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4490 Mallard Tr NApr 2214 08:58a AA Garage Door 411' City of Eakall Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 651-702-0838 p.1 Use BLUE or BLACK Ink For Office Use Permit #: ZI 5 3 Permit Fee: 1 O'') Date Received: Staff: L 2014 RESIDENTIAL BUILDING PERMIT APPLICATION °? L //51 Site Address: Liq%.) !�J. / a//ar Unit #. Name: j/ 1Qmas 6(,st-ci ,50J%Phone: &SY- V-0- VM) G� Address / City/ Zip: 41-/ /. Al /t'/a//ard -r�''1 ! Erpi 5$7 Applicant is: _ Owner Contractor Description of work: elate ex is .,j y head gorqo'tvr.Construction Cost' I/ NM, U Resident/ Owner Type of Work f� /� Multi -Family Building: (Yes / iV Company: r iO 6;t-ra- b(or �r , Address: �/ / r City: pG� (/� G `*1/( State: % Zip: 656 Phone: 675../r &O / " 702 o /) ��``� Contact ��C.�✓ !� � �,}�CL'e.� 1 /IVCD F. 1 License #: Lead Certificate #: L Sk` l u 7j 0- 1 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)I I ir i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I I1 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: ILicensed Plumber: Phone: i i Mechanical Contractor. Phone: NOTE: Plans and supporting 1 Sewer & Water Contractor: you Phone: pportiny documents that 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 Cal! at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig lo receive locates of underground utilities. ‘.i,ww.00pherstateorecall.orc 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 1130 days of permit issuance. petty nJL1a3eh .L'Y2/cj/7i Applicant's Printed Name x x i L/ ' / (,6&t,,,, Applicant's Signature Contractor Page 1 of 3 øï ýüü ûúþ úÿþþ ùüüûû þî û áã ýüö ÿþýü û øö ø ûøþýü ÷ ú øüû øö ø ä ø Þ ä øþýü äìø ø ø÷ÿ ø ÷ÿ ø Þ èøð ü ãá ææ ãæãæô øñ àû Üùøûößéæ í ç íô çá ôù øîø ñë éæí å íåæ êçôçí ó ò öñð üü õîüÿþîâì ãá íÙ ôôå äøþø÷ ä÷ææä÷ææ àãæßãæô î ø ÿýú î îï ø îüü îî ìøøø ø üýúîüüÿ ìä õýìðø í üüù ø ø ý ø ,? - . i .. ? WCL'tifICQte df cCCoQ1iC? (M4 of Cfagan Zqartmeat of 13ft"iag 3cOoection This Certiftcate issued pursuant to the nequrremenrs of the URiform Building Code certifying that at the time of issuance this structure was in complrance vvith the various ordinawes of the City regulating building construclion or use. For the following: lI.Clissification: SF DW BWg. Pemut No. 216q2 0--pancy TYP? R3M I Zoning Distria RI lype Const. VN owm or Buiwing UTSICM I7ESIGN FAJIIDQt ? 1579 MAiiED UR, FA(',AN eWflmog naaMtt 44Q0 M.iARD Rtlb NC)-M L]0, B1, IlU1AS LAtcE td0CID5 ? BuMn POST IN A CONSPICUOUS PLACE CITY-OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD RE'ACTIVATED FOR RSiif FINISH W0250 PERMIT TYPE: 'f"AS G[P5'fAF,-'(W 733-8111 Permit Number: Date Issued: J;ii I i It I ?vi, ?$4 ? SITE ADDRESS: . ., ??;. ? ; ?,, ?? ? ?? r? . .? ? I . f 111+? , PERMIT SUBTYPE: ? APPLICANT: . .. , ? , . . , ?. ?1 TYPE OF WORK: ? '?I ?? ( t •?t! ' ? ? !?;11 I ,I ',P KS s -- S &LJ c1) arka1. 1 :,3 rirv 7 ? Permit No. Pe?mk Holder Date Telephone fl S/W PLUMBING O fi' S ?? f HVAC ELECTRIC ELECTRIC Inspsction Date Inap. Commerrts Footings I Foundation j? t Framing Roofing Rough Plbg. Rou9h Ht9. y?i 85?r - 7?0 9 S/?' lsul. FrWece Final Htg. Orsat Test L 5 G r ? Final Plbg. dEt J ?Ii?O Plbg. Inspector - Notity Plumber Const. Meter EngrJPlan G =7 A/ ?/vnZ Bldg. Final ? 112 Dedc Ftg. Deck Final Well Pr. Disp. •-- O- ? - i?SP tiv?. ? _ _Add,--ss 4490 MAi,i,A.RD 1RAIL NORIH Zip 5512 2 I.ot lo Blk 1 Sub 'txcrrAs LAKE ?wns THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: // f Y es No Inspector: Final grade (6" from siding) ? Pemtanent steps (garage) Permanent steps (main entry) Permanent driveway k/ Permanent gas ? Sod/Seeded grass TraiUcurb damage ? Porch Basement finish V' Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shufoff of water supply to the outside lawn faucet before freeze potential exisfs. Contac[ engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. White - Ciry Copy Yellow - Resident Copy Pink - Contracror Copy e d 65 20 8 ' dm?:aa ?- Gc)ov-o?d ?p Pequest 0[e frt< No I Rough-in Inspecimn Faqwrad+ u,p?eatly Now ? Wtll Nohty Inspettor R d + " Wh es ? No en ae y I )ticensed contractor ? owner hereby request inspection of above electrical work af ' Job Atltlress (SVeal Box or R re No ) ?,'y9a ?J /-L,i bty je?? 17-,4) Section No. TownShip NBma or No. R9nge No Coun /I /AY Occupa ? PRINT? Phone No G?B?z?oo c..src.n 7e?ti? •?r,? Pawer ppirer Atltlress /?Ko1n E?A?CV-'.C Fl?z°rniNC rrl-> Elecv.c Conlracmr ?COmpeny?NamB) ,?s?s ec? , ? az,v ? ConfractorS License No.?? c ??y?? Maibng Atldress IConh clor or Owner Making Inslallelionl ' / /? ox ?Ya?G P G? !//?-GIL V Au[hor &gnaWre I nhac 0 ner Makmg Ins[allaLOn) PM1Ona Number 9.53 - ?? MINNESOTA STATE BOARO OF ELECTflICITY THIS INSPECTION REOUEST WILL NOT Grigge-Mltlway BIEg. - paom S-173 BE ACCEPTED BV THE STATE BOARO 18E1 UnWeralty Aw_ SL Feul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(61E)66bOB00 ENCLOSED d_.US 6 20 REQUEST FOR ELECTRICAL INSPECTION ? See mstructions for cWple0nq tFii lorm on pack oi yellow copy "X" Below Work Covered by This Requesf EB-00001' ? 6 a ew Add Rep TypeofBUilding AppliancesWired EquipmentWiretl Home Range Temporary Service Duplex Water Heater Electric Heaung Apt Bwltling Dryer Other-(Specity) Comm./Indusinal Fumace Farm Air Conditioner Other(sVeary) Canirecror5 Remarks Compute Inspection Fee 8elow: # Other Fee # ServiceEntrenceSae Fee # Ci?cuits/Feeders Fee Swimminq Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps ACove 100 _ Amps SignS Inspector5 Use Onty TOTAL - - Irriga6on Booms ?(n? 12 Z P U Special Inspec4on "t=----- Alarm/COmmunicetion THIS INSTALLATION MAV 8E ORDER DISCONNECTED IF NOT Other Fee ? COMPLETED WITHIN 1 NTH f I, the Electrical Inspector, hereby Rougn,n oete ?L 7! certify ihat the above inspecllon has been made F,nai oe OFFICE IISE DNLY • This request void 18 monms imm ?//??/? ' REDUEST FOR ELECTRICAL INSPECTION 7S _ ?F 72- 557 ? Mgp1 ?? siry Ave. rRm. SIB728,'St. Paul, MN 55104 1? Phone (612) 642-0800, E ? 1 Q 0 Home Du lex A t. $Idg. Olher: New A ddn mmercial Indushial farm amod Reair Air Cond. d. Hfg. Equi . Wafer Hh. Load M mf. Other: D er Range Elec. Heat Temp. Service "X" obove the work mvered by this request ENer remaiks in fha space ond on fhe back of the white copy only. Calculafe Inspecfion Fee - This Inspeclion Requesf will not be occepfed withouf rhe correct fee: Other fee # Service Entrance Size Fee # Circui[s/Feeders Fee Mobile Home Park Stall 0 ro 200 Amps 0 fo 100 Am s Sireet Ltg./Traffic Sig. Above 200_Am s - Aba Amps Tmnsformer/Generafor MSPECTOR'S USE ONLY 70TAL Sign/Outline Ltg. Xfmr Alorm/Remote Confrol $Wimminy POOl I hare6 cem tha[ Ih eclr I inaMllahan descri6ed herein on Ihe dmes stated Irrigafion Boom RougMn Dana Special Inspectian Investigative Fee Final Dale .r THI.S INSTALLATION MAV RF O ROFNFD nI5Cf1NNFCTED IF NOT COMPLETED WITHIN 1 MO H. OFFICE USE ONLY This request wid 18 monihs Irom wLdalion da?pe prinkd in this bwa. III I II IIIII IIII IIIIIIII IIIIIII IIIII IIIIIII??O?B?? ?./;//?p?c? (Nv.rv_J II ?k 0 4 7 2 5 ? 5 7 8* PL E PRINT OR TYPE eq sl ?ote Raughin inspecnon reqmredz ? yes No Inspection Olher Thon Rough In eady N. 0 WIII Call ?Mou musi mil fha mspMOr when reody) Dare Ravdy I, licensed contractor El owner hereby requesr inspection of Ihe above electrical work at l06 A/ddress (S Ve ei, Bo x , yr Rovie ? Ciy Zip Code ? g ? / f / / Q (J ?U $ecnon No. Township Name or No- Range Nn fire No. Cwny Ocapa _ Phone No Pawer Sopplier Address EI col Conno r ICwn y Name) , Con cbr licensa No. Mashr l¢. No. (Planr Elecl Only) Moiling Addres acror Owae rfor ng Insiallat SS3?? AWhodz ig re Conh w Orv crfwmmg Ins lion Pho ???'JD05 OOIA-I 1 8/96 G7p BOCNI] CO - SEE INSTHIIGTIbNS ON BACK OF YELLDW COPY - AT ?i'??? QD REQUEST FOR ELECTRICAL INSPECTION eas-oao i- 10. See Instmctlons for completing fiis lorm on back of yellow copy. X" Be/ow Work Covered by TMs Request Ne Add Rep. Type of Building Appliances Wired Eqwpment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./lndustrial Furnace Other (Speci Farm Air Condi4oner Other (specdy) Conlractors Femerks: Compute Inspection Fee Below: # Other Fee f1 Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Am s 0 to 100 Am s Transformers Above 200_Amps ? Above 100 -Am s si ns lnsawors use oniy \ 1 roTAL Irrigation Booms Lt; j S eaal Ins ection AlarmlCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 ONTH I, the Electrical Inspector, here6y Rough-in ? o ? -?- ? ^ certify that the above inspection has heen made. ?Z oai? OFFICE USE ONLY This ,e4uest void 18 months hom hp:yeMeJT+- fChiSi? ?0-990 k? ? Y??6 ? ? 4 /0 v P quest ate Fire No Rough_In Inspaction Required ther Than Rough-In Inspection O (YOU m st call inspector when reatly) ? Reatly ?Wtll Nottly Inspector Now Ves ? No ?ate Reatl I? licensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (Sireat, Box or Route No.) Ciry -/ ?l?9l?,iy, i7'- ,'`'" Sechon No Township Name or No Range No Counly ./?v.eo r„al Occupan[ PRINT) Phone No O s<.f?- y? Power Supphar Adtlress 07? e7"?'?C Elaclncal Contrector (COmpany Name) Comractofs License No Mailing Adtlress (Contractor or Owner Mflking Installation) AutM1 3igneture (wner MaWng lalle n) Phone Number MINNESOTA STATE BCARD OF E TRIdTY Griggs-Mldwey Bltlg. - Roam 5-128 1111 11111 111 111 1111 11111 111 1111 111 11 11111 1111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD 1821 1lniverelty Ave., S4 Paul, MN 65104 1 UNLESS PROPER MSPECTION FEE IS Phone16121642•OB00 ENCLOSED RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Canstruction Rauuiramenb . 