4266 Malmo Lane NPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128376
Date Issued:11/07/2014
Permit Category:ePermit
Site Address: 4266 Malmo Lane N
Lot:004 Block: 004 Addition: Wilderness Run 6th
PID:10-84355-04-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David J Lee
4266 Malmo Lane N
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
Receipt MECHANICAL PERMIt Parmit No. ?
CITY OF EAGAN '
Fee
1(' ? l Fill in numbered spaces S/C
Type or Print legibly
Tot.
1. Date 2. Installation Cost 3. Job Address B'IYc. ? Tract
4. Owner 1?1 , , ? ?{ ? l x??? •
5. Contractor ' '-1-" r? Phone
6. Address
7. City ?} I 1 ? State I ?,. Zip
8. Building Type: Residential fl Commercial ? Institutional O
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe i,` Fuel Type
11
No. Enuinment 8TU - M. Ea.
Forced Air No. Equipment CFM
Air Handling:
Mfg.
Boilers
Mfg. Mech. Exhaust
"
Unit Heater ;
Mfg. Other t
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinences and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 PiIQt Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued;
(651) 681-4675
SITE ADDRESS: APPLICANT:
i ANr. ri • . !JI t itl :?Fl! '.?_ l?ltl,.f ?, 1 il . . . ......, ., ..,..._ .. .... . ---.?__ .......
PERIUIIT SUBTYPE: TYPE OF WORK:
?
,I
? INSPECTION .. . .A
i
I
I
IF- ?
I
lL
?
Permit Holder Dete Telephone M
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
_ ,f?
_1Y ?
ROUGH
PLUMBING
PLBG
AIH TEST ?- --- --
ROUGH
HEATING
GAS 5VC
TEST
INSUL
GYP BOARD
FIFEPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCriviTv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
WILDERNESS RUN 6TA ADDITION Lot 4 Rik 4 Parcel 10 84355 040 04
Addition
OwnerL, ??t Street 4266 North Malmo Lane state Eagan,Minnesota 55123
v Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 161.21 8.04 20 88.67 9 4 0-29-80
SEWER LATERAL
WATEftMAIN
WATER LATERAL
WATER AREA 1977 162.14 jfi.Ytr-? 15 108.14 A009614 10-29-80
SEW TRK 3.?-- _18 203.61 A009614 0-29-80
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. it ii
BUILDING PER.
SAC r? ?t
PARK a
cirY oF EAc,aN
3795 Pilot Knob Roed Eogen, MN 55122
PHONE: 454-8100
BUILDING PERMIT
Te 6a rood Fer
ste Address
Lot Block Sec/Sub. •'?r?e2`T1c??? ?`ul
Parcel # `
m Name
3 Address
b
G Phone
?o Nome
?
?? Address
?- r?.., ati.,.,a
Name _
Address
I hereby acknowledge thot I have read this application ond stote that
the informotion is correct ond agree to comply with oll opplicoble
$tate ot Minnesota Stotutes and Ciry of Eagon Ordinances.
Receipt #
N° 59?9
Ereci -p Occuponcy
Alter ? Zoning -
l
Repair ? Fire Zone
Enlorge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode ? Depth h.
Approrals Fees
Water & Sew.
Police
Fire
Eng.
Planner
Counci I
Bldg. Off. _
APC
Permit • ? ?"
Surcharge
Plan check
SAC
Water Conn.
Woter Meter
Rood Unit
Total
Siynature of Permittee ?
A Building Permit (s issued ro: rr'`? • on the expreu condition that
oll work slwll be done in accordance with oll opplicable $tote of Minnesoto Stotutes ond City of Eagan Ordinances.
Building Official
Pamk * OeM Isn?d PwmIMae
Plumbin9 / f /s 7'3/- O
Mechoniccl - -?C ?
/ 2 ? -Re-,
INSPEC'ftONS DATE INSP.
Rouyh-In
Final
Footings Date Insp. Dcte Intp.
Foundation Plumbing . r ool
Frome/ins. ? Mechonioal Z
Final -
Remorks:
No.
Date:
CITY OF EAGAN
3795 Pilot Knob Road
Eayae, Minnesoto S'f 1?.Z
Phone: 454-8100
tii
Site /lddress:
1r2.66 rblnb
PERMIT
Lot Block Sub/Sec.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt Na.;
Single I
Residentiol
Muiti Res., Comm./Ind. I
Nome New/Alter./Repair. ? /rddress :?:' '• ? . ?', ` Cost of Instellotion
City ' P?1? • . ?*1 . Phone: Permit Fee
Nnme
? Surchorge
? Address
?
City Phone: ' Totol
This Permit is issued on the express condition thot all work shall be done in accordance with all opplitoble State of
Minnesoto Stotutes and City of Eogun Ordinances.
r Buildinfl Officiat
? r
. cInr oF EAc,AN
• 3795 Pilot Knob Rood
Ea9an, Minnesota 55122
No. phew: 454-8100
PERMIT
Date:
Site Address:
Lot Block Su6/Sec.
Ncme o i
.
? Address ,• ? 17 ?
City . Phone:
Nume
.
e
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single - I
Residential
Multi Res., Comm./Ind. I
New/Alter./Repoir. Cost of Instollafion
Permit Fee
Surthorge
? nwre5a
? City Phone: ' , - ] 'I ?• Totoi
This Permit is issued on the express condition that all work sholl be done in occordcnce with nll cpplicable Stote of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN i2404
3830 Pllot Knob Road, P.O. Box 21-199, Esgan, MN 55121
PHONE454 8100
BUILDING PERMITC- c Receipt #
J
To be used tor ilECiC Est. Value $2,300 Date AUG u 5T 6 , 1g i 6
Site Address 4266 NO MALM O L N Erect 1* Occupancy K j
Lot4_ Block 4 SeciSub WILllEZNESS i2U?VRemodel ? 2oning R1
.
Parcel No. bTH ADl) Repair ? Type of Const Un
Addition ? No. Stories
°C 3OHtJ PFLUGI Move ? Length 18
= Name
SAMF Demolish ? Depth lR
;
° Address
452 Int ImPr?
--7699 Sq. Ft. 3-2
4
City Phone Install ?
o Name SAME APRrow
=
? Q Address Assessment
~ Ciry Phone Water & Sew.
? ¢
W W
Name Police
Fi
?- Z
Address re
E
Q =
< W
City Phone ng.
Plannar
I hereGy acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature oi
A Building Permit is issued to: JOHiDI PFLUG I
all work shall be done in accordance with all applicable State of Minnesota Statutes and
Building Oflicial
Council
Bldg. Off. 8/6/$ Ei
Var.
Permit "'"' • '' ?
50
Surcharge '
Plan Review
Water Conn.
Water Meter
Road Unit
Tr. PI.
Parks
Copie
Total '
on the express conditfon that
of Eagan Ordinances.
PKmit Na PermN Noldor DoIS TNephone 1t
Plumbiny
M.V.A.C.
EIeeMe
SoM~
Inspectlon Date Inrp• Commsnh
Footk?ps 1
Foodnpsll
Foundatbn
Fnmitp
Rooflny
Rouph Plbq.
Rouyh Nig.
Insul.
Finplace
FinN Mty.
Final Plbp.
Bldy. Final
Cert. Occ.
Dock Fty.
Dock Frmp.
WNI
Pr. Disp.
CITY OF EAOAN
3796 Pilot Knob Roed
sagae, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
I agree ro complp wiHi t6e City of Eagoa
Ordinances.
Rv
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connedion Chorge:
Account Deposit:
Permit Fee:
Surchorge:
Misc. Charges:
Totcl:
Dote Poid:
Dote of Insp.:
Inso. - _
CITY OF
95 Pilaf Knob Road
.317 PERMIT NO.:
gon, MN 551Z2 DATE:
t
ning: No, of Units:
wner:
ddress:
A
.
' Site Address:
_ Plumber.
? Meter No.: Connection Chorgec
Size: Acoount Deposit:
Reader No.: Permit Fee:
1 agree fo wmply wifh fhe City of Eagan Surtharge:
.. Oedinances. Misc. Charges:
Total:
,
y Date Paid:
t
te of Insp.: Insp.:
?O'j ?()3
CITY OF EAGAN
' BUILDING PERNIIT APPLICATION
To Be Used For r?,-?? Valttatt'on l? 6
site Addre55:
Lot 1(_ Block ? SeC./SUb. Cd?/.?fNe.as ?'?'
Parcel #: /I
owner: 7-? l5 eA/ l-(e,u ? ?"??e-
Pddress: (PZ`) So. ,s.v //?_
City/ZiP ??= ?Ad ,,G?n?• SS"l(!o ?
Phorie #: ?9B ?'OI
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./Ehg.:
Address:
City/Zip Co3e=
Phone #_
Include 2 sets of plans,
1 site plan w/elevations &
1 set of Pnarc;y calculations.
Date 7-/f-ff 0
OFFICE USE ONI,Y
'Erect OccupaicY ?
Alter Zoning
Repair Fire zore 3
Enlarge Type of Const. ?
_
M:)ve # Stories
L7esrolish Front 6e ft.
Grade Depth ,V ?- ft.
APPROVALS FEES
7
Assessments ? Permit y?
Water/Sewer Surcharge
Polioe Plan Check?
Fire SAC (, a• s ?`
Eng. Water Conn. ? a .s =
Planner Water Meter
COUI1C11 R03C1 UI11t f()
Bldg. Off.
APC
TOTAL /, / .? .P i M
CITY OF EAGAN
3795 Pilof Knob Road Eagan, MN 55122
PHONE: 454-8100
BUILbING PERMIT APPLICATION
Receipt #
N? 5979
ou 4X,4-
7e be uced fer 5F DWG/GARAGE Est. Vafue 51,000 Dote 7-21 _, 19.$L__ _
Site Address 4266 N. Ma1mo Lri. Erect ? Occupanq R'3
Lot 4 Bbck 4 sec/sut. W'lderness Run 6 Alter ? Zoning Rl
Parcel # 10 84355 040 04
z
3
° Name 111OG
Address 627 S
Ci Eagan.
? Name SBIIte
t°
Va AGdfC55
I Ci
f?
Nome
FW
sZ Address
I hereby ocknowled9e thot I hove read this application ond stote that
the information i5 Correct•ond agree to Comply with all opplicoble
State of Minnesota Statutes and City ot Eagan Ordirwnus.
Repair ? Fire Zone 3
Enlarge ? Type of Const V
Move ? # Stories -
6g
Demolish ? Front - ft.
Grade ? Depth Q6. ft.
Aoprorals Fees
Water & Sew.
Police -
Fire
Eng.
Plonner -
Council _
81dg. Off. _
APC
aermtr 142.00
Surcharge 25.50
Plan check 71 . On
snc S25_on
Water Conn. 305+.0.0
Woter Meter 6Ll.9R
Road Unit NA
Toral l, 128 _ 5n
Signature of Permittee I
A Building Permit Is issued to: Ti l can Hnmaq,, Tnn. on the express condition that
oll work shall be done in a rdance wit nll appllcabl?5t;te of Minnesota Stotutes and City o4 Eagan Ordinonces.
Building Official ? ? -?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N°- 12404
PHONE: 454-8100
BUILDING P ERMIT Receipt# 'o W
To be used for DECK Est. value $ 2,3 00 Date AUGUST 6 _6
SiteAatlress 4266 NO MAI,MO LN Erect L? Occupancy R3
Lot4_elock 4 Sec/Sub. HIZLDERNESS RUNRemodel ? Zoning R1
Parcel No fiTH ADD Aepair ? Type of Const. Vg.
. Addition ? No. Stories
a JOFIN PFLUGI Move ? Lengm 18
3 Name S?E Demolish ? Depth 18
Address l
?
° mpr.
sq. Ft.??q
452-7699 Int.
Cify Phone Install ?
SAME nPProv:
= o Name
$ ¢ Address Assessment _
'" ciry Pnone Water & Sew.
??
F W
nlame
? ? Address
i w City Phone
Police _
Fire
Eng.
Planner-
Council-
Permit
Surcharge 1.50
Plan Review
Water Conn.
Water Meter
Road Unit
Iherebyacknowledgethatlhavereadihisapplicationandstatethatthe Bidg.ofr. 8/6/86 Tf.PI.
information is correct and agree to comply with all applicable State of
Mmnesota Statutes and City of Eagan Ordinances. APC Parks
Signature of
A Building Permit is issued tb: j/
all work shall be done in acwrdance with all applicable St?leee...pppfnesota St?
Building OHicial
_ Copies
Tota? 40.00
on the express contlition that
an Ordinances.
' Minnesota State Board ot Elecvicity
Griggs Midway Bldg. - Room N791 ?
niversity Ava., St. Paul, Minn. 55104 - Phone 297-2171 ?
EQUEST FQR ELECTRICAL INSPECTION '
CHECK BELOW WOAK COVERED BY THIS REQUEST
Efl-00001-02
81973
Type of Building New Add. Rep. Check Appliances W'ved For Check Equipment Wired For
Home XE ? ? Range ?C Temporary Wiring ?
Duplex ? ? ? Wate[Heater ? Ligh[ingFixtu[es :UX
Apt. Bldg. ? ? 0 Diyer ? Elec[ric Heanng ?
Commercial Bldg. ? ? ? Furnace ' o Unloader ?
Industrial Bldg. ? ? Cl A'v Conditione a? Ik Milk Tank ?
Farm ? ? ? List t
'
Othcr ? ? ? Hehers?
) tehers?
COMPUTE 1NSPECTION FEE BELOW
Se[vice Ent:ance Size: # Fee Feedecs& Su6feeders: # Fce Cucuits: # Fce
0 to 100 Am
s. 0 to 30 Am ares 0 to 30 Am eres
101 to O O X Amp 31 to 100 Am res 31 to 100 Am res
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Tcansformers RemoteConUolCirc. Partialorotherfee
50
Signs Special Inspection Minimum fee $5.0
Remaxks
"
n
T07ALFEE 3 .oD
$.50
(Final)
This request void
18 months from
has been m t
.Mte bv
i;)ate_??? 0(,f4CF
s? voia ?b 4 1 ?. J ?, ?
]8mo s rom S 81973
Date of this Request R_H71?$0 Fire No.
I, as nLicensed Electrical Contractor D Owner, do hereby request inspection of the above electri-
cal wiring installed at: / 4/ ? ? W,? 6
Street Address or Route No. 4266 North Malmo Cit)Egeg:1
Section Township
Range County Dakota
Which is occupied by Tilsen Homes
(Name ot OccuOant)
Is a roughin inspection required on this job? No ? YesXl Ready Now ? Will Call$
Power Supplier nakota. Cty,, Address Farmi no nn
Electrical Contractor O.B. Thompaon Electric Co. Contractor's License No.A37962
(COmpany Name)
Mailing Address 12201 Mtka Blvd.. Mtka R5A43
•- - _ _ _ .
Authorized Signature Phone No.
(Electrical Controctor or Owner Making TMS Installatlan)
???p ?? o i ?D QQ?? This inupection request will not be aecepted by the
State Board unless proper inspection fee is endosed.
PERMIT
CITY.OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
P.Z.14.; 10-84355-040--04
PERMITTYPE: BUILDiNG
Permit Num6er. 'd 3 4 2 7+'
Date Issued: ] z/ 2 4! g g
9266 MHLM0 LANE N
lOl'e 4 BLOCK: 4
WTLDEkNE55 RUN 6Ti-I
DESCRIPTION:
? ReROOF
6u?dixic} °.P?rmit- -!"ype
B?1l,tlinq 4ir;k 7'vpe
t?
4= nsus t'ade :.
j C
i
,i
? ?
?
?
:S'I'ORP1 D A M A G E
1i1'_PFlTR
434 ALr. RESzocNrr.Ai.
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Aup.tzcant - sr. Lrc. OWNER:
cusror? cr?ncEt>rs caNSr 1898729e zv??.az4i? c?= oAvrn
15540 K?NRICK LOOP(5-fF B 4256 MNLMO IARiE IV
LAKFVI'1. LE MN fi504q Er1i3AN MN 55122
(512) S93-1290 (651)41)2-83E]
I herelay aoknowled4e that I have read th9s aoplicatiran and MCate that ttYe
inTarmatzon is c.orrec'C and actree ta COmpiY with dkl, appl3cable Si;ate x?f Mn.
Statutes and City of faqcrri Ord3.nances.
I
APPLICANT/PERMITEE SIGNATURE
-j
Q:L5? QK..<.T1J ! ;9Q
--L13SUED BV 91G TURE
1998 BUILDING
3 ,--I '-7
New Construttion ReGUirements
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 65122 CS-
681-4675
RemodeUReoair Reauirements
• 3 registered site surveys
? 2 copies of plans (InUude beam & window sass; poured fnd. Oesign; etc.)
? 7 energy calwlatlons
? 3 copies of tree Dreservation plan 'rf lot platted aRer 7/1l93
raquired: _ Yes _ No
DATE: 'I 91' I (0-01?
? 2 topies of plan
? 2 sRe surveys (exRerior addkions 8 derks)
? 7 energy ralculations kr healed adtlihons
CONSTRUCTION COS ; S 7 5-2
DESCRIPTION OF WORK: ?,?kffrv` 1)r.?ra- 1't0
STREET ADDRESS: i.? Lo Cv YU . YYIaima L?ri
LaT: y BLOCK: `l SUBD./P.I.D. #: W-&C1 s kv\kn? L/-'/\-
Name: ?? e $DGL VI C( Phone
PROPERTY Lest First
OWNER
Street Address: 'S?
City o, ..n? State: mUv Zip:
Company: !'ri-4 nn 4nlS Lr1Phone#: 7d/°O
CONTRACTOR
Street Address: /CP?/'SD ,?drir? cy ?GY? ??? License # a oi ya y/ 7
City LuK('t-ilzQ State: A`7 W Zip: 55041U
ARCHITECT/
ENGINEER Company: Phone
Name: Registration #:
Street
City State:
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and sfate that the infortnation is cortect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: T7m????/?
OFFICE USE ONLY I?I
I
Certificates of Survey Received _ Yes _ No V
Tree Preservation Plan Received - Yes _ No _ Not Required
/?/0 /
1986 BOILDING PSRMIT APPLICATION - CITY OF EAG9N
NOTE: AI.[.
M[TS! BE LICEBSSD iiITH THS CITY OF EAGAN
SI9GLE F94IILY DiiELLIIJGS
INCLUDE 2 SETS OF PLANSp 3 CERTIFICATES OF SURVEYo 1 SET OF ENERGY CALCULATIONS
H[TLTIPLS DSi6LLINGS - EESIDENTZAL RENTAL OBITS FOH S6LE QNITS
INCLUDE 2 SETS OF PLANS, CERTIFICAT6 OF SIIR9EY - CHECH fiITH BLDG. DEPT.,
1 SET OF SNERGY CALCULATZONS
COFAIERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFZCATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used F'or: ? ( -i Valuation: Date:
Site Address
Lot + Bloek ?
Pareel/Sub
?-?. A,?h 1ug t
Owner T1 ['??(1 14 , ??u a 1
Address 'tZ(„(o N. mQIr-,r, ?n .
City/Zip Code ? r 1 7 l Y? ??i?'
Phone 4152-71aq q.
Contractor \_ ?nhn
Address , ,5n m e .
City/Zip Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone ll
Erect ? Oceupancy
Remadel Zoning
Repair Type of Const
Addition # of Stories
Move Length ?-
Demolish _ Depth Tb-
Int.Impr. _ Sq Ft aza
Install
aeraovALs FEES
Assessments Permit 3 ?? rpo
Water/Sewer Surcharge 150
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Couneil Road Unit
Bldg Off "? Treatment P1
APC Parks
Varianee Copies
ts?rL
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOHEOiiNER KDST DESIGNATS WHICH 9DDRESS
IS DESZRED. NO CHANGES iiILL BE ALLONED OACE BIIZLDING PERMIY IS ISSDED.
` SIT PLAN
PROPDSEU DECK
4266 NORTH MALMO LflNE
ERGRN, MINME50T8
NORTH MRLMO LBNE
85'
i t'
mmm* N
3U'
22'
22'
26, HOUSE
611NASE
20'-6' 13'-6'
12'
18'
1 B'
PROP03EOOECK
?
7'
421
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--NAI'`.
a g ? cT? .4 M -r r i 1 ? t, ar , x a Y f t?` f t Yr -.:
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V? ,ae
P
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m..,.?yny. ....?.. ,,,? ...,.- ? -. . - /p-
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c:uMru•rnTtoN
[.2? ' EX1'k:RIOR h:NVELOP[{ S??n?'? ??? lication)
('I'o be submitted witlk building permit app
OWIleT_
One or two family dwelling _? `-
? Ali-,
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2006 RESIDENTIAL PLUMBING PeRMiTaPPUCarIoN
CITY OF EAGAN
3830 PIL.OT KNOB ROAI], EAGAN MN 55122
651-675-5675
Please compiete for modifications to existing residential dwellings.
Date r] l oL? I
?
?
?1 ? q ( I
Site Street Address y "-I d-?p(? ,/? 1,?(1 ml-1 l
4 I? ?
Unit #
ProperlyOwner 1 X.IiV I(,? l?? Telephone# ?SDi', Lr5a- 835
Champion
Contractor 651-365-1340 Telephone # (OK)
Address d. 100 City State Zip
The Applicant is: _ Owner / iontractor _ Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing' fixtures. This fee includes installation of a water softener andJor water
11 heater at the same time. tf you are insWllfng-an a water soffener and/or water
heater, do not complete this section; move to the neut section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Tumaround (add $130.00 if a 518" meter is required)
Other:
Water Softener
XiNater Heater $ 15.00
`?,
_ new -7?fplacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuiid $ 30.00
[E``? [E ? C? 1?
n 50
$
State Surcharge I
R .
r
t
l Ju[_ 2 s 2n0,7 I-J
S 15,56
o
a
I hereby apply for a Residentia[ Plumbing Permit and acknowledge that the information is complete and accurate; cnat me
work will be in confortnance 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 reviewed and approved. pic4v &Le./t' 442 ""?
ApplicanYs Printed Name ApplicanYs ignatu
a5o99
?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117834
Date Issued:10/23/2013
Permit Category:ePermit
Site Address: 4266 Malmo Lane N
Lot:004 Block: 004 Addition: Wilderness Run 6th
PID:10-84355-04-040
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 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 -
David J Lee
4266 Malmo Lane N
Eagan MN 55123
Bayport Roofing And Siding Llc
10 South 5th St, Suite 700
Minnepolis MN 55402
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA127955
Date Issued:10/21/2014
Permit Category:ePermit
Site Address: 4266 Malmo Lane N
Lot:004 Block: 004 Addition: Wilderness Run 6th
PID:10-84355-04-040
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.
Lisa Skogen
5660 Memorial Avenue North
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
David J Lee
4266 Malmo Lane N
Eagan MN 55123
(651) 260-4162
Hoffman Refrigeration & Heating
5660 Memorial Ave. N
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature