4292 Gadwall Ct
..? -
WRL'tifiCQte Df CCC1tpQ1iC?
IK" of ?agan
ZOWOMettt of 1S,?? ????cefion
This Cenificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance tkis structur+e was in compliance wirh the various
ordirrarices of the City regulating building construction or use. For the foQowing:
ux cimif-.um SF IW. eWg. atm;t r+o. 29373
o?UP--Y rya R1.1[] i zoi,g oiwma R 1 rya ca,u. VN
OwnQ o( Builmna Addess
BuildingAdd,ess LodiryT.17_ RI_ MAi7ARi1 PARK 4lH
/
r / Daie•
_ eaikting otr,c;d
POST IN A CONSPICl10US PLACE
,
CItY OF EAGAN INSPECI
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
.„ . r
?n?t?r:i t ?
I 1 1 AFtII VAiik 4 1 ii
PERMIT SUBTYPE:
ON
;CORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
911]tliEN6
A:'y31i
INSPECTION D. . D•
4:,
?? ?. ., f I•?, ?? i i ? 1 r'.? ,
? i 1.? ( • ? ? ' , ? ?'? ? i
I :AkF':.: i'RV
W 1'l ftk ';I III KF k 1`1 {tlt
?
?
PormR No. Psrmft Holder Data Telaphons #
ELECTRIC ?? / 4/ ??-
PLUMBfNG
K
? S q -G 3
Hvac ,
!
T -30 0/97 ??r fo S
Inspection Insp. Comments
FOOTINGS
L' '1'4,7
l40 C1? 'ra?:lS -
FOUND !3 9
FRAMING
ROOFING
ROUGH
PLUMBING
-2217
J?/
PLBG
AIR TEST i
•
ROUGH
HEATING
GAS SVC
TEST
INSUL .? ?
GYP BOARD
FIREPLACE ?
?laG?g7
FIREPLACE
AIR TEST --?
FINAL PLBG
FINAL HTG
ORSAT
TEST
BIDG FINAL ?j
i
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAI
?
Addres? 4292 cnu,rA.t, ?tuZip 5512 2
Lot 17 Blk 1 Sub MQT.T.oRn pARK 4IH
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: /(o y Yes No Inspector: '
Final grade (6" from siding)
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway ?
Permanent gas
Sod/Seeded grass
TraiUcurb damage ?
Porch
Basement finish
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler syscem.
White - Ciry Copy Yellow - Resident Copy Pink - Contracror Copy ?
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 Please complete for modifications to existing residential dwellings.
R3 0 ; J-C)
Date I ?'s ( OS HOGAN, DIANA
4292 GADNIALL COURT
5ite Street Address EAGAN, MN 55122 Ullit #
(651) 681-8798
Property Owner Telephone # ( )
NORBLOM PLUMBING CO.
contractor Telephone #( )
Address City _ State Z+p
MINNEAPOUS, M
NP540
?
_
The Applicant is: Owner ontrac or Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heate r--com Ip, enext
section if installing these appliances).
[ C,
S
ti
S
t
Ab
d ? u ?
_
ys
ep
c
em
an
onment r
_ Water Turnaround (add $125.00 if a 5/8" meter is required) I
APR 2
L I
?
? 20p.?
Other:
Water Softener Water Heater -?
$ 15.00
_ new replacement.
X Lawn Irrigation _RPZ LPVB _Ynew _repair _rebuiid $ 30.00
-
State Suecharge $ .50
Total $ 30. 50
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.
U?P-4 1VU'fWam
ApplicanYs Printed Name ApoOKSignature
f:F:L VfJ:'
,nt,?x?cr;i :i."'/',iJ9l:. ??.r??_;; ;.'?.1=?I.•:?.,?_,
1
P^
'•:C;:'i'=„ f.;0id'.ii1 i':(.i;`'{'t;; _...... .I.Pd?!l._?;.._.)?,.;i ;.U
?;,?:.::; ;:r?..?....?,. -:<a,;•.?::, ?:??_,lr:ll??'? ' ;.,'}' _ .
... ;?.'. ,:'
: .? .. ._?.... . tr„ . •_?c, ?
... . . , ...? .
:I?C. .,.._:. . .
,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-97253-170-01
DESCRIPTION:
PERIVIIT
PERMIT TYPE:
Permit Number:
Date Issued:
4292 GADWALL CT
LOT: 17 BLOCK: 1
MALLARp PARK 4TH
11,6ild1hcj•,Permit Type
j3uilding Wt?rk Type
?UBC Occupancy \?
J CpnsGructi-4n Ty"R,e
'
20n i n6
,
fSuildiog Length ,
`.? Build",g Width i t: d?"? 8.`s C o r i e's'
r >, -
A` "stti.? ar e F e e t-E =? .-,
Ce`nsw5
SF pWG
NEW
R-3 U-1
V-N
R-1
63
56
2
2,180
101 1 - FAM. DETACH
V
i
.?. C'
REMARKS:
PRV
FEE SUMMARY:
S& W PLBR - SCHERER PLBG
VALUATION
Base Fee
Plan Review
Surcharge
SAC
' SAC %
SAC Units
? Subtotal
$1,252.25
$626.13
$86.5@
$300.00
100
$2,664.88
$1730000
BUILDING
029373
12(31/96
MISCEILANEOUS $1,923.50
COPY $.50
Total Fee $Qo7s$•$$
CONTRACTOR: - Applicant - sT. LIC OWNER:
MANLEY'BROS CONS7 SNC 19611568 2005432 MANLEY BROS CONST INC
861 GREflT OflKS TR 861 GREAT DAKS TR
EAGAN MN 55123 EAGAN MN 55123
(612) 961-1588 (612)961-1588
I I
I hereby acknQw7 edge tMat`T hav,,a reatl-?this'applacat.ian and- sta?, that the
information is correct and agree tn comply witN all applicable StaCe of Mrt'.
? Statutes and City of Eagan Ordinances. ?
APPLICANT/PERMIT SIGNATUR aSSUED D,Y: SI?NATUHE-C-
jq5143 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 f1996 BUILDING PEFtMIT APPLICATION (RESIDENTIAL)
681-4675
New anst c+ion Ree u6ameMs 84modeVReeair Reauiremente
? 3.egiatered site surveys ? 2 eoDies of plan
0 2 copka of plana (indude peam 6 window slzn; poured fnd, dasign; etc.) ? 2 ske eurveys (exteriar additions d decks)
? 1 mrorgy plculatbna ? 1 energy calwlationa far heated adEitions
? 3 copba ot hae preaarvatbn plon B lot plaCed aRer 711/93
requlred: _ Yas _ No
DATE: I C?` I o? lv I'?J??_ CONSTRUCTION COST: •?4? 6?)'7p
DESCRIPTION OF WORK:
STREET ADDRESS: V-&4A1A0j11
LOT k I_ BLOCK SUBD./P.I.D. #:
? ? ? /I
PROPERTY Name: m?J??lpJl Phone
OVYNER W1 RM*
Street Address-
City: State:
CoN7w?cTOR Company:
Street Address:
Ciry: State:
ARCHIrECTI Company:
ENGINEER
Name: ( &^r, ?
Street Addresr,•'W3? ???A;A-., i
City: V State:
Sewer & water Ifcenaed piumber: ` A?
Change aro roquested once pertnit is issued.
I herebY scknowledge ihat I have read tfiis application ancrstate that the
applipble State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
CerUfieates of Survey Received L? Yes No
Tree Preservation Pian Received - Yes No 'Q, 4- R`t
Zip:
Phone
License #•6?2?2$a2z
Z;p.
A
Phone #-tr?
Registration #•
? Zlp• 5 c7
applies when address change and Ict
is cortect and agree to cromply with an
DEC 2 6 1996
. yVta
OFFICE USE ONLY
BUILDING PERMIT TYPE
fE ?' ? 4h .?
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
.? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Firepiace o 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning _
y4 Basement sq. ft.
?vAl Main level sq. ft.
sq. ft.
2- 1 G.w.4i sq. ft.
y sq. ft.
4.3 sq. ft.
5-4? Footprint sq. ft.
Building Mf3
141(, MC/WS System ?
)v99 City Water ?
Ra.l Fire Sprinklered
PRV KEs
Booster Pump
Census Code. 101
zi 8t) SAC Code .??
Census Bldg i
Census Unit i
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatmerrt PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
, . °k SAC
. SAC Units
50 ? z?-
a? Yu
? v?s. ar
io u a_
8K1
Valuation: $ , -73, 000 . ?
?3oa
iJy
iz.zs
14?b.zs ??rS= 35,40(0
?. HJ
_y-
z?
?a r a?. e
zou 22•S
1vw-as
?
?
?v89.zs?y?s?f= go?Niq.S
$32
i Z. ss
8va.ss0 4s?l: tiS?4&T.s
2y ti
y? y
'`? 172,2- 341.Lo
(CPrtif irtttP uf ?uruP? 12111196
preparecl for: MANLEY BROS. CONSTRUCTION
853 GREAT OAKS 7RAlL, EAGAN, MN 55121 PHONE.961.758B
LOT 17, BLOCK 1,
MALLARD PARK 4THT ADDITION
R£SlDENCE ADORESS:
_ 1424L- - - -----
4,40Na/1u l'AufzT
-SACe.?At.1, M? ?-.:?.?
?
a5
,
°
T
%k
3 iY oa ?
0 •? S?
?
? ? o• ?
,
i ?
/
/o11
c
hub e%votion
eUs,so
LO
occording to the recorded plat thereof.
DAKOTA COUNTY, MINNESOTA
SCALE : i " = 30'
hub e%votibn = LOT 18
o-1 b-) R`'5 •G?(o>
r ?
°5 ? hub elevotian =
?(q4q 0q
,_h o
t1 6' i
,
BLOC?qa?2? 1
p, ry
? ? ?"iB•? n QZW2
NWL=939.0
0 HWL=940.1
?? i 6A 6, ZF
N
Cd 4-
b?
b
LOT 17
3q,y h ti ?? nA„n
ti
ro?
?? y
?,/- ORA/NAGE & UTIUTY
` EASEM£N7 PER PLAT
ao?te 1v"
6d oO ' ry:
?
?I' RIM 9
?
o
LAGAN
? R6Y16WESi
---
?1y, 614'3A) ? /2-
BENCHMARK: 1: / N07ti'LE.
I'VERIFY ELEVATIONS &
`Jop. `r4IL DIMENSIONS PRIOR TO
@ 4334 `W..dj,.tw CONSTRUCTION
M,.at- 937.1
o Denotes iron monument
983.5 x Denotes existing elev.
?PS?Pr JrPli $C a?1$SDttMtPB? .JIlC. (987.0) oenotes proposed elev.
? a l Denotes Off-Set hub
-- ENGINEERS & LAND SURVEYORS -- ?='v '4'3 Top of block e1ev.
?
8500 210TH STREET WEST LAKEVILLE, MINNESOTA 55044 'Z,?O? - Top af fin. qaroge floor
(a /
q = Top of bosement floor elev.
?
PHONE :(612) 469-1899 FAX: (612) 469-1899 ,
\?3
Indicates direction of surface droinage
?
I MEREBY C[R}fY TYi i1Y5 ypy[Y WAS flSPMEO BY 1[ p V4ER YY ppELf 31pFPVSEry 6 LORRELI !0 ilE BESi Of YY IppNLFGC[ NIO i16. WA$ ENECUIEO W ACCpi)N12 MIiX TK CVPiENl
ME?I9EU RIIX'EqA£5 iqi INE %MCLK£ Cf LMO 9AVEYNC ILOPiEY BY M 4Hrt50iA mL[tY pf %1CfE55pUL AIMSYORS /uMO TxI.T 1A4 A OLIY L'FEKS[0 luD APVEYOfl UIOER
iK lA'?3 (s ilE SiATE Of lYIESOiA THS IXRl iE SIYn15 ilE LOC/.iIM Ci ALL BApK3 Aiil.Cltp i0 SNI UW. YA T[ LGGINM Oi AtL V691E EMCRO/.01Ex15. i I?M. fNOM qi CW 5I.4
LMU. W UK4iY 5 ASSLMEO E%RVi i0 iK LIEH p Wr1W iM 911MEY WAS %IEPMEO, NS WiS, /JO
!-?lS1otiJ : ASSiG6, Yp 5/?O W.trtY 8 A54UYE0 CNLY fPi iNE /.CTIK COS,r. .M 116 yAVEY
?v
Field Book ?164 ( Z7?R ?
?a'`'?? (? qqq
?DAIED rws RY 0 , 99fi.
"
?2193 ?
Job N0. (?iT"r n.,? a wP?i«.,..,? neso(o Registrafrbn No. 19790
LOT SURVEY CHECKLIST FOR RESIDENTIAL
?
?
?
? F
a z
6" ?
2-' ?
C1' ?
6-' ?
[Y ?
CY ?
[? ?
C3' 0
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ca-? ?
2? ?
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PROPERTYLEGAL:
DOCUMENT STANDARDS
0 Registered Land Surveyor signature and company
• Buiiding Permit Applicant
• legaldescription
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, splR entry, lookout, etc.)
• Directional dreinage arrows wifh slope/gradient %
• Proposed/exassting sewer and water services & invert elevation
• Street name
• Driveway
ELEVATIONS
Existina
• Sewer service (or Proposed)
• Property comers
• Top of curb at the driveway
• Elevations of any e"ng adjacent homes
Prooosed
Pf ?
06- ?
Cil'? ?
C!' ?
Cr' ?
0
?
O
?
O
Ce ? ?
d ? O
C3' ? ?
o 3' ?
? d ?
• Easement line
• NWL
• HWL
• Pond#designation
• Emergency Overflow Elevatlon
Cr' ? ? •
? ? 0 •
Q? ? ? •
? ? ? •
e' ? ? •
? q,-'o .
Lot IinesBearings 8 dimensions
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks, ovefiangs greater than 2',
porches, etc. (.e. all structures requiring permanent foodngs)
Show all easemenLa of record and any Cily utilities within those easemenTs
Setbacks of proposed structure and sideyard setback of adjacent eristing structures
Retaining wall
Reviewed:
January 1986
CRM01 Bifl'BLOGPf2MT. FM
• Garage floor
• Frst floor
• Lowest exposed elevation (walkout/window)
• Property comers
• Front and rear of home at the foundation
PONQING AREA Crf aonlicablel
DATE OF SURVEY: 12 4a.4I ?f c
LATEST REVISION: / ?4-2 7 It 2 L
?
• I I
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MH3
5-1+SE
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-- 145 LF _ B ' P1?C P o. 9D'" .,,
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5-1+48
951.0
2L
r- HYD
ENERGY CODE WORKSFIEET POR 1& 2 FAMILI' DV?EI,I,ING ??
SITB ADDRESS ffl&ll r
CITY
COtlPLETED BY: plippg q DAT6
BUILDING CLnSSIFICATI0t7: ? category 1(ntandard) or jogcategory 3(muet includ
e voatilabion)
HIt7IliUM CRIT6RIA
Foundatioti Insulation-R1o t4alln & Windowo
Raof Attia lnoulation:
Slab on Grade Ineulaeiop-R10
See table on reveree eide
(
Eor ullowable percentages) R44-With A
i
tt
c No Ileel
Floor over unheated epacea-1124
R38-Witkl Atti
R
i
c
a
sed Ileel
Foundation Windowe 1/2^
inaUlated Glasc. R38 & RS-Solid RafCere
-47ood or Vinyl F'rame
BT6p 1 Wi¢dow & Door Are ?-
ST6P 2 Calculate area ae a peraent of wall
A. Total Window t Door in
:AAreeaa Sq. Feet
WIIJDOWS (Including I•'dati on Windowu):
WIttDOW MANUFACT[7RE NAMB: C. From Step 1 divide box A(Ylindo
&
WItiDOW MAlt[1FACTURE TYpBl ?A,j0y1"? w
Door
Rrea) by box 0(total wall aiea) timen 100
equals the window and door aYea ae a
WItIDOW HAt7UPACTURB V FACTOR: perceut oE wall area (box C).
R. O. QuantiCy
Di cq,f.C.Area X
Box A±Uo
100
mensions _
= C
-
Box B 30?3 ?
'?j
? N X3,616 .
??.)/ Gl
z `/
1
l
Z?.CC X?{:..{'.' /irr' 5?
1? STEp 3 Deoign Peaturen
P,SSGIqBLY
(
z?lnG X,7 +Q?r jl ?J -r__
?
PRAMING T
? YP6:
z ± d
X'S ?`T4 ' l+, ? STAtIDARD FRAM
?
?_ ING
studs 16"
O.C.
x 7.? .-Cn
ADVANCEO FRNI
ING ntude 24" o
c
X .
.
CAVITY INSULATION R?
X
9F18ATHItIG TYPBt
x LESS TIIAN < R-5
X R-5 > OR 1•IORE
X
U-FACTOR p
DOORS:
From tlie [able, (reverce side) determine the
--,---
Z$ X
? maximum percent window 4 door area for.the
design optione aelacted and enter the t value
?
/ in Box D below baeed on the window mEg. U-
,
(
? factor:
?
1'otal Are
f
a o
Windows b. Doore T- 7?_°9•Et.
?-w .
D. Total Wall Area in Sq. Ft. The t value fYOm Che Cable in Box D shall Ue
eyual to or greatcr than the } in Box C
Wall Total Ileight Area
Perimeter
190
7/r ,?,D 2C?j
I L?co 9, m7 /loo? ?
? ?? 3 /D(ota
1_otal Area of Walls U=?jD(p???,ft
ONE- & TYVO-PrAIrIILY RTSIDENTIqL pU1LDRdG piLFSqupnyE (CC?OK-ElOOK)
API'ktOACEi
MAXIMUM WINDOW qNp ppOR AREA AS A PEIiCGNT OF OVERALL WALL
AREA
Notea:
Window arca equals rongh opening tninus lnetallaklon clearancea.
Window U-factor must be determined by either the National Fenestration Raling
Counail standard 100-91, or ASNRAE 1993 Handboak of Fundammtals, Chapler 27,
Table 5.
EC4RLMInn Iiulesyart 7670, rL"_?z°,tipU< i. ;,Im r
E"!ll4nalcalcul9eLv [a
L? 8L / CITY USE ONLY
RECEIPT#: / yO ?/ .y,11
RECEIPT DATE: ?9 7
1897 PLUMBING PERMIT (RESiDENTIAL)
CITY OF.EAQAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 68/?676.
Please complete for: . single famNy dwellings
? townhqmas and condos when permits are re
uired for e
h
it
q
ac
un
? backflow preventer for underground sprinkler system
Sho?wUer?S TOTAL
Mle!er Clpset 3.00 x
3.00--
Y.
B m
.
ath Tub
LaVatory 3.00 x 2
fCRchen Sink - ?
1
;.??
Laundry Tray 3.OD x ,
?.?
Hot TublSpa -?
3.00 x -
Water Heater '
Floor Drain 3.00 x
3.00 x
Gas Piping Outlet • minnnum - t 3.00. x (Y)
Rough Openfngs 1.60 x
'
Water Softener
tor dwelllnps under oonetructlon 5.00 x -
Water Softener ' tor exletlnp tlwelling 20.00 x _
U.G. Sp?Inkler • for Cwelling under consf. 3
00
-
.
,
U.G. Sprinklet ` for exinGny dwelling 2D
00 -
.
Afterati0n5 ' to existinp roslaence 20
00 -
.
Water Turn Around 20.00 -
Private Disposal System " Dak Cey Iic. 76
00 =
.
(now antl rofurbishstl systems) . .
Private.Disposai 5ystems •qbendonmeat 20.00 =
STATf SURCHAROE .SO
TOTAI ?
I Aeroby edcnowletlpe thafi heve road tAia appflCatlon, sfete tAet the kdortnatlon Is eonect, and sgroe to camply with ell applicabie City
M Eapan ortlinances. It is the appiiart's resppnsibUily ro notify the prepeRy pymer tAat the Ciry of Eagen assumes no liability for any
damsgee Cpused by the CRy tluAnp Its normal OpereGOnel entl rrniMenanoe ac4lvlpea to Me faGlkies Construeted under thla pertnk withfn
Cily propertylNpht-of-way/eassmnni.
SlTE ADDRESS: Cr440e11 C f
OWNER NAME: f
INSTALLER NAME: TELEPHONE #: Li73 V
STREETqDDRESS: _ yAG?v. X?rI:,?= Cir
CI7Y:
STATE: -`77iZIP: S5' 3`7 Z SI ATURE OF PERMIITEE ?
cmr use owLY
L BL RECEIPT#: `yD ?/??¢
RECEIPTDATE: s7
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
8830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. . single iamily dwellings
? tovmhomes and wndos when permits are required for each unit
New construction Add-on fumace
Adc-on aii r.ortiiiioniny t.uci-ur air axu1auyer, i.e.'var?ee tiysieiii, etc.
Date: 3-,7- 17
FEES
? Minimum Fee: Add-on/Remodei (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00?
Additiona150 M BTU 6.00?
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL
SITE ADDRESS: _
OWNER NAME:
INSTALLER
PHONE#. %/? / Daa
PHONE #: SS?.? ? & 7
STREET ADDRESS:
CITY: r//?? S?
STATE: ZIP: ?
IGNA E OF PERMITTEE
:9 ? c /1 ?OFFICE USE ONLY This request void 78 momhs hom validafion dak prinred in Ihis 6oc
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RB9° ? Date,
/13/97 Rwgh in inspecnon requiredz 1'] yes ? N.
' Inspection Othx Than RwgMn: ? Nmdy Now, 4? w:ll Cail
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oo must mll ihe inspeciw when reodyl
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I, [?licensed conhacfor ? owner hereby request inspecfion of e above eleciric QO
Job Address ISmee, Box, « Ronk Nnt Ciy
4292 Gadwell Ct. Eagan r
Seclion Na. Township Name or No. Ronge No. Fire No. Cwny ..
Occupam Phore No.
Manle Brothers 454-4933
Power Sopplier Address
Dakota Electric 4300 220th St. W., Farmington
Eltthicol Conhodor (Camporiy Namel Conhaclor licansa No. Mualar lic. No. (%am Elec1. Only?
Joos Electric Co. CA 00961
Mailing Address (Conhacl« w Ownn Pcrlormieg Inxtalhfianj
39809Raaec Beau D' Rue Drive, Eagan, MN 55122
Aulhorized Sgeniore (Commcbr « Owner PeAamiig Insblkfiw) Phone No.
688-6180
EB-00001 hl 1 8/96 STAiE BOMD COPY - SEE INSTNOCTIONSON BACK OF YELLOW COPY
a1??/s7
437-402-
? REQUEST FOR ELECTRICAL INSPECTION
Minnesoha State Board of Eledriciry
1821 University Ave., Rm. 5-128, St. Paul, MN 55104
Phone (672) 642-0800
Hame Duplex f. Bldg. Olher: New Addn
Commercial Indusfriol Farm Remod Re ir
Air Cond. Htg. Equip. Water Hfr. Load Mgmt. O?er.
Dryer Ronge Elec. Heat Temp. $ervice
"X" above the work covered by this request. Enier remorks in lhis space and on Ihe back of the white copy only.
P ; 3
1
Calculote Inspection Fee - This Inspectian Reqoesl will nof be accepted wifhout tfie correct fee: a-?? ?
Olher Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park 51011 0 to 200 Amps 0 to 100 Amps
Sheef Lfg./TroHic Sig. A6ove 200-Am s mps
Transformer/Generafor INSPECTOR'S USE ONLY TO AL
Sign/Oudine Ltg. Xhnr. l • 50
Alorm/Remote Conhol ?
4
Swimming Pool %
I hereb cem ?ss
,64C.11a-flon on 1he daRS rtaled
.
Irrigation Boom Rwql.i?' -' < ?
?
Special Insper
fion J 2!/
.
Invesliga}ive Fee
Final Do +
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 1 8 LlFdNTAS(.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114363
Date Issued:09/13/2013
Permit Category:ePermit
Site Address: 4292 Gadwall Ct
Lot:17 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-170
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 .
Joel Gaulrapp
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 -
Michael J Hogan
4292 Gadwall Ct
Eagan MN 55122
(612) 203-0917
Highmark Restorations Inc
12237 Nicollet Ave S
Burnsville MN 55337
(952) 641-3519
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144018
Date Issued:07/10/2017
Permit Category:ePermit
Site Address: 4292 Gadwall Ct
Lot:17 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Michael J Hogan
4292 Gadwall Ct
Eagan MN 55122
(651) 681-8798
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature