4272 Malmo Lane N.? .
? ..? ?
. .? .
cirir oF E?GAN
, 3795 Pilot Knob Road
Ea9an, Minnesofa 55122
Phona: 454-5100
- ? 4'?U?PSBIAiG PERMIT
Date: 10-27-78
Site Address: 4272 Mttl? ;'8Ilp Narth
Lot i Block Z` sub/sec. _ `? 6th
No.
Receipt No.: 12192
Single (
Residential ?
Multi Res., Comm./Ind. I
Nome Ti1Ben Hm@S, IIIC. + New/Alter./Repoir. ; Address 627 SO• SIlel.ling !1ve. Cost of Installotion
?
City St. Paul Phone: 6C)8-5501 Permit Fee 20.00
r.alph`8 P1umDins' Surcharge ?
i me
g Address 990:: geswiCk Ave. *40.
,eQ
v ?!'.?S.LWALCT ?5?9c^ 4? ii ?r% 71)
City Phone: - Totol
This Permit is issued on the express condition thot all work shall be done in occordance with atl appliwble State of
Minnesota Stotutes ond City of Eagan Ordinnnces.
Building Offlciol
CITY OF EAGAN Remarks
Additio WILDERNESS RUN 6TH ADDITION ?ot 3 Rl k 4 Parce? 10 $4355 030 04
owner tLf V. streec 4272 North Malmo Lane state Eagan, Minnesota 55123
Improvement 'Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREE7 RESTOR.
GRADING
SAN 5EW TRUNK ) 19]3 161.21 $.04 20
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 14]] 162.14 •Sd $':-W IS
STORM SEINTRK ?.,, ,
. 1.a
s a 1 11-9-78
STORM SEW LAT .
_
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 250.00 11392 $-23-7$
BUILDING PER. #4953
SAC
PARK . ?-(i 5- • 7
CITY OF EAGAN
, 3795 Pilot Keob Reod
Eogen, Mienesota 55122
Phone: 454-8100
HEATINGIAix Cond.
Date:
9-Z5-7g
PERMIT
Site Address -- -- :-< <1J L2;1e N
Lot Block 4 5ub/Sec. •'ilderness Run 6tti
... - , ,
Combustion Air Required
No. 1245
i'1. 7i "A
Receipt No.:
Single I
Residentiol ?
Multi Res., Comm./Ind. I
Name • 1.1Se17 fiDill@5 .New/Alter./Repoir
o ' ?;' '.n. QPC'??lllf' Vc,.
; Address ` Cost of Installotion
O
City Sf. r3:r1, htN Phone: Permit Fee
N e A. Binder F,- Sori Surcharge
. ?
J. Address 120 E. Butler Ps.-,:1-c
e
0
V Cty
? Phone: Total
This Permit is issued on the express condition that oll work sholl be done in accordance with all applicable Stote of
Minnesoto Stotutes und City of Eagan Ordinances.
Building Officicl
BUILDING PERMIT
T. 6u .uwd fer • ?4'+.1 i? .;:.
?900C
Site Address ":' ._ _ .:' ` :; "' ' `•
?:u„ btrt
Lot Block Sec/Sub.
Parcel #k
W NQTe . .. 1 7 1?l• L1JAV ?7hA C
; Address 7''8 Yalace
b t ,.:
0: Name '-1 sen
Z? , ; ,.0.
U ?
?l Address
?- r;..,
IVame _
Address
I hereby ocknowledge thot I hove reod this opplication and stcte that
the information is correct ond a9ree to comply with all applicable
Stote of Minnesoto Stotutes and City of Eagan Ordinances.
Signature of Permittee
cinr oF EAcwN
? w 3795 Pilet Knob Roed Eegan, MN Sb 1?2 N? 4953
PHOM[: 454-8100
Receipt #
Ered ?J Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const. ?
Move ? # Stories
2
Demolish ?
5
Front
Grode Q Depth ? - ft.
Appro vab Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Counci I
Bldg. Off.
APC
Permit
SurcFwrge
Plan check
SAC -?"'•?'
Water Conn.
Water Meter • J?-'
Total 939.50
A Building Permit is issued to: on the express condition thct
all work shnll be done in accordance with al) applicoble State of Minnesota 5tatutes and Ciry of Eagnn Ordinonces.
Buildinfl Official
Pamk # doh Issned iansiRM
Plumbing O--17'
Mec?,an,calA u=c6na- ? a g s ? ? - J-s - ?u -, ?
??e ?• ?18 ?8S /C ? 3- 7
INSPECTIONS DATE INSP.
Raylr I n
Pinal
footings Dota Insp. pote Irbp.
Foundotion Plumbing -06?
Frame/ins. 10 Mechonical ?
Final IzD•
I
Remarks:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Imc 17383
Receipt # G 55,097
Date DEC 13 , 1989
_
Site Address 4272 FIAImD I.ANL N
Lot 3 Block 6 Sec/Sub. WWWRIMSS RUN
Parcet No.
W Name BARBARA A JEFfREX liIYAKB
3 Address 4272 !lALHO I.ANE N
0 City EAGAN Phone 452-$073
, o Name ALLSi? COlVSTRUCTIOH
?¢ Address ;?+g10 Si?AFiNQ?I PiCHY
? City _ ROSEPAOUN? Phone 423-3110
Name _
Address
Clty -
I hereby acknowlege that 1
information is correct and
Minnesota Statutes and C fg
Signature of Permitee ?
A Building Permit is issued t
on the express condibon th<
_ Phone
read this application and state that the
to comply with all applicable State of
gan Ordinancers:
A N CON$ZxUCTION
rork shall be done in accordance with all
Wes and City of Eagan Ordinances.
OFF ICE USE ONLY
Occupancy - PEES
Zoning _
36 • 00
(Actuaq Consl - Bldg Permit
(Allowatsle) - Surcharge . 1.00
# ol Stories -
Length _ Plan Review
Depth - SAG City
S.F. To1al _
SAC, MCWCC
S.F. Footprinis -
On Site Sewage _ Water Conn
On Site Well - Waler Meter
MWCC System _
_
City Waler Acct. Deposit
PRV Required _ S/W Permil
Booster Pump - S/yy Surcharge
TreatmeM PI
APPROVALS Road Unit
Planner - Park Ded.
Council - -
BIdg.Oft. _ Capies
Vanance - TOTAL 37.00
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING •
H.V.A.C.
ELECTRIC
Inspeetion Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Finai Htg.
Fnal PI6g.
Const. Meter Plbg. Inspeclor - Notify Plumber
Engr.IPlan
Bldg. Final - Z- ?J
Oeck Ftg.
Deck Final
Weil
Pr. Disp.
CITf OF EAGAN
3795 Pilot Knob Road
Eagon, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber: 1 agree to eanpiy with the City of Eagan
Ordinances.
By - -
Date of Insp.:
I nsp..
CITY Of EAGAN
31'95 Pilot Keob Rood
Eagan, MN 55122
Zoning:
Owner:
Address: .. . _ .. , _..,
Site Address:
Plumber: . .... ? , _ , ?
Meter No.:
Size:
Reader No.:
1 egroe !o ao-ply with the Cily of Eogan
Ordlnonees.
By
Dote of Insp.:
SEWER SERVICE PERMIT
PERMIT NO.: ?
DATE:
No. of Units:
Connettion Charge: ,
Account Deposit:
Permit Fee:
Surchorge: ^
Misc. Chorges: ^
Total:
Dute Paid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE: _
. ?.? ,
- No. of Units:
_ Connection Charge:
_ Actount Deposit: Permit Fee:
?-. .
$urchorge: "
Misc. Chorges:
Total: • - ..
_ Dote Paid:
i-
CITY OF EAGAN NO
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 ,
BUIIEiNG PERMIT PHONE:454-8100 Receipt # e, 4To be used tor BASEMM Esc Value $1 , 500 Date NOV 9
Site Address 4272 MALMO LN N
Lol 3 Block 4 SeGSubWILDERNESS RUN 6'.
Parcel No.
w Name Jhrrhxs & l
? Address 4272 MAI.MO
City EAGAN
Name ALLCd GUN5'LL(UGT1
Address P O BOX 24094
City APPLE VALLEY phone
452-8073
/
I Uww I Name
? ; Address
aw City Phone
I hereby acknowlege tha ave read1M i?P h ? and state Ihat the
mformahon is correct a a ree tg?o? ply wi apphcable Slate of
Mmnesota Statules and y o fan (dinanc
Signature of Permitee
A Buildmg Perm sued Io: ALLEN ONSTRUCTION
on the expr con ition that all work shall be done in accordance wilh all
applica tate of Minnesota Statutes and Qyryot,E{agan Ordinances.
i ding Ofticial -?] fN I /? I 1.Ltl,i I! 4?.(1
?Q- \
1
OCCUpancy FEFS
ZOning =/
(Actual) Const Bldg. Permit 36.00
(Allowable)
1
00
.
Su2harge
S oi slones
Length -
Plan Review
?"ah - SAC, Ciry
$.F.TOtal - SAC,MCWCC
S.F. Foolpnnts -
On Site Sewage _ Water Conn
On Sne Well - Water Meter
M4VCC Syslem -
A?U Deposit
Ciry r _
PRV Reqmre _ S/VJ Permit
Booster Pump g/yy Surcharqe
Treatment PI
APPROVAIS Ro nil
Planner - Park Ded
Counal
BIdg.011. _ CoPies
Vanance - TOTAL 3 7 • 0
17288
CITY OF EAGAN
, 3795 Pilot Kno6 Road Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receiat #
T. 6e wad fe, SF Dwl9. 8 Garagq!st. Voi.e 38,000 Dote-
N4 4953
Site Add.ess 4272 Malmo Lane N.
Lor 3 Bixk 4 SK/sun. Wild. Run 6th
Parcel #
s Name ••oaar .... ..un?nnac
3 ?dre? 1608 Palace
o . au -
o I Name Tilsen Homes, Inc.
i? Address 627 6o. Snelling Ave.
r ??w St. Paul Pti??e 8-5
Name _
Address
1 hereby ackrwwledge thut I have read this upplication and state that
the information is mrrect and agree m mmply with all applicable
State of Minnesoto Stotutes ond City of Eagan Ordincnces.
Signature of Permittee
A Building Permit is issu
oll work shcll be done ir
Building Official 3
Ered Occupancy
Rl
Alter ? Zoning
Repoir ? Fire Zone
Enlcrge
0 V
Type of Const.
Move ? # SMries
Demolish ? Front 52 ft.
Grode ? Depth
Approvals Feef
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
CAUncil
81dg. Off. S 21 78
APC
Permit 11U.OU
Surcharge 79•00
Plan check
SAC 500.00
Water Conn.250.00
Woter Meter 60.00
Toral 9,-49.50
on the expres conditfon that
of Minnesota Statutes ond City of Eagan Ordincnces.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100
BUILDING PERNJIT Receipt # C Si
To be used for BASEMENT Est. Value $1, 500 Date nF.C
Site Address 4272 MALMO LANE N
Lot 3 Block 4 Sec/Sub.WILDERNESS RUN
Parcel No. 6TH
w IName BARBARA & .FFR M YAKF
o Address 4272 MAL.MO .AxE N
City EAGAN Phone 452-8073
o Name AT.LEN CONSTRi!('TTON
?¢ AddreSS 14510 SHANNQN PKWV
? City ROSFM(IiINT PhOnO 473-3110
?
ww Name
X Z'5 Address
aw City Phone
I hereby acknowlege that I have read Ihis?7 p i?ah and state that the
information is correct an ree to co ply ?th II applicable State ot
Minnesota Statutes and f Eagan din c. /?
SignaWre of Permitee ,./ ?.A 6uilding Permit is' sued to: A LE CONSTRUCTZON
on the express condition thal all work sliall be done in accordance wnh all
applica6le State of Minnesota Statutes and City ol Eagan Ordinances.
8wlding Oflicial
0
N2 17383
7
3 isgg
OFFICE USE ONLY
Occupancy
Zoning
(Adual) Consl
(Allowable)
# o( sinries
Length
Deplh
S.F. Total
S F Footpnnts
On Sue Sewage
On Site Well
MWCC System
City Water
PRV Requued
Booster Pump
APPROVALS
Planner
Counnl
Bldg. Olf.
Vanance
BIdg.Permn
Surcharge
Plan Review
SAQ City
SAC,MCWCC
W ater Conn
Water Meler
Acct Deposit
SNJ Permil
SiW Surcharge
Treatment PI
Poad Unit
Park Oed.
Copies
TOTAL
FEES
36.00
1.00
37.OD
rl?est voidT8 months from 'Z?/2 G v
R 28185
Date of this Request__ 9-25-197e
I, as fl Licensed Flectrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 4272 M81mo City ??
Section Township
Range County 'n ko -fl
Which is occupied by Ti1sBri HoIDeB
(Name of Otcupant)
Is a roughin inspection required on this job? No ? Yesti Ready Now ? Will Call lgc
Power SupplierDakota Ct,y. Address FarIDington
Electncal Contractor O.B. Thompeoa Electric Co.
(COmpany Name)
Mailing Address 12201 Mtka Blvd., Mtka 55343
a36e35
Contractoi s License No. _
(Elec[rical Contractoror Owner Making This Installation)
r s.
Authorized Signature '- , i. nu- %- Phone No. i; L' ^
(Electrical Contractor or Owner Makin9 Tnls Installation) 'SV ??? ?O/??? ?('?19?? This impection request will not be accepted 6y ffie
((,l 1;? ? ?, ?4? State Board unless proper inspectian fee is endomd.
Minnesota State Board of Electricity
54 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR_ELECTRICAL INSPECTION
CHECK BELOW WOAK COVERED BY THIS REpUEST
i?yaa
R 9g1 R5
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment W'ved Foi
Home ? ? Rangc Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtuxes cC
Apt. Bldg. ? ? ? Dryer ? Efectric Heating ?
Commercial Bldg. ? ? ? Furnace Silo Unloadei ?
Indus[rial Bidg. ? ? ? Av Conditioner ? BuIX Milk Tank ?
Farm List Lis[
Othei ? o o pt her5l
ere Ali& others?
Hece
COMPUTE INSPECTION FEE BELOW P-W- ffC\ I I
to
Remarks
Ha11
TOTAL
?
I, the Electrical Inspector, hereby cat Inspe? t?ion has been m d?-
(Rough-in) Date a`t 7- -
(Final) Date oz ' -?
This request void 18 months from'-/
"' •-", "v`'
i--A/ a v/ 8 7 `15 .,1 -?/
F 3 6 312 045
Request Date ?
l Fire No Rough-in InspecM1On
Required?
$ Ready Now ? Will Nonry Inapector
? ? Ves firNo When fleatly?
I licensed contractor ? owner hereby request inspection of above electrical work at:
AEdress (S/tr?eetBox or R/Q0?uta No )
/ ? /
OW?? /?/'? - City 7
Sectian Na. Township Name or No qange No. Counry
Occupant (PRINT) Phon No. m
Po-xarSuppher Atldress
Eleci' irecla Na Ca r5 L' n No. .
Meih Adtlress ontracNw or az Malting InstallaWn)
Auth Sgna ( cbr nw M Wng Irelallation) Ptrone Nu r
?
NINN A STA7E BOA OF EIEGTPICITY THIS INSPECTION REOUEST WILI NOT
Grlg NlAwey Bltlg. - Xoom S173 BE ACCEPTED BY THE STATE BOARD
1841 Nverafty Ave., SL Paul, NN 55709 UNLESS PFOPER INSPECTION FEE IS
Phone (612) b4S-OB00 ENCLOSED.
??/?? /?? ? REQUEST FOR ELECTRICAL INSPECTION OlA ??oam-o7
( See msirucMqns tor complellr? this lorm on back 0 yellow copy.
? '3 S '112 'X" 6elow Work Covered by This Requesf
e ? Rep TypeofBUilding AppllancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. 8uilding Dryer Other (Specify)
Comm.Andustrial Furnace
Farm Air Conditioner
OVier (spacify) CoMradorS Remarks:
Compute Inspection Fee 8elow:
8 Other Fee # ServiceEnlrance5ize Fee # CircuitsiFeeders Fee
Swimmin9 Pool 0 to 200 Amps o to too Amps
Transformers Above 200 _ Amps A6ove 100 _ Amps
Signs Irepecm?g use Only: 707AL
Irri9ation Booms /' i ?'•+
Special Inspection ?
?J -UU
Alarm/Communicalion
Other Fee
I, the Electrical Inspector, hereby
tif
h
h Rough-in oee
cer
yt
at t
e above inspection has
been made. Final oa?
x -.t 7'
OFFICE USE ONLV
Th15 fBQueSt MIU 18 mOMhS ((0111
53 G-aO RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4875
New Construcfion Reauirements
. 3 registered site surveys showing sq. ft of lot, sq. ft. af house; aM all roofed areas
(20 % maximum lot cove2ge allowed)
• 2 copies of plan showing beam 8 windnw 5¢es; poured found design, elc.}
• 1 set of Energy CaIwlaNans
• 3 wpies W Tree Preservatlon Wan if Vot platted after 771193
• km Joist Detad Options selection sheet (bWgs wiM 3 or less unAs)
DATE O? a ?G ?
RgmodellReoair Reauiretoonts
. 2 copies of plan
. 7 set of Eneigy Calculations fir heated addiGons
. 1 site survey far extenor additians & decks
. Indicate rf home sarved 6y septic system for additions
VALUATION ? .3??-
SITE ADDRESS `-iD1-? S )U Men 1\A,\ o Lv--, MULTI-FAMILY BLDG ?rY _ N
TYPE OF WORK 0_W R00 FIREPLACE(S) _ 0 X 1_ 2
APPLICANT CiVilG
STREET ADDRESS ya-1 _-? o M? (Vn0 LV__? CITY STATENU ZIP Q__1'33
TELEPHONE #Cp,S`,-C! 2' G? I y CELL PHONE # GSI- 94a `y ?() ? FAX #
PROPERTYOWNER JG?'L
TELEPHONE# W-03 1 L-I
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULI'S 7670 CATEGORY 1 MINNESOTA RULES 7672
(d submission type) • Residentlal Ven[ilatlon Ca[egory 1 Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Piumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ LaKm Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor. Phone #
Mechanical system includes: Air Conditioning Fcc: $70.00
Hea[ Rccovcry System
Sewer/Water Coniractor: Ph M ? _'
----------------------------------------------------------------------------------- - ------- ..................
I hereby acknowledge that I have read this application, state that the inform i i?brz?cT, and a to comply
with all applicable State of Minnesota Statutes and City of Eagan Or inanc? .
rfl
SlgnatureofApplicant ?.w°t?? --?'
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
S3aa? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsWCtion ReouiremeMe
• 3 registered sRe surveys shovnng sq. ft. of lot, sq. N. of house; and all rooted areas
(2096 mauimum lol coverege allowed)
• 2 copies of plan showirg beam & window sizes; paured kunE desgn, etc.)
• 1 sel of Eneryy Calculalions
. 3 copies of Tree Preservation Plan if lot plaHed after 717/93
• Rim Joisl Detad OpNons sdection sheet (61tlg5 with 3 or less unils)
DATE C)2-,-
SITE ADDRESS %
TYPEOFWORK_ e5'1
APPUCANT ?//_?/SSe
STREET ADDRESS
TELEPHONE # ?/? 6FCELL PHONE #
?j,n
f ? 7. ?S
RemodeUReoair Reauiremants
. 2 copies of plan
. 1 set of Eneryy Calculations tor heated addilions
• 1 sAe survey for exterior additions & decks
. Indicate if home served by septic system for additions
/ ?
VALUATION ?COOL-) !
MULTI-FAMILY BLDG _Y --J?
FIREPLACE(3) _ 0 _ 1 _ 2
???0/ ZIP
FAX #
PROPERTYOWNER?A'Ie- #11« / n'S TELEPHONE#
---------------------------------------°------------------------------------------------------
COMPLETE THIS SECTION POR "NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA Riq-FS 7670 CA1'EGORY 1
(J submission type) • Residential Ventllation Category 1 Worksheet Submitted
• Energy Envelope Calculalions Submitted
Plumbing Contractor: __
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Contractor:
_ Water Softener _
_ Water Heater _
No. oF Baths
Air Condilioning
Heat Recovery System
Phone #
Phone #
P'ce: $70.00
----------------------------------------------°----°--------------------------------------------------------------------
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 Eag?Ordin s.
Signature of Appltcant
OFFICE USE ONLY
/Uo. /?"l4/mn
_ Phone #
Laim Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
CITY [ii= (3AGAPt ,
i:;AFSKJ.f:Ti;; S i'f_kMiNAl_ W. 019
nr,'rE,; 05/19/99 'r'r.rsr'; 00905
iD;
Nr+i'iF;: i4t^.iFRTri ',J FIT!7C;fNS
1210 9001 1272 MF'•L M( t 1.A P! 03.2'3
205 .".'.C](i1 4cW) iiA1_t1(7 !.i.} i'd j..:'it:)
TOF,.-aj Rr,-;ur.alpT. Ai17i)uP1'i.. H4.7i
fR1flra27.:
LlaEi? :I:1'Ie Ni"d^tfu'`/
.'3:'%:vY,t?''X:,6?:%?X,?g; 11=00k.
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Conshucfton Reaulrements
? 3 regtriered sRe surveys showing sq. R. of lot, sq. lF. of house
and ?11 rooled areas (2017a maxlmum lot eoveraae allowed)
? 2 coples of plans (show beam d wlndow s@es; poured fnd. design; Mc.)
? 7 sef of eneryy calculations
D 3 copies of hee preservaflon plan M loi platled affer 7/1/93
oATE: aq
DESCRIPTION OF WORK:
Remodel/Reoalr Reaulremenh
2 coples of plan
1 set of energy calculattons lor heaMd addMlons
t sHe survey for exterfor addHions a decks
CONSTRUCTION COST: p2300
STREET ADDRESS: q,r,-?2 ';2' / v I I abYI D /Y /1 4?
LOT: --?) BLOCK: `t SUBD./P.I.D. #: W . q (I K.A h 1 '.-J
Name: ?A140)f1S [)a L(?d Phone#:L2('?'Lr /?1?u
PROPERTY ?llm ryrst
OWNER StreetAddress:yzl;? 1U'J'1'I&D'6,nc-) ) ?.Yto
Cify State: )9WZip:
Company: Phone #: -- j??
(area eode)
CONTRACTOR
Street Address: License # _
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Street
City
Sewer 8 water Iicensed piumber (reaulred for new construcflon onlvl:
State:
Penalty applies when address change and lof change is requesFed once permN is luued.
Zip:
Phereby acknowledge thaf I have read fhis appllcaHOn, state that fhe informaflon Is conect, and agree to eomply wtth ail applicabl
5tafe W Minnesota Statutes and Cify of Eagan Ordinances.
' Signalure of Applicanl: I/ I.?l?? r
CJ
OFFICE USE ONLY
Regishation #:
Certificates of Survey Received _ Yes _ No
i 8
Tree Preservation Plan Received _ Yes _ No _ Not Required
` `
DnTE 8-/ (?? -78
Bi3ILDZNG PSRMIT APPLICATION
include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
7b be used far
a
?/ a
Valuation gdQAeq?
Site Address:
-?P',.?-C ?C
Lot Block Sec. Sub,
,17.,7- /l/ dLa1ii e " Owner /?ia/rr?7/? / i7 ZG?-CLf??.?
Addres o
Contracto
Addresa 0 o? 7 45?n cQ-,04 ,
Ot • a.c, ? 5/7(4 k , S//
Parcel Number
Telephone I, `Z ?' '7` ?o ScZ
Telephone (0 (?8 -S ?5-O /
Arch./En4•
Address
Erect 2?
Alter
Fepair
Enlarge
Nbve
Demolish
Grade
Telephone
OFFICE USE
occupancy
Zoning
Fire Zone
Type of Const. _
# of Stories
Front 2
Depth 6
OFFICE USE
1)ate of Approval & Initial
Assessment Z2.
47ater/Sewer
Police
Fire
Eng.
Plannex
Council
Rldcj. Of f .
A.P.C. _
FEES
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Permit //D
Surcharge
Plan Check
SAC
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Water Meter LD
moTAL 7 3 1.a v
SIIiGLE FAMILY DIiELLIRGS
2 SETS OF PL6NS
3 HEGISTERED SITB 8DH9EYS
? 3fiT OF MHGI CALCS.
1969 89ILDIliG PENMIT APPLICITIOA
CITY OF EAGAN
? j 3 ?3
!lDLTIPLE D1iiELLINGS
2 SEfS OF PLlNS
BMISTSRED SI?E 308VEI3 -
(CEM iPITE Hi.DG DI9. )
1 SEf 0r ENMCi CALC3.
C0I4SEACIAL
2 SETS OF lBCHITECTUR9I.
8 STEOCfORAL PLAN3
1 SLrP OF 3PECIFIC9TIONS
1 SET OF E9EA6T CiLC3.
lIULTIPLE DiiELLIN6S ONSAl. DRITS F08 SALE DIfITS i OF D6IT5
a0T8t iDDHE53E4 F08 CORNER LOT3 - COATRlCTOA/HOKEOUliEa NDST MSIG99TE iMCB iDDRFSS
IS DESIRED. 80 CHANGES iIE.L BE LLLOiIED ONCE SOII.DIl9G PEAIiIT I9 I35DED..
SEfiER i A9SfiR YEAMZT PBES 11PD 1CC00NT DEP03IT 1?6F3 UiII.L B8 ZPCLODED VITH THE HUILDIN6
PEAHTT FEE. PROCCE445ING TIIME FOA SEW£R l1iD i1ATEA PEHHIiS IS li10 D?YS OIiCE ? PEAMIT HAS
BEEN f:014PLETED IHDIC9TIAG A LICENSED PLOlMEA.
PENALTY 6PPLIES WHENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CfiANGE IS REQDESTED ONCE PERMIT IS ISSUED.
To Be Dsed Fors &&kMWjr(' ?DrrLValuation: Z?1'JpG? Date:
31te Address
Lot ? Bloek L?
Parcel/Sub
r 4
Owner
lddress 2,7/)n dI/I?iatn ??.??_
Citq/Zip Code &.;,,9') 5?(7 3
Phone ?S-Z-
Contractor k1?
iddress l.Lr!0 &I"
City/Zip Code K.J fL1„i , cn;qL'd'
Phone N?Z-3-U
Arch./Engr.
lddress
City/Zip Code
Yhone i
Oceupaney
Zoning
Aetual Const
Alloxable
! of stories
Length
Depth
S.F. Total
Footprint S.F.
On aite aewage
On aite well
MIiCC System _
City vater _
PAV required _
Booster Pump _
iPPAOY?LS
Planner
Catmcil
Bldg. Off.
Variaace
F'EF.S
Bldg. Permit 3?,to
5ureharge 1•"
Plan Review
SAC, Citq
SAC, MWCC
Water Conn ?
Water Meter
Acet. Deposit
S/H Permit
3/W Surcharge
Treatment Pl.
8oad Uait
Yark Ded.
Copies
SIIBTOTAL
fenaltq ?
=0lAL °^'
CLAIM VOIICHER
CITY OF SAGAN
CLAIMANT ALLEN CONSTRUCTION
ADDRESS P 0 BDX 24094
APPLE VALF.EY, MN 55124
ATTN: DEAN
LOCATION: 4272 MALMO LANE N
LOT 3, BLOCK 4, WILDERNESS RUN 6TH
RECEIPT NUMBER AND DATE: C4554 NOVEMBEA 9, 1989 ' REASON FOR REFIiND: OWNER LOST HIS JOB AND WON'T BE FINISHING HIS BASEMENT
TYPE OF REFUND: BUILDING PERMIT $36.00
SURCHARGE 1.00
TOTAL $37.00
......,?...... _ . _ _. ..
_ ? ...
I declare under the -penalties of law that this account, claim oz demand is jus?
and that no part of it has been paid.
Signature ,
11/13/89
_ Date
FZN2:CLAIMS
1989 BITILDIHG PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DiIELLIAGS
2 3ETS OF PLANS
3 BEGISTERED SITE SIIRVEYS
1 SET OF EI+TEEGY CALCS.
Op '1 z 9S
MULTIPLE DWELLINGS RENTAL IINTTS
MITLTIPLE DHELLINGS
2 3ETS OF PLANS
REGISTERED 3ITE SQRVEYS -
(CHECB WITH BLDG DIV.)
1 SET OF ENESGY CALCS.
COhRdERCIAL
2 SETS OF ARCHITECTURAL
6 STHDCTiJRAL PLAN3
1 SET OF SPECIFICATIONS
1 3ET OF ENERGY GALCS.
FOR SALE DNTTS # OF DNITS
DTOTEs ADDRES3ffi FOE CORNER LOTS - CONTAACTOR/HOMEOWNER MOST DFSIGNATE iTHICH ADDRESS
IS DESIRED. NO CHANGFS SiILL BE ALLOFTED ONCE BIIILDING PERMIT IS I3SIIED..
SEWEA 8 ii9TER YEIMIT FEES 9ND ACCOiRPf DEPOSIT FEE3 iiILL BE INCLIIDED WIT6 THE HUILDIN6
PERMIT FSE. PAOCESSING TIME FOR SEWER AND W9TER PEHMITS IS TWO DAYS ONCE A PERMTT HAS
BEEB COMPLETED INDICATING 9 LICEN3ED PLIMBER.
PEN9LTY APPLITiS fiHENs PERMIT IS NOT P9ID FOR IN 39ME MOIQTH IT IS RECIIESTED.
LOT CSANGE IS REpDESTED ONCE PERMIT IS ISSIIED.
To Be Used For: A&cr- A61jw46L.. Valuat ion: Date: / ?
Site Address & 2 w , OFFICE t1SE ONLY
Lot ? Block Oceupancy FEES
Pareel/Sub 10) 1llI'1,n0i,L ? rlm is.jJ? Zoning
Actual Const
Bldg. Permit -Z•00
9 Allowable Sureharge p,m O
Owner /?s'i04?r # of stories Plan Review
Length SAC, City
n /,
Address C?/Ti dl9"PiY9r G?? Depth SACt MWCC
' S.F. Total Water Conn
City/Zip Code AE4p„4,./ , Footprint S.F. Water Meter
Aect. Deposit
Phone 4 Sy -? 23 On site sewage S/W Permit
On aite well S/W Surcharge
Coatractor -
MWCC System Treatment P1.
City water Road Unit
Addt-egg {-?- p, 7weqV g PRV required _ Park Ded.
?Z,qef Hooster Pump _ Copies
City/Zip Code SDBTOT9L
- APPAOVALS Penalty ?1
Phone ?fZ3'
cS//O Planner _ TOT6L y'J?' ag>
Council
Arch./Engr. Bldg. Off.
Varianee
Address
City/Zip Code
Phone 0
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117618
Date Issued:10/21/2013
Permit Category:ePermit
Site Address: 4272 Malmo Lane N
Lot:003 Block: 004 Addition: Wilderness Run 6th
PID:10-84355-04-030
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 A Higgins
4272 Malmo Lane N
Eagan MN 55123
(651) 683-0314
Capstone Bros Contracting Inc
216 North River Ridge Cirle
Burnsville MN 55337
(952) 882-8888
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146853
Date Issued:11/16/2017
Permit Category:ePermit
Site Address: 4272 Malmo Lane N
Lot:003 Block: 004 Addition: Wilderness Run 6th
PID:10-84355-04-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
David A Higgins
4272 Malmo Lane N
Eagan MN 55123
(651) 683-0314
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169767
Date Issued:06/09/2021
Permit Category:ePermit
Site Address: 4272 Malmo Lane N
Lot:003 Block: 004 Addition: Wilderness Run 6th
PID:10-84355-04-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
David A & Maria V Higgins
4272 Malmo Ln N
Saint Paul MN 55123--173
Lightning Restoration Llc
7600 147th St W, Suite 103
Apple Valley MN 55124
(763) 202-9473
Applicant/Permitee: Signature Issued By: Signature