4236 Malmo Lane NCITY OF EAGAN Remarks
Addition WILDERNESS RUN 6TH ADDITION Lot 9 aik 4
Owner,????,1! ?•?? ?'`t?-?( street 4236 North Malmo Lane
u.`--
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 161.21 8.04 20
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA / 1977 162.14 9'8-."06 15
STORM SEW TRK 1978 293.94 19 , -59 1 235.17 A
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road n'
WATERCONN. 270,00 16309 10 16 79
BUILDING PER. 5466 o
SAC 525-00 16309 10116/79
PARK
CASH RECEIPT .
. . CITY OF EAGAN
3795 PILOT KNd6 ROAD
EAGAN, MINNESOTA 55122
DATE 19 -
AMOUN7 $ 1-
& OOLLARS
?oo
? CASH [TCHECK
rOR
j? ? l • / '!. T
FUND CODE r Am0U 7
?
7 /
. . .. ? _?...._ _._ ?'? .
'
? ?'=-?-----
Thank You J
BY
_
White-Payers Copy
Yellow-Posting Copy
? ? f? Pink-File Copy
CITY Of EAGAN
3795 Pilot Knob Roed Eagan, MN 55122 Ng 5466
, PHONE: 454-8100
BUILDING PERMIT Receipt #
.
To be uted for E sl. Volue Date 19
Site Address Erect ? Occupancy
Lot Block Sec/Sub. Alter ? Zoning
Parcel # Repair ? Fire Zone ,
Enlarge ? Type of Const.
o
C Name Move ? # 5tories
W
3 Address Demolish ? Front ft.
oL,,,.,,, Gmde ? Depth ft.
°C Name --'••-----
?o
?? Address ' - Assessment -
Ci ; Phone l` Water 8 Sew.
f-
Police
uce
W W Nome Fire
?
Y ? Address Eny.
a W Ci Phone Planner
Counci I
I hereby ccknowledge thot I have reod this application and state that Bldg. Off. -
the information is corred and agree to comply with all opplicable ^?
State of Minnesota Statutes ond City of Eagan Ordinonces.
Fees
Permit
Surcharge
Plan check ,
SAC
Water Conn.
Water Meter
Total
Signature of Permittee I
A Building Pertnit is issued to: on the express condition that
oll work shall be done in accordance with all appliooble State of Minnesota Statutes ond City of Eagan Ordinnnces.
Building Official
Pwmk # Daft Iwaed
Plumbing ?
Mechanicol Q ?j ( ? ^ 6 - 1 A - • ??fq_/? , ?t?
INSPECTIONS DATE INSP. Raph-In Final
Footings Date Irup. Date Irop.
Foundation Piumbing
Frame/ins. Mechanical ?-
Final
Remarks:
No.
Date:
• CITY OF EAGAN
3795 Pilof Knob Rood
Eegen, Minnesota 55122
P6owe: 454-8100
` PERMIT
i/80
Site /Wdress:
236 No. Malr.ho Lane
Lot Blxk Sub/Sec.
Iilc'nrness Rur
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residentiol
Multi Res., Comm./Ind.
Name ilSer. 3InrC ", New/Alter./Repair. ;/lddress t": ? 7 SO. Sr?e1L1.; ri<" Ts?'?' .
Cost of Insicliotion
O
City Phone: Permit Fee
Nome r'lU??"ia
? Surtharge
? P1ddre55
•l? +- ?...i. ?^
City ` Phone: Tota l
This Permit is issued on the express condition that all work sholl be done in occordance with all opplicable State of
Minnesota 5tatutes and City of Engon Ordinances.
Building Offitial
CITY OF EAGAN
9795 "rilot Knob Raod
"wgon, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
SEWER SERVICE PERMiT
PERMIT NO.:
DATE:
No. of Units: -
I ogree to comply with the City of Eogan
Ordinanaes.
By
pate of Insp.:
I nsp..-
Connection Chorge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: _
Totol:
Date Paid:
s nn
CITY OF EAGAN WATER SERVIC E PERMIT
3795 P?lot Knob Rood PERMIT NO.:
Fa9an, MN 55122 BATE: _
Zoning: ? No. of Units:
Owner:
Address:
Site Address:
Plumber.
MeYer Na.: _ Connection Charge:
$ize: Account Deposit:
Reader No.: Permit Fee: -
1 ogree to eampiy w'rth the City of Eogon Surcharge:
Ordinances, Misc. Charges:
Total: •. ?:+
BY Date Poid:
Date of I nsp.: _ 1 nsn. -
?
Dcte: 11-6r79
Site Address;
e,
Lot
4236 North Ma1m
4
Block _
Waldenvm 3m 6th
Sub/Sec. _-
Name ALsim filxres, I2Lc.
e Address (527 Sc)' Snelling
3
0 City St. F'c'Ylil. Phone: 69$-5502
Name A. Sir&W & SM
.
2 71u t7'z'
Address
C
? CitY Phone: `? C ?"•, ?`;''
,
This Permit is issued on the express condition that all work shell be
Minnesota Stotutes and Cifiy of Eagan Ordinances.
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT
CrV,7-1,S AIR TTY),FIM
No.
1603
Receipt No.: 1,644p
Single ix
Residential Multi Res., Comm./Ind. I
New/Alter./Repnir. Cost of Installation ?
Permit Fee
Surcharge
Total ? rrl
done in accordance with oll opplicable Stote of
Building Officiol
cirY oF EAG.e,N
, 3795 Pilot Knob Read Eegan, MN 55122 Ng 5466
_ PMON£: 4548100 .
BUILDING PERMIT APPUCATION Receipt # A-3&?L
To be ,,.ea fe, SF' Balg & Garage Esr. vai„e 69,000. p,te 10-18 , 1979
s;te qMmn 4236 No. Ma].mo Lane Erece R3
?
-
Lot 9 BI«k 4 See/Sub. W11C1P_Y'Y12SS RUIl 6t1 qlter ? Z ni B
?
Parcel # 10 84355 090 04 - Repeir ? Fire Zone
Enlarge ? Type of Const. V
R?lph H. Otts
Nome
rc
?
Move
# Srories
--
i 8134 Hillside Trail
? qddre$s
'
Demolish ? ?
Front ft.
_
?;CALtdCJ2 2
W2 Gmde ? Devth
? Name
zg 627 So. Snelling Avenue
g9 ndd St. Paul 55116,,,,,_e 698-5501
Name _
Addre55
I hereby ocknowledge thet I hove reod this application and stnte that
tha intormation is correct ond agree to comply with all applicoble
Stah of Minnesota Statutes ond City of Eogan Ordinances.
Signature of Permiftee
A Building Permit is issued ro: Ti1Sf11 HCII'IeS, II1C.
Feea
Asseument Permit ioo.vv
Woter & Sew. Surcharge 34.50
Police Plancheck 84•00
Fire SAC 525.00
Eng. Wafer Conn. 270•00
Planner Woter Meter 60.00
Council
Bldg. Off.
APC Totol L,141.50
oll work shall 6e dorce in accordance with all applicable St of Minnesota
Building Offieial e CC-
- on the express condition that
and CHy of Eagan Ordinances.
Minnesota State Board of Electricity
niversity Ave., St. Paul, Minn. 55104-Phone 645-7703
WCK QUEST.?s-lJR ELECTRICAL INSPECTION
LO
W W WORK COVERED BL' THIS REQUEST
s ??7?7
Type oP Buildi? New Add. Rep. Check Appliances W'ved For Check Fquipment Wired Foi
Home a ? ? Range • Temporaty Wiring ?
Duplex ? ? ? Water HeateT 0 Lighting Fixtuies ?C
Ap[. Bldg. ? ? ? Dryec ? Electric Heating ?
Commercia] Bldg. ? ? ? Fumace &2 • 00 Silo Unloader ?
Industrial Bldg. ? 0 0 Au Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List List )
Otfier
?
?
? p
HeiersI p y
HeheIS)
COMPUTE INSPECTION FEE BELOW
Serice Entrance Size: # Fee Feeders&Subfeeders: it Fee Circuits: # Fee
0 to 100 Am s. 0 to 30 Am res-?_ 0 to 30 Am eres
101 to 200 Am{QfJ G . 31 to 100 A res'- 31 to 100 Am xes
Above 200 Amps. Above 100. _ A?ps. y Above 100 Amps.
Tcansformers RemoteCon itllf'vC. Partialorotherfee
Signs Spec' } ft
tioN Minimum fe
,
Remazks ?!_ ?11
/,
9
TOTAL FE ?j- 4 ?
38 . 5Q
I, the Electrical Inspector, hereby t th e id'spection has been made.
(Rough-in) Date ? - l?' 7/_p,
(Final) Date ?-- a ?
This request void 18 months from ?°?'??
This r?eque.ls4oid18 months from 7LIle ?' ?•; ? yl `?' `? 14?z aQ?
o 0
Datetof this Request 10-10-1 QZ9 S 13r5r
I, as 10 Licensed Electrical Contractor []Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 4236 North Malmo City ?gan
Section Township
Range County Dakota
Which is occupied by T; l can Homa a
(Name of Occupanq
Is a roughin inspection required on this job? No ? Yes 0 Ready Now ? Will Call Ox
Power Supplier Dzkota
Address Farmington
Electricai Contractor O.B. Thompson Electric Co. Contnctor's License NoA3962
(Comoany Name)
Mailing Address 12201 Mtka Blvd Idtka ?5343
Authorized Signature
(Eloctrical Cont[aetor or
MaM BOQG°3'? EMU
xo.933•2521
Making 7hls Installatlon)
This impection request wiil not be accepted by the
Swte Board unless proper inspection fea is endosed.
r
,
. K?
?
BUILDIPIG FERMIT APPLICATION
'xnciude a 6ets of plang, 1 site plan w/elevations and 1 set of energy calculations.
2b be used for
ol ,
vaiuation 1 a nnf
Site Address:/i'q? 'rl')LL-Anp ?Cl?z2? add
9 ? ??,?? 6 ?
Lot
Parcel Number /,/) S/?1355' 9?7O D1
Telephone
Oxmer
Addres
Contra
Addrea
Arch./Eng.
Address
Erect
Alter
Repair
Enlarqe
1HOVa
Ilemolish
Grade
OFFICE USE
Occupancy
Zon ing
Fire Zone
Type of Oonst.
q of Stories
Front
Depth 3
OFFICE U5E
Date of A pprova2 & Initial
?? ?e
'
Assessment ?
• /
a,
Ptater/Sewer
Police
Fire
Eng.
Planner
Council
Rldg. Off.
A.P.C.
,Telephone co 9e J5-6-6 /
Telephone
FEES
~ a-?
Pexmit
Surcharge
Plan Check
SAC
water Conn.
t•7ater Meter
TOTAT, ?
Block See. Sub.
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F?- LaT 4LAN
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123037
Date Issued:05/27/2014
Permit Category:ePermit
Site Address: 4236 Malmo Lane N
Lot:009 Block: 004 Addition: Wilderness Run 6th
PID:10-84355-04-090
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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 $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Ralph H Otts
4236 Malmo Lane N
Eagan MN 55123
(680) 680-0570
Dun Rite Roofing
4086 Miller View Road
Elko MN 55020
(952) 461-5155
Applicant/Permitee: Signature Issued By: Signature
-1-1w961t40 ty0
C!tyofEaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
OCT 3 1 2016
Use BLUE or BLACK Ink
For Office Use
Permit #: 3 1 (0 0
'
Permit Fee: (Q ('j . D 0
Date Received: /0 -3/-/k7
Staff:
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: I I 2�) 1 i Site Address: Li 22 ` 1 A " t « YYl Ci Ln • 'v
Tenant:
Suite #:
J
t +¢
Name:
Phone: IDS V — `i 1 L -i ~ 9 Z-7
_
Address / City !Zip: 1 � U JS
l _ �
Name: One, Hu( r *Oho] tr Air
License #: 0 51.916) -1"'1 I
Address: 1 1 V / 1( Sl-•
V t if rrr i I/1
City: Hash INS
1
1,,
Zip: 7 V A�% Phone: l i51 - ;-1 r 1 -17
State: 1 kI "J
Contact: a Email: in ( 10 I
1t' S,✓Y✓i _` i OS .COW
a
New )\/' Replacement Additional
Alteration Demolition
Description of work
"P 'G V
RESIDENTIAL
Fumace
COMMERCIAL
New Construction _ Interior Improvement
Air Conditioner
Install Piping
Processed
Air Exchanger
Gas
Exterior HVAC Unit
Heat Pump
Under/Above ground
Tank (
Install / Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration
to an existing unit, includes State Surcharge
includes State Surcharge
= $ V 0 TOTAL FEE
$100.00 Residential New,
COMMERCIAL FEES
$60.00 Permit Fee Minimum
Contract Value
= $
$ x .01
Permit Fee
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
= $
Surcharge
= $
TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
VassetAMavt&t I
Applicant's Printed Name
x
Applicant's Sign
)44. kshede
FOR OFFICE USE
Required Inspections: Reviewed By
Underground Rough In Air Test Gas Service Test In -floor Heat „ Final HVAC Screening
Date:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141848
Date Issued:04/03/2017
Permit Category:ePermit
Site Address: 4236 Malmo Lane N
Lot:009 Block: 004 Addition: Wilderness Run 6th
PID:10-84355-04-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Ralph H Otts
4821 S Genoa St
Centennial CO 80015
New Windows For America
2123 Old Hwy 8 NW
St. Paul MN 55112
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature