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4280 Gadwall Ct Aug.24.2010 02:29 PM THE PLUMBING PRO, LLC 9528370086 PAGE. 1/ 1 Use BLUE or BLACK Ink For Office Use I Permit I~ City Ea n Ed ; Pennit Fee: 3830 Pilot Knob Road I i I Date Received: Eagan MN 56122 I I I Phone: (651) 676.5675 I Staff. Fax: (651) 676-5694 ! 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: index 2j222~1-y suite RESIDENT t OWNER Name: D26 1Ne2L( - ,p Phone: 4 51 - 9M - V -!5 Address / City I Zip: rl ~ CONTRAC'T'OR Name: .r P1-V/y7j9VV t5 etgiat tr License Address: l'~ ~ State: J W Zip: Phone: G , Contact: ~1r• G T~ Email' ~P2-L ~~~___~JG t ~ • TYPE OF WORK `-'New `-Replacement Repair _ Rebuild - Modify Space Work in R.O.W. Description of work: ao PERMIT TYPE RESIDENTIAL V Water Heater _ Water Softener Lawn Irrigation („r, RPZ I _ PVB) - Add Plumbing Fixtures Main I _ Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: 55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $5,00 State Surcharge) "Water Turnaround (add $966.00 if a 518" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace bumed out appliances, ductwork, etc,) (includes $5.00 State Surcharge) fA TOTAL FEES $ CALL BEFORE YOU DIG. Cali 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.aopherstatenrrecall.or(j I hereby acknowledge that this information is complete and accurate; that the work wail 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" approval a1 plans. x OR:07V 15r-V 9W x - L a --g Applicant's Printed Name pilcant's sl FOR OFFICE USE Reviewed By: Date: PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA082875 Eagan, MN 55122 . Date Issued: 05/05/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4280 Gadwall Ct Lot: 20 Block: 1 Addition: Mallard Park 4th PID 10-47253-200-01 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Property Claim Solutions LLC Mark P Thompson 4655 Nicols Rd, Suite 202 4280 Gadwall Ct Eagan MN 55122 Eagan MN 55122 (651) 994-2028 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. Applicant/Permitee: Signature Issued By: Signature , +- :++"? -y WCL'tifiCR#C 0f cCC1tpaliC? wi#? of Cfagan Ztoart cut ? ?xubh% 380ection This Certifcate issued pursuant to the requirements of the Uniform Building Code certifying ?lrat at the time of issuance this structune was in compliance with the various ordinances of the City regulating building construction or use. For the following: Ux Classification: SF M BIdB. Ptmit No. 2Q792 Occlpancy Type P-,3/ VI Zoning Distria R I Type Consc. 1VN 7601 145TH 5T W, APP'LE VALi?.'Y owna orsuaa;ug MMIAiD OONSM iCTIC+1 „d&r 8aiiding Address 4280 GAD4OI.I. i,'T wm?ry L20, B 1, MAII[?RD PAR[Z 4IlH / . DYr ? Bailding Official ; . POST IN A CONSPICUOUS PiACE . I y INSPECTION RECORD ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ? SITE ADDRESS: . ., . f I i 1;i! I? A!<I si i II PERMIT SUBTYPE: TYPE OF WORK: FttlE1_1r1NGi d3: y79.' 04l18i91 INSPECTION .• . .. ri; • , . ? i . . ? . I sP A!x 0. !.y t `; tr I.d i` 1. I i(2 • f 1 V E: :? 1A il t' I f2 PERM(T TYPE: Permit Number: Date Issued: APPLICAN7: Permit No. Permit Holder Date Telephone M ELECTRIC #/VO593 59 7 ? PLUMBING 41) 9-&'/go HVAC 1406A?;, Inspectfon Date Insp. Comments FOdTINGS / FOUND FRAMINQ r ROOFING ROUGH PLUMBING - - PLBG AIR TEST ? ROUGH HEATING -160 GAS SVC TEST INSUL GYPBOARD FIREPLACE C ! ? ? /? /it.r?+ ? FIREPLACE AIR TEST FINAL PLBG FINALHTG ORSAT TEST BLDGFINAL (s?x}ed BSMT R.I. BSMT FINAL DECK FfG DECK FINAL Address 4280 ranwaTx. rr Zip I.ot 20 Blk 1 Sub MaTx.aRn ppW 4IH THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: 3U 97 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) V-0, Pertnanent steps (main entry) t/ Permanent driveway ? Permanent gas V/ Sod/Seeded grass TraiUcurb damage ? Porch Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy ;.. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN o O 3830 PILOT KNOB RD - 55122 l 651-681-4675 New Construetion Reauirements RemndeUReoair Reauirements • 3 registered site surveys showing sq, ft of lot, sq. ft. of house; and all roofed areas • 2 copies of plan _0 (20%mauimum lot cova2ge allowed) . 1 set of Eneryy Calculations for heated additions . 2 copies of plan showing 6eam & windaw s¢es; poured found design, etc.) • 1 site survey for extenor additions & decks • 1 set of Energy Calculations . Indicate H tame served by seplic system for adddiom . 3 copies of Tree Preservation Plan if lot plafted afler 711193 . Rim Joist Detail Optlons selectbn sheet (bldgs with 3 or less units) DATE `?/" /?/ G Z VALUATION ! 60 ° JOB SITE ADDRESS `/ Z S? e?? '-, n F L ? a u 2 T 1--,ja 6 4 _j ??- IF MULTI-FAMILY BUILDING, HOW MANY UNITS? AJ la PROPERTYOWNER fl /k/l./C TYPE OF WORK J F?.J Q F_? 4 p 0 i Ti a J FIREPLACE(S) _ 0_ 1 Lr2 APPLICANT _ /? 401-- << T/-l-u ?pJu j PHONE# G?'" 6$g ?4?"S ADDRESS -/ 2FG ,6a'Z4a ?.? • ZIP CODE PAGER # C-fCL PHONE #°/S Z - 7 9y ' 6c,36 FAX # 9a y p,-h .? r_ NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPL ?? ??? I ?a Energy Code Category MINNESOTA RULES 7670 CA''EGORY 1 ppR-?t z002 . (check one) - Residential Ventilation Category 1 Worksheet Sub FIB3y ? - Energy Envelope Calculations Su6mitted s _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical Syslem Includes: Sewer/Water Contractor: Water Softener Waler Heater No. oF Baths Air Condilioning Aeat Recovery System All above information must be submitted prior to processing of application. Fee: $90.00 Phone # Fec: $70.00 Phone # I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Phone #: Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required , Updated 2002 OFFICE USE ONLY " 4 ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex X18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous X 31 New ? 35 Int Improvement ? 38 Demolish (Inte(or) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors O 34 Replacement 'Demolition (Entire Bidg only) - Give PCA handout to applicant C? 1 h Valuation ?wo Occupancy ki i - I MC/ESSystem Census Code LI3 y Zoning City Water ? SAC Units Stories Booster Pump Nbr. of Units ? Sq. Ft. PRV Nbr. of Bldgs ? ? Length Fire Sprinklered Type of Const V Width REQUIRED INSPECTIONS Footings (new bldg) FinallC.O. ? Footings (deck) ? FinaUNo C.O. _ Footings (addition) _ Plumbing Foundafion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final Windows (new/replacement) _ Insularion _ _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage 5&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total c.K ** * * PION@EA L.NO s,nVcroao . cmi t * eg n'aar ng •,No PLANNcn:. LANon,K * * ** Certificate of Survey for: MCDONALD CONST. 4280 GADWqLL COURT EaGAN ,• ? / RLJ EVIEWE ? / BY h^ ry ? DATE i4 _ q 7 ? BuiUlNr ir??P[lfli FP.r. 21 ? ? ? ? / / ? / / 9,12.5 BENCH MARK ~1 +C TOP Of PIPE ELEV.=960.79 . ? / y / 962.8 N N? / ,ya? %?6C b < ? 960.4 .10Q' 2422 Enterprisa Drive Mendola Nelghts, MN 55120 (812) 881-1914 FAX:881-9488 625 Highway 10 N.E. Bloine. MN 55434 (812) 783-1880 FAX:783--1883 ? k 959.9 ? X' .' p- - r c.v v ?' ? fw 9959.3 ?%? O\ 960?` 960.3 ? ?N -` 958.6? O?Q? ?SERViGE ? INV.=951.2 -? ^ G 'O O Lr 2 O 50 , ? . 959.7 ?/ ?? 7) 0 957.9 46.91 ? 57.32 960.7 960.7 G? 14 ?k`'Q ? 960 8 124.45 » l:irie'. 9 B CH MARK , g89°2g'22 W PROPOS D HOUSE 1 FVATION r ?Sn 959.8 E EV? 959P34--H' PROPOSED CRADES SH01Vi PEq CRAOIt/C PIAN BY: MFN 1/??7 " N07£ LOWEST FLOEI,EVATION: : TOP OF B?OIK ELEVATION: NOTE: BUIIMNC DIMENSIONS SHOWN ARE fOR I10RIZONTAL AND VERTICA IOCAT10N OF STRUCNRES ONLY SEE ARCHITECNAL PUNS FOR BU4 OING NO , 6 I-2 . . GARACE SLnB EIEVATION: FOUNDATION DiMENS10NS. NOTE: Np SPECIFIC 5045 MVESfICATIpN HAS BEEN COMPLETED ON THIS LOT BY THE % 000.00 OENOTES EXISlING EIEVAnON SuRYEYOR. THE SUItA51UTr OF SOILS TO SUPVORi THE SPECIFIc HWSE ' ( 000,00 ) pQrypiES PROPOSED ELEVATON 't OF THE Suf1rEY0R. PROPOSEO IS N0T TME RESPONSOl1T __ OENOTES ORMNAGE AND UnLITY EASEMEN7 NOTE: MIS CERIIFICATE OOES NOT PURPORt 70 SHOW EASEIAENTS O1MEH lHAN DENOiES ORAINACE FIOW DIRECTION iHOSE SMOMN ON n1E RECONDEO 7LAi, NOTEs CONTRMTOR MVST VER1F1' DRIVEWAY OESiCN. 0- OENOTES MONUMENT NOIE: BEnRiNGS SHOWN AHE BASCO ON AN ASSUMEO DANM $ OEN07ES OFi5E7 MVB N!t HEREDY CERTIFY 70 MCOONALO CDNST. THAT THIS IS A TRUE AND CORRECT REPRESENTA710N OF A SURVEY OF THE BOUNOARIES OF: LOT 20, BLOCK 1, MALLARD PARK 4111 ADDITION DAKOTn COUNTY, MINNESOTA IT DOES NOT PURPORT 70 SHOW IMPROVEMENTS OR ENCHROACHMEN TS. EXCEP7 HOWN, AS SUR D 8Y ME OR UNOER MY DIRECT SUPERMSION 7wiS 911+ oaY Of APRiL. 1997. SIG E PIONEER GI EERINC, P.A. SCALE : 1 INCH = 30 FEE7 BY. ? John C. Lar'qon, L.S. Reg. No. 19828 - -A( 9(-o4;) S ?( 5 J I ?a I 7a I r? ? w? I „z zW ? OW I 1 p I 5? I , .? I I I ? 20 ? I ? co ? O ?O r 3 i? O ? a r O z O) f ? x970.7 ,I,'; 'N 968.1 CO DFt{( 1 CSTY OF EAGAN CASHIER; 1S 7F_kMINAI. NOe 93 DATEr 04/29/37 TIMF..: 14:22e51 IIt: NAMFn MCLIQNAI_A CONSTRUC7ION SNC 2256 3001 4280 GALIWAI_L 47729.71 Total f.eceip+. Artia1n+,; 4yi?9.71 CROr r?iCa3 IiSGR ID: ,IAN PERMIT CITY OF EAGAN 3830'Pilot Knob Road PERMIT TYPE: e u zLoIN c Eagan, Minnesota 55122-1897 Permit Number: 8 2 9 7 9 2 (612) 681-4675 Date Issued: p 4 /2 g( 9 7 SITE ADDRESS: 4250 6ADWALL CT LOT: 20 BLOCKe 1 MflLLARD PARK 4TH P.I.N.: 10-47253-200-01 DESCRIPTION: ermit Type RXk TYPe Coryqtruc?"114, , e ?ry S SF DWG NEW k-3 U-1 V-N R-1 70 48 2 2 251 101 1 - FAM. DETHCH ? REMARKS: ' 5& W PLBR -- FIVE STAR PLBG FEE SUMMARY: VALUATIOiV BaSe Fee $1n302,25 Plan Review $846.46 Surcharge $91.50 SRC $950,00 SAC % 100 SAC Units 1 SubCotal $3,190.21 $183,000 MISCELLANEQUS $1g539.5m Tntal Pee $4,729.71 CONTRACTOR: - Applicant - sr. Lzc OWNER: MCDOIVALD CONST INC 14327601 @0?2376 MCDONALD CONST INC 7601 145T11 ST W 7601 GADWNLL CT APPLE VALLEY MIV 55124 , AFALE VALLEY MN 55124 "(612) 432-7691 {612}432-7001 Z here:by aaknot?(?,qid'go th.?,'k; in-farms?t?aon 'xs c'sarr:s-ct wnar?g .?APPLICANTPERMITEE SIGNATURE fi r m -TSSUED . SIC ? UATUFPE ?; 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? i, liq - vi /' CITY OF EAGAN ?9 "/t9 2 3830 PILOT KNOB RD - $5122 681-d675 New Construction Reoulremenffi ? 3 registered site surveys ? 2 copies of Plan • 2 copies of Dlana (indude beam & window sixes; poured fid. design; stc.) ? 2 slte surveys (exterior etlditiona 8 dedcs) • 7 energy calala8ons ? 1 energy calwlationa for heated addkions • 3 copies of tree prexrvation plan d lot platted aRer 7/7/93 required: .1L Yes ,9 No , ? DATE: ? S CONSTRUCTION COST: 560 DESCRIPTION OF WORK: STREET ADDRESS: O G rl h. LOT ? BLOCK I SUBD./P.I.D. q PROPERTY Name: Phone OWNER ,... ,.,, Street Address: City: State: Zip: coN'rw?cTOR Company: IVKCOo ni A\k Cl5r.s? 1??Phone #: ?3a " )(0 o I Street Address: .1(00 1 -- A VlJ . License #: a 3?4 City:A pp (e UA 1 e State: YUf K Zip: el ARCHITECT/ Company: ENGINEER Phone #: Name: Registration #: Street Address: City: State: Zip: Sewer 8 water licensed plumber (new construcGon onty): ' t . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that t have read this apptication and state that the infomiation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant D au •? ? ?0. i t? OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received TRc? Pr?eS? Yes No _ Yes _!??No ? Not Required Cb L4P?ECEIVRD 19g7 OFFICE USE ONLY BUILDING PERMIT TYPE ?? ? ? • S .r 4:. Y?'? ? l}`: :; •.'?." n 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish zf? 02 SF Dwelling ? 07 4-piex o 12 Multi RepaidRem. 0 17 Swim Pool n 03 SF Addition ? 08 8-plex a 13 Garage/Accessory o 20 Public Facility n 04 SF Porch ? 09 12-plex a 14 Fireplace n 21 Miscellaneous 0 05 SF Misc. 10 = plex o 15 Deck WORK TYPE .a?'31 New ? 33 Alterations ? '36 Move 0 32 Addition ,. 0 34 Repair °? 37 Demolition GENERAL INFORMATION Const. (Actual) Jnl Basement sq. ft. +Sa q MC/WS System ? (Allowabie) J n! Main level sq. ft. !sa c. City Water ? UBC Occupancy -3 0-? sq. ft. 11 c. i Fire Sprinklered Zoning sq.ft. ?ss PRV # of Stories 2 sq. ft. Booster Pump Length sq. ft. Census Code. i o r Depth ti 8'0" Footprint sq. ft. a?si SAC Code ? i . . ' Census Bldg ? ' ' ' " • Census Unk ? APPROVALS • Planning Building m 0, Engineering , Variance Permit Fee Valuation: $ r 83,OoD, ? Surcharge Plan Review License tiz ? c ZSZ MCNVS SAC sv x ? s- ar g Z 3, 5 Clty SAC 3$ K`1 7 a 3 ?o, s W8t2r COI1n. 9 4'3VK Water Meter Acct. Deposft , s?- S/W Permit S/W Surcharge Treatment PI. ? ?'r,.S? ,:,•. • .r • rL . • Road Unit 9 C-, 1 4- 7 • ? Park Ded. Trails Ded ?N• 34?' r4, 3/ Other =?xs , 30 Copies 3o u I 3 c 2 sc, r v?" 9 yz3 Total: aau,o,S a99 ly.3dx 2. zS 32, 3 °k SAG - ?o r!</ - 1 <dU a'?Ci UlIItS 1 1 1 ?? 5 N = G 2, 6 5 9.q ?a..?..a . !e i. z0. 3qY 30. 3,/ 4,17 tG y i 3D' ??? 4Qd. - LCO ?l6 = l82,8?5. l * PIONLEA ? eng nBar ** * * Certificate of MCDONALD Survey for: CONST. 4280 GADWAII COURT ^1E711QG°QG?/--1/-7 Olb BY ? DATE f3UILDlNG IPv'?PELC?(?-i^dS '7PT. 21 + .O rO ? ? BENCN MARK TOP Of PIPE ELEV.=960.79 . / . Ny / 962.8 ,.' ? ;-y0 \ 2422 Enterprise Drive Mendoia Nelghts, MN 55120 (812) 681-1914 FAX: 881-9488 UND SuP?TcYM17 . a?? ?+??o+s VO PWINERS• 1N1D5CAPE PRCMIlECTS 625 Highwoy 10 N.E. Bloine, MN 55434 (812) 783-1880 FAX:7d3--1883 - ??9Ga-?) ? ? ? ? / / ? ? ? ? / i ? 9,7'2.5 x eX7 ?. (s?6'8`.i ? m\? ---,\ jE .51 1 is' ?y r¢ I ?a ( r? ? w?" ( W? ?a OW I 1 h I \ T? I I I I 20 ? ? ? 6-N ?.?arliv t.AV:a3?tln?i.x«.i J If / If ? 9599 .y 00 ? ?O r 3 i? O ? 0 r O z ? X ? I RW 6,V' \„ 960.3 ,SERVICE ' '\N INV•=951.2 ? 10 ? ! 1 ? z i7.9 14 956.9 N ?-? 46.91 N 959,7 ? 4. V. O 7 ).7 0-7 0960.7 9 .A'I B CH MARK i J°"'O ggg?g-22-w PROPOSfO HOUSE FLFVATION ? E ? 95 P 4 ?' ? 959 e V 9 3 -? y E Sn?y '? r1 ' ?US J GC LOWEST fLO?rc ELEvA710N: ??? •. 964 F NOTE: PROPOSED CFnDES SHOYM PER CRAOINC PLAN BY: MFR - 70P OF BLOCK ELEVATiON: NOTE: 9VILDiNG DIMENSONS SHOWN ARE FOR FIORRONTAI M70 VEN1ICA LOCAl10N TECNAL PLANS FOR BU0.DING NU E 6 :S-2 E ARCHI OF $TRUCNRES ONLY. S GARACE SLAB ELEVATION: FOUNOATION OIMENSIONS. N01E= NO SPEGFIC SOILS INVE571CA1ION HAS BEEN COAIPL.ETEO ON THIS LOT BY TFiE X 000.00 DEr10TE5 EMSTINC ElfvAnON SVRYEYOR. TME SUITABiIiN aF 50I45 TO SUPPOftT THE SPECIVIC HOUSE ( 000.00 ) DQNOTES PROPOSEO EIEVAliON PROPOSfO IS NOT TF+E RESPONSBIU7Y Of MQ SURVEYOR. OENOTES ORMnAGE AND UrLITY EASEMENT HOTE: 'Mi5 CERTIfICATE DOES NOT PURPORT i0 SHOW EnSEIAENTS OflHER THAN OENOTES ORAINACE ROW DIREtTiOM THOSE SNa1vN ON MF RECOROED FIAT. --?^ OENOTES MONVNENT NOiEo CONTRRCTOR MVST VERIFI' DRiVEWAY OfSiCN. NOIE: BfnRINCS SHOr+N ARE BASEO ON AN ASSV4E0 DAYUM $ OENOTES OFFSET NU8 WE HEREDY CERTIFY TO MCDONa.LO CON57, THAT THIS IS A TRUE AND CORRECi REPRESENTATION OF A SURVEY OF TME BOUNOARIES OF: LOT 20, BLOCK 1, MALLARD PARK 4TH ADDITION pAKOTn COUNTY, MINNESOTA IT DOES NOT PURPORT 1'0 SHOW IMPROYEMENTS OR ENCHROACHMENTS, EXCEPT HOWM' AS SURV D 6Y ME OR UNOER MY DIRECT SUPERVISION TNIS 9TM OAY OF APRII,. 1997. SIG E PIONEER GV EERINC, P.A. SCAI.E : 7 INCH = 30 FEET eY. ? John C. Lorson, L.S. Reg. No. 19828 45 96076.05 SWK P ? ° 960.4 ? 1 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ? ? Er'o C?? ? a--?o CY ? M--13 ?O F7 / ? 0-1 ? E2/ ? ? ? ? ? ? ? ? ? ? ? ? ? DATE OF SURVEY: LATEST REVISION: DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • Building Permk Applicant • Legal description • Addfess • North arrow and scale • House type (rambier, walkout, split w/o, split entry, lookout, etc.) • Direcfional drainage arrows wifh slope/gradieM 96 • Proposed/existtng sewer and water services & invert elevatlon • Street name • Driveway . ELEVATIONS Ebsbna e---?o ? ' • Sewer service (or Praposed) 13 ? Q'? • Property comers ?o 13 • Top of curb at the driveway er' ? ? • Elevations of any ebstlng adjacent homes roed ?o El • Garage floor ? ? ? • Frst floor O'?' 0 • Lowest exposed elevation (walkout/window) ? • Property comers ?? ? • Front and rear of home at fhe foundation PONDING AREA frf aoolicabiel o [2r' ? • Easement line ? Ei' ? • NWL o Q"? • HWL ? d?7 • Pond # designation ? d? • Emergency Overtlow Elevatlon fY O ? • P' 13 13 • p' ? ? • Q ? ? • ?? ? • O e O . Lot IineslBearings & dimensions Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, eta (.e. all structures requiring pertnanent footings) Show all easements of record and any Cily utilides wfthin those easements Setbacks of proposed structure and sideyard setback of adjacent exdsting structures Retaining wall Reviewed: January 1996 CRALL37 YBBRLDOPRMf.FM PROPERTYLEGAL: 7 BRRNT CIRCLE - s.?an N[x euw.: ?s•?mrr s,?u.. aut ww SEf SN£E1 D29 U,oi_r sc.. r?.iur r?•rie ? ? BINC4NRRt: I 5[ ?? 5 I fG4 MIl O( X OPlINII ?.?p I/',. \ ?yl 1.?. IOP XUf Of NIOPPNI 1 «h ?P I 4 J. Iu?xL?Crx?OPPxi H?'?t6 ?.wzir -?- ?lN.a LLG 9ap.o0 v?? - 35. Dr! REV 9EJi Jl,t?v ' 34 6 Q 9?nd?4 ;?12? ' 41 : ' S1?p15 ;IVIW ? ?,.,. 35 8EN0 8 . 47 :? t ni:i: aii. 6 Ii32BEH0 H1'ORFNI 6-I?8 wo mr? .?5? . 1 4U 31 ? 48 HYDFNII iy,? vro 6". 6 1EE REWCCA 33 -'? a iwrr f??iw w.e r 6 iEE HYORflNi s?.a VFLYC- 'or n H r H ? le.e '., 4$ :a c?. n' ua a /?0 9 37 s•.;. I rc' `. r 'o ?. . I I A 6"x 6" TEE 42 6 3 lil6 BENO . ? ° 1 .. •'? .?,. .., ":. + 1i32 NG 6 I18 AEN 32 •. . ? •. . ? .. , .` . : / , r . ?? • i : .: . -? •. ? '. .? ? Y' I+J /.?iA ~ .. Z ?o ?'?'? ? ? 8'N WIE YPLYE ?. ??•?.? . / 43 „ w 2 ? . l?_,. ? _,.,. \ `,d?. I • - . _ -' :l' ?# * * PION * enA an er **** LOT 20, BLOCK 1, MALLARD PARK 4TH ADDITION EAGAN, MINNESOTA (DAKOTA COUNTY) SCALE : 1" = 30' eEraCH MnRs W1 .. Z n? 2422 Enterprise Drive Mendota Heights, MN 55720 (612) 881-1914 FAX:681-9488 WIO PLMINERS• uNosc,we wtaaTEcis 625 Highway 10 N.E. Blaine, MN 55434 (812) 783-1880 FAX:783-1883 TREE CERTIFtCATION Certificate for: MCDONALD CONST. -°- ---A (sso.a) r ? r 21 o0 f I O f , ? 506 504 ? N I f'°507 ? 505 e f 1 9715 • 508 t ? a TREE PROTECTION g FENCING x 070.7 ` (967.0) a pr d p? ?ff9$2.? ,•"?? d ?`' -.7-?? ?O 1 t p V .'°+. ? r f -? ? ae_ 1 f ? S ? J ?' ?9 ? Y7 ,[, x 939.$ ? t0 ^p 0. °a { co AAIN .m?95I.2?`'?, 5Y1 ? ? ',.` ? 0. W.... .__ _.. ....., .... ° '" ,... ..?. __. ._...... ...... _,. ._. ,.p. ? -f (960.7) 958.2 n 957.9 950.9 46>91 '57.32 9Bti.? „ ?e 124.45 ' 91W7 SIGNIFICANT TREES TREE NO SI2E PRESERVATION PROPOSED iYPE PLAN STATUS 504 30' PINE SAVE SAVE 505 35' SPRUCE SAVE SAVE 506 35' SPRUCE SAVE SAVE 507 35' SPRUCE SAVE SAVE 508 38° OAK REMOVE SAVE I hereby certify thot this plan wos prepored by me or under my dtrect supervision and that I am a duly reglstered Landscape Archftect under the lows of the Stote of Minnesota SIGNED: PI EER ENGINEERI.NG. P.A. l.,?.? ?i•' _. onTE:, TREES SAVED: 5(1005) TREES REMOVED: 0( 0%) TOTAL TREES: 5 (1001G) SIGNATURE OF OWNER DATE SITE SUMMARY RPR-14-1997 6?:33 PLRNCO, INC. 1 612 452 3659 P.02i05 . -*r { t-(tor-T . . ENERGY CODE WORKSAEE2 FOR 1& 2 FAMILY DWELLTNGS SITH AODRESS ON CISY COHPLL2ED BY: GD F.IALD PIfONB p___., DAT8 BIIILDING CLASSIFICA7ZON: ? eategoty 1(alanderd) er 9-eatogory 2(muat include veatilatien) IfINIHS7d{ CRIT88IA Foundation Ineuletion-R10 Slub on Grade Inoulation-R10 Walla 4 Hlndowo &oef AGeia laoulatioag (See table on reverac eida Eor allowable pereentagee) R44-911eh Attie No FIem1 Floor over unheated epacee-R24 R38-Wieh AC[ia Raieed ifeel FouTdA[1on Windowe 1/2" ineulated Glaee. R38 fi RS-SOlid RaEteie -Hood oz Vinyl Frame ' 326P 1 Htndow i Door Erea 8T6P 2 Csleulate asea ae a pereent o£ wall A. Total Hindov 6 Door Acoa 3n 9q. Feo[ WINDOws (Including Fwn ?!l ion Nindowe): / WINDOW MANUFAG2VRH NAMBx V ? ???H ??F???B T?B?- G+??1? HZNDOH MANIIFACTORS II FACTOR:_. itlLO c. From Scep 1 divide box A(Nindow 4 Docr Area) by box.B (COCal wall area) Cimee 100 equala cha vindow and door area ae a percent of wnll area (box C). R- 0• Quantity Dimeneions sq.El•.ACea BQX A 4RZ X 300 = Box d3?$9 c )J/ 1T_ Z"40 x-O 11 ? gT2p ] Deelgn Pesturea 14 l O X& "-D4 Z P.SSEMBLY Zr? X? pa ?CO I PRANING TYPB: ?!L7 x_ (Ox S7ANDARD FRAMING x otuds 16" o.c Z? (0u X 9 C/Ju . ADVANCED FRAMING otydo 29" o:c. Z I b xc7 -f,! l [AVTTY INSULATION R? N Z ? AfiHATqItiG TYPH- ? y ZYJ X L¢SS TI{AN < R-5 c v , Z`? X?? l? R-5 > OR MORE X V-FACTOR II From cho eable, (re.rerce eide) determine tha mazimum percene window 4 door area for the Q ? deaign opCione atloeted and enter the t valuo in Box D Oelow based on the window mfg. U- faeeor: I.i D X D a Z'utal Aroa o( Windove & Doore A= ?q,£t. ? . B. Total Mall Araa in Sq. Fc. 7hs t value Erom thc table in Box D ehall be nqual to or greator thais the t in 8ox C Wall Total Height Perimetcr prea lD?lv ' Total Area of Ha11s o= u.Et RPR-14-1997 07:33 PLRNCO. 1NC. 1 612 452 3659 P.193i85 ? , . ONt;- & '[yyp_pq&UEY R[$IUEN;1A1, Ojj)(,UlNG P1LFSpUp'"VE (COOK-OOOK) nr?'IRvnai MAXlIr1UM W(NDOW qND UOOR pRGq AS A pERCCN'i OF OVERAII, WALI, AREA Addlllone! uk..Iaka ..d.._. STAIVDARD SiANUARI7 R•17 R 11.94'. 1S.77o 18.4°!e ADVANCEU R-lr R-17 R- 3 I 13.BYe 18.4Ye 21SYa ADVANCEU R•U Ii • S 12.6Y l6.BYe 19.6% 22.9Ye R- 5 l1.3? 19.D?Y. 22.zy. z5.7y. Notes: Wlndow atea equsla rougl, opetilng tnlnue Inelallldon cleerantee. Window U-taclor mvet be delcrmined br elthcr lhe Nalionsi Fenestrallon Reling Councll etandard 100-91, or ASl1RAE 1493 liendbook o( Fundsmenlais. Clmpler 27, Table S. ro¦t-n' Fu No?s ?e11 0- o ?? . w tr• y R ? 7 7 . Ukadi-RUILE Ca. CTTY USE ONLY LOT -.16 BL ? RECEIPT#: SUB6axx.aA-k RECEIPT DATE: 1997 MECHArTICAL PERMIT (RESIDENTIAL) . CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 Date• (612) 681-4675 Complete tlus section onlv if vou are installing HVAC in sinele familv, townhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BN 6.00 • Gas outlets (minimum of one required @$3.00 ea.) ?'.Gu • State Surcharge: .50 • TOTAL: Complete this section only if vou are remodeline, adding to, or repairin¢ eaistine sinele familv dwellinPs, townhomes, or condos. _ Add-on fiunace _ Add on air condirioning _ Add-on air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: YaNLS ?4 d wc?/ G/ OWNERNAME: /ylC,D?n4 4/ e. "J/ PHONE#: Y?2- 7ZW INSTALLERNAME: Cv? id('- d /7"?%' PHONE#: 22 STREETADDRESS: 02(o2(U l?& e4/e- CITY: STATE: MZI ZIP: ??z Y 7 SIGN F PERMII7EE / . CITY U3E ONLY v L- ?? BL ? RECEIPT#. *nf SUB'B.?/"+'IQXY,4.rc,dC l?W? ?? RECEIPTDATE: 42/-z/9 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 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 ? backflow preventer for underground sprinkler system FIXTURES EACH ? TOT L Shower 3.00 x = ?BQ Water Closet 3.00 x Bath Tub 3.00 x = G,.do Lavatoy 3.00 x = i a, nn Kitchen Sink 3.00 x rac Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Wacer Heater 3.00 x FloorDrain 3.00 x Gas Piping Outlet ' minimum - 1 • 3.00 x = '?Z' 60 Rough Openings 1.50 x -IST Water Softener "for dwellings under wnsWCtian 5.00 x = Water Softener ' for existing dwelling 20.00 X = U.G.Sprinklef `tordwellingunderwnst 3.00 = U.G. Sprinkler 'torexistingdwelling 20.00 = Alterations " to existing residance 20.00 = Water Tum Around 20.00 = Private Disposal System ' Dak Cry lie. 75.00 = (new and refurbished systems) Private Disposal Systems' nbandonment 20.00 = STATE SURCHARGE TOTAL .50 53,46 I hereby atlcnowledge that f have read this application, state that the information is cortecf, and agree ta comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notity Ne property owner that the Ciry of Eagan assumes no liabiliry for any damages pused by the City dunng its nortnal operational and maintenance activities to the facilities constructed under this pertnk wi[hin City property/right-of-way/easement. ^ f . , _ I SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREETAD¢D?RESS: /; -z?`f -? C`1-? CITY: Q//pA? llrOYe TELEPHONE #: J"J T- STATE: " 1n . ZIP: . SIGNATURE OF PERMITfEE CITY USE ONLY L'v?? BL I RECEIPT#: 1 (/ • SUB??&6ta SJLA RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for: . single family dwellings ? townhomes and condos when permits are required for each unit ? baekflow preventer for underground sprinkler system FIXTURES EACH NOj TOTAL Shower 3.00 x = 1A(atq[ f:.ln5ot $.00 X = Bath Tub 3.00 x Lavatory 3.00 x = Kftchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 . 3.00 x = Rough Openings 1.50 x = Water Softener `for dwellings under consVUCion ? ? -'EbftE?'C?' fo??eac?s"t?i'n ??a Iin ' ? 5.00 x = -r ? x . CF.G.Sp?nklef 'fordwellingunderconst 3.00 = U.G. Sprinkler ' for existing dwelling 20:00 = Alterations ' to existing residence 20.00 = Water Tum Around 20.00 = Private Disposal System ` Dak Ctylic. 75.00 = (new and refurbisM1ed systems) Private Disposal Systems',nbandonment 20.00 = STATE SURCHARGE .50 TOTAL I hemby adcnowledge that I have read this applintion, stete that the iMOrmation is cortect, and agree to comply with all apPllcable City . M Eagan ordinances. It is the applicanYs responsibility to notify tha property owner that the City of Eagen assumes no liabilily for any damages wused by the City during Rs nortnal operational and maintenance aGivities to lhe facllklea mnstruded underltiis pemik witlfin City property/right-oT-wey/easemant. ? ' SITE ADDRESS; +I OWNER NAME: INSTALLER NAME: % TELEPHONE #: STREET ADDRESS: CITY: STATE: ? 21P: -- 'Q , SIGNATURE PERMITTEE ?c)S1:5 RESIDENTIAL BUILDING Permit Applica[ion City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephooe # 651-675-5675 FAX # 651-675-5694 Telephone #( New Conswc6on Reaui2men4s RemodeVReoair Renui2ments Office Use Onlv 3 registered site surveys showing sq, fl. of IoL sq. fl. of house; and all rooted areas 2 mpies of plan Cert of Survey Recd _ Y_ N (20% maximum lol wverage allowed) 1 set of Eneyy Calculatbns for heated additbns Trce Pres Plan Real _ Y_ N 2 copies of plan showing beam 8 wiMow srzes; poured found design, etc. 7 site survey for addifions 8 decks Tree Pres Not Reqd _ Y_ N 7 set of Energy Calculatlons Addifion - indirate dai-sde sep6c system On-sde SepUC System _ Y_ N 3 copies of Trce Preservafion Plan if lot platted after 711193 Rim Joist Defail Opfions selection sheet (bldgs with 3 or less units i Date ?/?.?? G v Site Address 2- ? J -i Construction Cost C T'. Unit/Ste # Description of Work Multi-Family Bldg _ YN /? Fireplace(s) _ 0_ I X 2 1 Gyt?7 n? ?}v -?2n ? 1 r ti f v PropertyOwner N4"?l?l( ? ??? _7`-J?CZWPJ,/2L?N Telephone#((,Jl) (:.'z6q- i7T 2S-- Contractor / /C??/' J L----, C Ot/1.?' -A. ?'- Address Z r716 ?'c?'Y'??CJ l 19-?Ie. City State Zip .S? Telephone # ( Y?SL) q(-q' ? Z 2 2? COMPLETE THIS AREA ONLY IF CON TRtJCTING-A I a r ;i Minnesota Rules 7670 Cateeorv 1 ?? Energy COde Category , Residential Ventilation Category t Wo ?et ?? ? t(?,?, ?• (Jsubmissionlype) Submitted . • Energy Envelope Calculations Submi . Have you previously constructed a building in Eagan with a similar pian2 = fee applies. Licensed Piumber Mechanical Contractor Sewer/Water Contractor 0-6 &a" 7/ Af BUILDING Cade Worksheet N if so, 25% plan review Telephone # ( ) Telephone #( rCl a Wi 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 acco;dance with the approved plan in the case of work which requires a review and approval of plans. ??-?-G?=??- Applicant's Printed Name Applicant's Signature OFFICE USE ONLY sub TyPes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwetling E3 OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muld Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Le vel ? 24 Storm Damage ? ? ? 06 04-plex ? 12 12-plex Plbg 2(Y w_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 ? 32 Addition ? 36 Move Bidg. ? 42 4 33 Alteratlon ? 37 Demolish (Bldg)' ? 43 ? 34 ReplaCement 'Demolitlon (Entire Bldg) - Give PC Valuation gOOo Occupancy Census Code Zoning R- ? SAC Units / Stories Nbr. of Units O Sq. Ft. Nbr. of Bldgs / Length Type of Const s// Width _ Footings (new bldg) _ Footiugs (deck) _ Footings(addirion) Foundation Drain Tile Roof _ Ice & Water _ Final ? Framing ? Fireplace _ R.I. Air Test _ Fina] ? Insularion Demolish (Interior) ? 44 Siding Demolish (Foundation) ? 45 Fire Repair Reroof ? 46 WindowslDoors A handout to applieant MCIES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS FinaUC.O. ? FinallNo C.O. ? Plumbing HVAC Other _ Pool Ftgs Au/Gas Tests _ Final _ Siding Smcco Srone _ Windows(new/replacement) _ Retaining Wall Approved By 17F Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Perrnit 8 Surcharge Treatment Plant License Search Copies Other Total PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings 'I'ownhomes and Condos when permits are required for each unit 4(.Sa„Sp Date Sitc Address ? U nit # - - Property Owner Telephone # ( ) Contractor Address Zloo-5- City *?*--?- State Zip?S-3?aJ Telephone # The Applicant is _ Owner -2< Contractor _ Other Septic System New _ Refurbished Subm it 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50 00 ? Adding fixtures to lower Ieveis or room additions, excluding water softener and water heater . _ Abandonment of septic system I _ Water turnaround (+ 5/8" meter if needed -$121.00)/? _ Other Lb Wy' Lzu-Gt Qk 7'Q - ..\ I _ RPZ _ new installation _ repair _ re`uild; i' ?C? $ 30.00 I D ' ? ? _ Lawn irrigation system s(. ` ? - I ? .%- Water sokener Water heater $ 15.00 ' _ replacement _ additional ? $ 50 State Surcharge Total ? $ 1 hereby apply for a Residential Plumbing Permit aod acknowledge that the information is complete and accura[e; [ha[ the work will bc in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is nui 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 wiih ihc approved plan in the case of work which requires a review and approval of plans. Applicant's PrintedAame pA plicanYs Signat e d?/Y OFFICE USE ONLV This request void I B monihs han validatlon dak prinhd in Ix. / T7 aPa IIII IIII lllllllllllllllllllllll IIIIIIIII?`?°`'?'??`?°`?`? `?? ? ? * 0 4 4 0 5 9 3 2 PLEASE PRINT OR TYPE Raqa st I?• ? Raugbin inspecfion reqoned? Yes ? N. ?You musf call Il?e inspecbr whe .evdy) Inspeclion Othar Than Roagh In: Revdy Nmv G W II Call D.I. keody: I, licensed conhoctor 0 owner hereby requesi inspection of the above electrical work aY. lod ,, eaiDBox' o. aM No. Ciry ZiP C e n No. 'f own ' Name or o 1 R e No. Firpflo. 11Y1 auny ' D'o u ', Phona o? Pawer plier ? Address Elec ml Conkocror4Cam ny N??U?tkjt o hadoenx [yo. ?? ii r•? ?.-t 1--1 LJ \ Mester lic No. iPlanl Elact Onlyl ' hloiingAdlress(Conkatly?fVrOrvnerP Y a?q? ?/ L`?l Y%l/ it 1 A l 11 ? ?J lY^M.c,.. l? A 1 n ? 41.????1 ??LI Au hed SignoWre (Con cror or Owner Pedormi?g Insmllolion) ?9-- Phme No cfcNQ -6Q3 E?A-118/96 ?/a9/?7 440-•5?3 21 REQUEST FOR ELECTRICAL INSPECTION 7OZ Minnesota State Board of Eleclricity 1821 Universiry Ave., Rm. 5428, St. Paul, MN 55104 - Phone (612) 642-0800 Home Du lex Apt. Bldg. Olher. - New Addn Commercial Industrial Form emod Re ir Air Cond. Htg. Equip. Wafer Hfr. Lood M mf. Other: D er Ronge Elec. Heaf Temp. Service "X" obove fhe work covered by fhis requesG Enfer remarks in Ihis space and on the. bock oF the whiFe copy only. Calculafe Inspecfion Fee - 7his Inspedion Requesl will no1 be accepMd wifhouf Ihe correcf fee: Other Fee # Service En[rence Size Fee 0 Circuits/Feeders Fee Mobile Home Park Slall 0 l0 200 Amps 0 l0 100 Amps Slreel Lig./Traflic Sig. Abwe 200_Am s Above 100_Amps Tmnsformer/Genemtor INSPECTOH'S USE ONLY TOTAL ? Sign/OuAine 11g. X{mr. Alarm/Remote Control Swimming Paol ' I Mre6 certi dwt I in . 1 i sMllotion dezcri6ed herein on e dates s Ilriyotion Boom 4 Roughln Dote f3 $ eciollns etlion E H p p I nvesfigofive fee . Final ? Doro 7 ? I THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT COMPLETED WITHIN 18 MONTHS. PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA073509 Eagan, MN 55122 . Date Issued: 05/24/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4280 Gadwall Ct Lot: 20 Block: 1 Addition: Mallard Park 4th PID 10-47253-200-01 Use Description: Sub Type: e - Air Conditioner Work Type: Replacement Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector, 952-445-2840. Cindy Lilienthal 21170 Eaton Ave Suite A Farmington, mn 55024 651-344-4253 clilienthal@con trolledair. Fee Summary: ME - Permit Fee (Replacements) $30.00 0801.4088 Surcharge - Fixed $0.50 9001.2195 Total: 530.50 Contractor: -Applicant - Owner: Controlled Air Mark P Thompson 212 10 Eaton Ave 4280 Gadwall Ct Farmington MN 55024 Eagan MN 55122 (651) 460-6022 X253 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building Permit Number: EA105987 Date Issued: 0810612012 itj of 0n Permit Category: ePermit R Site Address: 4280 Gadwall Ct Lot: 20 Block: I Addition: Mallard Park 4th PID: 10-47253-01-200 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Able Restoration Group Inc. Mark P Thompson 17316 Kenyon Avenue, Suite 103 4280 Gadwall Ct Lakeville MN 55044 Eagan MN 55122 (952) 378-5000 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA108145 Date Issued:11/19/2012 Permit Category:ePermit Site Address: 4280 Gadwall Ct Lot:20 Block: 1 Addition: Mallard Park 4th PID:10-47253-01-200 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Mark P Thompson 4280 Gadwall Ct Eagan MN 55122 Able Restoration Group Inc. 17316 Kenyon Avenue, Suite 103 Lakeville MN 55044 (952) 378-5000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA113068 Date Issued:08/29/2013 Permit Category:ePermit Site Address: 4280 Gadwall Ct Lot:20 Block: 1 Addition: Mallard Park 4th PID:10-47253-01-200 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Laura Gillespie 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 - Mark P Thompson 4280 Gadwall Ct Eagan MN 55122 Able Restoration Group Inc. 17316 Kenyon Avenue, Suite 103 Lakeville MN 55044 (952) 378-5000 Applicant/Permitee: Signature Issued By: Signature ,�� r * Use BLUE or BLACK Ink --------- � For Off(ce Use j ' �lt ' � � of Ea�a� � Permit#: � � Permit Fee: tYV • OV I 3830 Pilot Knob Road � Q F � ' i , Eagan MN 55122 I Date Received:V � ' Pno�e:(651)675-5675 AUG 2 5 2015 i � � Fax: (651)675-5694 � Staff: . �����������������J ' 2015 RESIDENTIAL PLUMBING PERMIT APPLICA`TION Date• �� '� SiteAddress: 4a� ��,,,�(,� �, � V Tenant. � `� Suite#: �, 6�. � � � Name: � �`�_ � ��Res d"en ,OW � Phone:�=� � � '� ����r��--� � :� t Address/City/�Zip: � . 3Y�.,� ��4 - . �. . . � � � . . . . � , a � �. tvame: M�b�'t Cor�pany Inc dba Culligan Water WC641376 � �� License#: � �� �on��. �� � Aaa�ess: �18Q� 50`� St East ��ty: Inver Grove Hgts. ' `����� ���� ' state: Mn zip: S 5077 Phone: 651-451-2241'��� � A-- � � Contact: W1ll1aTY1 R Mllbert EmaiL � _New X 7Replacement Repair _Rebuild _Modify Space Wor1c in R.O.W. �Y �e���� �o r — _ ; � �- & Description of work: � � ' � RESIDENTIAL � � � � Water Heater Lawn lrri ation �.Water Softener �i'(it'I x"'�P 9 (_RPZ/_PVB) Septic System Add Plumbing Fixtures�Main/_Lower Level) _ New Water Turnaround ��" � x ,� �:; Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, o�Water Heater and Softener(includes$5.00 State Surcharge) $60.00 La�vn lrr;ga2ian(inclu�es$5.CC minimurrr State Surcharge) $60.00 AddPlumbing Fixtuces, Septic Svstem Abandonment,Water Tumaround*(includes$5.00 State Surcharge) *Water Tumaround{add$200.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as 6uilt)(includes County fee and$5.00 State Surcharge) � O TOTAL FEES$ D CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. C�II 48 hours before you intend to dig to receiVe IocaCes of underground utilities. vwvw.aopherstateonecall.orp 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 permlt;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. _� x /l X ���'� —`� Applic nYs Printed Name Ap ' s Slgnature �F�. .� �FI k �11;; ; r., � � eq� ed ��s . �� �� � � �� � , � � � �,����er� elaa�ed�.e �_ � �,,.,. PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA154952 Date Issued:04/19/2019 Permit Category:ePermit Site Address: 4280 Gadwall Ct Lot:20 Block: 1 Addition: Mallard Park 4th PID:10-47253-01-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark P Thompson 4280 Gadwall Ct Eagan MN 55122 (651) 403-9116 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature