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4285 Malmo Lane NCITY OF EAGAN Remarks Addition - WILDERNESS RUN 6th ADDITION Lot 7 Rlk 2 Parcel 10 84355 070 02 Owner??% -'10 h° m1 1:-fd U17rvlt.±?l.- street 4285 No. Malmo Lane State Eagan, NIIV 55123 Improvement Oate Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN 5EW TRUNK -AD 1973 161. 21 8.04 20 104.79 A007743 5-10-7 SEWERLATERAL WATERMAI N WATER LATERAL WATER AREA i 1977 162.14 LS . 129.74 A007743 STORM SEW TRK 1978 351.58 1.5 351.58 C003482 -12-77 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATERCaNN. 2$0.00 12488 1-22-78 BUILDING PER. sac 500.00 • 12488 1-22-78 PARK . ?j.4 fc. . . CASH RECEIPT ? CITY OF EAGAN 3795 PILOT KNOB ROAD 0 EAGAN, MINNESOTA 55122 DATE 19 REC6IVBQ FROM ` AMOUNT Is I [J CASH ? CHECK DULLAR& t0o - ?: FUND COUE AMOUNT ,1 l 1' ? t f Yi „ • ?%% a% ? U 'i Thank Yo ? BY White-Payers Copy Yellow-Posting Copy Pink-File Copy ctrY oF EA"N 3745 Pilot Knob Road Eagsn, MN 55122 N4 5960 PHOMEt 454-8100 BUILDING PERMIT Te 6e wed for Site Address Lot 7 Block ? Sec, ' Porcel # n4-135C rT t ie Nome W 3 ; Address, •. . ..• ? _ °C Name 0 r uu '4ddre r ??... Ncrrse _ Addross I hereby ocknowledge fhat I have read this application and state that the information is correct and agree to comply with all opplicable Stcte of Minnesota Statutes and City of Eagon Ordinances. Signoture of Permittee A Building Permit is issued to: all work sholl be done in acrnrdonce with cll applicable ! Building Officiol Receipt # Erect ? Occupancy ? Alier ? Zoning Repair ? Fire Zone Enlorge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grode ? Depth ft. Approvsis Fees Assessment - Woter & Sew. Pol ice Fire Eng. Planner Council Bldg. Off. _ APC Permit $urcharge Plan check 5^C WMer Conn. -?? Water Meter ? Total on the express condition thot Statutes and City of Eagan Ordinances. Puwk # Ddft Iwwi hewlfNt Plumbing 0 a,?, __l ` Mm,,a?ical 3 INSPECTIONS DATE INSP• Rouph-In Finol Footings l?-,? 7fr Date Insp. pota Imp. Foundotion PI umbir?p Frome/ins. ? Mechanical ? Final I Remarks: //* CITY OF EAGAN 3795 Pilof Knob Roed Eagan, MN 55122 Zoning: Owner: Address: Site Address: Plumber: I agree to tomply wiFh the Cifr of Eogon Ordinanees. Bv Date of Insp.: SEWER SERVICE PERMIT PERMIT NQ.: DATE: No. of Units: . , Connection Charge: ? ? •-?,_ s Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Poid: CITY OF EAGAN 3795 Pilot Khob Raad Eagan, MN 55122 Zoning: Otivner: Address: Site Address: Plumber: Meter No.: - ? Size' Reader No.: 1 agree to eampiy with the City of Eagon Ordinanees. Bv Date of I nsp.: WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Charge: 'Is "?`""' Account Deposit: Permit Fee: Surcharge: ' Misc. Charges: _ Totol: Dote Paid: _ . , . CITY OF EAGAN ' 3795 Pilot Knob Road Eogan, Minnesota 55122 Phone: 454-8100 rPERMIT Date: 2-2(r-79 Site Address: Lot -7 4285 r7o. Malnno I Block Sub/Sec. ,"Ildemen-'3 ?? 6t:-i Nome `? ism "ME'-3 e Address 627 ?• ?1'?E'-ul?l?? 3 O City it. IlalLl Phone: ?-n?--r??•?^ ? Nome "a1n2 ° S PZbQ. ? I'Address ?,90f1 Fumewi.ck z,-?e. Ik-). c S City"~; Phone: This Permit is issued on the express condition that ull work sholl be Minnesota Stotutes and City of Eagon Ordinances. Receipt No.: $ingle Residential New/Alter. Cost of Ins Permit Fee Surcharge Toral _ done in ou No. Ir-9 133'78 x .50 ZQ with cll opplicoble Stote of , , . . CITY OF EAGAN ' 3795 Pilof Knob Rood ? Eagan, Minnesota 55122 Phone: 454-8100 REATIM PERMIT t ?_-1-7'3 Date: Receipt Nt 4285 No. Malm Iwie $ingle Site Addreu; Residential i Lot ? tlildB.rf]e Block Sub/Sec. 5s Rlaf fi t-h Multi Res., 'I Name `i19M IianeS New/Alter . ? 3 Address 627 SO. ?bP'.?l.lilcJ Cost of Ins ? St. Paul '3?M5118 698-55?31 City Phone: Permit Fee li irxitw & sm Sur charge ? Z _ zzo E. 8,?? ?. ss -4. et. Plml r)5I]_8 ?r*7 -?7?',:i. City Phone: , Total _ This Perrnit is issued on the express condition that Minnesota Stotutes and City of Eagan Ordinonces. oll work shall be done in au iumstpiR H= No. 1393 13213 Ig ?!1, ?? with all applicable State of Minnesota State Board of Electricity 7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 -t---?REQUFST FOR ELECTRICAL INSPECTION CH6CK BELOW WORK COVERED BY THIS REOUEST /I 'R 55713 7'ype of Building New Add. ReP• Check Appliances Wired Fot Check Equipment Wued Fo[ Home E& ? 0 Range Ex Temporary Wiring ? Duplex ? ? ? WateiHeater ? LightingFiacWres :12 Apt Bidg. ? ? ? Dryei ? Electric Heating ? Commeraal Bldg. ? ? ? Fumace faC Silo Unloader ? Industrial Bidg. ? ? ? A"u Conditioner ? Bulk Milk Tank ? Farm ? ? ? pList List Othei ? ? ? $ehecs? COMPUTE INSPECTION FEE BELOW bilk m e. - Service Entrance Size: # Fee Fecde f C'vwits: # Fce 0 to 100 Am s. 0[o Am 0 to 30 Am eres 101 to 200 AmpsQ jD-G T 31 to 0 A res 31 to 100 Am exes Above 200_Amps. Above 100 Amps. F Above 100 Amps. Transformers Remo[eControlCirc. Partialototherfee Signs Special lns ection I M'tnimum fCe Remarks Ha11 TOTAL FE (,/p A0 40-50 I, the Electrical Inspector, hereby cert'}P?j?at i?spec ' n has been made. (Rough-in) U Date -?z)J;;, 9 (Final) Da[e ? (1 This request void 18 months from ' ? 4v 7?-- ? »4ti I ?T?h' request void IS months from 7-p "a ?ILrO? Date of this Request 1-26-1979 R 5 5 713 I, aM Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 4285 North Malmo CityEagan Section Township Range County Dakota Which is occupied by T; lsen Homes (Name ot OccuOanq Is a roughin inspection required on this job? No ? YeA9 Ready Now ? Will Call Ox Power Supplier Dakota Cty. Address Farmington Electrical Contractor O.B. Thompson Electric Co. Contractor's License NA36835 (COmpany Name) Mailing Address 12201 Mtka Blvd. p Idtka 55 43 (EIe cal ontract o e Making TNS Installatlon) Authorized Signature Phone No. 933•2521 (Elettrical Contr or or Owner Making Thls Installatlon) S?j+/? ?? ?? ('? ?? ??[?? This inspection reques[ wili not 6e accepted by the Ef E? (}? ?" State Baard unless proper inspection he is enclosad. CITY OF EAGAN 3795 Pilot Kne6 Road Eagan, MN S5122 N2 5060 . , PHONE: 454-8700 R i t # L BUILDING PERMIT APPLICATION ece p -- Te be used fe SF Ad1Q & 23rdQCEst Value 45,000. Date 1 1-22 , 19_7$- Site Address 4285 No. Malmo Iane Erect ? OccuponcY 1 WlldeYT1e55 RUTI 6t1 Z 7 Alter ? Zoning RI $ec/$ub. Block Lot 10 84355 070 02 oir ? R Fire Zone 3 P l # ep arce Enlarge ? Type of Const. V c Name SPeC• HCUle Move p # Stories i 4285 N. Ma]mo Iane pemolish ? Front 54 k. ? Addreu ?gan 55122 Grade ? Depth 2.4 fr. Phone Cit T' 1 Aovrovab _ Pees p Name ? Sen HfAE;G - o qddress 627 So. Snellinq "e r,w St. Paul SS17ylane 698-5501 Name _ Address I hereby acknowledge that I have read this apDliwtion and state thot the informatian is correct and ogree to wmply with all applicable State of Minnesata SMtutes ond City of Eagnn Ordinnnces. Signature of Permittee _ A Building Pertnit is Iuued to: o1I work sholl be done in acac Bullding Officiol . Assessment Water & Sew. Police Fire Erg. Planner Council Bldg. Off. APC Permit ?ca.vv _ Surcharge 22•50 Plan check snc 500.00 Water Conn. 250.00 Water Merer 60.00 Totol 960.50 on the express condition that Minnesota Stotutes and Ciry of Eagan Ordinances. LJ 3? •s?? 6(D 54 -7 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single fartuly dwellings & townhomes/condos when pemtits are required for each unit 10 I 0 / Date / Site Address 4Z/y 5 N• ?- Unit # P t O DO 41-) fb 0 LL? n Telephone #ps wner roper y - ' C4 Contractor ? - - - - - - Wohlers Southside Htg. & Air, Inc. 6950 W. 146u' St., #106 Street Address _ Apple Valley, MN 55124 Cit y State (952) 431-7099 Telephone # ( ) ? - -- ' Bond #: Pl L-= Q? r7 q9 7 Expires: The Applicant is _ Owner I_ Conhactor _ Other Add-on or alteration to existing dwelling unit $ 30.00 _Y furnace _Additional ?Replacement air exchanger ? airconditioner _New XReplacement other State Surcharge $ 50 $ Total I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a perntit, but only an applicarion for a permit, and work is not to stad without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a ceview and approval of plans. L---Ce-r °SC-h LJ Applicant's ' ted Name Applic t's Signatu e ?) r's U ? s OCT 05 Z004 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) c? CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 (651) 681-4676 7? ?- y 9 9 New Construction Reauirements ? 3 registerad sRe surveys ? 2 copies of pWns (inGude beam 8 window sizes; poured tnd. design; etc.) ? 1 energy calculations ? 3 copies ot tree preservation plan if lot platted aRer 7/1193 required: _ Yes _ No DATE: DESCRIPTION OF WORK: RemodeUReoair Reauirements ? 2 copies of plan ? 7 sde surveys (exterior addkions & decks) ? 1 energy calwlations Tor heatM addkions CONSTRUCTION COST: 3P}g • 00 STREETADDRESS: L4Zu6 ,,,od rnv un LOT: ? BLOCK: _7 SUBD./P.I.D.#: PROPERTY OWNER 4,1e ' Sj?Qo Phone #: Lr Street Address: u2? MQ,?MQ u I. City 61 Q?,1? State: -18W Zip: 55«3 Phone #: CONTRACTOR ARCHITECT/ ENGINEER StreetAddress: I 1200 E.79Eh Street City i (Fi`<') }n5? r;_Fy!^ 1.:.... - ..,- _.- _ Company: Phone #: Name: Registration #: Street Ciry Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. State: Zip: Zip: Penalty applies when address 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 Ordinances. Signature of Applicant: ? &W,\01 OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required License #MJ"L`iQ Exp. nATe BUILDING PF.RMIT APPLSCATION xnclude 2 gets oE pians, 1 site plan wJelevations and 1 set of energy calculations. To be used for v/??valuation ?GDlJ :7G3"I .?aNF site Address; ya?r l?o 11'1't/m0 Lot Block See Sub. Parcel Number jn Srf?;? ? Uid ?? Owner ? Address Telephone 2'elephone (`t a -56-6) / Addrese Arch./Eng. Addrese Talephone OFFICE USE Erect Alter rtepair _ Enlarqe riova Demolish Grade OFFICE USE date of Approval & Initial_ ASSB85meat ?7iaterJSewer ^ Police Fire FYig . Planaer Council Bldg. Off. A.P.C. _-- OccuPancY ? Zoning LV ? Fire Zone I Type of Oonst. i/ $ of Stories Front 1-5-y Depth 62.</ FEL'S Pezmit Surcharqe Plan Check SAC 4122 AJ T9ater Conn. ^.Sn.lYi t7ater Meter ?S/CL7?n ?" Y1Ar?. - - TOTAL ?- cl ??J.?Sb . ? ?? LINE? ? 0 A) ??oP?e ry L %NE )l fq ? ? . M =1 ,4 3z ' SY , ? z2, ? ? ? '/d4?ew I I ? ??O ' ?l[YYYLQ? r? L o-r ? Mac k [,?] ?ONT_?R?i?ElLTY _LIIVE ? ?I ILQT -PLAN --q 0 8 ?Z 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Kaob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruction Reauirementr RemodeVReoair Renulrements Office Use Onlv 3 registered sfte surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 set of Energy Calwlations for heated additions Tree Pms Plan Recd _ Y_ N. 2 copies of plan showing beam & window s¢es; poured found design, elc. 1 sile survey for additions & decks Tree Pms Required _ Y_ N i set of Eneyy Calculations Addrtron - indicate ifonsRe sepNc sysfem Onsite 5eptlc System _ Y_ N 3 coples of Tree Preservation Plan if lot platted after 711/93 Run Joist Deiail Oplions sdeclion sheet (buCdings wilh 3 or less unils) D t ? J`??/i ?v Co struction Cost / a e . Site Address ?• UniUSte # Description of Work .-J ? Multi-Family Bldg _ Y?N Fireplace(s) _ 0 _ 1 _ 2 Owner P t hone # (K/) Tele roper y p Window Concepts of Minnesota Inc Contractor . Address one ak Rd City State uI e 114 Zip Telephooe #(kSh agon, COMPLETE THIS AREA ONLY IF CONSTR CTING A NEW BUILDING I . Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category t Worksheet (J submission rype) Submitted • Energy Envelope Calculations Submitled _ Minnesota Rules 7672 . New Energy Code Worcsheet 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 Mechanicai Contractor Sewer/Water Contractor I hereby apply for a Residential Building Permit and acknowledge that the work will be in conformance with the ordinances and co Statutes; I understand this is not a permit, but oniy an application permyg; that the work will be in accordance with the approved lAan of plans. 'o /'h M, Applicant's Printed Name Telephone #( Telephone # ( Telephone # ( that the information is complete and accurate; des of the City of Eagan and the State of MN for a permit, and work is not to start without a in the case of work which requires a review and ApplicanPs Signature 2006 RESIDENTIAL BUILDING rERMiT arrLicnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consbuc4on Reauirements 3 regBtered site surveys showing sq. R of lot, sq. ft of house; and all roofed a2as (20% maximum bt mverage allowed) 1 Soils RepoR If proposed building is to be placed on disturbed soil 2 copies of plan showing beam & windax sizes; poured found design, etc t set of Energy Calculations 3 copies of Tree Preservation Plan'rf bt platted after 711193 Rim JoSt Defail Options selection sheet (buildings wAh 3 or less units) Minnegasco mechanical ventilation fonn -olo oc RemodellRepair Reawremenls Office Use Onlv 2 copies of plan showing footings, beams, joists CertoiSurvey Recd _Y _N 1 set of Enetgy Caloulations for heafed additions Soils RepoA _ Y _ N 1 site survey for additions & decks Tree Pres Plan Recd _ Y _ N Addton - iiMicate ilon-s8e septic system Tree Pres Requirai ' Y _ N On-s'de SepGc Syslem _ Y _ N bb? . Caw-,u Date ( / ? / ? 1p Construction Cost C/? ? ? r? ? Site Address ??' GC? c? ? Unit/Ste # Description of Work T-?? l?°??°I Multi-Family Bldg _ Y_?- N Fireplace(s) _ 0? 1 _ 2 O Telephone # L4S - 5 wner Property J Contractor tb ne E 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 (J submission type) Submitted Submitted • 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 Mechanical Contractor Sewer/Water Contractor ?' , 'I I L I ? 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 Ciry 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. q jCtili??j 4, Y/ IBl/ r-?/ Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 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 6ct. Alt - Muiti ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvaes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 1 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entfre Bldg) - Give PCA handout to applicant DBSCrIDYIOII: Water Damage _ Yes . Valuation `D U U Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units -'? Stories Booster Pump # of Units ? Sq. Ft. PRV # of Bldgs ? Length Fire Sprinklered Type of Const 5_6 Width REQUII2ED INSPECTIONS _ Footings(new bldg) Sheetrock _ Footings (deck) FinaUC.O. _ Footings (addition) ? Final/No C.O. _ Foundation Y HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs AidGas Tests Final ? Framing _ Siding Stucco Lath Stone Lath Brick _ Fireplace _ R.I. _ Air _ Test _ Final Windows ? Insulation _ Retaining Wall Approved By: 'Lj !?g? `1 42, Building Inspector Base Fee Surcharge Plan Rewew MC1ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 49,11" 6~1 Fof Office Use I Clt V '~U~ _ ~ Permit of EaRan ~a J I j l4~ E) '1 7 t1~~a I Permit Fee: ` cu' I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 1 I 1 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address Tenant: Suite RESIDENT / OWNER Name: ve' r\ Phone: l( ? Address / City / Zip: yv"~) \ Applicant is: Owner ontractor J t7` TYPE OF WORK Description of work: Construction Cost: M° u(ti- amity tuildmg. (Yes r C CONTRACTOR Name: te,,Ji C _~icense "n_ Address: City State:2 Zip: Phone: Contact Person: r ' &d-~ ~z ~r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) Energy Envelope Calculations Submitted i 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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. Applicant's Printed Name p cant's Signature Page 1 of 3 ..4A PERMIT City of Eagan Permit Tppe: Building Eagan. Permit Number: EA095000 Date Issued: 07/20/2010 OR Permit Categorp: ePermit 41~ it~ of E3 E Site Address: 4285 Malmo Lane N Lot: 007 Block: 002 Addition: Wilderness Run 6th PID:10-84355-070-02 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to concealin,. Carbon monoxide detectors are required bn law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Heath and Home Technologies Daniel G Erickson 2700 N. Fairview Ave 4285 Malmo Lane N Roseville MN 55113 Eagan MN 55123--175 (61)633-261 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Building Permit Number: EA104871 ~it~ Date Issued: 06/14/2012 of Qn Permit Category: ePermit Site Address: 4285 Malmo Lane N Lot: 007 Block: 002 Addition: Wilderness Run 6th PID: 10-84355-02-070 Use: Description: Sub Type: e-Siding Construction Type: Work Type: Siding Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: 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. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Midwest Exteriors Plus Inc Daniel G Erickson 6451 Sycamore Ct N 4285 Malmo Lane N Maple Grove MN 55369 Eagan MN 55123--175 (763) 427-9696 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA116533 Date Issued:10/08/2013 Permit Category:ePermit Site Address: 4285 Malmo Lane N Lot:007 Block: 002 Addition: Wilderness Run 6th PID:10-84355-02-070 Use: Description: Sub Type:Reroof 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. Carbon monoxide detectors are required by law in ALL single family homes . Matt Kral 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 - Daniel G Erickson 4285 Malmo Lane N Eagan MN 55123--175 (763) 458-2328 Midwest Exteriors Plus Inc 6451 Sycamore Ct N Maple Grove MN 55369 (763) 427-9696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121235 Date Issued:03/20/2014 Permit Category:ePermit Site Address: 4285 Malmo Lane N Lot:007 Block: 002 Addition: Wilderness Run 6th PID:10-84355-02-070 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 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 - Daniel G Erickson 4285 Malmo Lane N Eagan MN 55123--175 (763) 458-2328 Midwest Exteriors Plus Inc 6451 Sycamore Ct N Maple Grove MN 55369 (763) 427-9696 Applicant/Permitee: Signature Issued By: Signature