3 registered sAe surveys shawirtg sq. ft. of lat, sq. R of house; and all rooFed areas (20% macimum bt coverage allowed) • 2 coqes of plan shaxug heam 8 window s¢es; poured found desgn, etc ) • 1 set of Energy Calculations • 3 capies of Tree Preservation Plan if lot platted after 711193 • Rim Jorst DeWil Options selection sheet (Mdgs vrilh 3 ar less units) DATE ` I b'(2- _ Water Softener _ Water Heater No. of Baths SITE ADDRESS N• M'4 LL^'d MULTI-FAMILY BLDG _Y ! V TYPE OF WORK AC""- - S' A%-- FIREPLACE(S) ?01'0 '-1 _ 2 L.?: t ed ?; r'y APPLICANT AM ?-:?•?--- Is v •L,,/ -'?- G Tiw?7a-s STREET ADDRESS ) 22 y 7 ???.LL,7 ^4,? S° CITY g?ri-?r u? STATE It- ZIP 55337 TELEPHONE # 4?c - '7" 6 y fS CELL PHONE # FAX # q,r-?22`2642t?10 PROPERTY OWNER v s? A F S^- 6ri- TELEPHONE# y$2" 1/y9° ----------------- ------------ --...... -------- ----------------------- ------------------- -....... COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'PA RULES 7670 C;,TLGORY t MINVI:SOTA RliIS:S 7672 (J submission rype) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submittetl • Energy Envelope Calculalions Submitted Plumbing Confractor: Plumbing system includes: Mechanical Conhactor: Mechanical syslem includcs: Sewer/Water Confractor: Air Condiuoning Heat Recovery System Phone # Phone # ScP 1 0 2002 D ----------°-----------------°----------.....-°-----------------------------------°--------------------°-------------- 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 Appltcant Da 1 °^ OFFICE USE ONLY RemodeVReoair Reauirements . 2 copies of plan • t sel of Energy Calculatrons for heated additions • isitesurveyforexterioradditions&decks . Indicate il home served by septic system for addiHons VALUATION `? Phone # _ Lawn Sprinkler _ No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conetructbn HeauiremeMs • 3 registered sNe surveys showinp sq. fl. of bt, sq. ft. 01 house; and pq roofe0 areas (200/o maxinum bt cove2ge albwed) • 2 copies of plan showhg beam & window sixes; poured found deslgn, atc.) • 7 set ol Energy CalCUlations • 3 copies ot Tree Presenation Plan it bt plaBeA atter 711/93 • P'vn ,blst Detail Optbns selection sheet (bldgs witli 3 or less untls) DATE q -b "6z (??. ?5 Remadal/iteoalr ReautremeMa . 2 wples of plan • lsetofEnergyCakulatbnstorhealedadditions . 1 srte survey for e)Aerbr additlons & decks . Indicate it home served by septic syslem tor atlditrons VALUATION t '"` A-15• vU SITE ADDRESS ?Li 9 o rJ mA LL"}'°? Tr?; L MULTI-FAMILY BLDG 4,/Y _N NPE OF WORK ???? ° FF ` { R,_ 2o?r FIREPLACE(S) _ 0`"1 _ 2 APPLICANT ? American Building Contractors ' - 12247 Nicollet Ave. So. STREET ADDRESS ? Bumsville, MN 55337 _ STATE _ ZIP TELEPHONE # 952? 7 a-7: jl2j YyCELL PHONE # FAX , -- , ? 6ft PROPERTY OWNER T° 6 ? 57A FSO r' TELEPHONE # 4-1 S 2 - `/ `/'F ° ----------------------------------------------------------- --------------------------- -------- COMPLETE THIS SECTION FOR aNEWn RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Workshoet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Conhacror. Mechanical system includes: Sewer/Water Contracfor. Phone # p ? ?F?e: ? $90 ? SEP 0 9 2002 I? I hereby acknowledge that I have read this application, sTate That the information is correct, and agree to comply with all appticable State of Minnesota Statutes and City of Eagan Ordinance?a`^r Yi C? Signafure of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 _ Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Phone # Air Conditioning Heat Recovery System ?.? %? *******?************?*??****?********** CITY OF EAGAN CASHIER: JS TERMINAL NO: 679 DATE: 08/30/00 TIME: 08:45:12 ID: NAME: TONIA V OR THOMAS E GUSTAFSON 3210 9001 4490 N MALLRD T 60.00 2155 9001 4490 N MALLRD T 0.50 Total Receipt Amount: 60.50 CR136640 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cinr oF eacaN 3830 PILOT KNOB RD - 55122 ct? - C) ? 851•681-4875 (?U a? -0 ? New ConihucHon Reaulremenh Rgrt?odel/Reoalr Reaulremenh > S registered sIh aurveys 7howlnp Sq. H, ot lot, s% fl. 01 house and 1 roofed areas (20'16 rtwximum bT covemae allowetl) > 2 coplea of plana (ahow beam & wlndow slzea; poured fnd. deslgn; etcJ > 1 ael of energy calculatlona > 3 eoplea of hee preservaMon plan B Id plaHed mter 7/1 /93 DATE: tS?° 2? - 4!?, `." DESCRIPTION OF WORK: STREET ADDRESS: LOT: I C) BLOCK: k SUBD./P.I.D. #: Z L Name: Pnone u: PROPER'fY Lad Ftr't OWNER Sheet Address: Cuy State:.?? uP: ,??`-? Z2- Company: Phone C _ (area code) CONTRACTOR Sheet Address: License # ExP• Cffy 2 caplea oi plan 1 Eei ol aneryy CaICWaHOns for heafed adcfiHOns 1 aite wrvey tor exteda additlona & decks CONSTRUCTION COST: State: ARCHITECT/ ENGINEER Company: Name: Teiephone #: ( ) Streef Address: Regishaibn #Y: CRl State: Sewedwater licensed ptumber (if installina sewer/waterl: Ph°re #: Zip: Zip: I hereby acknowledye ihat I have read this appllcaNOn, date Mxit the infortnaMon Is cortect, and agree of Minnesota Statutes and CHy of Eagan Ordinanees. ? Signature of OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ' Tree Preservation Plan Recefved _ Yes - No _ Not Required wMh aU applk:able Slafe RECE, IVEY? AUG 2 9 2000 BY:? OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-piex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-piex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex M 18 Deck Ci 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Pibg _Y or _ N ? 25 Misceilaneous ? 06 04-plex ? 72 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE 31 New ? 36 Move Bldg. ? 43 Reroof t] 32 AddiUon ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code _QL No. of Units _L No. of Buildings Const. (Actual) S- (Allowable) UBC Occupancy - Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building -141L Engineering sq. ft. sq.ft. Footprint sq. ft. Census Code MC/E5 5ystem City Water Booster Pump PRV Fire Sprinklered Variance ? 31 ExtAtt-Muw ? 33 Ext. Alt - SF 0 36 Multi 41-3 ?/ Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total Valuation: SAC Units % SAC coI„a o (NOINEEIIS ?E rint?,r?ans ond lI1ND 3unvEVOns ?INEEtitNG COMPANYE INC. - 1000 EASi 146111 5111EE1, BU11115VIllE CvS r?M DESi?,t/ ?v',2E6 111INEk # SBB9. ?/ ':: BK, /96 ?`t?... P6. 64 M11711E301A 95537 I'll 132'3000 CERTIFICp?TE OF SURVCY al Description: ? SCALE : 1' = 30' 3o FT. FRdNT BuILDiNG SETB4CK L 1 NE 25,00 ? ? i -)- / I 1?) Y5(.,7) Hva 957.67 Jr 84'' 30' aj mu.,oa 146.1Z E g ? (958.5 --1 mzB.cb g!D )56.6 ? YSB.s? I N`B= 9sz.99 -? ? 22.33 MN g ? ?-•?? ? 8 ?--- i --a O ?? 5 Zks S. lo•o 2.00 ? /z67 ?53.2i rt) ? - - li.uo , -. ; I3?3a ?° t? ? I ?56. } 1.00 41 h N? ?658S ? 1'`\ • ?, u?, ? I = ° °_ '? ' sr.a? \ \ , ty q o `" I i ?= zb.ao I'o- V ;958.} w 35 ??? 10 -? 122' 8 QQ? OR411(14667 ANO q2 yc,.59 !/T/UTY E"ASE,IIENT b R E VIE ? d H/r' P¦R.V. P? L Ci ?''L_EFXGAN YNGINF.ERINl3 I;Li hereby cerl-ity iliat this iy a Lrue and corYe`pr9eeatliB o?raay of ,iicl as sliown ancl Q19criUec3 liereoii. Ae pPared by m ?u.z y , J 111nn. Reg. 14o. 608 ____---- _ DCNOTES EXISTING ELEVATION ( 958-5 ) UENOTES PFIOPOSED ELEVATION ? INDICATES DIRECTIUN OF SURFACE DRAINAGE 59 B. 83 = FINISIIED GARAGE FLOOR ELEVATION 951, /Z = BASEMENl" fLOOR ELEVATION 959, 16 ? TOP UF FOUNUAfION ELEVATION gE,,icW19j4RK : FiRST HYO2°-vr Iu02rH a.vIWAu.96'o ORruE wEST cw d9.9GG4.Q0 T.zAiL No,PzY. 7i6S' = 956.54 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: LoT: se BLOCK: 1 APPLICANT: 4490 MALLARD TR N DESI6N BLDRS THOMAS LAKE WOODS (612) 688-2600 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW BUILDING 021692 08/10/93 INSPECTION FOOTING .. . FRAMINO .. INSULATION FINAL FZREPLACE REMARKS: S&W CONTRACTOR - ? PRV 7 I CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Datelssued: )-- ? ( %J BUILOING 021692 08/10/93 SITE ADDRESS: DESCRIPTION: 4490 MALLARD TR N LOT: 10 BLOCK: 1 THOMAS LAKE WOODS r •? _ Buildi ngL;Permit Type SF DWG Ouild3ng Wo,rk Type NEW ''UBC Occupancy\ R-3 M-1 ? Construction Type VN zon3ng ?» R-1 > ? Building Length ? ? 6uilding Width ? L J . ? ? , 60 42 ? I_I I L REMARKS: S&W CONTRACTOR - FEE SUMMARY: Base Fee Plan Review Surcharge SAC sac % SAC Units Subtotal VALUATIOM $821.50 $533.98 $76.00 $750.00 iee 1 $2,181.48 PRV $152,000 MISC FEES Total Fee $1,744.5@ $3,925.98 CONTRACTOR: - APPlicant - sT. Lxc. OWNER: OESI6N BLDRS 16882600 0008547 CUSTOM DESIGN BUILDER 1498 BLACKHWAWK IANE 1579 MALLARD DR EA6Atd MN 55122 EAAN MN 55122 (612) 688-2600 (612)688-2600 I hereby acknawledge that I have read this application and stete that the 71Z rrect and agree to comply with all spplicable Stats af Mn. of Eagan Qrdinances. L - SIGNATURE ISSUED :SIGN RE f _?? REACTIVATE ? CITY OF EAGAN PERI?1Ii #1993 BUILDING PERMIT APPLIC?ATION L-.) L 3 0 19 93 681-4675 3?? ??? --- ---------- 0-A&Z e/ / o SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. 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. 4 1??0 Date Valuation of work /9(2 S' Address: LI q fti M ?.l I I Q n& A CCx;;,? !V ( STREET SUITE K Tenant Name: (commercial only) IAT -Z - BLOCK I SUBD.? l.. kXx?Q? P.I.D. N Descri tion of work: The applicant is: f? Owner ? Contractor ? Other (Deceribe) Name U C?.v+-e_r Cg I`C?R ?i Phone Property LAST FIRSi ' Owner pddress 4S7i 121a /larJ STREEi STE N City e&40r/1 State GLlliU- ZipS_v/ Z ? ? ComPanY ` ? ? ? Ck" e'r Phone nk_?'-Z'600 Contractor Address /.5/'7/0 /y/C? lllc°?r.l 'r License # ?'A0OSSy7Exp. City T' ?eCD l r'? State ,412 vl J Zip S?-i2 ? Company r, ,n P r? r _ Phone ?