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4396 Malmo CirCITY OF EAGAN 3745 Pilot Kno6 Roed Eogan, Minnasota 55122 Phone: 464-9100 PERMIT Dote: FEti Site Address: 4390 Lot ' -9 Block 8 Circle Sub/Sec. _ `-"!R 4th - I No. 7 10C)i r??? Receipt No.: Single Residential Multl Res., Comm./Ind. I Nome "ilsen Homes I;ic. New/Alter./Repair new . 3 qddres, 27 Snellin4 Ave. So. Cost of Instollntion O City ?"?t. Paul - Phone: Permit Fee 00 Name SurchorQe •5o Q? L P Address e 0 V City Phone: Totol Thi?s,-Permit is issued on the expreu condition that oll work shall be done in accordance with all opplicable 5tate of .-Minnesota Statutes and Ciry of Eagan Ordinances. Building Official CITY OF EAGAN Remarks Additio? Wilderness Run 4th Addition Lot 18 81k 3 Parcel 10 84353 180 03 Owner--1?1'??? Ll."b jStreet -AIR fp Malmo Circle State Eagan, MN 55123 ? Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 7- 1977 2366.43 236.64 10 2366.43 C002371 10-4-76 STREET RESTOR. GRADING I SAN SEW TRUNK 1973 163.26 8.16 20 106.14 A007260 12-28-78 SEWER LATERAL I WATERMAIN WATERLATERAL 1972 584.91 $38.99 15 272.99 A007260 12-28-78 WATER AREA 10.66 15 128.02 A007260 12-28-78 STORM SEW TRK s? STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 8979 -3-78 BUILDING PER. SAC PARK ?? - .. INSPECTION RECQRD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: I Eagan, Minnesota 55122-1897 Date Issued: k (612) 681-4675 te i rcI , SITE ADDRESS: ` f ' M " ` t ?' - ?4- 3"- ?{? ) t" V' .? APPLICANT: ILrT: 3!? Nl?? ? , 1 Ft?i i ff ;i , i f? PERMIT SUBTYPE: TYPE OF WORK: ? ; . , , ! { •:i: ? i AR -()Ff /4t1. [Z001 iNSPFCTiOt4 DA • D• w Permk No. Permit Holder Dete Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Commenta FOOTINGS FOUND FRAMINQ RdOFfIVCi `'f??Q"T ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK F7G DECK F1NAL , , ? ???? R1KC V 1` L CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 . , ?, . SITE ADDRESS: APPLICANT: I1! ? 1?! itrJ! '? ? F:ll?i 4 1 tl ( 1? i.' ) ;{•i1? ?z,-'?i; PERMIT SUBTYPE: TYPE OF WORK: 14: ,1 1 .. . ,:, ?t rt F3a i t IIri ?A•> rW4 k r iiNt i INSPECTION .• . D• ? ? ??? Permit Holdar Date Telephone k PLUMBING HVAC inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE Z9?. ? ?H4 ? FIREPLACE AIR TEST ? - FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYOROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? CASH RECEIPT ? . CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ I DOLLAR9 ioo ? CASH ? CHECK FOR BY NUMERICAL FILE COPY I . f ? ? • PERMIT CITY OF EAGAN 3795 Pilot Knab Rood Eogen, Minnesota 55122 Phone: 454-8100 No. ^86 ?%pril 20, 1978 09684 Date: Receipt No.: Single I jo -) Site Address: " `- ? •? '- • Residentiol Lot , Block? Sub/5ec. Multi Res., Comm./Ind. ? T1..1.C,ri il0l?L!- al.. Name ' ° .ic,.r.l /Repuir New/Alter . . ; Address 127 Snellin?3 A?7.P_. SO. Cost of Installation O ?, :?t. Paul Ci Phorie: 2?) • Permit Fee ralph's Pi1..Lf!lS?-ilc.: Name - r Surcharge ' . ? ? ' "10 Y;eswick ?kvc? . Address e a City ' - - Phone: Total ? This Permit is issued on the express condition thot all work shall be done in accordance with all applicable State of Minnesota Statutes and City of 5agnn Ordinonces. ? Officiol Buildin g . CITY OF EAGAN '-3795 Pllat Knob Rood Eagan, MN 55122 N° 4649 . • PHONE: 454-8100 BUILDING PERAAIT ? .+ : , .;. . Receipt ?E TA Ir uud fA. vr7T?-. , V..Io f7nFn 1_:'• .• ? 19 Site Address r• Erect El Qccupancy . Lot Block Sec/Sub. t Alter ? Zoning parcel # Repair p Fire Zone - Enlarge ? Type of Const. ? Ncme Move ? #k Stories W z Address Demolish ? Front k. Grode 1-1 Depth ft. o Ncme 'rilSe„ s{[?s Tn.:. --•••-•-•- uU y Addreu b27 S•:. t i. in Assessment - F C? ?? Water & $ew. ?? Police Name Fi F W re ?? ' Address Ertg. <"' Ci phone Planner Council I hereby acknowledge thot I have reud this upplication and state that gldg. Off. - the informotion is correct and agree to comply with oll applicoble APC $tate of Minnesota Statutes and City of Eagan Ordinonces. Permit = -?- -_ Surchcrge Plan check SAC Woter Conn. Water Meter Total Signature of Permittee - ? A Building Permit is issued to: on the express condition that all work shall be done in accordonce with all applicuble 5tate of Minnesota Statutes and City of Eagan Ordinonces. Building Ofticial PenaU # Oaft Iswed PennklN Plumbing t o jr & ?-?;w - 7' ' Mechonical 2 --2 - d'' - INSPECTtONS DATE INSP. Rouph-In final Footings Date Inap. Dote Irap. Foundotion -? Plumbing Frome/ins. 3- 2- yl->y Mechonical Final I Remarks: i?..,--7Y 6?•? ,? CITY OF EAGAN SEWER SERYICE PERMIT 3795 Pilot Knob Road PERMIT NO.: _ Eagon, MN 55122 DATE: Zoning: No. of Units: Owner: Address: .. -- Site Address: Plumber: ? 1 ugree w comply with t6e Gfy of Eagan Connection Charge: Ordinancea. Account Deposit: Permit Fee: Surchorge: BY Misc. Charges: Date of Insp.: Totol: tnsp.: Dote Ppid: y OF E 6 WATER SERVICE PERMIT ? A AN ciT 31^95 Pilot Knob Road PERMIT NO.: Eogan, MN 55122 DATE: Zoning: No. of Units: Owner . Address: Site Address: Plumber: - r,•.'- ' ' Meter No.: Connection Charge: ^ ' • Size: Account Deposit: Reader No.: Permit Fee: I ngree to eomply wilh the City of Eagan Surcharge: ^ Ordinonces. Misc. Charges. Total: Bv _ Date Poid: Dote of Insp.: CITY OF EAGAN 8795 Pilor Knob Rmd Eogan, MN 55722 . " PHONE:4548700 BUILDING PERMIT APPLICATION $44?000, Receipt Te be uoed for SF Dwlg. d Garg. Est. Value pate Feb. 3 Site Address Loi 18 Porcel # - W Na,11e Spec. Home 3 Address 0 a Name Vz1pe^ uomoPfinG. -- o?q?.m 627 So. Snelling A?v - V r r;.,, 5 t. P8t 1 uk,,,,o Name _ Address 78 Erect W Occupancy i Alter ? Zoning R} Repair ? Fire Zone 3 Enlorge ? Type of Const. V - Move ? # Stories Demolish ? Front 52 ft. Grade ? Depth 26 fr. Approvola Fees Assessmenf _ Wpt¢l $i $CW. Police - Fire Eng. -- Planner _ Gouncil _ Permit 125,50- Surcharge 22-DO Plan check gp,C 500.00 Water Conn. 230, 0 Woter Meter _ 60..0 I hereby acknowledge thot I have read this apDiication and state that gld Off. the information is mrrect and agree to compfy with all applicable APC Total State of Minnesota $tatutes and City of Eagan Ordinances. Signafure of Permittee Ti SeII HOmes, the e mndition that A Building Permit is issued to: on xPrea ull work sholl be done in oc rdance with all pplicoble State of Minnesota Stotutes ond City of Eagan Ordinances. Building Otfictal Block 3 Sec/Sub WR 4th ? NO. 4649 8978 (Err#ifiratr nf (Orrupttnry Citp of (eagan Brpttrltttrnf nf BuilDing lns#rerfiatt TLi.r Cntihratt irrued Pur3uaru to tiu requiremanu of Srrtior+ 306 o f dx Uniform Building Code cntifpng dwt at tix time af iJtuunn tbis n+Kture waf in rmnplianrr with thr variaHt ordinaarrs of the City ngulating building conn+rrttion or un. For t{x follouong: ilsC?6utim SF Dwlg & Garage BId6. ? N. 4649 OpwryxrType I 7yPCam?bm V FueT 3 ZmmgDietnct R-1 a,q„fBa,in Tilsen Hcmes, Inc..,,,, St. Paul, NIN By* p. L)ecanber 21, 1978 J[aie tlOara ot hlBCtriclty Griggs Midway Bldg. - Room N791 1827 University Ave., St. Paul, Minn. 55104 -PFwne 297_2111 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WOKK COVERED BY THiS RF.nI IFST EB-00001-02 z& 3 (o In1s4 Type of Building New Add. Rep. eck Appliances Wved For Check Fquipment Wired For Home ? ? Rangc ? Temporazy Wiring ? Duplex ? ? ? Water Heater ? Lighting Pixmres ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commemial Bldg. ? ? ? F'urnace ? Silo Unloader ? Industrial Bidg. ? ? ? qtr Conditioner ? Bulk Milk Tank ? List List Othei 0 0 0 2theis? ere 1 Others? Heie 1 COMPUTE INSPECTION FEE BELOW Service Entrance Size: ik Fee Feeders&Subfeedeis: # ee Crccuits: # Fee 0 to 100 Am s. 0 to 30 Am ies 101 to 200 Amps. 31 to 100 Amperes 1J.C7 100Am s 00_Amps. Above ]00 Amps. ps. Transformers Rem oteCont[olCirc. 4 e ?7U Signs Special lns ection Remarks .c I, the Electrical Inspector, hereby certify (Final) Tfus request void 18 months from has been ma?e"? jq,5-0 i ?. - • -i?' ow. ?-oso 915 8 3 Reques ate I n ?1 ? Fre No. ?ou mpast calle 5??? ?i? tl adY) -In Ins ec?eatlyoNO Than Roug N ?ity In pecfor ? 7 u Ves No Da? y I licensed contractor ?owner hereby request inspection of above electrical work at: JoE A dress $treet, Box or Poute No ) e ircl2 ( M( City ?' l mc h d ? Seclion No I Townsnip Name or No Range No County&Wmc Occupa (PRINT) ?ir - c?? c%.? Phone/Jp_/ ` I ? Power Supplier AOtlress Electn{ I Contrador (COmpany Name) l Contradofs License No I. ? j? d c C C. Maibn1 g Atltlress (COnVactor or Owner Making Inslallatwn) AutM1Onzetl S re (COnhacrod0 ner ing Instell@tion) \ Pbone Num ? cl-COos OTA STATE BOA OF E CT RY e IN ga-Mldway Bldg. - H om 8-128 THIS INSPECTION REOUEST WtLL NOT BE ACCEPTED BY TNE STATE BOARD 1821 Unlvenity Ave., S. Paul, MN 55 4 UNLESS PROPER INSPECTION FEE IS Phone(612) 642-OB00 REQUEST FOR ELECTRICAL INSPECTION See inslmchons foi comple0ng thie form on back ol yellow copy ? 00. ???9i "X" Below Work Covered by This Request ??' Neyi. Ad Type of Building ApplianceS Wved Eqwpment Wired Home Range Temporary Service Duplex Water Heater Electnc Heahn Apt. Building Dryer Load Management Comm.llndustnal Furnace Other (Specify Farm Air Condrtioner Ulherspectly) Contrar.br's Remark5 Compufe lnspection Fee Below. # Other Fee H Service En[rance Size Fee # Cirwits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Ahove 200 Amps 100 -Amps Slgns Inspecmrs Use Only TOTAL Irrigation 8ooms Speaal Inspection Alarm/Communication TMIS INSTALLATION MAV BE ED DISCONNEC7E3 IF NOT Oiher Fee COMPLETED WITHIN 18 MON7H5. I, the Electncal Inspector, hereby ROUgh-m ?ate cedify that the above inspection has been made. Finai ie 7 OFFICE USE ONLY This request voi0 18 months fmm PERMIT # 2?1) RECEIPT DATE: 8008 RESIDERTIAL PLUM$IN& ?ERM1T APf'LICATION crrY oF E,tsArr 3630 Pv.oT Kxoe sn Ens,ax, Mx ssi sa 651-681-4675 ? I.IUI 0 5 2002 Please complete for. single family dwellings, townhomes and condos when permits are requiredlfAl`__ backflow preventer for irrigation system SITEADDRESS: ?139?4 /°/p A/Y1 d ?aLle OW NER NAME: : ?L21,1 ? ??C-? TELEPHONE #: ? ?0?0 `???.-T (.aRe.a caoe) INSTALLER NAME: STREET ADDRESS: CITY: ?QQQ?1 STATE: 4AZ ZIP: ? _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ? Adding fixtures W lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other:?t l? o w._C,_- ?-- i?cti? rcr-tn?-, _ RPZ? new installationtrepairlrebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener ? water heater $ 15.00 State Surcharge $ 50 ??• TOtal $? I hereby acknowledge that I have read [his applicatioq state that Ne information is correct, and agree to comply with all applicable Cityof Eagan ordinances. It is the appliWnPS responsibihty to notify Ihe pmperty owner [hat the Cily of Eagan assumes no liability for any damages raused by [he City dunnq its norcnal operational and maintenance activities ro the facilities conslmMed under this permit within Ciry pro pertylri hlof-wayleasew nt. SIGNATURE OF PERMITTEE 1102 11 RESIDENTIAL BUILDINC PERMIT APPLICATI CITY OF EAGAN d- -1 O 3830 PILOT KNOB RD, EAGAN MN 551 651-681-4675 New Construnion ReauiremenU • 3 registered sife surveys showing sq. k. of lol, sq, ft. of house, and all roafed areas (20°io maximum bt coverage allowed) • ? copies uf plan showirg heam 3 window s¢es; poured found desgn, etc I • 1 set of Energy Calculauons . 3 copies of Tree Preservahon Plan rf lot platted after 717193 . Rim Joist Detail Options sNection sheet (bldgs with 3 or less units) DATE '?l? 5 0.2 'SS ?T vo ? 0 ?n .11)i 0 5 2002 D • 2 copies of Plan (, U • 1 sel of Energy Calculallons for heated a ions ? ? • i sAe survey Mr eztenor additians 8 decks • Indicale d home served by septic syslem for additions VALUATION - _- -1. - I ?-O a-- SITEADDRESS ?/,99(, /V?QImr) ("%r'('ic MULTI-FAMILYBLDG _Y TYPE OF WORK ?.?.'Z-#?YDOr+') in hQ.S2T'7ClL.?- FIREPLACE(S) _ 0_ 1 APPLICANT STREET ADDRESS 'X S`f Lo /V/2,/lY70 i TELEPHONE # l?Sl-oPR-Q7CELL PHONE # 2C N _ 2 EaQ6in_STATE _?1AIZIP ./ 7 i FAX # PROPERTYOWNER 2LC-/ ?TELEPHONE# .................................................. .."'.-----.'.-------...'.'--.'-..'---------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ y[I\\F.S01':1 RUI.ES 7670 C.\"C1:G0I2Y I MIV NLSO"C:\ 12CL15 i(ii`? (v submission rype) . Residenlial Ventilatlon Calegory i Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___ Plumbing systcm includes: Mechanical Contractor: XIcch.uiicctl scstcm includcs: Sewer/Water Confractor: Phone # Phone # Pee: $90.00 P'cc: `$70.00 ----------•--------°-----------------------------------------------------•----------°-------------------•-------------° I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Slgnature of Appl(cant Q:?? 5tinf(L OFF[CE USE ONI.Y _ Water 5of[ener Water Heater No. of Baths Phone # [.awn Sprinkler No. of R.I. Baths Air Conditionin:; [-Ieal Rccovcn' Svstcm Certificates of Survey Received - Tree Preservation Plan Recerved _ Not Required _ Update0 4f02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace p 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plez ? 17 Garage ? 22 Porch/Addn. (4-sea ? ? 33 Ext. 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 PIb4Y or_ N ? 25 Miscellaneous ? 31 New x 35 Int Impravement ? 38 Demolish (Interiar) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation aov_ Occupancy 9'"3 MGES System Census Code Aoz/ Zoning -( City Water SAC Units Stories •-"? Booster Pump ?- Nbr. of Units '- Sq. Ft. ? PRV ?- Nbr. of Bldgs ? Length ? Fire Sprinklered ? Type of Const izz.-) W idth REQUIRED IN SPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ? FinaVNo C.O. _ Footings (addition) Plumbing _ Foundation ? IfVpC _ Drain Tile Other Roof Ice & Water F inal Pool F[gs Air,,Gas Tests Final ? Framing _ Siding Stucco Stone Fireplace _ R.I. Air Test Final Wmdows (new/replacemenq ? Insula[ion _ Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit license Search Copies Other Total Approved By . Building Inspector cirv aF EnGaN CASHIEfi: :i 1'ERMINAI.. rl0: 781. DFlTE. 07/17/38 TIPSF.: i.0:.°i6::38 IU: NAME- AILIED FIRESIbE INC 321.0 3001 4396 MAI_MO CIR 50.00 2155 9001. 4336 MALMO CIR 0.50 Total fieceipt Amount; 50.50 CF0950i.S USF_R IU: NANCY PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: euzLozNe PermilNumber: 032534 Date Issued: 0 7/ 15 J 9 8 SITE ADDRESS: P.I.N.: 10-84353-180-03 4396 MALMO CIR LOT: 18 BLOCK: 3 WILDERNESS RUN ATH DESCRIPTION: GAS INSERT " --3.?. Buildng_ Permit Type ,gv3lding 'Work Type ? Ceneus_ GQSIe ``. \ ? 1 ;(t ONLY FIREPLACE AL7ERATION 434 ALT. RESIDEN7IA1. a t ?' r ;ec ..Ike_? REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge 111.111.,5 Total Fee $50.50 CONTRACTOR: - Appltcant - s7. LZC OWNER: HEAT-N-GLO FIREPLACES 18900758 0002968 BQNNEVILLE GARY t850 W HWY 13 4396 MALMO CIR BURNSVILLE MN 55337 EAGAN MN 55123 ,(612) 890-0758 (612)452-7443 I I I hereby acknowl.edge tha.t I have read th3s,application and state that the informaYion is aorrebt and agree to comply with all applicable 3tate o'F Mn. Statutes and City of Eagan Ordinano-es. APPLICANT/PERMITEE SIGNATURE IS D eYSIGN- t5? <g' ???8 1/ CITY OF EAGAN 3830 PIIAT KNOB RD - 55122 7995 FI1tEPLACE PERNIIT APPLICATION 681-4675 DATE: ? Cn_ 1C? I?? ?h 99 _ J DESCRIPTTON OF WORK: Construct new fireplace ? Install gas insert onlv Other JOB ADDRESS: / J 2c? & -(IOT: I g_ BLOCK: S_ APPLICANT (circle one only): OWNER d PERMIT FEE: $50.50 Alterations to existing Install eas line onlv SUBDMSION/P.I.D. ONTRACTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Name: QA/l P 1 9 fVle, 4/]A` f,l Phone #: PROPERTY Last First J OWNER Signature: Street Address: 3?/? l(} City 6-? (d,a State: ? Zip: . Company: ? P Phone #: FIREPLACE ' INSTAL.I.ER Siguature: ' Street Address: License # ciry .. Lln-n S v j?? P srau: M/1/'. zip: Company: Phone #: GAS LINE ?/(/? INSTALLER Signature: I ? ? Street Address: RECEIVED j JU! 15 41999 IBY: OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 Fireplace WORK TYPE ? 31 New 33 Akerations ? 32 Addition 34 Repair GENERAL WFORMITION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. CT7Y (JF EAGAN CfaSHICC: JS TERPiINAL NOa 93 DATE. C4/2919' TIMF: 14:31:18 m: NanE: rHE coPwEh cv 2155 9001 4336 hfALMO Clft 1.50 3^c10 30U9. 4396 HALMCI C.IFt 39.35 Total fieceiPt, qmui.ent„ 40.85 CROi2805 USFR ID: JAN CITY OF EAGAN CASHIER: JS TEFMINAL NQa 33 DATE: 04/29/97 TIMEe 14:30;22 ILi: NAME: THI': GOpNEk CO 3210 9001 4396 MALi40 CIR 35.40 , To+.al f:eceipi; Amount ; 35.40 CFOr?$04 USCR IIi: tAN PERMIT `CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BuxLozns Permit Number: @ 2 9 7 6 3 Date Issued: 0 4/ 2 S/ 9 7 SITE ADDRESS: 4396 MALMO CIR LOT: 18 BLOCK: 3 WILDERNESS RUN 4TH P.I.N.e 10-84353--180-03 DESCRIPTION: TEAR-OPF/RCROOF Bu3I dinq-.,Permit Type SF (MTSC.) ?'8uilding Wbrk Type ALTERATION I.'Gensus_ Code? 434 ALT. i2EST0ENTSAL ? 1 J' `?'j ?. ? ?U REMARKS: FEE SUMMARY: VALUATION Base Fee 5urcharge Total Fee $3,000 CONTRACTOR: - applicant - sl'. LIC OWNER: Ti1E GOPHER CO 13311555 8617 BONNEVILLE GARY 445 MALCOM AVE SE 4396 MALMO CTR MPLS MN 55414 EAL7AN MN 55123 (612) 331-1555 (612)452-7443 ? I herzby acknowledge tihat T have read this ap{SXi.cation and staCs Chat tfia information is correct and agrse to compZy with a21 applicable State caf Mn. StaYUtes and 01ty of Eaga°n Qrdinart?uos, APPLICANT/PERMITEE SIGNATURE $74.75 $1.50 $76.25 ?Mq R o??l i mr? ISSUED :51 NA E-?- /? ?? ? CITY OF EAGAN /?1 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construdion Reouirements Remodel/Reoair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of piane (include beam & window sizes; poured fnd design; ete.) ? 2 site surveys (exterior addkions 8 decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan If lot platted aRer 7I1193 Q A n required: _Yes _ No ?,J1V0(/ DATE: y?11197 CONSTRUCTION COST: DESCRIPTION OF WORK: I ?L 1 r qftl e - o°l STREET ADDRESS:vi ?43 9(d LOT ? g BLOCK ? SUBD./P.I.D. #: PROPERTY Name: G'!/i//G Phone #: y?a ?' 7yy3 OWNER ""°' street Address: 4d396 City: Z41Rd State: 11,?I'1 Zip: CoNrw?croR Company: l`O Phone #: -33?-??SS Sfreet Address: ?`l 50;?License #: S6111 -7 City: State: Zip: ARCHITECT/ Company: ? Phone #: ENGINEER Name: Registration #: Street Address: City; State: Zip: Sewer 8 water Iicensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received Yes C IVED - No APR 16 1997 - No BY; fWo, v S c e'j&q1 Date : / ??- 70 PtVdCEL & SECTIOtd 1dU11IIER IF UitPL.?lTTEll W ? LOi rF BZACK v 11DLTiIOCI 4? ?DI?RF.SS OF PA2CEL I.Oi3I:1G ?OCCUPAP]CY ? - -- USE ESTMAi^f:D COS= Ot.Ts7ER 4dQ(,CJ ' jLLirJ'YZ,Q.J TELEPHOb7E iVO. el- aDDxESS 43CJ0 `/-nabrY2o :?o. co;axP-rcTox i,CJ . YELE PSOrE AllDRESS- tdote•, Include site p1an, building plans, and enezgy calculations with this application Signed -v OFFTCE USE vaLUATIOi? `</ 4(nb/'7 ? 5t1C Y?.'?sE_2 CO:ic7EC=I0;+ WATER METER $UILDIPIG PERIiIT FEE SURCHAItGE FIF' PLl1il CFECK FL.^. PARR DEUICATIObT FEE OT:.ER TOTI:L* BUILDIt]G PERh1ii' P.PPLICATI02? ? -fo APPROVALS: I? ASSESStiIENT CLERIC BUFLDING r.JA^:ER & SigF7ER D-PPT. FI22E DEPT POLICE DEPT pARK DEPT. / ? ?? ? ? ? ? I ? t„ I I I t -? m ? F-- z ?- ? s N TY Lwrs S : V __-/ r? i -' S Z ? LJA/E? Q ? ? I° ? ? ?S?* a a,7 0 L %NE , ? t L oT i,] BLac k,?] I ?'.,c?AvrL¢,Qq Vo-? ? ? rl?or.?r_?aoaF?rY _Lir1E b1ll..o_V'LQ-o r Cre?,Ca--- ? ? C?m , `?"Yvi? • ? T -PLAN _ +. _ ?:.?7"(p .. ,, • - ___k ?? ?i':;, ' .'. , r '?L'i'?RLRIt 1?Q+0e? itilCi "?`i CollNVAMO -°. - (1'e » w1?LttN .ltr ?it?l?t Mstt aNlleatiaU aM !a?l1? Anlli?„? pssier Site , .,..,?; . ?? ?.. Cwtraacor 'ri L S ?_? 1-\a.k cm 1?kC wc. 4_23-'1l0 tOWL n. OF tdAt.t. .bo.. gr.a.-_..?.? • , I TOR'N. EXP08m WALL AItLA SQ ?i YALL CONSTP.UCt'i011: "U" plue E arN -?? "UPI = tq. f!. ReSj; LoAM lu "U"?: sq. ft. OsGnee "U" i sq. ft. ' r.? ?vs' •4'I :.q. re. „yc -• -yi. tw6M sb?.c. 'v" x .q. fc. • "U" : sq, Et. ¦ "v, _ sq, ft. • ?t?WBs "U" YALUe XAfts W in,?ooa1S 6 PAtIa' flopZ: WEATNe2 S?aE?D . . &R & type t n ? .. rr r « -, .•• ? ?? za.. ?l2 • - 1 C? 2 ? ? ?Y+. • \ 17 [_t.?'r .• 6?+ i le*e?..L "u" . ?1S : s9 ts. 'b" . C,C? s q s...' ? , i s?.,o .. ? o'Ule ?s ?q 1.!/ c?ceemc "U" tq fOR?t "9" vnlue ! •r" DOORC,? o 'pF_-b.4aE. ; ?.i tm •q. ft. ZCn ? .; . • rbn . 7.fe_ ?Q• !t• N ilWi?•.II?N = /q• ft• ? " S??O??a1s ?t? "II"y?s ?q. Et.?n '-: ft, ft, ft. ft, ft. f t. Et. l? D2(AY+OTAI. ftALL ARP/1- ?,t 7?0'[I1LSftr"' RRAGL "U" :17 or leee for 1 6 2 fasily dvellings .22 or leea for •11 other buildingo - faAEIi.DIG: .. 1'!AL AQ6A: sq. ft, ?!1 nference •U01 : •q. trm .1,?. . °? : ?q, ft, ? ` 05ad sh??t• :4 ?1,?1z sq. ft. • . iN!!N o"alap !•U" ft. i'ern[ 'V" : •q. ft. ¦ "" ? OL (0) (A) YALUES n ??'. ? ALS ??J O ?q. =II?sc ? ret mooF/ ., ., : - .II ? _ ?, .g r ,,. , . ' , , . . , . . . , .?. i03 [Qr woCClslalN lOoto , .10 toe •11 oelar eantLrMtipe r' '.' i•. _ . - R qlw 2. ?. . 3• " 1 ? ? ..:.? 6 . . TION !RAlfIIlG: R- valut • ` . v • 1 Z . . , . . 3. I 14 q' . T ?j If a"rggs tM "A •v-• vatust as ealeulaeed abow do not ?nt the Esorgr Cod• requirracs, lternae• 6mslope Design" 4pe wttinM sANt• w b d !n SBC 6006 (g) owr be ussd. Additiosal r • use to shov calculatiooa. i • r • ,?.-.' I ? . .4. „ . , . :. +g , , .? " n? 1 Ati„ f x tii ?? ? ?9?rv L BL ? CITY USE ONLY RECEIPT #:'r 7/?9 SUBD. wvL. r DATE: g ak }e„(?.'#D14?4g? 1995 MECHANICAL PERMIT (RESIDENTIAL) cinr oF EacaN 010 3830 PILOT KNOB RD EAGAN, MN 55122 • (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace ? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: Q? -I1 -qS FFFC ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL ?.C-0 SITE ADDRESS: 4-Nb ?? ?o brC.le, OWNER INSTALLER NAME: n PHONE STREET ADDRESS: CITY: STATE: ?\?5\ ZIP: PHONE #: Sl'U`TJATQRE?F , ITT . ? EASSElSNT us'f THIS EASEMENT, made this ?a *`'day of , 1988, between GARY RUSSELL BONNEVILLE and SUSAN C. BONNEVILLE, husband and wife, herein referred to as "LANDo47NER" and the CITY OF EAGAN, a municipal corporation, organized under the laws of the State of Minnesota, hereinafter referred to as the "CITY". WITNESSETH: That the Landowner, in consideration of the sum of One Dollar ($1.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby grant and convey unto the City, its successors and assigns, a temporary construction easement for roadway purposes, over, across and under the following described premises, situated within Dakota County, Minnesota, to-wit: That part of Lot 181 Block 3, WILDERNESS RUN FOURTH ADDITION, according to the recorded plat thereof, Dakota County, Minnesota, lying 20.00 feet on each side of a centerline described as beqinning at the most northerly corner of said Lot 18; thence South 48 degrees 44 minutes 26 seconds East, assumed bearing, along the northeasterly line of said Lot 18 a distance of 112.54 feet; thence South 51 degrees 59 minutes 52 seconds West a distance of 121.32 feet to the south line of said Lot 18 and said centerline there terminating. The sidelines of said easement are to be extended or shortened to terminate at the south, northeast and northwest lines of said Lot 18. The Temporary Construction Easement shall expire: June 1, 1989, The grant of the foregoing temporary construction easement for roadway purposes includes the right of the City, its contractors, agents and servants to enter upon the premises at all reasonable times to construct, reconstruct, inspect, repair and maintain pipes, conduits, mains or ponds and the further right to remove trees, brush, undergrowth and other obstructions. After completion of such construction, maintenance, repair or removal, the City shall restore the premises to the condition in which it was found prior to the commencement of such actions, save only for the necessary removal of trees, brush, undergrowth and other obstructions. The Landowner, its heirs and assigns, does covenant with the City, its successors and assigns, that it is the owner of the pzemises aforesaid and has good right to grant and convey the easement herein to the City. it/Lt/,-kS W 27 : c i r? Y oF EAG?? n? MALMO I ? . 5 ?CV K CIRCLE z;-- _ ' 2 e- e , . a. 84 fJ .`G •SQ?s,4 . s I M05T N'LY COR ? OF LOT IB \ ? 'oo ? o d l_`' I I ? ) I ,; • w ? " M .? c`c, i - , CD ???1 .. __ . . .. ? ` • DtiSnNG ORMN4GE B UTILiTY EASENfNT . \V f ' .? .?.. 243.21 N 89°59 55' W L5 LIfVE CF LOT IB SCALE: I IfJCH = 30 FEET PROPOSEU TEHPORARY CONSTRULT1U11 EASEMENT A temparary easement over, under and atross tbat part of lots 18 enA 19, 81ock 3, NILDERNESS RUN F011R7H ADDITIOX, according to the recorded plat thereof, Dakota County, Mfnnesota, lying 20.00 feet on each side of a centerflne descrlbed as beginnmg at the most northerly wrner af said Lot 78; thence South 48 degrees 44 mtnutes 26 seconds East, assumed bearing, along the northeasterly line of said Lo[ 18 a dl5tante of 172.59 feet; thence South 51 degrees 59 minutes 52 seconds Nest a distance of 721.32 feet to the south line of said Lot 18 and said centerllnethere terminadng. The sidelfnes of said easement are to 6e e:tended or shortened to terminate a[ the south, northeast and northrest 11nes of said Lo[5 iB and 19. Said tempo- rary easement is to expire on i •.7T• :.? 3 N O O O 0 N M Z54 z?5 I hereby cerHfy that tMS sketch, plan or report uas Drepared 6y me or under my direct superv151on and that I am a duly Reqistered land Surveyor under the Iaws of the State ot Minnesota. Dafed [Ms 6tn day of July , 1988 SIINOE LAND SURYETIXG, INC? BY: ? u.. ?._? war H. un e. R.L.S. eg. No. I Rzmdv Land Rarveyllng 1nc. WI F M.1qn11ww1 lHw1 ??npMn MN SLM I??11N?-Nu 08-211 .lL. T 27 P 25 S 2'! , ? , „ ?. IN TESTIMONY WHEREOF, the Landowner has caused this easementM•to ? .. be executed as of the day and year first above written. j, SSELL Bl7NNEVILLE SUSAN C. BONNEVILLE STATE OF MINNESOTA ) ) SS COUNTY OF DAKOTA ) The foregoin? instrument was acknowledged before me this ?_?day of A , 1988, by Gary Russell Bonneville and Susan C. Bonneville, hu and and wife. 1 A i I Notary Pub ic ¦nnnnnnn < nnnnnnnnn nnnnti JOSEPH P. RLEY THIS INSTRUMENT WAS DRAFTED BY: ?zWla? ' NOTARY PUBUC-NINNESOTB ?F < v,, DAKOTA COUNTY My Comm. Hxplres Fug. 3. 1994 McMEN OMY & SEVERSONt P.A. ¦v? vvvvwwwvvvvvvwwwvl 7300 West 147th Street P.O. Box 24329 Apple Valley, MN 55124 (612) 432-3136 MGD -2- ??6 iq ? ? \ OFFiCE OF THE COUNTY ? RECORDER-DqKOTA COUNiY, MN. ? CERTIFIED THAT THE y41THIN INSTRUMENT WAS FILED FOR RECORD IN TFiIS OFFICE ON AND A7 Qer 11 3 3o PH 188 DOC. NO JAMES h(. LqN, COUNTy ECpgpER DEPU'ry?FEE OU CASH O CHECK0<- CHARGE ? CHARGE WHOM REFUND_ -? DO NOT REMOVE A cq//p?7' ' ,/" ez-' Gl Tmnder EnterelThig /I deiyof .r??19 ,PF , i, ?-3 EASEHENT ?? o?r*4 *-- 254 THIS EASEMENT, made this day of July, 1988, between NORWEST BANK MINNESOTA. National Association, a United States corporation, herein refecred to as "MORTGAGEE" and the CITY OF EAGAN, a municipal corporation, organized under the laws of the State oi- Minnesota, hereinafter xeferred to as the "CITY". WITNESSGTH: That the Mortqagee, in consideration of the sum of One Dollar ($1.00) and other good and valuable consideration, the receipt and sufliciency of which is hereby acknowledqed, does hereby yrant ancl convey unto the City, its successors and assigns, a temporary construction easement for roadway puryoses, ovec, across and unoer t-he following described premises, situated within Dakota County, Minnesota, to-wit: That part ot Lot 18, Block 3, WILDERNESS RUN FOURTH ADDITION, according to the recorded plat thereof, Dakota County, Minnesota, lying 20.00 feet on each side of a centerline described as beginning at the most northerly corner ot said Lot 18; thence South 98 degrees 49 minutes 26 seconds East, assumed bearing, along the northeasterly line of said Lot 18 a distance of 112.54 1:eet; thence South 51 degrees 59 minutes 52 seconds West a distance of 121.32 feet to the south line of said Lot 18 and said centerline there terminating. The sidelines of said easement ace to be extended or shortened to terminate at the south, northeast and northwest lines of said Lot 18. The Temporary Construction Easement shall expire: June 1, 1989. The grant of the foregoing temporary construction easement ror roadway purposes includes the rignt of the City, its contractors, agents and servants to enter upon the premises at all reasonable times to construct, reconstruct, inspect, repair and maintain pilies, conduits, mains or ponds and the further right to remove trees, brush, undergrowth and other obstructions. After completion ot such construction, maintenance, repair or removal, the City shall restore the premises to the condition in which it was found prior to the commencement ot such actions, save only for the necessary removai ot trees, brush, undergrowth and other obstructions. The Mortgagee, its heirs and assiqns, does covenant with the City, its successors and assigns, that it is the owner ot ttie premises aforesaid and has good right to grant and convey the easement herein to the City. IN TESTIMONY WHEREOF, the Mortgagee has caused this easement to be executed as of the day and year first above written. NORWEST SANK MINNESOTA, National Association, A United States Corporation By?' .. ItS; Assistan Vice President STATE OF MINNESOTA ) Hennepin ) SS COUNTY OF V&LWA ) 30ch The foregoing instrument was acknowleayed before me tiiis _ day of August , 1988, by Norwest Bank Minnesota, National Association, a United States corporation, on behalt of said corporation. Notary P blic THIS INSTRUMENT WAS DRAFTED BY: McMENOMY & SEVERSON, P.A. 7300 West 197th Street P.O. Box 24329 Apple Valley, MN 55124 (612) 43 2-3 13 6 MGD M X tt"Aq ROBIN R. ASFELD ? NOTAlIY PU9UC-MINNESOfA OAKOTA COIINTY $ MY CpMM E%PIRES FEB l, 7889 . -2- N GITY OF EAGAIV MALMO CIRCL?? -- r' , i i .? n•L. CM i M LOr la? i i , ? 12 E 3 N 0 b 0 0 f- ? O O Z54 Z55 LIPE OF LOT IB SCQLE 1 INLH = 30 FEET N 89° 59 55' W PROPOSED TEMPONAFY CONSiAULTION EASEMENT p temporary easement over, under and acro55 that part of Lots 18 and 19. Block 3, NILDERNESS PUN FOURTN RUOITION, according to the rerorded plat thereof, Daka[a tounty, Mlnnesota, lying 20.00 (eet on each slde o( e centerline descrl6ed as beginning at the most northerly carner of said lo[ 18; thence South 48 degrees 44 minu[es 26 seconds East, assumed bearing, along the nor[heasterly iine af said Lot 18 a dl5tance of 112.54 feet; [hence South 51 de9rees 59 minutes 52 seconds West a dfstance oF 121.32 feet to the sou[h Ilne of said Lot 78 and said centerline there terminating. The sldeltnes af said easement are to be eztenJe4 or shortened to terminate at the sou[h, northeast and northweSt 11nei of said Lo[5 18 and 19. SatJ tempo- rary easement Is to expire on 1 hereby certlfy that thls zketcM1, Dlan or report was prepared 6y me or under my direct supervlslon and that I am a duly Reglstered Land Surveyar under the lars o( tAe State of Minnesota. Uated thls 61h dey of duly , 1968 SIINDE lANO SUPVEPING, [ er: 4a_..-- u. 1. . war H. un e, R.L.S. eg. o. S/amdr. !_und Surveying lnc. rtpl f O?om?ipM F?ww?y IJSW1 pervnip?en MN 33,'/0 Pl?l Nt?HN 08-2II dL T21 R$3 527 , s ??y, ,,r, 7?`?`7y 2006 RESIDENTIAL SUILDING PERMiT ArrLZCATZON , City Of Eagan -- 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX 9 651-675-5694 New Canstrudion Reauirements 3 registered site surveys showing sq. h. of lot sq. ft. of hocse, and ali roofed areas (20% maimum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan'rf lot platted after 711/93 Rlm Jolst Defail Dptions selection sheet (6uildlogs wlth 3 or fess unifs) Minnegasco mechanicai venti(ation form RemodeUReoair Rea uiremenGs 2 cropies of plan showing foo[ings, beams, joists 1 set of Energy Calculations for heated additions 7 site survey for add8ions & decks Addtion - ind'rcate i/oo-site sepfre sysfem Date struction Cost OD Co n Site Address ? q(? o ! y I? I? ? , , ?] U 1 r' L? LI ??? a?iUSte # Description of Work ? ? i"?'??- ? !?/? ? / W ??? Multi-FamilyBidg ? F? plac? 0 1 Property Owner Telephone #((p'S1 ) L,?i$ - ?(or??{ Contractor C' Address City State {?1/J s7 Zip 5?. Telephone # ( 9$,2) COMPLETE TH1S AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission rype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masTer plan? _ Y _ N If yes, daTe and address of master plan: Licensed Plumber Mechanicai Contractor SeweNWater Contractor I hereby apply for a Residential Bnii'ding-P-ersn that the work will be in conformance Arith the Telephone #( r7 V ?/ i ?. Offce Use Oniv CertofSurveyRec-0 _Y _N Tree Pres Plan Recd _ Y_ N, Tree Pres Required _ Y_ N On-siteSepticSysfem _Y _N Telephone #( Telephone # ( wledge that the information is complete and accurate; and codes of the City of Eagan and-the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work wiil be in accordance with the approved plan in the case of work which requires a review and approvai f plan$. . Vo s ,4pplica t's Printed Name Applicant's ignature i ? MINNfSOTA QEPT. dF LABOR & lNDt3STRY Cpnstruction Codes and Licensing Qivision • 443 Lafayette Road N. 5i. Paul, MN 55155-4344 MINNESCTA RUSCO WC 5558 SMETNA DR MTKA, MN 55343 Siats of Minnesota Departrnent of Labor and Industry 443 Lafayette Road N. St MiV 55155 4344 P l . au - , Construcfion Codes and Licensing Division Telephons:.(651) 284-5065 E-mail address: dti.contractorQa state.mn.us Websits address: www.doli.state.mn.us Residen#iai Remodeler License I Legal Name: MINNESOTA RUSCO INC DBA: Addrass: 5558 SMETNA DR MTKA, MN 55343 License ldentification Numbsr: 2173 License Expiration Date: 3137/2007 Business structure: CORPORATION Quaiifying Person: MEL HAZELINOOD Continuing Education: 7 hours due by 3/31/2007 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4396 Malmo Cir Lot: 018 Block: 003 Addition: Wildemess Run 4th PID:10- 84353- 180 -03 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Signature Home Services 758 Reaney Ave. St. Paul MN 55106 (651) 731 -1147 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: $90.00 Owner: Roy C Brock Jr 4396 Malmo Cir Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Building EA086027 09/12/2008 ePermit on prior to final, you must meet inspector with ladder and flat bar. Pictures are not $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116865 Date Issued:10/11/2013 Permit Category:ePermit Site Address: 4396 Malmo Cir Lot:018 Block: 003 Addition: Wilderness Run 4th PID:10-84353-03-180 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Eva Lewis Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Candace K Carr 4396 Malmo Cir Eagan MN 55123 Purpose Driven Restoration Llc 325 Main St NW Elk River MN 55330 (763) 633-4737 Applicant/Permitee: Signature Issued By: Signature r For Office Use ; , Permit#: 7743/ E AGA N Permit Fee: 5-0<.' *' Dale Received: 9 3830 PILOT KNOB ROAD(EAGAN,MN 55122-1810 RECEIVED (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspectionsacitvofeagan.com SEP 16 2019 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ` �, �r Unit#: ANINIMM, /MOM, �/ /'' Phone:a /-307 41 Name: � • 4 �Z 9 Resident Owner Address/City/Zip: Qe ,(t,�i4,0 4<<l'-j-� Applicant is: Owner k Contractor Type of Work Description of work: RG roe, ��- Construction COS L/7 50 Multi-Family Building:(Yes /No K) Company: , ,.4 .4 / !.;;%i t' /-` i Contact:v epkirr)k, Contractor Address:41 J44-/A4 aide City: State:,M)Zip: Phoneek7-Z 74/-1777 Email' emelt/lc/4bl 11 License#:7 tin 5 2Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor. Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on theCity's website at www.citvofeaoan.cornisubscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.0o0herstateonecall.orq 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 approved plan in the case of work which requires a review and approval of ans. NEW X X Applicant's rinted ame A nt's Signature