4517 Mallard Tr SSEWER & WATER PERMIT
CITY?OF EAGAN
3930 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE 12, 1990
, r
OFFICE USE ONLY
METER # PERMIT DATE 06/21 /90
CHIP # PERMIT # 11465
METEH SIZE B.P. RECEIPT # C 8452
ISSUE DATE B.P. RECEIPT DATE C8%20C
_ PRV _ BOOSTER PUMP
4ITE ADDRESS .. ?3 Y d 1 r a 1 '
LOT _BLOCK - SEC/SUB `? ?aKe 4l..?.
APPUCANT: T"= c? ? ?a?e ?? t, i? t c: .
ADDRESS:
CITY, STATE
PHONE:
. ' ZIP
PLUMBER: ' -
ADDRESS: ' -
CITY, STATE
PHONE: ZIp
OWNER:
ADDRESS: -? ? '- --
CITY, STATE ? ZIP
PHONE: -
PERMIT REGIUESTED
SEWER _ WATER _ TAPS
COMM/IND _ RESIDENTIAL
NEW EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CRY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMfTS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eapn, MN 55122-1897
DATf _-June !'! . 1990
OFFICE USE ONIY
METER # ?437 56 9 '-/? PERMIT DATE 06/21 /90
CHIP # Q,/ /-C 3 ?7 S d PERMIT # 11465
METER SIZE s oc- J B.P. RECEIPT # C 8452
ISSUE DATE-3 - !ZQ B.P. RECEIPT DATE OE ZO 9G
X PRV - BOOSTER PUMP
StTE ADDRESS 3 ? - _ '.a 1 1 a r d T r a i 1
LOT -= BLOCK I SEC/SUB 1 jhoma S La ': ? C?I o c d s
APPLICANT: T-o.7as -ake Develcl,.: Ltd.
ADDRESS: 6b4`' Rl'- 5 r i c R o a d S. .. .
CtN, STATE ` ,- .&,'.te , •i , ZIP
PHONE:
PLUMBER: P.Lumbin:; & hea,:in.-
ADDRESS: Sout?:, Roberi. 1raiZ
CIIY,STATE itose.,Iount, ':Tnr ZIP 'bi>
PHONE: `'
OWNER: =hC!TtaD8L?.k.' I:t'v,21omtlctlC
ADDRESS: v648 l::3 s t 1= i{r ;i
CITY, STATE P'-'' '' r L3 -,: ii° ZIP _
PHONE:
, ,-
PLEASIk ALLOW TWO WORKING DAYS FOR PROCE;
SEMIER PERMITS, CONTACT ENGINEERING DEPT.
PERMIT REQUESTED
-X- SEWER .? WATER - TAPS
- COMM/IND RESIDENTIAL
k
- NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
-AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
-.7,?
SIGNATURE WHEN METER ISSUED
iSINCi. CALL 454-5220 FOR INSPECTIONS. FOR STORM
- ;
r
, SE°WER & WATER PERMIT
' CITY OF EA6AN
3830 Pilot Knob Rd.
Ea6an, MN 55122-1897
pATE ., -9Q
OFFICE USE ONLY
METER # PERMIT DATE 05 r 11 / 94
CHIP # PERMIT # 11464
METER SIZE B.P. RECEIPT # C 8452
ISSUE DATE B.P. RECEIPT DATE 06 2C' y`''
PRV - BOOSTER PUMP
SITE ADDRESS
LOT -BLOCK SEC/SUB
APPUCANT: - 'u::tay LaKe D@V8loprnetlt,
ADDRESS: - •
CffY, STATE ZIP . PHONE: - ' _
PERMIT REOUESTED
SEWER _ WATER _ TAPS
COMM/IND
NEW
_ RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: Credit WILL NOT be given for Deduct Meters.
CITY, STATE ZIP
PHONE: _
OWNER:
ADDRESS:
CITY, STATE ZIP -
PHONE:
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERAAIT
CITY OF EAGAN
3830 Pibt Knob Rd.
Epigan, MN 55122-1897
DATE 12, 1 y
-OyFFlCE USE QNLY
METER # V3 7-S (c 7a S PERMIT DATE 06 / 21 f 90
cHiP # lL?? d? 5/3 PERMIT # 11464
METER SIZE ?AOCk B.P. RECEIPT # C 8452
ISSUE DATE ' 3 d? B.P. RECEIPT DATE 9b Za 90
? PRV - BOOS7ER PUMP
SITE ADDRESS Ma ! 1 a r d 'i r a i!
LOT _BLOCK = SEC/SUB "u <aas 7..3 k e 4ti,oo ii .;
APPLICANT: --1otaas Lake ll;:velup?ent. !?td.
ADDRESS: .? •?
CIIY, STATE ZIP 312
PHONE: '; '
PLUMBER: - uea--Rvan plu'libiig & Heatiz,>
ADDRESS: 14745 Saut • :rai!
CfTY,STATE ZIP ?:5068
PHONE: 44
_--
PERMIT REOUESTED
.? SEWER ? WATER _ TAPS
COMAA/IN0 -- 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 AGREE TO COMPLY WITH CITY OF
OWNER: „no?na:, Deve 1 opmen [ Ltd. ` EAGAN ORDINANCES
ADDRESS: ?'0`48 F?u8 ciC c:oFci S
CfTY, STATE ZIP 5 5 -i 7 '
?
PHONE: 'SIGN TURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
SfTE ADDRESS - I = --.2:i t it i'
I
OFFICE USE ONLY
METER #
CHIP #
METER SIZE
ISSUE DATE
PERMIT DATE 06 / 21 / 90
PERMIT # 11463
B.P. RECEIPT # C 8452
B.P. RECEIPT DATE 06 24 90
2L PRV - BOOSTER PUMP
LOT ' BLOCK SEC/SUB 1':lamag La,te Wouds
APPUCANT:
ADDRESS: - - ' '
CITY, STATE . ZIP ; `
PHONE: - _. . _. ,.
PLUMBER: -c" ?-Ryan Plumbing & lieating
ADDRESS: 1-414:) ::in,.cit
CITY, STATE ,.T osT,.t.; , ZIP -'
,.
PHONE: ` .
OWNER: 1 1Omae Lake Developrient,
.
ADDRESS: 4 0 : •: . .. _ ? . s_.
CITY, STATE ZIP-?
PHONE:
PERMIT REQUESTED
SEWER _ WATER ._ TAPS
COMM/IND
'' NEW
.,•
•' RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
.J
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTtONS. FOR STORIYI
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEYyER & WATER PERMIT
C1TY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE •1 uLl e I"! 199
U
SITEADDRESS'152") Sout!1 ?
OFFiC USE ONLY
METER # '7-? ¦ ?? l' PERMIT DATE 06J21 /9?
CHIP # PERMIT # 11463
METER SIZE ?? B.P. RECEIPT # C 8452
ISSUE DATE B.P. RECEIPT DATE 06 2a 90
X PRV _ BOOSTER PUMP
PERMIT REQUESTED
LOT_BLOCK - SEC/SUB V"?omUs Lake ',-)oods
APPLICANT: i?C'.ve :c?e.lt
ADDRESS: o a c. . . . .
CIIY,STATE - ?or la7e, 77. ZIP??. 12
PHONE: `
PLUMBER: 'Jenz-Rya - ? l,u-r,U, . . Hea ?_ ing
ADDRESS: 14/45 50W=1Z l.o e Y C ra i
CITY, STATE ? ? s e ?no u n , ZIP . b
PHONE: -L .. - .
_ =+ -:
OWNER: Thomas Latce Developntent,
ADDRESS: L.• u szl_ c o a .. L.
rlor L ?
X SEWER n WATER - TAPS
- COMM/IND ,`_ RESIDENTIAL
- NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
,C- redit WILL NOT be given for Deduct Meters.
/ -
?+ i//Gxr.?'O&?"' /??'lr??r??
AGREE TO COMPLY WITH CITY OF
;AGAN aRDINANCES
Ci1Y, STATE 4 ZIP? ? J I _ . ? •".J& ?
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW "1'WO 'WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEYYER PERMITS, CONTACT ENGINEERING DEPT. _ ,_
SEVIIER & WATER PERMIT
CtTY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
.
DATE__ 4
OFFICE USE ONLY
METER # PERMIT DATE06/22/90
CHIP # PERMfT # 11462
METEFi SIZE B.P. RECEIPT # L8452'
ISSUE DATE B.P. RECEIPT DATE Ld LO v
sL- PRV - BOOSTEfi PUMP
SITE ADDRESS ; ;' ' ' "- ar d lr a i i
LOT _BLOCK ' SECISUB -ias ..a :c e o c5: -
APPLICANT: j ?aiil?s Lake Develoixnent
PHONE: PERMIT REGIUESTED
ADDRESS: CITY, STATE ZIP
- SEWER - WATER _ TAPS
COMMJIND
NEW
X RESIDENTIAL
EXISTING
' Lawn Sprinkler Meters are to be Installed
? PLUMBER: L:' u s?,. . J. i n; C, ?_? ; Ahead of Domestic Meters on Water Line.
' ADORESS: J?? ? i?F,- L ??. r?? Credit WILL NOT be given for Deduct Meters. ?'
CITY, STATE - ZIP
PHONE:
OWNER: ; F oriia L
ADDRESS:
CITY, STATE iZIP
PHONE:
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454v220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CASH RECEIPT ? CITY OF EAGAN
3830 PILOT KNOB ROAD ,
EAGAN, MINNESOTA 55122
DATE 19 -SL
aECervEO ? 1i ? ? ,' -
saoM
AMOUNT S ? 72
,oo
DOLLAHS
O CASH 3?1 CNECK
/`
?P-4 1 r? 1 Q-"? ??'? ;?;? .`•r(?? 1 .?-/ i 3
?o? , ?; ,? . ' -* 7
?c=f' ?3 t?,t;d.4.d. 7 • ? ?, /j? ? t ' ?1t ? 17 0 •
,?,? ? w ? ?I• 8P? ??o? S?.I .?119.
Thank You
J ?
BY o C $45en-
Whrto-Payers Copy
vauoW--Poeung copr
Pink-F'de (`,opy
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE . 1
OFFIGE USE ONLY
METER # 5(-3 ^MP/ 3 2 PERMIT DATE ?"' ' ? •
CHIP # ?ZILr{ PERMIT # 11462
METER SIZE S C? B.P. RECEIPT # C A+5 2
v
ISSUE DATE 20 9r
B.P. RECEIPT DATE () 6
.XL PRV - BOOSTER PUMP
SITE ADORESS 1 .%
LOT ? BLOCK SEC/SUB `?? c?}
APPUCANT: La:te Devc? 1oprne;i:: . _.td . -.
ADDRESS: •'? i: ?- CRoa
CI1Y, STATE ZiP ' 7 ?
PHONE;
PERMIT REQUESTED
- SEWER - WATER _ TAPS
COMM/IND _ RESIDENTIAL
NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: - 'Pl 'ut ??il, & t• ? L'i Ahead of Domestic Meters on Water Line.
ADDRESS: Credit WILL NOT be given for Deduct Meters.
CITY, STATE ZI P
PHONE:
I,,AGREE TO COMPLY YVITH CITY OF
OWNER: 4 -.1 ?_0 .),- : • ,;,:?t+Q ' FEAGAN ORDINANCES
ADDRESS: Rus t ic
CITY, STATE t=7''; ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ICLLO W TWO WORKING D AYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERM ITS, CONTACT ENGIN EERING DEPT.,?
:
.
, ; ,
.?. .. . . .? . ,_ • . +l'?. ,T . '?'. ' .. ' ' ' . '' . ' ? . .. , '
53
? ClTY OF EAGAN fi 184 12
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
WRMIT PHONE: 454-8100 Receipt # ol 9?5 ?
Gr .I (W 4 pUx Est. Value $"*ow DatO ium =s , 19 90
Site Arress
Lot Block
W Name
o Addres :
o Name '?'
?? Address
? Ciry Phone
Name _
Address
I hereby acknowlege that I have read this application and state that the
inlwmation is correct and agree Io comply with all applicable Stale of
Minnesota Statutes and_ Cityfof Eagan Ordinances.
Signature ol Permitee ? ?
A Buitding Permit is issued to:
on the express condition that all work shall be done in accordance with all
Building Oflicial
OFFICE USE ONLY 1
Occupancy t?, M- FEES
2oning ? 543.00
(Actual) Const ? Bldg. Permit
(Nlowable) -
5urcharge •
# of Stories ? ??QQ !
??
?- Plan Review
100.00 ?
Depth SAC, City
S.F. Totai -
SAC, MCWCC ??
S.F. Footprints - 625.00
0n Site Sewage _ water Conn
On Sile Well ? Water Meler
S? t?
? W
?-
Acct. Deposit •
a
? ?
P V Required Sl1N Permit _?
Booster Pump -
SNV Surcharge ?
?
?
Treatmenl PI
APPROVALS
Road Unit 355?
*
+
Planner
Co
n
il
-
park Ded. y
?
u
c
BIdg.Ofi. ?
Copies
Variance - TOTAI
. PermH No. Permit Hokler Date Teleplane #
WOTER O
r
SbVER
PLUMBING
H.v.a.c. o??OCo '75 5' a
ELECTRIC
Mapeetfon Date Insp. Comments
F?u?yg i
t
Foundation
Framirg
Roofing
Rough PIb9• ? ? `lL? ,C.YV 0.1
Rough Htg. ? 7 O 1
W. ? 3 - e s
Fr?l? ? v 1719
Fnal Htg. ? ? - i •
Fnal Plbg. - ? (
Cons1. Meter Plbg. Inspector - Nofily Plumber
Engr./Plan
Bldg. Fnal ??? ?s, ?C PC' s z' O
Deck Ftg.
Dedc Fnal
Well
Pr. Disp.
0..
jo.
Ttr#tfiratie uf (O.rxupartcy
Citp of leagart
arpwftrttt o# Woildiag ingpedinn
This Certifrarte l.uwed piusuaxt !o lhe ngrdrmunts ojSection 306 of lhe uniform BWilding
C)de cerlilyin8 tJrat a1 the time of i.ssuanoe tbis sm(dure xw In com,pliance with !he various
ord'rira?iGts of the CFty regulatiq buildWg oonsmtcriort or use\Fnr lhe fo!lowir?g?
uK CIRMTKaau. 1 dF 4 PIFx M?? r,,, 1 Rn 19
ooW."rYK R3/141 zookg amid COOr Vn
Owoc of Buld'mg UXMAS ?IOEL. Ad&. 6648 Ri1S7'T{R RD i, PRT(R T11KR
Buadi*Ad&= 4523 90[TIH MALIARD TRAILLjay Q. B3, IHQKAS LAi? WOCf16
POST IN A CONSPICl10US PLACE
Rm
mea,nAnNUwL. raKml I
` CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE 4548100
For
PERMIT # _
RECEIPT #
DATE: _
DATE
Site Address :fs-Z3fMl I I BLDG. TYP;. WORK DESCRIP)?
Lot Blodc . SeC ub ?S• -?'Z New Const.?L_
? Mult. Add-on
I Name Comm. Repair
-m - . Other
? I Add
? city
TYPE OF WORK
?
Forced Air ?.
M BTU
Boiler M BTU
' Unit Heater M BTU
? Air Cond. M BTU
-° Vent CFM
? Gas Piping Outlets # ?-
Other g
CommJlnd. ConVact Prke x 19'. g
PERMIT FEE:
? S1C:
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION) '
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS (INCLUDES GAS PIPING) - 12.00
GAS OUTLETS (MINIIIIUM -1 PER PERMIT-
NEW CONST.) - 1.50 EA. ,
COMMIIND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
MINIMUM COMMERCIAL FEE - 20.00 `
STATE SURCHARGE PER PERMIT - .50
(AOD $.50 SJC PE EACH $1000.00 OF PERMIT FEE)
?
O : CI a EAGAN '
CONTRACT
PRICE
site Address
Lot ?
CITY OF EAGAN ,
3830 PILOT IGNOB ROAD, EAZ;AN, MN 55122
PHONE 454-8100
?. ? ...- I aLoc. nre
Block ? SeclSub ReS' -'?&--
? CitY JKQ l?4Vd24[Y= Phon
Name T ?
? Addr sAL G ?
? City ?•?Y? C A?,? Ad Phon
FEES
COMM.flND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
,_TflV1ifi1HOUSE & 00ND0 = fi68 : RAT`E 0CE
MINIMUM - RE5IDENTIAL FEE ?
MINIMUM - COMM.INO./FEE
• STATE SURCHARGE PER PERMIT
(ADD $.501S1C PER EACH $1,000 OF PERMI
SIGNA E OF PERMfTT
: CI F AGA
PERMIT #
RECEIPT a
DATE: _
Ault. Add-on
'omm. Repair
)ther
RES. PLBG. ONLY - COMPLETE THE FOLLOWING;
NQ„ FIXTURES /- TOTAL
??VY ?
ater Closet - $3.00 $ C?,72 G
_ Bath Tubs - $3.00 -J?KC?? ?
- ? Lavatory - $3.00 ?
? snower - s3.00
?
? Kitchen Sink - $3.00
UrinaVBidet - $3.00 .r._ ?
Laundry Tray - $3.00
? Floor Drains - $1.50
2.00 Gas Piping Outlets - $1.50 ?,TU
).00 (MINIMUM -1 PER PERMIn
.50 ? Softenef - $5.00
Well - $10.00 -
Private Disp. - $10.00
Rough Openings - $1.50 1:5-0?
G. Sprinkler System - $12.00
i
STAMES SlC:
GRAND TOTAL: L7 -
-
feK.MYD_I.:...
5 ?
? O
!?
/ U
??p
?v?
v
?
. l.' "F•,•" . . r- `yw?yT ? ,, ?`v
• .
_
CITY OF EAGAN
`''-'`` 53
?.#?
18013
,. .. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDINO PERMIT Receipt
sb89000
:? I OF 4 PLEX
.?4
JOn
iS, 90
To be ed
fdt
Esl. Value
Dale
?
, 19
Site,Aidress S
O
LY
OFFICE U
E
N
Lot Block Sec/Sub. "-1
it-3
Parcel No. occuPancy 0
?- FEES
zonins ; 496.00
W Name (Actuai) const ? Bldg. Permit
-
? 6646
Addre (Allowable) ? suroharge
City Phone # or stories ? ?.
Length -- Pian Review 2006
SAM 3u
to Name oePtn - snc, eity
? ?
??
v? Address S.F.Total - SAC, MCWCC I
??
? City Phone S.F. Footprints - ,
?
On Site Sewage
_
Water Conn
W W Name on sae weu
? water Meter
-??
¢ = Address MWCC S?tem
?-
Acct. Deposil
-
=
a W City PhOne City Water
? .b0
PRV Required SAIJ Permit
I hereby acknowlege lhat I have read this application and stale that the Boosier Pump - S/N/ Surcharge ?
information is oorrect and agree to comply with all applicable State of Z5Z* - Q
Minnesota Statules and City of Eagan Ordinanpes. Treatment PI 335_?
?
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to:
Planner
-
Park Ded. ?
?
-
on the express Condition that all work shall be done in accordance with all
applicaWe State of Minnesota S tutes and City of Eagan Drdinances. Council
g?, pry. _ Copies 0
n'
Building Official Variance
- TOTAL
? ?
Permit No. Permit Molder Date Telephane #
WATER
.
SEWER
PLUMBING
H.V.A.C.
ELECTRIC Gi?'YOff 9 D ?
Inspsction Date Insp. Comments
Footings I
FoundaGon
Framing ?O
?
Rooeny v-3v
Rot* Plbs. 7-6 - Y4 ??.
Rougn M9. !D L--?4 ?D UJ -7-6 41f} - G (411
ls,l. %? z 990
Freplace
Final Htg. ?- - -C ?
Fnal PI69.
Const. Meter Plbg. Inspector - Notity Plumber
EngrJPlan
Bldg. Final z- Ds
Dedc Ftg.
Deck Fnal
Well
Pr. Disp.
8 *--+ • •s
(grx#if iratt ,arf (Orrupaury
Citp of (Eagan
Epprtnmt uf wuxiibmg jtrwrrtintt
This Carificate issued pursuant to the requirements oJSeclion 306 of 1he unijorm Buildisg
Codt cerliflzn8 tJrat a1 the tinre of turranm this sbucture was ln oompliance widi the various
onlinances of tJre C?ity regulaiing building mnmucdon or use For the follawing.
? cbmificlI6„ 1 OF 4 P? ? ? ? 18013
O-%pL-7' Z}P? R3/11 I zooin6 Distria PD rype C....d VN
0waetot0a7da? MOM LAKE MVEL• Lm. Am. 6648 ??C RD. SE,i-PRIOR LW
"Ad*= 4521 S. .MAUA?i.l 1R. Il+, B3, If?P27AS IAKE WIOODS
r
D? 6, 1990
auaa;? o?.?
POST IN A CONSPICUOUS PIACE
„. -_. ., A ,. , _,. ... .
PLUMBING PERMIT ' For Offi s?y 9niy ?
CITY OF EAGAN PERMIT#
CdNTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE PHONE 4548100 DATE: 14- Site Address 1 • n7AlL r19 BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Siib Res. New
Mult. Add-on
_ L 6 Comm. Repair
? Name Other
? Address ? • % ` ? ?
? RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
.9 City _ ??iL /?? /yI /V Phone NO. FIXTURES TOTAL
? Water Closet - $3.00 $
Name i J • ? Bath Tubs -$3.00
?
? Address ? ?,. 1,yf11z.c,,A0 C ? Lavatory - $3.00
•??? 41L, PhoneUY--2 Shower-$3.o0
? City /1
Kitchen Sink - $3.00 . Cv ?
UrinaUBidet - $3.00 a
FEES Laundty Tray - $3.00
COMM./IND. FEE - 1% OF CONTRACT FEE / Floor Drains -$1.50
APT RI IIr.?' _(;(1AA?ul ROTF OPPI IFC T W.ro. lannmr _ 4t 1 Ff1
rvniviivwm - nc?v?v I in? rc? y ic.w I_ %aas npmy vuunw -? i.aV
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 Softener -$5.00
(ADD $.50 S/G PER EACH $1,000 OF PERMIT FEE) Well -$10.00
,? i Private Disp. - $10.00
? v Z,??, / Rough Openings - $1.50
S1ONA URE OF PERMffTE U. G. Sprinkler System -$12.00
PERMIT FEE:
? STATES SIC: -? U
FO . CITY OF S?OAN GRAND TOTAL: ? Z :5-r)
MECHANICAL PERMIT For
. • CITY OF EAGAN PERMIT # _
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#
DATE . PHONE 454-8100 DATE: _
City
? Add
? CRy
Phone
TYPE OF WORK
Forced Air .!W-) M BTU $
Boiler M BTU $
Unit Heater M STU $
{l'+s Cnnd. M BTU $
Vent CFM $
Gas Piping Outlets # 1 $
Other $
CommJlnd. Contract Price x 1% $
PERMIT FEE:
S/C:
BLDG. TYPE WORK
Res. New C+
Mult. Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.Q0
ADDITIONAL SO M BTU - 6.00
(RES. HVAC INGLUDES A!C ON NEW
CONSTRUCTIOPI)
TOWNHOUSE & CONDOS - RES, RATE APPLIES
MIMIMUM RESIDENTIAL FEE - ALL ADD•ON &
REMODELS (INCLUDES GAS PIPIMG) - 12.00
GAS OUTLETS (MINIMUM -1 PER PERMIT-
NEW CONST.) - 1.501
COMMAND FEE -196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
EAGAN
INIOIOP.§?p
3
Lot
1 -?4 " =i;;:y:6sr11??, . .. .: - . . . . ?' . .. .
. ? . FT"?M
..
s
t CITY OF EAGAN""
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 `
PHONE: 454-8100
6 ?
BUILD{NCp PERMIT Receipt # ?
1 tflr 4
' PLBX
'??
;?' ? i s
?
?or ,
To be u Date
Est. Value 1 9
Site Atl ?ss
??
????E
USE ONLY
Lot
Block Sec/Sub. R
PBfC@I N0. Occupancy PO FEES
Zoning $ 61j*?
? Name (Actual) Const ? 81dg. Permit _
??
Address ('?1O1N??) - surcna?
0 amrs uAb 9e
3"•00
City Phone # of stories
6C-
PlanReview -
5ALIZ Length
?
T•OD
g Name oepu, ? sAC
aty -_
vt
Address
S.F. Total - ,
60r?OCI1
?
? Clly PhOfl@ S.F. Footprinls - SAC, MCWCC
- - - my.00'
Water Conn
?
On Site Sewage _ - ?
•
? W Name on sice weu ? Water Meter -
{
so 00
'
=
5? Address Mwcc s ?em
s"? ? 4
,
z ?? Depo5it
Q:
i W City Phone City waler 30.ap
siw Perm??
;
PRV aequired _ 0 50
I hereby acknowlege that I have read this application and state that the Booster Pump - 51W Surcnarge ?
1
intomiaiion is correct and agree to comply with all applicable State of 232 00
Minnesota Statutes and C?fy
qf E agan Ordinances. ----- Treatment PI
-
? •
Signature of Permitee
• %" r
APPROVALS 333
?
Road Unit
A Building Permit is issued to: Planner - park Ded.
on the express conditian that all
wofk shall be done in accordance with all
Council ? ?
applicable State of Minnesota St a es and City of Eagah Ordinances. Bldg. OEf. _ Copies
Building Oflicial •
??- ?_ i i`?..C :. .?„_
.. Variance
- TOTAL
?
' peimit No, Permk HoIWr Data TelephoM #
WATER
SEWER
PLUMBING
H.Y.n.C. ?5 v
ELECTRIC
MspeyNon Date Insp. Comments
Foovngs I (y 2? 9e os
Foundation
Frornin9 2 g1J
Roofing
Rough Plbg. - Ud
Rough Hn9. p o
[sul. Z (? .
RrepLwe ?T3
FnalHtg-
Fnal Plbg.
Const. Me1er Plbg. Inspector - Notify Plumber
Engr./Plan
eld,. Final ? Z? f?
Ftg. 1
T
?
a + ? ?
(gtr#tf ira#t of (Orrupaury
Citp of Cagan
Erpwtatnd of Wui1d'mg 3wpr#imi
7Teis Cerr jraatc issued pursmnt to 1he reqrarencew ojSe+ction 306 ofMe Urriform Building
Code cerlifying that at the tinre ojiuuance this struclure x+as in aanpliance with the Nariour
ordinanars ojlhe Ciry regulan'vtg 6uilding cwutructioa ar use- For the foliowing:
ux ckurao,. 1(T 4 P[F.X sW& Awmi No. 18010
00-w-7 TYvC R3/M 1 z,i., nwia PD T., c.M• Vn
o»,.,oc saa:c nimm I.AKE I7E'VE[.. Ad&= 6648 IBTSIZC ID. SE, PRIC1Ft LAtE
w.w,6 A6*,. 4519 60[11H MAI.i,ARD IRAitiy L!, B3, DIQMAS IAKE WOCAS
SFFP77TTrtRM 27 - 19Af1
s?aa;,? oes?r
POST IN A CONSPICUOUS PLACE
,.. - ' ' i . .. .. . . . . iRi-.. .... . , . .
•, -'? MECHANICAL PERMIT For Clty l
CITY OF EAGAN PERMIT#-l.?Z,
3830 PILOT KNOB ROAD, EAGAN, MN 55122 HECEIPT #C
DnTE PHONE 454-8100 naTE:
Site Address BLDG. TYPE WORK C
Lot Block S/Sub ?8• i?z New Con
Muft. Add-on _
Comm. Repair _
Name i Other
S •JJ___ ?I?I ?! 17?1.ti
Phone
; I 'CD I Add
cfty
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
FEES
RES. HVAC 0-100 M BTU - $24.00
ADOITIONAL 50 M BTU - 6.00
(RES. HYAC INCLUDES A!C OM NEW
CONSTRUCTIQN)
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADDAN &
REMODELS (INCLUDES GAS PIPING) - 12.00
GAS OUTLETS (MINIMUM - 1 PER PERMIT-
NEVY CONST.) - 1.50
COMM/IND FEE -196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50,,S/C PER EACH $1000.00 OF PERMIT FEE)
Gas Piping Outlets # -? $
aner g
Comm./lnd. Contract Prlce x 196 1
PERNYT FEE:
S/C:
FC ?.f?CITY OF E
.. PLUMBING PERMIT For Office Use Only
' • ' CITY OF EAGAN PERMIT# ?-
CONTRACT 3830"PILOT KNOB ROAD, EAGANg MN 55122 RECEIPT#
PRICE PHONE 4548700 DATE: ; ? ?/- 76
Site Address f l BLDG• nPE WORK DESCRIPTI
? Name_
? Addres
c
? city 1
?
?
COMM./IND. FEE -
APT. BLDGS. - CO
MINIMUM - COMM.IND./FEE
STATE SURCHARGE PER PERMIT
(ADD $,50 S/C PER EACH $1,000 O
I
Res. -'L- New '?--
:/Sub Mult. Add-on
Cam? Repair
r
e a? r . PLBG. ONLY -(:OMPLETE THE FOLLOWING:
, FiXTURES TOTAL
`. `
Water Closet - $3.00 $
? Bath Tubs - $3.00
-' L- ' I..avac«y - $s-oo
? ower - $3.00
Y 'tchen Sink - $3.00 uiv
LyinaVBidet - $3.00
undry Tray - $3.00
Roor Drains - $1.50 ?
!ES - _L Water Heater - $1.50 ? ? -
- Whirlpool - $3.00 _
.
.-
,
;R--
$20.00 _ ?--
?--
?
- - p- - r .
(MINIMUM - 1 PER PERMI7')
.50
T FEE) Softener - $5.00
Weli - $10.00
v Private Disp. - $10.00
Rough Openings - $1.50 ?
00
stem -$12
G
rinkler S
U
S
.
p
y
.
_
PERMIT FEE: C/ C-)
GRAND
BUILDING PERMIT
To be used fo +. 1 0!? 4 P1.Rl
Site Ad*f ss
Lot Block Sec/Sub.
Parcel No.
W Name -
? AddfASS
Name -
Address
3/11/91 CITY OF EAGAN
t Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?y g45
Receipt # ?-- ? . . . , =99, Q00 JU!!E 15 . „ 90
? W Name
Address
e W Ciry Phone
I hereby acknowlege that I have read this application and slate that the
intormation is correct and agree to comply with all applicable State of
Minnesola Statutes and City ot Eagan Ordinances. _
Signature of Permitee
all
Building Official
6 OFFICE US E ONLY i
Occupancy FEES ?
Zoning $ 6,s*00 ?
(Actual) Const ? Bldg. Permit
_
(Nlowable) ?
?
• a
# 01 Storias -
-_ Surcharge ?
?-0Q '
Length 64 Plan Review ?
?
•
DePth - SAC, City wo
oo g
S.F. Total o
snc, nncwcc
S.F. Footprints
- ?
??QO
On Site Sewage _
?
Water Conn 90.00
On Site Well
? ?
?
Water Meter --
MWCC System
?- 30?
•
Acct. Deposit
Cit Water
Y
X)U- E
PRV Required S/W Permil ?? ;
Booster Pump - S/W Surcharge
? ?
?
• ?
Treatment PI ?
APPROVALS
Road Unit ?
Plenner
il
C
un - park Ded. ?
o
c
BJdg. Oif. _ Copies $3,198.00 ?
Variance - TOTAL ?
Permil No. Permk Nolder Date Telephone ?M
WATER
Sr,VYER '
PLuMeiNC 6 O
17 0/4 0
H.V.A.C. a?o?. . 7/.? so
ELEcraic . '
Inspettion Date tnsp. Comments
Faotirgs I
foundation
Framing
Roofing
Rou9h PIb9. 7-144
/
Raigh Htg. 7117 6 /fGU ? r,- 717
lsul. D-
Fireplace
Final Htg.
2 ?
Final Plag.
Conyy, Mei8r Plbg. Inspedor - NoGfy Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Dec1c Final
Well
Pr. Disp.
(g.er#ifirate nf (Orrupanry
Citp of Cagan
lipvwrintW n# iwditcg jwprtirnc
?"` • y
_. .... ? :
This Ceraficate issued pursuant to the requirements of Section 306 of lhe Uniform Building
CQde cenifying that at the rirne of issuance lhis structure was in compfiance wirh 11te various
ordinances of the City regulaping building construction or use. For the following.•
u, cwitiw1 tF 4 PIEx B*. Pm,;, Nm 18011
O-M-7 Trve RI/M1 zon;n# nLsu;a FD rra r?? VN
Owner a( Bwlii6,&UjM&S L11KF DM.. Lm. pd*v.6648 FUSTLC ROAD .?, PMM T.AM
g,,,7d;,,g pM„m 4517 9[1 _ T 7 ARi1 TRAn Low,ty T.2 F S3 . 'IfOMAS 11KE GXX]D6
o.te: ALIQIST 23, 1990
Bwlding Offkk'
,
POST IN A CONSPICUOUS PIACE
ys-r-
MECHANICAL PERMIT For
CITY OF EAGAN PERMIT # _
3830 PILOT KNOB ROAD, EAGAN, IIAN 55122 RECEIPT#
PHONE 4548100 ' DATE: _
Site Address Hr'N l L
Lot -,2 -- Block
? Address
c City 4PL1?u 4,G-E Phone
? Add
? cfty
Phone
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
? M BTU
M BTU
M BTU
M BTU
CFM
--?-
aner 9
CommJlnd. Contract Price x 1% 9
PERMIT FEE:
S/C:
Res. - ??- New Cc
Mult. Add-on
Comm. Repair,
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES AIC ON NEW
CONSTR UCT10N)
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 3
REMODELS (INCLUDES GAS PIPING) - 12.00
GAS OUTLETS (IAINIMUM -1 PER PERMIT-
NEW CONST.) - 1.501
COAAMAND FEE -1% OF CONTHACT FEE
APT. BLDGS. - COMM. RATE APPLIES
MINIMUM GOMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
?
FOR: CI O EAGAN
CONTRACT
PRICE
Cfty
c
?
FEES
COMMJIND. FEE - 1% OF CONTRACT
APT. BLDGS. - COMM. RATE APPLIFS
MINIMUM - COMM.IND./FEE
STATE SURCHARGE PER PERMIT
{ADD $.50 S/C PER EACH $1,000 OF
?
CITY OF EAGAN
3830 PILOT KNdB ROAD, EAGAN, MN
For
PERMIT #
55122 RECEIPT?
0 ? DATE: i/i' " `(J I
BLDG. TYPE
Res. k WORK1RESCRIPTION
New
Muft. Add-on '
Comm. Repair
Other .
RE3. PLBG. ONLY - COMPLETE THE FOLLOWING:
N FIXTU RES
?. Water ClOSet - $3.00 TOTAL
$ ? <J' .j
? Bath Tubs - $3.04
Lavatory - $3.00
Shower - $3.00 ?
-L_ IGOCtten Sink - $3.00
UrinaVBidet - $3.00
Laundry Tray - $3.00
? Floor Drains - $1.50
?-
/ Water Heater - $1.50 ?1?.? / _?Q?Ny?.oW-.v1..,., ,? ..
**.<- 00 T
(MINIMUM -1 PER PERMIT)
.50 SofUener - $5.00
FEE) Well - $10A0
Private Disp. - $10.00
Rough Openings - $1.50
stem - $12
00
rinkler S
U
G
S
.
.
.
p
y
; PERMIT FEE: .' C? d CJ
STATES S/C: '- ?
GRAND TOTAL: ?-
? s / Sv
.71
9 7?8?
a 60422
Request pete Fire N. Fough-in InspecLOn
Re iratl7 ? Ready Now a /
?I WAI Notiy Inspeclor
? ?`
es f] No N?en Reatly?
I?'licensed contractor O owner hereby request inspection of above electrical work at:
Job Atltlress ($ireet. Box or Foute No I
? '
?. .? . City ?
SecLOn No Township Name or No Rarye No. Counry ?
Oc upant RINT), Phone No
Power pb ? ?J
//?//C?
Elecvmal Vador (COmpany Na e) ? Contrai L¢
? e No
^
Maihng Aatlres ICOnvactor or Owner Making Installation)
7 , J?
? /3
Authonie ignalure IGOnlracror/OwrlaEMaking Installalmn)
?
L
e
? Phone Number
Fq _ '
u Z;
_
- ' ??.
MINNESOTA STATE BOARD OF ELECTPIQTV THIS INSPECTION REOUEST WILL NOT
Gtlggs-Mitlway BIGg. - qoom 5493 BE AGCEPTED BY THE STATE BOARO
1821 llnlvenlty Ave., 51. Paul, MN SS10C UNLESS PROGER INSPECTION FEE IS
Piwne (612) 60P-OBOD ENCLOSEO
??? ?/sp
/ REOUEST FOR ELECTRICAL INSPECTION
ji? See instmctrons for compleLng ihfs larm on beck of yellaw capy ??a?"•??? ee-ooom-07
d ? 2
6 Q.,...-
"X" Be/ow Work Covered by This Request
ew Adtl Rep TypeafBwlding ApphancesWiretl EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Elechic Heating
Apt. Butlding Dryer Other (Specdy)
CommJlndustnal Fumace
Farm Air Conditioner
01ber(sp¢aly) Conhatlor's Ramarks
Compute lnspecbon Fee Below:
# Other Fee # SermceEntranceSize Fee # Cucwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transtormers A6ove 200 _ Amps A6ove 100 _ Amps
Signs hisoector§ Use Oniy TOTAL Q
5
Irrigation eooms ?Q•? ??
?
Speaal Inspection
Aiarm/Commurncation THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO T . ?
I, the Electrical Inspector, hereby
t
th
t th
b
i
h Rough-in
cer
ity
a
e a
ove mspect
on
as
been made. Final i Dare
OFFICE USE ONLY
This reQVest voq 18 months imm
?/ag/'9 o
g??IQ r
,
(0 60tt 62cP
RequesrDate Fne N. Rough-inlnspecbon
e ired?
6 ? ?/'
Feady Now p?will Not?y Inspecmr
' Wh
R
d
?
Yes ? No
2 en
ea
y
I licensed contractor p owner hereby request inspection of above electrical work at:
Jab Atltlress (StreeL Box or RoWe N) rn ? Qly? ?
7
Section No Township Name or No. Range No Cou
A 7
I?GC?
Occupant?PRINT , Phone No
/
Power 5 ier AOOress
GC ?? ? ?/
W (/? ' ? .
Elecincal Irector (COmpany Name1 ? Gonlra r's L¢ense N.
Mail ACtlress onlracio, or Ownar Makmg Installalion)
(C/
ANhonz iqnaWre ICOmredoripaner M InstallaUOn)
e / Phone mber
MINNESOTA STATE BOARD OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT
Grlggs-MlCway 61tlg. - Room 5-173 BE ACCEPTED BY THE STATE BOARO
1821 llnlversity Ave., St Gaul, MN 55106 UNLESS PROPER INSPECTION FEE IS
PROne (612) 642-O800 ENCLOSED
REQUEST FOR QLECTRICAL INSPECTION
? See mslmctions lm compleorg this lorm on back ol yellow copy
960456 Jl" Below Work Cavered by This Request
es-00001 -07
eW Atld Rep Typeol8wlding AppliancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heatmg
Apt. Bwlding Dryer Other (Specify)
Comm /Industrial Furnace
Farm Air Condftioner
Other (speciy) Contracror5 Remarks
Compute Inspechon Fee Below:
# Other Fee # ServiceENranceS¢e Fee # Circurts/Peetlers Fee
Swimming Pool 0 to 200 Amps I MI O to 100 Amps ?
Transformers Above 200 _ Amps Above 100 Amps
Slgns inspector's use onry Tp7AL ?
Irngation Booms 7aI? ?
Special Inspectwn
Alarm/COmmumcation THIS INSTALLATION MAY BE ORDERED OISCONNECTED IF NOT
Other Fee COMPLETED WI7HIN 16„M6NTHS. _ r
I, ihe Electrical Inspector, here6y
certif that the above ins ection has
Y P
been made Rou9n-in
Final oat ,. y_ G
oate
OFFICE IISE ONLY
This request void 18 months imm
&/,;? 9/iq v 9'Jla9 r
? 0457,?? 3 `°
Fequesl te Fire N. Rough-in InspecLOn
iretl?
? Ready Now KWill NoLty Inspeclor
wn
a
+
r es ? No em
eeay
IJ licensed contractor ? owner hereby request inspection of above electrical work at:
JoD Atldress (Ptmet, Box or Foute No /"i/? C Ne'
Sec1ion No Township Name or No Range No Counly
OcoupanlfPRl ? . Phone No
Power up i r Address .
Electncai haROr (Company Name) Contrac1or5 L¢ e No
67
MaJing Atl as (GOnlrador or Ownar Makrng InstallaUOn)
AmM1Onzea Sign re(Contra[[or/Owner Ma g Installelion) Phone NumDer
LC Q -
MINNESOTA STATE BOAqD OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT
Grigga-Mltlway BIOg. - Room 5-1]3 BE ACCEPTED BY THE STATE 60AFD
1621 Unlverefly Ava. 51. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phona (612) 662-01 ENCLOSEO
lQa2919O
R 60457
REQUEST FOR ELECTRICAL INSPECTION
? See mstmpions for comple?ng this lorm on back ol yellow copy.
"X =8elaw Work Covered by This Request
EB-OOOOLO]
ew Adtl Rep. Typeofeuiltling AppliancesWired EqwpmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buildmq Dryer Other (Specity)
Com /Industrial
m FumaCe
Farm Air Conddioner
plher(specJy) Conlractor's Femarks
Compute Inspechon Fee Below
# Other Fee # ServiteEnlranCeSize Fee !/ Circuits/Feeders Fee
Swimming Poot 0 to 200 Amps ' 0 l0 700 Amps a
Trensformers Above 200 _ Amps Above 100 _ Amps
SIg05 Inspector5 Use Only. M TOTAL ?O
Irngation Booms ?b ? w Q.-
Special InspecUOn
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee ?
COMPLETED WITHIN 1 THS.
I, the Electncal Inspector, hereby
if R°u
9n,n oa?a
cert
y ihat ihe above inspection has
been made. F,,,ai r oa _ Gv
?
OFFICE USE ONLV ?
TM1is request voiE 18 months Irom
&/C;?i/S 0 5' 7rv y f?
a 6 0 4 5 8 Ls o>rr.n?,?°. Gc'o*d
F,Vyuest Dete Fire No Fough-in InspecLOn
netl>
? Reetly Now WJI Noldy Inspeclor
f Ves ? No ?M1'han Featlyl
I Rl licensed contractor ? owner here4y requesf inspection of above electncal work at
Job Atltlr g(SVeet, Bo-x7or Poute No
e / Qry
_K
L e?
Sechon No Township Name or No Range No Counry ?.{..
? G C
Occupam (PRINT) Phone No
?-
PowerSup ?j?
? Atltlress
/?/i?/
L
Elecincal Convador?COmpeny Name) ` Conhactor's L nse No
29, ?-
Matling Atldress (ConVector or Owner Makmg Instellallon)
?v 7S G?, ? %
Aufhonza gn6turB (COnltattoe/O Mawng In?51dlld?tfi0nl
?' ?/Llii/?-[//i/ " `-? / ? PhOne NUffibe/f?
'C/ ? tV ?lO /
MINNESOTA STATE BDARO OF ELECTRICITY
Griggs-Midway BIEg. - Poom S473
1091 University Ave., 51. Paul, MN 55104
Phone (BtY) 602q800
THIS INSPECTION REOUEST WILL NOT
BE ACCEPTEO BV THE STATE BOAfiD
UNLESS PROPEF INSPECTION fEE IS
ENCLOSED
i 1
SEDGWICK HEATING & AIR CONDITIONING CO. r+earwc JOBNO.
8910 WENTWOHTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
? ??????? ??' ??1lfY?`??1`P. S
ADDRESS ?? , CITY
OCCUPANT
SOLD 8Y
MAKE f^-???'^'?yI ?)
SEFIAL NO. ? y t.???? ?? V?!?
7HERMOSTAT.
LIMIT w
LIMIT SETTING
FAN SETTWG
PILOT TVPE "
IGNITION MODEL
PILOTTIMING 19
PRESSURE PERCENTCOz ?
INPUTCFH ? r PERCENTOp
}q py O I '
STACK TEMFY/ ?" PERCENT CO
PORM 235 (REV 11199)
OWNEFi
WSTALLED BY
MODEL ) l? ? ? ? Y ?-??+? " "0
/(? ?
O 0 ?
INPUT
? Cr
VENT SIZE
TVPE OF LINER ?
LWEFSIZE I9
FILTERS. 51ZE //L NUMBER
WIPING
TEST TAG
I.IGHTING INST. ?
?^ I
DATE TESTED v
COMPANV TESTING
NAME OF TESTER '?'?
FORMOISTRIBlITlOjWHIT'vOPY-JOBFILE VELLOW WPV - CtTY
SEDGWICK HEATING & AIR CONDITIONING CO. ?+E^TiNG J08N0. ???q??
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDRESS 1 .1?a `CGl4?61 f ??µ'S
OCCUPANT \ 'Ae?/
SOLD BV 642-e-&U
CITV
OWNER ? ?n 4-??f1 C4 R'Ea(a-?
INSTALLED BY
MAKE W.! y,IJI fv/?l?L?' ? ^ ?
SERIALNO. F Or fJ o!? L- NpDTL l, f? Go 6
THERMOSTAT I/ Y J1 oD[
VALVE /7 0 °1 -c tf L?'? II
'A
LIMIT
LIMITSETTING
FAN SETTING
PILOT TYPE
IGNITION MODEL
PILOTTIMING
j ?
PRESSURE PERGENTCOp
? c ?
INPl1T CFH PERCENT Op
STACKTEMP 3 3 7 PERCENTCO ?
VENT SIZE t
TYPE OF LWER ? Vq T
6/5 ?
LINER SIZE
?
FILTERS: SIZE NUMBER
SVXG?'/?? t
WIRING
TEST TAG
LIGHTING INST.
DATE TESTED
COMPANY TESTING
NAME OF TESTER
FORM235(REV 11/d9)
FORMDISTRIBUTION WHITECOPV - JOBFILE YELLOWCOPV - CRV
Cities DiRital
itv Control
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tiy?" ? ?/.n.c; ; ?. ?:?N?.t . ?J 1 ??? i'v ? ??`iRC.'2.
,, ? N? !ti??f:?: =,.L..? '^i
? ' ' WrV«.Je??. a? .r?.:.$?rh?•
,`?+ y ` •'/•4.? ?'L,;<';'YT'?i1?. , ; . .°' . ; . 'Y?C??, .
. ' A" _ . -, ' .. ' ' . pbi-.FyCCpy "
F?..?.
..."'M???I,iri! "? • ?
PbIM-4;M com
a
w" ,-
DFtTE
JUNE 21, 1990
RE: E'5}'14 ?j?k1?`et519?g4B$V?69?P?{?T,SrT.kLARD TR
X.
Yoyr SewV Water Permit for the above property has 6een 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 Ciry Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
L1-4, B3
BUILDING PERMIT
70 6e used for 1 OF 4 PLEX
Est.vaWe ' $79,000
Receipt #
N2 18012
Site Address 4523 SOUTH MALLARD TRAIL
Lot 3 Block 3 SeGSub. THOMAS LAKE WOOD OFFICE USE ONLV
ParcelNO. occupancy R=3, M-1 FEES
PIL
ZOning
s Name THOMAS LAKE DEVELOPMENT LTD (pqual) Const SLL.__ Bldg. Permil 545.00
W
o 6648 RUSTIC ROAD SE
Address plbwable
? )
?-
surcnar
e
39.50
Cjt PRIOR LAKE Phone 447-2424
Y d of stories - 9
354
00
h (i[? Plan Review .
Lengt
p Name SAME Depth 30.- SAC,QIy 100•?0
,
' Address S.F. Total -
SAC
MCWCC 600.00
pa
m ,
City Phone S.F Footprinls
i
S _
Water Conn
62 5- 00
ewage
On S
te _
?
ww
Name
On Site Well
-
Water Meter 90.00
i= Address Mwcc System xX 30.00
?u Acct. Deposil
aw City Phone cdywater X)L- 30.00
R
i
d }C7C 3/W Permrt
re
PRV
equ _
I hereby acknowlege Ihat I have read this apphcalion and state that the Bwsler Pump - SMI Surcharga .50
mtormallon is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Ea an Ordmances. Trealment PI 252.00
Signalure of Permite/9 APGPOVALS Road Unil 355.00
A Building Permit is issued to; THOMAS LAKE DEVEL LTD Planner - park Ded.
on the express condition ihat II work shall 6e done m accordance wilh all Council
CoDies
apphcable State of Mm sot tatutes and Ciry Ea?an Ordmances.
n Bldg. Off. _ $3'021.00
Bwltling Oihcial Variance - TOTAL
-
CITY OF EAGAN
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Address: 4521 Sp. MALI,A.RD LRAIL Lot 4 Blk 3 Sec/Sub 1M.fAS IAM 4XbDS
These items were/were not complete at the time of the final inspection.
DATE:. DE!,'ESOER 6, 1990 Yes No INSPECTOR:
Fina1 grade (6" from siding) LI/
Permanent steps - garage j/"
Permanent steps - main entry ?
Permanent driveway ?
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish ?
Deck ?
Please verify vith the buildar the removal of roof test caps from the plumbing
system and the shut-o£f o£ water supply to the outside lawn faucet before
freeze potantial exists.
Wttite - City copy Yellow - Resident copy Pink - Contractor copy
Ll-4, B3 CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N0 18013
PHONE: 454-6100 1"?
?
v ?r
BUILDING PERMIT Receipt x
To be used for, 1 OF 4 PLEX Est. Value $68, 000 Oate JIJNE 15, 1990
Site Address -
Lot 4 Block
Parcel No.
w Name THOMAS LAKE DEVEL LTD
? Address 6648 RUSTIC ROAD SE
City PRIOR LAKE phone 447-2424
Name _
Address
SOUTH MALLARD TRAIL'
_ Sec/Sub. THOMAS LAKE
Phone
?w Name
tz Address
14w City Phone
I hereby acknowlege Ihat I have read this application and state that the
inlormation is correct and agree to comply with all applicable State of
Minnesota Slatules antl ?City Aoi Eagan Oirdinanc s.
SfgnaWre of Permitee /?'C? v?? /???-
A BuAdmg Permit is issued ro: THOMAS LAKE DEVEL LTD
on ihe express condihon ihal all work shall be done in accordance with all
applicable State of Mmnesma 41utes and City ot agan O?inances.
?
Budding Official
OFFICE USE ONLY
Oaupancy R-3F M-1 PEES
Zoning Pu
$ 496.00
(ACtual) Consl VFI Bldg. Permit
(Allowa6le) Vfl- Surcharge 34.00
# olStories - 322.00
lengih bt- Plen Rewew
100.00
Depcn 39- SAC, City
S.F.TOtal - SAC.MCWCC 600.00
S F. Foolprinls - 625.00
On Site Sewaga _ Water Conn
90.00
On Site Well - Wa1er Meter
MwCC System X3? 30.00
Accl. Deposrt
ciry water XF 30.00
PRV Raqmred Xx_ S(lN Permit
Boosler Pump - g/yy Surcharge .50
TrealmenlPl 252.00
APPROVALS Road Unn 355.00
Planner - park Dad
Council ' -- .50
Bldg. Ofi. _ ?Dies
$2,935.00
Variance - TOTAL .
Lots 1-4, B3
CITY OF EAGAN N 0 1$0 1 O
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55721
PHONE: 454-8100
BUILDING PERMIT
To be used for 1 OF 4 PLEX
$94,000 Date JUNE 15 , 1g_
Site Address 4519 SOUTH MALLARD TRAIL
Lot 1 Block 3 SeGSub. THOPLAS LAIL WOOL
Parcel No.
W Name THOMAS I.AKE DEVELOPMENT
z 6648 RUSTIC RD SE
o C Y ddress pRIOR LAKE phone 447-2424
o Name S?
ta Address
? City Phone
r
w W Name
?
'; Address
aw City Phone
I hereby acknowlege Ihat I have read this application and state that ihe
mtormahon is correct and agree to comply with all appiicable State of
Minnesota Stamtes and City of Ea1c an Ordinances. _
Signature oi Permitee ?"L' - "? ??Z ??
THOMAS LAKE DEVELOPMENT
A Huilding Permit is issued to:
on the ezpress condrtion Ihat all work shall be done m accordance with all
applicable State of Mmnesota Sta4tes and City off agan Ordinances.
Building ONicial
o-e,?, 4
OFFICE USE ONLY
R-3, M-1
Occupancy FEES
Zoning PD-
(ACtual) Const VT? Bldg. PermR 613.00
(Allowable) VR-- Surcharga 47.00
;v ol stories - 398.00
Lenglh 64?_ Plan Review
Depth 30- SAC,City 100•00
S.F. Total
-
SAC,MCWCC 600.00
S.F. Foolprinls -
00
625
On Site Sewage _ Water Conn .
90.00
On Site Well Waler Meter
MWCC System XX 30.00
XX Accl. Deposit
City Water 30•010
PRV Required 7CxL_ S/W Permit
• SC
Booster Pump - SNJ Surcharge
252.012
7reatmem PI
APPROVALS RoadUnit 35$.OC
PWnner - Park Oed.
Council - - .5C
BIdg.Off. _ CoPies
$3,141.0(
Variance - TOTAL
L1-4, B3
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•799, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To 6e used tor 1 OF 4 PLEX Est. Value $99 ,000 Da1e_
Site Address 4517 SOUTH MALLARD TRAIL
Lot • Z Btock 3 SeGSub. THOMAS LAKE W00
Parcel No Occupancy
. i
Z
on
ng
s Name THOMAS LAKE DEVELOPMENT LTD (qcp,aqconst
3 Address 6648 RUSTIC ROAD SE (Allowa6le)
? Cit PRIOR I.P.KEphone 447-2424
Y ?rof stones
L
h
engt
F Name SAME oeptn
f
0Q Address S.F.TOtal
? City Phone S.F. Foalprinls
On Sile Sewage
w W Name on siie wen
ti AddrBSS MWCCSystem
50
iW
City Phone
cirywater
i
PRV R
d
equ
re
I hereby acknowleqe thal I have read this application and state that ihe Booster Pump
informatwn is correct antl agree to comply with all applica6le Sta1e ol
Minnesota StaWtes and
City
f Eagan Ordinances.
o
?
?
9
SignaNre ot Permilee APPAOVALS
A Bmlding Permit is issued to: THOMAS LAKE DEVEL Planner
on the ezpress condaion that PI work shall be done in accordance wdh all Councd
applicable Siate of Minnd City ot Ea n Ordinances.
neso a Bldg, pH.
Building Oflicial Variance
?
s?
N2 18011
OFFICE USE ONLV
R=3, M-1
PD-
FEES
$ 635.00
V.A- Bldg Permit
V41- Suroharge
64 Plan Review
30 sac, ary
XX
X)L-
xx_
SAC.MCWCC
Waler Conn
Water Meter
Acct. Deposit
SM! Permit
SM' Sumharge
Trealmant PI
Road Unil
Park Ded
Copies
TOTAL
49.50
413.00
300.00
600.00
625.00
90.00
30.00
30.00
.50
252.00
355.00
$3,180.00
?-7 00 F7 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date?/
Site Street Address Unit#
Property Owner ? „'YI, yL 2, Sc h. n?,YY Telephone #( )
Contractor 17'? f? 5'otG. Tetephone#
-
Address ?333 ?G C? '? ?"Y` ??- City ?'?'to r L??Ie?v Stater%)f Zip ??372
The Applicant is: _ Owner ?,Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. !f you are instaNina onlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 518" meter is required)
Other:
X Water Softener _ Water Heater , $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Tatal $ /S?4
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the 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 with the approved plan in
the event a plan is required to be reviewed and appro
(? ,To
Appli nt's Printed Name ApplicanYs Signature li II' JUL 2 7 2005 I U
?D Ip lGQ 2004 RESIDENTIAL BUII..DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Kno6 Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
3 6 7_?j
New Consirudion Reouiremenis Remodelffieoair Reawrements C7R'?cetlse CinTv
3 registered sRe surveys showing sq. ft of lot, sq. fl. of house, and all roofed areas 2 wpies of plan Wc(SunnE9 Recd - ._Y :..-.N
(20% maximum lof coverage allowed) 1 sei of Energy Caiculations for heated addihons Tte? Pres pI9fl:Ewd . Y' _ Rl
2 copies of plan showing beam & window s2es; poured found design, etc. . 1 sAe survey for addifions & decks frBe:Are5.R9qwred,.,- •,,;,Y ??N
lsefofEnergyCalculalions AddBion - indrcate'rfon-sitesepticsystem DirsileSeptic?y5lerti- ?_Y:._.N
3 copies of Tree Preservalion Plan if lot platted afler 7/7193
Rim Joist Detail Opiions seiection sheet (bldgs wtlh 3 or less units
Date %D / /g' ConstructionCost ? ?6U
SiteAddress V,'__1 '7 Ir/l+lli9 AQ' //2?/L ?z?r.?? • UniUSte #
Description ot Work Me>c7e Sc'.n, u t e& ^-
? 0 2
1
Y_ N
Multi-Family Bldg FSreplace(s) _ _
_
Property Owner ft d a i C pvi ole. Telephone #( )
Contractor
'
Address Cit3' WAv ?
State j14 tJ Zip 55'/ 3"7 Telephone iWiF). 56
i NG Tdet/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Su6mitted Submitted
• Energy Envelope Calculatlons Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 257o plan review
fee applies.
Licensed Plum6er
Mechanical Contractor
SewerlWater Contractor
Telephone #(
Telephone #(
Telephone #(
?
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
3tatutes; 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. ? zz?
Applicant's Printed Name Applicant's Sig ture
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 DS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
x 02 SF Dwelling ? 08 06-pleac ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor _N )111( 25 Miscelianeous
WorkTypes I-IOf/E_ Jep-f/ict,
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
/,< 33 Alteretion ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolitian (Entire Bldg) - Give PCA handout to applicant
d-a
Valuation
Occupancy
V
MCES System
Census Code Zoning City Water
SAC Units Stories Baoster Pump
# of Units Sq. Ft. PRV
# of Bidgs ? Length Fire Sprinklered
Type of Const V•13 Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drtin Tile
?Roof _ Ice& Water _ Final
? Framing
_ Fireplace _ R.I. _ AirTest _ Final
Insulation
REQUIRED INSPECTIONS
/FinaUC.O.
C/ FinallNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City 5AC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?.? `?
s?
67 03 2- 30
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55722 y
651-675-5675 -S ?
Please complete for modifications to existing residential dwellings.
<
1c9 y
e
-
5 te
q
Str, et Address
Unit #
Property Owner /'7 l4C? ?? Mfle
?
Telephone #((plz,) y5 4'3 13
Contractor
?- Telephone #( Sa ??9- y G?pv
?
Address ?Y 1- lECd7 5f'W, Ci &A. Zip S?Zy
?a'?1i'1%n State
The Applicant is: _ Owner _L-6o`ntractor _ Other
Alterations to existing dwelling Dze$ 50.00
_Add plumbing fxtures. ? ? ?nS
If you are only installing a water softener and/or water heater, the fee is $15.00 plus t U N?v
state surcharge - see next section.
8 z
/
\ p
?A
_Septic System Abandonment
_ Water Turnaround (a/dd $12 00 if a 518" m ter is required)
?v?PDDi<StoUP ?-?c
L^{?
K-
'
k
-5? ?.?sl
p
?
`'' .?
.
up
Other l V?
5 .
? ?
Water Softener Water Heater $ 15.00
_ replacement _ additional
Lewn Irrigation System _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the 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 with the approved plan in
the even plan is required to be reviewed and approve .
11&? 1%a hP oaL?
Applicant's Printed 9 ame App icanYs Si ature
l.e ace so
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Farnily Dwellings
Townhomes and Condos when permits are required for each unit
Da[e
--
?
Si
Add
?? ?-i ml U
it #
A ???? 5
te
ress n
.
Property Owner m cr-Q- Telephone # Rj ` ? 113
-F40
j
Contractor
-
Street Address l r7?C?CJV ?? ?-I ? City
State Zip L7 `[ Telephone # ( (i6?
The Applicant is _ Owner ? Contractor _ Other
Add-on, modiScation or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
;;& air conditioner
other
State Surcharge $ .50
Total AUG 0 8 2003
I
?
sY - - _^._---
I hereby apply for a Residential Mechanical Pemut and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlus 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
appr ved plan in the se of work which requues a review and approval of plans.
U _??d - a Qk
Applic Ysyjnted Name Applicant's Si ure
/
MECHANICAL (
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. commercial/industrial buildings
multi•family buildings when separate permits are not required for each dwelling unrt
Date
Site Address Unit #
Tenant Name (if appticable) Previous nant Name
Property Owner T lephone # ( )
Contractor
Street Address City.
State Zip Telephone # ( )
The Applicant is _ Owner _ Contracto Other
Work Type
_ Newconstruction Undergroun Tank Install _Remove
Interior Improvement Call for ins ection during ' stallation/removal of tank
Processed Piping
Nature of Work:
Pe7m1[ F¢¢ $50.50 Minimum Fee (includes State Surcharg
Conhact Value $ x .Ol% = 5 Pernvt Fee
• If pemtit fee is $1,000 or less, add $.50 ? $ State Surct?arge
If pernut fee is over $1,000, add $.50 pe
$1,000 Pemut Fee
$ Total Fee
-- - -
I ereby apply for a Commercial Mechanical Permit and aclmowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand 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 oFplans.
ApplicanPs Printed Name
Applicant's Signature
Approved By: , Inspector Date:
RESIDENTIAL
BUILDINC PERMIT APPLICATION ?O ?
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-881 •4675
New Conatruction ReauiremenW
• 3 2gistered site surveys showing sq. R of lot, sq. N. of house; and all roofed areas
(20% mazimum lat coverage allowed)
• 2 wDies af plan shovnng beam & windaw s¢es; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservatan Plan if lot platted afler 711193
• Rim Joist Detag Oplions selectlon sheet (bldgs wilh 3 or less units)
DATE UCA,•O c;
RemodeUReoair ReaulremeMs
. 2 cropies of plan
• 1 ut of Encergy CalculaW ns far heated addNOns
. 1 sfte survey for ezterlor addNOns 8 decks
• Indiate if frome served 6y seplk 5ystem for additions
VALUATION 3,9 SITEADDRESS ?I Sa? 'Cf10,`\O?c[??CO.% \ S• MULTI-PAMILYBLDG _Y _N
TYPE OF WORKR?\Q 4 I'7C??t10_DOQL' ?A f?s-?'Ini 1\? FIREPLACE(S) _ 0_ 1_ 2
r\t 0??'?_rx ?)
APPLICANT Renewal By Andersen, Inc.
STREET ADDRESS 1920 Counry Rd. "C" West
Roseville, MN 55113
TELEPHONE # C651-264-4777
L` icense # 20130983
?
STATE _ ZIP
FAX #
---- -J
PROPERTYOWNER_ CC?IO(e S ??'(Ye-e.N _TELEPHONE?PSI•?SZO•SRtiI9
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RL7.ES 7672
(J submission type) • Residential Ventilation Categary 1 Worksheet Submifted • New Energy Code Worksheet Submitted
• Energy Envalope Calculatlons Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
Heat Recovery Systcm
Fee: $90.00
Fce: . $70.00
Phone #
I hereby acknowledge that I have read this application, state that ihe infor ation is correct, and agree to comply
with all applicable State of Minnesota Statutes ond City of Eagan Ordin ces. .?
Signature ol Appllcant ?-
OFFICE USE ONLY
_ Water Softener _
_ Water Heater _
No. oF Baths
_ Phone #
Lawn 5prinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
Updated 4102
OFFiCaE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex O 20 Paol ? 30 Accessory Bldg
O 02 SF Dwelling 0 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multl
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Ptbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Uamolition (Entire Bldg only) - Gtve PCA handout to applieant
Valuation Occupancy' ' o MC/ESSystem '
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foorings (new bldg) FinaUC.O. '
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Fiual
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final Windows (new/replacement)
_ Insulation _ Retauang Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
??. ?.. rd•.a auv a?..rv cm, IOJ o!1 q}80 tSi51?GrtAt, jyYalYUlSLtr7lS(?!
Juno'7, 2007
CitY Of Begau
3836 PiIot $nob Road
FR$an. MN 55122
To Whom It Maq Cotoern:
Elder 70nes is authorized to PtU baUdin8 Permits Por Renewai by Mdeisen_ Piease allow
Elder ]ones to provide tlvs servicc for ua in EaW. 'Rtis enthari2ndcm is valid for eny
date beyond 616/01: unbj a 1i"epawal by Andecsen manam exjxsiy revoks tt in wridng
to the City.
I rcqneat this auHiocization be accepted expedidously. av to not delay in the pcomssiTtg of
ovr bnilding pcanita any fnzthcr. Plcaac cxll mc lf thcm atc eny qumatlone. I caa be
contacted at 763-502_4706_ , .
a '
Your immqdiatc mxcntion to Wis mattcx is apprectatecL
3inoekalY+
ond R. Rau
ascalIation Manager
Ranowal by Andascn CorPoration
zEWmDI:
Received Tiroe Jun. 1. I:01PM
Guuzi t
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
33r, a.?
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sats
• Civil Plans (2) . SVucWral Plans (2) . Code Analysis (1)
• Certificate of Survey (1) • CivilPlans (2) • ProjectSpecs (1)
• CodeAnalysis (1)" • LandscapingPlans (2) • KeyPlan (1)
• ProjectSped (1) . CodeAnalysis (1) " . Master Exit Plan (1)
• Spec. lnsp. & TeaUng Schedule '• . Certificafe of Survey (1) • Energy Caiculalioos (1) no[ always'*
• Soils RepoA (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always"
. Meter size mus[ be eshablished • Meter size must be established . Meter size must be established - if applicable
. ProjectSpecs (1)
b • EnergyCalculations (t)
1 • Electric Power & Lighting Form (1) " L
1 . Master Exit Plan (1) 1
1 • Emergency Response 3ite Plan (1)'"" 1
1 • SoilsReport (1) 1
. MClES SAC determinatlon letter . MClES SAC determination letter . MC/ES SAC determination letter
ca11 6 51-6 02-1 0 00 call 651-602-1000 call 651-602-1000
Footl & bBVBfBge Of IOtlging f8c111ti2S - SUbmlt plan t0 MN DepBRmBnt Ot H@01t11. G011 651-Z7b-U /UU tOf oei2115.
" Contact Building Inspections for sample.
Permit for new huildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
DATE: q`S vz- WORKTYPE: _ NEW _ REMODEL CONSTRUCTIONCOST:
SITE ADDRE55:
S
TENANT NAME: 'Tkornc?_? SUITE #:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK
Name:
PROPERTY Last
OWNER
Street Address:
City:
State:
Phone #: (_ )
Zip:
`iv-S1 '\
4 SI-)
?(S-?k )
Company: r- COrI/v?ia.-fL??CONTRACTOR ?? /'!?
Street Addrecs: ?T O ?l
Phone#: ?/6'`'- z{???o
1111__
City: ??'L GJ?'6 °L State: Zip: .? f 3f
ARCHITECT/
ENGINEER Company:
Nazne:
Street Address:
City:
State:
Licensed plumber InsWlling naw sewer/water service: Phone #:
1 hereby acknowledge that 1 have read this appfication, state that the information is co rect, and agree to comply with all applicable 5tate of
Minnesota Statutes and City of Eagan Ordinances. ,
Signature of Applicant: p?
Updated 7102
= - Sk i r'>,le?
First
Phone #:
Registration #: 1 S E P 0
OFFICE USE ONLY
SUBTYPE
? Ol Foundation
? 14 Apartments
? 15 Lodging
? 25 Miscellaneous
WORK TYPE
? 31 New
? 32 Addirion
? 33 Alterations
? 34 Replacement
? 26 Public Facility
0 27 CommerciaUlndustrial
? 28 Greenhouse
? 29 Antennae
? 30 Accessory Bldg.
? 32 Ext Alt - Apts.
? 34 Ext Alt - Comm.
? 35 Ext Alt - PF
? 37 Nail Salon
? 35 Tenant Impr ? 42 Demolish (Foundation) G 46 Windows/Doors
? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code
SAC Code
No. of Units
No. of Bldgs.
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floor sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Hearing ? Insulation
APPROVALS
Planning Building Engineering
VALUATION $
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
SNU Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Ofher
Copies
% SAC
SAC Units
Meter Size
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MCBS System
City Water
Fire Sprinklered
q Plumbing ? Stucco/Stone
Variance
Total
PERMIT # ? a (p RECEIPT DATE: k O L'
8008 RESI)ENTIAL f'LUM$1Nfi PEfiMiT APPI1CATlON
CITY OF E46cAN
S$SO Pi1.OT KNOB iiD
EAstkx, eex b5 i as
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: TSG,1 .J04VA
OWNERNAME:: VW Vci TELEPHONE#: La-`6Z-?>?Rq
(AREA CODE)
?It '
INuTALLER NAfUiE: ItAR P't oewlx V-G TELEPHONE #: LF
(AREA CODE)
STREET ADDRE55: ?Jb? DC?
CITY: l:.W-1VS) STATE: M N ZIp;
?_j
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Adtlitional consultant fees may apply
. MODIFICATION/ALTERATION TO EXI5TING DWELLING UNIT, INCLUDING:
_ Adding fiMures to lower levels or room additions, exclutling water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit (+ 518" meter if needed -$118)
Other:
S
'
q ?
' r? ? l
_ RPZ: new installationlrepaidrebuild ?
? '' " $ 30.00
_ lawn irrigation system MAY 2 3??fl2
rl
Replacement/additional: _ water softener 1 water By r $ 15.00
State Surcharge $ .50
15 CDO
TOt81 $
I hereby acknowledge that I have read this application, state thatthe information is cortect, and agree to complywifh all applicable Cityof Eagan ordinances. It
is the applicanYs responsibility to notiTy the property owner that the City of Eagan assumes no liability for any oarftes caused by the City nng i s normal
operetional and maintenance aclivities to the facilities constructed under this permit within City prop?l• / ase? ement. ? ? v/
ITjrEE 1l02
SIGNATURE F P M%
!
'M' * * * 2022 Enterprise brive
* pIpNERp Mendota Ileiglils, MN 55120
* er?g * eer rtg,.. I6 121 6e1 -1914 -----
Certilicate of Survey for: OAK Kv' " "- - ???? ?ME-5f
NoR7H
co.
?aq
?? yyCb? M
?`by\?P? / Zf,.23 i ? ?'
4 , a ,o0•W l ?. 4 ;4
+(?? Qe?2o°3? i?(ef l W b•°? Lof 2 ?? °; G
-A
B°-
? K {?• ? / " ? Q .? 4 ? fP:
! o?
y,o ?o.o ro.o 15'O 9.
\ ^
0?¢ ? ?/°5726'EI o.?q
?N i37en //s3/ l e,
s N/ 57'16 E „
PN 1 ? o d? I A?
' ?_ - ? \ /QO ? 20.0 20.0 N h
o ?? l 1014 ? r1 E'
; Ih-
1 ?
?
irl. 14 No°zb'oz'E b•2 ??
L4?! BY
E ? r. 7?rF,? *?7FP?a
? 900.0 Uennl?es erisfin¢ E?levcrlion s?o ?f'v-? foD I,
Ns
• 900,o Uenofes propos?d Eltvalion ?on
=
? Utnofes d?ma e (Ulili/r fpsemenf (owest floor• Elevnl7
- Denofes birxinl?e Ffow `Arrows 7np O(^Black
o I)enofes monume?1 f Gara?e 51cr6 Vevalivn=r 95-1, 5
------
BQarirI# shawn are assumed Sub,iecf fo Easemenfs o{ record
LOTS I4v 4 , BLOCK 3, THONIAS LAKE WOODS
DAKoTA CouNry,MrNNeSh c"q
1 beteby eenify Ihst IbM survey, plan or reporl wag prepnred hy me m under my dllect supervlslon and thet 1 em duiy flegiztereAyyI unveyol
under the lem ol the Suti el Mlnnesola, beted thh dny ef q,p ?g,
CU : A , eQ?.?E(,?' ?
S ?e 1 L 40 ? /6f.?.
?? 88081.1A. n00Ef11A,SIHIf,11L.5. FO.NO.I'480
. ..
..
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
2 SfiTS OF PIANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET UF ENE&GY CALCULATIONS
# OF RENTAL UIQITS
170-4# OF FOR SALE UNITS
..,.
2 SETS OF ARCNITECTURAL
6 STRUCTURAL PIANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS
PENALTY APPLISS WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS NADE.
IAT CHANGE IS REQUESTED ONCE PERHIT IS ISSUED.
NOTE: ADDRESSES F(1R CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERHIT MUST SHOW A LICENSED PLUtSBER.
i U'.? S ? REC[
To Be Uaed For: Multi Family Valuation: $98;297-.12 Date: 06/12/90
sice Address 4517 South Mallard Trail
Lot 2 Block 3
rarcel/sub Thomas Lake Woods
pwner Thomas Lake Development, LTD.
pddreas 6648 RuStiC Road S. E.
City/2ip Code Prior Lake. MN 55372
Phone 447-2424
concraccor Thomas Lake Develop. LTD.
nadress 6648 Rustic Road S. E.
City/Zip Coae Prior Lake. MN 55372
Phone 447-2424
Arch./Engr.
Address
City/Zip Code
Phone 0
1990 BIIILDING PERMIT APPLZCATION
CITY OF F.ACAN
99,000`
occupancy (Zw3 M-l
2oning PD
Actual Const V-N
Allowable V-N
# of stories
Length [ 4 1
Depth 30
S.F. Total
Footprint S.F.
On site sewage_
On site vell
riwcc sy8eem ?
City water ?
PRV
Booster Pump _
' APPR011AIS
IPlanner
Council
?Bidg. Off. jt(% Sr
Varianca
?l N
/11DTjEL A2
Fm
Bldg. Permit ?35'00
Surcharge '19.50
Plan Review 413:00
SAC, City 100.00
SAC, MWCC (rOOOa
Water Conn EZS.oC
Water Mater RO,w
Acct. Deposit 50,oo
S/W Permit 30,00
S/W Surcharge .'D
Treatment P1. 00
Road Unit , . S,Oo
Park Ded.
Copies
SOBTOTAL
Penalty
TOTAL
/s? w
NAME: THOMAS LAKE DEVELOPMENT, LTD.
ADDRESS: 4517 SOUTH MALLARD TRAIL
LOT: 2
BLOCK: 3
PHASE II
PRICE
YES SQ. FT. SQ. FT. TOTAL
-------------------------
GARAGE -----------
1 ------------
$14.36 -----------
440 ------------
$6,318.40
MAIN FLOOR/BASEMENT 1 $48.68 1144 $55,689.92
SLAB MAIN FLOOR $53.68 1144 $0.00
SECOND FLOOR 1 $38.94 520 $20,248.50
UNFINISHED BASEMENT 1 $10.00 1144 $11,440.00
FINISHED BASEMENT $13.00 1144 $0.00
BATH BASE/2ND FLOOR 1 $1,000.00 1 $1,000.00
FIREPLACE $1,000.00 1 $0.00
GLASS PORCH 1 $25.00 144 $3,600.00
SCREEN PORCH $20.00 144 $0.00
DECK $8.00 120 $0.00
$98,297.12
DATE: 11-12-86 ENERGY CODE CALCULATIONS
- -------
------'------°--------- CDMM NO: 8661
-
CHASNEY ASSOCIATES ZNC.. PROJECT: OAK RUN
4979 OLSON MEMORIAL HWY, LOCATIDN: ' BURNSVILLE
MINNEAPOLIS, MN. 55422 _
? BLD6 TYPE: 7YPE A2
PHONE: 612/546-3355
----------------------------------------- DEGREE DAYS: 8300
--
ZNDOOR DESIGN TEMP ±72 DEGREES ------------ -----------
ENGINEER: ----------
DHD
OUTDOOR DESIGN TEMP -16 DEGREES
----------------------------
====_==___
-----------
- FILE:
----- E-3661-5
----
CEILING _ ROOF ASSEMBLY
----------------------==
--===-==`---
-------
-----
AREA-SO FT
------
- ----
-----------
U VALUE ----------
----------
U x A"
-
----------
INSULATED AREA -
------------
1152 -----------
-----------
_025 ----------
----------
20
92
FRAMING ARE?p ' 117 .070 ,
8
19
SKYLIGHTS 0 . 0 .
0
OTHER (DESCRIBE) O
OTHER (DESCRIBE) ?
0 0 O
------------------------------------------
-- 0 O
-
1 TOTALS. ----------
1269 -----------
******** ----------
37.11
2 AVERAGE U VALUE (UxA)/(A) LINE 1 ******** _029. W******?
3 REOUIRED U VAWG ******** ,033 ****???*
-------------------------------------------
------------------------------------------- ?-----------
------------ --_____----
----------- ----------
----------
EXP08ED WALL ASSEMBLY
-------'--------------=--------------------
- AREA-S9 FT
- ^-------- U VALUE U'x A
-------------------
INSULpTED WALL Stl AREA -
------------
1494 -----------
-----------
.054 ----------
----------
80
23
FRFlMING AREA 1tl 165 .355 .
58
51
WINDOWS 195 .610 .
. 118
95
DOORS 33 .510 .
16
83
RIM JOIST AREH 101 .055 .
5
57
FIREPLACE WALL ? 0 .
INSULATED WALL #2 AREA
69 0 ?
FRAMING AREA #2 .101 6.97
O7HER (DESCRIBE) 7 _219 1.53
OTIAER (DESCRIBE) 0 0
0
-----------------------°--------- 0 0 0
-
4 TOTALu -----------
--
---
5 AVERpGE U VALUE (UxA)/(p) LINE 4 2064
***** ******t* 2FS8.5C3
6 REOUIRED U VALUE *** .140 ?+-***W»W
------
- *******;?
-
- ZJ0
--- **?,*??**
-------
TOTAL ENVELOPE
-----------------
-----
===-=-= ---
--=---=
-
METHOD --
-----=-=---
=-----
-___=
--
--
--?=__==__
7 AREA (LINE 1) + AREA (LINE 4) 1269 _=---------
2064
8 UxA (LINE 1) + UxA (LINE 4) 37.11
288
58 3333
^
9 AREH (LINE 1) x U (LINE 3) 1269 .
03 3
5.69
10 /1REA (L7NE 4) x lJ (L1NE 6) 2064 .
2? 41.88
11 CiUUGET (LINE lU) •ti (LINE 9) 474,72 41.8? •17?1.7^•
12 U VALUE (LINE 11) /(LINE 7) 516.60 3333 ?1G.6U
-------------------------
-----------
----
-
-- .15
SUMMARY -
-------
--
-====
-----------
U VALUES
-----------------° -----
------° -----------=
REOUIRED -=----=-°==
ACTUAf_ _-
-__='_===
UIFF
------
ILING ROOF ASSEME3LY U VALUE -------
- -------- ----
EXPOSED W{aLL FlSSEMBLY U VALUE .033
•029
.004
TOTAL ENVELOPE BUDGETS .230
.140
090
-------°----------------
--
51
6.60 325.G9 190.91
IF EHCH ACTUAL U VALUE OR IF BUDGET IS LESS
COMPUTER CRLCULATES 7HAN RE9UIRED,- BLUG_ MG ETS CODE
U TO ACCURACY OF .00000001 BUT .001 IS SHOWN FO R CLARITY '
.-......
SIDING _'7q
5.5 " FIBERGLFlS 16.50
5/8" SHEETROCK .56
-------------- = - --
DATE: 11-12-86 ^
----------- -------
=---== ----- c -------------------------------
TRAN.,MISSION FACTORS? ?` COMM
-----------------
-
=== -? ------ -? -
NO: 8661
--------
CHHSNEY A5SOCIATE3 -
INC. --
---------
====
---------------•--?------------
PROJECT: DAK RUN ---------
-------.._..
4979 OLSON MEMORIAL HWY. RUN NO: 01 PAGE N0: 01
MINNEAPOLIS, MN. 55
--------------- 422 ENGINEER: DAB FILE:
--------- --------------------------- CALC OS
----
ROOF, R
-------------------- -
-------
VALUE
-------
----------------•--------•----------?-
ROOF FRF1MING
------------
- ---------
---------
R VALUE
UUTSIDE AIR FILM
.17 --
-------- ----------- -
OUTSIDE AIR FILM ---------
.li
ROOFING .44 ROOFING _hA
12" FIBERGLA5 38.00 FRAMING 12_50
5/8" 5HEE7ROCK .56 5/6" SHEETROCK .56
.,.._?.___ __.___ ._
INSIDE AIR FILM ?._
.61 _._...._.___._._.._.._....._ ........................_
INSIDE AIR FILM
" .61
TOTAL R VALUE
------------------- 39.78
------- TOTAL R VALU[
---- 14.2E;
ROOF U VALUE
.0251 ---------------------------------
FRAMING U VALUE ---------
.0700
-•------------------
WRLL N0. 1 R
------------------- -------?
VALUE
------- -----------------•---=--°_=?'-_===="c=
WALL FRAIIING
-- =-c=-=="::
R VAl_UE
OUTSIDE AIR FILM
.17 -----------------------------------
OUTSIDE AIR FIl_M - -------
.17
uIDINU
FRAMING .69
5/8" SHEETROCK .SC.
INSIDE AIR FILM .61 INSIDE AIR FILM .61
TQTAL R VALUE
----------------- 18.63
----------------- TOTAL R VALUE 2.E32
ROOF U VALUE -
.0537 ------------------------------
FRAMING U VALUE -------
.3546
WALL N0. 2(BSMT)
----------------- R VALUE
-------- FRAMING 2(EiuMT) R VhLUE
OUTSIDE AIR FILM ----------
.17 ----------- ° --- --------------
OUTSIDE AIR FILM ---------
.17
8" CONC BLOCK 1.85 8" CONC f3l_OCK -)
1. pf
1" THERMAX 7.20 1 1/2" STRIPPING .
l.fi7
INSIDE pIR FILM .68 INSIDE AIR FILM .?.s;
TOTAI_ R VALUE
----------------- 9.90
------------------ 70TAL R VALUE
-
- 4.57
WALL U VALUE
------------•-----
.1010
--
--
=======
= -
---------------------------
FRAMING U VALUE
--------- -------
.2188
RIM JOIST
------------------ -
----
-
R VALUE
-------------
--- -
--------
» y R
V(-1LUE
OUTSIDE AIR FILM .
-
.17 ------------------------------
OUTSIDE AIR FILM ------
17
SIDING .79 SIDING .
5.5 " FIBER6LAu 16.50 '-"'"''
___ ..---°-----°----------
INSSDE AIR FILM -----....__._ ___._
--
.68
_ . ...
" °
IIVSIDE AIR 1=I1.m
-
TOTAL R VALUE
--------- 18.14
----------
--- 1'OTl11- R V/-11 UE
L U VALUE --- --
.0551 ------------------- -----._.....
FRAMING U VALUE
------- -
1.1765
GLASS - U VALUE -"-
61 -"__=_=?.._.-=c=ccc?
. DOOR - U VALUE 51
• r ` ???1 v
1990 BIIILDING PERMIT APPLICATION
CITY OF L1CI1P
C014[ERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PIANS
1 SET OF ENERGY CAIAUTATIONS (CHECK WITH BLDG. DEPT.) 1 3ET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
o OF RENTAL UNITS
175-4# OF FOR SALE UNITS
PENAI.TY APPLIES VNEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF HONTH IN WfiICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NO7E: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER HUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CAaS7GFS WILL BE AI.UWED ONCE SUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & HATER PERMITS IS TGTO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERltIT MUST SHOW A LICENSED PLUMBER.
juN 1 3 RE6o
To Be Uaed For: MUltl FafTllly Valuation: wQ°&. `.-42- Date: 06/12/90
sice Address 4519 8outh Mallard Trail
Lot 1 Block 3
rercei/sub Thomas Lake Woods
pwc,er Thomas Lake Development, LTD.
Address 6648 RustiC ROad S. E.
City/2ip Code Prior Lake. MN 55372
Phone 447-2424
contraceor Thomas Lake Develop. LTD.
Address 6648 Rustic Road S. E.
City/Zip Code Prior Lake. MN 55372
Phone 447-2424
Arch./Engr.
Address
City/Zip Code
Phone #
ql-J 0DD.` OPFICE USB ONLY
FEES
Occupancy ,'3 M-1
Zoning Pb
Actual Const V'- N Bldg. Permit
Allowable V - N Surcharge
# of stories Plan Review
Length ? SAC, City
Depth 3 0" SAC, MWCC
S.F. Total Water Conn
Footprint S. F. Water Meter
Acct. Deposit
On aite sewage_ S/W Permit
On site vall S/W Surcharga
MWCC System ? Treatmant P1.
City water V Road Unit
PRV ? Park Ded.
Booster Pump _ Copies
SOBTOTAL
APPROVALS Penalty
Plannar _ TOTAL
Council
Off
Bld
jtolIS
g.
.
Variance
MoVcL" A(. ?
i $Cf
3.4 ?4 /
• J ! 1
NAME:
ADDRESS:
LOT:
BLOCK:
PHASE
THOMAS LAKE DEVELOPMENT, LTD.
4519 SOUTH MALLARD TRAIL
1
3
II
PRICE
-----
- YES SQ. FT. SQ. FT. TOTAL
------
----
GARAGE -----------
1 ---------
---
$14.36
-----------
440
------------
$6,318.40
MAIN FLOOR/BASEMENT $48.68 1144 $0.00
SLAB MAIN FLOOR 1 $53.68 1144 $61,409.92
SECOND FLOOR 1 $38.94 520 $20,248.80
UNFINISHED BASEMENT $10.00 1144 $0.00
FINISHED BASEMENT $13.00 1144 $0.00
BATH BASE/2ND FLOOR 1 $1,000.00 1 $1,000.00
FIREPLACE 1 $1,000.00 1 $1,000.00
GLASS PORCH 1 $25.00 144 $3,600.00
SCREEN PORCH $20.00 144 $0.00
DECK $8.00 120 $0.00
$93,577.12
.. , ?
--------------------===----
DATE: 11-12-86 ENERGY CODE CHLCULATIONS
------------
------'-------'----- --------- -------------'--
------
COMM NO:
- ---
8661
------------------
CHHSNEY AuSOCIATES INC., .
----------
PROJECT: -------
---`--------
OAK RUN ----------
---------'
4979 OLSON MEMORIAL HWY. LOCATION: ' BURNSVILLE
MINNEAPOLIS, MN. 55422 _ BLDG TYPE: TYPE A2
PHONE: 612/546-3355
-------------------------------------- DEGREE DAYS: 8300
-----
INDOOR DESIGN TEMP ±72 DEGREEu- ----------- ------------
ENGINEER: ----------
DAB
OUTDOOR DESIGN TEMP -16 DEGREES
--------------------------
====-----= ' FILE: E-8661-5
----
CEILING = ROOF ASSEMBLY
----------------------=====--==--= --==---=-=-
AREA-S9 FT
---- =---=-===-==
U VALUE -=-------=
U x A"
------
---
INSULATED AREA -----
-----------
1152 ------------
------------
.025 --
---==---=-
20
92
FRAMING AREA ' 117 .070 .
8
19
SKYLIGHTS 0 0 .
OTHER (DESCRIBE)
p O
'
OTHER (DESCRIBE)
0 ? ?
----------------°------------------------
- 0 0
1 TOTALS. -----------
1269 -----------
******** ----------
37
11
2 AVERAGE U VALUE (UxA)/(A) LINE 1 **?K**K*?k .029 .
3 REOUIRED U VALUC
---------------
- ******** ,033 ****???*
------------
===--==-
EXPOSED_WALL_ASSEMBLY
-------------------------- =-----------
-----
AREA-S0 FT -----------
-----------
U VALUE -------
--------='
U x A
-----------------
INSULATED WALL #tl AREA --==-------=
1494 =-======---
.054 -=--=-=--=
80
23
FRAMING AREA 1t1 165 .355 .
58
51
WINDOWS 195 .610 . .
118
95
DOORS .
RIM JOIuT AREA 33 .510 16.83
FTREPLACE WALL • 101 .OSS 5.57
INSULATED WALL tk2 AREA 0 0 ?
FRAMING AREA #2 69 .101 6.97
OTHER (DESCRIBE) 7 .219 1.53
OTI-IER (DESCRIBE) 0 0 0
--------------^---------
---------- 0 0 O
--
4 TOTALS ------------ ----------- -
5 AVEkAGE V VALUE (UxA)/(A) LINE 4 2064
*** 2?3g Sa
6 REBUIRED U VALUE **W**
,
140 *+?***W:rx
--------- ********
----- .230 ?*W**tx*
-----
-
_TOTAL_ENVELOPE
------------------===---==
-----------=
METHOD --
----=------ ------
-------
=----- --===---=
7 AREA (LINE 1) + AREA (LINE 4) 1269 ='
2064
>
8 UxA (LINE 1) + UxA
(LINE 4) 37.11
288
58 3?33
^
9 AREA (LINE 1) X U
(LINE 3
1269 . 3
5.69
;
10 nREll (L7NE ?I) x lJ
(L1NE 6 2064 .03 41.88
11 UUUGET (LLNF lU) h(LINL 9) 474.72 .23
41
88 •174.7.'
r
12 U VALUE (LINE 11) /(LINE 7) 516.60 .
3333 ,1?????
=--=---=------------------
---
------
-----
-=----
-
--=
SUMMARY - --
--=-=- --
U VALUES
------------ --------- --------
-------- REBUIRED ACTUAI_ UIFF
------
CEILING/ROOF ASSEMBLY U VALUE -------- -
EXPO^•uED WALL FlSSEMBLY U VRLUE -033 .029 .004
TOTAL ENVELOPE BUDGETS 230 140 090
-- -- 516.60 325.69 190.91
----
IF EACH ACTUFIL U VALUE DR IF BUDGET IS LESS
COMPUTER CALCULATES U T ---- --------- ----- --
7HAN REBUIRED, BLUG. ME ---- ----
ETS CODE
O pCCURRCY OF _00000001 BUT .001 IS SHDWN FD R CLpRITY
• J - Y 1 .
DATE: 11-12-86
-----------
--- TRANSMI5SION FACTORS COMM
--?------------------------
- N0: 8661
--------
-------
CHAuNEY ASSOCZqTES INC. ---
-----
------------------ - --?---------------
PROJECT_ OAK RUN ---------
-------?--
4979 OLSON MEMORIAL HWY. RUN NO: 01 PAGE N0: 01
MINNEAPOLIS, MN. 55422
---------- ENGINEER: DAB FILE: CALC OS
----------
ROOF, R
-------------------- ------
VALUE
------ -------==-=-------°___=_=_=_======_==
ROOF FRAMING
--- _=_____--
R VAL_UE
OU7SIDE AIR FILM
.17 ----------------------------------
OU7SIDE F1IR FILM ---------
.17
ROOFING .44 RDOFING .44
12" FIBERGLAS 38.00 FRAMING 12.50
5/e" SHEE7ROCK .56 5/8" SHEETROCK .56
.------------------- -
-
INSIDE AIR FILM
,61 ------------------ __..
TNSIDE AIR FILM
.bl
TOTAL R VALUE
----------'---------- 39.78
------ TOTAL, R VALUE
-
-- 14.28
ROOF U VALUE
_0251 -
---------------------------------
FRAMING U VALUE ---------
.0700
--------------------
WALL N0. 1 R
-------------------- ------
VALUE
--- ??- ------------------------?-----=---==_=_
WALL FRAIIING
--- _=___=_-:
R VALUE
OUTSIDE AIR FILM
.17 ------_-`_...`-------C?.----...w_--__-._
OUT.,IDE AIR FILM -`-_..___..
.17
SIDING .79 SIDING .?'?
5.5 " FIBERGLAS ? 16.50 FRpMING .61?
5/8" SHEETROCK .56 5/8" SHEETROCK .SC.
.___.__._
._..__
_...___._
INSI
DE AIR
FILM .61
LM__.
INSIDE AIR FI
...
6]
TOTAL R VALUE
---------------°--- 18.63
------ TOTAL R VALUE
------ 2.82
ROOF U VALUE
-------------
,0537 -------------------------------
FRAMING U VALUE
- -------------------^---------
- ----------
.3546
---•---
WALL N0. 2(BSMT) R
------------------- ------_
VALUE
------- -
-
__
----------------------------------...
FRAMING 2(BSMT)
---- ---------
---------
R VALUE
OUTSIDE AIR FILM
.17 ----- ° ----------------------•----
OUTSIDE AIR FILM -----------
.17
B" CONC BLOCK 1.85 8" CONI; BLOCK 1.8:3
1" THERMAX 7.20 1 1/2" STRIPPING 1.Et7
_..----____-------
IN•^uIDF-..AIR FI?M
INSIDE AIR FILM
TOTAI_ R VALUE
------------------- 9.90
------- TOTAL R Vfat_UE
--------- 4.57
WHLL U VALUE
-----------_..------
.1010
--- ----------------------------
FRAMING U VALUE
=----
-=
- ---------
.2188
RIM JOIST R
--------- ----
VALUE
------- -
-
--------===---=====n:_==-x_
-
--------
- -.=._=_:.',
R VALUE
OU'fSIDE AIR FILM
.17 -
-----------I ----------------
DUTSIDE AIR FSI.M --•--
17
SIDTNG .79 SIDZNG .
5_5 " FIBERGLAS 16.50 "--'""'-'-"'
INSIDE HIR FILM - -'"__._.6? .. _ I ... N o_^. I - DE ...- - A - I -.. R __.. r . i _. i_ ..- rl --.
TOTAL R VALUE 18.14 1'pTAL
R VAI UE
- --------- ------- ,
------ - -
WALL U VALUE
.0551 -- - -----------
-----
FRAMING U VALUE
_--•-----
1.1765
? --__=-=--_P•==
^ -===
GLASS - U VALUE
.61
DOOR
- U VALUE '=
.51
1990 BIIILDING YERHIT APPLICATION
CITY OF EACAIi
SINGLE FAMILY DNELLINGS MOLYIPLS DWELLINGS COliMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 3 SETS OF ARCHITECTORAL
S REGISTERED SITE SURVEYS RE6ISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH SLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
1 04 # OF FOR SALE UNITS
PEHALTY APPLIES WHEN: TYPING OF YERMIT IS REQUESTBD, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCfi PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWE? ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERHIT MUST SHOW A LICENSED PLUMBER.
J U N 1 3 RECO
To Be Uaed For: MUltl FBmily Valuation• °'?7-? Date: 06/12/90
sice nddress 4521 5outh Mallard Trail
Lot 4 alock 3
Parcel/sub Thomas Lake Woods
owner Thomas Lake Development, LTD.
Addresa 6648 RuStiC ROad S. E.
city/2ip Code Prior Lake. MN 55372
000 -
occupancy 93 M-1
Zoning PD
Actual Const ?
Allowable V-N
it of stories
Length ?
Depth 3 -
S.F, Total
Footprint S.F.
Phone 447-2424
concraceor Thomas Lake Develop. LTD
Address 6648 RustiC Road S. E.
city/zip Coae Prior Lake. MN 55372
Phone 447-2424
Arch./Engr.
Address
City/2ip Code
Phane ie
On aite aewage_
On site well
xwcc syseem ?
City water
PRV ?
Booster Pump _
APYROVALS
Planner
Council
Bldg. Off. ?1or15
Variance
e ,.
A Z
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Mater
Acct. Deposit
S/W Permit
S/W Surcharge
Treatmant P1.
Road Unit
Park Dad.
Copies
SOBTOTAL
Penalty
TOTAL
?S ? w
.50
?, .?
NAME: THOMAS LAKE DEVELOPMENT, LTD.
ADDRESS: 4521 SOUTH MALLARD TRAIL
LOT: 4
BLOCK: 3
PHASE II
PRICE
------------------------- YES SQ. FT.
---------------------- SQ. FT.
------------ TOTAL
------------
-------------------------
GARAGE ----------------------
1 $14.36 ------------
440 ------------
$6,318.40
MAIN FLOOR/BASEMENT $48.68 1144 $0.00
SLAB MAIN FLOOR 1 $53.68 1144 $61,409.92
SECOND FLOOR $38.94 520 $0.00
UNFINISHED BASEMENT $10.00 1144 $0.00
FINISHED BASEMENT $13.00 1144 $0.00
BATH BASE/2ND FLOOR $1,000.00 0 $0.00
FIREPLACE $1,000.00 1 $0.00
GLASS PORCH $25.00 144 $0.00
SCREEN PORCH $20.00 144 $0.00
DECK $8.00 120 $0.00
$67,728.32
DATE: 11-12-86
------------
=
====?=_= TRAN•^uMISSION FACTORS COMM
--------------------------- N0: 6661
------
CHASNEY ASSOCIATES
INC. ---------
-----------------------------------
PROJECT• OAK RUN --
-- -------
-------
4979 OLSON MEMORIAL HWY. RUN ND: 01 PAGE NO: 01
MINNEAPOLIS, MN. 55
-------------- 422
= ENGINEER: DAB FILE:
------- CA LC OS
-----
RDDF R
------------------- -------
VALUE
-------- --==-=------=----°==_==______
ROOF FRFIMING
--------- _=
R =___=__
VALUE
OUTuZDE AIR FILM
.17 ---------------------------
OUTSIDE F1IR FILt1 -- -------
. l i
ROOFING .44 RDDFING .4,:
12" FIBERGLAS 38,00 FRAMING 12.50
5/8" uHEETROCK .56 5/8" 51AEETRDCK .56
_..._._..._----.__._._____..._. _
INSIDE AIR FILM .....___._..__
.61 _......._._.._.,_._.__.._._.__._..__.___ ....
INSIDE AIR FILM _ ..... ....................
.61
TOTAL R VALUE
--------------°--- 39.78
-------- 70TAL R VALUE
------ 14.2E3
ROOF U VALUE
--------
.0251 ------------------------------
FRAMING U VALUE
" -- -------
.0700
-----------
WALL N0. 1 R
------------------- -------
VALUE
-------- ?_---====
? WALL•FRAMING
-- R VALUE
OUTuIDE AIR FILM
.17 ---------------------------------•-
OUTSIDE HIR FILM -- -- ---
.17
SIDING .79 SIDING ??
5.5 " FIBERGLAS 16.50 FRRMING .6?
5/8" SHEETROCK .56 5/8" SHEETROCK SE:
INSIDE AIR FILM
,61 --__.--------___-
INSIDE AIR FILM
.61
TOTHL R VALUE
------------------- 18,63
-------- TOTAL R VALUE
----- 2.82
ROOF U VALUE
-------------
.0537 -------------------------------
FRRMING U VALUE -- --------
.3546
WALL NO, 2(BSMT) R
------------------- VALUE
------- ^ FP,AMING 2(BuMT)
- R VfaLUE
DUTSIDE pIR FILM
.17 -
-----------------------------------
OUTSIDE AIR FILM -- ---•----•
17
8" CONC BLOCK 1.85 B" CONr BI.OCK .
1
8:3
1" THERMAX 7.20 1 1/2" STRIPPING .
1
,97
.
.________.---------
I
NSIDE AIR FILM --
.
68 ---S----__ .................. F.. I... _LM
IN
IDE AIR
TOTAI_ R VALUE
------------------- 9.90
-------- TOTAL R VALUE
--------- 4.57
WHLL U VALUE
.1010 ---------------------------
FRAMING U VALUE -- -------
.2188
RIM JOIST R
------------------- VALUE
--------
--- ------- R VALUE
OUTSIDE AIR FILM
.17 ---------- •----------
------
OUT:;IDE AIR FSLM
--
----
17
SIDING SIDING .
5.5 F I B E RGLAS 16.50
INSIDE AIR FLL,M
.68
......
IIV:;IDE _ ATR f=II
M
!
TOTAL R VALUE
-
18.14 ..
10Tl11.. R V!V l.iF
------------------ -------- ----
-------
ALL U VALUE _
.0551 ------------------ - -•--_..._.
FRAMING U VALUE
1.1765
GLASS - U VALUE
.61 DOOR - U VALUE ,51
I`7 rJ + l7
+ ;? ? / i? i
/?.
--"---'------_" ---'_'---------" ---'----
-------`----__.._------"" " -'-"-`-------'-'.'•'---------^
DRTE: 11-12-86 ENERGY CODE CALCULATIONS
--------------•------
=
=___===== --'-------'
_-_'--'----
COMM NO: --" -----..
---------
8661
-------
-
_=___
CHASNEY ASSOCIATES INC. _===_=_==___
PRpJECT: __-•-------_
__-------
OAK RUN ....---- -
•--------
4979 OLSON MEMORIAL HWY. LOCATION: BURNSVILLE
MINNEAPOLIS, MN. 55422 BLDG TYPE: TYPE A2
PHONE: 612/546-3355
-------------------------------------- DEGREE D!'3YS: 8300
-----
INDOOR DESIGN TEMP +72 DEGREES ------------ -- -----------
ENGZNEER: --------....
DF16
OUTDOOR DESIGN TEMP -16 DEGREES FILF: E-£3661-1
CEILING - ROOF ASSEMBLY
------------------ --------- - - -----
- pREA-39 f-T
-- U VALUE U x A
--------------------°---
INSULATED AREA _-
111-12
.025
28
92
FRAMING AREA 117 .070 .
8
14
SKYLIGHTS 0 0 ,
OTHER (DESCRIBE)
U 0
OTHER (DESCRIBE) 0 C)
--------------------------------------- 0 0
----
?
TALo ------------
1269 ----------- ---------
37. 1
1
2 AVERAGE U VALUE (UxA)/(A) LINE 1 _029 .
3 RE9UIRED U VALUE
-------
-----------
--------
.033
-------------
----------
EXPOSED WALL ASSEMBLY
---------------------
--------
==-==-----= -_--
---------._-
AREA-SB FT
--------- --
--_===____=
U VALUE
____=_==_
U x A
--
-
--------
INSULATED WALL 41 AREA ---
------------
575 -----------
-----------
,OSq ---------
--•------ -
30
88
FRAI1ING F1REA 1F1 355 .
22 61D
WINDOWS 129 ,610 70
69
UOORS :;:i .5J.0 .
16
833
RIM JOIST AREp 101 .055 .
5
57
FIRFPLFICE WALL ?) .
INSULATED WALL tt2 AREA
91 0
?
PRAMING ARF
A #2 .101
9_ t
<
_
UTHGR (DESCRSBE) 219 2 1?
D'iHER (DESCRIBE) U 0
-------------------------
= 0 ?
----
A TOTALS --------
- -
1C:?3 -----------
w.:u:k*x *.c * -----------
166
04
5 AVERAGE U VALUE (UxA)/(A) LINE 4
.
1GFj .
6 REQUIRED U VALUE
-
- .230
-
------ - ---
TOTAL. ENVELpPE ------=•-_=_=
METHOD ______°__=° _______'==
7 AREA (LINE 1) + AREA (LINE 4) 1269
10t3 --
2? ?-
2
8 UxA (LINE 1) + UxA (LSNE 4) 37.11 166.??-i `
03
1?1
9 AREA (LINE 1) x U (LINE 3) 1269 ??;? .
10 AREA (LINE 4) x U (LINE 6) 1003
2
5 41.68
11 BUDGET (LINF 10) +(LINE 9) 230
69 .
.
41
0
3 230.69
.
12 U VALUE (LINE 11) /(L_INE 7) 272,57 .
,
2272 272_57
-------
--
=' 17
SUMMARY ---------- c=nc==='= _==__=_--_
U VALUES
---------------------------
REG]UIF:FD
--_...__.
ACTU11l_ -----
DIFF
-
------
CEILING/ROOF ASSEMBLY U VALUE
--------C-,-
------
------o
EXPOSED WALL ASSEMOLY U VALUE
v:
0 .029 p?l
TOTAL ENVELOPE
BUDGET^•u
-------------------------------------------- :
272.'.;1
.
166
203.14 .OFr1
69_43
IF EACH ACTUAL U VALUE OR IF E3UllGE'f IS LFSS ---
THAN REG]U!RED, ELr)G MEET,-, COPG
COMPUTER CALCULATES 1.1 TO faCCURflCY OF . OOOOOOUI E3UT .?•?1 ] S t,}10bJti FOR CLi?RI 1
1990 SIIILDING PEAlSIT APPLZCATION
CITY OF EAGAN
2 SETS OF PIANS 2 SETS OF PIANS Y SETS OF ARCHITECTURAL
3 REGISTERBD SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PL4NS
1 SET OF ENERGY CAI,CUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
1 074# OF FOR SALE UNIT5
PENALTY APYLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WNICH REQUBST IS MADE.
IAT CNANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NO1E: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNE& MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERHIT MUST SHOW A LICENSED PLUMBER.
JUN 1 3 RECO
To Be Used For: Multl Famlly Valuation: $79:A48:3-2-- Date: 06/12/90
stte Address 4523 South Mallard Trail
Lot 3 Block 3
Percei/sub Thomas Lake Woods
owner Thomas Lake Development, LTD.
Addreas 6648 RuStiC Road S. E.
City/2ip Code Prior Lake. MN 55372
Phone 447-2424
contraccor Thomas Lake Develop. LTD.
pddress 6648 Rustic Road S. E.
city/2ip Code Prior Lake. MN 55372
Phone 447-2424
Arch./Engz.
Addreas
City/2ip Code
'l `i1 Qa0"
Occupancy
2oning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
USE ONLY
R-3 M-1
_Fr-->
V-N
Y-N
6q,-
?
On site sewage_
On site well
MWCC System ?
City water 11f
PRV ?
Booster Pump _
nlpDCt ,4ZFEES
kYPROVALS
Planner
Council /
Bldg. Off. ?b/IS
Varianca
Bldg. Permit 545•C)o
Surcharge
5 0
139..
Plan Review , yv OU
SnC, City f or. o
snC, tawcc F.-0e. o0
Water Conn 6Za Cc!
Water Meter G.GrJ
Acct. Deposit ?30 t7
e.?O
S/W Permit S0.0p
S/W Surcharge .50
Treatment P1. 252.QD
Road Unit 355•00
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
S9 4tl
Phone *
I
WV . ,
NAME:
ADDRESS:
LOT:
BLOCK:
PHASE
THOMAS LAKE DEVELOPMENT, LTD.
4523 SOUTH MALLARD TRAIL
3
3
II
PRICE
YES SQ. FT. SQ. FT. TOTAL
GARAGE 1 $14.36 440 $6,318.40
MAIN FLOOR/BASEMENT 1 $48.68 1144 $55,689.92
SLAB MAIN FLOOR $53.68 1144 $0.00
SECOND FLOOR $38.94 520 $0.00
UNFINISHED BASEMENT 1 $10.00 1144 $11,440.00
FINISHED BASEMENT $13.00 1144 $0.00
BATA BASE/2ND FLOOR $1,000.00 0 $0.00
FIREPLACE 1 $1,000.00 1 $1,000.00
GLASS PORCH 1 $25.00 144 $3,600.00
SCREEN PORCH $20.00 144 $0.00
DECK $8.00 120 $0.00
$78,048.32
--
•
-
---?---------=-=
------------------------------------
--------------------------------------
?
DATE: 11-12-86 ENERGY CODE CALCULATTONS
-------------•'- '-----------------------------------
--------
-- ------------
------------
COMM N0:
-- ----------
--
--------
8661
-
-----------------
CHASNEY ASSOCIATES INC. •
-----------
PROJECT: ----------
---'--------
OAK RUN ----
__=___----
4979 OLSON MEMORIAL HWY. LOCATION: ' BURNSVILLE
MINNEAPOLIS, MN. 55422 BLDG TYPE: TYPE A2
PHONE: 612/546-3355
--------------------------------------- DEGREE DAYS: 8300
----
INDOOR DEuIGN TEMP +72 DEGREE^-u ------------ -----------
ENGINEER: ----------
DHD
OUTDOOR DESIGN TEMP -16 DEGREEu ' FILE: E-8661-5
CEILING _ ROOF ASSEMBLY
----------------------===-==-=--==---
AREA-SO FT
-------
U VALUE ------
U x A"
--=---
INSULATED AREA ----
-
-----------
1152 ---------
-----------
.025
-=-==-=-=-
20
92
FRAMING AREA .
SKYLIGHTS 117 .070 8.19
OTHER (DESCRIBE) 0 ? 0 " O
•
O7HER (DESCRIBE) ? ? 0 Q
------------------------------ 0 p p
--
1 TOTALS. ------------
1269 -------
********
^ 37
11
2 AVERAGE U VALUE (UxA)/(A) LINE 1 ******** .029 .
W******»:
3 REQUIRED U VFlLUG ******** .033 *****?:**
---------------------- -------
---------- `-----------
------------ ----------=
----------- ----------
--
EXPOSED WALL ASSEMBLY
-------------------=---=--=--=-------
AREA_SO FT
U VALUE --
------
U'x A
-----------
INSULATED WALL. ttl AREA ------------
1494 --
.054
80
23
FRFlMING AREA ttl 165 .355 ,
58
51
WINDOWS ,
DOORS 195 .610 . 118.95
RIM JOIST AREA 33 .510 16.83
FIREPLACE WALL 101 .055 5.57
SNSULATED WALL 3t2 AREA ? p O
FRAMING AREA #2 69 .101 6.97
OTHER (DE3CRIQE) 7 .219 1.53
OTI-IER (DESCRIBE) 0 V O
---------------------------------- 0 0 0
---
4 TOTALS -----------
--
---
5 AVEkAGE U VpLUE (UxA)/(A) LINE 4 2064
**** ******:i:* 288.56
6 FEQUIRED U VAWE **** .140
-------- ********
=--== .230
-----
TOTAL. ENVELOPE --
-=-=-
METHOD --=-=------= ===-c--
7 AREA (LINE 1) + AREA (LINE 4) 1269 -
2064 =-=-=---==== ===r--c--
8 UxA (LINE 1) + UxA (LINE 4) 37.11 288
58 ?^3333
9 AREA (LINE 1) x U (LINE 3) 1269 _ ?<5.69
10 AREA (LJNE 4) x lJ (LIN[ 6) 2064 .03 41.88
ll BUDGEi' (LINF lU) +(LINE• 9) 474.72 `3
41
88
•17?1_7:'
12 U VALUE (LINE 11) /(LINE 7) 516.60
-------- .
3333 ?1?•?+U
-----------------------
------------------ ------------
----------
-----=------
-----
.15
SUMMARY
------
-----
=-===-= '=_=_=__`
-------------
U VALUES
------------ -------- - --_--
----_ _-_ -- --==---=----
REBUIRED -
ACTUAI_
UIFF
----
CEILING/ROOF AS5EME3LY U VALUE -------- ------
E;CPOSCD WRLL FISSEMBLY U VALUE .033 •029 -004
TOTAL ENVELOPE BUDGETS .230 140 ,090
-- -- - 516.60 325.69 190.91
---
IF EHCH RCTUFlL U VALUE OR IF gUDGE7 IS LESS
COMPUTER CALCULATEu U 7 ---- --------- ----- ------ ----
THHN REBUIRED, BLUG. MEETS COUE
0 pCCURRCY OF .00000001 BUT _001 IS SHOWN FOR CLARITY
t ?... •
..
DATE: 11-12-86
----------- .?
=------ .? .'. . ... ` ? ? ? ? .?. .. ' "'
TRANSMI55ION FACTORS COMM
----------------------
N ... - : :'
0: 6661
--------
CHASNEY ASSOCIATE9 -
------
INC. ----
-----------------___-------__=______
PROJECT= OAK RUN
_=
°=____-
4979 OLSON MEMORIAL HWY. RUN NO: 01 PAGE NO: 01
MINNEAPOLIS, MN_ 55
---------
--- 422
- ENGINEER: DAB FILE:
------------------------?----- CH LC OS
-------
ROOF, R
-------------------
--------
VALUE
-------- ----
----------------?--------••---?-----__
ROOF FRAMING
------------
--
_=
R
_==__'_
VALUE
OUTSIDE AIR FILM
.17 --
--------------------
OUTSIDE AIR FZLM -- -------
.17
ROOFING .44 ROOFING .4,1
12" FIBERGLAS 38.00 FRAMING 12.50
5/8" SHEE7ROCK .56 5/8" SIAEETROCK .56
_...__.?._.__.?_.?
INSIDE AIR FILM
?.61 ___._..___.._........____....-°- .....
INSIDE AIR FTLt1 _......_ .._......__.
.61
TOTAL R VALUE
----------'--------- 39.78
-------- TOTAL R VALU[
-- 14.28
ROOF U VALUE
--
_0251 ------------------°--------------
FRAMING U VALUE -- -------
,0700
-
----------------
WALL N0. 1 R
------------------- --------
VFlLUE
---- ---- ------ = - = - -===__==='__"_=-____===_=_
WALL FRAMING
--- _'=
R __=__-_
VALUE
OUTSIDE flIR FILM
17 ------------------^------•--------
OUToIDE AIR FIl_M -- ------ -'
..l'.
SIDING ,79 SIDING
5.5 " FIBERGLAS 16.50 FRFlMING 6?
5/8" 5HEETROCK .56 5/8" SHEE.1'ROCK
----------
INSIDE AIR FILM
.61
.__.._......
--------- _ - ----. ..
INSIDE_ AIR FI_ LM_.
._...
---..._ .......
.67.
TOTHL R VALUE
------------------- 18.63
-------- TOTAL R VALUE
-------- 2.E32
ROOF U VALUE
-------------
-
.0537 ----------------------------
FRAMING U VALUE
° -------------------------- -- --------
.3546
-
-.---
WALL N0. 2(BSMT) R
------------------- ------.._
VALUE
-------- ----------------------_____-^__="
FRAMING 2 (BoMT)
-- _=
R ==_-.-_..
VALUE
OUTSIDE AIR FILM
.17 -----------------------------------
OUTSIDE AIR FILM -- ---•-----
.17
8" CONC BLOCK 1.85 8" CONC 6L_OCK 1.£3::>
1" THERMl?X 7,20 1 1/2" STRIPPING
----- - 1.?t7
-- ------- -
_....______---------•
INSIDE AIR FILM
.68 -._._._....__......_.._....____ ..... .. .......
INSIDE AIR FI?M
.6E
TOTAI_ R VALUE
------------------- 9.90
-------- TOTAL R VAL_UE
---------
- 4.57
WALL U VALUE
------------•-------
.1010
--- -
-------------------------
FRAMING U VALUE
------==- -- -------
.2188
RIM JOIST R -----
VALUE -
=--==--------°_____=_____=
- "=
R =__=_=-_
V(1LUE
OU'fuIDE AIR FILM .17 ` OUTSIDE AIR FILM 17
SIDING .79 SIDING .
5.5 " FIBERGLAS 16.50
-
INSIDE ATR FSLM -----
68
_..___........_....._..__ .................. ....
IIVSIUE AIR f=Il_M
..
...... . . .
TOTHL R VALUE 18.14 70TAL R VFII
UE
------------ -------- .
-------
----
WALL U VALUE
.0551 ------------------ °-----
-•-
FRAMING U VALUE
- -
-- ----- -
1.1765
'-"'---'--__
GLASS - U VALUE .61 DOOR - U VALUE
.51
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
cirr oF eacaN
3830 PILOT KNOB RD • 55122
651-881-4875
NewConahucHOnReaulremenh •. a,?, 1 3a-nq` [tgmodei/RaoairReaulremenh
I q. ?s
calicj bJi5100
fM
(o -90-o c)
> J regiatarea Yre wrvers ahowing sq. B. ot bl. s4. It. of houae ' 2 coplea W aidn
and gp roofed areas (20% maxlmum lot covemae Wlowedl 1 set of eWyy wiculoftons tor heated atlmMOna
? 2 coples of plana (show beam & wfndow skea: poureC Ind. design; e1cJ ' 1 sRe wrvey lor exfedor additbns 3 decks
D 1 591019flBfgy CdICUIdIICf1b
> 9 caples of he prea aHOn plan 11 lof ptaRetl aMer 7/1/99
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: PD1P-GkA 00p i 77 O/V
STREET ADDRESS: ? t--+ ?.> 4
LOT: ? BLOCK: ? SUBD./P.I.D.
PrtoPErm
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name:? Pnone 11: ? 5?,' g j:-7!
Sheet
Cgy l?A 6 ftA Stafe: MN Zip:
Company: *'{Akt.- 6W`77"c?RVA) Phone l!: (U? "f s' - t 0 /(?
(area code) 1q-13 w} t?yv T2 , uce?e rI?' ?. ?
Sheei Address:
cnr T- ?, dr l- stare: hn A1 ziP: 5 5? `? (a
Company: Name:
Telephone If: (
Sheet Address: Reglshation #:
City
State:
Sewerhvater licensed plumber (If Inslallirw sewerhvaterl: Phone #:
np:
1 herebY ccknowledge thot 1 hwe read Ihis applkatbn, state ttwi fhe informalbn is . and agree to compry wNh atl appAcable SM1e
/
of Minnesota Stalutes and City of Eagan Ordinances. C? ?
Signafure of ApplicanY.
OFFICE USE ONLY
Certificates of Survey Received ? Yes _ No ' JU?` 8
Tree Preservation Plan ReCeived _ Yes _ No ? Not Required ,?J?L
?'?J
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 27 Porch (3-sea.)
? 02 SF Dwellfng ? 08 06-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex p 10 OS-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Yw_N 0 25 Miscellaneous
? 06 04-plex O 12 12-plex 0 20 Pooi ? 30 Accessory Bldg•
? 31 Ext Alt - Mufti
0 33 Ext. Att - SF
? 36 MuRi
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demoiish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) d 46 Windows/Doors
• Give PCA handout to appl icant for demolition permit
GENERAL INFORMATION
SAC Code oL
No. of Units
No. of Buildings _I
Const. (Actual) VAI
(Allowable) 0V
UBC Occupancy Al-0
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MCIES System
City Water
Booster Pump
PRV
Fire Sprinklered
ov K +(,r4w
(D/c Px? mrC, 0/#0-0 )
MISCELLANEOUS INSPECTiONS pfv D rtN- 0°?? ?- Or e
? Stucco/Stone
APPROVALS
Planning Building T&A-dv Engineering Variance
Permit Fee Valuation: $ ?v?
• 5urcharge
Plan Review ?
License J7- -s r$u-5 v?? ?Uf? t-?` ?? K?" ?Q = S? ?
MC/ES 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatrnent PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
6128969755
JUN.14.2000 9:43RM GITTLEMRN_CORP N0.049 P.1
GJ. 1 AGfMr'M • M?M?iiNnNrT • rn*FTiI x'tttOrv
GiTfI.Fh1AN NIANAGLMLNT CQRPORA710N • c:l'IT[.IiM.4N CC)NSTRSIC7ION CORPORnT[UN
Iune 13, 2000
City of Eagan
Community Development
Fax # 651-681-4694
To Whom It May Concern:
This stateinent is to confirm that the Board of Directors for Thomas Lake Counizyhomes of
Eagan on June 6, 2000 reviewed and approved the building plans for addition of a three-seascn
porch at fl1e residence of Pat Oberle.
The building plans submitied are for the addition of a three-season porch at the premises of:
4521 South Mallard Trail, Eagan, MN 55122.
I am also including a copy of pg. 3 of the Boazd of Directors' meering minutes from the 7une 6,
2000 meeting which refetences the approval of this addition. If you need anything furtheT Pnor
to issuing the building permit, please do not hesitate to contact me at 952-277-2720•
Sincerely,
N MANAGEMENT
Gina M. Smith,
Association Manager
CEnAR itLNlNWS GEt`71ER • 1801 En,sl' 79[1i STTtEL`C • 5L11E 21 • BLOOMING7'ON, hfN 55425 •(612) 277-2700 • FAX (612) Z77-t7y) •[?aAtl: y,mcOgirtte+?com
WWNrn]WN [1PFl(:P: TM IOwI'.RS • 15 SOUTH TIRSI' SIRLP.T • KMT•%POUS. MM^.VPSOTA 55,107 • (612) 33'r1755 • FAX (612) 333H051
JUN.14.2000 9:43RM
6126969755
GITTLEMRN_CORP
BOARD OF DIRECTORS MEETING - JUNE $, 2000 - PAG$ 3
N0.049 P.2
The Board revxewed the E-mail dated May 18, 2000 from ROOF LEAKAGE
Sill Hodapp, 4528 South Mallard Trail relating to the BTLL HflDAYP
water damages at his home from roof leakage. Gina was
direCted to faciliCate the necessary repairs Yo the
roof.
The Property Survey Sammary for Spring 2000 detailing PAOPERTY SURVEY,
Che areas of painting, concrete, grounds, etc. that SPRING WALR-THR1
indicaYe need for attention were reviewed 6y the Soard.
Gina will contact Don Hansen to see if he is intere5ted
in doing anp of the minor prOjects this summer. She
will also 6egin to get bids from various conCractors
to cover Che items o£ greatest concern.
A motion by Wagner, seconded by Clask to approve the PORCH ADDTTION
request o£ Pat Oberle, 4521 South Mallard Trail Eor PAT OB$RLE/4521
addition of a three-season porch as reeoramended by the SO.MALLARD TRAII
Environmental Committee, and SubjeCt to addition of
aa outdaor light at ehe porch door and installation of
gr3ds in all porch windows. Motion carried unanimously.
The next Board meeting will be July 6, 2000 at 7:00 p.m.NERT ME$TING
at the home of Charlotte 0'Donneli, 1584 Mallard View,
v..?
A moCion by Wagner, seconded by 0'Donnell to adjourn, ADJOURNMENT
Motion carried unanzmously. The meeting was adfourned
at i0:05 p.m.
Respectfullp submitted,
Charlotte 0'Donnell, Secretary
?..J
* PIO
* e?
v
D
?
D
?
v
?
0
F
?
m
2422 Enterryrise Dtive
Mendota Ileights, MN 55120
'• n r612t sei.,sia
Certiltcate of Survey for: O+' ` FO) IV' '" "_ _N• RII N"' 'E-5
w? o(/ Na TH
?6 r
? bojlARL--
L&7" RqiC ?.
d?' ,g .
Q rt •¢a' ao 1' ? 1? g
+ A s9' ?, l
? ya Ma e? 2??L e,?e6
-r 1#4?l AoL"!
-soo.v Uenofes exicfin4 E7evaliorr
• 9oo.u _ Utnafes pr6?os'?d Eltval ron
Utnofps dreri"cr eiUlrli/ Ep emenf
PRUP05f0 fI0U5E ELEVATIQNS
lowes/ floor Elevnlion =
- Denofis Di?x;nb?e Flow`Arraws WiP o("Bldck F/evvfiorf__ ___
o Uenoles monume>> f
eearirlshvwn ar•e
LOTS I ?hn? 4 , BLOCK
DqKOrA CovNTy',MuvkesOtq
Gara?e Slab Vevalian=,-_95-1,5
assulneci Sub,iect fo Easemen15 o; pecord
3 oTHOMAS LAKE W40DS
1 hereby cr.llly tlial fhtf furvey, plen ot repnrl wee prepnred by me or under my direcl 1110ervlelon end Ihet I em 1 s1Aef1 r ey r
lmder tha tem nf iha Slale of Mlnnesels. Ue1ed thb dey of A.D. 19 ??!;tf
u ?? ll ?9
J CC]'le: 1 irrch x4Q fAet ----
3I S8DB2 _ i.? ROOEfiT 9. SIKICII L S. F.Q. N(1. 14 991
1991 BU11 PERMILPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
M[TLTIPLE DWELLINGS
PENALTY APYLIES WEIEN: 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 ALLOWED ONCE BUILDING PERMIT IS ZSSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ?Snl?;. r1? S v1 Valuation: '?-
Site Address ?-
Lot 3,_ Block -?_
,Parcel/Sub jb=nj 1.-i
Owner `
Address ?(nl)
City/Zip Code
Phone???-bOZS
? /_ ySK vi
Contractor //VJIy1EUcl1/1£e
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
Tl?--
agrees that all work shall be done in accordance with
(Signature of Contractor
Date: /
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?- 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION ?
City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complcte for. single family dwellings & townhomes/condos when permits are required for each unit
DateIL-)_/ 03 / D5
SiteAddress q,rjf-] rnall(1,yG7 //Q,l/ J Unit#
Property Owner Ae mDC Telephone # ( (DS/ )
Contractor Tb+a-) Coy'Y1C-n y/+
Street Address L40M hli n nc-I- kc? Ovf- Sl.AC- 100 City ItLt)
State rntj Zip 55qa7 Telephone#
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
X furnace _Additional )LReplacement
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ .140
Total $
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and acwrate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand 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
K+?s '??e0..-
Applicant's Printed Nanie
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commerciaVindustdal buildings
mul[i-family buildings when separate permits are no[ required for cach dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Cautractcr
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _ Remove *•see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
**When insta!ling/removing underground tank, call for inspecfion by F1re Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installatioiilremoval
$50.50 Mlnfmum (includes Sta[e Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 => $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 oermit fee $ Total Fee
I herehy apply for a Commercial Mechanical Pertnit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
Applicant's Printed Name ApplicanYs Signature
Approved By: ,Inspector
7tj)3 ?
2006 RESfDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 P1LOT KNOB ROAD, EAGAId MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
!JIJ(/
Date ,// 1 _jT 1 /4G'
?/,z Unit #
Site Street Address'?f -r'/ c T'?/z?-/?'
_
Property Ownec2?t?--&A"eClC? Telephone #
Contractor n Qcpn6 lX vJ Telephone #?)???? '
Address CiTy State-ML ZipI5629{_
The Applicant is: _ Owner xContrector _Other
Septic System _ fVew _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling S 50.00
_ Add plumbing fixtures. This fee includes instailation of a water saftener and/or water
heater at the same time. If you are insfalling onlv a water softener and/or wafer
heater, do not complete this section; move to the next section and check the
appliance(s) you are instafling.
-Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5/8°' meter is required)
Other: _
IxWater Softener _ Water Heater $ 15.00
_ new replacemEnt
Lawn Irrigation _RPZ _PVB _naw _repair _rebuild $ 30.00
State Surcharge pECG E?ME $ .50
Nov 2 0 2006
ToWI ? ,?:,!'7i
i nereoy appry ror a rcesiaennai riumding Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing cotles; that I
understand this is not a permit, but oniy an appiication for a permit, work is not to start without a permit and work will be in
accordangGwith the approved plan ?n the event a plan is required to?eviewed and app?roved.
//
AppRcapt's Printed Name f Ap ica 's S?t igna e
Wo7d
2007 RESIDENTIAL PLUMBING PeRnniT aPPUCarioN
CITY OF EAGAN
3830 PIIOT KNOB ROAD, EAGAN MN 55122
651-675-5675
30"9D
Please com lete for moqrtfcabons to exisnn resioennei uwcmn ?.
Date ? 1 ?! ?
?
r J Unit #
T
/?-? ???> ?? l
Slte Strcet Address ???1 Jrl'i ?
_
Telephone #
G/ l
?
Property Owner 0
Telephone #?)
y ? Lt/ y+-i
1
/J
??mctor
4f
? State,/'/ 21P?sa?-(r-'
Address
The Applicant is: _ Owner 8 OccupaM Licensed Plumbing Contractor
Refurbished Submit 2 sets of plans and MPC license lncludes County fee
Septic System
New
?
_
$ 100.00
Per as-buift $ 10.00
Fire Repair (replace 6urned out flxtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Akeretions to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time /f yrou are
installing ontv a water softener andVor water heater, do not complete this section;
move to the next sec6on and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_ Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
_ Water Softener _ Water Heater $ 15.00
_ new _ replacemerit
_ Lawn lrrigatlon _RPZ ?1/B _new _repelr Trebulld $ 30.00
State Surcharge $ 50
T 7-'?
otal $
I hereby apply for a Residential Plumbing Permit and acknowledge that the infortnation is comole te and accurefe- that the
worK wul be m confortmance with the ordinances and codes of the City of Eagan and the plumbing codea; that I
unde nd this is not a permit, but ony an application for a pertnit, Awork is not to start without a pertni[ and work will be in
accord ce with th ?ved plan in the event a plan is required tq be revi ar? approved.
"
App1icaM's PMnted Name ApplicanYs Signature
2007 RESIDENTIAL PLUMBING PeRnniT aPPUCnrioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please com lete for modifications to existin residential dwellin s
?Q,Z5? 0
Date
/
/
??' Unit#
/C1 rr/
Site Street Address
?
Property Owner c[ `Z 17 ? Telephone #0,-5/f VyZ 77y
4
CoMrador u ?? Telephone # () ?
Address Z' iCr ei G City rz? Sfate/Vig, ZIRS- SG?6
?
The ApplicaM is: _ Owner 8 Occupant ? Licensed Piumbing Contractor
Septic System _ New
Refurbished Submit 2 sets of plans and MPC license Includes County fee
_ $ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fiztures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Akerations to exisUng dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. K you are
installing onlv a water sokener 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 Tumaround (add $136.00 if a 5/8" meter is required)
Other:
_ Water Softener _ Water Heater $ 15.00
_ new _ replacement
_ Lawn Irrigatlon _RPZ ?VB _new _repatr _re6uild $ 30.00
State Surcharge $ 50
Total
of that t City information
'itcjualy t-iumDing odiances a and codes acknWecige
of Eagan ' ad !he plubng cra?t?th??e
work will be in conformance with the
undersfand this is not a permit, hut only an application for a permi work is not to start without a pertnit and work will be in
acco nce with the a proved plan in the event a plan is required b be reviewed and approved.
l, ?? ZZ
ApplicanYs Pnnted Name ApplicanYs Signature
?qqs l
2006 RESIDENTIAL PLUMBING PeRnniraPPUCaTioti
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ! ?
SiteStreetAddress ? 45)
--). MQA/,ccrd (r(,Ll ?
Unit#
PropertyOwner +^[V+j e-Y1Q ?6-IL r Telephone# (c9 I)
Champion
Contractor 651-365-1340 Telephone # ( )
Address 3610 City
Inaluan; State Zip
The Applicant is: _ Owner ?Contrector _Other
Septic System _ New _ Refurhished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 14.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee inGudes installation of a water softener andlor water
heater at the same time. (f you are insta!(ing ortlv a water softener and/or water
heafer, do not complefe this section; move to the next section and check the
appfiance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 518" meter is required)
Other:
W
WaterSoftener
ateriieater $ 15.00
_ new ?replacement
Lawn Irrigation _RPZ _,PVB _new _repair _rebuitd $ 30.00
State Surcharge $ .50
r S - ?
Total $
I hereby apply for a Residentiaf Plumbing Permit and acknowledge that the information is complete and accurete; tnat tne
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 pertnit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
ROvv.fLLI?J? iC? ? '(?i??d?
Applicant's Printed ame Appl canYs Signature
200
7 ?
I IlI AUG 2 70
??arS
aS`-7? g
r _ _ _ _ _ _ _ _ _ _ _ _ _ _
I For Office Use j
o1 L'(] r 77~~ LQ Permit#:
City Q11 I ^ I
I Permit Fee.
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Unit
Name: hone:
Resident/
Owner Address / City / Zip: IyAt /J*,- Jr, c a t2 i
Applicant is: Owner Contractor
Type of Work Description of work: F-C- rot) j'"
Construction Cost: 3(R+' 1 000 Multi-Family Building: (Yes No )
f l
Company: 1/~dGCj C'p:°) 7~~rs Contact: a``'
? ~
Contractor Address: J oc F-J, L) toy: Lc~'j~Cf
3 3
State: Zip: G-1s, Phone: /r 63 0e)
License SG 639 6 J'~;_ Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
1 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:
I ~
Mechanical Contractor: Phone:
_ I
Sewer & Water Contractor: _ _ _ _ Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions
1 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.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities, www.qoDherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149621
Date Issued:05/31/2018
Permit Category:ePermit
Site Address: 4517 Mallard Tr S
Lot:2 Block: 03 Addition: Thomas Lake Woods
PID:10-76100-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Adelea A Moe
4517 Mallard Tr S
Eagan MN 55122--256
(952) 239-6246
Total Comfort Heating & Cooling
4000 Winnetka Ave. N #100
Golden Valley MN 55427
(763) 383-8383
Applicant/Permitee: Signature Issued By: Signature