(SF? Arch(tect/ Engineer Name Registration k Address 3 y 35_ City '? cq--ya CN State M L1 i. Zip ? Sewer 8 water licensed plumber ??f`vLS ?,IP?rJa??n4 . Processing time for sewer & water permits is two days once has been approved. I hereby acknowledge that I have read this apPlication and state that the information is correct and agree to comply w th all applicable State of Minnesota Statutes and City of Eagan Ordinances. - Signature of Applicant: 'q_ A 42n:?? OFFICE USE ONLY • s BUILDING PERMIT TYP E ' ? O1 Foundation- ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement finish ?02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool 'D 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility O 21 Miscellaneous WORK TYPE R-31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INF ORMATION Const. (Actual) Y- N Basement sq. ft. MWCC System (Allowable) y_N • lst F1. sq. ft. City Mater Y UBC bccupancy R.3tq_1 2nd fl. sq. ft. PRV Required Zoning p Q,1 Sq. Ft. total Booster Pump d of Stories Footprin t Sq. ft. Fire Sprinkler Length GO, On-site well Census Code 1oi Depth y 2' On-site sewage SAC Code ol y? APPROVALS C?.?su5 ??{ i Planning Building Assessments Engineering _ Variance REOUIRED INSPECTIONS ? Site ? Wallboard 0 Footing O Final ? Framing ? Draintile ? Insulation [3 fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W 5urcharge Treatment P1. Road Unit Park Ded. Trails Ded. Lopies Other Total: SAC 76 ? SAC Units v.twcia,: S IS`2l OOc7 6qRAG,E: 32 )c Zy ; '76$ 4x( zkt) Z?r2= ?2 4? IiSM7', 720 X 1 L= I I 5Z? Z a x 2s :; 78W Zx/o,b7r(2I) /x9= 5 .ZX6= l2 l'?tx7= In ew - 32y ?---?-?' . I?y2X?s= t sT FLQ2a,; [!?smTc 1142 X94 = 2N 36 ?-I ???? CONSVITINO EN61NEfRS AQ BE, Pl11NNE1{S ond IAND 3URV4YOIIS P lEtioiNCERING COMPANY, INC. ? 1000 EAST 1461h STREET, CusroM 9E916Av %a. GRE6 ??`1NE,e #5889. D/ BK /96 <,,. P6. G4 BUiiNSVIILE, MINNESOTA 55337 PIi 432'3000 CERTIFICATE C)F SURVEY Legal Description: SCALE : 7' m 30' I>AKOT? COUNTY M/N?i/ESO729 ? DCNOTES EXISTING ELEVATIDN ( 958,5 ) DENOTES PROPOSED ELEVATION ,_.,.---- INDICATES DIRECTION OF SURFACE DRAINAGE 59 8. 83 = FINISHED GARAGE FLOOR ELEVA710N 95/, /Z = BASEMENT FLOOR ELEVA710N 959. 16 ?. TOP OF FOUNDATION ELEVATION 00 BEn?Ch?/?7AfZK : F/RST 11Y024NT NO,QTf1 0A11W4Ll?9,eD OR/liE wEST Ac /Y/ALC/J.PD JXA/L No.e7X! 7Nf/ = 956.54 3p FT. FIZONT $VILDlNG SETB4CK L ! rvE • -?- L_?_? ? ,? H?g -957.67 S 8¢o ? ?Zb,ao . 146. lZ ? v ? ? N ? ? 1!S I 1 ? o • I ??S6.ZF? u ? ? I ?y56.5?i : > I - 1 ar „ 0 A1 ,1/ I `J, lo 1 I i?y ' ~a m2&cb '???• 3) ?? g 22,33 ?56.?` ? ?.. 7 17,67 3.2) I r Iz.oo ? _J A\ O 'IJ ?9sr.0) ?l=.oa o y ??-- , ?, .? Z ? ?.vl 356.i, ? (958,s? I ? X ? y451 N / ?22?g ?8 ` qA7411(146E" ANd r?,q2 qyy.yq , I bq ? ?? ? 117-IL1TY ?9SE/yIENT .? 1 ( i t p ? W?i ???; ; ;,;_.: . ,. 0 0 ? ?; ? ? . _. . EPeGIdIq YzNC?IAIEERIRIG DEFT I hereby oertify that tiiis is a true and correct representation of a tract of land as shown and described hereon. As prepared by me this 29 7N day of ,,)vz,v ? 19 93 ^/?il?'r 1???""? Minn. Reg. No. 60 v ?? ' ' LOT 6DRVEY CHECKLI6T FOR RESIDENTIAL i? . • ? BUILDIN PERlSIT aYPLICATION m PROPERTY LEGALt ?? ? Date of 8urvey: ? / ZT f 9? ? ? DOCUMENT BTANDARDS IIL1 0 • Reqistered Land Surveyor siqnature and company p? 0 0 • Building Permit Applicant 0'?D 0 • Legal desoription 0 9- - 0 • Address 0? D D • North arrow and bar ccale p?'? ? • House type (rambler, valkout, split w/o, split entry, lookout, etc.) uy?? ' ? Dizectional drainage arrows with slope/gradient $. 0 B-- ? • Proposed/existing sewer and water services D- 0 D • Street name C?--0 ? • Driveway ELEVATION6 Existinv G Cr- ? • Sewer service D, ? 13 • Lot corners D?-0 13 • Top of curb at the driveway D[Y ? • Elevations of any existing adjacent homes proflosed LI?-O ? • Garage floor ? 0 • First floor ? 0 0 • Lowest exposed elevation (walkout/window) % ? 0 • Property corners :a--0 ? • Front and rear of home et the foundation ONDING AREAB (if aDDlicnble 'Ll 0-'0 • Easement line 0 ? 0 • NwL o ? o • HWL ? D? ? • Pond p designation D D 0 • Emergency Overflow Elevation DIMENBIONB Ol0 ? • Lct lines j 0 D • Right-of-way and streei width (to back of curb) /? ? • Proposed home dimensions inclvding any proposed decks, overhangs greater than 21, porches, etc. (i.e. all strvctures requiring permanent footings) ?0 0 • Show all easements of record and any City utilities within those easements I'? 0? • Setbacks of proposed structure and setback of adjacent existing homes D 010 • Retaini?y-w' -lre irements, if any Reviewed: ! N me / D e October 1992 E124523E59 J"IJ'L - 2 0- 9 3 T U E 8 7 2 T P L A N C O%'I N S U R A N C E O F F I C E P_ 0 1 ? HINNF.49'?,'J1 A'1'?,•i'N ?NERGY CQDFJ CA1.CU[.ATIO % . • BA9ED QN CtiAFTEIi 5,OF TIi6 , » rdopt on st[eqtive ' --..phone_ Date &ite contraator C.-u`2 / QM ? i ir????:?? v,y„??yr???r??.? Bullding clagelLlaatiorit Typa,X1 (81,ngle Family 6 Type 1?3 (Residentinl+ 3 stories or,leaa) (Over unmaI _emnlete oeags? pY1d ,9 P rg?•' puplax)*? 3 stories) (other) OP+ E'AAL YNEQB}??TrT„Q!1 ?Fj W , ? 1. Building perlmetex, Gi I ??0" [ti. , : bl 2. Wal,l height (ground to eava) et• ' 9. 1, x 2. (abave) qxonii',well acaa,. pq.ft. 4. Buildi.ng dlmensiane (L} "_--?X (W) f p ?sq.ft.rooP G tloor area g, Sq. Soot sren ot rim jolet - rIQ?or ja st eiae (a ' [v g IPerl?meker) a •?T 5eq.Pti. 6, pooYa ^ 1?rea ? ? p Thiakness_ Type o! Co Manutsatur ? 12 • lr? U. lactorI?'+,-,? ! :r?cti ?n Perimeter fk. 7. Totel door'e perlmeter ft• 8. Windowei Hanuta taraz T`Btate apprdved. U lsotor . ?'?? , TYPS • 9128 . , AREA (Bq. Fk. ) NUMBER oF • TOTAL .'BACII UHITB dQ FBET 9, Tokal aq.ft4,Utla09;' ? ??i? r . ? 10. Firaplsce aress . Wl.d,th X,!leighti eq.et• , il. Bxpaeed Poundationt;,ite3.ghE X perimeher.„j4._X,.,P"'eq.ft. C06IPLETION OF TIII9 FORM Iig REQUIRED FOR ALL IiEi9 CONSTRUCTIOII, MAJOR AEti00EL11I13 XNU BIIYLbXti43 8E711A }iOVFD WttEHE ENERGY t OTItER R'11A11 TfIF NirlTa[, ? CODB 1?I.LOWhHCE, 19 MO. J ? ? J L- 2@- 9 3 T U E . . ? • ' • ' P . 9 2 ff!_!f 1 TII..Y?11`C?(2_?.T.TI!'`6?EC?Lp4YR LUR ' ii Vt?C.U? CIIO ' CETGT110 l .AIrlFllm p,}qi_, Inautal:lan ?,'?I'.D A 4ofaL• s celling Q,gs „ i 1_____? 1? I r r I 1 m , A,.b L_ -?IID .-Tat,alA fl. r_„!? {ilndaW lntllkrarlon 0,8 alm/llneql Raot,of craals paeldankLel doar lntllkcatlon 4,6 a!m/aquare fact or'docr and mint?xiuro nocSa rayulramaok Ilan-Kealdaptlal duor /nllltxprlnll 11.0 aCm/1lneal [oot o! araclc tip 1319 aanoxate binak no lnsulatlan p .47 it 2,1 11q la" aanaraka binok Inaula?ad aoras w ,x4 Ii 3.8 lih »', llqhkwe?ghk block 0 632 Il 9.1 Uq 1211 llc?hkwa gi?k bloak lnnulata4 aarop m .12 11 6.3 • u qlnyla glnaa M'i9ty1-wlkh skaru wlndoN .d4 tt do4hla glaea M ,69 u ?"rlpin glaaa •+ 141 ' A1I axkaxloe walle and aalllngat mueC hhva p vapor borrlar (o,lo perm Vapor bnrKlar muak,ao on khq J q1clq 1I?eake alclo) og wall. YpP°r barriare at thn polyekha?aqa khtn tl?m bnva na 11 valiia. ? . , . ! . . ' .? ? B:? 8 P L q M C O? I N S U R A N C E O F F I C E J U.L'= 2 0- 9 S T U E 8 : 3 0 P L A N C O i I N S U R A H C E O F F I C E P_ 04 12, p'raming area p iat oe groeq wali area ? 1?- I-VS-6 15, QrOe6 Wall area r Window erad A u? . eq.lt. Rim joiBt area r25' gq.et poor.,area A '-L,. A _mq. Eti. ''.otbex doore area A&?) sq.tr, Expaeed tndii A__I?' eq,lto ,Framing area , Ner 'wall area 7??? z .,?q???? . sq.Ek. U WiridAWn m `L,.? u rim jol.stm40-9:::14-1 U door nrea- 1 4 U oEher doare... % 7 U faundation--jol? U Rxaminq area=-1-0 u wallp_ . (042! . UAA A 3A ux7? • ?? UxA - UxA UxA UxA Ux11 (136) TOTAL . . . . . . . . . UxA 14. Croee wall prea X 0.11 (A-1 gingle famS.ly 6 duplex) d allowable UxA/Code (1J, a}x)ve) x o,aa (7?-2 okhar Kesidentlsl) . , x .aa (otltier buildinge) x ,29 (Ovar 9 otvriae) _, i 1 _ 2,Q? ?TUtI muet be largar than or eame A x U Code p?,?L i OF, ne 199 above 159 Ce1ll,ng framing era4 (At) eqUala 101 ae oelling area 15h. arose ceiling area ? (L) ? x (W) aq.Et. 188. Joiet area (A f) • lot oeiling area p 706' sq,f t. 15C. Net aeiling area (AC) (181? - 169) a oZ *±?sy,ft, U ceiling x l?c • 1C./L?L.. x. U'7.7r a ZZ-' U craming x Af ?.?? x•r?ZYj ., 15D. 'fOTAL U X A..???.?....??.???????..?????? ?.7 • 15. Ceiling area (15A) x 0.026 (J?-i oingle tamily & duplex) a ellowabie uxA/cpae x o,o33 A-a other residenkial) x O.p6 ?4ther) A(15A)?x U?ode? d? e? ofiUiI muat be larger then or eame F. ss 150 abave NoTEt Uee U and A voiues obtained from pagea 1, 3 snd 4. CEBTIE.I?LTIQdt I hereby aerticy khnr 2 have calculsted the "U" lactare and ''R" valuee hexe,lq end thst the building hera deeoribed meets ar exaeede the sCnte oF Minnegota &nargy Coniarvatl,on Aot, . pate • 9 gnature 1 y L= 2 0- 9 3 T U E ..,y,,,.,?r: ,r„ ?.._.+..?,e:.?..: r.'.4'•v :./..., . ,.. ) #. O F F Z C E -AQ,L-ArA P . 9 S - `I??N? / •I •r, 17 ,,••- LL ? ; . I ' ? LL- ! ------???? ?' s ,A ? ??_?_' . a z 64f> + p ? L -2. Z?o + A ' B /v ? ]1 i ? - ? , I B: 3 1 P L A N C O? I N S U R A N C E " `? . 4 • , PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMTfS ARE REQUIRED FOR EACH UNTT. SITE NO. ? ? ? ? -? -? SHOWER WATER CLOSET BATH TUB LAVATORY KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • minimum • ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • Dewcry. uc. U.G. SPRINKLER • home under consi. ALTERATIONS • to aestin8 WATER TURN AROUND STATE SURCHARGE TOTAL: F OWNER INSTALLER: CTTY: PNONE #: ( ?-??' ? F.ACH TOTAL 3.00 3 3.00 ? 3.00 3.00 ? 3.00 .3 3.00 s. 3.00 3.00 3 - 3.00 -?. 3.00 3. 1.50 `?, ?;-u 5.00 15.00 3.00 15.00 15.00 .50 .? " cf2 ? STATE: ZIP CODE: 1993 PLUMBING PERMIT (RESIDENT74L) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTfS ARE REQUIRED FOR EACH UNIT. // NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE ? FEES FiVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BT'U GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ?. 0-6 ADD-OIv'/REMODEL (ExISTiNG CONSTttUCI'ION) $ 15.00 STATE SURCHARGE 50. / TOTAL ? ?•'? STfE ADDRESS: 4 T?d p ., 4vE OWNER NAME: TELEPHONE #: ...? r.- INSTALLER: A/C, Inc 12481 Rhode=island Ave. So. ADDRESS: cavaaa rt;? 5537$•1122 ?8 9?-0005 - CTTY: ' STAT'E: ZIP CODE: TELEPHONE #: ?- SIG U OF PERMITTEE , '.? a 1993 MECHANICAL PIItMIT (RESIDEN1zAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 REACTIVATE ?,,j, ; ? CITY OF EAGAN PERMIT i ? °°°V?? 1993 BUILDING PERMIT APPLICATION ? I-' LQ C 2 7 1S$3 681-4675 ? -- -- - ---- ------ SIN6LE & MULTI-FAMILY 2 sets of plans. 3 registered slte surveys, 1 copy of energy calcs. , COMMERCIAL 2 sets of archltectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last rorking day of month. ed or 3) lot change is requested once permit h dd i ang ress s c in which request is made, 2) a is issued. Date Yaluation of work /f/ /`, Site Address: , fTREET fU1TE M Tenant Name: (commercial only) ypT HIACK SUBD. I? (?JObt? N ' P.I.D. Descri tion of work: n The applicant is: Owner ? Contractor ? OS.I12P (Deaeribe) P?dZ) /D--vrel?Z Phone%? Property Name - LA57 FIRSi Pj 3-° -I'l Owner pddress /1,10e;)7 T'P SiREET ere r State ZiP City Company Phone Contractor Address License N Exp. City ` State 2ip Company Phone Architect/ Name Registration # Engineer Address City State Zip Sewer 6 water licensed plumber . Processing time for sewer & 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 licable State of ?innesota Statutes and City of ith all a l pp y w correct and agree to comp Eagan Ordinances. =1 S19nature of Applicant:L / OFFICE USE ONLY BUILDING PERMIT TYPE O OI foundation ? 06 Duplex ? 11 Apt./Lodging E3 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 Sf Addition ? 08 B-Plex O 13 Garage/Accessory 0 04 SF Porch O 09 12-Plex ? 14 fireplace ? 05 SF Misc. E3 10 Multi. Add'1. ? 15 Deck WORK TYPE [3 31 New ,0 33 Alterations ? 35 Tenant Finish ? 32 Addition O 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) UBC ?Allowable) ccupancy Zoning i of Stories length pepth APPROVALS Planning Fngineering REQUIRED INSPECTIONS O Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Uariance ? Footing El Final ? Framing O Draintile yay Q Insulation ? fireplace Permit fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Mater Meter Acct. Deposit S/W Permlt S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Lopies Other Total: valutim: $ ?S 00 , . , ... . < ?M 16 Basement-Finish ? 17 Swim Pool E3 18 Coam./Ind. O 19 Coium./Ind. Hisc. ? 20 Public fdcillty ? 21 Miscellaneous ? 37 Demolish MWCC System tity Water PRY Required Booster Pump Fire Sprlnkler Census Lode SAC Code Assessments SAC % SAL Units ii4yp CITY USE ONLY L ? O BL 1 , . ' SUBD. V"".' '(4, RECEIPT #: / 54 o;2-1 RECEIPTDATE G/?719-7 1997 MECHANICAL PERMIT (RE5IDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings o townhomes and condos when permits are required for each unit New construction Add-on furnace _ZAdd-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: ( //,?nv 16 /g971 FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL SITE ADDRESS: > > j? ILI, ' 14" OWNER NAME: PHONE#: 5c2- ONO INSTALLERNAME:???/????? T77/Z9??? PHONE#: -0D05 STREET ADDRESS: ??y?? ?n??? ?S?N/tL? T7Ue 5 , ciTV: Lqdaqt STATE: /+J ziP: o53'19 I NATURE OF PERMITTEE ?? IW?- 2007 RESIDENTIAL PLUMBING PeRmiT aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 , ?, ,? ; J; L, ? U Please complete for modifications to existing residential dwellings. AUG 1 3 2007 ?6o.oD, &VV Date 1 A? Site Street Address IZ p(? W ?? &dUnit # Property Owner Telephone #(?/ i Contractor c ..c ? Telephone #((¢p i) aay s'7?/ Address ? City State-/W/V Zip /d The Applicant is: _ Owner -ZContrector _Other New _ Refurbished Submit 2 sets of plans and MPC license Septic System Includes County fee _ $ 100.00 Per as-huilt $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water sofrener and/or water heafer, do not complete this section; move to the next section and check the appliance(s) you are installing. O?- _Septic System Abandonment Water Turnaround (add $136.00 if a 5/8" meter is requiLed) - _? Other: - ? 2( _ _ Water Softener _ Water Heater $ 15.00 new replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 $ `5VS a Total . .?_ I hereby apply for a Residential Plumbing Nermrt ana acKnowieage cnac tne uuunndLIUI I 1? ?o work will be in conformance with the ordinances and codes of the City of Eagan and understand this is not a permit, but only an application for a permit, work is not to start withoi accordance with the approved plan in the event a plan is required to be reviewed and ap (y,r? MD Applicant's Pr ted Nam Applican' nature c ai iu aww cuo, .... .,.. plumbing codes; that I ermit and work will be in 5il 7,)-- 2007 RESIDENTIAL PLUMBING PeRnniraPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 ni__,... ,. i..a,. s..? ......,ua; .,ti.....- viia +..., ?+i.... r ?irlon4i?l rlxniallinnq 1?? im,ua.vni?.?J IH I..?.................... icwwiuu a ricaacwni 1( 5 ? '/ /? ,, /,,r" S teStreet Address ?7 !0 ?l'°L/I Lr1 / • ! (.f?t/Ia?GI ?? ? ' ` Unit # e o /YJCL$ Telephone# (?ij5P t / O Proper y wner / ) Contractor Champion Telephone # ( ) 5-1134 Address ss?o e?, Rd *?se City State Zip , e The Applicant is: _ Owner & Occupant V-?Licensed Plumbing Contractor Refurbished Submit 2 sets of plans and MPC license New Septic System Includes County fee _ _ $ 100.00 Per as-built I $ 10.00 Fire Repair (replace bumed aut fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a building. _ Alterations to existing dweiling $ 50.00 Add plumbing fixtures to main level lower level. This fee includes installation of a water softener andlor water heater at the same time. If you are instafling onlv a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment Water Turnaround (add $136.00 if a 5l8" meter is required) Other: Water Softener V?Water Heater $ 15.00 _ new ?eplacement _ Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00 - $ 50 [State Surcharge $ 1sSO ., ,. a?ri accurata' that the I hereby appiy for a Residential Pwmbing rermic ana acKnowieuyG ti?a< 111? ?????u.?? ??• r•°-- --- - work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this 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 witt, tha approved plan in the event a plan is required to be reviewed and approved. .-. , ? 4_ , _ VAti.,, ,ta77/n, ? ? 7 70 Appfi anPs Printed Name ApplicanPs Signature r L ?---------------- i i -a ? Pertnit #. ' I ? Permit Fee? ? Date Received: ? I ? ? Staff: I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -roeA I L Site Address: 1V4&??1 Tenant: 7?/?D/21GS 4 usfa'FSOh Suite#: RESIDENT / OWNER Name: Sad" e Phone: CA.S/- `tS? -?I Y9d sC P L- W Address / City / Zip: Applicant is: X Owner _ Contractor TYPE OF WORK Description ofwork: Qe -16o it?- one S%c?P or Si?Q, ???j Construction Cost: 4$5 60 Muiti-Family Building: (Yes No ? CONTRACTOR Name: D SS ?X ?CY? or5 License #: a dt? a V 3 8 7 Address: ?? ? 5 ? • 9A S ?• City: /Yl%d!rlP?vo?i S State: ?h ZP: Phone: 6 Ia - 7?7- Contact Person: 10,421:?- 4461PrSOh 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 Envelope Calculations Submitted 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 and supporting documents fhat you submit are considered to be public information. Portions-of the informafion may be classffred as noa=publi'c ii you provide_specific ieasons fhaf would permit the City fo ' ° conclude thaf the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in wnformance 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 wdhout 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 1114,4? 1-- AhQ'PV.SO" X?_'?'il? ApplicanPs Printed Name ApplicanYs Signature Page 1 of 3 I For Office Use Permit City of Ea a~ _ l Permit Fee:J , ~J 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: l?D/~G S ~y 'f~ (Soh Suite `fS~ - 9 O RESIDENT/ OWNER Name: Phone: Address / City / Zip: 5 Lyr' Applicant is: X Owner Contractor TYPE OF WORK Description of work: 4!e O o ri e' S; d ' e' 5j' ra y Construction Cost: *3S bO Multi-Family Building: (Yes / No CONTRACTOR Name: D. £y fcr10 rs License a C' 4- a L 3 3 `l Address: q-A S' City: i yl it t'G D r/, 5 State: Zip: 5S'A/ `f Phone: 7(- 7-- `16 G U Contact Person: ,2& d.vl~ are COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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 they are trade secrets. 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. X 11141 4Q k 4-h 10K_-50A X e5 /tee _ Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA122781 Date Issued:05/19/2014 Permit Category:ePermit Site Address: 4490 Mallard Tr N Lot:10 Block: 1 Addition: Thomas Lake Woods PID:10-76100-01-100 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Thomas E Gustafson 4490 Mallard Tr N Eagan MN 55122 (651) 452-4490 Dss Exteriors 816 - 9th St SE Minneapolis MN 55414 (612) 767-4660 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156890 Date Issued:07/24/2019 Permit Category:ePermit Site Address: 4490 Mallard Tr N Lot:10 Block: 1 Addition: Thomas Lake Woods PID:10-76100-01-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Thomas E Gustafson 4490 Mallard Tr N Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature