4225 Malmo Lane NCITY OF EAGAN Remarks
AdditiQ\n WILDERNESS RUN 6TH ADDITION Lot 13 Rlk 3 Parcel 10 84355 130 03
Owner1,4114li ? -?`-?t- G- ?11 ' (ri_ i1- Street 4225 North Malmo Lane 5tate Eagan, Minnesota 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK 161.21 8.04 20
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 15 129.74 A007600 4-5-79
STORM SEW TRK 3 1978 3 6.60
2-1 . 7 7
283.06
A007600
4-5-79
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 250.00 13041 1-24-79
BUILDING PER, # 090 13041 1-24-79
SAC 525.00 13041 1-24-79
PARK .
-?
? CASH RECEIPT
? CITY OF EAGAN ?
3795 PILOT ICNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 _
RECfi1VED
AMOUNT $ I
& DOLLARS
1D0
? CASH ? CHECK
FOR ? FUND COGE AMOUNT
- •.?' • J
'1'0_-'- ?
v?,v-
Thankn You
? I BY
White-Payers Copy A
Yellow-Posting Copy
Pink-File Copy
;- - .
BUILDING PERMIT
T., ? ...? s... ' '?
CITY OF EAGAN
3795 Pllof Kwo6 Road Eaqaw, MN 53122
PHONEz 454-8100
& GSv"?t'Est. Value 51,000.
Receipt #
N4 5090
/i. ' .
1-].1
Site Address Erect Occupanq
Lot Blxk 3 Sec/Sub. W1ld''rmw Thm Alter ? Zoning R-1
parcel # Repair ? Fire Zone
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9
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' Enlarge 0 Type of Const.
R`'2 Q4
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Nome
-
n Move p # Stories
13?3?.T
Address • ?-
Demolish p
Front 7'?
ft.
City -i_. Mll Phone Grode [3 Depth ^
rt ft.
'
Name '`11.SeC1 i:C]tTIE'.,3`
Approvdb
Fees
Name _
Address
I hereby acknowledge thot I hove reod thls applicotion and state thot
the informetion is correct and ngree to tomply with oll applicable
5tate of Minnesota Statutes ond City of Ecgcn Ordinonces.
Assessment -
Water & $ew.
Pol ice
Fire
Eng.
Planner
Council
Bidg. Off. _
APC
Permit " - '
Surcharge '
Plan check
SAC
,i .
Woter Conn.
Water Meter
Total
Signature of Permittee
A Building Permit is issued to: ??-?1 Fi'-S on Yhe expreu cor?dition that
nll work shall be done in occordnnce with oll applicable Stote of Minnesota Stotutes and City of Eogon Ordinonces.
Building Officiol
? - .J.?.
Pwsit # oaN Iuw/ pwmiMN
Plumbing !'s O7 ?--A..(p - .
Mechanlccl ??L} 6 A^ r 3- i
? ? 1 vZ-l-79 D
INSPECTIONS DATE INSP.
Rouph-I n
Flnd
Footings ? Dote lrw• Dots lroP.
Foundation Plumbing
Frame/lns. 7 Mechonicai
Final _L
I
A
Remorks: O. 5 y,
CITY (`F EAGAN
3795 Pila Knob Rood
Eagan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
1 agree to eomply with tke City of Eagan
Ordinonaes.
By
Dnte of Insp.:
3795 Pilot Knob Road
Eagcn, MN 55122
Zoning:
SEWER SERVICE PERMIT
PERMIT NO.:
dATE;
No. of Units:
Connection Charge: -
Account Deposit:
Permit Fee: - , ,
5urthorge:
Misc. Charges:
Total:
Date Poid:
WATER SERVICE PERMlT
PERMIT NO.:
DATE: ? • '
- No. of Units:
Owner,
Address:
Site Address:
Plumber:
Meter No.:
Size:
Reader No.:
1 ogree to eomply with fhe City of Eagan
Ordinances.
R.
Connection Charge:
Account Deposit:
Permit Fee: ? r)
Surchorge: `;r` • ?.'•;
Misc. Charges: - - ? , -
Total:
Date Poid:
Date of I nsp.:
crrr oF IEA"N
3795 Pilet Kneb Rmd Eogan, MN 55122 N°_ 5090
PHONE: 454-8100 /-7 j
ei
t #
R E
BUILDING PERMIT kPPLICATION p
ec -_-
Te be used fer SF EWlg & Garage Est volue Sl, OOO. _ Date 1-U -, 19-7R-
L
M
l
4225 N u
o
anc R-3
ane
a
mo
o.
Site Address erecr Ig «
a
y
6th Al Zoning R-1
Wild2rness
Lot 13 Block 3 Sec/Sub.
ter ?
Rwl
Repolr ? Fire Zone
Parcel # Enlarge ? Type of Const. V
s
a ?+--??^? -nrl
*?--?,, -I•l ^,?. .
Name r••?•
Move ?
# Srories -
R=234
? q?? 1383 W MasVlancl St At?t 1 95 Demolish ? Front 70 k.
ca. n-i aSiiG _. 90R_RQQd Grade ? Depth 42 ft.
? Name ic°
i? 627 SO. Snelling Assessment
8
? Address
St. Pau]. 55116ph? 698-5501
wuter & Sew.
???`? Police
pW
i Nome Fire
? Addreu E"g'
<'Z" Cf Phone Plonner
Councii
I hereby ackrwwledge timt I have read this application and state that gld9, p{f,
the Informatian is corred and a9ree to wmply with all applicable APC
State of Minnesota Statutes and City of Eagon Ordirances.
Signature of Permittee
A Building Permit ts issued to: i-
oll work shall be done in occo a C w'th ?a ible Stote
Building Official
Permit '-''c•"" _
Surcharge 25.50
Plan check
SAC 525.00
Water Conn. 250.00
Water Meter 60.00
Totnl 1,002.50
on the express mndition that
Statutes and Ciry of Eagan Ordirmncea.
CITY OF EAGAN
' . 3795 Pilot Kno6 Road <`-rr`-Sr7t?? ATP RMlLKH
Eogon, Minnesota 55122
Phone: 454-8100
1396
PERMIT No.
Dote: Receipt No.:
Site Address: A22 5 *krth ?t`?m Tm?
Single
I
Residential Y
3 b/Sec. r?7i??? P? ?}~
Lot Block 5u
Multi Res., Comm./Ind. I
"h Y sH1 f??1["Q
Name -
New/Alter./Repoir
d 627 $O. Sr?lll[7
Add
3
ress Cost of Installotion
O
?t. "aul 551tF
Phone:
Ciry Permit Fee
- A
. ??.r br S
Nam Surchorge
.
?
Address 1 20
Z
e
0
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• 1
City Phone: -? ? ??
Total
?
This Permit is issued on the express condition that oll work sholl be done in occordance with all applicable State of
Minnesoto Stotutes ond City of Eagon Ordinances.
Building Official
CITY OF EAGAN
, 3795 Pilot Knob Road
Eogan, Minnesota 55122
Phone: 454•8100
??'i"• r
2 PERMIT
Date: 2r.26-79
Site Address:
4225 No. Malmo L?
I , ,
Lot 1 ? Block Sub/Sec.
tdildeniess Run 6th
Name
c Address 677 So"
?
City lqt`• Pau1 5511") Phone: }'?P? - 5'?p i
Name
.
, ? r, •'1 YaE!9WiG?c i ?° ?r. . '
P Address `
c
0
? City Phone: v` •_
This Permit is issued on the express condition that all work shall be
Minnesoto $totutes ond City of Eogan Ordinances.
No.
Receipt No.: y 3 37 9
Single I
Residential + a
Multi Res., Comm./Ind. I
New /Alter./ Repai r
Cost of Installotion
Permit Fee
cn
Surcharge -
-n
Tota I done in occordance with all applicable State of
Building Official
?trrtif irtttr of (Orrupttnry
(Eftp of (EAgan
19e.pttrtment of BuilDing 3nspprticm
Tbu CMificate irtutd purattant to tIx +tyHifemrntt af Seaiae 306 of tlx Unrform Building
Codt cnti fyirrg tbat at the time af itruarur tbit rnurture war in rom plianct unth the variowr
mdinarurr of tJx Crty regu/ati»g baifding conn+rution or uJr. Fm the fallmuing:
u.ci.mfi? SF DWlg & Garage lUae Pem, No. 5090
O.-PaT'4'VeR3 TYPCmmucGmV Fus2 3 ZomNDUmct Rl
OWm„f%.O,h,, Tilsen Homes Ad,. St. Paul, MN
BY_ March 28, 1979
.s. ,. . ??,. .,..u
e1,.,.a - - - - ,I,?oIN U 5 1
Minnesota State Board of Electricity
University Ave., St. Paul, Minn. 55104-Phone 645-T703
REQUEST F9R ELECTRICAL INSPECTION
CHVCK BELOW WORK COVERED BY THIS REQUEST
R 55711
Type of Building New Add. Rep. Char pppliances Wired Foc Check Fquipment Wired For
Hume 30 ? ? Rangc 3m Temporary Wiring ?
Duplex ? ? ? Water Heatei , ? Lighting Pixtures gx
Apt. Bidg. ? ? ? Dryet ? Electric Heating ?
Commercial Bidg. ? ? ? Fumace 7m Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Fatm ? ? ? Lis[
?i
?? yy
9? List
Other ? ? ? p
&p
HehetS? " Oehecs?
Fi
COMPUTE INSPECTION FEE BELOtyt? ? I ff%
Secvice Enuance Size:
0[a 100 Am s. # Fee F u S.
0 t 0 A re. Cuwits:
0 to 30 Am res # Fee
101 to 200 Amps2 II 31 to 100 Amperes 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers RemoteConVO1C'vc. Pactialoiolherfee •
S' ns Special Inspection Minimum fee 55.00.
Remarks Hg,ll TOTAL F [tf 40. 50
I, the Electrical Inspector, hereby ' y t Ive i ection has been made.
(Rough-in)_ c . -?- Date ?1? a-2 Ir
(Final) /f) Date //-7
This request void 18 months fr T-
P?q•,50--133466 I ? /
T}?s request void 18 monffis from j ? ?
3=3 7? ?
Date of this Request 1-26-1979 R 55711
I, asx53 Licensed Electrical Contractor OOwner, do hereby request inspection of the ahove electri-
ca1 wiring installed at:
?a
Street Address or Route No. 4225 North Malmo City?n
Section Township Range County Dakota
Which is occupied by Tilsen Homes
Is a roughin inspection required on this job? No ? Yes Oc Ready Now ? Will Call Ebc
Power Supplier Dakota Cty. Address Farmington
Electrical Contractor O.B. Thompaon Electrie Co. Contractor's License NoA36835
(COmpany Name)
Mailing Address 12201_M_t_ka, Blvd. t_Mtka 55343
Authorized
Sll M WARD COPY
Phone No. 933-2527_
This inspection request will not be aecepted by the
State Board unless proper inspectinn fee is endosed.
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
? 651-681-4875
New Conatrudion Reauirements
• 3 registered sBe surveys showing sq. fl. of lot, sq. ft. of house; aM all roofed areas
(20% maximum lol coverage allowed)
. 2 copies of plan showiig beam & wiMow s¢es: poured found design, elc.)
• 1 set of Energy CalcWatlons
• 3 capies of Tree Preservatlon Plan if lot platted aker 711f93
. Rim Joist Defail Optbns uleclion sheet (Wdgs with 3 or less unRS)
DATE
/I,--t-e--c? z?
SITE ADDRESS qZZ
TYPE OF
MULTI-FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
SELA ROOFlNG & REMODELING, INC.
APPLICANT 4100 EXGELSIOR BLVD
ST. LOUIS PARK, MN 55416
STREETADDRESS ..... CITY STATE_ZIP
TELEPHONE CELL PHONE # FAX #
PROPERTYOWNERLGZc? ?Uo..??,?? TELEPHONE#
--------------------------------------------°°°---------°--°-------°°.------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY l MINNESOTA I2tiI.LS 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Enerqy Code Worksheet Submitted
• Enargy Envelope Calculations Submitted
Plumbing Contractor: ___
Plumbing syslem includes:
Mechanical Contractor:
Mcchanical system includes:
Sewer/Water Contractor:
Phone #
Fee: $S)0.00
rce: $70•00
------°------°------°--°---•-----------°-------------------°---------------------------°-----------------------°--
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan OrPinances.
Signature of
O['FICE [1SL ONLY
_ Water So&ener
_ Wa[cr Heatcr
No. of Batlis
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Air Conditioning
Heat Recovery System
1 Lf -?- - --1 1- -?
RemodeVReoair Reauirements
. 2 copies of plan
• 1 set of Energy Calculations for heated addidons
. 1 sde survey for exlerior addilions 8 decks
. Indicale if home served by septic system for additions
VALUATION
Certificates of Survey Received _ Tree Preservation Plan Received _ Notm°w•°^
tacisid 6/02
nAmE /- y?' xj
SUILDIAIG PERMIT APPLICATION
Include 2 sets of pl.ans, 1 site plan w/elevations and 1 set of energy calculations.
Ov
To be used for o a? Valuation
Site 1lddress:
Lot Block See. Sub. Parcel Number
Oc%roer
Addres
Contrz
addrei
Arch./Eng•
Address
Telephone ( , 9? - S'12 (2 1/
Telephone
Telephone
OFFICE USE
EreCt
Alter
Repair
Enlarge
Move
nemolish
Grdde
Occupancy
Zoning --? ?
Fire Zone
Type of Const.
# of Stories A 5/4 K
Front ?
Depth
OFFICE USE
Date of A roval & Initial
Assessment
Water/Sewer
Police
Fire
Eng.
Planner
Council
gldg. Off.
A.P.C.
FEES
"J
Pezmit
Surchar9e --- - ??
-------------
rlan Check
Sp,C 00
F?ater Conn. '1 -lo
F7ater rleter
TOTAL
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L _4,?- BL CITY USE ONLY RECEIPT #: ?- ??12-l°? ?(0
SUBD. ? DATE: q114, 96p
1996 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
_ New construction ? Add-on furnace
_ Add-on air conditioning _J Add-on airexchanger, i.e. Vanee system, etc.
Date:
0
? Minimum Fee: Add-on/Remodel (existing residence only) 20.
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL n, .i
SITE ADDRESS:
OWNER NAME: PHONE #:
INSTALLER NAME: Zl)c4?
STREET ADDRESS:?Iz?
CITY: STATE:? ZIP:
PHONE #:
/ r . 0 -t)
Address: 'd
, 4225 N. Malma Lane
Date 3 6_79
Owner: Tilsen Homea Inc. Order No. ??438
g Donald G. Overland ? •
GENTLEM i
PLEASE COMPI,ETE THIS PENDING AND/OR SPECIAL ASSESSMENT SEARCH AND KINDLY RETURN
IT TO US ALONG WITH YOUR STATEMENT OF CHARGES T0:
NORTH STAR ABSTRACT & TITLE GUARANTY, INC.
501 Second Avenue South
Minneapolis, Minnesota 55402
SPECIAL IMPROVEMENTS
On all that tract or parcel of land lying and being in sU„*n County,
Minnesota, described as follows to-wit:
I
Lot 13, Slock 3, Wilderneas Run Sixth Addition
,
This is to certify?-that I have
Villaqe/City/TOwnahip of
Minnesota, and from such searc
appear unpaid with respect to
(If none, write "NONE".)
1
SPECIAL ASSESSMENTS
examined the records in the office of the Clerk,
, -?:.,. County,
ce ti yt at t e ol oing special assessmente
the above described tract or parcel of land:
Total Ainount Unpaid
Original Subsequent• to
Kind of Imprpvement Term Be ginning Amount Interest Current Year
Sewer Trunk 20 Yrs; 1973 161.21 8% 104.93
Water Area 15 Yrs. 1977 162.14 8% 129.74
Storm Sewer Trunk 15 Yrs, 1978 326,60 8% 283,06
/ _.
)
i -
PENDING ASSESSMENTS
I further certify that accordinq to the records of said office, the following
improvements ara contemplated or pending in council, and are now in the pzoceae
of planninq or complet3on: (If none, write "NONE".)
te Date of
NONE
Dated thie A1arch 9th. 1479 day of
ASSGSSMENT
Charqe• Vw_on
Village/City/Township of
Approximate Coet
of Improvement
19
City of Eagan
NS-TI 116A
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113439
Date Issued:09/04/2013
Permit Category:ePermit
Site Address: 4225 Malmo Lane N
Lot:013 Block: 003 Addition: Wilderness Run 6th
PID:10-84355-03-130
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 .
Elizabeth Hess
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 -
Elizabeth A Overland
4225 Malmo Lane N
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
Use B�UE or BLACK Ink
�-----------------
� For Office tJse �
' j Permit#: /tX U�`� � j
City of ���a� x �rv�; � �5 ;
_ � Permit Fee: - �
3830 Pilot Knob Road � ' ' �
Eagan MN 55122 j Date Received:� � � i
Phone:(651)675-5675 I i
Fax:(651)675-5694 I Staff: 1
I I
�____��� ������__J
2014 RESIDENTIAL BUlLDING PERMIT APPLtCATIQN
Date: 5ite Address: Unit#:
Name: � � [��►'P�� �t?��'l}�iV� Phone: .��°�,�� Gio�c.'�7�
Resident7 �t M r � r
Owner Address/City/Zip: "��°��J � 1 '�A1.�0 l��• 1 V `
App►icant is: Owner �Contractor
T e of Work Description of wor�c:�� '��� �U�"AI�IIAti���t wt��.��e� I t�l.+S�',��l ,�,t�t �tG���-Cj
YP ;�-��w �,:�.A�w��t ����.v c�c;�`�-
Construetion Cost: ��,�3� Multi-Family Building: (Yes /No_�
Company: Iv�'�T� 1.��.�1c:34� ��iiUJ'�� ��ontact:� iA,i`f 1��'���_�
Contractor Address: �1�i�`i'�t.�'��-�° , ciry: �EW �p�
State:�'t�- Zip: ���2'� Phone.��`��"��tnail:
License#: iJ�`����(3 t.ead Certificate#: A��JI " ��toCl"°"�
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
tn the last 12 morrths,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 S Water Contractor: Phone:
NOTE:P/ans and supporting docume�ts that you submi#are'considered to be public informai�iion. Portians of
the information may be ctassified as non public tf you provide specific►gasons that would permit the City ta
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(6S1)454-0002 for protection against underground utility damage. Ca1148 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orp
I hereby adcrw�nAedge that thi�infonnation is complete and accurate;that the work will be in aorrfortnance with the ordinances arx!codes of the City of
Eagan;that� w�derstand this is not a permit, but only an application for a pe►mit, and wark is not to start without a permit;that the woric will be in
accordance with the approved plan in the case of work which req�uires a review and approval of plans.
Exteriar work authori¢ed by a building parmit lssued in accordanco with the Minnesa�a St�e 8 'tding Code t be compteted within 180
days ot permit issua ce.
,
X � X
ApplicanYs rinted Name Applicant's Sig
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155948
Date Issued:06/10/2019
Permit Category:ePermit
Site Address: 4225 Malmo Lane N
Lot:013 Block: 003 Addition: Wilderness Run 6th
PID:10-84355-03-130
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 -
Elizabeth A Overland
4225 Malmo Lane N
Eagan MN 55123
(651) 454-8293
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature