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4263 Malmo Lane NCITY OF EAGAN Remarks eik 2 Parcel 10 84355 050 02 North Malmo Lang_._ Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOFi. GRADING SAN SEW TRUNK 1973 161.21 8.04 20 96.73 A009284 7/29/80 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1977 162.14 &?(r 15 118.94 A009 STORM SEW TRK 1978 276.00 IAL 46 220.80 A0092 4 STORM SEW LAT _ _ CURB & GUTTER SIDEWALK STREET LIGHT ' WATER CONN. H M.00 12486 11-21-78 BUILDING PER. SAC 500.00 12486 - - PARK ,.N (.- . • ? CASH RECEIPT • CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 R6C61 V EG . FROM - AMOUNT $ I A DOLLARS +oo ? CASH ? CHECK FoR .-7 l /.?1 ?- ? ? - - FUND CODE AMOUNT C-' \ (i Thank You BY c> ? White-Payers Copy Yellow-Posting Copy Pink-File Copy CITIf OF EAGAN 3795 Pilot Keob Roaa Began, MN 55122 H! 5061 PHQNEs 4S4-8100 BUILDING PERMIT Receipt # To 6e used for ''I' .. _ " ? ,:"-3'T`- Est Value Date 19 ' . 5ite Addreu b• a rr -`h--. Erect ? Occuponcy 7 Lot Block 2 Set/Sub. T?1C'P_Z7ZE?SS ^t? fi}it Alter ? Zoning r.i. Porcel # 1^ ,. ,,r? ,,~> Repair p Fire Zone ? Enlarge ? Type of Const. ac Nome Move ? # Stories ? Address rf ?? T r?'? Demolish ? Front ft. Ci Phone Grade ? Depth ft. °C Name .? x21 rx::" ?2 " ... So. S`nel?iux-r u? ? Address cti,..,e Name _ Address I hereby ocknowledge that I have read this application and st(ite that the information is correct and ogree to comply with all applicoble Stote of Minnesota Statutes ond City of Eegon Ordinances. Signoture of Permittee A Building Permit is issued to: oll work sholl be done in occordonce with oll_ opplicoble Buflding Official Approvols Fees Assessritent Permit Woter & Sew. Surcherge Pollce Fire Plan check rin or) SAC Eng. Water Conn. Planner Woter Meter Council Bidg Off . . ` APC Total ' ' ' ' on the express condition that Minnesoto Stetutes ond City of Eogan Ordinonces. Pnmk # Oate Inusd Plumbing Mechanicol I?c IAISPECTIONS DATE INSP. Rouqh-In Find Fopting5 ? J/ yZ_ ?L Date irup. Dota Insp. Foundation Plumbing Frome/ins. - ?Aw1-1 Methonical Final -/? ? Remprks: N' S I • T ! /T `/? ?' `? / ? /?? ??f ? ?'t{-? (? /s"'Q"? ? • .,,;,tS' ?',o-?• ? CITY OF EAGAN 3795 Pilot Knob Road Fagan, MN 55122 Zoning: - Owner: ?---_--- Address: _ ?1E'3 5ite Address: Plumber: ? . ._ _ . cAa11rlc 1 agree to aomply with the City of Eagan Ordinances. n.. Date of Insp. I nsp.: SEWER SERV{CE PERMIT PERMIT NO.: - DATE: No. of Units: WATER SERVICE PERMIT Pilot Knob Road , MN 55122 "a P(. Conneciion Charge: Account Deposit: Permit Fee: _ , •' ?' - Surcharge: ., Mix. Char9es: Totui: Dote Paid: PERM17 NO.: DATE: ? _ No. of Units: Connection Charge: Acoount Deposit: ? Permit Fee: Surchorge: Misc. Chorges: Tota I: Date Poid: Insp.: wt- . fo eomply wi+h fhe City oF Eagan of I nsp.: CITY OF EAt9AN 3795 Pilot Knob Road Eagan, Mlnnesota 55122 P6one: 454-8100 HE11TIM PERMIT DOYC: 14 , , ? . Site Address: =qftwo Lar ,e Lot ' Block ? Sub/Sec. _ WR 6th I Name Tilsen Eioiras Znc. ? Address 627 SCs• Snellirt=r Av.?. I ? t" Paul 55116 City ? Phone: Name''•, Bi?? & SoI, IT;,^. . Address °=C J'• Ti.tt.' ex F•?vr . e e V C.? , . . _ . .. , _ Phone: - This Permit is issued on the express condition thot o!1 work shall be Minnesota Stotutes ond City of Eagan Ordinonces. OOmeOSTIOIf LIZ FMQOIRZD No. 1360 Receipt No.: Single I Residential x Multi Res., Comm./Ind, I New/Alter./Repair new Cost of Installation Permit Fee , L:.. Toto I done in occordance with oll npplicnble Stote of Building Official CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. Dote: Receipt No.: 1337P, Single Site Address: 426! Residentiol __- Lot Block Sub/Sec. Multi Res., Comm./Ind. I Nome rnilsM Iicrnes New/Alier./Repair. :50. SYyel.ling 3 Address ?`?'7 Cost ot Installation 0 CitY - . ?? Paul 55123 Phone: Permit Fee '?ttZptl '8 pl??. Name Surchorge . ? Address )9Q() 7.°.'9WfC3C lkve. ??:`•. c 0 V City Phone: L -,n 17'1 .. .q'!? Tota I This Permit is issued on the express condition that oll work sholl be done in accordance with all applicable State of Minnesota Statutes ond City of Eagon Ordinances. Building Officiol '. - Minnesota State Board of Electricity 0953r{Jniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST / '6-t -lr - e, 6- R 55811 7ype ot BuOding New Add. Rep. Check Apyliances W'ved F_pj Check Equipment Wrced Foc Home ?3 ? ? Range , Temporary Wiring ? Duplex El ? ? Water Heater ? Lighting Fixtures oC Apt. dldg. ? ? ? Drye: ? Electric Heahng ? Commexcial8ldg. ? ? ? Fumace Silo Unloadex ? Industrial Bldg. ? ? ? A'v Conditioner ? Bulk Miik Tank ? Facm ? ? ? List nj Tli ,y1 ah.mc?lA1 List Other. ? ? ? p B Hcrer3I - r? p Hereis? COMPUTE INSPECTION FEE BELOW SeNice Entrance Size: n Fee Feeders&Sub[eedets: x Fee C'vcuits: # ee 0 to 100 Am s. 0 Am eres 0 ta 30 Am eres 101 [0 200 Amps. 1 11 OjJ 3 0 re 31 to 100 Am eres Above 200 Amps. Transformeis Signs A 0ff m. ote 5 ecial lns ct Abave 100 Amps. Partial orotUei fee Minimum f • Remazks Ha11 TOTAL I, the Electrical Inspector, hereby certify (Final) This request void 18 months from has been ? ?ate ? iq? 4pate y - a-4- ?Y 40.?0--133597 This request void 18 months &om 3.-d, = w ?L" "/, 'R 55811 Date of this Request 2-28-1979 I, as flcLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 4263 North bfalmo City__A_8&a_n Section Township Range County Dakota Which is occupied by Tilaen Homes (Name of Occupanq Is a roughin inspection required on this job? No ? Yes KK Ready Now ? Will Call EF Power Supplier Dakota Cty. Address FaTmington Electncal Contractor 0•B. Thompson Elcctric Co. Contractor's License No. a36835 (COmpany Name) Mailing Address 12201 BGtka B t PRtka, 553,43 AuthorizedSignature $ZA?PhoneNo. 933-2521 (Elactrical Controctor or owner Making Thls Installatlon) $ ? ????? ??[[[????? This inspection request will nat be accepted 6y the ??? State Board unless proper inspection fee is endosed. cirr oF Er+GAN . 3795 4ibF Knob Road Eagan, MN 53122 N? 5061 ' PHONE: 4548100 ? BUILDING PERMIT APPLICATION ReceiPt # ---?Q? To ba uxd for SF I7wlq & Garage Est. Value 41,400. Dote 11=22 , 19-78- Site Address 4263 NO. MalICD Iatte Erect ? Occuponcy _ f Lor 5 aiak 2 Sec/Su6. W11CI2YT305S ldm 6th Alter ? Zoning Bl Porcel # 10 84355 050 02 Reoair ? Fire Zone ? Enlorge ? Type of Const. 17. ad Name SRQ-C HaMe Move p # Srories Z Address 4263 I`I°. Nlalm° Lane Demollsh ? Front 65 ft. ? Ci Fagan Phone Grade ? Depth ?6 fr. ? Name T11S211 HOI[IE5 AvProvala Fees g? Address 627 So. Snelling St. Pau1 55123 648-5501 _ Name _ Address f hereby ocknowled9e that I have read this appliwtion and stote thot the informmion is correct and ogree to comply with all applicable StaM of Minnesoto Statutes ond City of Engan Ordincnces. Signcture of Permittee _ A Building PertniT I5 issued t0: oll work shall be done in acco Assessment _ Waker & Sew Police - Fire Erg. Planner - Council - Bidg. Off. _ APC - Permit iio.vu _ Surcharpe 20.50 Plan check snc 500.00 Wnter Conn. 250.00 Wmer Meter 60.00 raml 948.50 on the exprew condition that Statutes and City of Eagan Ordinances. Buildin9 Official 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ?tr l 29 KAMARA, FRANCIS Site Street Address 4263 MALMO LANE Unit # EAGAN, MN 55123 I (651)905-8910 Property Owner l ?elephone # ( ) . Contractor (612) 827-4033 7elephone # ( ) address 2905 GARFIELD AVE. SO. city state zip ? TheApplicantis: _ Owner ?Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.0 0 if a 5/8" meter is required) Other: -7XWater Softener ? Water Heater $ 15.00 X replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State 5urcharge $ .50 i Total $ 1S. SQ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. J8j(?- ?j Applicant's Printed Name A i s Signature C 1? i NOV 0 52.G04 ? I? -?I ,?-.---._. _ ? ? naTE BUILDING PERMIT APPLICATION =nclude 2 eets of pians, 1 site plan w/elevationa and 1 set of enerqy calculations. Tb be used foz y- • $ite ]lddrese: S •? Lot Block Okmer y Address Addresa Arch./Eng. Addresa Telephone Telephone Telephone OFFICE USE 7?'f bd Valuation -eI16d 0 .Seac, i `2?.v» (? -+A, See. Sub. Parcel Nwnber ?? Y4(??? Erect Alter Feepair Eeslarqe Mooa nCRq11Stl Grade OFFICE USE Date of Approval s Initial Assessment //. YI. /??3 //J's ? Water/Sewer - Police Fire Eng. Planner oouncil 82dg. Off. A.P.C. OccuPancy .,L Zoning ? Fize zone ,7 Type of Const. l/ # of Stories FIOlIt Depth FEES Permit Surchar4e ?o ?•- P3an Check SAC F?flteL COnfl. P7ater Meter TOTAI, 9 ?-?J?. SD -?01PcIP 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdion ReauiremenGs 3 iegiste2d site surveys showirg sq. ft. of lot, sq. R. of house; and all rooted areas (20% max'unum lot croverege albwed) 2 copies of plan showing 6eam & window s¢es; poured found deslgn, elc. 1 set of Eneryy Calculations 3 copies of Tree Preservalion Plan if lot plaked after 7/1193 Rim Joist Detail OpGons selection sheet (buildings wBh 3 or less unlGs) ? ?. C, ZD ??. Office Use Onlv CedoiSurveyRecd _Y _N Tree Pres Plan Recd _ Y_ N, Tree Pres Required ? _Y _ N On-site Septlc Syslem _Y _ N Date L7 /?'? / Crl r7 Construction Cost 3,57Q _ Site Address y oZ (0 3 N• ? OY? alr??o OfGn -C UnidSte # Description of Work Ph3n\c) n, vi" O . ? Multi-Family Bldg _ Y,K N Fireplace(s) _ 0 _ 1 _ 2 Property Owner h? o/7 --' r i GZ Q 411a ?'O\'_ Telephone #((?9j 1) 9c S" O// n Contractor ; Y/ ?-'Qr1l0 -S Address 735/ K'?eooo d 0?eqn-P N-w- /3c) City /MOz? ZOUe- State In/1 ziP 553 fo 9 Telephone #(769) -zCPC? -.?C'JOo COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Venfilafion Caiegory 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitled Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. 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 a review and approval of plans. 61MYa /yI C-:;CfiU/ 1?L Applicant's Printed Name RemodeVReoair Reauiremen4s 2 copies of plan i set of Enertgy Calculations for heated additions 7 stte survey faraddttions & decks AddRion - indicafe d orvsile septic system Use BLUE or BLACK Ink - '.r.)-S---- ,__ C el, For Office Use r �' /C�1/oZ /r '; ,7Permit#:zoPermit Fee: �6 e Ea Date Received: 3830 Pilot Knob Road I Eagan MN 55122 Staff: 7 Phone:(651)675-5675 I Fax:(651)675-5694 -- buildinginspections(acitvofeagan.com 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: , Name: 1)C1 l IL elNYtti:A, Phone: art/ _ rr � f Owner„f ,� Address/City/Zip: -1 z(.2 Y'VlC ( Vu (3 L.�,t_VLA-. e&v.') + it4/v z Applicant is: Owner uContractor Description of work: roof- YPe tf Work �`P , Construction Cost g�/20 < Multi-Family Building:(Yes /No X ) s Company: (''Li,,L tk,�P� t d? c-h—U0-16Y 1 Contact: (p f ec'DU I "- I La.3' Address: J 2 L'S Lk C°vy:v 6( S t- + City: -3P )C! /�-� ntracor � a (15I1 k ' State: 1r4N Zip: (2G1 Phone:*-46. 01�`wutmail: OvlJr lo'iltiait 41n1CiA l .. .` License#: l (O � j 3r-i Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: 'Ala&Plans and �1ortin documents aou submit deredto ; b7c info ''P .e P the 1�'e aa a labs classified as non-public you proeif c reaPlifil**AltioiOuld permit the t4e,VitY,40 conclude that they are trade Secrets ; , You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 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.qopherstateonecall.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. x __01,: _ Applicant' rinted Name Applicant's Signature Page 1 of 3 For Office Use „A Permit#: 111 r� E AG N @®� Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(c�cityofeagan.com 2018 C PLUMBING PERMIT APPLICATION ❑ Please submit ttwo(2)sets of plans with all commercial applications) Date: "'L/o+Site Address: "� "la/M 4V Tenant: Suite#: Pity �i //���ner � Name: 1r' a1t. / , �/ôf' Phone: -se q Name: Pi l(P 4 to License#: _cA/ I y Contractor Address: 1 City: fil cl.fit t44) State: Zi Phone: 6b/ L A 3 C l Email: / 4CSI- 0 f� �/ 4.k' C New �Replacement (, Repair _Rebuild —Modify Space ork in R.O.W. Type of,Work — — Description of work: COMMERCIAL New Construction Modify Space We 71. Irrigation System( yes/ no)(_RPZ/ PVB) • Rain sensors required on irrigation systems rmit Type • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meters Call(651)675-5646 to verity that tests passed prior to picking up meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices?_Yes_No Flushometers_Yes_No COMMERCIAL FEES Contract Value$ SOIL x.01 $60.00 Permit Fee Minimum $60.00 PVB/RPZ Permit(includes State Surcharge) _$ Permit Fee Surcharge=Contract Value x$0.0005 =$ Surcharge If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage $ State Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. CALL BEFORE YOU DIG. Ca I Gopher State One Call at(651)454-0002 for protection against underground utility damage. 1 hereby acknowledge that thi 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 pe but only an appli tion 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 se of work whi requires a re iew a d approval of plans. x f; V A App icant's ;(' nted Name Applicant's Signature FOR CSF USE A ' 9 quired InapedbObt LLOhder Ground of Air est Yef'.411°. rt. I1+ F Related Item : ° Meter Siz • Read M t- =w taff:: Tr • angpvte Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA154629 Date Issued:04/04/2019 Permit Category:ePermit Site Address: 4263 Malmo Lane N 1 Lot:005 Block: 002 Addition: Wilderness Run 6th PID:10-84355-02-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - John Carter 4263 Malmo Lane N Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA154841 Date Issued:04/16/2019 Permit Category:ePermit Site Address: 4263 Malmo Lane N Lot:005 Block: 002 Addition: Wilderness Run 6th PID:10-84355-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John Carter 4263 Malmo Lane N Eagan MN 55123 (801) 656-9642 Quality Systems Ac & Refrigeration Inc 16857 Welcome Ave SE Prior Lake MN 55372 (952) 226-2665 Applicant/Permitee: Signature Issued By: Signature