wRh all apphcable State ot Minnesota SlaWteS and a an Or n ce . Treatment PI 100.0 n Signature OI Permite APPROVA? Road Unft 380.00 A Bmlding Permrt is issued to: PIETSCH BLDRS INC Planner - park Ded. on the express condition that all work shall be done in accordance wrth all Councd 1 00 aPPlicable State ol Mi nesota Statutes and City of Ea9an Ordinances. BIdg. Ofl. Copies . BuilaingOfhaal ?In ' vanance To7AL , 1685.50 ? •? i .g REOUEST FOR ELECTRICAL INSPECTION ee-ooom-oa ?? See insvucLOns br compl6110g this 1o115 on back oi yellow copy j 'X" Be/ow Work Covered by Thrs Request Building AppliancesWiretl EquipmentWired R'ange - 7emporary Service Water Heater Electric Heating 9 Dryer Other (Specify) slrial Furnace Air Condihoner (Veo,f,) ('qntraotor5 Aemarks Compute Inspection Fee Below. # Other Fee # ServiceEniranceSrze Fee N Cucurts/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps - Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspectar5 use only TOTAL ` O Irngation Booms 76 `a Speaal Inspecnon Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON I, the Electrical Inspector, hereby cernfy that the above inspection has been made. Rough-in • DateZ_? oa? ` Z7- OFFICE USE ONLY Thrs requesl witl 18 moNns Irom J 3 4 2 52 ? 2, FeQUest Date Fire No Rough-in Inspection Reqmretl'+ ? Reatly Now-E79PII Nonty Inspector ? ' es C No When Reatly? 68'ficensed wntractor O owner hereby request inspedwn of above electrical work at: doo ndtlress IStreet. Box or R ute No ? ' /// // 8 Crty e SecUOn N. iownSMp Name or No Range No Counry ? OccupantlPR Phone No Power rer ? ? ? qatlress? ^^', ?? e Elacinca onVa<tor?Company N el i ConVa license No i ? " " MaJin Aatlress (COnvactor or Owner Mek g Installaeon) -76 `?'s c-J, sw / 3 ? AuIDOn ed i nature IComrac?oriOwPer Mak,ng I alla?ion? ? - ? Phone Numbe, _6 MINNESOTA STATE BOARD OF ELECTpICITY ? THIS INSPECTION REOUEST WILL NOT Gnggs-MlEway BIOg - Room 3-173 BE ACCEPTED BYTHE STATE 00AR0 1821 Universiry Ave., 51 Paul. MN 55100 UNLESS PROPEF INSPECTION FEE IS Phona (612) 642?0800 ENCLOSEO J /Y N7 7 4c? flequest Date ire No Rough-In Inapechon Reqwr?'+ Reatly Now O Will Nooy Inspecror [ Yes No When ReatlyY I ;?licensed contractor ? owner hereby request inspection of above electrical work at: Job MOress (S o ?No ) `???f) Jf i (f .r,t,c/1C Ciry Seclion No Township Name or N. Range No Coun ol`cpaa:„ r? rO ss e? ? '2 Pho -?yy 5 Power SupPM1er Atldress EIeclucal Co ctor tCypPany c ?? Co cro Li nse No MaAin9A5i ?a?nner InsWllatwau? ?, i^ J? U w AulhorrzeE Signat e ICOnnactor,Owner M ng Insta Phone ?- `? V MINNESOTA STATE BOARD yyELEeRICITY THIS INSPECTION REOUEST WILL NOT GnggsMiEway Bleg. - Roo1F S173 BE ACCEPTED BY THE STATE BOARD 1821 Unnersity Ave., 51. Paul, MN 55106 UNLESS PqOPER INSPEC710N FEE IS Phone (612) 642-0800 ENGLOSED REQUEST FOR ELECTRICAL INSPECTION 9 t?? ee-ooom-0e ? See insVVCtions lor compieting ihis lorcn on back ol yellow copy ?`? 'X" 8e/ow Work Covered by This Requesi "?•,M°•? J 53977 . ? ew Pdd Rep TypeoiBuilding Ap0liancesWrtetl EqwpmeniWiretl Home Range Temporary Service Duplex Water Heater Electnc Heating Apt. Bwldmg Dryer Other (Speci(y) Comm./Indus[nal Furnace Farm Air Conditioner Other(syecity) Con actor5 RemaMs Compute Inspection Fee Below. a . Other Fee # ServiceEnlranceSrze Fee # Qrcwts/Feedere Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SIgnS Inspeckr5 Usa Only TAL Irrigation Booms Special Inspec[ion Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector, hereby Rough-in oaie certify that the above inspeciion has been made. F,,,,i ? 00 oa?e/' ?p 6 OFFICE USE ONLY This requesl voW 18 months Irom R- go, eo A5"qI ------------------ ? ? ? ? Clty of EaiaIl ? Pemrt#:?- ' I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 j Date Heceived: j Phone: (657) 675-5675 Fax: (651) 675-5694 I Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: _ ?'? ? I I t??? a r/JI Ir l Tenant: Suite #: RESIDENT / OWNER Name: `_?-??SS? Phone: UC,.'LI'.`I "/2_.?JiFt Address I cd ip. Applicant is: _ Owner Contractor TYPE OF WORK Description o( wark: Consduction Cost: Mum-Family Building: (YesNoXj CONTRACTOR Name: d License#: ? Address: GU City: m 11 ky)oke,f State: m?v zp: s5 Phone: G51 - y39-L132Q Contact Person: KQ n COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residenfiel VenMIffiion Category 1 Warksheet • New Energy Code Waksheet Category submmea submmed (4 Submission type) • Enwgy Envelope Caicula6ons Submitted In the last 12 month9, has the City ot Eagan issued e permN for e Similar plen based On e master plan? _Yes _NO If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: f here6y ?acknovAedge that this iMOrmatlon is complete and axurate; tlO the work x411 be in cordormance with the ordinances arW cotles of the Cily W Eagan; that I understand this Is not a permR, but onty an applica6on for a pertnlt, and work is not to starl without a permd; thffi the work will be in aarordance wi[h the approved plan in the case of wak which requires a review and approval of plans. x , x V ApplicanYs Print Name ApplicanYs Sign ur Page 1 of 3 5-7?qSa RESIDENTIAL BUILDING PERMIT APPLICATION iS ? CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction ReauiremenG RemodeUReoair ReuuiremenU . 3 regmle2d site surveys showmg sq. ft, of iot sq R. M house; and all roofed areas • 2 copies of plan (20°k meximum lat coverege allowed) . 1 set of Energy Calculations for healed additiorrs • 2 wpies of plan shwdng heam 8 window sizes, poured found desgn, etc.) . 1 site survey fir extenor additions 8 decks • 1 sel ot Energy Calculations . Indicate d home sened hy sep6c system for additiore • 3 copies of Tree Preservation Ran if lot platteU after 711/93 • Rim Jast Detail Options selection sheet (bidgs with 3 orless units) DATE ? VALUATION ? ?c-?, ?`?1a11 a«b \ c SITE ADDRESS MULTI-FAMILY BLDG _Y _ N TYPE Of WORK"?? I& Qzs-C tL-nv?_ ?-?.S-LTe.CJN FIREPLACE(S) _ D_ 1_ 2 SELA ROOFING & REMODEUNG APPUCANT qlpn FxrFi cina ai Vn STREETAdDRESS S7.LOUISPARK,MN 5541 rCITY STATE_ZIP TELEPHONE #CoIZ'V7i-$?lSt/(aCELL PHONE # FAX # PROPERTYOWNER ?L v"t) C751aSSQly- TELEPHONE# ?-FSZ- Z?fS?S --------------------------------------- ------------------------------- ------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RLJI.ES 7670 CATEGORY t (d submission type) • Residen6al VentilaCOn Category 1 Worksheet Submitted • Energy Envelope Calculadons Submitted AUG D 2 2002 Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. Signafure of Applicant , I? D Ap? A 44?? .. L/t/- I- ...._---------_- "'-'__----- ------- _----- -°--...____-----'-'--•----------"-'___"' ? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4102 _ Water 5oftener Water Heater No. of Baths Phone # Lawn Sprinkler _ No. of R.I. Baths REACTIYATE R-E(?ENED PERMIT # , APR 2 1 1993 o?(/l/7ff ---- ------- CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 6 structural plans, 1 set of specifications, 1 copy of energy calcs. Penatty 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 ance permit is issued. Date , /? Yaluation of work Site Address: STREET SUITE M Tenant Name: (commercial only) IAT BIACX ___ SUBD. ?,? (?,? P.Z.D. M Descri tion of work: ?ecit The applicant is: Owner 13 Contractor ? Other (Deceribe) Name fosS.er e/l d- 30Phone `/Sd - aYYS Property lllST F1R5T Owner A ?'/' ? W?-7 /v 4, ?, Address STREET STE M City G"7hn State /l'/N Zip S-_To 3?1 Company Phone Contractor Address License # Exp. City I State Zip I Lompany ? Phone Architect/ I Engineer Name Registration N Address I City I State Zip Sewer & water licensed plumber ? . Processing time for sewer 8 water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation O 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex O 09 12-P1ex ? 10 Multi. Add'1 ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory [3 14 Fireplace PE 15 Deck WORK TYPE IK 31 New 0 32 Addition ? 33 Alterations ? 34 Repair [3 35 Tenant Finish ? 36 Mave .a ? 16 Basement Finish ? 17 5wim Pool ? 18 Comm./Ind. ? 19 Comn./Ind. Misc. O 20 Public Facility ? 21 Miscellaneous ? 37 Demolish GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) ist F1. sq. ft. City Water UBC Occupancy 2-? 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster PumP # of Stories Footprint Sq. ft. Fire Sprinkler ' Length !B ? On-site well Census Code 4?3 Depth L On-site sewage SAC Code J ? ?? APPROVALS ,c? :?,. ? Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS 0 Site ? Wallboard Footing Final J7"framing ? Draintile ? Insulation ? Fireplace Permit Fee 5urcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: 2.5tao I v.iLoci«,:?s . s'9? ? ??: ? ?-??- ?;*?•?? ' SAC % SAC Units r `i1r i? 4r '•?' : c '. -: ? '> i ? 4 c '; `.-: .- .- '1iaF ' cot?p(my, 1NC. ,. ! 1000 EAST €46th SiflEfT, eURH$V141.E. iAIkNE80TA 54SS7 VH 482'9000 CERT6F1CATE_ OF ._SURVEY Legat iJescrtpt9ora: acALe 1 r - ao• ? t 41 ,m o $ h ? ? ?h 7 1 ? 1,072 3007-Y - ------ - {?,??,o ) p?tJOTES EXI5TINQ ELEVATION ( 958• a ) []I PNt)TES PROP4SED ELEVATION 1 U{CATES DIRECT{ON OF SURFACE DFiAIP 9? . .F?N16HEi:t GARAGfl Ff»UUR ELEVATION • 95.7 .u BI 6EMENT FI.QOR ELEVATION ? 6a,oo m T?p OF FOUNDArION ELEVATION go Ft F•evn?r evr?oini6 I SETB?GK LiNE / Ln ? 40,0 .' r"ih' ` •o?? '??.--, i?? 1 .oo 8? Q h i ku Sp o W ? ?? I? a ?Io? at.oo ??•? ?h IN? ? ? $ ? ? 'Q q p• ? °l,` `A1 /4,?t7 i+4 10 ' ? yt g ? ? >u) ? 179 N??' .g.+! i,/ r !{'/ <v • DkA?ivAlrE - .cw0 ? " •? urrL?rY F?'E?f?t'r -, ? ? ? I ? ? ? - CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT W1ANTCA7:R`t1IT DATE : 4 PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE 7 ,. TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ -------------------------------------• WORK DESCRIPTION FEES NEW CONST X ADD QN _ REPAIR OWNER NAME: PIETSCH BUILDERS SITE ADDRESS: 4489 N. Mallard Trail LOT: ? BLOCK 4L SUBD. Thomas Lake Woods INSTALLER: FREDRICKSON HEATING & A.C., INC. ADDRESS: 3650 Kennebec Dr. CITY: Eaaan ZIP: 55122 PHONE #: 452-2775 ADD-ON MINIMUM HVAC 0-100,M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM (2) OF 1 P R PERMvIT -?- ?/"J-- SUSTOTAL: STATE SURCHARGE: DWELLINGS 5 $15.00 24 . 00 --- 6.00 3.00 6.00 -? $30.00 .50 TOTAL: $30.50 SIGNAT E OF PERMITTEE 1671 COMM?RC2AT:?INDUSTKTAI.F PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, ,: ...: . . . ............. . .. ...... APARTMENT SUZLDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARR NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: c?TE P9DRESS:_ LOT: BLACK , INSTALLER: ADDRESS: CITY: PHONE FOR: SUBD. ZIP: FEES 18 OF CONTRACT FEE. STATE SURCHARGE e $.50 FOR y.".-_Y. S1,000 QF PER":IT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 1$ STATE SURCHARGE TOTAL: $ $ (SIGNATURE) CITY OF EAGAN ? ' - CITY OF EACAN ° 3830 PILUT KNOE ROAD F.ACAN, M: 55122 PHONE: (612) 454-8100 pLU1f6INC 1'BIt?fI1? ?SIDENT3iT?:,;? ?.. ....... .. ...: ....... FOR CITY USE ONLY PEANIT N ? RECEIPT ?il DATE: r' YLEASE CO?iPLETE UPPER PORTION ONLY FOR SINCLE FAHILY DAELLINGS 6 TOWNFIOMES/CUNDOS SfNEN PERHITS ARE REQUTAED FOR EACH UNIT. -______-- ----°-----------------------------°___--____°-----___- IAWINC• WORK DESGRIPTION COMPLETE THE FOL . X NU. FIXTURES N MINIMUM EA. 00 15 TOTAL NEW CONST ? ADD-O . 00 3 1'•b ? ADD ON i SHOWER . REPAIR WATER CIASET 3.00 g-pO ? BATII'TllB 3.00 3•0 O - '-f IAVATORY 3.00 3 00 tZ- 66 2?. o° OWNEK NAME: KITCHEN SINK . ? LAUNDRY TRAY 3.00 3•00 4y ?? ?• m?',1 ? "`? ?rtl``, 1 HOT TUB/SPA 9.00 3•? S1TE ADDRESS: - ? WATER HEATER 3.00 3•6° LJ, IAT: ?p BU1CK ` SUBD. ?1\-A- t-?-+-waa? ;? FLOOR dRAIN 3.00 INSTALLER: ADDRESS CITY: Matthew Daniels CAS PIPINC T. _ (MINIMUM - 1) 3.00 ROUCH OPENINGS 1.50 15185 Carousel Way OTHER WATER SOFTENER 5.00 R,osemount ZIP: 55068 pRIVATE DISP. 15.00 . U.G. SPRINKLER 1.00 423-3730 ?C.v- ??M < SICNA RE OF SUBTOTAL ST. SURCFiARCE TOTAL: $. 41S'°`' .50 n l 5' ?iz . GOIiHE[tCT7if.%INDUSTRIA?.;? PLEASE COMPLETE TNIS PORTION FOR ALL COMlfERCIAL/INDUSTRIAL BUILDINCS AND }SULTI-FAt1ILY BUILDINCS WIIEN SEPARATE PERMITS ARE NOT AEQUIRED FOA EACN DWELLINC UNIT. CONTRACT PRICE: OWNER-NAME: SITE ADDRESS: LOT: BLOCK - SUBD. INSTALLER:_ ADDRESS:_ CITY: PIiONE FEES 18 OF CO:ITRACT FEE. ' STATE SURCNARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1@ STATE SURCHARGE, TDTAL: $ (SIGNATURE) FOR• ° . r CITY OFEACAN I ' ZIP: ' 1992 BUILDING PERMIT APPLICATION CITY OF EAGAN REQUIREMENTS: 41???? SINGLE FAMiLY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCfAL 2 SEfS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS, 1 SEf OF ENERGY CALCS. PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT N07 PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE QR LOT 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. To Be Used For:S?m&- Valuatio? - Date: r?Z --?-? - i Site Address Lot (V Biock 4 Parcel/Sub 16701r)lfs Owner Address City/Zip Phone Corttractor Address City/ZiP LA&06w, 550 ? oY- Phone 46 - License ? Arch. JEngr. ) y2ti11)'1xi ? 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 Council Bidg. Off V81'18t1C8 R3 M-I Bldg Permit pp ?-( Surcharge V-N Plan Review V" ),4 License Fee SAC, City (08 SAC, MWCC 50' Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. J/ Road Unit ? Park Ded. ? Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL 7 /0 9z DS FEES 7B7,oo Address City/Zip Code Phone # ,. oo I Sewer/WaterLicensedContr. bk_" _2 J '? .Processingtime for sewer/water permits ' o ays once ar as en a prove . ?? agrees that all work shall be done in accordance with ignature ermmee all applicable State of Minnesota Statutes and City of Eagan Ordinances. VALUATI0N GA aGe 22 X -312 == ry92 2 X l L = C24) 3X?2? (3?? ?13Z K i5 : lo,ISa ?5wq?-, ..?..?.__,.._ -zx-k ?g ?. G/6 K IW ? 44-? bxy 10 1aT i.ooX ...?"?, 12 pL;? 14,4 L 2 X19= 3os 14)( Z 4 _ 33 (o sx12 = 3(o lu49 )l 53= 1)(o) '797 2?+D ?LoofL qq 2 1 X ?o = Ir? ??j2 X 53 ? '-1+-I? (?ZCo 1 y I , p't, -1 u R 142,ooa- . . . . ...?......J...r riv?u..r i vJV 1VG CONSUtTINO i NGINEEqf AC13E PIDNNE115 ond IqND 3UflY8Y09?,?p/ ENGINEEAING . BK. ?71 COMPANM, INC. °`.22 N L 1000 EAST 1481h S7REET, BURNSYILLE, MINNE80TA 50337 PH 432-8000 ? :I 5 ?6. so ? N I r ? S M lo? R' Lega{ Descrip#ion: or 6 ? D C?'/N7Y 0111VIV40,;X-, (2,E7_f) DENOTES EXISTING ELEYATI013 ( 9S8• o) DENOTES PROPOSED ELEVATION ,r.? fNDICATES DIRECTION OF SURFACE DRAINAGE 96"4. = FINISHED GARAGH F1.00R ELEVATION 951. 96 e BASEMENT FLOOR ELEVATION • 60.00 ? TQP OF FOUNDATION ELEVATION ? SCALE : i' = 30' .3,9FT. F20N7' BU/LD/N6 SETBAC/C L/NE ? ? H ? CERTiFICATE OF St1RVEY /V 8`y'30'OD?W /7B, 7/ '--- `?' ___,_ _•?-j"' , Iz.oo i E ?° 8 ? Q ? °?,`?` ? 7ao 9•e? /3. 67 $ I ? i hw °a. :? '--- --- ?-- ?-- -- --- ? ' - ? PZ.oo ?•33 j?l°? ?1 0 ?Q N ? I Q E h ' 179. 42 e? 1% "K, '' V - D,?A/NA6E <3iv0 /V 87° _W16 " 4{/ ° 9ss, 78 ? 'M? - ,, ?.":. `?` !? i ? ` ?'? f` f• ;- -, ; :-,t 1171117y EASE/f1EN7 ?'N:;7 1;t:i- • "? y1'' ? / ? ?. ] l' - - 1 b? V _ i' .3 ''.P? Date +AGA]!3 ERTCoI1dTE$RIRTla wE,:'i Q ? ? ?i (??fsF?, o n I hereby certiEy tliat tt?ie is a true atta corraat representAtioii of a traat c land as ahown ancl clesoribeci tterect?. AB preparea by me tnis T7 N aay c Fsa,PC?vQY ? 19_Z• ' ?? ?. ??J?? 141nn. Ftay. 11o. 1340e < -------- -------- ---------------- 07-23-1991 11:35PM FROhI * UESIGN CLASSICS * pWNER: - --_---- --- Tn 46133e7 P.02 SI'CE ADDRESS: b?T `/ ? ' ' PI??? ?U DA'CE: ILNEWS PHONE: C CON COR: RAC __ DETERMINE h'ORKING S4UARE FOO'CAGE OF -7 EACH: WA7:A ' ' AREA 2 SQ. F'C. X 1. .. CA7., EXPQSED .CO SQ. F'C. X 2. TO'CA1 ROOF/CEI]:,ING AREA 3. T(y:CAI, EXPOSED WA1.,l:, AREA CA7:,CUbA'.CIONS: 'Cotal exposed wall Zi$D,? atea above floor dov area i ?.? SQ.F'C. X "U" I J = 16` a) Total n Wall w r z SQ.FT. X "U" ?07 = ' (O b) Total dow- area z ' 3< c) 'Cotal sliding,glass door area SQ.F-P. X „U„ < d) POtal fireplace wall area ? SQ-F'C. X "U" r =? Z'?,D SQ.F'.C. X ,.u„ 10-L = 2Zt e) Total wall framing acea - (averaye 10%) f) '.Cotal net rrall area above °lool' (insulatec') g) ',-ccal r.i.m joi.st ar.ea 'Cotal Poundation ar.ea (exposed) h) 'Cotal foundati.on window area i.) 'Cotal net foundati.on ar.ea above grade 2-232.0 SQ.FT. x "U„ ,0 _ Ct 157t °f I56,'I sa.FT. 89,o SQ.FT. X „U„ , 04 - ?'3 C) SQ.F:C. X "U" -?= O SQ.F'C. X "U"PfZ = l 'CO'CA7:. a ) throuQh i. ) = Nmm? If item #3 is the same as, or less than item #1, you have met the i.ntent of 2 MCAR 1.16008 A and (). 25e.D /' 2`a,g ?D PAGE 1 07-23-1991 11:37HM FNUf1 * lltS1UN ILHSb1Lb * iu vcilmc( r.Uv 4. COCA] EXP<ISFD ROQF/CEI1'ING CAl'CU7.ATIONS: 'Cotal exposed roof/ (DU SQ.FT. ' ceiling area j) 'Cotal skylight area k) 'Cotal roof/ceilinq frami.ny area (average 10%) 1) Total net insulated roof/ceiling area 9 TU'CAL j) through 1) = 3?, ? If total of #4 is the same as, or less than #2, you have met the i.ntent of 2 MCAR 1.16008 A and Q. ? 38. AL'CERNATE BUI].,DING ENVE7,OPE DESIGN 'Co utili.ze the total envelope system metho6, the values established by the sum of #3 and #9 shall not be greater than the sum of i.tems #1 and #2. 1. 3. SQ.F'C. X "U"' i?l_-= r' I ?bZ.Z SQ-F'C. X OZL--= " M511 sQ.F'.r. x"U" r027i = Z.o +2, +9. CERTIFICATION I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesop Energy Conservation Act. SiqnaturV -7 2 l ( Date PAGE 2 A e7-23-1991 11:36RM FRUM * UESIGI•I CLASSICS * TO 4613387 ? . ?ONSTIIIltT10N -- - '- -•..,•? 2 YALK Wtt iluwin sECrier: wicL sECrioN (iNSUUtEO) . , ?0 u - tIa - _e43 stK JoIst secrIoNt --?) Interlor I? FOlN10AT10M ilISULAtION REQUJRED: • Min. R-5 on entire wall OR ? 1/Il ?•?? Min. R-10 Oam to frost d epth . ?. i0U1DJ1TI0N SECTION: 1 Interlor •Ir fllm ? ?.611 ' Pa xrdmi. 4 8 L. ir % xter or a r viin 0.17 (R OT R ? 5.96 Y m 1/It ' •17 sue oM aw?ot P.03 ; . ?. ?.•? .? - ? ? -- •--- ??a A d ' a `.. •. .• ?•. . :: .. ? C ? t I b(-G3-1771 11•.Dmri rrturi VGO3L]IV n1,11 •• ?+ '. '---' CEILINn SECTIfNI ifM;1iU°?A1r i n E, or 1 ? ? 3 4 • Exterior r 7110 s n. T ? ?• 1/11?...?' •+ ?+ ? CEIIINB fMN11NR SECTIOMt : . _ VENTED ' VENTED 1 leterler ti f11s{ ? ? ~ ? 3I M nt?r or • r w_ st S ''t , ne s se'Tt "00_ - ?v?w? w -?s.? • . ? LEIlIN6 SEf:T10N (InsaAr90= M Interlor @ir fiiw ?•F) 2 7 y xter or a r file tt • iulAL ' 11 a 1/It a ? tE1LINf: eRuMINl: SEet1oM: 1• Interlor'sIrIfil ! 3 ? S OF ? • . 1 In?lde alr.tllw _ ' A.R1 ! ? - S Guide • ? w _ n.17 AL ? TOTRL P.05 i ForQ?ffice_L'1$e ? ? Pertnd #: ? Pertnd Fee: ? ? Date Received: I I ? ? Staff: I ------------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0_?9-05 SiteAddress: ???'? FJ l I'?1 ?'fl2?^`? ??? ? ? Tenant: J B`? C P ?'o 1-6 Suite #: RESIDENT/OWNER Name: 'je7 ce Cp YoSS'Po Phone: Address / City! Zip: ck;?/{//3? T/' /?• ??4 ?n Applicant is: _ Owner _-AlContractor TYPE OF WORK Description ofwork: Construction Cost: Multi-Family Building: (Yes _/ No CONTRACTOR Name: b-)i /6h c l IJL License #: 'Q D?/?? ?g Address: 1'h uy1 ?o ? i r" _6? State: ' L Zip: 'h '5 / City: ?y i [ Phone: `1L y Contact Person: ? ? ???ll' JKi T 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 (4 submission type) • Energy Enveiope Calculations Su6mitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans andsupporting docuinents thafyou,submit;are co'nsidered, to be, public information." Portions of,; - the infonmation may be classif?ed as non-pqblic if you provide speclfc reasons Lhat.wou/d permii the City fo.,.; . _ ?...conclude thafthe` are trade secrets. I hereby acknowledge that this information is complete and accurate; fhat 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 staR without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X bje1, 7?c<< ?/t?; ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA156555 Date Issued:07/08/2019 Permit Category:ePermit Site Address: 4489 Mallard Tr N Lot:6 Block: 4 Addition: Thomas Lake Woods PID:10-76100-04-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joyce A Grosser 4489 Mallard Tr N Eagan MN 55122--255 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature