4296 Gadwall Ct
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INSPECTIDN RECORD
CITY OF EAGAN PERMIT TYPE: id" t I nI "4
3830 Pilot Knob Road Permit Number: 03 Eagan, Minnesota 55122-1897 Date Issued: '10.
(612) 681-4675
SITE ADDRESS: APPLICANT:
,?r?1 ! F1t?t? f i11.F {Itt , ii.?.•, ?.H,: ._,•?t I ?
PERMIT SUBTYPE:
U. n01 ) n+6
TYPE OF WORK:
E i rin l
k ?
'
Partntt No. Permit Hotder Dato Telaphone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Inep. Commants
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBINQ
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
CiYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
OHSAT
TEST
BLOG FINAL
BSMT R.I.
BSMT FIIJAL
DECK FTG FTfrS. GN
mwux.
DECK FINAL
. ... . . INSPECTION REC4RD
GIT'Y OF EAGAN PERIUIIT TYPE:
3830 Pilot Knob Road Permit Number:
_ Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
. i'rllltlAl I C I
! t AR1l F'ARK A 111
PERMIT SUBTYPE:
t'i, `y d, APPLICANT:
Nt ??f i
i, . j „? , ? r,ra•. ?
TYPE OF WORK:
tt 1 M1i
i 7 4
;1 146
INSPECTION D• . .
? r?:tt i•i a,?, ? . , ,
ARk'$t SSLJ l'i1tJiFdAI: 1mt . f tVf '.TRR F'l k.tpNtN$$ F'WV
PermR Na. PermR Holder Date Telephona •
ELECTRIC yp ? ' ?
PLUMBING
ft
d /D 7
HVAC
Inspectlon Date Inap. Comments
FOOTINGS „ ?Y?
?(1
FOUND ;???? )? O u ?
FRAMING
ROOFING
ROUGH
PLUMBING
(- -
PLBG
AIR TEST
ROUGH
HEATING ?
GAS SVC
TEST
?j
INSUL
?KJ
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG -? 74
FINALHTG -7 ?
ORSAT
TEST
BLDG FINAI 7/yl
?
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
.
?
b • ?
Wertificate of Ccc"anc?
6itv o f Wagan
Tepartmcut of vaiYbixg 3n3pection
This Certificate issued pursuant to the requirernents of the Uniform Building Code
certifying that at the time of issuance this stnrcture was uc compliance wirh 1he various
ordinances of the City regulating building construction or use. For the fo(lowing:
use aamificatwm S'Et DF1G ewg. Nffn;t rro. 2q374
o-q--y rype R3,[]] 1 z..iaE o?v,.a R 1 Type co,m. V'1
o,nwars,.;idi.g M'D=n-rY't14METL A&b= 7601 1461H ST W, APPIE VALi?.'Y
Bui{ding Addtess 4()6 r,Arwar J. cnrTar L?,iq L 16, B I, MAILAIRD PAIRK 4IIH
E. :. f ?. _ ..? Daw.
. oEr.W •
POST IN A CANSPIGUOUS PLACE
Address . 4296 cnuaALa, ?Uxr Zip 5512 2
Lot 16 Blk i Sub cAUnmimn wxans
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 4 g ?q-i Yes No Inspedor:
Final grade (6" from siding) LI
Permanent steps (garage) ?
Permanent steps (main entry) ?
Permanent driveway ?
Permanent gas ?j
Sod/Seeded grass
TraiUcurb damage
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
Whice - City Copy Yellow - Resident Copy Pink - Contractor Copy 0
M? *
* PIONEEA
* eng neBri
* * * *
Certi#icate of Survey for:
30
C.B.
i 945.A
vO/ 944.2 ^ry
??.
? I
4)
2422 Enterprise Drive
Mendota Hei9ht5, MN 55120
(812) 681-1914 FAX:681-9488
. [INL fnGMEETiS _ __ __.
wu+etns. UMDSCAPE ApCNIIECTS 625 Highway 10 N.E.
Blaine. MN 55434
(812) 783-1980 FAX:783-1883
MCDONALD CONST.
4296 GADWALI COURT
i BOPCOFMPIPE
n EIEV,=945.13
i
i
--STORM SEWER ON PROP. LINE
945.6 ? "?
17
?
,p \
? 700
Qe0 a ?
T? LP ry
Cj
D ?
Q,PaD o
`a ,S
/ C.B. 942.3
1? 0 N
¢0, o ?
i
3o 943.4 0?0 2 v o? 0
940.4
.8i C.B
? ss
X -- 939.0
943,2 ?'?37o
" 940.6? ?
x9a1.4 S
C ?
943.1 `b4•
BENCH MARK 1? \ x ga1.8
TOP OF P(PE :
ELEV.=943.00' 94Z'3
947.9 P?
??S` \'` ? /S ry
15 •?9 h?/ ? ol
Ik? F? 1?1 li.WFD 945C0
O?
??.
? ?01
943.7
?
12
Eu
-
L?68 /? ? o n ?Lf toJ :il? L
/
i:\TE ERING DEP1:
NOTE: PROPOSEO CRADES SHOWN PKR CRAOING PLAN BY: MFR PROPOSEO HOUSE ELEVA ION
N07E: BVIIDINC OINENSIONS SHOWN nRE FOR HOAIZONTAI ANO VERT1CAl LOCA710N LOWEST F100R ELEVATION:
OF 5IRUCTUA'c5 OfVIY. SEE ARCHrtECTUAL PL4NS FOR BUIIDING FND
Fa,noAnon oiMEr+sIoNS. TOP OF BLOCK ElEVA7i0N:
NOTE: NO SPECIFIC SOIlS INVESiIGATpN HA5 BEEN COMPLETED ON THIS LOT BY THE GZ Q. -7 ,?
AIRVEYOR. THE SUITABNTY OF SOiIS TO SUPPORT THE SPEGFIC HOVSE GARAGE SLAB ELEVATION:
OROPOSED I5 NOT THE RESPONSIBIl11Y OF TNE SURVEYOR.
NOTE: TFnS CERTIFlCATE DOES NOT PUftPORT TO SHOW EASEMENTS OTHER THAN X 000.00 OENOTES EXISTINC fLEVA710N
TMOSf SHOWN ON THE RECOROED PNT. ( 000.00 ) OENOTES PROPOSEO ELElATlON
DENO7ES ORAINAGE AND uLUTY EASEMENT
NOTE: CANTRACTOR MUS7 VEaIFY ORIYEWAV OESICN. DENOTES ORII1NAGf F1.OW OIRECTION
NOTEi BEARINCS $HOWN ARE 6ASE0 ON nN ASSUMEO OAIUM • - OENOTES MONUMENT
?^- DENOiES OFFSfT NUB
wE HEREBY CERT(FY TO MCDONaLO CONST. THAT THIS IS A TRUE ANO CORRECT REPRE5ENTA110N Of A
SURVEY Of THE BOUNDARIES OF:
LOT 16, BLOCK 1, MALLARD PARK 4111 ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT 70 SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR
UN06R MY DiRECT SVPERViSION THIS 11TH DAY OF DEC.. 1996.
,???A 9t SI ED: IONEER ENGIN ERINCI P.P.
SCALE : 1 W CH = 30 FEET $Iam w v? BY: r _
SWK
Lorson.
vz_. -(4-9G
T n -.,
-?' LOT SURVEY CHECKLIST FOR RESIDENTIAL
' BUILDING PERMIT APPLICATION
PROPERTY LEGAL: 4C?C? /
DATE F SURVEY:
' IATEST RE1/ISION:
DOCUMENT STANDARDS
s y
• Registered Land Surveyor signature and company
e% ? • Building Pertnit Applicarn
*?'0 o • Legat description
8-'0 ? • Address
• North arrow and scaie
13
? • House type (rambler, walkout, splft w/o, splft entry, lookout, etc.)
• Directional drainage anows with slope/gradient %
?C] 0 Proposed/exossting sewer and water services 8 invert elevat(on
Me"?C] 13 • Street name
?o ? • Driveway
ELEVATIONS
E»asstlna
?o
0 • Sewer service (or Proposed)
?o cl • Property comers
?a f1 • Top of curb at the driveway
? • Elevations of any exissting adjacent homes
Prooosed
? 0 • Garage floor
13 • First floor
a 13 • Lowest exposed elevatian (walkout/window)
? • Property comers
v ? • Front and rear of home at the foundation
PONDING AREA fif aoolicablel
13 EK 13 • Easement liae
? t9-, ? • NWl
13 Q/ E3 • HWL
? ?
•
Pond # designation
? o • Emergency Overtlow Eievation
DIMENSIONS
?
4 ? • Lot IinesBearings & dimension,s
a---O
? ? • Right-of-way and streetwidth (to back of curb)
'
? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2
,
?o
0 porohes, etc. Q.e. all structures requiring pertnanent footings)
• Show all easemenls of record and any City utllNies within those easements
Q-'13 0 • Setbacks of proposed sUUCture and sideyard setback of adjacent eristlng structures
? cr'o • Retaining wall raquiremenis, if any ,
Reviewed:
January 1986
auro19a6Locannrt.FM
CMH4«
CBMF__L_ 1+____ _
- CBMH,.JIH ?
15
16
17
' CB 3A ; - - -?-\
WETLflND B
NWL
GADWRLL COURT = 939.0
HWL= 940.1
..53
?s
r
---
? ,- 4 '
iL) o
BjRRNT CiF
I I;I J(+?,
' ij ,
,
c; --
?3 50 100 BENCHMRRK:
T•N•H.- N. SIDE OF WOODGRTE LN.
flOOnrTrr ..,...- .._ ._ .
R
s-r-9Li i
935.8
25
- hYDRRNT
6"x c" TEE
„
4
i
943.0
24
t
i?
681 9488
12-19-1996 10=17AM FROM PIONEER ENGINEERING 681 9488
QIV
?
EAGAN
NEVdEWED
?
; 2422 EnterprigG Orive
? M¢rtdoto Heights, MN $5720 -
;(612) 681-7914 FA%:881-9488
_._ .._...... ..... . ,.
w.o PurNO?s. wmsuve uenmcen 625 Highway 10 N.E- ... ...
! 6laine, IAN 55434
,;(612) 783-7880 FAX:783-7B83
TREE CERTIFICATION
ertificate for: MCDONALD CONST.
)T 15, BLOCK 1, MALLARD PARK 4TH ADDITION
4296 GADWALI COURT, EAGAN, MINNESO7A (D.<KOYA CWNTl)
SCALE : 1° 1 945.4
944.2
v
/
?
? ?
o-05
/
942.3
10
/
3p 943.4
40
9ENCN MARK
TOP OF PIpE
ELE v. a 943, 00''? ?
Bur Oak
fiangs lot 16 - may need trimming
------ STORM SEWER ON PROP. LINE
- 17
- Proteertive ?-?
(7he trees on site are not of aignificani size indi
bvt together eroata a grouping witFi a continuous
of opproximotely 5870 sf.)
A 9'* dbl Cottonwood/Populus deltoides Save
B 8" Cottonwood/Populus deltoides Save
C 6" Cottonwood/POpulus delioides Save
D 7' dbl Cottonwood/Populus deltoidea Save
E 7' Cotionwood/Populus tleitoides Sove
525 74 Poplar Remov<
526 12" Poptor RemovE
1 hereby certity that this plan ?ros prepered by ma or undef my dhset
suDer%ston ond thot 1 am d Culy rsgfatered L,midaoepe Archftset under
the lowa of tAe State of Minnerota
SICNFD: PIdVEE12 ENGIF/EEI2ING. P.A.
BY: .??CI•'?%C' Cj.- 5.?.?.,??? DATE:
BENCH IAARK.
TOP OF PIPE
, ELEV.-945.T3
P. 3
Not Listed
Not Listed IDAgF i L' Y3-Vj6 rvot iistea
prior to 12/18/96 Ramove
p - e
S1GNATUW- OF OWN
G?ORES?RY DIl9flVON
Preaervation
' 681 9488
12°19-1996 10:19AM FROM PIONEER ENGINEERING 681 9488
T? ?*
? PlONEER
angineering
]7ecember 18, 1996
Mr. Mike Bark, Cnspector
City of Eagan
3501 Coachman Point
Eagan, N!N 55122
P. 2
Civil EngtneCrs • LMd Planner3 • L.and Surveyors • Landscape Archit6Ct3
RE: I,ot 16, Block 1, Mallard Park 4th Addition
Eagan, Minnesota (Dakota County)
Aear Mr. Bark:
This letter is regarding the status of significant trees that are present on Lot 16, Block 1, Mallazd Park
4th Addition.
Auring a site visit on December 18, 1996, the following trees were located and are Sisied be]ow along
with their selected status (to be saved or removed):
A 9° dbl Cottonwood Save
B 8" Cottonwood Save
C 6" Cotconwood Save
D 7" dbl Cottonwood Save
E 7" Cottonwood Save
525 14" Poplar Remove per pres. plan
526 12" Poplar Remove per pres. Plan
These trees are not of significant size individually, but their canopy is continuous and covers
approsimately 1,870 square feet of uea. Trees # 525 and 526 were the only significant trees listed
on the Tree Presecvation prepared by McCombs Frank Roos Associates, fnc. and were designated
as trces to be removed. These trees had been removed prior to 12/18/96.
The ground layer within the tree area appeared to be undisturbed and all the trees identified were
observed to be in good health. The house locadon has been staked. Futurc grading and excavation
on the lot should not affect these trees.
2422 Enterprise ONve • Mendota Neights, Minnesota 55720 -(612) 687-18t4 • Fex 681 •9488
629 Nighway 10 KE. • Blaine. Minnesota 55434 • (812) 783-1880 - Fax 783•7 883
?.. 681 9488
' 72-19-1996 10:19AM FROM PIONEER ENGINEERING 681 9488 P-3
Mr. Mike $ark, Inspectot
Tree Certification
Page #2
Tree protection fence wiil be installed outside the dripline of a11 significant trees to be preserved
(preferably a radial distance from the tree's trunk of 1' for every caliper inch) prior to any grading or
consuuct'son_ Existing tree fence surroanding the 26" Bur Oak on lot 17 wilI be reset to an upright
position.
If you have any questions, pfease call me at 681 • 1914.
Sincerely,
PIONEERENCrTNEERING, P.A.
? y.
7heresa Eiegland, RLA `'J
encll
cc: Dave Price, McDonald Construction
John Larson, Pioneer Engineering, P..A.
CITY USE ONLY
L BL ?
SUBD Qa
. ?
RECEIPT #: `U / C/ / C/
RECEIPT DATE:
PERMIT# 3
1999 f'LUM$IN@ PEfiMIT (RESID£NTIAW
crrY aF EAsAcr
3$30 PILOT KNOB {tD
EAa,etlv, r`fr155 r 22
(65] ) 681-4675
Please complele for: > single family dwellings
? townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
6ain tub 1$ a.uu x
Floor drain 3.00 x
G85 i in OutlBt ' minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x ? _ $ Np.pp
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = S
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/repair 30.00 x = $
Rou n o enin 1.56 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ----
State Surchar e .50 --> ----> ----> $ .50
TOtal --> --> ----> ----> $
?0,50
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-
-
-
-
-
-
-
-
----eb----------------=----- • ----------- - --- ------------------ - ----------- - -- - -- - ------------ - -----------
-- read- -
- I-have-
- fhis--
I hery-acknowled9e-that-
-a-pplication, state that the infortnation is Correct, and agree lo comply with all applicable Ciry of Eagan ordinances.
It is the applicanYs responsibility to noUfy the property owner that the City of Eagan assumes no liability for any damages raused by the City during its
normal operational and maintenance activities to the facililies constructed under this permit within City property/right-of•way/easement.
SITE ADDRESS: 1?w4, Zad? n,y1 j b-f:
OWNER NAME: : TELEPHONE #: &5?_ (a8/- 099''Y
• (AREA CODE)
INSTALLER NAME: 7, TELEPHONE #: 4,57 h`?.3 -1&730
(AREA CODE)
STREETADDRESS:
CITY:
/
STATE: 7)(-3 ZIP: 13-&.51
SIGNATU E OF PER ITT E
S:[TY OP [::1GAN
CP,';H:f[:I;:c 15 1'!::Ri::MAt.. "::.?; 76/-
L'AYE:: 05i143I99 TTA4E.,, M4005
M:
r!AMe: K.i_:rrfa„ 4aU<_rOM PLr.fi:s zNc
wiM 9001 096 l;r1Sll+lAi.._!_ i,T 60„00
Mk: 9001 Fr29fi, G(-1Y4MA1...L CT 0.50
7ot,;.a:i Fiecei.pt; 1mount2 f,t:IuSQ
f,K09201':;
USEi: W ::;r:r,
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirr oF Er?caN ?
I 3830 PILOT IUIOB RD - 55122
U 651-681-4675 'S (? 0 -
New Conshuetton ReauUemenfs Remodel/Renah Reau rem Q
tY 1 I /
? 3 regislered sRe surveys showing iq. fl. of bt, sq. fl, a( house 2 copies of plan
ond gj( rooled areas [40% maximum lot eoveraae albwed) 1 eet of energy caiculaNOni lor heated additlons
Y 4 coples of plans (show beam 3 window sizes; poured fnd. design; etc.) 1 sMe suney for exledor addlNOns i declcs
D 7 set W enerpy calculaflons
D 3 copias of hee preservallon plan 8 IM plalted aHer 7/1/93
DATE: S¢' 9y CONSTRUCTION COST: 3d.00" ?
DESCRIPTION OF WORK: 945a4p/r )';41xAH
.
STREET ADDRESS: `FZI4, 4-hhDr?Mu- 6,7(-
LOT: / L BLOCK: ? SUBD./P.I.D. A(<K-LA- XD Rb^JOS 4f? s9oaa'
Name: klydGK$O,cJ .dl0A( Phone #: (Pr/ `Gv 7 - -r/9//'
PROPERTY Last Flrsr
OWNER
Street Address: 42-SP 4?t'pu/4w Ce,kg-r-
City P? State: 04'?l Zip: .5S722-
Company: Phone #: 65'1 iO/- 41`/7A?
(area code)
CONTRACTOR
?7 /3eowr ?1
Sfreet Address: 75
t?2&&- License #.?00¢94 Exp. o?
Ci}y State: MN Zip: 5S? Z?
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
CHy State: Zfp:
Sewer i water Ilcensed plumber (reauired tor new consfrucNon onlvl:
PenaHy applles when address change and lof change is requesfed once permH is issued.
1 hereby acknowledge }hat I have read this applfcaflon, state that ihe IMormalion Is cortecf, and agree to comply wRh all applicabi
State of Minnesota Statufes and CMy of Eagan Ordinances. /J
Signature of Applicanh
OFFICE USE ONLY n L+
,
Certificates of Surve y Received _ Y e s _ N o V! I MAY I 0 'JA
Tree Preservation Plan Received _ Yes _ No _ Not Required'l iW
4,.
t
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
X 02 SF Dwelling ? 07 5-plex O 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level O 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pooi ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only 0 43 Siding/Soffits/Fascia
? 32 Addition 13 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
X_ 33 Alteration 0 37 Demoiish Bldg.` ?. 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APr•ROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City $AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
5^? Basement sq. ft. Census Code 44
? Main level sq. ft. SAC Code o 1
23 sq. ft. No. of Units 1
R• l sq. ft. No. of Bldgs o
sq. ft. MC/ES System
sq, ft. City Water
Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
. Building A? Engineering Variance
a-?-
Valuation: $ I ZC>D ?-
% SAC
WL.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-47253-160-01
PERMIT
4296 GflDWflLL CT
1.0T: 16 BLOCK: 1
MALLARD PflRK 4TH
3/
PERMIT TYPE:
BUILDSNG
Permit Number: 0 2 9 3 7 4
Date Issued: 1 Z/ 31 / 9 6
DESCRIPTION:
8uilding?,,Permit Type
Building Wb.r,k? Type
UBC9ccupancy'?5:
i Gonstruction Typ;e
Zo,ning -
Building Length '3..
Buildirug Wictth .-
s= •
Bullditig sta,ries +
S'qi4:are F e e t C e n s`u G:6?tI'e
64
48
2
2,7.44
101 1 - FAM. DETACH
REMARKS:
S&W CONTRflCTOR - FIVE STAR PLUMBING
FEE SUMMARY:
VALURTION
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
Subtotal
$1,262.25
$631.13
$87.50
$900.00
100
l
$2,580.88
$175,000
MSSC FEES
Total Fee
PRV
$1,923.50
$4,804.35
CONTRACTOR: - Applicant - sT. LzC OWNER:
MCDONALD CON5T 2NC 14327601 0002376 MCDONALD CONST
7601 145TH ST W 7601 145TH 5T W
APPLE VALLEY MN 55124 APPI.E VALLEY MN 55124
(612) 432-7601 (612)432-7601
I hereby acknowle°dge that T ha:ve read' th.is
information is correct and agree to comply
? Statutes and City afi Eegan, Ordtinances=.
t
?/ 1
?V- M ?
APPLICAN lPERMITEE SIGNA7URE
SF DW6
NEW
R-3 U-1
VN
R-1
I
aPPlica•t,iQn arrd atatp that the = witH ail apQlicable State nf Mn.
-ISSUE BY'SIGNATURF
EAGA 3830 PILIOT KNOB RDN 55122 ?E ? l` S0
q3?? 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Naw Construction Reauirements RemodeVReoair Reauirements
? 3 registered ske surveys ? 2 copies of plan
? 2 copies of plans (indude beam 8 window sizes; poured fid, design; etc.) ? 2 site surveys (exlerior addkions & deeks)
? t energy calculalione ? t energy ealculations (or heated addilions
? 3 copies of tree preservellon pla lot platted efter 711l93
required: _ Yes _ No
DATE: ?r. JI&
DESCRIPTION OF WORK: N E?1J iSTREET ADDRESS: ya9& G/h L:i&1 ? eA !
LOT i b BLOCK _L SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name: Phone #:
usr rwsr
Street Address:
City: State: Zip:
Company: 4e00nAC6krkZP..c Phone#:
Street Address: 7/6 f jN S-7'` s i License #: a 3 7(a
CityADOle lfA IL.r State: 10 N Zip: SSfaAl
TT-
ARCHITECT! Company:
ENGINEER
Name:
Street Address:
City:
CONSTRUCTION COST: j7 3 ? 306
.? State:
Zip:
Sewer & water licensed plumber: FiU E S? N Z.?'vWt,tl<<+t ?2?M Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the inf ? tion is correct a agree to comply with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. .
Signature of Applicant:
OFFICE USE ONLY
RECEIVED
Certificates of Survey Received _ Yes No ?--1
Tree Preservation Plan Received _ Yes ? t?-./ .?{,,? DEC 16 1996
L BY; ?
Phone
Registration #:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Dupiex ? 11 Apt./Lodging o 16 Basement Finish
A' 02 SF Dwelling o 07 4-plex ? 12 Multi RepaiNRem. ? 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 Miscelianeous
0 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
V 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
0 36 Move
0 37 Demolition
VIJ Basement sq. ft.
VAI Main level sq. ft.
2-'3, J-1 2wd sq. ft.
?-I Lo,.a ar sq. ft.
2 sq. ft.
64' sq. ft.
kF. Footprint sq. ft.
APPROVALS
Planning
Building 1\46
.
144 1 MC/WS System
1HS1 City Water ?
i 1 -7 7 Fire Sprinklered
vq3 PRV cs
Booster Pump
Census Code. io i
zr Wy SAC Code ?L
Census Bldg i
Census Unit ?
Engineering
Variance
Permit Fee Valuation: $ 1 -7Sr?• ?
Surcharge
Plan Review ig, s x S q:. s
License
MCNVS SAC
City SAC 7, Z,-,r i ? u• s
Water Conn. 3$ K rz,c 3,3
Water Meter s? z z?• S
Acct. Deposit
S/W Permit t 44 J, S dS ??s = z1,?°o7, S
S/W Surcharge , Sr
Treatment PI.
Road Unit rv vo-s
Park Ded. 7 K?- s ro, s
Trails Ded. , y is?rp ? sq 35'4
Other ?
Copies ?
s
"
13D
TOt21: 30 +? 1 3C?
'?8+` zb ?I$$
/o o SAC iu.3?1K z zD'
.Ga?
SAC Units 1177 c 3 , s; g
?7a-6yG
?-
..
ZZ? zS- 57z
7.67 r 10 . 7
0
7 08L'
l?
$ Y S. S y
r?
?
?- ? I f. ` ?
?
0 q'S hc ?? U, 4 n 7. S
,DEC-16-1996 10:19 PLRNCO, INC. 1 blz 47G 6b77 r.eeie?
-r ..r- ... .i v
ENERGY CODE WORKSHEET FOR Z& 2 FANSILY DWELLINGS
SYTH ADDRESS CITY
COMpLETED 8Y: O N BlIONB. R_ AAT&
HVILDZNG CLA99IFICATION: 0 cal•cgory 1(u[eqdard) oc & aatagory 2(muet iaolude veatilatioA)
tl2NIlfUlf CAZTSRIA
Foundation Insulatton-R10 Wall• & Hindowo RooE Aetic Ineulations
(see tab3e on reveree eide
Slab on Grade Ineulation-R10 Eor allowable pa rcontagea) R44-With Attic No Flet•1
Floor over unheated epacee-R24 R38-With Attic Raiaed ]ieel
Foundation Windowe 1/2" R38 6 RS-SOlid RaEteee
Sneulated GL0.SG.
-Wood or vinyl Frame
STBP 1 Hiadow 4 Deor Area STBP 1 Calculate aree se w perceht oE arall
A. Total Wlndow 4 Door Areu in Sq. ReeC
WINDOWS (Inclvding eo
undaeion Windowe)
?
n
Ft2NDOH MANUPAC7vR8 tiAMB: C. From SGep i divido baz A(4lindow & Door
A?
?
WINDOH HANLJPACtvRE ? C?? . Azea) by box 6(total Wall area) timee 100
T7(P6:
n equals ttae WihdON and door area ae a
1
HINDOW MA1iUBACTORH V FACTORt J/W percenc oE wa).l area (box C).
R. o. Ouantil'y sq.EC.AYea @OX A 5,55 X 100 0 C
Dilnensions • eox B 2 GqT? ?? .
7 l
x
ST6P 3 Deoign FeaCUteo
`-(Q X -? - q D P.SSF,RI6LY
.
X?Q? 0? r (r PRAMING TYPC:
X F N
_ // ? 121 3TAHnARp FRAMING etude 16" o.c.
M
-
?
zLc
r ) !?
X J
?
1 / / ApVATICED FRNIINO FtUde 24" O.C.
Z
S
l~
N z
. ?d
X
-(f CAVITY ZNSULATION R
-
X?
-b 9A6ATHING TYPB:
H
?
!
f ?
lD
xs
-b
2 r?11 D LE59 THAN c R-5
X R-5 > OR MORE
X U-FACTOR O .
COORS; From the table, (revorse eide) decermine tha
maximum percent window & door area for ehe
Zg X8 deeign optione selected and encor the k value
in eox D below Uaeed on the window mfg
U-
?O .
factor:
0 x ?? ?'Zr? R77?I u
L
L
'ivtal Aroa oE n, q.Et. ? j?(
. .
windowe 4 Doore
H. 'Iotal Wall Area in Sq. Ft. The k value Erom thc cabla in pox D ehall bs
equal to or, greatcr than the 8 in Box C
wall Total Ileight nrea
Perimeter
ca-7 , o (vo3 .
19 eos Z1oZ -
? 170 v ?....?
.
'1'ota2 Area oE Nulle 0= •q.f[
/ L
? SU
NEW RECEIPT
RECEIPT DATE 4/ZF7
..?
?
DATE 64
PLEASE BE ADVISED THAT THEBE IS A FEE SHORTAGE ON THE ABOVE
ELECTRICAL INSTALLATION IN THE AMOUNT OF $ 00
SHORTAGE MUST BE PAID WITHIN 14 DAYS.
REMA.RK S
PERMIT ll L ? `? ?S
?J
ORIG RECEIPT #
RECEIPT DATE____?/?/
PLEASE RETURN A!'OPY OF THIS FORM WITH YOI]R REMITTANCE.
S ,-?j"µ.?" ? -! 5/7/S " THANK YOU!
p
0 - 100 APSP SERVICE _
_ LESS r'EE 3ECEZVED / ?
DEC-16-1996 19:20 PLRNCO, 1NC.
A
1 612 452 S65y r.b3/b3
_
P. 7lie building must nol exceed Aie maximum windon• and door area as a
percentage of overall exposed ivall area listed belo„r for tlie combination
of framing technique, R-value of insttlation tivilhin the insulated cavicq,
shealhing R-valne, and tivindow U•factor. Otlier componenis must meet
llie reqiiirements of Uhis stibpart.
A4AXIMUh4 IV{NDOW AIJD D001t A1tL•A
AS A PIERCC:N7' OF OVERALI. GXPOSED 1NALI.
Framing Caaity
Insulalion '
51 ?eathing_
_._O.A9 Windoa- l:-raclur
0.36 0.31
?0.z7_
5'CANDARD R•13 2R-7 13.4 6/- 17.6"/< 21•3% 24.3°e
STANOARI) R-15 2R-5 12.99e 17.1% 2014.e 33.4%
STANDA1tD .R-18 ?• `<I2•5 , 11.1% 1G.04: , 18.84.0 32.0°<
STANDARR R-1B 2R-5 13.54N 18.60": 31.8:'o 25.34
'n
ADVAr1CEn , R=18 <IZ-5 I1.1°o ?17.1%' 20.1% 23.91
ADVANCED k-18 ?R-5 . 13.5% 19.2% 22.5°i: 26.111
STANDARU $-21 <R-5 11.82, r 17.0°, 19.9"". 23.1".?
STnNDA1tD IL-21 ?(t•5 14.0°. 19.3°1. 22 5°0 26.1°16
AUVANCCp 1:-21 <Il-5 11.8°1. 18.1% 21.2% 24.6%
ADVANCF.D 1:-21 ?R-5 . 14.0°0 19.9910 23.2 °L 26.90%
Subp. 3. Perfarmance criteria. The combined thermal transmittance (iJa)
factors for walls, roof/ceilings, and (loors over iinheated spaces musl be less lhan or
equal to:
A. 0.110 Dtu/h fiZ °P foc walls;
B. 0.026 Dlu/h hz °P fnr roo(/ceilings; and
C. -0.04 TShi/h flz °f far Eloors.
STATAIITH: MS § 216C.19
t!(ST: 18 SK 2361
7670.0480 12eJ+enled, 78 SR 2367
q
e
26 TOTRL P.03
czrv or- i-AcaN
CASHI[R: .7S TL"fiMINAL. NOe 65
IiA7E=: 05/22f97 7IMEn 15;06:13
ILi:
NAhfE. IVY ERICF:SEN
3210 9001 4296 GAIiWALL .r,7 50.00
205 3001 4236 GAL+WALL CT 0.50
3430 9001 4296 GADWALI. C7 0.75
a
Tor,al H:eceip+, Amoun+„ 51.25
CRCI i 4 20;:)
UBFIi ID: 7AN
\
?CITY l7F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERIVIIT
PERMIT TYPE: Bu r Lo r Ns
Permit Number: 030021
Date Issued: 0 5 J 21 / 9 7
4295 GADWALL CT
LpT: 16 BLOCK: 1
MALLARO PARK 4TH
P.I.N.: 10-47253-160-01
DESCRIPTION:
?u?zldi..nt?-?,Permit Type
;bulldirtg tJb.r_k Type
,'. Certsus Code
t--.
. . . . . '?..
fik a3
y
REMARKS:
FEE SUMMARY:
DECK
NEW
434 ALT. RESIDENTIAL
9
,^ l
?.._. ,.. ,.... _. . ... .... _f ??_ .._ 2 i ' ?,?._. . ..., .._
6ase Fee $50.00 COPIES _-_ $.75
Sui-char•ge $.50 7otal Fee $51 .25
Subtotal $50.50
CONTRACTOR:
..
t
A
OWNER: - Rpplicant -
ERICKSEN JON
4296 GADWALL CT EFl6AN MN 55122
(612)687-9911
I
T Fiereby acknowiedge that Ihave read this applicat;ipn and state thit?; the
information i cs?rrecC aiid agree C?z oampky with all apRlicab2e State of Mn.
L Statr??s ?r??Fty?of Eegan brdfnan'ces.
?
-j
SUED Y: StGNATURE
97 BUILDING PERMIT APPLICATION (RESIDENTIAL) $J1Z
5 0cir CITY OF EAGAN
8830 PILOT KNOB RD - 65122
681-4675
RemadeURenair ReauiremeMs
? 3 repistered site surveys ? 2 copies of plan
• 2 copies of plans (indude beam & window s¢es: poured fid. design; etc.) ? 2 sile suneys (exterior edditions & tledca)
? t energy calalations ? 1 energy ealwlationa for heated addkfons
? S copies of tree preservation plan H IM platted efter 7/1/93
required: _ Yes _ No •
DATE: 1?1 I (-) ? T CONSTRUCTION COST: JS GO
DESCRIPTION OF WORK
STREETADDRESS:
LoT ? BLOCK I SUBD./P.I.D.N(A"i-L -U PAW- K- V", AafA-710V I
PROPERTY Name: jh o Phone #:
OWNER
Street Address: `+--a (,t- C%fl-Ul•v?lL L' T.
City: -A LAQ State: (`-l I?1. Zip; e6, I2Z
coNTw?croR Company: ???4? AS A-f-?O? Phone #:
Street Address: License #:
CiH: State: Zip:
ARCHITECT/ Company: Phone #:
ENGINEER ,
Name: Registration #:
Street Address:
Ciry:
Sewer & water licensed plumber (new constructon ony):
and lot change are requested once permR is issued.
I hereby acknowledge that I have read this application and state that the information is
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Zip:
when address change
to comply with all applicable
,? FZECEIVED
_ Yes _ No WIAY 15 1997
_ Yes _ No _ Not Required $y;
State:
2422 Enlerprise Drlve
" ;of 7}. Mendota Neights, MN 55120
't PIONEEA LeNO SUfl1EVOP5 • CML leGY+EfAS (812) 681-1914 FAX:681-9488
? eng neerine ?D PLANNEAS• LANDSCAPE ARCWRYR 625 Highwuy 10 N.E.
8loine. MN 55434
1(512) 783-1880 FAX:783-1883
Certificate of Survey for: MCDONALD CONST.
4296 CAOWALL COUR7
i 945.4
A..1 945.6
?
J 3
, 3? 3
O 944.2
ci/
lo ? ? \\
p r? ?Q?o o?
? ? .ry ? 30 ?'P ry
? ??y/? 94?1( N
,
/ ry N
942.3 70
ej`O
Ap 943.4
/ h \ O F? b'•`
v ?8 _ . c,? ` t^
b
??
,
,
,
BENCH MARK .?
TOP Of PiPE .'
ELEV.=9M13.00'
.BENCH MARK
% 70P OF PIPE
ELEV.=945.13
i
?
?
i _-STORM SEWER ON PROP. LINE
?
? -? 17
i ., .'
'ss,
?
? g8 \ .
g? 34 ?
F 942.3
15
kAt:..k 1
DEPT.
? -r-'
i
i
?943.1
!a?9,
939.0
? 943.2
, Ts-??
? x 940.6\
i.4 943.7
x941.4 >
c
a ° 11
? ?
"
16 : h.
T
\
941.8
?
941.9
?? Qv
J ?
h
?
.Ory \
ry
?I
50
Y ?r?s ?aa? 0l1
945,0
?
F'.R.Ve RIV52, U' ?j 'Ll'i -I t-
tiOTE: PROPOSEO CRADES SHOYM PER CRAOING PIAN BY: MFfi PROPOSED HOUSE ELEVATION
NOTE: BuiLOINC OIMENSIONS SHOYM nRE FOR HOftIZONTAL ANO YERTICAI lOCA710N
' ?OVJEST F100R ELEVATION:
IURES ORLY. SEE ARCHITECNAL vl.4NS FOR BUILDMG ANO
OF S1RUG
Fa1N0Ai10N OINENSiON5.
TOP OF BIOCK
ELEVATION: ?
NOTE: NO SPECIfIC SOILS INYFSTICAnON HAS BEEN cOMPIETED ON TMIS LOT 8Y THE
q d, -? ,?
SURVE?'ON. THE SUITqBIUTY OF SOiLS TO SUPPOMT THE SPEGFIC NOUSE CARAGE SLAB ELEVATION:
OROPOSED I5 ti0T THE RESPONSIBiLJtt OF 7nE SuHVEYOR.
NO7E: THiS CEHIIFlCATE OOES NOT PURVORT TO SHOW EaSEAEN7'S O7HEH TMAN X 000.00 DENOTES E)aSi1NC fIEVATION
T„OSE SHOWN ON THE RECIXi0E0 PU7. ( 000.00 ) OENOTES PROPOSED EtEVAT10N
NOTf CONTRACTOR MUSi VERII'T ORIVEWAY DESICN. --- DENOTES ORNNAGE AND UT1L1iY EASEMENT
- -? DfNOTES DRAIN4GE FIOW OIRECTION
NOTEf BEnRING$ SHOwN AFE BASEA ON AN ASSUMED DATUki • OENOTES NorrU4ENT
-?.i-- OENOTES OFFSET MUB
wE HEREBY CERTifY TO MCDONnLO CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION Of A
SURVEY OF THE BOUNDARIES Of:
LOT 16, BLOGK 1, MALLARD PARK 4111 ADDI710N
OAKOTA COUNTY, MINNESOTA
iT pOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR
vIVOER MY DIRECT SUPERMSION THIS 11t1-I DAY OF DEC.. 1996.
CA G A N 51 ED: IONEER ENGINERiNC, P.A,
SCAIE : 1 INCH = 30 FEET 015 *AWE p eY:
1
30 h
rn•,4
?...?wwr? ^. ?.1 G
L /& gL / CITY USE ONLY
S l,T??1
RECEIPT#: CA r7 961_;?
RECEIPT DATE: 00/5 7
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
Shower
Water Closet
Bath Tub
lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
GeS Piping ODUEt `minimum - t
Rough Openings
Water Softener ' for dwellings under construdion
Water Softener ' for azisting dwelling
U.G.Spfinkler 'fordwelling.underconst.
U.G. Sprinkler ' for existing dwelling
Alterations ' to existing residence
Water Tum Around
Private Disposal System ' Dak Cry iia
(new and refurbiehed systems)
Private Disposal Systems `Abanaonmenc
EACH
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
20.00
75.00
20.00
STATESURCHARGE
TOTAL
:50
I hereby adcnowledge that I have read this applicaf'qn, state that the iMortnation is corred, and agree to comply wkh ell appliceble City
oT Eegan ordinances. it ia the applicanYa responsibllity to notify the propertyowner thaYthe City of Eagan assumes no liability for any
damages pused by the City during its normal operaGonal and maintenence adNities to the facilifles consW cted under diis permH within .
City property/nghtcf-way/easement.
SITE ADDRESS: C) % lJ a /?? ?a
a? G
OWNER NAME: c o (i
INSTALLER NAME: i V 2 S la T
STREE/T ?ADDRESS:?
CITY: U l9 ruve
TELEPHONE #: /?i F'
STATE: Zlp;
Z?i?/
?r
SIGNATURE OF PERMITTEE
TOTAL
x -L- =
-71po
x •d6
x = 6.Do
X ? = J o`?::Oo
x
x = ?,Do
x
x =
??.00
X = 1?. 00
x 0
x
x
?• _ L BL CITY USE ONLY
?
SU
RECEIPT #:
RECEIPTDATE:
1997 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
JX New construction Add-on furnace
_ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
- ------------
Date: ?2-6- F7
F ES
? Minimum Fee: Add-on/Remodel (existing residence only) _$-29:AO-
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) /.?.oo
? State Surcharge .50
TOTAL ?Yz. s-a
SITE ADDRESS: - - -7 ? ?? 6 r, ? W< /l C/
OWNER NAME: m r roen c l? (?z.sx PHONE#: V32-X01
INSTALLERNAME:_ /ie /lelli l 1,5111- PHONE#: A&?7 -j?0.2.2
STREET ADDRESS: lD _F c AI, A
CITY: STATE: ZIP: ?d 2 y
?
SIGNATURE 0 ERMITTEE
2000 STORM DAMAGE PERAAIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830PIL651-681-46R5 -55722 1\j f ?
l I
Reauframenh
? 2 coPiea W Plan ` - ?- o -v ?
DATE: z?iOI&U CONSTRUCTIONCOST: ?v
DESCRIPTION OF WORK: re-40r 66???nulN•famity bldg., how many unih?
IIdDICATE THE FOLIOMJIAIG EQUIPPAEfdT TO BE REPLACED APoD BY WHONA:
_ Plumbing _ Homeowner or Coniractor Name
_ Mechanical _ Homeowner or Coniractor Name
"No1e: If somebody ofher than the homeowner is performing plumbing or mechanical work, they musi apply for appropriate
permit. Only licensed plumbing contractor or homeowner may complete plumbing work.
STREETADDRESS: `7G°/(Q V1qV INliZ(
IOT: IG' BLOCK: SUBD./P.I.D. M:
PROPERTY
OWNER
Name:_ f e?/CK??L/U J6)1111 Phone #: lliSl'"(O f7^! -7l1
Lasf Firaf
SfieeiAddress: % 2?6 64Vgq-t6 rT
CNy Lllm/v StoteVV/ZI Zip: 5?w Z 2-
CONTRACTOR
Sheef
CNy
Phone *
(area code)
llcenae #
5}ate: Zip: _
I hereby acknowledge 1ha1 I have read this appllcaNon, staFe fhat ihe IMormaMon is coneet, and agree fo comply wNh all
applieable StaFe of Minnesota Sfalules and CNy of Eagan Ordinances.
of
S& 19
Appllcanl.
401? City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL BUILDING PERMIT
Date: 111_,-,(oJ, I V 0 Site Address:
Tenant:
-- ------------
? For,bffice Use I
j Permit
? Permit Fee: 90
?
j Date Received:
I ?r I
I StaK: I
AUG 2 5 2008
RESIDENT / OWNER Name: TV?l_, v 1?: Phone 'g(pt k ?
Address / City / Zip: 4
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description of work: -
Construction Cost: V ooo - Multi-Family Building: (Yes No ?
CONTRACTOR Name: License
Address: Tr l ?
City: te: Zip:
Ph
?
?? q
l
one:
ontactPerson:
J
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Residential Venblation Category 7 Worksheet • New Energy Code Worksheet
Cet2gOry Submitted Suhmitted
Submissian type) • Energy Envelope Calculations Su6mitted .
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:
NOTE: Plans and supporling documents ihaf you submit are considered to be pub!!c iriformation.' Portions of
the Informafion may be classlfied as non-public il you provide specific,reasons that would permit fhe City to,
' conclude that the are trade secrets.
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, ork is not to start without a permit; that the work will be in
ac ance with the approved plan in the case of work which requires a review and approva f plans. X m- ? ?) X
Appli nYs Printed Name Appli Ys Signature
? ?? Page 1 of 3
?rr??o ? co 1?C? a-q
//4/i 7
405-°353
01 REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electric'rfy
7821 UniversiTy Ave., Rm. S-128, St. Paul, MN 55104
Phone (672) 642-0800
1
Home Du lex A t. Bldg. O?her: ew
1
1 Addn
ommercial Industrial Porm Remod
Re air
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124811
Date Issued:07/11/2014
Permit Category:ePermit
Site Address: 4296 Gadwall Ct
Lot:16 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-160
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 .
Chuck Glum
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ivy A Ericksen
4296 Gadwall Ct
Eagan MN 55122
Highmark Exteriors
11237 Nicollet Ave S
Burnsville MN 55337
(952) 882-8904
Applicant/Permitee: Signature Issued By: Signature