4397 Malmo CirCITY OF EAGAN Remarks
Additio Wilderness Run 4th Addition Lot 17 Bik 3 Parcel 10 84 353 170 03
Owner reet 4397 Malmo Circle State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Raceipt Date
STREETSURF. bg 1977 1426.22 142.62 10 1426.22 C002372 10-4-76
STREET RESTOR.
GRADING
3 SAN 5EW TRUNK 1973 $163.26 $8.16 20 PAID
SEWERLATERAL
WATERMAIN
100 WATERLATERAL 1972 $584.91 $38.99 15 PAID
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATEFi CONN. 2417 3-9-76
BUILDING PER.
SAC 2417 3-9-76
PARK
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minneaota 55122
Phoee: 454-8100
E:EATING ;? A/C _ PERMIT
Date: Ttl:°: Fti , 1977
Site Address: n 3'' ? •F???"
No.
911
Lot ? 81ock --Z SubfSec. _ &)' P-'
Nome ? ene L. Studt
? Address t1a1m0 i,ir.
ity c'r:i•?=;;:. _ Phone•
? Nome '' ? e_vP 'Heatinq & Air Cbnditioni:iq
g Address 3-075 pioneer Trail
e
0
V
City en Prai5 `2 3 11' phone:
This Permit is issued on the express condition thot all work shall be
Minnesoto Statutes and City of Eogan Ordinances.
Receipt No.:
Single I
Residential ?
Multi Res., Comm./lnd.
New/Alter./Repnir ?1±x7,-"atlon
Cost of Installntion
Permit Fee 5.00
Surcharge '
Total 5'
done in occordonce w ith all applicoble Stute of
Building Official
cirr oF U"N
3791 Pllet Kiwb RooA Eo9oe, MN 55122
PNONEs 454-8100
Site Addrers?s
l.ot R? Block Sec/Sub.
Parcel # 176
W I Nome
Z
g ^ddro!
°C Nome i I!,: •
F , T.
?u
Address . .
?- ['ir., "Lu ? atinn.
Nome _
Address
Erect ?
Alter ?
Repair ?
Enlorps ?
Move ?
Demoliah ?
Grade fl
Assessment _
Water & Sew.
Police
Firo
Eng•
Pionner
Council
Permit
Surchorye
Plon check
SAC
Water Conn.
Water Meter
Rood Unit
1 hereby ocknowledge thot 1 have reod this applicution ond state thot g?? Off,
the informotion is correcY end ogree to comply with oll opplicable
5tote of Minnesora Stotutes and City of Eogon Ordinonces. APC TMoI
Sipnoturo of Pertnittee
/1 Building Permif Is issued to: on the express condition Ihal
oll work sholl be done in accordonce wlth oll upplicoble Stote of Mlnnesoto Statutes and Ciry of Eopon Ordinances.
Buildinp Officiol
Occuponty -
Zonirq
Ffro Zone _
Type of Canst.
# Stories -
Length
Ft.
BUILDfNG PERMIT *AV Recelpt #
Parmit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Wstar
Disp.
S?wvr
eacK.ic 'I'31?q 0 VallE -?'
Intpeetion Date Insp. Other
Foatings
Foundation
Fnrtimy '
Rouqh Pltq.
Rouah HVA
Inwlation
Final Pib¢
Ffnal HVAC
Final ?
wour Dosc?ibe Locstlon:
Well
Savwr
Pr. Disp.
?-/l `( 1- 1 b't c5 a- ? w? K• c{ +,a-
This request void
18 months from
lYt o0
2Co3(a q
Date of is Request Fire No. ??I MJ
I, as EJ Licensed E]ectrical Contractor OOwner, do hareby request inspection of the above electri-
cal winng installed at:
Street Address or Route No. Co o'F,
. it
Sectpn Township Range County ?
Which is occupied by
(Name of Oc t)
ls a roughin inspection uired on this job? No ? Yes ady Now ? Will Call ?
PowerSupplier ?(, Address eYl
?
Electdcal Contractor ?` Contractoi s Lic No: _
1 mpanv Name) ?-/-/
Mailing Addres? 3 1 - 2zlL/??.
jElectrical ac o Owner Making This lnstallatlon)
Authorized Signatur f?'`-- Phone NQ!J d'V
r cal Can ra<to o wner Making Thls Instailation)
?? n1ndjLl ?, ? ???? This inspection reqaest will not be accepted 6y the
Lr?t![lU State Board unless proper inspeetion fee is encloaed.
?
CITY of EAGAN
BUILDING PERMIT
oWn.= :??...... ?.?,.. .........................................
Addsess (Preaeni) ....................?.........................................................
L'>c?/
Suilder ---??.GC:.GlR11.7 ......... ................. ...............
Addrase ...Lr7...;2..7......?5`?6...?(?!?ZE%?-?:sa..yg .............................
DESCRIPTION
.,.
N2 _.3844
3795 Pilo! Knob Aoad
Eagan, Minnesoia 55122
454-5100
Dale 5.?.7.Q.. .?..`.f! .......................
Siories
To Be Uaed Foz
Fxon1
Deplh
Height
Esf. Cos!
Permi! Fee Ramatks
l7 00
This permii does not aulhorise the use of sizeels, roads, alleys or sidewalks nor doea it give the oweer or his agen!
the righ! !o create anp siluation which is a nuisanae or which presenis a hazard fo the healih, caiely, eonvenleaea aad
general welfare !o anpone in the communify.
THIS PERMIT MUST 8 KEPT ON THE PREMISE WHILE THE WORK IS IN PR06AESS.
This S!o eexiiiY, iheLG ?..._?}??r ......................... haspermission to eree! a... ...... _apon
the above described premise subjeci io the pxovisions of all applicable Ordinances fox Sife Citp of Eagan.
._......l.Y....?.Xt.`.'?. ? ?'-- ................°---•-......-----........... Per ........................... ............
? Mayar Bvllding Impeclos?
? - / LOCATION " •• "
cM7 or, r,a^?rt
3755 ?'1,ot _r-n<;v R.,aa
i o el-3 s2-?'? 03
? ?1-
Fi.,L.LTT 'VT'J.
1.,2 City of ra,Jan hzreby g=untu to L. H. Petera Plba. Oo. ___
nl 1854 Grand Avq.. St. R4Ul, 5SM-5?V_?
a pLy7pIglpG Ye:^;r,it for: (Cwner)T_i?eeqn,Hcms Zpc.
437_Malmo Circle pursuant to 2pplication dated 3125/76 Y._
Fee nald= __S20.OQ dated this 29 day oi march
.SO s/C
L'uildir.g Inspectoi
Nechanica.5_ Yermits:
Bid Totale
CITY OF MAG,AN
?t?? Pilot Knob i,oad
Eagan, Ninresota 55122
?b 6¢353 1,r6
GJ ,/? ??
P£+YS'IIT I\TO.: r'1
T'.,o Ci.?r oi Ea.gan hereby g'r4.nts to Neil 6 Huhbard Aeating & A/C
St. Paul
of
a_HEATIxG permit for: (Owner) T11sen Homes Iac.
?33 ar son Lake Iane;-?I358-ptmFC?p1r?-?ane -
? &
?`' - 4397 tRaimn_s4 -1 ? pursuant to applicztion dated
Fr-.e Pa:_c;: __ S60 0? dF.ted this 16_ day of Apri; _, '19__7&t-
1.50 s/c
:~?-----
P7eai!inica7_ Ferri_ts:
bid 20;.,-,._.
/O ?5?.3 S 3 i7g
CiTl OF P';iiW
3?95 Pilot Kneb Roaa
Eagan, Niinnnsoca 55122 PE?'NIT NO.: 37
The Cit,y oi Eacan hereby graats to Counners Soft Water Co.
? oP 3801 California St. N.E.
Gene L. Studt
a_WAte Softener Permit for: (Owner) Richard J. Schaub
3 Malmo Circle
?.-_4447 Woaduate , pursuant to appiic?tion daced 5/19L6 P:e ?:.i.::, $10.00 dr:ted this 20 day of ____L4ay _? 1976T.
1.00 5/c
Puiiding Inspee eo:
Me,-:.3._icul Ferr:i_ts:
Eid To-&i:
CITY OF EFIGAN
? BUILDING PERMIT APPLICATION
- F//rF /m/b'
o „
To se Used For ,'?/?G? /)CU/- Valuation
Site Pddress:
t-
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date ,J ///UI
t-/3Z7 k AYl/tL,oCJ C: (`eEqt OFFICE USE ONLY
Lot __ I or Block ?. sec./s,ab. kill7,?c`ss ?1GivErect occupancy
Parcel #: 10 $V3 S', 170 03 Alter Zoni.rig
Repair-= Fire Zone
Owner: FX41V r Lo p Enlarge - Type of Const.
- Move # Stories
Address: 17'3?"j7 Demolish Fmnt ft.
City/Zip Code: Gracle Depth ft.
Phone L/j Z^ APPROUALS FEFS
Contractor: '//L S?y' /?C?/b/ S Z!L'?.Assessments
Address: water/Sewer
Police
Cit1'/ZiP Code: Fire
Phone #: ?% ?? 5 50 /Eng.
Planner
Arch. /EYi9- . Council
Bldg. Off.
Pddress: APC
City/Zip Code:
Phone #:
Pertnit
Surcharge z ?
Plan Check
SAC
water Conn.
Water Meter
RQa[1 Uni.t
?
TOT
CITY OF EAGAN
3795 Pilef Knab Roed Eegen, MN 53142
PHONEe 454-BI00
BUILDING PERMIT DAMAGE
Slie Addre 4)7 1 eRsyuv Uircie
?r 1t ei«k 3Sc/s„y. Wildernesa Run 4t:
P„cei # 10 84353 1M 03
w Name T'rank Loprite
Z Address 4397 Malmo Circle
p Name 1115@II M
Address 627 SO.
U§
`- r:.., Rt_ Panl 5
Nome
Address
1 hereby ockrrowledge that I hove reod this applicoeion and state that
the inlormation is correct ond agree to_cqmDly with all appiitable
State of Mmrresotn Statutes and City ofiEogon Ordinonce;. S
Si9noturc of Permittee
,A Building Permlt Is issued to:
all wark sholl be done in accordance
N? 6803
Receipt # ?' F4',,2 /?L-
Erect ? Occuponty
Alter ? Zoning
Repafr ? Fire Zone
Enbrge ? Type of Const.
Move ? # Stories
Demolish ? Length_
Grade ? Depth Sq. Ft.-
Approvala Fees
Assessment _
Woter & Sew.
Police -
Fire
Enp.
Planner _
Council _
Bldg. Off. _
APC
Permit IV.IV
Surchorge 2.50
Plon check
SAC
Water Conn.
Water Meter
Rood Unit
Torol $53-00
[1C, on the express wnditlon thm
of Minnesote Sfatutes and City o4 Eopan Ordinancea.
8uildinp Officinl
' V.yU__1318
T' request voi months from
Gn 9l?? `f
P 58741
Date of this Request 2-3-78
I, as3E Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri-
cal wiring installed at: a'igf'j'3 -,*-A- 5!
Street Address or Route No. 4W[439(kallfto Circla City? ?all
Section Township
Range County?
Which is occupied by Tilson Homea
(Name af occupant)
Is a roughin inspection required on this job? No ? Ye9a Ready Now ? Will Call LZX
Powe: Supplier Dakota Cty. Address Farmington
Electrical Contractor O.B. Thomusotl Electric Co. Contractor's License NoA1'1''?5
(ComOany Name)
Mailing Address 12201 Ivltk Blvd. Tvltka
(ElectOwl Co ractor or Qwner in9 This Installation)
fi
Authorized Signature •?A/b ii? Phone No. 933-2521
(Electrical Contractiu_w Owner Making TM5 InstallaHon)
????? .????? ?o?? This impection request will not be accepted by the
;+State Board unless praper inspestion fee is enclosed.
mmnesota 5tate tsoara ot tiectncity ?- .
1954 University Ave, St. Paul, Minn. 55104-Phone 645-7703 z7 ) 7
?
` REQUEST FOR ELECTRICAL INSPECTION P 587??
CHECK BELOW WORK COVERED BY THIS REQUEST
Type of$u8ding New Add. Rep. Check Appliances Wi[ed Fox Check Equipmen[ Wired Fo:
Home )a ? ? Range ]a Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fix[ures 7IWiC
Apt. Bldg. ? ? ? Dryex ? Electnc Heating ?
Commercial Bldg. ? ? ? Furnace $N Silo Unloader ?
[ndustnal Bldg. ? ? ? Air Conditionei ? Hulk M0k Tank ?
Fazm ? ? ? List Lis[
Other
?
?
? Others
Heie pthers
Heie
COMtUTE INSPECTION FEE BELOW n
Semice Entrance Size: :k Fee Fcedet i # Fee C¢cuits: # Fee
0 to 100 Am s. 0 to Am - 0 to 30 Am eres 10
10 to 200 Amps. 31 to 100 A ece 31 to 100 Am eies
Above 200_Amps. 1 1 Above ]00 Amps. Abave 100 Am s.
Tnnsformers 1 1 Remote Control C?rc. Partial ox other fee
Stgns Special [nspection Minimum fee $5.00
Remazks ? $g,l], TOTALFE Q.O? 40•5
I, the Electrical Inspector,:hereb7J??t 'fy tfftabJv?p pection has been made.+7 c/
(Rough-in) ? j° ? ? Date !3
(Final) Date - '?-7
This request void 18 months from
YICLAGE 6F EAG11N WATER SERV?%PERMIT
3795 Pilor Nnob Road PERMIT NO.: 4?.'.?.._
Eogan, MN 55122 DATE:
Zvning: RTI No. of Units: 1
Owner: -Ti-18e n-11M
Addrese:
Sice Address: 4397 Mslmo Circle F1FA
Y'='?C - Petet Plbg.
Plumber:
B
e
--
-
-
M
e
t?r No.:'°2? +?d
u3 . 309Mnn?ec?ionL'harge:320.00
?
?
?
SYce: __
? Account Ueposit:
Reader No.: '7 ? a ?' ?? Permit Fer. 10.00
1 ogree
mply with t6a Vilkqe of Eogon Surcharge: .50
co
q
` ?
Or?cat. /
Ze"
Misc Charges:
?
' Total:
By Date Paid:
Uate of ]nsp.: Insp.:
YILIJ11iE OYEAOAN
3795 iibt Nnob Rood
Eogan, MN 55122
Zoning: RiI
Owner: Ti18
Addresa:
Site Address: 439
Plumber: Day?
Hoees Inc.
Malmo Cir
c - Peter
SEWER SERVICE PERMIT
PERMIT NO.: 2722
DATE: 4I27/76
No. oF UnSts: 1
Rec.
450.00 pd
I ograe Te comply with Nw Villaqe of Eagan Cannection Chazge:
Ordinunees. Account Deposih
Permit Fee: 10 00
Surchazge: SO
gy, Misc. Chazges:
Date of Insp.: Total:
Inep.: Dare Paid:
1 C?n a c? -? Tt'm t-?g e-J RESIDENTIAL BUILDING
Permit Application
City Of Eagaa
y- ? 3830 Pilot Knob Road, Eagan Mn 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
? 4_?? 7-11 aS_-
New ConsWIXbn Reauirements RemoOelReoair Reauirements Office Use OnN
3 reg'stered site surveys shaving sq. ft of bt sq fL of house; and all roo(ed areas 2 copies of pWn Cert af Survey Recd
(20% maximum lotcoverage allowed) 1 set of Energy CalculaEons far heated addNOns Tree Pres Plan Reod
2 copies af plan showing beam 8 window sius; poured found desgn, elc. 1 site survey for addNOns & decks Trce Pres Not Reqd
1 set of Eneyy Calculatbns Add'rtron - indicate ifmsife septic system _ On-site Sep6c System
3 copies of Tree Preserva0on Plan if lot platted after 7/1/93
Rim Jaist Defail Options selection shcet (bldgs with 3 or less unrfs
Date ? / ? / o-_? Construction Cost ?< < ?? •
-/
Site Address % z ? ?{?}'L-e? C ? ft?/.` 0- UniUSte #
Description of Work
Mu1ti-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner MAf/Zl c / I l HZ4o 9fi vV Tetephone #(V h a 7?? ` UGl:?S
z. . / 3!
l
" ' ?
???
Contractor !t. lJ?l
?
• ?
Address ? a 2 ?-7 City 73 b? LfVI '/, l?s
State np?wyw Zip 5 5?3? Telephoue#( qS_?Y *17 ' r-!9;ZS'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
EnB?gy Code CategOry . Residentlal Ventilation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Suhmitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
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
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 will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
I'? ata•-l- C-@-,,iJ"
Applicant's Printed Name Applicant's Signature
PERMIT # ? I ?
RECEIPT DATE•
EOOE RESIDENTIAL PLUM$INfi PEiZMIT APPLICATION
crrY og FAs,vv
3830 Paor xxos itn
EAfiAN. MN 55122
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
FOLEY,DEBBY
4397 MALMO CIRCLE
SITE ADDRESS: EAGAN, MN 55123
? (651) 688-9912
OWNER NAME: : TELEPHONE #:
- _ ? (AREACODE)
INSTALLER NAME: N O r lO I b YV1 ?4xVVtW" TELE?HONE #: (0 I L' S Z-7 - ?b 33
(AREA CODE)
AVY wN,G. SO Lt,VAq
STREETADDRESS:
CITY: Iv11? LS. STATE: M? Zip: 55"40$
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 fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 518" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener X water heater ' $ 15.00
State Surcharge $ 50
g l $ .SO
Total
I hereby acknowledga that I have read this application, state that the information is correct, and agree to compiywith all z
Is lhe applicanYs responsibilily to notiy the property owner that the City of Eagan assumes no Iiability tor any damages
operetional and mainfenance activities to the facilities wnstructed under this permit within City property/right-of•way/e;
?n bYdiR9nc'eS.
2 r ?8920b?
PERMITTEE 1 1l02
./
?
?
?
Fl?I
I?
I
?
.?
?
E?
?v??e ry
LINE
"P-,c,gR.. ooi2oOERTY LwE
0
7
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o ?
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t
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I
utit
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d
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Ti /sc.? ?c,?cs 1•?? .
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LoT SLack s I
n ?
yJ, IdEDMKS ?lctJ
' l
rRon?T_?ROi?F_lZTY._ LINE
F`?LQT -PL AN
.l? ..
r
?
, •
One or two
All other
EXTERIOR ENpELOPB SPACE "U" COMPUTATtON
(To be submitted with building pexait application)
family firelling Y
Owner
Site Address ?• n??' ?.•; ??.?. y'.r. : -
Contractor ?'`•. P'f.':.: ?- -- .?`?' Date iPhone
LINP.AL FT, OF
ERPOSED WALL + k+ + + + x'`.r=g:°ift, above gsade- "• '?? i, c;.? . -
TOTAL EXPOSED WALL AREA SQ, FT,
OPAQUE WALL CONSTRUCTION: "U" value X area
"U" a aq.
Bq.
Mtail reference "U" a eq.
from "U" x eq.
Ktached aheeta a sq.
x aq.
aq.
HII1DM$: "7" VALUE X At1t6i
ft, ? ([) (A
ft. (U) (A
ft. ' (i» (A
ft, ? (i) (A
ft. 7-A' ?, ? (U) (A
f[. ° (ln (A
ft, ? (II) (A
t, -? ; ?, . :,-:r l . • ..."1. .,.. ..,,
?-
a_z2, ,a eq,ft,
sq.ft.
eq. £C.
sq.ft.
er sq.ft,
eq.ft,
? •q.ft,
Nske & type
N 11
e n
DOORS: "RT" value a area a;: •:?c., . r•?,F-.
Ihke 6 type ?T" z eq.
? Z 6q,
w n r?n s s9
.
¦ ? ?;, ,:
• ?v?? R x s
Q•
SOYAL (U) (A) DALUES ? 2? ? Q d?? ,?
?
DIIIDSD BY TOTAL WAI.L AR EA 1- 1? ry , '•0"
IAMPERAGE "U" .17 or lesa for 1& 2 family dvellinge
.22 or lese for all other buildings
MOOF/CEILING:
!'02AL ARPA: --n eq. ft.
Detail referenea "U" a eq.
frm "U", c A, s z aq,
attaehed sheeta "U" x sq.
Describa openiage "U" x eq.
la roof 'Rl" : eq.
I TCITAL (U) (A) oA1.UES
DIVIDED EY TOTAL ROOF/
OiILIIiG AREN
ft. 9 ¢5,Z; ' S?: (U) <
ft, ? (U) (A
ft• °°? (o o (U) (A
f t. ( ?). ? fi 11) (U) (A
ft. !` (U) (A
ft. (V) (A
fC, ? (U) (A
ft. (U) (e
i
TOTALS q1 r? ? 2.? eq. ft. *.A^'' .1 ??(U) ?
ft. ? (0) (A
ft. 'k ^. ? ?A
ft. ? (U) (A
f t , ? (0) (A
ft, (U) (A
p. a. ,• r ? TOTALS ?:a eq. ft. a i (U) (A
Fa
?
...»._.. .__. - - - _ v _. -?'-
?
1?,. "U" z sq.
z sq.
9.`.. : F; ... t.l..• ?.? PS,; ?'9,??I? ??U ?-.._4 Z/Q•
"U° ? E SQ.
? ? •
? •.
ABSRl+CE "U" ,OS for ventialated roofs
? ,10 foc all ather conatruction
ROOF/CEILING: R- value
2.
3. e:"1.d ?_,.'?`.i?.i? {?.!4L.:re_l.• ??j?P ??"4.?L'T'7 }?
4. s; i&,,
6.
CONSTRUCTION FItAMING:
1.
2.
3.
4,
5.774
6.
3
, ?.
NOTE: If average "U" valuea as calculated above'do not ueet the Enargy Code requiremeots,
che "Alternate Envelope Design" as outlined in SP1C 6006 (g) may be ueed. Additional
eheete mey be used to shov caleulatiane.
R- va Lue
?'?. _ . ?._ .?._.. ,_ •----_ ...? ..,._,.__ ,?_.?? . _-.,._...
na77: 2- a 6?- 7?a
Y
?
BUILD:NG PMIt.tT AFPUCk2TTY CHECK
Lot /7 B1oCk ,3 Addit3on
Parcel and sectian number
Street iVumber -S/,3 7 "/
?
Owner??'f/„a,., ?`rr<,.r?.??_ __ Addrese_
?
Developer Address
Zone-Ordinance #52`
' fJ :- 6o
Lot uize % ?9b. (,D2 Total arealm, 63
17-1
Platted
Unplatted
Building Size (,Cl ' % ?a ?? Total area
I
Setbacks: Street sides 3C7 ? Rear )J0
Sides 3 E 06, A? uJ /0 '
Parldngs Total area _ Total spaces
Oacupancv 1 i=,???,
Type oY ccnstruction
Parking area aetbacks:
Street side Rear
Landscape approval
Special Assessments:
Sides
Bond required
: kC charge @ $1150.00 = g?,?
Water area;
Assessed
If assessed: Connection charge
If unassessed: Conneation ahicrge h?. "50_
Lot division:
Additional assessments needed
Lateralsc
Assessed ?
Unassessed ? ? _
TU,: ?
Te'.a--._
Not needed _+?
Not asseasel
Asaessmant clk?? Water & Seyrer Dept t3uilding Dept
Waiver of hearing:
Needed Not ne?? l!
Police Dept
Fire Dept (Comm & Ind ari7..y)
MASTER CARD
LoCATIoN y3 9 y ?ir?%a?rn.o (f? / 7- 3 w,p
OWNER ?`?QP?!? " lf?
STRUCTURE AND
LAND USED AS
I Issued To
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COMMENTS.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125614
Date Issued:07/29/2014
Permit Category:ePermit
Site Address: 4397 Malmo Cir
Lot:017 Block: 003 Addition: Wilderness Run 4th
PID:10-84353-03-170
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 .
Eric Gullickson
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 -
J A Gullickson Inc
6538 Babcock Tr
Inver Grove Heights MN 55077
Gullickson Homes
12701 Co. Rd. 9
Goodhue MN 55027
(651) 208-2602
Applicant/Permitee: Signature Issued By: Signature