4291 Gadwall CtCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4291 Gadwall Ct
Lot: 24 Block: 1 Addition: Mallard Park 4th
PID:10- 47253- 240 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Royalty Remodelers
4411 Slater Rd
Eagan MN 55122
(612) 414 -8199
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Permit closed without required inspection(s). Letter sent to applicant on 4/8/09. (pf)
If there is no ice protection inspection prior to final, you must meet inspecto
acceptable in lieu of inspections.
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
James E Burger
4291 Gadwall Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Building
EA080879
11/05/2007
ePermit
th ladder and flat bar. Pictures are not
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4291 Gadwall Ct
Lot: 24 Block: 1 Addition: Mallard Park 4th
PID:10- 47253- 240 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
James E Burger
4291 Gadwall Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA082876
05/05/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
.c..,-?
oN
CITY OF EAGAN
3830 Pilot Knob Raad
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE: ` '' 11- 0 T m('
Permit Number: 0 3 otl
Date Issued: i .' I 1 -' / `?b
? SITE ADDRESS: I " ' `' I / ::"-1 11 .' a 0 " i
I r? .q !it ??rK :
;i1i!it I I
PERMIT SUBTYPE:
I I : , i; fTNc;ti
APPLICANT:
TYPE OF WORK:
:?? ??
`.EASON Pl1kCHf01Lfl
I t: (1 M f Nf,
r1 1 I 11N
??. .?
F-
'? L_
iflk
Permit No. Pwnk Holdsr Date Telephom 1!
ELECTRIC ,3 5 350
?
PLUMBING ?
HVAC
InapecUon Dato Insp. CommeMs
FOOTINGS
7
FOUND
FRAMINQ
/
uzf
ROOFING
ROUGH
PLUMBINO
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
B5MT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
{612} 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
I , i i !
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
,'F, ?; :111" 01 APPLICANT:
: 1a H E ?, ?.. ? ;
e i,1 _• t A't1 qt.i'l
TYPE OF WORK:
E+11 11. Il I N ?
f9 ? '13 014
nt 1FRaric?N
i,f ?;r rc r P tI (Ia t"r, Cir: l)kn001% 1
INSPECTION .. . .•
??
Pertnft No. Permk Holder Date Telaphons •
ELECTRIC 35 O ? 11116 -7 00
PLUMBING
HVAC
Inspection Dab Insp. Commente
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PIBG
AIH TEST
FOUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
QFSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
Wertificate of Cc?cuPanc?
MM of ftagm
2cVarftcxt o? ZvOWg 3uoectien
This Certifaue issued pursaanl to the requirements of the Uniform Building Code
certifying tJwt at the time of issuance this structure was in compliance wirh the various
oidbwnces of the City regulatueg building constnrctioR or use. For the foflowing:
ux clasar,cation: SF DWG s?ag. Pennic ro. 26895
Oawpan.y lype R3
M I Zooina Dislrict Ri Type Const. VN
owner or euikhn BUII,M EDUSING C8? Aamu HOC 24547, APlLE VAi3LrY
ekuwwg nmRU 4281 GAT]WAiI, ffY[1RT t.?y I24 . B 1. M
DW- i
BuM" Official/
POST IN A CONSPICUOLJS PIACE
CITY OF EAGAN +
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
: t faitlN E'hkh
PERMIT SUBTYPE:
O
RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
., .?t, , .
I f4i„ ; APPLICANT:-
,.
(r,l.') 4 41--41
TYPE OF WORK:
I'i lt I t. I?I N t;
O,lbHli!,
l2f%'! /tmfa
INSPECTION .. . ..
? ? . . . „ , . i„r I Ni,
.•if?? il 1 !' '? ? I'.t: ; ?II??1?? ) ?? {? ? :,
?•rFl ; < <?.?. I Ifq AI
I I:I MARI{S r VF2V
I?
L
lw?
6J V1 RIR Wf L!Ek fil MYl QCK Pl.bil3
me ;
Permit No. Pertnft Holdcv nate ? Telephona A
ELECTRIC
I
PLUMBING ? ! G 1
HVAC
Inspaction te Inap. Comments
FOOTINGS 121
?
??Q?
FOUND ?zu,,??Qs ?
FRAMING 'h
i?
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST I l ? ?
INSUL
GYPBOARD
FIREPIACE
FIREPLACE
AIR TEST
- ?
FINAL PLBG
FINAL HTG
? ?.
ORSAT
TEST
BLDG FINAL oole
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL 3d
Address 4291 c,AuaA[t cointr Zip 5512 z
Lot. 24 Blk I Sub TT.axn vaax 4Ttt
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: 0Q (p Yes No Inspectot:
Final grade (6" from siding) ?
Permanent steps (gazage) V/
Petmanent steps (main entry)
Permanent driveway
Permanent gas Lll
Sod/Seeded grass ?
TraiUcurb damage ?
Porc6
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 right-of-way or installing underground sprinkler system. ?
Whire - City Copy Yellow - Resident Copy Pink - Contractor Copy
,
? ForOfficeUse - - - - - - - - - ?
Permit
City 0f Ea??Il ? #:
I 1 I
I Permit Fee: ?
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 j Staff' (•? j
?---------------1?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION C?1k4 ?
Date: dS Site Atldress: ?IZ91GAWAGL
Tenant: Suite #:
RESIDENT / OWNER Name: /}ME3 F. Qtr264 Phone: 6 S/- 90.r^ 9Vy
Address / City / Zip: HZg/ ?7 fjDUJf?G1- GT, MN .1 ']r12 Z
Applicant is: ? pwner _ Contrador .
TYPE OF WORK Description ot work: Fc"E- S7?&jDiN6 jbeP2604+9 0A? Dt7X
Conshuc[ion Cost: $760• 00 Multi-Family Building: (Yes _ I No ?.1
CONTRACTOR Name: License #:
?
Address:
Ciry: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventiladon Category 7 Worksheet • New Energy Cade Worksheet
Category Submitted Submitted
(4 Submisslon type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permittor a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: phone:
Mechanical Contractor: Phorre:
Sewer ffi Water Conhactor: Phone:
NOTE: Plans and supporting documents fhat you submJt are consJdered to be public Information. Portions of
the informatFon may be classified as norrpublic if you provide specific reasons that would permit the City to
conciude that fhe are trade secrets.
I hereby acknowledge ihat this information is complete and accurate; thal the work will 6e in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permR, but onry an application for a permit, and xrork is not to start without a permR; that.the work will be in
accordance wRh the approved plan in the case of woilc which requires a review and approval af plans. x .?/t»? E a.ASc`-)e x 7' ?J?
Applicant's PHnted Name App s Sig re
Page 1 of 3
? ru (C
JuN 10 2uoa
DO NOT WRITE BELOW THIS LINE
SllS TYPES
? Foundatfan ? 05-plex ? Ybplex ? Acoessory Buflding ? Pool
? Single Famlly ? 06-pfex ? Fireplace ? Porch (3-season) 0 Ext AIL - Multl
? Di of _ Pkx ? 07-plex ? Garege ? Porch (4-season) ? Ext Att. - SF
? 02-Plex ? 08-plex ? Deck '421 Poroh (screen/gazebo/pergoia) ? Multi Misc.
? 03-Plex ? 10.plex ? Lower Level ? Srorm Damage
? 04PIex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interiorlmprovetnent ?' Slding" ? DemollshBullding'
"PI Adtlltlon ? Move Buflding ? Reroof ? Demolish Interla
? Alteration ? Fire Repair ? Wlndows ? Demotish Foundation
? Replacement ? Egress Window ? Water Damage
• Demolition (entire building) - give PCA handout to applicant
DESCRIPTION: a,
Valuation ?00 l Occupancy ZRG ? 2 MCES System
Plan Revlew Code Editlon a2? SAC Unils -
(25 /,_ 100%_J 2oning Clty Water J
Census Code y3y Stories ^- Booster Pump .
# of Unlts -' Square Feet - PRV
A oi Buildings ? Length
. . ? Fire Sprinklers '
. . . . ,. .
?Type of Cons4 T5 Width ?
REQUIRED INSPECTIONS
Pootings (new b1d9)
Footings (deck)
Faotlngs (addkion)
Foundatlon
Drain Tile
Roof: Ice & Water Final -
Freming
? Fireplaoe:_Fi.l. _Air Test _Fnal
_ Insulation ?
Reviewed By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Sheetrock
Flna1/C.O.
A_ t- Flna1/No C.O.
HVAC
Other.
Pool: _FOOtings _Air/Gas Tests Flnal
Siding: _Stucco Lath _Stone Wth _Brick
Windows .
Retalning Wall
Building Inspector
m
30 -
/9 5?O
Page 2 of 3
.?
SUMY FOR : Hutlar Houein-4 Corp.
??IWM jj5 ; Lot 29, B7.ouk 1, }u?LLABA P#AK 9TH ]?DDI7ION, City ot Eajan,
Dakota County, Miitnasota and reserviny eaaeinents of Cecord.
?
to
?
?
m
ti
?
N
O
N
999_l
1W74000.24•M 1J2 se
LOT SQ. FDOTAGE
; EAGAN
Bv:
DATE:
3t;;1_DING I^J;,PECTIONS DIVISION
PROPOSED ELEV,.TIONS
.
fop o( Foundat{un ? 949.0
5arage floar • 9s7.q
dasesant Ftaor •qso.q
:prox. sewer s;:: vlca Elev. ?W. N
aroposed Elav. ?
=xlstlug Elav. -
)ralnage Dlrectlons • -?
)enotes offset Staka • o
SCALE : t InCA • 30 Foet
i
lannlny inylnserlnp Ywr?Ylny
O1W fYl lIra14W kGrq Ilwlc.,A YIW?41iW
Ll? 14U YFL.i
I tltMCtlf GLMIIri mA
OF THE BOUNDANIES OF
BY NE Op UNDEP NY I
SHOM INPHOYENENTS ON
Uatl ?? ?? :.t
? VACaNT_
r
c_r?r
? V'qcANj??' •:
3i. y
= 12, o33f
O ? 953.1
V '
?I
V?
?S
Q
V?
?
R93.0
BENCHNAAK, TNM @ 9334 WoorJPte
Ave
Eieu. 937.1g
MIN. SETBACK REOUIRENENTS
Front -ao Hause Sida -lo
Rear -ao Garage Side - s
?
AND
BED
Q.elz?
L
JOB N0;
45R-455
BOON: I PAGE:
CA00 F I LE: I DNG, CI IK.
- INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: P•I•N.: 1e-47253-240-e1
LOT: 24 BLOCK:
4291 6ADWALL CT
MALLARD PHRK 4TH
PERMIT SUBTYPE:
SF DWG
APPLICANT:
1
BUTLER HOUSING CORP
(612) 431-4132
TYPE OF WORK:
NEW
auzLozNG
026995
12/21/95
INSPECTION
FOOTIN6S D. .
FOUNDATION DA
FRAMIN6 ROOFING
INSULATION FIREPLACE
I
ROU6H IN PLBG ROU6W IN HTG
FINAL PLBG FINAL
REMARKS: PRV S& W PLBR - WELTER BLAYLOCK PLBG
._,
? CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number:
(612) 681-4675 Datelssued:
BUILDING
026895
12/21J95
SITE ADDRESS:
4291 GADWALL CT
LOT: 24 BLQCK: 1
MALLARD PARK 4TH
P.I.N.: 10-47253-240-01
DESCRIPTION:
REMARKS:
PRV
FEE SUMMARY:
SF DWG
NEW
R-3 U-1
V-N
R-1
64
34
2
2.099
0101 1 - FAM. DETACH
n
6+6iltling ,Permit Type
'$uilding Work Type
UBC qccupancy?._
Constructian TyP.e
Zoning
Building Length
8wiiding Width
6uild3ng stories
" 5`q`u,are Feet ; ,
C`>n su's.. C o d e"
?
S& W PLBR - WEI.TER BLAYLOCK PLBG
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
Subtotal
$1.222.25
$427.79
$83.50
$850.00
iee
$2,583.54
$167,000
MISCELLANEOUS $1,892.50
Total Fee $4.476.04
CONTRACTOR:
BUTLER HOUSING
P 0
APPLE VALLEY
(612) 431-4132
- Applicant - ST. LICEOWNER:
CQRP 14314132 0001715 BUTLER HtlUSING
BOX 24597
MN 55124
P 0
APPLE VALLEY
(612)431-4132
CORP
BOX 24597
MN 55124
I hereby acknowledge that I have read this
3nformation is correct and agree to comply
L Statutes and City of Eagan Ordinances.
04?
PLIC NTIP E SIGNATURE
i
applicati,on and state that the
with all applicable State of Mn'.
-
IS?ED 34 SIG ?7URE I?-k
CITY OF EAGAN
iLL194 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
? a reyistered site euneys • s copfes a plae
? 2 wpies of plans (include beam 8 window aizes; poured ME. tlesign; etc.) ? 2 site surveys (exfeKor additions & decks)
? 1 errergy calwlations ? 1 energy calcutations for heated addkions
? 3 copies ot tree Dro rvation plan 'rf lot pWtted efter 7/1/93
required: Yes _ No
n,aTE: CONSTRUCTION COST:
UESCRIPTION OF WORI
STREET ADDRESS: '
LOT -?y BLOCK
PROPERTY Name: phone #:
OWNER u^* FI^B*
StreetAddress• • 62, 4?0X z ? 1 7
cit,: p? a/j2 State: rWI?. Zip: Z
CONTRACTOR Company: phone #:
Street Address: ?7 License #- =6# 1715'
Ciry:?I??G` 114rCI State: /V/Y' Zip: t??/`" ?
ARCHITEC'T! company: 40( /4M/",?J?Phone #-
ENGINEER ?-
Name: Registration #h 1-1376
Street Address? 2-0/
City: &OW1114 State: //!?• Zip:
Sewer 8 water licensed plumber: i/VvIJn(a?z Penalty applies when address change and lot
change are requested once permit is issued. ?U•r??/?
I hereby acknawledge that I have read this application and scate that the4fifortnation is corcect and agree to comply wfth all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
2 1995
Certifiptef; of Survey Received Yes Tree Precervation Plan Received YefNo
No
BUILDING PERMIT TYPE
OFFICE USE ONLY
*.•' oI_'p,,.
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
,o'-?02 SF Dwelling o 07 4-plex ? 12 Multi RepaiNRem. ? 17 Swim Pool
0 03 SF Addition a OB 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 _-piex ? 15 Deck
WORK TYPE
,0'- 31 New o 33 Alterations o 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft. ?lu'y MCNVS System ?C-
Main level sq. ft. / z/6 City Water ?
jsq. ft. 173 Fire Sprinklered
?-/ sq. ft. PRV `/£S
sq. ,ft. Booster Pump
?. 67 sq. ft. Census Code.
33. s' Footprint sq. ft. 0 9S SAC Code
?
f Census Bldg /
?3,33
Ib7
(-f,rv
' Cgnsus Unit /
i SX ?3.3
-. r 1 19
6p
2
_ Building Engineering Variance
Permft Fee
Surcharge
Plan Review _
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Valuation: $ 16 74 o?a
N'--
-
--
72-1
?--
/S.s-X 3 % = ySS ?
?- <-,u?s?
?
Z ,?n
?-
//
?
? 7 7&)Trails Ded.
Other r
Copies 51•&7 = 3 ??1 2o x 2 S-
Total:
% sAc
SAC Units
7-31 x s
LZ/ z X ?q,a? = 3
7-3-
- / 3 23 xs?=` ? --?
1? 2?0 (? ? Lc
= v
?_
?
?_
SMY FOR : sut3ar flousin-4 corp.
??IBM AS % Lot 24, Bl.oc.ic :l, IiALLARA aARR 4"I:i ADDITIOd4, Cit, af Eajan,
Dakota CovntY, Miilnasota and raserviri_, ease;nents af recor:a.
I - vACArvr-
956A L_
95?,0
Nez° 52' 30' W 138.
I I -?---?
`° ' I ? QsaO ?I
m ? 9 B
CD
? Deek
I ? m
N
r°n I _ Poreh ?
5 ? I
` I
949.1
1
99g1'? ? ?
r
`?A?qMr i='"
LS d`l GY'9 N
Rt1Y9E G
mS' E-OT
a
L
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999
14.17 --
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o
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a
i~ zo. s> , 6` ao. oo --
? b ryQSGI ?D
2. 00
17 Y BiP!
°rooiy m 957. f m
I N •
s. oo , w
z sia?ye°
12ca. y/a
N74,??'2qrw
132, sB ?
.9[Nit! ?
1
b I
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? 998.2 o .
lo ° o^
? ?
? ry
J u `• to
996.3 as Q " ?
_ u
SO. FOOTAGE _
P:D? ?/n? ?' !??r ?f'
? 0 1J o? i_
PROPOSED ELEVATIONS
Top of Foundation = 95q.0
Garage F I oor ° 457.9
Basement Floor =q5o.q
Aprox. SeNer Serv i ce E I ev. = qaa.o*_
Proposed Elev. = Cj
Exlsting Elev. =
Drainage Directions = -?
Denotes offset Stake = o
EArAN
?
1
SCALE : t Inch • 30 Feet
?
0
I 25 ? G59.7
h?
O j` 953.1
1
V .1
? v I
?ry
.s P
Q
/
?
999.0
12, 033f
E D
€?:HIIVG DEP1`
BcNCHMAAK, rHH e q339 Woodaqh
A ve
Eleu- 937,13
MIN. SETBACK AEQUIFEMENTS
Front -ao House Side -to
Rear -ao Garage Sfde -s
I HEAEBY CERTIFY THAT THIS IS d TNUE AND CORRECT REPNESENTATION
,??? OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPENTY AS SURVEYED
BY NE OR UNDEP NY DIHECT Sl1PERYfSION AND UOES N0T PURPORT TO
SHOM IMPROVEMENTS OR ENCROACH iS, E%CEPT AS SHO .
Plannlnp Enq7nssrfn0 Surveylnq 9S
401 Eot Almlqtn inwq IlwtlMtaa Nlmnah SlM Date 1.2/1(/ •+ O•
hipMm plYl 9511-me1 NOpOFN 1 lNll NVCVOG
Joe No:
RSR-455
BOOK: PAGE:
CADD F I LE: DNG. CHK.
Butkr45
LOT SURVEY CNECKUST FOR RESIDENTIAL •
B
ILDING PERMIT APPUCATION
U
?
Q
PROPERTYLEGAL:?.
.Z+
Ic?
?GCJ?
??i?G??
K 6
m T'_T r
1
-
?T"
DATE OF SURVEY: IP-t-
? ^ y LATES7 REVISION:
u o
6 Z n
Z .
40CUMENTSTANDARDS
0 • Registered Land Surveyorsipnalure and cwmpany
[R?13 0 • Building PermR Applicant
91-?o a • Legal descrtptlon
0-?0 O • Addrass .
0"13 13 • Narth arrow and xale
er'-/o
9 0 o • Nouse type (rambter, welkout, spUtw/o, split enhy, lookout, etc.)
0 • Dfrectlonal drainape artows with slope/predlent %
0" o O • Proposedlebstlng sewer and water services 8 InveR elevatlon .
a-`0 O • . SVbet Ilertle
Q-?G O • ' Driveway
ELEVAl10NS ,
?
?
0
• Existlna
Sewerservice
0 • Property comats
? O O • Top of curb at the ddveway
B--O O • Elevatlons of any eristlnp adfacent homes
Proposed
er'c3 a • Garage floor
8?713 0 • Fist iloor
4!r- o o • Lowest exposed elevadon (walkouW+indov4
? ? • Properly comers
• Front and reer o/ home atthe foundatlon
O ?' ?
• . PONDiNG AREa Of aoolicablel
Easement Iine ' •
o la" ? a NUVL •
O 2r0 • HWL
o C' • Pond # desipnatlon
? d ?
• .
Emergancy Overtlow Elevatlon
Cr'O D
. DIMENSIONS
Lot IinesBearinys S dimensions
a" C3 O • Right-of-way and sVeet widfh (to baclc of curb)
a-' O o • Proposed homo dimenelona InWudlnp arryr proposeC dacks, overhanps proater than 7,
41'?o C3 porches; etc. (f.e. all sWctutes requiriny permanent foodnfls)
• ShoW all easemenls of record end eny City utllitles within thosa easamenb
Gr'-?
?' • Setbacks of proposed structure and sidayard setback of adJacent e?dstlng sWClures
-
0 ? O • Retaining wall requiremen f any
Reviawed: ?? IZY olzo?
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" ! dtr'Y FAtviII.Y AESIDENI7AL "COOKH?K? h?T?D
ZUaDEB:M xESS'cmr: u)Rc.c. cor?2r
n?r?: ? z -'t„?a p?2 2 e _
htioimuua C?i[ula: Roof: Rr38 wiW enargy uuSSes ot R44 witL standard ttussecc
FOOid3000 WIDGOWS: I3LSUI1IOd $lask ii" 91t fP2GX+ Wow OC Vw ft?
R.ian Joist: R• 19 iasuladon
Entry daois: 13/4 inch solid wood wi? riorm or better
STT?F' 9 DuiYn YrtaWr+n
STIi.P 1 Wiaduw & Aoor Area
Totsl Wiadow dt Door Atra In Sq. Foct
p,/QippW S(iiul E foundatio° wiudow^$):
W"sa? ?s,, ?,jj) e, _ c,,,3 ;rj iW,
Dinucnsioos QaIY• Area
Total Ar= ot
Window & Doo[s
,VSSEhIDLY Oi"C10N
FRpH¢, WAL1.:
srArmaRD FRAMNG
AAVANCkD FEtAIvNG
CAVIT'Y INSUI.AT'tf+N R I /
SFFA1'FiNG:
I.ESS THAK R-S ?
1t•S OR MORE
WINppWS (exacpt foundatlou wludowr):
U-FACT'OR • ? S? s
ToW Wail wrca in Sq. FC ?
Wall Total Periruetcr Hcight
?
roW ,+Sea
QrW&U .
From [h: sable, deurminc thc mazimuo Wicem ? box D
a? eoter the' aluc area for ir?..ieri,m opoons seloaed
wlow.
EOp
Step 2 Catcutau ares u s percent ot wau
gox A (wiadow & dooI OM) di`nded bi' B°x B(totas..ai+
ara) ua= 100 e4uals the window and door atca as a puaut
otwali acea (Box C)•
gpx C mast be less than or oqual to a" D
4to-g0 xioo-
a? a 3 571g. 0 _
' r
c
4a0l / (f-7AbaJXZ.(, ??V/er
A&Y'd, /?? ????? ?? ?ba,
- -
WINDOW AND DOOR SCHEDULE
--------------------------------------------------
QUANTITY TYPE SIZE FACTOR WINDOW
OPENING
--------------------------------------------------
0 BASEMENT 27 X 14 2.60 0.00
3 PATIO DR 6 X 6 36.00 108.00
2 CASEMENT 14 X 38 3.70 7.40
0 CA'SEMENT 20 X 48 8.50 0.00
0 CASEMENT 20 X 60 10.80 0.00
4 CASEMENT 26 X 38 7.40 29.60
0 CASEMENT 24 X 42 9.00 0.00
0 CASEMENT 28 X 48 11.00 0.00
0 PICTURE 48 X 60 20.00 0.00
7 DBLE HUNGS 32X24 /36 15.80 110.60
0 DBLE HUNGS 24 X 36 7.62 0.00
3 DBLE HUNGS 20 X 22 7.90 23.70
9 DBLE HUNGS 32 X 26 13.60 122.40
0 DBLE HUNGS 24 X 24 10.20 0.00
----- 2
--- SIDE LTS.
----------- 1 X
-- 1. 3 6.20 12.40
---
------
------ 30
---
--- TO -
-
TAL --
WI ----
NDOW ----------
AREA: --------
414.10
-----------
-----------
-----
----- ---
--- -----------
DOOR
----------- ------
SCHEDU
---- ----
LE
- ---------- -----------
-----
QUANTITY TYPE --
SI2 --
-
E ----------
FACTOR ------
DOOR
-----
---
-----------
-- OPENING
-
---
1 THERMATRU -
-
3'- --
0" ----
X 6 ----------
19.00 ------
-
19.00
1 THERMATRU 2'- 8" X 6 16.80 16.80
0.00 0.00
0.00 0.00
0.00 0.00
-----
---
-----------
----
--
---- 0.00
---------- 0.00
-----------
TOTAL DOOR AREA: 35.80
TOTAL WALL WINDOW AREA: 306.10 U-VALUE 0.4m
TOTAL PATIO DOOR AR EA: 108,00 U-VALUE 0.?.2r1*
TOTAL BASEMENT WDW AREA: 0.00 U-VALUE 0.421
TOTAL WINDOW AREA 414.10
TOTAL DOOR AREA: 35.80 U-VALUE 0.066
.• - ? ?._:::
TOTAL AREA- WINDOWS & DOORS: 449.90 [A]
TOTAL AREA OF WALL: 3,518.50 [B]
ACTUAL. WDW & DOOR AREA AS $ OF WALL: 12.79? A] 1[B]
[$TAIVDARD _WALL F-13AAIN4_1
fiHEAT_HINO >?-5., IN$iLL. R_19_,_ WIND_.W U._51+ ._ 14 00$ M X WD_W/DR AREA
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PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuzLozNe
Permit Number: 029308
Date Issued: 12 J 12 / 9 6
SITE ADDRESS:
4291 GADWALL CT
LOT: 24 BLOCK: 1
MNLLARD PARK 4TH
P.T.N.: 10-47253-240-01
DESCRIPTION:
4-SEASON
Bui1dinga-'ermit Type
building Wo.r.k Type
f Census Cs?de ?>
?
??`? •
PORCHfDECK
SF ADDITION
NEW
434 ALT. RESIDENTIAL
(-'
6'a u
a., w Y
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
Total Fee
$13,000
$199.75
$99.88
$6.50
$306.13
CONTRACTOR: - qpplicant - sY. LTC OWNER:
BU7LER HOUSING CORP 14314132 0001715 BUTLER HOUSING CORP
P 0 BOX 24597 P 0 BOX 24597
i3PPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 431-4132 (612)431-4132
L
T hereby scknowledge that T have read this
information is aorrect and agree to oomply
5tatutes an-d City of Eeqan Orditiances. ?
A PLICANT/PERMITEE SIGNATURE
6Pplicat3an"and state that the
with all applicable State of Mn:
SUED-BY.-SIGNATN,RE
J
CITY OF EAGAN ? r
? ?' 1 3830 PILOT KNOB RD - 55122 ???'.? •??
996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 ?'?1D ?11?v?? (2-?
New Construdion Reauiremenls RemodeVFteoair Reauir?? (',{] J,;1:,(/? j,?-?
? 3 repistered aRe surveys ? 2 eopies of plan
? 2 eopies of plana (Mclude beam & window stzes; poured fid. design; ete.) ? 2 s'ite surveys (exlerior addRions & decks)
? 1 eneigy ealculatiorre ? t energy celwlellona for heated eddilions
? 3 coplea of lree presenatbn plen If bt plaMed efter 7/7193
Fequired: _ Yes No
DATE: CONSTRUCTION COST:
A , .? l ,. ll i7
DESCRIPTION OF WORK: ,
STREET ADDRESS: 7?g / C7°d t-
LOT 24? BLOCK I SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
Name: ??Gl ? TTc?u51r,-? ?
u /?-`r FR.
Street Address• /' • ? . ?`? 0X 2-'
City: (.d?
Company: ?
Street Address:
City:_ ?(?' l
Company: ?
Name: 4
Street Address_
Ciry: ?
,
Phane #: )?-' 3Z
7
State: Zip:
i/? ?Kf? Phone #:
2??Aicense #: ?
State: IVAI Zip: / ?-)-
1%
7? -OZ65
'+1?hone #•
Registration #, 143761
State: ?`'??• Zip: Srs
Sewer & water licensed plumber. Penalry applies when address change and lot
change are requested once pertnit is issued.
I hereby acknowledge that 1 have read this application end state that the informaNon is correct and agree t comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ? r?.- / )
Signature of
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received_
_ Yes _ No
_ Yes _ No
RECENED
NOU 2 9 1996
BY: /`i-123
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ?
13"03 SF Addition ? 08 8-plex o 13 Garage/Accessory ?
0 04 SF Porch o 09 12-plex o 14 Fireplace ?
? 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
0'31 New o 33 Alterations o 36 ' Move
o 32 Addition • 0 34 Repair o 37 Demolition
GENERA,L INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. fl.
Building A4G Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SIW Pertnit
5NV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
Valuation: $ ?3.ovo. r
'P
41. ? . ?-
l?v?t( z 2z?A tii 6-1( ? 12,oaL,
;
?
Y !
?r
16 Basement Finish
17 Swim Poof
20 Public Facility
21 Miscellaneous
MC/W5 System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. y 3H
SAC Code o?
Census Bldg r
Census Unit °
.t.
.,
SLOKY FOR : Butlaz Housiny Corp.
??IDD Lot 24, Block 1, lII1LLAB.? PAFtK 4TH aDDITION, Clty oP Ea-jan,
Dakota County, Minnasot.i and raserviny eaaements of recora.
'VACANy-. '
?
9c?.0
•: v
v Ne2?52030•y 199
? .
- - - T _ _
Q
?
b j I
1
?.
s I
m I K.
=
•• ? I pW..et
? I C
y
N '
? v
I
I ?
S L
,
999.'I
? ? ? '-. 9AIFt
, -
_ VqCAO/T a? .:
?.
ltl7 ? Y?7
I ??tr
155• 20.6) '
g ..?0. a9SSl ?o
Z oo ? i
J) Qv?p? ? 57.
34 Op ? I
0raposeY
jk& jo/i
95 i
N?q.??,2q `j'^ ? = ?9a8.2
N1J?se ^??
L0T SQ. F00TAGE _
PROPOSED ELEV:.TIONS
fop of Foundatlun • 959.0.
Garage Fioar •9s'+.9
3asesent Floor •qso.q
deElevSL.?vlca Elev.
P?o
os - w.
p
e
=xlsting Elev. •
)ralnage Dlrectlons • ------- •
)enotes offset Stakz a o
1 HEFIEtiT GEfl11FT TMAI
?l OF THE BOUNOANIES OF
?j?E y??? ' BY NE OR UNOEN NY [
?`/ SHON IIWHOYENENTS OH
14nniny inaIn..rIny surr.r?na .
oWWI H q a?
wI4W ?./ BIwle.,.R IIIru?4 iW0 Dab ( 11 i?
??1
,.iw.' (uu rri.w
1
SCALE : 1 IncA • 311 foet
y I
I ?
00 ?
0
!n'ei •
ty ? N
J r ?. b
c? • •
1
cc
w O ?9531
n [ '
? v I
?
Q
X
949.0
12, 0.33f
BENCHMARK, TNN ge q339 W„dPte
Avc
6isu. 437.18
MIN. SETBACK REOUIREMENTS
Front -ao House Side -to
Rear -ao Garage Slde - s
.
JOB N0:
45R-455
BOOK: PAGE:
CADD F i LE: I DWG, CFIK.
F.NF'RGY CODE wORKSHEET FOR 1& 2 FAMILY DWELLINGS
8=TZ-„DsRL'Ss '?ITY F4?
COMPL8T8D SYs - C k)u]? P80N8 # 3"' ?-3? DATB I
BilILD2NG CLASSIFZCATIONs ? category 1(muet include veatilation) or ? category 2(etandard)
YINIL[[1M CRITBRZA
Poundation Ineulation-R10 iVall¦ 6 Windowa Roo£ Attio Iaaulatioa:
(See table on reverse side
Slab on Grade Ineulation-R10 for allowable percantages) R44-With Attic No Heal
Floor over unheated epacee-R24 R38-With Attic Raieed Heel
Foundation Windowe 1/2" R38 & R5-solid Aaftere
ineulated Glaes.
-Wood or Vinyl Prame
BTSP 1 Wiadow & Door Aiea 8T8P 2 Calculate area ae a perceat of wall
A. Total Window & Door Area in Sq. Peet
WINDOWS (Including Foundation windows):
fPINDOW MANVFACIRRS NAMB:
. C. From SteP 1 divide box A(Window & Door
'-eLt u'ln -
? Area) by box 8(total wall area) times 100
WINDOW MANVFACTURH 17P8: 14k? 4?Gtj?dn equals the window and door area aa a
% percent of wall area (box C).
WSNDOW MANUSACTURB II BACTOR:
R. O. 4uantity eq.ft.Area BOX A X 100 = C= ???
Dimeneione BOX B ?/ G? ?j
Gw
X STBP 3 Deeiga Featuree
X ASSEMBLY -
X FRAMING TYPB: ?
X (
STANDARD FRAMING /l studs 16" o.c. .
X ADVANCED FRAMING etuds 24" O.C.
?
MA 7 Y INSULATION
X RI - CAVZT
X
ING TYPE
:
$HBATH
?
X LESS THAN < R-5 ,
X R-5 > OR MORE
q'S? U-PACTOR U 0 '7 1
X
From the table, (reverse eide) determine the
DOORS: maximum percent window & door area for the
cted and enter the t value
el
i
e
ons s
deeign opt
g in Box D below based on the window mfg. U-
factor:
X / , L D
Total Area of A.
Windowe 4 Doore G 5 ,
Total Wall Area in Sq. Ft.
H The g value from che table in Box D shall be
. equal to or greater than the t in Box C
Wall Total Height Area
Perimeter
?
t
. '
Total Area of Walls B= sq?ft
..•
?
Z,4
?r
Page 1 OF 2
tUTRB H9?t@IN4 CQqPORAT191(
42J1 GADW_ALL 400RT, QpGAN,.!!N.
--------------------------------------------=-----
WINDOW AND DOOR SCHEDULE
--------------------------------------------------
QUANTITY TYPE SIZE FACTOR WINDOW
OPENING
---------------------°--------------------------
0 BASENENT 27 % 14 2.60 0.00
3 PATIO DR 6 X 6 36.00 108.00
2 CASEMENT 19 X 38 3.70 7.40
0 CASEMENT 20 % 48 5.50 0.00
0 CASEM6NT 20 % 60 14.80 0.00
4 CASEI9ENT 26 X 38 1.40 29.64
0 CASEMENT 24 R 42 9.00 0.00
0 CASEMENT 28 X 48 11.00 0.00
0 PICTURE 48 X 60 20.00 0.00
10 DBLE HUftGS 32X29/36 15.70 157.00
4 OBLE HUNGS 28X24/36 11.60 46.40
3 DBLE HUNGS 20 X 22 7.90 23.70
9 DBLE HUNGS 32 X 26 11.55 103.95
Q D9LS HUNGS 24 % 24 10.20 0.00
2
-------- SIDE LTS.
----------- 1 X
---- 1
- .3
------- 6.20 12.40
37
--°----
--------
-
-
TOTAL
GLASS ---------
AREA:
-
- ----------
488.45
----------
----------
DOOR SCHEUUGE
--------------------------------------------------
QUANTITY TYPE SIZE FACTOR DOOR
OPENING
-------------------------------------------------
1 THERNATRU 3'-0" X 6 19.00 19.00
2 THERMATRU 2'-8" X 6 16.80 33.60
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
--------------------------------------------------
TOTAL DODR AREA: 52.60
Page 2 OF 2
TDTAL WRLL WINDOti AREA:
TOTAL PATIO DOOR AREA:
TOTAL SASEMENT WDW AREA:
TOTAL WINDOW AREA
TOTAL UOOR AREA:
380.45 U-VALUE 0.364
108.00 U-VALUE 0.367
0.00 U-VALUE 0.421
488.45
52.60 U-VALUE 0.066
TOTAL AREA- WINDDWS & UOORS: 541.05 [A]
TOTAL AREA OF WALL: 4,182.50 (B)
ACTUAL. WUW b DOOR AREA AS % OF WALL: 12.94% [A] \ [B]
fBTANDARR W_8GL FRAMIpCI
SH6ATHING >R:3,_ ItiSUL.. R_19, W_IfOW U.36 ?14.Q08 NA% WDW DR _ARSA
9UTLBR NOMV CORPORATION
429_1 GHQ9LL COURT 6q4AN, M.
f;'T',i PF EqrAN..
,.A:v:-:!'=:i=';' 'ef•^ Trh'Miad!3L Nn. 32
r??,r?:'; 'i-.'.'.:'_i:>/'i_ :.,{:, T'I?1`..-:? ,.
,. _... . _ i''i0?. _,n-i
c?
+ . ...
A . .,._ .. .1 ?,. _
A. ?..nj...!.
... ,...- ;?
? ,.?:,.
.:
..2::?,
. .rJCj.
? ,hc,`i?1 i. '•I.?r.±(:_(tl. .!
.?... r-r ..f'
:?..;.ft0
300 ?Lf?( 4291 GAL?I..Ifii:.! CT 09.75
3210 SOC;i 42'.'.i GAD!4ALL CT 99.538 ,
To1;a1 Rec eap+. Ama.:nt - 356.63
CROE. r 's:l.
!.15LR 1'D; MAh'LYtd*•
. : ? PERMI'T
CITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE: BUILDING
EBgan, MinneSOta 55122-1897 Permit Number: 0 2 9 3 0 9
(612) 681-4675 Date Issued: 12 / 12 / 9 6
SITE ADDRESS:
4291 GAOWALL CT
LOT: 24 BLOCK: 1
MALLARD PARK 4TH
P.I.N.: 19-47253-240-01
DESCRIPTION:
?-4 , ?, (NO BEDROOMS)
Building-.Permit Type BASEMENT FINISM
Building ",_rh Type ALTERATION
{-Census Code 434 AL7. RESIDEN7IAL
= .. . . " .,t..,„.;,.
_. j
i
? q ..
Vj f
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
1 t?'?
)
CONTRACTOR: - qpplicant - sT. LzC OWNER:
IBU7LER HOUSING CORP 14314132 0001715 BUTLER HOUSING CORP
P 0 BOX 24597 P 0 BOX 24597
APPLE VALLEY MN 55124 APPLE VA.LLEY MN 55124 '
(612) 431-4132 (612)431-4132
„
Z hereby acknowledge that'l have read this applio3tion and stat§ Chat the
information is correct and agree to comply with aii applieable 5tate ofi Mn.
5tatutes and CiCy a'f Eaga,n OrdirSances,; L . . _. . _ ?i
A P-PLICANT/PERMITEE SIGNATURE ISSUE Y: SIG FE
J
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
? 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
vilmm - - - - -- - RemodelRteoair Reauiremerds
' . 5. 4'.-,i ! ., .. '_
? 9 repbtered sqd survay6{ ..?.; ? 2 coPfea of p?an .. .
? 2 eoplsaM plana (Inehde bemn 6 window sizes; poured Ind. design; etc.) ? 2 sNe surveys (exterlar additlons d dedcs)
? 1smrey pk"ions ,,.' • ? 1 energy aakulations for heetad eddittons
? 3 copies of 4ee prasenaNon plen if lot ph8ed after 7/1193 .. ,
roqWred: _ Yes _ No
/ , ":? -C"
DATE:
DESCRIPTION OF WORK:
COST:
STREET ADDRESS: -? _-`-
LOT ? BLOCK I SUBD./P.I.D. #: `?
F.
?7'(,l?t lX?t. !G?tC.5YY,7 Phone
Name:
PROPER7ir
owNeR a f'? oX y?S`?i 7
. Street Address* Ciry ?V-
Company: 4z
_ ; Street Address:
City:
!
Company: ?
Name: ?
(J
Street Ad
City:
State:
51t)q f
) c? ok
ZiP; 53-1 ?-?
?J10 Phone #:
;; -
?71-icense #• ? Z/ S' '
State: 2ip:-?
orte #. ? 'D?$5
?- Registration #'._1 Z
-'?
State: ??• J Zip* S?S
Sewer:8 water Iicensed plumber. Penalty applies when address change and lot
change are requesfed+once pertnit is issued.
. . ?
I hereby admowiedge that I have read this appliqBon and state that the infortnation is correct arid agree comply with ail
applicable State ot Minnesota Statutes and Ciry of Eagan Ordinances. n ?
Signature of
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes _ No
_ Yes _ No
RECEIVED
NOV 2 9 1996
BY: f4f3
q?
OFFICE U SE ONLY , ? ?.'• +
'
-
?
----
?-- ? ?' ? - - -
-?-- . - - a
BUILDING PERMIT TYPE - - •
0 01 Foundation _
o 06 -
Duplex :
o
11
Apt./Lodging -
.d, 1fi,:.Basement Fims
o 02 SF Dwelling o, 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Poo! .?'} ..
a 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Pu61ic Fac?l?ty,: `' ,
0 04 SF Porch o 09 12-plex o 14 Fireplace o?1=: Miscellaneous:f :
? 05 SF Misc. 0 10 -plex o 15 Deck '`'"''? '"` '•' '?' "''`
_
.
- - c:
WORK TYPE - `
. -
? -?
?• ? ..C ?
. . _,.._?. .._ ...?........?
<
_ _ , _ . ,
.. ?. .. ., . .. - .l,
0 31 New ja""33 Alterations • 0 36 Move -
0 32 Addition _ 0 34 Repair o 37 Demolition ' ------ '
GENERA.L INFORMATION
i`
ConsL (Actual) BasemeM sq; ft.. MCNVS System
(Allowa6le? -Main lavel sq: ft. , . ? • City Water ?
UBC Occuparicy sq: ft. :
-..s :
Firer Sprinklered: .- . ..° .. ,
Zoning sq: ft. PRV - - ?
# of Stories sq. ft. ' Booster Pump
Length sq. ft. Census Code. A4 34
Depth Footprirrt sq: ft. SAC Code. v r
. Census Bldg i
- -- _ .. .._ ? , . _ 't:' ; • 'Census Unit: _.c? y •s??:,a
APPROVALS'ti,
?. _.,..._ ;-; -- .
Planning ; Building Engipeering . Variartce - :
PertniYFee '' " - -• - ltaluafion: $
--
-----------
. Surchatge 1?-
PIanReview
,
. ..
uderite
-.u,
? ?.._
._. ._-. .
_ ...
_ .?._ ._ ..
.. ,.
,
I
MCNVS;SAC
City SAC. . _ . ._ _ ..._ _ _. - .. _ ., _
WateF Conn. -. `?.
Water Metec - . '.
Acct. Deposit r - .
SMI Pertnit
SNVSutcharge' .;?., . . _ . .-`=----
Treatinecrt PI.
Road Unit
',.
Trails Ded.:, .
,.
Other ' , _ -? • • ' .
Copies . . .
TotaL• -, ? : :. _-, ._ : . ... . .. ..
> -
sv-s ? .,&ti4 7? . d
. °fs?±t:r? x• : . ,?,' ? ,
.f.,
' ' . ... ? .o? :'.;S ?.. .. ? • '?i:.
% SAC
SAC Units
L gL / CITY USE ONLY RECEIPT #:
sua . oarE: / ?- 9Cv
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x 3,60
Water Closet 3.00 x , 00
Bath Tub 3.00 x !o, od
Lavatory 3.00 x .3' _ 15-'00
Kitchen Sink 3.00 x 1 = 3,00
Laundry Tray 3.00 x _1 = 3. o0
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x _L = 3, o 0
Floor Drain 3.00 x
Gas Piping Outlet * minimum - 1 3.00 x
Rough Openings 1.50 x 3 = 411150
Water Softener 5.00 x =
Private Disposal * Dakota cry. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
_5-3.oa
SITE ADDRESS: qo2 9I Qt cQ W a// Co Lc r*
OWNER NAME: ?Qa ????" ?Io u si !5 Caorro
INSTALLER NAME: w e l-f-e ? v? ,Qlct y/o C? ? ti?
STREET ADDRESS:?4s429 E ZYW V /3
CITY: Aurnsui#--j STATE:141V ZIP: S5337
PHONE #: _
??,,.??
CITY USE ONLY
L Bl ? RECEIPT #: ?I70o
SU . ?X.??n/K ,?v K? I? DATE: 4 S 9
' 1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
" 3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-46T5
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
_ New construction Add-on furnace
%1d0-c7it taii i.dfidiiloilin9 MCiu-fii?5ii eXCiit3i-igBi, i.E.yai-jee ajimtBil,EtC.
Date: /' ? 96
FFFC
? Minimum Fee: Add-on/Remodel (existing residence only) $20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) G?
? State Surcharge .50
TOTAL Z/ _V_
SITE ADDRESS:_
OWNER NAME:
INSTALLER NAM
STREET ADDRE;
PHONE #: 3? ? 101-1.
b.
CITY: 09 S STATE:_221L ZIP: so -
PHONE #: (G?? ) OOSL y 97
?/
CITY USE ONLY q?
L G? BL _L RECEIPT #:
SUBD. ? DATE:
1996 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
FIXTURES EACH NQ, TOTAL
Shower 3.00 x 3,00
Water Closet 3.00 x '30n
Bath Tub 3.00 x =
Lav&ioFy 3,v0 X I_ = .300
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 :c =
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 :< _
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 7 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x _
L___ = ov
Private Disposal " Dakota Cty. lieense 65.00 _ =
(new and refurbished systems)
U.G. 5prinkler' home under const. 3.00 =
Alterations ' to exisnng 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL
ca7 O„ .sD
SITE ADDRESS: 4la91 G 4 cP Wa
OWNER NAME: f-fo
INSTALLER
?
STREET ADDRESS:/sd 9 E 14 w v /.3
CITY: Arl r 0 .S v iSTATE: /u ,V ZIP: .S S3 37
PHONE #: ( jo /a
CITY USE ONLY , ?
L ? BL ,L q ? RECEIPT #: 7f ' ? ?
SUBD.?X?tE4 VuR-'? "? RECEIPT DATE:
i
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, 2M7 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 # TOTAL '
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen 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 Sottener ' for dwellings under wnstruction 5.00 X =
Water Softener ' for existing dwelling 20.00 x =
U.G.Sprinkler `tordwellingunderconst. 3.00
U.G.Sprinkler `farexistingdwelling 20.00 = ?t9 '
Alterations '.toexistingres 20.D0 =
Water Tum Around 20.00 =
Private Disposal System ' MPC iic. 75.00
(new and refurbished systems)
Private Disposal Systems ` Abandonment 20.00
STATE SURCHARGE .50
TOTAL
------------------- ---------------------------------------•-?•---- ---------------------6l ?
-.
I he2b ackn -------- -------------- - -
y owlecige that 1 have read this appiiptiaq state tha!!he in/ormation is - c-orrect, and - agree - to comply wRh all applicae City of Eagan oMinences-
R is the appficanYs responsibility to notify tha property owner Nat the City of Eagan assumes no liabiliry for any damages caused Cy the Ciry during, its
nortnal operational and maintenance adivities to the facilhies construded undar this permi[ wRhin City propertylrighFOf-wayleasement
SITE ADDRESS: AL?? _ / ? ? ? v,,, °4 I I ? 1 -
OWNER NAME:
tNSTALLER NAME:
STREET ADDRESS:
cirr:
e#: %? ??9 Ig
STATE: YYl 111? ZIP:
SIGNATURE OF PERMITTEE ? S?I?
JSl
FORMS BLDGIPLBG PERMI7 (RESiDENTIAL) 1898 f?.I
,?r„?
a Al 13 /
?
W RECEIPT # S//OIPO
ICEIPT DATE? /
TO
JOB
OWN
PLEASE BE ADVISED THAT 'I'FiEfiF IS A FEE SHORTAGE ON TfE ABOVE
' / 7 G[?
ELECTRICAL INSTALLATION IN T}E AMOUNT OF $ N"0'? -
SHORTAGE MUST BE PAID YHITHIN 14 DAYS.
REMARI6
??- 0 to 30 amp circuits= 'Fe7 ` ?
? UO
31 to 100 amn circuits= 7.
0 to 100 amp service=
? 101 to 200 amp. service=
U
TOTAL FEE DUE= ?? , ?
/ ?cJ
LESS FEE RECIEVED
c? oU
Trrrer cro (zunvTar.F rnrF
PERMIT4l I 7c;7 -,)- ?2
OBIG. RECEIPTII?IO 4? I
?tECEIPT DATE L- 3 `YU/
D?Ti
RETU?2N A COPY OF THIS FORM WITH REMITTANCE.
REQUEST FOR ELECTRICAL INSPECTION 5A,{??,-
I II'l ll Minnesota State Board of Elechticity €°? ?9
?1821 Un iversity Ave., Rm. St. Paul, MN 55104 r
4 Phnnu ?a1?? an&pgpp ?' ?
* Q 2 3 2 L? Rj!1111*111
ome
Duplex
Apt.8ldg.
Othec
New Add
n
Commercial Indushiol Form Remod Re air
Air Cond. Hfg. Equip. Water Wr. Load Mgmt. Other.
D er Ran e Elec. Heai Temp. Service
"X" obove ihe work covered by ihis requesl. Enter remarks in this space ond on the ba<k of the white copy only.
Calculate Inspection Fee - This Inspe<fion Request will not be accepted without fhe correct fee:
Olher Fee # Service EMrance $ae Fee # Circuils/Feeders Fee
Mobile Home Pork Smll 0 to 200 Amps a ?, CQ 0 to 100 Amps i( S i
Street Lig./Traffic Sig. Above 200 Amps Above 100 Amps
TmnsformedGenerotor 'SUSEONLY
INSPEC
TOR Sl
TOTAL
Sign/Outline llg. Xfmr. ,
n
J?./df 10 7?7J 7'
[ 65
Alarm/Remote Control C t?
$wimming Pool
?iblin on ds ?ufed
the
I hercb reKh that I Ins ected ihe elMn in Ilafion
IrrigaHon Boom Rwgh-In /?
S
ecial Ins
eciion L I
p
p
Invesfiga}ive Fee Flnol `? p G
Y ` "?`
THIS INSTALLATION MAY BE ORDERED DISCONNECTED T COMPLETE WITHIN 18 MONTHS.
(? 3 n- n?? a
' ? L OFFICE U E ONLV This st void 10 monMs fmm .alidouan nnted'i this bai.
,i
?j9L
PLEASE PRINT OR TVPE
Requvst Dale Roogh-in inspection required2 s ? N. Inspenion Other Than Raughlin ? Reody N III Call
? (You musl mll tM inspemr when reody} Dote e
I, icensed conhador Q owner hereby request inspedion of the above electric or f$11?170
Job Address (SVeet, Box, or ute N.) GM A Ca e
Section No.
I
Tavmship ame or No.
Range Na
Fire No.
Gounry
. ?
Occvpanl
ROZZ Phan?? u'
/
Po lier Pddrexs
Elannml vocmr//(COmp/on-y N me? T Contm Li<em o. Mamr Lic No- ?Plom Elect Only?
Mailin drescCanlranororOwnerPedlminglnsMllal
'
.Si? Con d r wne PeAormi Ins Ilafion)
1'? ? Q$?Q
PIwV `
EB-OOOOIAIO 6/95 /? STATE60ARDCOPY•SEEINSTAUCTIONSON9ACKOFYELLOWCOPY
?
3 3U O O?ICE USE ONIV This request voitl 18 months irom valitlatio ete p ? in t is box
/
• (n5
PLEASE PRINT OR TVPE
Reques[ Da[e Rouyh-in inspection required??Jy\Yes ? No Insper.lion Oroer Than Rough-In: ? Ready Now ? Will Gall
(Vai m usl call thn inspeMO? when re ady) Da[e Ready
I, licensecl contractor ? owner hereby request inspection of the above electrical work at:
Job Atltlress (Strcet, Box, or Raute No)
ti°I Gy A 1
Gr Cily
C,4 Zip Cotle
Section No. Township Name or No. Rarpe No Fire No. Cam 1/^ °?_
?W?lJ
OccuNnt
?'SU-t'L
n9 S Phone No.
PowerSupFllier qdtlress
Electncal Conyar.tor (COmpairy Name)
? Gonlractor Lkense No. Master Liu No. (Plant Elect Only)
1 a? oaLi
Meiling qtltlrcss (GOnheotor or pwner Psrtwm,ingIy??tallation)
S f6-1 G / /?1A/
iz S' onl clor wnerPer m glnsiallation)
? PhoneNo
82?I 3333
EB-Op001A-11 8195 ?/ STATE 80ARD COPY - SEE INSTRUCTIONS ON BACK OF VELLOW COPV
*03535077*
REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electricity
7821 University Ave., Rm. S-128, SL Paul, MN 55704Phone (612) 642-0800 ???j? 7
Hame Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Htg. Equip. Water Htc Load Mgmt Other:
Dryer Range Elec Heat emPService
"X" above fhe work covered by thrs request Enfer remarks in this space and on the back ol the wbite copy onry.
Calculate Inspec(ion Fee - This Inspecfion Request wilt nof 6e accepted without the carect lee:
Other Fee # Service Enirance Size Fae > Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps 1
Street Ltg./Traffic Sig. Above 200_Amps Above 100_Amps
Transformer/Generator INSPECTOR'S USE ONLV ' TOTAL
Sign/Outline Ltg. Xfmr. ? -
Alarm/Remote Control .
'
Swifilfilitlg POOI
I creby crtrliy hat I inspec
he ecUi aif Iqn describtxf herein on ?M tl61os s?dt
-
Irrigation Boom ao?pn-o, 6F ?, oaie -7
Special Inspection
InvestigativeFee Firval Date
THIS INSTALLATION MAY BE ORDERED DIS O D C TED WITHIN 18 MONTHS.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108537
Date Issued:12/14/2012
Permit Category:ePermit
Site Address: 4291 Gadwall Ct
Lot:24 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-240
Use:
Description:
Sub Type:e - Water Heater & Water Softener
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:deb larson
8815 209th st
Lakeville, mn 55044
952-469-6999
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
James E Burger
4291 Gadwall Ct
Eagan MN 55123
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113747
Date Issued:09/09/2013
Permit Category:ePermit
Site Address: 4291 Gadwall Ct
Lot:24 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-240
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
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 -
James E Burger
4291 Gadwall Ct
Eagan MN 55123
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:EA122564
Date Issued:05/12/2014
Permit Category:ePermit
Site Address: 4291 Gadwall Ct
Lot:24 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-240
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
James E Burger
4291 Gadwall Ct
Eagan MN 55123
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature
r
-7fi°1
For Office Use
.f
$1Ø
EAGA I %'qPermit Permit Fee: /g 7. 0
flECEIVp lute c/(77—7�
Rte:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
1( 4—
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-56 AUG 14 2019 Staff:
buildinginspectionsacityofeagan.com i.
BY:�____
2019 RESIDENTIAL BUILDING T APPLICATION
Date: 8/12/19 site : 4291 Gadwall Ct. Unit#:
Name: Jim Burger Phone: 651-905-9039
R n 417a/ Gadwall Ct., Eagan, MN 55123
� � Address/City/Zip:
Gof
Applicant is: Owner Contractort?-- / (i flftad `-- qi-l'‘-
° Description of work: Re- Deck
� �� � $10 000.00
Construction Cost.. ' Multi-Family Building: (Yes /No )
company: Outdoor Solutions Inc. Mike Butorac
Contact
Address: 19311 Southfork DriveC ,: Prior Lake
M N 55372 612-281-7850 mikeb.outdoorsolutions@gmail.com
State: Zip: Phone: Email:
License#: BC233792 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor. Phone:
Fire Suppression Contractor Phone:
b "` d t tsl sbmia considered p� l�� 1 the `
.,, '. ., d P .,
$,
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.citvofeacgan.comisubscribe.
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.aooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of. - s. _-
xMike Butorac x .. .. — ��'
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE ` 42 Cf. / s 7 _ -/
SUB'TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
Multi /Cl Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES I
New Interior Improvement. — Siding Demolish Building*
Addition Move Building — Reroof Demolish Interior
Alteration Fire Repair _ Windows Demolish Foundation
Replace Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation % Occupancy �' c- l MCES System
Plan Review Code Edition 01// 20/5" SAC Units
(25% 100% ) Zoning Jz P City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) > Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
11) rReviewed By: M 71; kl y, , Building Inspector
RESIDENTIAL FEES 3 4 e S `re- a I, /S 0 0 ',4(--
Base
I4(--Base Fee
Surchargeb e cic et- 57-4-1R 4- Lpt-c, D i2vf; )S
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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S SURVEY FOR : Butler Housin Corp_
DESCRIBED AS : Loot 24, Block 1 , MALLARD PARK 4TH ,ADDITION, City or Ewan,
Dakota County, Minnesota and reserviu_, easements of recora .
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ArART EIVG RING DEFT
PROPOSED ELEVATIONS .
BENCHMARK, T,vf 1 e q w
Tap of Foundation = 959.0 °°dSq�
Ave
Garage Floor = 457.9
Basement Floor =g50.9 E1eu= 937.13
I Wax. Sewer Service E I ev. =ct43.ot_
Proposed E I ev. _ r:7-72) 11 MIN. SETBACK REQUIREMENTS
Existing Elev. I
Drainage Directions =------•- Front -3o House Side -it,Denotes offset Stake a o Garage
Rear S(de -5
SCALE : t Inch - 30 Feet
Job NO:
I HEREBY CERTIFY THAT THIS ISA TRUE AND CORRECT REPRESENTATION 451R_455
/ROL WM OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY HE OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
SHOW IMPROVEMENTS OR ENCROACH S. EXCEPT AS SHO ..
Planning Engineering Surveying .. 0
MI l Eat elfMlnetio Fre ralne
Blhn. mime.sago Date t+ / ! '
?.,.mill u
?.,.mine OHM +' i i.% 6• ,NDOREN LAND El ' YOR CADD FILE: DWG. CHK.
pr r ' 1`A LICENSE NUM: ' (4376 Ft,.ru,Qt
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172956
Date Issued:10/22/2021
Permit Category:ePermit
Site Address: 4291 Gadwall Ct
Lot:24 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-240
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
James E & Heidelinde Burger
4291 Gadwell
Eagan MN 55122
(612) 387-6256
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature