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