4283 Gadwall Ct« • M ?
W'"lificate of cccuvanc?
W" of Cfagan
4>oartmtut aF y8uubiag 5*60ection
This Cerrifcate issued pursuant to the requirements of the Uniform Building Code
certifying lhat at tlie tume oJissuartce thu structure was in campliance wirh the various
ardinances af the City regulating building construction nr use. For the following:
use Qyuifiptiqn: SF DWG/GAREGE Bldg. Pemut No. 27581
p-qu-y Tj,m R- 3 U-1 7,,.ing p6,ict R-1 Type Const. Vn
,,, 3651 WOODLAND TR., EAGAN, MN
OwnrrofB?dding STEVEN HEGGE & C0 Addr
Bw?ing Addrm 4283 GADWALL CT Loew;tyy L22, B1, MALLARD PARIt 4TH
gurildiug pfficial i
POST IN A CONSPICUOUS PLACE
l
EITIf OF EAGAN
3830 Pilot Knob Road
Eagari, Minnesota 55122-1897
- (612) 681-4675
SITE ADDRESS:
. l ? .! ... r ! PERMIT SUBTYPE:
ON
:coRn
PERMIT TYPE:
Permit Number:
Date Issued:
.' .' 1#1 ? 67 1
,,•, E, ?, ?, r. r , APPLICANT:
TYPE OF WORK:
nil t t I?tMO
i!: /E.ft t
Bf.s/lh/9f;
INSPECTION .. . D•
? s;n??1r4.
I N*.111 n i 1+0-1
I•??i?,,?? i r.i if i
I f Plr,l t I it?? :? 14 A !
f idt.i+lAf-?t '. : y!: t.i Vi 141•; 111 ." t Nh! I•I !ti
i1-
??:
Pe?mit No. Permit Date Telephone k
ELECTRIC
PLUMB{NG lP 7 ??'? $ z
HVAC
InapecNon Dattg Insp. Commente
FOOTINGS ?/?
l
FOUND
FRAMING ?D
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST k N
ROUGH
HEATING
YJ 1; "'Q?,6
GAS SVC
TEST
INSUL
[ (O
GYP BOARD '
FIREPIACE
FIREPLACE
AIR TEST
FINAL PLDG ?
FINAI HTG
ORSAT
TEST
BLDG FINAL
(?[
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Address
4283 GADWALL CT
L.ot 22 Blk
Sub MALLARD PARK 4TH
Zip 5512_
THESE 1TEMS WERE / WERE NOT COMPLETE AT THE TIME'OF THE FINAL INSPECTION.
Date: Yes No Inspector. tlld
Final grade (6" from siding) v
Permanent steps (gazage) r/
Permanent steps (main entry)
Petmanentdriveway
Permanent gas
?
Sod/Seeded grass
TraiUcurb damage
Porch eV
Basement finish ?
Deck
Please verify with the builder the removal of roof [est caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exisis.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy 9
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
• City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenis RemodeVReoair Reauiremenh
3 registered site surveys showing sq. fl. of Id, sq. ft. of fwuse; and all roofed areas 2 copies of plan
(20% macimum lol coverage allowed) 1 set of Energy Calculafions for heated additions
2 copies of plan shaxing beam & window sizes; poured found design, elc. . 1 sife survey fa addifions & decks
1 set of Energy Calculations Add'dion - indicate iFon-site septic sysfem
3 copies of Tree Preservalion Plan if lot platted after 711193
Rim Joist Deiail Options selection sheet (bldgs with 3 or less units
Date c-f / !30 / d'V ConstructionCost 6 • 6 O
Site Address ?v7 ?5 S}' ? . ?.? ?f UniUSte #
Description of Work /N5?4 j?- a&e2?6e /0
/
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner Telephone # I?S?) ?7J?' -' ?5 lo Y(o
Contractor cf d le- ,
. Jv r?
Address '162?1
Q LU .v?
?? ??G S _x-TP Ilk City ?
State Ir'1'1 Ai Zip ?-^S?/?O Telephone # (?j?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv I Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category i Worksheet • New Energy Code Wwksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculadons Submitted
Have you previously constructed a building in Eagan with a similar plan8 _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Confractor
Telephone #(
Telephone #(
Telephone #(
?
AUG 3 0 2004
!S-Q
I hereby apply for a Residential Building Permit and acknowledge that the informati is mp e e an 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 pernut, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
?,
Applicant's 'd Name pp icant's Sig ature
N If so, 2597o plan review
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 42 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ect. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_N `g( 25 Miscellaneous
h DD' nc? 3, TO M u 1. jZ oOYv%?
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
'M 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bidg) -Give PCA handout to applicant
Valuation Sj D 00 , o O Occupancy K.' 3 MCES System
Census Code Zoning R? 1 City Water
SAC Unfts Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIItED INSPECTIONS
_ Foodngs (new bldg) FinaUC.O.
Footings(deck) 74 FinallNo C.O.
