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4257 Malmo Lane N, CITY OF EAGAN ' 3795 Pilot Knob Road Eagan, Minnesota $5122 Phone: 454-8100 pLtvoam PERMIT Dote: AaY 1, 1979 Receipt No.: Single Site Address: 42 57 ND• l1a1= I,oM Residential No. 1339 n Lot 'Block 2 Sub/Sec. _WR 6th I Multi Name ??lem Hoew8 1nc• air now New/Alter /Re . p ` Address 525 So. Snellii2=J Ave. Cost of Instollation ? ?It. Panl 55116 20.Ot? City Phone: Permit Fee Ralph' s Pltmtbir-q • 50 Name Surchorge . ? Addreu 9900 XesvfCk Nrr. 0 v -_:; slwce! 55082 City _ Phone: Total This Permit is issued on the express condition that all work shall be done in accordante with oll applicoble State of Minnesota Statutes ond City of Eagan Ordinances. Building Official . . • CITY OF EAGAN ' 3796 Pilot Knob Rood Eogan, Minneaota 55122 Phoee: 454-8100 ? MA`?'IN'J PERMIT Date: -- 14, 1978 Site Address: 4257 bIo=. M31111o In. Lot } Block 2 Sub/5ec. _ WP 6th Name Tilson Home$ IrC. . °e Address 624 SO. Snelllilu Avr?,. 3 O ty "?. Paul 55116 Phone: Nome A. BiDd!!t S SATt : nt:. 2 Address 120 E. Btitle= AYt- e e 0 V --It. Faell r = ? ; City ?' - Phone: This Permit is issued on the express condition that oll work shall be Minnesota SYotuies ond City of Eegan Ordinonces. C?USTIO?II AIR IMMI1tLD No. 1364 12697 Receipt No.: Single Residentiol X AAulti Res., Comm./Ind. I New/Alter,/Repair new Cost of Installation Permit Fee 20.00 Surcharge .50 Total ?'''• ?? done in aCCOrdante with oll applitable State of Building Officiol INSPECTIaN RECORD ? CITY OF EAGAN PERMIT TYPE: :?+ ?! ?? ?,?,? I 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 661-4675 SITE ADDRESS: APPLICANT: •I? . ;1?. i .iVj- ?{ ?. , ?`i ?lili f..?i '??il'i(?.f?l.., itil?'1 I:?lf? ? ,-•?.1 ti'•}<.`.i?,cs? . PERMIT SUBTYPE: TYPE OF WORK: R VP A rR (R ii nE tNO? [) C '!c (.: p J #' 1 .1 (.i {l II -E fNl; ? ? Permit No. Permit Hotder Date Telephone # ELECTRiC PLUMBING HVAC Inapection Date Insp. Gommenta FOOTINGS FOUND FRAMING ROOFING / ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP80ARD FIREPLACE FIF?EPLAGE AIR TEST FINAL PLBG FINAL. HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FiNAL r CITY OF EAGAN Remarks Addttion Loc 4 BIk 2 Parcel 10 84355 040 02 Owner0){ street 4257 North Malmo Lane State Eagan, Minnesota 55123 `12 r Improvement Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. il GRADING SAN SEW TRUNK 1973 161.21 8.04 20 96.73 A009278 7/28/80 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1977 162.14 V8:-96 15 118.94 A009278 7 28 80 STORM SEW TRK 3 19719 277-61 8 ? 1 222.11 A009278 7/28/80 STORM SEW LAT CURB & GUTTER ? 510EWALK STREET LIGHT WATER CONN. 250.00 I2485 1-22-75 BUILDING PER. SAC 11-92-79 PARK . 7.G, ?tZ , I ?r R ? . CITY OF EAGAN 9795 Pilet Knob Read Eegae, MN 95122 N! 5064 PHONE: 454-8100 BUILDING PERMIT ReceiPt # -, ? Ta he u"d fsr Est. Volue Date . 19 ' Site Address Erect ? dccuponcy T?LZ]? ?T-; •,i Lot Block Sec/Sub. Alter ? Zoning . Repoir ? Fire Zone Parcel # T Enlarpe 0 Type of Const. ? oe Name ? ' ' Move ? # Stories Z Addres , ,,-, ? -? , ? ?.-,.? s • Demolish ? Front • -? ft. ? _ Grade ? Depth wp Name -?.i.?cai s ?t?? •: ZF- 17*117 !'r, ='-: -7 ',-" OU Address _ r r?:... ' o?.,..... I hereby acknowledge that I have read this application ond state thut the infortnation is correct and ogree to comply with all applicable State of Minnesota Stotutes and Ciry of Eaflan Ordinonces. Slgnature of Permittee A Building Permit is issued to: oll work shall be done in occordance with all opplicable 5tote of Mir Building Officfol Feet Assessment Weter & Sew. Police Fire Eng. Plonner Countil Bldg. Off. APC r . • i Permit Surcharge Plun chetk SAC , Water Conn. Woter Meter ' Torul ' on the express condition that Statutes and City of Eagan Ordinanc=s. rwmK # oeft ho..e r..wA"« v3 g- i a - 14 - 7 S' -J-ctly ? , .S INSPECTIONS DATE INSP. RouAh-In Finol Footings Dote Irop. Dats Irnp. Foundotion Plumbing - F rame /ins. Mechonical FinCl Remorks: ,...- ?? ?? /?.,,.? ?? ? 6 --Z74-g0 BUILDING PERMIT N° ._ 12235 Receipt # tf - , ; To be used tor DECK Est Value $1? 500 p8te JULY 7 ,19 86 SiteAddress 4257 NO MP?LMO LN Erect ? Occupancy WILDFRNESS RU Lot4 Biock 2 sec/sub iv Remodel ? 2oning Parcel No. -- - . 6TEI ADDITION Repafr ? Type of Const Addition ? No. Stories W Name LAVERNE SIMONSON Move ? Length 20 16 3 Address SAME Demolish ? ? l t l Depth Ft S ° City 456-0120 Phone n mpr. Instali KK q. o Name SAM = ? ¢ Address ~ City Phone m W Name ? ? ?-y Address i z W City Phone I hereby acknowledge that I have read this application and state thatthe intormation is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of?agan rdinances. Signature of Permittee.??''• u -- Water & Sew. Police Fire Eng. Planner Council BIdg.Off-I Var. Permit Y"" • "" Surcharge ' Ptan Review SAC Water Conn. Water Meter Road Unit Tr. PI. Parks Copies- Total $27•00 A euilding Permit is issued to: LAVFRNE S IM0111SON on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Building Official I I I Pwm81b. I P~ Ho1dK I Date I TNophom • I iagh Pt6p. iph Htg. ul. pplaee N Hty. N Plby. p. Final t Oct. ;k Fty. ;k Frmy. B Dhp. ? ciTI oF EAcaN SEWER SERViCE PERMIT 3795 Pilot Knob Roed PERMIT NO.: Eagon, MN 55122 DATE: Zoning: No. of Units: ' Owner: _ Address: _ Site Address: _ ?. L_1A__R? to eomply wrth the City of Eagan . ' Connection Chorge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Dcte Paid: of I nsp.: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: . Owner: e,u.b WATER SERVICE PERMIT PERMIT NO.: DATE: - 14 ? No. of Units: Site Address: Plumber. Meter No.: ? c,.e Reoder No.: 1 agree fo oomplr wifh fhe City of Eagan Ordinances. By Connection Charge: Account Deposit: _ Permit Fee: Surchorge: Misc. Chorges: Totoi: Dote Paid: ? CASH RECEIPT ? . CITY 4F '-EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED RRpM ? AMOUNT $ I DOLLARS 100 E] CASH Q CHECK FUNG CODB AMOUMT i Th nk You j B,Y v White-Payers CoPy Yellow-Posting Copy Pink-File Copy Renewal By Andersen 350-73rd Ave. NE , Fridley, MN 55432 10 763-502-4777 ? ? #tMN20130983 -EPLACE(S) _0 _1 _2 _3 PHONE# ?Sa•34S•(ON+ CELL PHONE # New Construction ReouiremeMS - RemodellReoair Reauirements • 3 registered site surveys showing sq. fl. of lot, sq. ft of house; and all raofed areas • 2 wpies of plan (20% mazimum lot wverage allowed) • 7 sei of Energy Calculations for heated additions • 2 wpies of plan shmring beam & window sizes; poured found desgn, etc.) . i site survey for extenoredditions & decks • i set of Energy Calculations • 3 copies of Tree Preserva6on Plan if lot platted aRer 7f1193 • Rim Joist Detail Options selection sheet (bldgs wifh 3 oi less units) DATE «- 'Y1ll4, • 0M QVALUATION (EXCLUDING LAND) I!9 7 _`? I .?IS JOB SITE ADDRESS 4?IS3! h). IF MULTI-PAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNERjjYiu}„$ 't?c?t?io TYPE OF WORK ???- ? ? APPLICANT ADDRESS PAGER # 331. z5 ZIP CODE FAX # NEN' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) RESIDENTIAL G PERMIT APPLICATION CITY OF EAGAN 0 PILOT KNOB RD - 55122 651-881-4675 MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Su6mitted - Energy Envelope Calculations Su6mitted MINNESOTA RULES 7672 Plumbing Contractor: _ Plumbing System Inctudes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: _ Air Conditioning ^ Heat Recovery System Fee: $90.00 Phone # Fee: $70.00 Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read fhis opplication, state that the information is correct, antJ agree to comply all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received New Energy Code Worksheet Suhmitted Phone Water Softener _ Lawn Sprinkler Water Heater _ No. of R.I. Baths No. of Baths Tree Preservation Plan Received Updated 1/01 cirr oF E+cnN 9795 Pilof Koe6 Rmd Eagan, MN 55122 PHONE: 4548700 BUILDING PERMIT APPLICATION Receipt # To be umd for SF 17a1g & Garage Est. Volue 52,000. Dote 11-22, 19 7$ Site Address 4257 NO. Mdl3C1O LalZe Ered Occupancy I Lot 4 Black 2 See/Sub. W11d2YT105S RIIll 6Yh qlter ? Zoning Rl porcel # 10 84355 040 02 Repoir p Fire Zone 3 Enlarge ? Type ot Const. V _ z Name SPeC HaW- Move ? # Srories _ Z I Address 4257 NO. M3SI'(b i`'lTle Demolish ? Front 52 fr. ? ,.._. Eagan eL..__ Grade ? Depth 34 ? Nnme T11SPS1 Hci?S 627 So. Snelling ?? nddress 1, 1,,..st. Paul 55123 ,,,,,.,e 698-5501 Name _ Address I hereby ecknowledge that I have read this application and state that the infortnation is correct and agree ro comply with all applicable State of Minnewta Statutes ond City of Eaflan Ordirwnces. Signature of Permittee A Buliding Permit is issued to: TZS all work sholl be done in accordan th all Building Officlal Assessment _ water & Sew. Polite _ Fire Eng. Plonner _ Council _ Bldq. Off. _ APC N? 5964 Feee Permit ? •?v SurcFwrge 26.00 Plan check SAC 500.00 Water Conn. 250.00 Water Meter 60.00 Torai 979.50 on the express condition that Statutes ond City of Eagon Ordinances. CITY OF EAGAN - ?j - 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55721 N2 12235 BUILDING PERMIT PHONE: 454-8100 Receipt q `?- 4 4-4 I 1 (e To be used ror DECK Est vawe $ 1, 5 0 0 Date JULY 7 ,19 -8-E 3iteAddress 4257 NO MALMO LN L'ot4_ Block 2 Sec/Sub. WTT.DERNESS RON Parcel NO. fiTH ADDITION w Name LAVERNE SIMONSON 3 Address SAME ° City Phone 456-0120 = o Name SAMR ? p Address ? City Phone w W Name ? ? z Address < W City Phone 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 an of?agan tlinances. Signature of Permittev a ? - Erect ? Occupancy Remodel ? Zoning Repeir ? Type of Const. Addition ? No. Stories Move ? Length 20 Demolish ? Depth 16 Int. Impr. ? Sq. Ft Inshall x{ Aeorevals Fees Assessment water & Sew. Police Fire Eng. Planner Council Bldg. Off. 7 /7 /86 APC Var. Date A Building Permit is issued to: LHVr:xrvr: a1P'iULV: all work shall be done in accordance with all applicable State of Building Officlal Permit $25.00 Surcharge 1.00 Plan Review SAC Water Conn. Water Meter Road Unit I Tr. Parks Copies- 1.00 Total $27 . 00 on the express condition that Statutes and City o( Eagan Ordinances. ? -. Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ' REQUEST FOR ELECTRICAL IN$PECTiON WECK BELOW WORK COVERED BY THIS REOUEST 1.3.!5-6 '-,4 'R 55806 Type of BuOding New Add. Rep. Check Appliances Wired Foi Check Equipment Wirod Fot Home XR ? ? Rangc mIC . Tempocaxy Winng ? Duplex ? ? ? Watet Heater ? Lighting Fixtures Ap[. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Fumace Sdo UNoade[ ? Industrial Bldg. ? ? ? Av Conditioner Q Bulk Mdk Tank ? Fazm ? 11 ? List , List ) Othet ? ? ? p Herels? 19p. 15 •XX r Rthers} exe 1 COMPUTEINSPECTION FEE BELOW Service Entrance Size: ik Fce Feeders&.5ubfeeders: # Fee Cucuits: # Fce 0 to 100 Am s. 201 to 200 Amps.j Above 200 Amps. QjJ' 0 ? A es 31 ' es A e 10 0 to 30 Am exes 3] to 100 Am eres Above 100 Amps. Transformers R o[e Kol Pa[tial or othex fee Signs Spec?al Inspection Minimum fee $5.0 Remarks TOTALFE .o ' I, the Electrical Inspector, hereby ce' that bove inspection has been made. (Rough-in) Date J (Final) ? Date This request void 18 months from ' ? rp 4V.7U--'13579b 3?S G 7' This requpst void ] 8 months from ? ? R 55806 Date of this Request2-28-1979 I, asAM Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at L 48 Z c-:, 12- 6 Street Address or Route No. 4257 North b4almo CityEagaii Section Township Range County Dakota Which is occupied by Tilaen Homes (Name of Octupant) Is a roughin inspection required on this job? No ? Yes Mc Ready Now O Will Call EK Power Supplier nokn+a C+v_ Address Electrical Contractor 0. B. Thompson Flectric Co. Contractor's License NoA36835 12201 Mt1ca°B?vd.?;' Mtxa 55343 Mailing Address AUthorized Signature Phone No. 933-2521 (Elxtrical Contra feTOr Ownef M aking TMS InstallaSlon) ?? /?1r,1?? 2 ?? ???? ?O(??/J r?? u This inspection request will not 6e accepted 6y ffie State Board unless proper inspectian fee is endosed. VRM . IT# 5tOA(P RECEIPTDATE: 8002 BU1DENTLkL PLUM$INfi PERMIT APP11CATlON CITY OF EA6AN S$SO fII.OT KAOB $D gwsM, MN 58122 651-881-4675 Please compiete for: single family dwellings, townhomes and condos when permits are required for each unit, SITEADDRESS: backflow preventer for irrigation system OWNERNAME:: TELEPHONE#: i 7 ??- (AREA CODE) INSTALLERNAME: TELEPHONE#: ? (AREA CODE) STREET ADDRESS: CITY: STATE: ZIP: U _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system Replacement/additional: ?/ water softener _ water heater $ 15.00 State Surcharge $ .50 Total $ I _,> • S a I herebyacknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable Cityof Eagan ordinances. It is the applicanPs responsibility to notity the property owner that the CITy of Eagan assumes no liability for any damages caused dy lhe City during its normal operatlonal and maintenance ac6vitles to the facilitles consWCted under this permit within City praperty/nght•of-wayleasement. ?,A?.,1.. r,l ??.. ? SIGNATURE OF PERMITTEE ? 1102 `k?'?'S??kSk:":.K%!:?kW.??(M'.9lY?'X.:''FT'??FM1YYCi nY."?:i$>k+XN?k'n{Y,SW, 'N?}?..?r:.?k?kYt i,'.CT'`{ 1'll' SAGfil7 CA.`.:il-!:CE'R; MG ''1='!?MTTJN_. NG: 60 D;l?I:'e i.`J/21.I97 'i'7:M'_e 00902 TWa Nf; ir';; T:RAiil.1=V 1 Gf1kiNE5 3c^_7 {] 9001 425? t'AI_.h'^ L.N 74.75 205 9001 4257 rfr.I...MG I_N ,..50 , -? Toi n7. !tie.r.e:i.p9; ktntim` s 76.25 ^4(782?.?? '.15G:R ?.".?o l4RF'tl.YNrd Y,<Si ?d??'FWYF.*>K%k%6XC?:r7kRc&'9'n:.'t>!: :';n9FM 'M+YS°i.H.,^<m *X'.:KP:?>"YF?k A ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 030993 10/21/97 SITE ADDRESS: 4257 MALMD LANE N LQT: 4 BLOCK: 2 WILDERNE55 RUN 6TH P.X.N.: 10-84355-040-02 DESCRIPTION: (ROOFING) rmit Type SF (MISC.) Kh Type REPAIR 434 AL7. RESIOENTIAL ?, - _- PERMIT °?-:??g .. t ' ' REMARKS: FEE SUMMARY: VALUATION Bese Fee $74.75 Surcharge $1.50 Total Fee $76.25 $3.006 CONTRACTOR: OWNER: - Appiicant - ? 6ARNE5 BRADLEY 4257 MALMO LANE N EAGAN MN 55123 ? (612)858-0434 ? hae???ty? ack'rss?wl?cl`g,? ??? '6,Ltk„c?? ?5 ?rR14 R?,d C m ?-- AP C T/PERMITEE SIGNATURE ISSUED 8V. SIG IJR 97 BUILDIMG PERMIT APPLICATION (RESIDENTIAL) ?K(.25 3 09q5 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Reauirements 3 registered sde surveys 2 copies of plans (indude beam F, window sizes; poured fnd, design, etc.) 1 energy calculations 3 copies of tree presarvatlon plan rf lot platted atter 7/1l93 required: _ Yes _ No DATE: Ci-"rUp)Ee- Z1, Ikq-l RemodeUReoaif Reauirements ? 2 copies of plan ? 2 sRe surveys (exteriar aOditions 8 decks) • 1 enargy Wlculations for heated additions CONSTRUCTION COST: f Z-'70v DESCRIPTION OF WORK: _RP_- 4lne.cnc?(? I/wti1yC ewV? STREETADDRESS: q??j tIU2TN M,4L440 LfkN? eq6q4 LOT ? BLOCK ? SUBD./P.I.D. ?14. rtnn ?i z (brb43 -3(!30 PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER Name: CrARnIFS 6 fZ.A+rX?E k/ WV-- (ofL Phone usr nxs StreetAddress: q1?1 A/, /'t4L'ti't? L41VE ciry: E-AiArJ State: L IV Zip: `? ?'j Z-z, Company: N IA Phone #: Street Address: City: State: Company: NIA Name: License #: Zip: Phone Registration #:_ Street Address: City: Sewer & water licer•ned plumber (new construction only): and lot change are ?equested once permit is issued. Penalty applies when address change i hereby acknowledge that I have read this applicaGon and state that the infortnation is correct and agree to comply with ail applicable State of Minnesota Statute5 and City of Eagan Ordinances. Signature of Applicant: 14?L X OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Yes _ No J Yes _ No _ Not Required State: Zip: a5-?a-oy3Y c ? ? _?? 1986 BOILDING PERNIIT APPLICATION - CITY OF EAG9H NOTS: ALL CABTRACTORS MOST BE LICENSSD iiITH THE CITY OF EAGAN SIBGLE FAlIILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLS DHEI,LINGS -&ESIDfiNTIAL RENTAL peTITS FO& SALS UlIITS INCLUDE 2 SET5 OF PLANSo CERTIFICATE OF SORVEY - CHECK iiITH BL1)G. DSPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAG INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used Fo C4.- Site Valuation. Date: '?If3f?ig Address Lot ? Bloek Parcel/Sub W 2??2,? /?*-?,•? ? ? Owner l,n UCc AJ C. S?Yv?OA)5o4J Address L.N e City/Zip Code P-!!;uL,j 55??-3 Phone 41? Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone S Ereet Oceupaney 45-- Remodel Zaning Repair _ Type of Const _0?7 Addition # of Stories _ Move Length - Demolish ? Depth Int.Impr. Sq Ft ? Install APPROVAL3 FEES Assessments Permit 25 Water/Sewer Sureharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council ? Road IInit Bldg OfP ;?? Treatment P1 i APC Parks Variance Copies ? TOT9L 60TE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOMEOHNER HDST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES SiILL BE ALLOiiED ONCE SOILDING PERMIT 13 ISSIIED. $51 ?.?i 'DEEP VR?'hh C Fe?vs e, ?"?5 bea 41cwN (MkN, ?d??1?P??17 06" ?s Mo-a -?.a -?" ? ?? DeCY. 14A4?aaLrr ? ,. -f - ? 4 i I' 15' 78` aY' b? ?y, pA2E T BUILAING PERMIT APPLICATION include 2 aeta of p7Ans, 1 sfte plan w/elevations and 1 set of enesgy c8lculations. To be used Eor Site AddresE: ?',-i pr Y17??'?z-C? ra?,? 4 Lot damer ? Address Afldress Arch./Eng. Address Telephone Telephone (!J C/ e- ?5 e5 C?1 / Telephone OFFICE USE ? . valuation oa _ ??, ?Jo Block See. SuD. Parcel Number j,?q 1*1 0;- Erect ? Alter fiepair Enlttzqe Mcrve ilemolish Grade OFFICE USE Date of Approval & Initial Assessment water/Sewer Police Fire Eng• Planper Council Bldg. Off. A.P.C. Oecupancy ? 2oning Fire Zone Type of C?onst. Y # of Stories Pzont DePth FEES Pezmit Surcharge Plan Check SAC ?isn_ 1X? F?ater Conn. [7ater Meter L?s. /YS TOTAJ, I z:? I.P4 y ? i i a ? i e?EAl2. Aeooe.err LwE ? ? v? ? s A) ? LINr .? Q ro ? ln . 'J ? M D ? ¢---- ??a??e rv Lor ID Mack [Y::l I k'..t.cm E:i ? ? ? ?- -30' o I i r1?oHr _?aoaErzrY _Li.NE 1- LOT -PL AN ''' °: .?; -?o ? . ,; ri r?.;;,; • i!'S1pt "11" .OS for vaotlsllf$d roofa to !or sll othor amscruetiaa ?/?.'BII.?6t s- wlaa 2• ?? ?1 rl 1'SL? • ry ,]_ 3e 6. ;N?,?c?? A?R •?? . 5' 1 6• = . 043 .?..z3 23, ?3 . :j=TRUCTjp„ FRp}(M; R- valao 1. c,,rc °,tc, _ a L2 - s"T 2. L4„ . (.-. \ 3. ? S L,x z 5 a E e,t-? ?.a b, _._..? •? 4. ','?-L' 11J •- , ? nt- ?00.1 ? ? . ? ? 5. V 2 L YC' S: t-/1 A06 6. 1 ? S ? n ? t? ? fL - -- • ?i £ " '-?-° --- MM If averega "U" valuea ne calcuicccd aYwe do not moat tho Ssesg7 Cede rsqnir?top t6e "Altornete Savelope Daaign" an oae?ined la SBC 6006 (g) eay bm uaad. Addltiawl eheats my be usod to ehom ealculationu, . „V UorUrituIjl inu ie:.su rna rao Oii 4440 1(r,yVzRA1, LiYAIYUril(JC,1V re " al SY ANDHH56N' flII18 7,2001 City of Eagan 3836 Pilot gnob Road Eagan, MN 55122 To Whom It May Concern: Elder Jones is authorized to puIl building permits for Renewal by Andezsen_ Please allow Elder Jones to provide this service for us in Eagan. This authorizatinn is valid for any date beyond 6f6101; untiI a Renewal by Andersan manager expressly revokes it in writing to the City_ I reqnESt this attthorization be accepted expeditiously, as to not delay in the procassing of our building pcrmits any {uythcr. Plcasc call mc if t3icrc arc auy questions. I can Ue contacted at 763-502-4706. Yaur immcdiate attention to this matter is appreciaced. Sincerely, onstalln Manager Renewal by E#ndeisen Carporation C'e: Kara_F.1rie.r.Tnnec HADA M. EL MAl NO??Y PUOGC Minnespts OGMYCOmmawanEeo'spJan .s1,2pp5 wi UULI UU6 Received Time Jun. 7. 1:07PM , ?0 8' S a 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 IV ?-o . 06 CiW 9/2 g . ArJ New Construction Reauirements RemodebReoair Reouiremenis Office Use OnN 3 registered site surveys shmving sq. R. of lot, sq. tl of housa; and ?II mofed areas 2 copies of plan Cert at Survey Real _Y _ N (20%maximum lot coverage atlowad) i set of Energy Galculations forheated additions Trse Pres Plan Recd _Y _ N, 2 copies a( plan showing beam & window sizes; pou2d found design, etc i site survey for additions & decks Tree Pres Required _ Y _ N isetofEnergyCalculatbns Addifwn-fndlceteifon-sdesepGbsystem OnsiteSepGcSystem _Y. _N 3 copies of Tree Preservation Plan'rf lot platted atler 1/1193 Rim Joist Detail Options seledion sheet (buddings with 3 orless unfts) Date Canstructian Cost SiteAddress 'MO C4k-kk1¢- J\-b?f-"L+ UniUSte # Description of Work ad CI&J-? 04Yk- Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner GVOr.Z' ce,wQ ?bAU,'e Telephone#(laS1 ) (9'20-3160 Contractor C??`?N C?a?e ?ic"?c2a.?5 # a?K33a? a Address 1;"70,a VV?Oc.? t`"r7 4" S? - State 1"t N Zip ISn/ J?wf City AAv Telephone #(??}) 23 7"331S-- COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residentiai Ventilation Category 1 Worksheet (Jsubmissiontype) Submitted . Energy Envetope Calculalions Submitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted In the last 12 monThs, has the City 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 Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I 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 City 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 and approval of plans. _ 2 ?? ? c",9 o1gt„ ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ent. Alt - SF ? 04 02-plex ? 10 08-plex A( 16 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. CI 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types C] 31 New ? 35 Int Improvement ? 38 Demolish Interior Q 44 Siding A 32 AddRion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bidg) - Give PCA handout to applicant Valuation ? Occupancy R? ? MCES System ?- Plan Review/// 100% or _ 25% Census Code L/ ?y Zonin l g ' City Water ? SAC Units - Staries - Booster Pump r" # of Units Sq. Ft. 3Ao PRV # of Bldgs Length /? Fire Sprinklered Type of Const - Width 120 REQUIRED INSPECTIONS Footings (new bldg) FinaVC.O. ? Footings (deck) ? FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other ? Roof _ Ice & Water Framing _ F inal - Pool = Ftgs =Air/Gas Tests Final Siding Stucco Stone Brick _ Firepiace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By. A ') e4 w' , Building 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 ?! $S? M9? ?P*hi ?`? ? t???A'??. ? I ?:e °?. , c.'?°??"""?4 ? ? 4 1 ?--- a3'-?jt-- g'-? ? I5 , 7 8' ay' bt ? s? ? 0 1 i yo o,w,z??? PN'L I , ? PERMIT City of Eagan Permit Type:Building Permit Number:EA130582 Date Issued:05/01/2015 Permit Category:ePermit Site Address: 4257 Malmo Lane N Lot:004 Block: 002 Addition: Wilderness Run 6th PID:10-84355-02-040 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. Valuation: 8,000.00 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 - Bradley J Garnes 4257 Malmo Lane N Eagan MN 55123 (651) 688-3180 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA138254 Date Issued:08/17/2016 Permit Category:ePermit Site Address: 4257 Malmo Lane N Lot:004 Block: 002 Addition: Wilderness Run 6th PID:10-84355-02-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Bradley J Garnes 4257 Malmo Lane N Eagan MN 55123 Haley Comfort Systems 122 3rd St W Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA143299 Date Issued:06/12/2017 Permit Category:ePermit Site Address: 4257 Malmo Lane N Lot:004 Block: 002 Addition: Wilderness Run 6th PID:10-84355-02-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Bradley J Garnes 4257 Malmo Lane N Eagan MN 55123 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature