4269 Malmo Lane NCITY OF EAGAN Remarks
Owner
Street
Improvement Date Amount Annual Years Payment Receipi Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNlG 1973 161.21 8.04 ZQ 104.79 6-6-79
LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 19]] 162.14 15 129.74 6-6-79
STORM SEW TRK :0 ?4 2 3:5 ? Ao67851 6-6-79
SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
1
WATER CONM. 250-00 12487 1-28-78
BUILDING PER.
5AC
- -
PARK $ . ?,L
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
?
?
19
RCCHIV9D
FROM
AMOUNT $ I
& DOLLAR$
1 oa
? GASH ? CHECK
FOR
/ ?J r;.-
FUNO CODE AMOUNT
J ?
Thank You
d BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
?.
BUILDING PERMIT
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN 55122
PHONE: 454-8100
Receipt #
?
Site Addyess - ,,? • "?1 •? j•?' ".
Lot Block 5ec/Sub. :':7.YP.Y'f1e:3S 73II".
1, ? ?? ?;??!1 . f1^
Pc?cel
? Nome `22C 11M
Z
Address
O
? Ncme
,o
od Addre
?
Nome _
Address
I hereby acknowledge thaY I have reod this appiication and state that
the informetion is correct ond agree to compiy with all upplicable
State of Minnesota Statutes cnd City of Eagan Ordinances.
Signnture of Permittee '
? l ' rlCI'lE3S
Erect ?
Alter ?
Reppir ?
Enlarge ?
Move ?
Demolish ?
Grnde ?
Assessment _
Water & Sew.
Pal ice
Fire
Eng.
Planner
Councif
Bldg. Off. _
APC
N° 5962
'.? . ? 7
Qccuponcy ?-
Zoning
?
Fire Zone
Type of Const.
# Stories
Front
Depth ft.
Fees
Permit
?..
Surcharge '
Plon check
SAC
Water Conn.
Water Meter
Toral 977 •'f)
A Building Permit is issued to: on the express condition that
oll work shall be done in accordonce with all applicable 5tate of Minneseta Statutes and City of Eogan Ordinances.
Building Official -
t , .
PenaM # I Dete Issued
Date I Insp. I Dofe I Insp.
Remarks: A 19 - 7 r ' le A l"S 4 / / ?i -At s
CM'Y OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eogon, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address: -
Site Address:
Plumber.
,r) pd
I agree to wmplr with ifie Cify of Eogan Connedion Churge: •'•. Q(? ,
ardinonoes. Account Deposit:
By
Date of Insp.:
CI:1' OF EAGAN
5795 Pifat Knob Road
Eagae, MM 55122
Zoning;
Owner: - ,^ TriC.
Address:
Permit Fee:
Surcharge:
Misc. Charges: -
Totol:
WATER SERVICE PERMIT
PERMIT NO.:
DATE: __
No. of Units:
Site Address: NO. N[dlmo ?
Plumber: _ ,r•
Meter No.:
Size:
Reoder No.- _
1 ogree to complp wifh the City of Eagan
Ordinanees.
By
Dote of Insp_:
WR F'itl
Connection Chorge: 2' 0• f)` ' '-
Account Deposit:
Permit Fee: ' ? •
Surcharge: r, ? ? •
Misc. Chorges: . 'r? • , r. ?•?.c:
Total:
Dote Poid:
Insp.:- --
CITY OF EAGAN
.- • 3795 Pitor Knob Rood
Eagan, Minneaoto 55122
Phone: 454-8100
PERMIT
Date:
6-8-79
Site Address:
4269 Nn. MaLro I?e
Lot Block Sub/Sec. _-
Receipt No.:
Single
Residentiol
No. 1376
14522
IX
Tilsen I3ales
Nome New /Alter. / Repoir
. 627 SO. Snel' ? r1."
3 Address Cost of Instollotion
° sL. Paul 55116 F93-550,1 20.00
City Phone: Permit Fee
R'dlptl 'S PIIbblr?" .50
Name Surchorge
j9c? ?;?.;?ri.dc r.ti?. °?r3sx?
g Address
T
City Phone: Total
This Permit is issued on the express condition thai all work sholl be done in accordonce with all applicabie Stote of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
ciTr oF EAGAN
. 3795 Pilot Knob Rood
Eagon, Minna:ote 55122
Phone: 454-8100
tr?' /^*' pT4 f?'G±'177![a!;
ry741r-
PERMIT No.
1?4/79 ' 11.3435
Dote: Receipt No.:
4`?A Singie
Site Address: Residential -
Lot (Block Sub/Sec . Multi Res., Comm./Ind. I
; ^' '!. c3P1! Ti01""'?,s
Name /Repafr
New/Alter
.
3 Address f` ? r. ?1?"?7
Cost of Installation
O
't. Pd1? 55123
City Phone: Permit Fee
A.
Bi2'1Cjt?' ? ?*'!
Name SurcFarge
.
Rftlp-r E.
? Address
(7 - tcr:?j1r
'
City Phone: Total
This Permit is issued on the express condition that all work shall be done in accordonte with all opplicable Stute of
Minnesota Statutes and City of Eagan Ordinances.
Buildin9 Officiol
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645•7703
REQUEST FOR ELECTRICAL IN$PECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
R 55810
Type ot Building New Add. Rep. Check Appliances Wired Fw Check Fquipment Wired Foi
Home 10 ? ? Range EFi Tempoxary Wiring ?
Duplez ? ? ? Wa[er Heater ? Lighting Fix[ures kk
Apt. Bldg. ? ? ? Dryer Etectric Heating ?
Commercial Bldg. ? ? ? Fumace Silo Unloader ?
lndustrial Bldg. ? ? ? A"v Condi[ionct ? BWk Milk Tank ?
Fazm pList
lhcrs ?
TJ List
R
heis?
Other ? ? ? ? e
COMPUTEINSPECTION FEE SELOW
Se[vice Entrance Size: # Fee Fcede ub[eeders: # Fee C'vcuita: # Fce
0 to 100 Am s
101 to 200 Amps.1
Above 200_Amps. 0[0
31 to r
Abo 00 0 to 30 Am etes
31 ro 100 Am res
Above 300 Amps.
Transformers RemoteControtC . Partialorotherfee •
Signs Special [nspection Minimum fee
Remarks p1a7,1 TOTALFEE 3?,0 ? •50
I, the Electrical Inspector, hereby certi t th e idspection has been made,
(Rough-in) ? r?Z Date 3 l d"
(Final) Date 13 This request void 18 months from
- d»ye
lriis request void 18 months from /.3S `?
`
Date of this Request_ _ 2_28-1979 R 55810
l, as 5rLicensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri•
cal wiring installed at: 4L 1!c, /S 60 Street Address or Route No. 4269 North DBalmo City Eagan
Section Township Range County Dakota
Which is occupied by T; lsen Homes
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yes n Ready Now ? Will Call 9K
PowerSupplier Dakota CtY. Address Farmin9ton
ElectricalContractor_O.B. ThomASOn Electric Co. Contractor'sLicenseNo.A35
(COmpany Name)
Mailing Address 12201 Mtka Blvd. Mt
(Elec I ntractor?YOw er akingThlsln5taliatlon)
Authorized Signature 933•2521
? (EIBCt?rlcal [ontractor FoRr? Owner Making 7his Installatlon)
sv/?1?? ?Q?6V1? ???? Thisinspectianrequestwillnotbeaceeptedbythe
i.w uu State Board unless proper inspeetion fee is enclosed.
cirr oF EAcaN
r 5795 Pilet Kno6 Rood 6egan, MN 53773 NR 5962
,
PHONBs 4544100
UILDING PERMIT APPLICATION Receipt {p
B _ _
To 6e usad fer SF DWlq & G3Y'd42 Est. Value 51,000. Date
$ite Address 4269 I30. Mdli[ID Is1ne Erect og Occuponcy I
W].ZCIEY7IESS RUIl Fit$
2
6 ?Alter ? Zoning Ri
Block
$ec/Sub.
Lot
10 84355 060 02 oir p
Re Fire Zone 3
Parcel # p
Enlor
e ? Type of Const
V
g .
c Sp- ' T'Trvrk,
Name .. Move ? # Stories
z ?
4269 No
Mal[m 72ne Demolish ? Fmnt 66 fr.
.
Address _
EEtgan Grade ? Depth 26 R.
Phone
Ci
? T11S2ri HOI[IES Approvab Fees
z? Nam
627 So. Snelling
Address
St. Paul 5512,1,,,,,,e 698-5501
Name _
Address
I hereby ockrwwledge thot I have read this application and state that
the infortnation is correct ond agree to comply with all applicable
State of Minnewta Smtutes and City of Eagan Ordirwnces.
Assessment _
Water & Saw.
Police
Fire
Eng.
Plonner _
Council _
Bldg. Off. -
APC _
Permit iYC.vv_
Surcharge 25.50
Plan check
SAC 500.00
Water Conn. 2$0.00
Water Meter 60. 00
Totul 977. SO
Signoture of Pertnittee I
T11SP1'1 HCFneS on the express condition that
A Building Permit is issued to:
all work shall be done in cccorda e with all appli tate of Minnewta Statutes and City of Eagan Ordinances.
Buildtng Offidal ??`'??
? .,
s
C jL(n ?--
DATE
BUILDING PERMIT APPLiCATION
include 2 eeta of plans, 1 site plan w/elevations and 1 set of energy calculations.
To be used for . Tg,?t
? p
Site AddressA"?7flA&,rw
Lot Block
Owner 1(
Address
Addresa
Arch./Eng.
Address
Telephone
0,9,
Telephone (p ( 6 '??) /
Telephone
OFFICE USE
a-a
valuation ISl00 G
J? IO.S
tA,,
See Sub. Parcel Nwnber /,,; 3y467S n6c?9
Erect
Alter
Repair
Enlruge
trova
I7emolish
Grade
OFFSCE USE
Date of Approval & Initial
Assessment
Water/sewer
Police
Fire
Eng.
Planner
(buttcil
Bldg. Off.
A.P.C.
Occupancy /
2oning
Fize Zone
Type of Oonst. _
# of Stories
Fzont
DePth
FEES
Petmit
Surchar4e
Pian Check
SAC
Flater Gbnn. .^KD. nn
4 ter Meter /n nn
?/Y?[G f Y?/1NP
TOTAL ?-
?7?'s?
?t
I ??
? ?
OI
?
W?
?
?
T
zo' -e-- tffv ?
rl
N
II ?
ti
v
I
?
?
I--]
?
\ .
AL?egzc,?/
UN?"
_" Q I
?
I
?
?
? I
LoT M BLock M I
jl''?.da'al),? `arm (o ? ?
dunLrn., yJa7-LuD, i't,c . I
,
?F(LTY .,LING
a
.
//g, -
V?LOT -P L AN
qj 7,Z -7 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4875
NewConsWetionReauirements RemodellReoairReauiremenb D
• 3 iegistered site surveys showing sq ft. o( lof, sq. ft. of fwuse; and all mofed areas • 2 copies of plan ll?
(20°h maximum lot coverage allowed) • 1 set of Energy Calculations for heated addNons
. 2 mpies of plan showing beam 8 window sizes; poured found design, etc.) • 7 sHe survey for ezterior additions & decks
• 1 set of Energy Calculatlans • Indicate if hane served hy uptic system for additions
. 3 copies of Tree Preservation Plan if bt plafted aNer 711193
• Rim Joist DetaB Optbns selecfion sheet (bldgs wiU 3 or less unils)
DATE ? o? y? 0VALUATION
SITEADDRESS Yl--Lv / Iy A4?oef IL'411Z MULTI-FAMILYBLDG _Y X.N
TYPE OF
APPLICANT
STREET ADDRESS `7'v< b /Y•
TELEPHONE ?S?Yf`1.2G??J CELL PHONE #
ZIP ?51
PROPERTYOWNER TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
?
Energy Code Category _ MINNESO'fA RULF.S 7670 CA'1'LGORY 1 _ MINN
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New
• Energy Envelope Calculations Submitted
Plumbing Contractor: ___
Plumbing syslccn includcs:
Mechanical Contractor:
Mcchanical system includcs:
Sewer/Water Confractor:
Air Condilioning
Hcat Rccovery Syslem
FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
Phone #
Fcc: S70.00
-----------°------------------------------------------------------------------°------------°----°----------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin ces.
<
Signature of Applicant
_ Waler Softencr
_ Waler Heatcr
No. of Ba[hs
Phonc #
I.awn Sprinkler
No. of R.I. Balhs
2-y 5N
P'cc: $90.00
OFFICE USL ONI.Y
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
PERMIT# qU gI I
RECEIPTDATE: V 3-<) /
RESIDEPTIAL PLUM$IAfl PERM1T APPLIC!lTIOR
cnYoF EAsM
3830 Paor xiuos Rn
ewGM, buv 55i EE
651-6$1-4675
Please complete for:
SITE ADDRESS:
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for inigation system
N
1 I ?
OWNER NAME: : ?9JJ ?C'd C`QC-i? TELEPHONE #: ` ?j4.Sq' M7Jcj
(AREACODE)
INSTALLER NAME: TELEPHONE #: ?_I 33
`t'
(AREACODE)
STREET ADDRESS:
CITY: STATE: ZIP: GC9
Place a check mark ne:t to the oermit work tvne
New residential dwelling unit under construction and not ownerloccupied $ 90.00
? Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installationlrepair/rebuild of RPZ
• lawn irrigation system
• water turnaroun ?
Nature of work: V?V
Septic System, new/refurbished - $ 225.00
• includes Counry 8 Consulting Inspector fees
• requires MPC license
State Surcharge .50
Total
AUG
P
;I
i
2 3 200 1
! ;
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
?F"y_ I
I hereby acknowledge that I have read this application, sfate that the information is cortect, and agFee to complyrvith all applica6le Ciryof Eagan ordinances. It
is the applicanfs responsibiiiry W notify the property ovmer that the City of Eagan assumes no liability for any damages caused by the City during its nortnal
operacional and maintenance activilies to the facilitles consWded under this permit within City propertylright-of-wayleasement.
Llv?
^ SI TURE OF P RMITTEE
n ? Updated 1/01
???i.???
l
2007 RESIDENTIAL PLUMBING PeRnmT APPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
PI
com lete for modifications to existin residential dwellin s
?v
cYL
GP?ti
77
Date ? I CL 1 Q ?-
Site Street Address
Property Owner ?iil- &UI O vz?? Telephone #(?Ip? )o?•I ?o?0 3d
Contractor Lo-a^J D?,? 4 ool?,F 'n 7? Telephone #
Address /?"?'C- W, City It'0? ?i7-S State Zip ?93
The Applicant is: _ Owner & Occupant -V/Ulcensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.)
This fee a lies when extensive lumbin re airs are made to a buildin . $ 90.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures to main level lower levei. This fee includes
installation of a water softener and/or water heater at the same time. N you are
installing onlv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
instaliing.
_Septic System Abandonment
Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
V Lawn lrrigation _RPZ B _new _repair _rebuild
_tj $ 30 00
State Surcharge $ 50
Total $ ?O
.,i. .?.. ...i ? ?fe• fF?ai fhe
I hereby apply for a Resitlenrial I'wmbing rermii ana acrcnowieaye urai uic 'a .,.,r?•? ?- ----•------ --
work will be in conformance with the ordinances and codes OSig'nat n and the plumbing codes; that I
understan this is not a permit, but only an application for a permiwithout a permit and work will 6e in
accordan wi h the approved plan in the event a plan is required pproved.
k
Applicant's Printed 14ame Applic
? 7q37
. 2007RESIDENTIAL BUILDING rExMIT arrLicaTiorr 130,00
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauiremenls
3 registered sile surveys showing sq. R of bt sq. N. of house; and all roofed areas
(20Ya manimum lot wverage allowed)
1 Soils Report if proposed building is to ba placed on distur6ed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
7 set of Energy Calculations
3 copies of Tree Preservatbn Plan d lot plaried aifer 711193
Rim Joist Defail Options selection shee[ (bmldings wAh 3 or less units)
Minnegasco mechanicai ventilation form
RemodellReoair Reauirements Office Use OnN
2 copies of plan shavmg foolirgs, beams, josts Cert of Survey Recd _ Y _ N
1 set of Energy Calculations (or heated addilions Soils RepoA _Y _ N
1 site survey for addiUOns 8 decks Tree Pres Plan Reoi _ Y, _N,
Adddion - indicate'rfonsifesepGcsystem Tree Pres Required _Y _N
On-s'deSepticSyslem: _Y _N
.?..61:? :.,.i........i7wr? . ..1..?? ....n c4nfn #FtoV AMp tF'.IfIP RPC_I'P_t 9tld tI10 rOaSOn.
rm?w w?c ..v??owv..... ........................... _...?-- -" -'--- ----
Od
Date 5 ? a? ? a o o Construction Cost
Site Address ya6 r??r? AJ021-77 UniUSte #
?'?-CAN ^tJ S/a 3
Description af Work /? ,02-4c6r Z-YI 5)7-A&-? -IW? ? ol(I AIZ-IV "j??`C
Multi-Family Bldg _ Y1>?N Fireplace(s) 2
Property Owner J ?'N 0 ? Telephone # (?SI
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code CategOry , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionrype) Submined Submitled
. Energy Envelope Calculations Submitted
In the last 12 monihs, 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
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
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 ernut, and work is not to start without a
permit; that the wark will be in accordance with the approved e ca e of work which requires a review and
approval ofplans.
?LJ(?l?9??2 ? ?D/??1//?? ?`_?
Applicant's Printed Name ApplicanYs Signature
?
tp 6
.o)
cfi?
?
?
W,? .?
? No. ,
?
? ? c nn.,FSr? ,
? ?ML
?
?
n'1 AL/vi U/„?1/ f y
I
I ?
0
(A r%j
0 e
_ ?
0 ?
?
_ ` 1 ? .. . _ .
fir, .. �
r TREATED WOOD MAY REQUIRE SPEC'AL
_D V;�ARE (FASTENERS, HANG -, ..
'NG). CONTACT YOUR LUrr_
LER FOR MORE INFORMATION.
rbECKS SHAU. NOT BE RTED BY
CANTILEVERED WOIST HOUSE FRAMING
WITHOUT SPECIFIC ENGINEERING.
"/c37
APPROVER.PL.ANS Mil'
EMAIN ON
t tum
AIRS SHALL BE PROVIDED WITH ILLUMINATION IN
E IMIAEDIATE VICINITY OF THE TOP LANDING.
J
ON STAIRS POW Al MORE RISERS,
A sRiPABLEAVMRAN. EQUIVALENT TO
1-1/2" TO r AND MOUNTED
E-TWEEtt 34''' TO Sr ABOVE TREAD
r . , r' G IS REQUIRED ON AT LEAST ONE
EWE OF THE STAIRS.
WALKING SURFACES GREATER THEN 30"
ABOVE AREA BELOW REQUIRE GUARDRAIIS
MINIMUM 36" IN HEIGHT AND DESIGNED
SUCH THATA 4" SPHERE WILL NOT PASS THROUGH
LECGER MUST 8E ATTACHED W!TI`•I
MINIMUM (2) 3/8" X 4" LAG SCREWS
WITH WASHERS EVERY 16"
<rn
m
mA
GZ
m e
0
aX o ACS ..4",
�at/ :
City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA127449
Date Issued: 10/01/2014
Permit Category: ePermit
Site Address: 4269 Malmo Lane N
Lot: 006 Block: 002 Addition: Wilderness Run 6th
PID: 10-84355-02-060
Use:
Description:
Sub Type: Reroof & Siding Construction Type:
Work Type: Replace
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
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.
Fee Summary:
Valuation: 8,000.00
BL - Base Fee $8K
$162.25
Surcharge - Based on Valuation $8K $4.00
0801.4085
9001.2195
Total: $166.25
Contractor:
Lakewoods Remodeling
9001 E Bloomington Freeway #144
Bloomington MN 55420
(952) 888-5550
- Applicant -
Owner:
Dustin J Rahlf
4269 Malmo Lane N
Eagan MN 55123
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.
Applicant/Permitee: Signature
Issued By: Signature