/
     
4242 Malmo Lane NCITY OF EAGAN Remarks Additior? WIIJ)ERNESS RUN bTH A1?DITION Lot $ Rlk 4 Parcel 10 $4355 080 04 Owner '??De.!f'.._ .:'. °1? .1'a1 _L1 (It street 4242 Ne?t-h -a1-m-t-4 Lane state Eaaan, Minnesota 551 2-4 i, Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK ? 1973 161.21 8.04 20 ?6 7 A010269 6-4-81 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 977 162.14 15 ,/ A010269 6-4-81 STORM SEW TAK 9 92-- 1978 29.1-94 - ,?C$ A010269 6-4-81 . STORM SEW LAT - CURB & GUTTER SIDEWALK S7FiEET LIGHT Road ilnit 185.00 23810 3-20-91 WATER CONN. 335.00 23810 3-20-81 13UILDING PER. 6539 SAC PARK , ? -51577 CASH RECEIPT . ?' • CITY OF EAGAN 3795 PILOT KNpB ROAD EAGAN, MINNESOTA 55122 DATE - 19 J AMOUNT ? I OOLLAR$ foo ? CASH ? CHECK FOR UVhite-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You (_?'??? B Y / ' CITY OF EAGAN 3795 Piler Knob Raod Eagan, MN S5122 PHONEt 454B100 BUILDING PERMIT Receipt # Tn lu uo" inr Vnlun I7Ma Site Addross Lot Block Sec/Sub. Parcel # ce Name W ; Address b Ci °C Name ?F u§ ?? t" Ci ? vw Name Address I hereby acknowledfle that I have reod this opplication ond state that the information is correct ond agree to comply with ull opplicoble State of Minnesota Stotutes and City of Eogan Ordinances. Erect ? Alter ? Repair p Enlarge ? Move ? Demolish ? Grade ? 1) n N4 6539 Occupancy Zoning Fire Zone Type of Const. # Stories Front ff. Depth ft. Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Pertnit Surcharge - Plon check SAC Woter Conn. Water Meter Road Unit Total Signature of Pertnittee I A Bullding Permit is issued to: on the express condition thot all work shnll be done in occordonce wlth all applicable 5tate of Minnesoto Statutes and City of Engan Ordinances. Building Official Permlt # DaN taued roeelff» Plumbing h/ ? ?/- J'/ Mechcnical j 3 3? J?4/ INSPECTIONS DATE INSP. Rotph-In Finwl Footings Date Insp. Date Insp. Fou _ Plumbing ram ?ns. ? Mechonicol Final f Remarks: .? . : No. ''3 CITY OF EAGAN 3745 Pilot Kwob Rood Eogan, Mlnnesota 55122 Phewe: 454-0100 PERMIT Dote: Site /lddrcss: Lot 4242 N. Malnr INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential , Block Sub/5ec. ? + { Multi Name New/Alter./Repalr ? /lddress ^ Cost of tnstollution City . ? ? Phone: Pe?mit fee ` Name Surcharge ? ? Address Ciry . Phone: Total This Permit is issued on the express condition thot all work shall be done in accordance with cll upplitable Stote of Minnesota Statufes and City of Eagan Ordinances. Buildlnq Official Recaipt PLUMBING PERMIT Permit No. CITY OF EAGAN . Fee Fill in numbered spaces S/C Type oi Print legibly , Tot. 1. Date 2. Installation Cost 3. Job Address Lot ` Blk. " Tract' 4. Owner `_ i1SE'.1: IiLrles 5. Contractor T'ltrri,i r?; Phon e 6. Address ' 'L? • 7. City ?'- zi State ,.... :,:, Zip 8. Building Type: Residential Q Commercial ? Institutional ? 9. Work Description: New El Add 0 Alter ? Repair O 10. Describe 1 11 No. 1? Fixtures Water Closet No. Fixtures Cess ool/Drainfield / Bath tubs p Septic Tank Lavatory Softner Shower Well _L Kitchen Sink Urinal/Bidet Other ? Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. . This is your permit when numbered and approved. Q,pproved CITY OF EAGAN 454-8100 , ? C?rrtif tratr uf (Orruptturij Citp of ifagan Eppttrtntmt of Nuiibing 3ri,o,prrtion This Ccrti f icatc i.r.rued pursuant to the requirement.r o f Section 306 of the Uni f orm Building Code certifying that at the time of issuaruc this rtructure wus in compliancc with tbe variou.r ordinances o f tbe City regulating building connrsutian or ure. For the f ollou,ing: Uae Clasdficatim SF MCt,GAR Bldg. Permit No. 65 39 OccuP-cY TyPe -?TyPn CoaswctionVn Fite Zan,L 3 Zoning District 1ti.L pamrofBuilding Tilsen Homes, Inc„ad?„ 627 S. Snelling 4242 N. Malmo Lane. ... Lat 8, Block 4. Wild. R 4 : t? ? Date: m ay 28, ZQC71 ?aer iN w ConsPIcuous ?ucc C1TY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knab Rood PERMIT NO.: Eogan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: PI umber: I agree to eomply with the Citr of Eagan Connection Chorge: Oedinanees. Account Deposit: Permit Fee: Surcharge: gY Misc. Charges: Dote of I nsp.: Total: CITY OF EAGAN 3795 Pilot Knob Road Eogon, MN 55122 . Zoning: Owner: Address: Site Address: Plumber: . • Mefer No.: cc?oReader No.: I ogree fo eomply with kfie City of Eagan Ordinanees. By Dote of Insp.: WATER SERvi%.. . PERMIT NO.: DA7'E: .No. of Units: Connettion Charge: Account DeposiY: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: I nsp.: m L e This request void 18 mon[hs &om ?b ,p? ? Date of this Request 3`30'1981 Fire No. ^T25608 I, as ULicensed Electrical Contractor ? Owner, do hereby request inspectioo of the above electri- cal wiring installed at: Street Address or Route No. 4242 North Mn1mo City ?gan Section Township Range County Dakota Which is occupied by Tilsen Homes (Name of Occupant) Is a roughin inspection cequired on this job? No ? Yesf$ Ready Now O Will Call Ei Power Supplier Dakota Ctv. Address Farmington ElectncalContractor O.E. Thompson Electric Co. ConVactor'sLicenseNo.A40602 (Comvany Name) MailingAddress 12201 Z!.t.ka 31vd., ldtka 553a3, .(Electrical Contractor or Owne? Makln9,Thi5 I nstallatlon) -' Authorized Signatuce j ? Phone"No: (Electrical Contractor or Owner Making TMS Installation) S y???( ? 020110 ????Q This inspection request will not he aecepted by the b? }3 6? State Board unless praper inspection fee is enclosed. imnnesoca awte ooaro or neccncrty Griggs Midway Bldg. - Room N191 1827 University Ave., SC. Paul, Minn. 55104 - phone 297-2711 ' ?REQUEST FOR ELECTRICAL INSPECTION CHECK LOW 3VOItK COVERED BY THIS REQUEST ? EB-00001-02 ti T 25608 Type of Building New Add. Rep. Check Appliances W'ved Fo: Check Equipment Wired Fot Home [PC ? ? Range -U • 00 Temporary Wuing ? Duplex ? ? ? WatetHeater ? LightingPixtu[es 7U7f Apt. Bldg. ?? ? Dryei ? Elec[tic Neating ? Commercial Bldg. ? ? ? Futnace U2+00 Silo Unloader ? Industrial Bldg. ? ? ? Air Conditione[ ? Bulk Milk Tank ? Fazm ? ? ? L1s[ )n; ..t, .,. n nn List Other ? ? ? Q Hehreers} ) Oehers? H 1 COMPUTEINSPECTION FEE BELOW Service EnVance Size: # Fee Feedeis&Subfeedeis: Fee Ciccuits: Y Fee 0[0 100 Am s. 0 to 30 Am eies 0 to 30 Am eres 16707 101 to 200 Amp 31 to 100 Amperes 31 to 100 Am eres Ab ps. L Above 100 Amps. Above 100 Amps. Tta " er i ? ? Remo[e Conttol Circ. Par[ial ot other fee W Sig sr Special lns ection Minimum f Rem s _ $gl1 TOTAL E?' 6.50 I, the Electrical Inspector, heceby (Final) Tlus request void 18 months from beenj-al!e-, ? e '??`? CI'PYOF FAGAN_ ?? I BUII2b1NG ",PEvICT APPLZCATZON .- ?? 3b Be Us2d For Wew w?tavl. ' Valuation f ?ti? se ? • of p1?,`-`'{ ?? 1 site .pl.an w/e_ievat3.ons & - ., 1 set of. ener9Y1,ca?latr.ons. - Date ? 4-Z- : . Slte Pddre$s 0FFICE USE ONS,Y ` . Lot ?'`.: &loCk ?SeC./Sutl? C" EreCt ?r??Y Parcel q: Alter Zoriin4 gepalr Fire Zone ? En7 arqe 'IYPe of cbnst. pwtrer I LSE Al 9044 e 4 Move ""- # Stories De?lIsh -Fzvnt pddYesa `. ? 1? ? ?l S S .ve111.A119 ty/ZiP,'"e: Grade DeAth. " Pklone P,PHRQV'ATS Assessments ? Pexmit . ' COift.??tGr:S A ^^ r-- - Water/Sewer Surchaz'9g ?. ? * - Pddressa4; _ Police , .:??.. F.Tan Ckbeck Fire Erig . - , Water Conn 3,?; Planr?er Water' Mete.? ,?„? I ? ? := • Coui?cil uc Road Uni?. _ . .?Ardh./I:ng.• 131(39. Of . Pddress APC ? ; ° atYlzip?coae: ? . sarAL Sd Phorie', ft. , ? . , e CITY OF EAGAN 3795 PiIM Knob Road Eagan, MN 55122 ' PHONE: 450.8100 BUILDING PERMIT APPLICATION Te be uaed=for SP DM/C'AR Est. Value Site Address Lot $ Parcel # - rc Name T].1S2ri HOITI?S IriC. 3 Address 627 S. Snel]ing O ni 1_.,1 ec111 inn 11n1 p Nome _ 0 ?Y Address Block 4 Sec/Sub. W1.1d.FtlII1 6 10 84355 080 04 Name _ Address I hereby acknowledge tMt I hove read this application ond state that the informution is correct and agree to comply with all applicable Stote of Minnesoto Statutes ond City of Eagan Ordinonces. N° 6539 Receipt # ?31& Erect )ff Occupancy -R3 Alter ? Zoning Rl Repair ? Fire Zone 3 _ Enlarge ? Type of Const. Vn Move ? # Stories Demolish ? Front 52 ft. Grade ? Depth 34 ft, Approvala Fees P.ssessA9t Z-l f??R l Woter & $ew. Police Fire Eng. Planner Council Bldg. Off. APC PermiT 1bif.UU Surcharge 34.50 Plan check 84.00 snc 525.00 Water Conn. 335.00 WaterMeter 60.00 Road Unit NA Total 1i,206.50 $ignature o4 Permittee I A Building Permit is issued to: Tll cap Hrnwa on the exDmss condition thot all work shall be done in acmrclance with all aoulicq4iE Stqte of MinnesotQ Statutes ond City of Eagan Ordinances. Building Officicl MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Piease complete for. Single Farnily Dwellings Townhomes and Condos when permits are required for each unit ??Jr1 Date /'1-- / l :&, / 03 Site Address ?y 7 1/ M"//Yjp ! V Unit # Property Owner I,JG, r Telep6one #(? r) .Y` ContractorSTAMBAAB?4EAT1N° ° ^1° rnuroTinNlNf, Co. 41 Q WEST LAKE STREET Street Ad"NEAPOLIS, MN 55408-2M C`ty State 612-824-2656 Zip Telephone# ( ) The Applicant is _ Owner ? Conhactor _ Other Add-on, modification or altera[ion to existing dwelling unit $ 30.00 furnace replacement air exchanger air conditioner other State Surcharge $ .50 Total ?B I hereby apply for a Residenhal Mechanical Permit and acknowledge that the info fi Yon is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that derstand this is not a pemvt, but only an application for a permit, and wo k is not to start without a t; that the wo w e' accoidance with the appr ved plan in the case of ?Orlli ch requires a re iew and approval of pla . ? v A phcanYs Printed Name pplicant's Signa re ?????o ?_ a?;?D5g RESIDEN7IAL ? ? ?3 75 BUILDING PERMIT APPLICATION CITY OF EAGAN ? U C) ? 3830 PILOT KNOB RD, EAGAN MN 55722 S" 651-681-4675 New Constructlon peaulremenb RemodeVReoeir Reouhememe + 3 tep'rsleretl slte sutveys Shmtimg &q. R W IoL sq, tl. Of hou5e; and it11 rooied areas • 2 copies of plan (2U% ma)dmum Wt coverage albwed) • 1 set ot Energy Calculations lor heaieU additbns • 2 copies ol plan showing beem & window sizes; poured found design, eta) • 1 site survey for wAerior additions & dacks . 15et of Energy Cak:ulatbns • InOirate tl home servetl by septic syslem for addHions • 3 copies of Tree Preservation Plen tl ht ptatted afler 7/1/93 . Rim,bislDelsilOptionsselectlonaheet(bklgswiN3orlessunits) DATE SITE ADDRESS TYPE OF APPLICANT FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS ys,p? ? n ??i CITYSTATE ?ZIP, 5.5 7ELEPHONE # ' 0' A+ CELL PHONE # 1/2 -3U ` 71??D AX # 9SA - 2 S-/ - PROPERTY OWNER Orhl? TELEPHONE # COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheat Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: MechaMcaf Contractor. _ Mechanical system includes: Sewer/Water Conhactor: _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery Systern Phone # Lawn Sprinkler No. of R.I. Baths Phone # Phone # Fee: $90.00 Fee: $"70. IUI??????lll -------------°------------°-----...------°------°-°--------------°------------------- -------------- -- I hereby acknowledge that I have read this applicatlon, state that the informaTion is ca ? ply with all applicable State of Minnesota Statutes and City of Eagan Ordin A s. Signalure of Applicant ? ................................................ ?.. OFFICE USE ONLY VALUATION "' ?-f 1 Sd 0 L-&? 4?-c Vv MULTI-FAMILY BLDG _ Y ?ZN Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 4VT9`11 5I U t l RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 851-881•4675 New Constructbn fleoulremente • 3 registeretl sAe surveys showing sq.lt. ot bt, sq. fl. of house; arid all roofed areas (20% maximum bt coverage alrowed) • 2 coplas of plan showing beam & window sizes; pouretl found tlesign, etc.) • 1 Set W Energy Cakulatbns • 3 coples of Tree Preservetbn Plan'rf IM platled ailer 711193 • Rim Jolst Deteil Options seledbn shaet (bldgs with 3 or less units) DATE U//( A 91 SITE ADDRESS _ TYPE OF WORK_ APPLICANT ? STREET ADDRESS TELEPHONE # L PROPERTY OWNI J;? STATE ,&A(ZIP ? # 95-1) ????f(IN TELEPHONE # 4eS)- ''0CY / -------------------- --------------------- m-m ----- mm ------ m -------------------------- COMPLETE THIS SECTION FOR "MW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINIVESOTA RULES 7670 CATEGORY 1 MINNFSOTA RULES 7672 (J submiasion type) • Resitlential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheat Submitted • Energy Envelope Celculatlons 5ubmitted Plumbing Conhactor. ____ Plumbing system includes: Mechanical Conhacfor: Mechanical system includes: Sewer/Wafer Conhactor: _ Water SoRener _ Wa[er Heater No. of Baths Air Conditioning Heat Recovery System _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # MULTI-FAMILY BLDG _ Y Xfi _ FIREPLACE(S) - 0 _ 1 _ 2 Phone # o?? ? c?l JUN 11 2002 I hereby acknowledge thaT I have read this appllcation, state that?he lnformatig-n Is correct, and agree to comply wlth all applicable State of Minnesota Siatutes and City of Eagan Or ' an Signalure of Applicant ........... _......... °---_...... ----......... _._-•.•---'----?. s. OFFICE U5E ONLY NemodeVlia airpe rements . 2 copias of plan • 13etofEnBrgyCakulatbnSiorheetedadd'AlonS • 7 sAe survey lor exAerior adtlilbns & tlecks . Intlicete H home served by septk system for addAlons VALUATION 101 OQO Fee: $90.00 Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ uPdacBd 4102 a ? n Y N S v? , s? I ' Fit, It I ? 1 M?r r/ I n \ \ TILSEN HOMES INC. ? , LOT AND BLOCK BL y I ADDITION PAME T ?S-Gs? H +rrrtlv ??? ADDRESS Y1 y? ? /?/Ia?GIN.? ? ? E=l CTTY 1 rRo?.?T._? aoRFrzTY ?i UNE'? ,2j?? Q ? y ? f--- aZ i 30- SE R INVERT -PL AN '4 c-?4, ..-` ' EXTERIOR GNVELOPE SPACE "U" COMPUTATIUN -- ' (To be submitted with building permit application) One or two family dwelling ?C Owner_K) ?2, _Gm,kx.;. All other _ il 2 i\ L Sitc Address ?? ?1 Contractor Y f i`'??Fn? 1-AC7tY1 E'=2 Date (?-- 7? •_ ?? Phone LINEAL FT. OF ERP?SED WALL 5Z + 2? +??+13? ?Z +_X?ft. above grade= - TOT 2Zo ` AL EXPOSED WALL AREA SQ. CFT. $05 X Z ? = I 7 Z?ST2.5v4?5X9 a gS?J OPAQIIE WALL CONSTRUCTION: "U" Value X area Z 19 I r sq. _.....-- ? ??- <<--X sc ? ft. _ (U) ? (U) it (A) ?A) R4c?C u_ ? -1 . ?(?Rn1E trJAl.t, . Detail reference "U"_ X sq. It. _ (l') (:1) from ?X sy. 'lUll - -g sy. A? ft. IQ I. b = Q`7.? (C'1 ft. (A) attached sheets „U„- " ' X sq ft. _ M (A) . 1,Ull X sq. ft. _ (L) (A) WINDOWS: "U" VALUE X AREA € ?Tw 2 -q' zJX.03 ft. G q = 90 3 @ c-21 - Z4X4CJ . . sq, ft. 2, @ c i 1- - --- @ 2 _ i 9. sy. f c. _ zlr?xsc% = 14 A sq. fr. r @ "Sz'44.- _ '7?0- sq. ft. s ft l @?c? q. . 4.0 fc s . y. 7. S 'lUll g sq. ft. _ (U) (A) Make 5 type ?? ? • ???"-- x sq• ?i e _ (U) ft. i i b1 .0 53d (A) cs n ; _ .,? 5 zR.pE „ - X , (u) $ ° 1• ft (n) 11 pr- u n . ?? U sq. -raiF?.E. ifUll X sq. . ft. '7 ?'z= 3P (U) (A) ??nt'r!z ?, . _ ` DOORS: "U" value X area DOC'?E2?> ????_ Make & Type ?? ?? X sq. U ? ft. (U) (A) Z.(p __- ? "U?. x-2i_x sq. Et. (A) _ (U) (A) ??• - ?I, „u.r X sq. X sq. ?U?? ?? 2 F - " ft. ft. (A) ? . ` t pc? G UcY 4s_ L --- VALUES A Z?S_sq• TOTAI.S ft. _??Cll) (A) ) TOTAL (U) ( _ DIVIDED BY TOTAL WALL AREA?E,2 7(a. ?j AVG. U NI EpT?:, -t..?RL-& 6 _'' 1? "" " 17 or less for l& 2 f.amily dwellings cIL U AVERAGF. . .22 or less for all other buildings oL ALL-Ss UF_ \ CONSTRUCTION FRAMING R-Value 2. ?\?'tt? ?tq • ?-?_ 3. 4. 5. 6. 1 CD.?? 49cloAj) ?REJiSi CN t? 0, ? t?la?czr met?c ci= AN: VCZCirIt,? Z?,r'cvF.?-OPMEERT 0 ?? ? it v =U- •- -dAL UE 'v=o AZ- .-,. .JOF/CEILING: TOTAL AREA: 59 • i t. X sq. ft. CU) (A) Detail reference U - X sq. ft. ?U) (A) from attached sheets ? _ ?- --- X " . ft. sq ?U) (A) (U) (A) Describe openings __ _X _y- __ U X ?? n sq. ft. ft s (U) (A) in roof U ------ _ . y. TOTAL (U) (A) VALUES TOTALS sq. ft (ll) (A) DIVIDED BY TOTP.L ROOF/ JNfc- Ej?S 'rA6L-E ---7°1 i CEILING AREA ??6 o?? ???kLe+- AVERAGE "U" .OS for ventialated roofs .10 for all other construction ROOF(GESLING: R_value_ 1. Y) 0- m^ 1??--- k;- 2. s? ?v? nC? u I/A LU E 3. 4•_jt?lG,\oc. , 0 - 5 6• FOp, tu nl NOTE* If average "U" values as calculated above do not meet the Energy Code Requirements, the "Alternate F.nvelope Design" as ourlined in SBC 6006 (g) may be used. Additional sheets may be used to show calculations. Le 1531 Le - 2007RESIDENTIAL BUILDING rERMnT nppLicnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Canshuc4an Reauimmenb 3 regiatered sJe surveys ahwang aq. ft of bt sq. R oi hase; and all moFed areas (2(176memmim bl mvetege a0awed) 1 Sads RepaR'rf paposad buildmg is to be Weaed an diaWNtd??sal---- 2 apies of plmi showing beem & windax saes, poureA founb design, e(c. 1 set olFnargy Celalatian ^ 3oopiesaFTreePraservatianPlen'rfbtplffiOedafler7l1M ? ft ,roiu oetml optims sdectim sneet (buildirg3 wmn s a?I?I?r?1G G ? ? HAnne3asco mechanxal venhlation fwm ubiic Date ! I / )`2 / Site Address Description of Work Multi-Famity Bldg _ Y _ N Property Owner 7!'1/ Budget Exlerlors Contractor 8017 Nicollet Ave S. Address Bloomington, MN 55420 State _ PH: 1-877-310.1742 FAX: 1-952-887-1659 RemodeltReoeir Reawrements ' 2 aqes af qen showin9 foobn8s. 6eams, jois5 7 set of Efiergy Calwlatians for Aeatetl eddihans 1.ate. faradditions8decks Ad indcetaBonsTesepticsysfem AON ??. ?. ? Office Use Onlv Celt of Suney Reod _Y _N Sals Repat _ Y _ N Tree %ge Hgn Recd _ Y _ N_ Tree Pres Required _ Y _ N OnaBe Septie Systmn _ Y _ N are trade secret and the reason. construceroo cost 19 °°,? ? I.. .... UoitlSte # Firoplace(s) _ 0 _ 1 _ 2 Telephooe # (1,3? 1 ) `r"-"f " O .ip City Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672 • Residential Ventila6on Categay t Worksheet • New Energy Code Woiicsheet (Jsubmissiontype) Submitted Submitletl • Energy Emrelope Calwlations Submitted In the last 12 months, has the Ciry of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Conhactor Sewer/Water Conhactor Telephone #( Telephone # ( Telephone #( 1 hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and the State of MN Statutes; 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. ApplicanYs Printed Name ?/???? ? Applicant's Signature DO NOT WRITE BELOW TffiS LINE Sub Tvoes ? 01 Foundation ? 02 SF Dweiling ? 03 07 of _ plex ? 04 02-plex ? 05 03pfex ? 06 04-plex Woric Tvoes ? 3'I New ? 32 Addition ? 33 Alteratlon ? 34 Replacement ? 07 OS-plex ? 13 16-piex ? 20 Pool ? 30 Aoce,qspry Bldg O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Muki ? 09 07-pleu ? 77 Garage ? 22 PordyAddn. (4sea.) ? 33 Fxt. ,qR - SF ? 10 08-plex O 16 Dedc O 23 Porch (screeNgazebyperyola) O 36 Mufti Misc. _ 13 11 10-plex ? 19 LowerLevel -13- 24 Stortn Damage ? . 12 12- lex P --17 -- 25 Miscellaneous : 13 35 IM Improvemerrt 0 38 Demolish Interior ? 44 Siding ? 36 Move Building p 42 Demolish Fouhdatwn ? 45 Fire Repair ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors •Damolitlon (Entim Bidg) - Give PCp hsndart to appllca'H DBSCfIDtlOfl: WaterDamage_yp,S ValuaUon Plan Review _ 100% or _ 25% Census Code SAC Units # of Units # of Bldgs Type of Const Occupancy MCES'System Zoning Cily Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS _ Footiugs (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof _ Ice & Water Final _ Franting _ Fireplace _ RI. _AirTest Final . Insulation Approved By: Sheetrock FinaVC.O. _ FinaVNo C.O. HVAC Ofher _ Pool Ftgs _ AirlGas Tests Final _ Siding _ Stucco Lath _ Stone Lath Brick Windows _ Retaining Wall Buiiding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total I J L`;, u III l i ANIIL? I ?. 2009 '-? Clty Of Ea??Il APR 1 3830 Pilot Knob Road Eagan MN 55122 Phone:(651) 675-5675 Fax:(657)675-5694 - - - - - - - - - - - - - - - - - $ I FonOffice Use I j Pertnit ? Permit Fee: ??• ? I ? DateRecerved: i C7(l i ? Staff. ( I ------------------ 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: "l ~ D ? 61 Site Address: `7 L Li 2- / // UT/!'/ e- IV ' Tenant: Suite #: Ph ne: ?'"?I'qS61-' OZL'? RESIDENT I OWNER o Name: IivtV Address l City 1 Zip: L4 v filWln 6) C.?? ?, Applicant is: _ Owner _ Contractor TYPE OF WORK Description of work. (/Vj Construction CosY Multi-Famdy Building: (Yes _ / No ? CONTRACTOR Name: gudget Exlariors _ License #: (0y 8017 Nicollet Ave S. Addres: Bloomington, MN 55420 1-877-310-1742 City: _ F: 952-887-1659 _ State. Zip: Phone: Contact Person: Vpywz? UY COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 En0f9Y Code . Residential VentilaUOn Category 1 Worksheet • New Energy Cotle Worksheet Category Su6mitted Submitted (4 sUbmission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pian? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanicai Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and suppoRing documents that you submit are considered to be public informafion. Portions of the information may be classifed as non-pu6lic if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this infortnation 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 (he approved plan in the case of work which requires a review and approval plans X X Applicant's Printed Name ApplicanYs Signature Page 1 of 3 4__ oev r_________________ I For Office Use I I 7 71 City of Ea oOR Permit#: (J b I Permit Fee. 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff:. - - - - - - - - - - - - - - - - - - 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: z) 2- lqt% e /1/, Tenant: Suite RESIDENT /OWNER Name: l`'i `n / G/ Phone: "I L ~Z d'fG,(n.0 L / V , Address / City / Zip: Applicant is: Owner Contractor ~ TYPE OF WORK Description of work: i 2 ~ev2'LC A--- iPas- , 010 Construction Cost: ' Multi-Family Building: (Yes ! No CONTRACTOR Name:. gadget Exteriors License (L'4 U y 8017 Nicollet Ave S. Address Bloomington, MN 55420 1-877-310-1742 City: _ F: 952-887-1659 _ State: Zip: Phone: Contact Person: V p7w7V COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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 supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the 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, 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 plans. Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink I For Office Use Permits: j--//-/---- I g96t(/& I r n j ~j J~ V 01fEaI Permit fee: v i 3830 Pilot Knob Road 4 mod, r Eagan MN 55122 Date Received: Phone: (651) 675-5675 ~ Fax: (651) 675.5694 'loll i staff. 1...-----.-----------J 20io RESIDENTIAL BUILDING PERMIT APPLICATION Date: 41-13-11 site Address: `7 c~ 7 ~~1711? n Tenant: Suite RESIDENT / OWNER Name: -Dave- 4 ~ ~ CT ID i r Phone: 65-1 7 rJ `7 ~o7'I Address/ City /Zip: A4&J m b C. &n e IV Applicant is: Owner Contractor TYPE OF WORK Description of work: g e,02&64 4 Wi0l DwS eS``i4P 0(2MtLOS; Construction Cost."~'7,-3, 9q0 r &t Multi-Family Building: (Yes / No'V-) CONTRACTOR Name: Lt R d License - Address: BoJ 7 l✓i4oO Of IL 1q& -e S City: 7~leb~i to State Zip;~ Phone; q~c~ 07 Iy~ Contact: Q Email: 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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. ww w.ciopherstatepne ail. arc; 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. x ~G,r r ~G f,11) I ~~t x Applicant's Printed Name Applicant's Signature Page 1 of 2 Use BLUE or BLACK Ink I For Office Use Ron Permit City of EaEd I Permit Fee: 383'0 Pilot Knob Road RECEIVED Eagan MN 55122 I Date Received: 1 Phone: (651) 675-5675 NAR 19 2012 i staff: I staff- Fax: (651) 675-5694 1 I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: qg419- /I1~/my Z4. At Unit Name: Phon4~/) RESIDENT / / OWNER Address / City 1 Zip: /V Applicant is: Owner Y Contractor Description of work: c~2 VOA d" TYPE OF WORK 2 22 Construction Cost: 3 'J~. Multi-Family Building: (Yes No Company Budget Exteriors Contact: V Gay 4 , 8017 Nicollet Ave S. CONTRACTOR Address: Bloomington, MN 55420 City: PH: (952 887-1613 State: _ F: (952) 887-1659 License % f"(E-2-1 & q Lead Certificate 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 In the last 12 months, has the City of Eagan issued a permit for a similar plan (rased 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 supporting documents that you submit are considered to be public information. Portions 'of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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.gopherstateonecall.ora 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. 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. t_1 / Applicant's Printed Name Applicant's Signs re Page 1 of 3 x/'771 /r 2 411` City uf'bpi 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEI'Y c. ) MAY 2 0 2013 Use BLUE or BLACK Ink For Office Use Pennit #: [ ( D u -f Permit Fee: V a Date Received: c"2 -‘9'i3 Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/61 Site Address: IZ/�.0 r ! _ / (�.I�� Unit #: Name. ) ae-TA Phone -6/W1-q21/ C RESIDENT 1 OWNER TYPE OF WORK CONTRACTOR Address / City / Zip:` V )1 0,5 - Applicant is: Owner Contractor Description of work: [/ Y W Construction Cos Company: Address: State. Zip: License #: MS -(011 c KJ rti f _. ftp , fs /7 Multi -Family Building: (Yes Budget Exteriors 8017 Nicollet Ave. South Bloomington, MN 55420 952-887-1613 Fax: 952-887-1659 / No ) Lead Certificate #: 6A--- 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 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 supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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_gopherstateonecatLorg 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of .ermit iss ance. r Applicant's Printed Nam Lr4/ kU"2 Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA113735 Date Issued:09/06/2013 Permit Category:ePermit Site Address: 4242 Malmo Lane N Lot:008 Block: 004 Addition: Wilderness Run 6th PID:10-84355-04-080 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 . James Pahl 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 - Tamra Taylor 4242 Malmo Lane N Eagan MN 55123 (651) 454-8219 Pahl Exteriors 1609 W. County Rd. 42, #189 Burnsville MN 55306 (952) 451-1018 Applicant/Permitee: Signature Issued By: Signature }Rap RECEIVEC City of MAR 12 2014 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2 Date: RESIDENT 1` OWNER TYPE OF WORK CONTRACTOR 1 12 RESIDEN Name: Site Address: IA Use BLUE or BLACK ink For Office Use Permit #: Permit Fee: Date Received: Staff: BUILDING PERMIT APPLICATION • 1 Address / City / Zip: ' v Applicant is: Owner Contractor IL .. 1 Phone: Unit #: I_I Description of work: QY`(Ja( f r*a1 Vi `Q d jC i (n t5 . t Construction Cost Co Ad stE Budget Exteriors, Inc. 8017 Nicollet Ave. S Bloomington, MN 55420 952-887-1613 Fax: 952-887-1659 e: License # BC006564 Exp. Date:3/31/14 .:ertificate #: Multi -Family Building: (Yes / No Contact: City: ,KAT ii1Dit -6 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 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: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: NOTE: Plans and supporting documents that you submit are considered to be public informationPortions of the information may be classified as non-public; if you provide specific reasons that would permit the City to conclude that they are trade secrets. _ 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. gopherstateonecall.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 plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Codg must be completed within 180 days frf permit issuanc M( Printed Phone: Signature Page 1 of 3