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