?C Footings (addition) _ Plumbing
Foundatlon HVAC
Drain Tile Other
Roof _ Ice& Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
? Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
TOtdl
11 I.'aS
a.sz?
3' xly' XSy.oo ^ -2 26e,Da
I l'-k.c) C)
U.J'i nD ow 1=l+rT Fe? ?;?) oon,.flp
----? .
CERTIFICATE OF SURVEY
For• HEGGE CUSTOA+I gOiroS
-156.88 N 85°5Q'47" E- ?
? --.4._._
\(946.0)
-
_
? r
?
?
c?
NWL=940.0
? HWL=945.0 LO
0
` O
, G
EDGE CF WATER y
AS OF 5/07/96
ELEV.a937.9 ?
r J
a
z L4T 42 ? o
- .? o
a
ti?
+ 9 ?x
N ? ?;^ g? ,yc? io ?L
? ,.
v? ? ?t?,,?, ?9 p 8 ?• 1
p
? ? ?, .?: '',Ca:" ? 5'V9i ?k• ? 9? ? Cp
I r1-r I ?c? y?i;• ?? ?o} cx4'? !,?• ke ? a`''1?? ??
l. _ V'1
.'' g6 o t
E A G A ii I/qCqNT N 6 4? i{s 58-a}
? 9e 0 1
REVIEWED 2 , ?.
- QP ?(9
?7?y •jq3,? h ?O 4j?? Q
I i
3Y
7 ? ! T8E'?y ? - i N ?l6 /
)ATE .. . <E'y QrS?q?p?i" ?1>7<•
GADWALL COURT'''e 4 ?
Scele: 1"=3p' page 2 of 2 James R.
Hill, Inc.
TOTfaL P. 03
W 60 q5 RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
1a- a -0,3
New Construction Reauirements RemadellReoair ReuuiremenTS Offica Use Onlv
3 registered site surveys showiig sq. ft of lot, sq. R. of house; antl all roofed areas r2 cropies W plan CeR of Survey Recd _Y _ N
(20% mazimum bt coverege allowed) 1 sel of Energy Calwlations for heated addNons Tree P2s Plen Real _Y _ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 sife survey for additions & dedcs Tree Pres ReqO Y _N
i set of Energy Calculations Add'Rion - indkate Aon-sne sepfic sysfem On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan ii lot platted after 711193
Rim Joist Detail OpUOns selectlon sheet (bltlgs wAh 3 or less units
Date /,2 / 12- / 0-5 Construction Cost
Site Address ( [.IQI? ey UniUSte #
Description of Work
Multi-FamilyBldg _ Y X N Fireplace(s) _ D V t 2
Property Owner "?/ /Z,__? Telephone !i &s/ ) 44/ ??36
Contractor
Address
State
Zip City
Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanicai 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 appiication 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.
?.?.ilyl ?,S 6.6-il Aoi?
Applilant's Printed Name ApplicanY ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex V/ 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIhgj?Yor _N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demalish (Interiar) O 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
fp/ 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Oemolition (Entire Bldg) - Give PCA handout to applicant
Valuation 'a-b b 0 Occupancy R- `3 MC/ES System
Census Code ? 3q Zoning City Water
SAC Units -? Stories Booster Pump
Nbr. of Units C? Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const S/d Width
_ Footings(new bldg)
_ Footings(deck)
_ Footings (addition)
_ Foundation
_ Drain Tile
Roof Ice & Water Final
r? Framing
Fireplace _ R.I. _ Air Test _ Final
_,?'Insulation
REQUIRED INSPECTIONS
FinaUC.O.
FinaVNo C.O.
/ Plumbing
?HVAC
Other
_ Pool _ Ftgs _ AirlGas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By:!?,O Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
RESIDENTIAL PLUMBING
(:aa b8? Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
505?
63
Datel-;), / /
C;/ 03
/
Sit
Add
U
i
#
e
ress
n
t
Property Owner ISN/ ? Telephone # wp ??? -?CO 7'(?
Contractor /??
Address City
S[ate Zip Telephone # ( )
The Applicant is Owner Contractor Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Addltional consuitant fees may apply.
Alt
ons to ezisting dwelling $ 50.00
Add fixt ures to lower levels or room additions, excluding water softener and water heater
x
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ addifional
$ .50
State Surcharge
Total $
I hereby apply for a Residential Plumbing Pemilt and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a pemvt; that the work ymbe '
?J accordance with the
appr ed plan in the case oFwork which requires a review and approval oFplan
. p,,
ApplicantJs Printed Name TT ApplicanYs ature
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
4283 GADWALL CT
LOT: 22 BLOCK: 1
MAIIARD PARK 4TH
P.I.N.: 10-47253-220-01
DESCRIPTION:
¢uild?ng stories PERMIT TYPE:
Bctildin?j?Permit Type
'Bt?ilding ?irk Type
>jUBC qocupancy-,
ff Co:nstr„wctlon T?pe
Zonimg t--°a>
Builda.ng Length '
B uil din g W!3 d Cli
Permit Number:
Date Issued:
SF DWG
NEW
R-3 U-1
V-N
R-1
67
42
2
2,038
101 1 - FAM. DE7ACH
L ?
REMARKS:
S& W PLBR - HESSIAN PLBG
V
G2os7oel- 9Z
(to
BUILOING
027581
05/16/96
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
3AC %
SAC Units
Lic. Search Fee
Subtotal
VALUATION
$1,167.25
$583.63
$78.00
$900.00
100
1
$5.00
$2,733.88
$156e000
MISCELLANEOUS $1,923.50
Total Fee $4,657.38
CONTRACTOR: - Applicant - s-r.l.IC.OWNER:
HEGGE & CO ZNC, STEVEN 14541622 2006338 STEVEN HEG6E 6 CO INC
3651 ' WOOOLAND TR 3651 WOODLAND TR
EAGAN MN 55123 EAGAN MN 55123
(612) 954-1622 (612)454-1622
I hereby acknowl.edge thaC.I,have read this applicatian and state that tha
intormation is correet and egree` to eomply with all'applicable 5tate of Mn;
8tatutes and City ofi Eagan Qrdinances.
L..-?._.. ..?.°' -
APPLICANT/PERMITEE SIGNATURE
ISSUED BV: S NATURE
' - CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) /
6814675
RemodeVReoair Reauirements
? 3 rcgislered ske aurveys
? 2 copies of plans (indude beam & window sizes; poured fid. design; etc.)
? i energy eakulatlons
? 3 coples oT hee preservetion plan M bt plaped aRer 7/1193
requhed: _ Ves _ No
May 6 96
? 2 copies of plan
? 2 site surveya (exterior add8ions 3 dedcs)
? 7 enargy oalculatlons for heated additions
DATE: ' CONSTRUCTION COST:
DESCRIPTiON OF WORK:
Contruct New Home
$17i,ooo.oo
STREET ADDRESS:
lOT ZZ BLOCK 7)-6J..Ei-uiuixa xA i n
1 SUBD./P.I.D. #: Mallar
d Park
4th Ad
dt ts on .aaan DakOta
PROPERTY NBmB: Steven Hegge & Co. Inc. PhOne 454-1622
OWNER '"°T
3651 wooaiana
Traii I'm
Street Address•
` City. Eag8° State: M" Zip: 55123
coNTrtncTOR Company: steven xegge & co. Inc. Phone #: 45+-1622
Street Address: 3651 wooalana Traii License #:20069383
City: Eaga" State: Mn Zip. 55123
ARCHITECT/ Company: steven xegge & Co. Inc. Phon2 #' 454-1622
ENGINEER
Name: Stpv;,r uegae Registration #*
Street Address. $aD°e
City: 8&11e State: Zip:
Sewer 8 water licensed plumber: Hessian Plumbing . Penalty applies when address change and lot
change are requested once pertnft is issued. •
1 hereby acknowiedge that I have read this application and state that the inform8tioa-'s corteCt 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
Tree Preservation Pian Received
tz"yv,_ No
es _ No
?_ r
R F C?IF O NI E 0
? N
dNIaY 0 '?, ?WL ?
1= ---------r_- =_M
OFFICE USE ONLY
BUILDING PERMIT TYPE
.. . •
?, • ,,?; "?, .
p,.
?
-, . , .
o 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
,o'62 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch ? 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. ? 10 . = plex ? 15 Deck
WORK TYPE
40--31 New o 33 Alterations o 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. /i ZZ& MC/WS System ?-
(Allowabie) IJ?-^ Main level sq. ft. 14 27B' City Water
UBC Occupancy sq. ft. oiz Fire Sprinklered
Zoning ?- i sq. ft. PRV
# of Stories z d Bsyr, sq. ft. Booster Pump
Length G-.f sq. ft. Census Code. /o
Depth ?z Footprint sq. ft. Z o SAC Code
O ?
"• Census Bldg ?
i
/
S
?
f,i
5
?° t
Census Un
APPROVALS 21
2{
Planning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°k 5AC
SAC Units
Valuation:
ij1.vK
?-
C'nti7
; Z ro
/SX 1,71
Z?SX u°"S3 -'?7'0(0
19 x /G = 3?y
S /p = Y7
?•? ? z?"?? 7,0
?/•j iC ?/ S3 ' S3
?5 p?z
23
l9x z? ?3?
?3X 30, 6> = 3 9n
F5?/,
0
$ 1S?ot Ooo ??AG = lsS,f?'
r-
liZbb ?c ?s-
/`B,
7 l.&7F 31-67 " ss
-=
754`16
I
? CERTIFICATE OF SURVEY
For: HEGGE CUSTOM HOMES
ADDRESS: 4283 GADWALL COURT
PROPERTY DESCRIPTION: Lot 22, Block 1, MALLARD PARK
4TH ADDITION, Dakota Countv. Minnesota.
We hereby certify that this is c true and conect survey of the above described property and that it
was performed by me or under my direct supervision ond fhat I am a duly Licensed Surveynr
under the iaws of the State cf Minnesota. Tti,ot this survey does not purpor: ia show all
improvements, easements or encroachments, to the property except as shown thereon.
Signed this 7TH day of MAY ,1996. JeneB FL Hln, k1C.,
? E [`v
8 y.
?y Oaniel R. McGbbon, Minnesota L. No, 18883
Notes:
t. Building dimeresions shown are for
horizontal k vertical of structure oniy.
See architectural plans for building k
ioundation dimensions.
2. No specific sails investigation has been
completed on this lot by James R. Hill, Inc.
The suita6ility of soils tv support the specific
hause proposed is not the responsibility cf
James R. Hill, Inc. ar the surveyor.
3. Proposed grades shown were token
` f?or?r
the grading &/or derelopment plan prepaFed
MaCOMBS FRANK ROOS ASSOCIATES,?I?C??
i?
O r`R O?°c aS I` Oj Vf D'
Z
?
?
! m? o ?
\
,
... -
? i
m o
Z`
r? y I r
o?i v
i
a Dsnotes set iron monument
? Deno:es found iron monument
x927.68 Oenotes existing elevation
(930.00) Oenotes propased elevction
Deno!es proposed drainoge
TNH-BRANT GRC k GAOWN
Bench Mark: 900.00 _coslRTlN.w. ouno. .
Proposed
Proposed Garage
House Floor=
Top 81ock= 962 3
9
?rcposed Gorage Top 81ock= 962•7
GPrcposed lowest Floar= 954.6
8rE 0I1 888tAT1ld d8t1811
Scale.i'-w'
Pege i of 2
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 • 6URNSYILLE, MN. 55357 • 612-B90-6044
? CERTIFICATE OF SURVEY
For: HEGGE CUSTOM HOMES
-156.88 N 89°50'47" E- -,,
`s---- -
? 4&.0) r ?
p NNR.=940.0
? HWL=945,0 / o
v
?
EDGE OF WATER
1 ?
as oF 5/07/96 ? !.
EIEV.-937.9
Z LoT
--1 o
? /^`J?T?
`?mx
w $a.. 'yl .' ,? ? 1N.
K N6)°
I
o. o
.
co
+ i t
? ? ??-? o ? • ?,? ' j ? M
/ 16S ? 61
?'
L_V I
t S ? ? -l x959.3
? /t A E W E D?' ? T ? 620
R E ?82??
3Y 1 9e? ? -?i H A / ?O
M,q,p
)AYE. ? .. ., ?Y!Q& f 3pULEvqRo
GADWALL COUR3 ''T
Scale: 1"=30' Page 2 cf 2 James R. Hill, IIIC.
707RL ?.03
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BIyLDING PERMIT APPLICATION
? PROPERTY LEGAL: .(?li?i f '/
-
? a ? DATE OF SURVEY: ?
LATEST REVISION: ?T
? m
DOCUMENTSTANDARDS
a z
??
?
• Registered Land Surveyor signature and company
P?? ? • Building PermitApplicant
??o ? • Legal descriptian
?? ? • Address
?o ? • North aROw and scale
G--, 11 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
0-?'o cl • Directional drainage artows with slope/gradient %
? • Proposed/exassting sewer and water services & invert elevatlon
o • Street name
? ? • Driveway
ELEVATIONS
6dsUna
/
?' o ?
• Sewer service (or Proposed)
Q?'0 11 • Property comers
a3--'o ?
o ?? • Top of curb at fhe driveway
• Eleva6ons of any exissting adjacent homes
Prooosed
+l2r' 13 0 • Garage floor
&?? 13 0 • First floar
? o o
?? 1 • Lowest exposed elevadon (walkouUwindow)
1 • Property comers
? • Front and rear of home at the foundation
PONDING AREA Cf aoolicablel
?o
? • Easement line
ty-,o • NWL
? 0 ? • HWL
a 0? 0 • Pond # designation
a E!r' ? • Emergency Overtiow Elevation
DIMENSIONS
0--'o ? • Lot IlnesBearings & dimensions
Enr- ? ? • Right-of-way and street widtti (to back of curb)
Q---o ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring pertnanent footings)
2--11 ? • Show all easements of record and any City utiiides within those easemenls
?? ?
? ?? • Setbacks of proposed sWcture and sideyard setback of adjacent epsting structures
• Retaining wall requiremen if any
.
Reviewed: G ?
me / Date
Januery 1996
crtAw+waA&ocvnMr.FM
;,T ? _-- ------ 6
' ' ' --- 7
-- -i-'= -- 8
9 c_1+25 5-1+4P
C?,RC ? 946.5 I 951.0
23 22
? s-o-so
943.0
935.8 1 6"-1i32 BENO 7
25 24 HYORRNT
I T ?
?i _'r?y ?L nR N'?
TFF
`
5-+;3
950.5
MH 7
,
?MH 6 a \ ?,?! ?/ \\\ S 955o2
?
x E' r?DU.?_R °-
- ?? ? F vaLvE 20
_ 1 6 17 ? S18 8 , 19
s-i +zo ` 942.5
S_t+ao
5-O+35 937.0 ? 948.1
SJ5.6
;LL COURT MH ?
p ('?/ QF ILI1%
?1'1J I . -. . . .. ' ' . ... .. . . .. . I .... . .
"LFl°ATI0Pv5. WIS ?f,i
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? .! e
EAOM FOf??STRY DOF96SIOR9
HEGGE CUSTOMHOMES ° °°
by: STEVEN HEGGE & CO. INC. ov
3651 Woodland Trai!
Eagan, MN 55123 nn
There are no trees that will be removed or cut down on this property to a11ow for this
home to be built.
The front porition of this lot lurs only two trees and the home has been designed araurrd
them to allaw them to stay.
z
?StevQex HeSSe
/ May 6th, 1996
NOT AN A
SITE SURV
REV1E1A/ED FOR TRE
PRESEffdl9AT90Pd
GOMPL16iNCE ONLY
a
; .
Form for use with Minnesou Rwes part 7670.0375, 5uvp.1
1& 2 Family Residental "Cookbook" Method
•qww?
Lot 22 Block 1 Mallard Park 4th,
Btl1l.DER
I Steven Hegge & Co. Inc. D'te 5_6_96
MinimLLm Cdteria:
Rim Ioiu: R-19 msulation Foundawn Windows: Inculated glass. 112' air spsee, oood or vinyl frame
Entry doors: lii inch solid wood wilh strna? or better
S'TEP 1 Window & Door Ama
Total Rrmdow & Door Ama in Sq. Feec
WDiDOWS (iaciuding foundation windows):
Dimensions Qnty, qiea
29 x 47 1 9.46
25 X 47 2 16.32
: 66 1 2z.93
x 59
i
23.76
X % i o. 2
21 x 71 2 20.71
29 x 71 1 14.29
So x 39 2 27.08
29 x 55 4 44.30
49 x 55 1 18.72
29 x 55 1 7.31
DOORS:
72 x 80 1 yq.0
36 x 80 i 20.0
32 x 80 1 17.78
Total Ama of
Wu?dow & Doots
312.98A
Total Wall Ama in Sq. Ft
Wall Total Perimeter Heiahc Arr?A
174.50 9 • 1570.50
13?.54
E 8 1044.00
41.00 5 205.00
Totai Area
of wall 2819.5
B
ST'EP 2 Calculate area as a percent of K•all
Box A(windoa & door aisa) divided by Box 8(total
wall area) times lOD equais the wiadow aad door arca
as a perceat of wall arca (Boz C).
Boz A 31z•97
Box B x 1? _
2819.5 E;::oC
STEP3 Design FeatuRs
ASSEMBLY OPTIOV
FRAME WALL:
3T'ANDARD FRAA'ENG
GvrrY II+Stn.ATlorr : g.19
SFEATFNG: LESSTHANR•S ?
R-S OR MORE
wIIdDOws cauepc lawdation windov?s): . .
U-FwC7'OA From the table, determine the maximum perceat window
& door area for the duign opdoas selecsed aad enter the
value in boz D below:
iz.l rj
Boz C must be less than or equal to Box D
LgL CITY USE ONLY
RECEIPT #: OL05
SU69-?(aXJ/air.10C 62d DATE:
7996 MECHANICAL 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
ew construction Add-on fumace
Add-on air conditicnirg Add-on air exchanger, i.e. Vanee system, etc.
Date: V4/i4-
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $20.00
? HVAC: 0-100 M BTU 4.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) 7,00
? State Surcharge .50
TOTAL 7. d o
SITE ADDRESS: 5'2-6-7 ?/?L?.?-ii Gv:
OWNER NAME: Jr,orl? d-?sv-iz,?r- ,• PHONE #: AM_
Cu1-?s?o .6`i.?i•?? _
INSTALLER NAME: ?2.-a- z?ry,12-04, ,d07 4? - s':Z- - 7- 66r-
STREET ADDRESS: ?9?5 ?/?'??"? ?•
CITY: STATE: ZIP:
PHONE #: (6/1? s'fs--z%6,? • ^
G
L CITY USE ONLY RECEIPT #: p?) ??C, `?
- BL ? e
SUBB,?? DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 691-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NIQL TOTAL
Shower 3.00 x f = _3
Water Closet 3.00 x 3 = 9
Bath Tub 3.00 x a-
Lavatory 3.00 x
Kitchen Sink 3.00 ;c J = 3
Laundry Tray 3.00 :c ! = 3
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 :<
Floor Drain 3.00 x
Gas Piping Outlet * minimum - 1 3.00 x 3
Rough Openings 1.50 :<
Water Softener 5.00 x / = S
Private Disposal " Dakota Cty. Ifcense 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 =
Alterations " to exlsNng 20.00 =
Water Turn Around 20.00
STATE SURCHARGE 50
TOTAL ,SS
SITE ADDRESS: '-/ a g 3 C, °?w' J\ e'J
OWNER NAME: 1AIL3s c CQ., k.
INSTALLER NAME: N e s T) Q? 10, / h '3•
STREET ADDRESS: 9(;,0/ ie 9?e+,.,,,11
CITY: T.- G
STATE: Al N
ZIP: SS a 7 _?
PHONE #: ( ) 6F / - F a S Z ?? Jc ?/?
' ...IIY i..:V EPGr;N
..
...,.i... .i_..:i' :..,_...I...?'...,". ,. `:r ,? ...., :.?-? „? h.r. ,. .?? (..?i... ..
i (+;;.;??II r ?::?,:i
.
_.AT...i _./i.l`...;/`.'`.-) 1141. 005,43
Nt!n_ I.Tt ,it.T:iM
32!.P 9._1i l...... u-,E'n='fi:!.....
,..,, ?. . ,_?,,,.., .., ,2c.ct.,
::t-.,.,?..: ..:,..,. t:,,..iil,_,?...1. ?,.. _:i ,..... _'r.a
t.i,..,'_
. . cr r. 1 cN .?r...:> , (iD'r1h;I . ... . !.`T _7 ,.,: .:. ?;.?.
0??. ..
L)
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. CITY OF EAGAN
3830 PILOT KNOB RD - 55122
liew ConshucNon Reauireme 651-681-4675
Ms Remodel/Renah ReauhemeMs
D 3 reghtered aMe suneys showing aq, ft. of lot, sq. H. oi house
and gM roofed areas (2045 maximum lof coveraoe allowed)
? 2 copies of plans (show beam 3 wlntlow sIzes; poured fnd. deslgn; efc.)
D 1 sef ot energy caiculaHons
D 3 eopies of hee preservaFion pian 9 bf ptatFed aHer 7/ i/93
DATE: g- ?- 9 9
2 coples W plan
1 set ol energy calculatlons lor healed addlNom
1 tBe survey for exterlor adtlBions S decW
J
CONSTRUCTION COST: 4,000
DESCRIPTION OF WORIC DfCk 16x /G L?/ 57*x-5
STREETADDRESS: *2-613
N
LOT: Zy BLOCK: Z SUBD./P.I.D. #: /?!?"? /??G f? A00
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: J a) T Phone #:
tasf Ptrsf
65-1- 12-1?- s?612,-
Street Address: 42,cq3 6u.ef?
CIty 6WA1 Stote: M? Zip:
Company: Phone #: ?esl
(area code)
Sfreet Address: 17s7 15AWr 4A?1?
Ciy State: ?N
Telephone #: area code ( )
License # LAP95-f/" Exp. 3-3/ -24(0
Name:
Streel Address: RegistraHon #:
CHy
State:
Sewer 3 water licensed plumber (reaulred for new constructlon onivl:
Penalty applfes when addresa ehange and lot change Is requesfed once permH is issued.
Zip: 2-
Zip:
Ilhereby aeknowledge that I hrne read this applicaHon, staFe That the InformaHon Is cortecf, and a ree to comply wHh all applicabl
State of Minnesofa SfaFutes and CNy of Eagan Ordinanees.
Signafure of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
O 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.
? 03 1 af _ plex ? 08 6-plex ? 13 16-plex 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Levei ? 24 Storm Damage
0 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
?K 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood 5tove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATI ON
Const. (Actual) Basement sq. ft. Census Code ?
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy ? sq. ft. No. of Units ?
Zoning ? sq. ft. No. of Bldgs
# of Stories ? sq. ft. MC/ES System
Length ? sq. ft. City Water
Width ? Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ 0< 2-2_
?
Surcharge
Plan Review - -- - - - - - -
License
!
AC ?
SIZ? 'FO CZ
City
SAC
Water Conn.
Water Meter
Acct. Deposit
/
? /
S/W Permit --- ?
S/V1/ Surcharge •
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
CERTIFICATE OF SURVEY
For: HEGGE CUSTUM HOMES
a) ? -156.88 N 89°50'47" E-,,, ?3,L.._ _
? \(94b.0) r _
? NWLa940.0 c,jo
HWL=945.0
?
, G
y
n
EOGE OF WA7ER
AS OF 5/07/96
ELEV.-437.9
Z LOT ??2 0
0
T71
N , "?i ; o b g4 ,? A Nm U1.
r ? ? ?, K ?9 o 60 $?i - ;
c,AD?
W °? ? a '?"•? o? ?° ? O
/ ??•#`?* : ? / . ? ,. ?.L? ? ?' ? ?1
16 S'
r) - 7
;S S ? `9 ?tSri z959.3
L /
? A U R. lG?,.
REYIE`N E ? ?NT 6'?° ,
Zp?. ?e2?? h
___----
h,
eq°N0?-?,q lqyh^?7?
)ATF A >ra• 8a,LevARo
GADWALL COURT '3 '4r
sce1e: 1"=30' a1W of z James R. ? Hill, Inc.
u U m -, 70TftL ?.03
r
---- _?
? ! ?'--m-___
??G lNSPE?T!?. ?
(?332?- ?? 3o.sa
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pertnits are required for each unit
Date1)_/ Z50 / O`-!
Site Address qa8 3 COC1 c-iWC' ! ) C-nv r4 Unit #
Property Owner JO L C; n n r n Telephone #((pl p`Z ) y? ?-3 (nc) ?
? Contractor (-y I ,-
StreetAddress 1 L Efa-?'on /4 UE City 1' c-, T"j
State Zip 556,:?L4 Telephone 4 (405 ) )L-I b U- (n(')&a
Bond #• Expires:
The Applicant is _ Owner ??Contractor _ Other {i r4
- r-
Add-on or alteration to existing dwelling unit ?DE C^^ 200 i I$,' 30.00
furnace _Additional _Replacement
air exchanger '
airconditioner _New _Replacement
./ other I-JEnT Ini rloor
5F hF?+
ChC4,1 r(}n +-o
Up64-H z
IF
ir,S kJQ+lrbOTS
State Surcharge $ 50
$
Total
I hereby apply for a Residential Mechanical Pemut and acknowledge that the information is complete and accurate; that the work will
be in confoimance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlus is not a
pernut, but only an application for a pemut, and work is not ro start without a permit; that the work will be in accordance with the
approy.C4lan in the case of work which requires a review and approval of plans.
i i C In r) 4r
App 'eer?t's Prin d am ' ApplicanYs ' ature
6 7,3aa-
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dweilings.
?...
4 (S-1)
?
Date-0l?_/?
Site Street Address Unit #
Property Owner Telephone # ( )
Contractor Telephone # ( )
Address ' City W-az?'ST--cl- _ Stated±Ue,'Zip T-QLV3
The Applicant is: _ Owner Contrector _Other
Alterations to existing dweliing $ 50.00
?Add plumbing fixtures.
If you are only installing a water softener and/or water heater, the fee is $15.00 plus the
state surcharge - see next section.
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" m ter is required)
other: 0 \l -?L
Water Softener _ Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System _RPZ _PVB _new _repair _rebuitd $ 30.00
State Surcharge $ 50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
-rl114 Zi"19
A?j plicanYs rin ed Name
Ab? City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone:(657)675-5675
Fax: (651) 675-5694
Lomik-1-i ?-----
? -For-O-ffi-ce-Use ?
? I
j Permit #: 7I3
I
? Pertnd Fee:
? Data Received:
I ?
I S1aN: ? I
i
- J
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:StteAddress: ?zv tr'awe,u &u+&
TenaM:
sune x:
Phorre: (/o?/? ?Q3
? ?l
S
RESIDENT I OWNER Name: 1
??
L
Address / City ! Zip: ?!tc3 G?WGN ?i'?1 u'YT ?R //a .+1A/? SS/ L2?
Applicant is: _ Owner _X_ Contractor
TYPE OF WORK Description of work: /'-"r le,
/ No ?
Y
ildi
l
B
61,
?
es _
ng: (
y
u
Mutti-Fami
4 n d,
Construction Cost:
CONTRACTOR Name:? le+ G Ae*L?oWdlj?o License#: ?D?-6? 030
Address: 13 d 7O d2?-rf ..f'-f il/sJ
City: za,*se State:OtA) Zip: 52 .70..3
Phone: l+ l U' 6.?-l U Contact Person: c' / O tK? A'fk',OSG
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cate9orv 1 Minnesota Rules 7672
Energy Code . Residential Ventilalion Category 1 Worksheet • New Energy Cotle Worksheet
C818901'y Submittetl Submitted
(4 SUbmiSSiOn type) • Energy Ernelope Cakulatlons Submilted
In the last 12 months, has the City of Eagen issued a pertnit for a similar plan based on a master plan?
_Yes _NO If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical CoMractor: Phone:
Sewer & Water Conhactor: Phone:
NOTE: P/ans and supporting documents that you submit are consfdered to be public Iniormation. Portfons of
the informatlon may be classlfled as iron-pu611c If you provlde speclHc reasons that would peimlt the Clty to
conNude that the are trede secnets.
I hereby ackrrovAedge that ihis irrformation is complete arnf accurete; that the work will be in confortnance wRh the ordinances and codes ot the City of
Eagan; that I untlerstand Nis is not a permit, but only an application for a permit, and vrork is not to starl wiMout a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval ot plars.
x A4,
ApplicanYS ?ted ame?
40 i2c's Sig?mture
m
Page 1 of 3
2 76o Q O7 ?
1 V
PLEASE PRINT OR TYPE ? CE USE ONLV This requasl void 18 momhs Irom validaeon dak prinle p6O? /?
/ T
, ?D? 5a
o? 0
Req? t Dak
b?? Rough?in Inspenion reqo'vedB ? No Inxpecfion Other Than Rough-In: 0 Ready Naw ? Will Cuil
(You mue? wll fie ?nzpector when reody) Dore Ready:
I, Eg licensed conhador Q owner hereby requesf inspecfion oF the above elechiml work ah
ob Pddres (SVaep Box, or Ne Na.)
a?3 uxall C+ Gry
a? Z5'ip Cade
.S?a?.
Seclion No. Tawnehip Nome or No. Ran9e Nv. Fire No. Caunfy
.pvnt Phone No.
vrer Supp ier
??22L?t"1 L naa,e,.
?Cf.?C?ml ?.1Y?
E 'ml Contmdor (CompanY Name
?edc?:?- V+e:,.m
4 Contmtlar lice Na. Mos?er Llc No. (Plant EIM. Only)
Mmime add., (cono-odc, o, a
vedo,mime ir.bna?
?33R \73fd 'blt- W LoAev'i ?le MN 5509\1
nz?hacror Owne eAorming InsmlloHon)
P ?53 o?aio
EB-00OOlA-10 6/95 Q&ATE COPY-SEEINSTRUCTONSONBACKOFYELLOWCOPY
I II I II I I?I ? MEn?esota SwtOe Boa dEof ERectr Aity ?'?J??'???
1827 University Ave., R?? 28, St. Paul, MN 55104
* 0 2 7 6 8 0 7 5* Pnone (612) 642-0e00 ??so
Home -- . dg. Other: New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Hfg. Equip. Wafer Hfr. Lood Mgmt. 01F?er.
D er Ran e Elec. Heat Tem .$ervice
"k' obove the work covered by ihis requesl. Enter remarks in ihis space and on the back of /he white copy only.
Calculote Inspection Fee - 7his Inspedion Requesf will not be occepted withoW fhe mrred fee:
Olher Fee # Service Enfronce Size Fee # Ciwits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
S}reet L}g./rraHic Sig. Above 200 Amps Above 700 Amps
Tromformer/Genemtor INSPECTOA'SUSEONLY ( TOTALO
?
Sign/Outline Lig. Xfmr. ? ?
Alarm/Remote Cantrol &
$wimming Pool dhgqqm'llh%da?s
I hereb ani thaf I ins eckd Ihe installo o abted
Irrigation Boom Roo9h-In
$pecial Ins
eciion
p
Invesfigafive Pee Finol
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123452
Date Issued:06/09/2014
Permit Category:ePermit
Site Address: 4283 Gadwall Ct
Lot:22 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-220
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 .
Lisa Nyberg
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 -
Steen Fjalstad
4283 Gadwall Ct
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810,r;.
E AGA
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 67 94 "^
buildinginspections(a�cityofeagan.com ClE.
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 08/18/2020 site Address: 4283 Gadwall Court
r For Office Use Cr
Permit #:
/32 7' Q.
Date Received: X (' ' ) 0
Staff:
Permit Fee:
Unit #:
Resident/
owner,
Name: Steen & Maria Fjalstad Phone: 612-968-2288
Address / City / Zip: 4283 Gadwall Court, Eagan, MN 55122
Applicant is: Owner ✓ Contractor y ` / II:
I fl ) i (117 (_' /-, q1')/\_.
Type of Work
Description of work: Kitchen update with new cabinets
and flooring
Construction Cost: 55,000 Multi -Family Building: (Yes / No / )
Contractor
Company: Roberts' Residential Remodeling, Inc. Contact: Chris Baumann
Address: 12268 Nicollet Ave City: Burnsville
MN55337 612-804-4275 chris@robertsresidentialremodeling.com
State: Zip: Phone: Email:
License #: BC006885 Lead Certificate #: NAT-42303-2
If the project is exempt from lead certification, please explain why:
Home was built in 1996
COMPLETE THIS AREA ONLY IF CONSTRUCTING A
In the last 12 months, has the City of Eagan issued a permit for a similar plan based
Yes No If yes, date and address of master plan:
NEW BUILDING
on a master plan?
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the Information=rnay be
classified as non-public if you provide specific reasons that would permit theClty 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 the City's
website at www.citvofeanan.com/subscribe.
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. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
)(John Paggen
Applicant's Printed Name
C ,°a
Applica s Signature
DO NOT WRITE BELOW THIS LINE yag' v�Q
add4(I Cf.
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Fireplace
Garage
Deck
Lower Level
23
Interior Improvement
_ Move Building
Fire Repair
_ Replace _ Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% p )
Census Code
# of Units
# of Buildings
Type of Construction
Porch (3-Season)
Porch (4-Season)
Porch (Screen/Gazebo/Pergola)
Pool
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy e- 3
Code Edition / 2 C 2 0 2
Zoning
Stories
Square Feet / � 2
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In _Air Test
�( Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
'/-e
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Service Test Gas Line Air Test Hood
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Final Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page2of3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA163475
Date Issued:09/02/2020
Permit Category:ePermit
Site Address: 4283 Gadwall Ct
Lot:22 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-220
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
Steen Fjalstad
4283 Gadwall Ct
Eagan MN 55122
Boevaag Plumbing
P.O. Box 1257
Prior Lake MN 55372
(952) 292-1511
Applicant/Permitee: Signature Issued By: Signature