4203 Malmo PlCITY OF EAGAN Remarks
'-,44dition 6Jilderness Run 5th Addition Loc 12 etk 5 Parcel 10 84354 120 OS
Owne?j??f aJ. L? tl '_. ('t. 1W,Street A-403. $ W5 Malino Place stace Eagan, MN 55123
04- _ „ . i . 1;& L-LC , - _ 1 _ _ c Dunle v
Improvement Date Amount Annuai Years Payment Receipt Date
STREET SURF.
STREET RESTOR,
GRADING
SAN SEW TRUNK 1973 132 .60 6.63 20 =,'?
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1977 10.66 15
? 7 (
STORM SEW TRK ^ 1 6-2-80
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit
WATER CONN.
BUILDING PER.
SAC
PARK
• - • CITY OF EAGAN
? 3795 Pilot Kaob Rosd Eagan, MN 55122 N2 5874
PHONE: 454,8100
?
BUILDING PERMIT 11a03 S??OSN• I?ec'eipt .#
Te `e Nud ier , Fer Vnllw , f]nta 19
Site ^ddress
Lot Block Sec/Sub. Parce! .#
W I Name
3 Address
o _
ac
i
oE
?
V
?
Nome _
Address
Name _
Address
Erect p Occupancy
Alter ? Zoning
Repoir ? Fire Zone
Eniarge ? Type of Const.
Move ? # Srories
Demolish Q Front ft.
Grade ? Depth ft.
Auorova II Feea
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Permit
Surchorge -
Plan check _
SAC
Water Conn.
Water Meter
Road UniY _
I hereby acknowledge thot I have read this application ond state thot Bldg. Off.
the infomnation is correct and agree to comply with all applicoble APC Totoi
State of Minnesoto Statutes and City of Eagan Ordirances.
Signoture of Permittee
A 8uilding Permit is lssued to: on the express condition tiwt
all work shall be done in accordance with oll applicoble Stnte of Minnesoto Statutes and City of Eagan Ordinonces.
Bullding Officiol
f
yjo?
?9
9c? ? ??,/ ?o
/
. r'
PonnM # OeFe Nt??d FaMitfM
Plumbing 2, j p0 t •?/?.
Mechanicol / C
INSPECTIONS ATE INSP.
Rouqh-In
Final
FOOtings Date Incp. Date Irap.
Foundation Plumbing
Fromelins. Mechanicol
Finol
I
Remorks: 'o/iCrCrp
?- . CITY OF EAGAN
? 3795 Pilot Knob Rood
Eaqan, MinnesoM 55122
No. Phow: 454-8100
PERMIT
Date:
Site Address:
Lot Block Sub/Sec.
Phone:
Nome
Address
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential
Multi Res., Comm./Ind. I
New/Alter./Repair. Cost of Installotion
Permit Fee
Surcharge
"?71 `:14- l-1 tiVe.
T'3111, la. . , . _ ,
I City Phone: Totol
This Permit is issued on the express condition that ull work shall be done in actordonce with oll applicable State of
Minnesota Stotutes and City of Eogan Ordinonces.
Building Officiul
A . -
No.
? :?atir.s'
Date:
7-11-80
cinr oF EAGAN
3795 Pilot Kno6 Road
Eegen, Minnesota $5122
Phem: 454-8100
PERMIT
Site Addreu:
Lot Block Sub/5ec.
Nomr
.
; Address
O
City Phone:
Nome
.
g ?;0 ':dh3te F.:(:.'^_
g Address
e
0
? City Phone:
This Permit is issued on the express condition that all work sholl be
Minnesoto Statutes ond City of Eagan Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
1. ?, . . .
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. I
New/Alter./Repair '
Cost of Instollotion
Permit Fee
r,
Surcharge
Tofnl
done in accordance with oll applicable Stote of
Building Official
. . ..
Mo.
CITY OF EAGAN
3795 Pilot Knob Road
Ea9en, Minnesoea 55122 INSPECTOR NOTIFICATION
Phwne: 454-8100 R E Q U I R E D B Y LAW
PERMIT FOR ALL INSPECTIONS
Date: Receipt No.:
Singie
Site /lddreu: Residential
lot Block Sub/Sec.
Ncme ? r?• "'.
New //11ter. / Repoir
.
; Address Cost of Installation
O
City Phone: Permit Fee
Name _.;Ab? Surchorge
.
? Address 71;r7 nVr ,
? City Phone: T 5?' ITotnl
This Permit is issued on ihe express tondition ihat cll work shpll be done in atcordante with oll cpplitoble Stote of
Minnesoto Stututes ond City of Eogan Ordinances.
Building Official
-x _ --
No. -) `
cinr oF EAGAN
3795 Pilot Knob Roed
Eagan, Minnesofe 55122
Phone: 454-6100
PERMIT
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Date: Receipt No.:
Single I
Site Address• 4 30r' ? IVi-' 10 - Residenfial
Lot Block Sub/Sec. Muiti Res., Comm./Ind. I
.
?
?
?
?
0
Nome L'annen Coiistruct3on ?O. New/Alter./Repulr
Address
City
Cost of Installotion
Permit fee
Phone:
Nome ,al]VI`ti£1-. ;-'.t,._ . ISurcharge
Address ;'= AVP..
V I
I City Phone; I Totol
This Permit is issued on the express condition that oll work sholl be done in accordante with all opplicable State of
Minnesota Statutes and City of Eogon Ordinonces.
Building Offlciol
-5 0
C'TY OF EAGAN
W95 Pilot Knob Reed
Lagan, MN 55122
oning:
ner:
dress:
Pite Address: ?
Plumber:
eter No.: Connedion Charge:
ize: Account Deposit:
eader No.: Permit Fee:
egree to eamply with !fie City of Eagan Surcharge:
dinoncea. Misc. Charges:
1 Total:
gy Date Puid:
ote of Insp.: InsP•:
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, MN 55122
Zoning:
Owner:
Address:
Site Address:
PI umber:
1 s9rce to tomply with Nro Citr of Eegon
Ordinanoat.
WATER SERVICE PERMIT
PERMIT NO.:
OATE:
. No. of Units:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No, of Units:
By
Date of Insp.:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Totol:
ki rlf OF EAGAN
.95 Pllot Knob Road
oan, MN 53122
_oning:
0Owner:
Address:
Site Address:
Plumber:
SEWER SERVICE
PERMIT NO.:
DATE:
No. of Units:
PERMIT
agree to eomplp with the City oF Eugon Connection Charge:
inanCeS. Account Deposit:
Permit Fee:
Surcharge:
Misc
Chor
es:
.
g
e of Insp.: Total:
SP•• Dote Poid:
ClTY Of EAC,AN
" 745 Pilot Knob Road
gon, MN 55122
_oning:
Owner.
.4ddress:
$ite Address: ?
Plumber:
Meter No.:
Size:
Render No.:
Iagree to oomply with the City of Ea9an
Ordteanaea.
By
Date of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Chorge:
Account Deposit:
Permit Fee:
Surchorge:
Misc. Chorges: '
Totol:
Date Poid:
Insp.,_
This reyuest void P_
1 t monti',s from Date o this Request -1I Z, I SSU Fire No, S (2U74
I, aI.icensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cai n g installed at:
Street Address or Route No
Section Township
Which is occupied by
?3 ??R?ri? P+.?c? ? ?y i
Range County?
Is a roughin inspection required on this job? No ? YesX_ Ready Now ? Will Cg<
PowerSupplier ? Address
Electrical Contractor ?e???Contractor's License Nd.'??sl ?
ompany Name)
Mailing Address c, Ct- fF p I
-? ( ical Contractor or Ownar Making This Installatlon) ?j?/?
Authorized Signature Phone No. 9-(? '"5?0 5,
VIM o(DQRM) QOff Thisimpectionrequastwillnoibeacceptedbythe
State Board unless proper inspectian fee is enclosed.
- - minne5ota State i50artl oT Electriclty
Griggs Midway 81dg. - Noom N791
1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2171
FifQUEST FOR ELECTRICAL INSPECTION
CH KK BELOW WORK COVERED BY THIS REQUEST
0117 E-B_ooooi_oz
S 72074
Type oP 8uilding New Add. Aep. Check Appliances Wired For Check Equipmen[ Wired Foi
Homc ? ? ? Range Temporary W'uing ?
Ddplex 1IL
F ? ? Water Hextet Lighting Fixmies ?
Apt. Bldg. ? ? Dryer
? ElecVic Heating ?
Commercia] Bldg. ? ? ? rrr
yyy,,,
Fumace ? Sdo UNoader ?
Industrial Bldg. ? ? ? A'v CondiBonet Bulk Milk Tank ?
Fazm List List
Othei ? ? ? p
Heie?s? /'-+'. p
Hehersj
COMPUTE INSPECTION FEE BELOW JL--?
Service Ent[ance Size: # Fee Feedets8Su6 dets• ' F Ci[cuita: # Fce
0 to400 Am s. 0 to 30 Am eres O;.io 30 Am eres
10I to 200 Amps. 31 [0 100 Ampexes 3ljto 100 Am eTes 104
Above 200 Amps. Above 100 Amps. ? A ove 100 Amps.
Transformers Remo[eControlCiro. Partialorothe[fee
Signs S ecial [nspection Minimum tee $5
Remaiks
TOTALFE 3?,00 ,/
30,7
I, the Electrical [nspector, hereby certify that
(Final)
This request void
18 months from
above ins ection has been ma?de--?
r Date 7'/; -}e7
mimresoca acace noara or tiectticny
Griggs Midway 61dg. - Room N191
1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2711 ?
' ^VEST FOR ELECTRICAL INSPECTION
C??!FCn-nc'OAK COVERED BY THIS REQUEST
EB-00001-02
72075
ype of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired Foi
Home ? ? Rangc 7emporazy Witing ?
Duplex ? ? Wa[eiHeater ? Ligh[ingFiaWres
Apt. Bldg. ? ? D7Yer ? F,lecttic Hea[ing ?
Commcfcial Btdg. ? ? Q Fuanace Silo Unloader ?
Industrial Bldg. ? ? ? Au Condition Bulk Milk Tank ?
Farm List ) List )
Oiher ? ? ? p
Hehers}
) -
)
Hehers}
COMPUTE INSPECTION FEE BELOW
Secvice Entnnce Size: # Fee FeedersdSu6feeders: Circuits: # Fee
0 to 100 Am s. to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am ies
Above 200_Amps. 1 1 Above 100 Amps. Above 100 Amps.
Transfarmexs 1 1 RemoteControlCitc. Pactialoio[Hexfee
Signs Special inspechon Mmimum fee $
Remazks
?
TOTAL F ? . ? /
J
I, the Electrical Inspector, hereby certify tl}?t?? abc?ir?,,Ct?p@,Wbeen m?
(Roueh-in) ?? Date ? 7kv
(Final)
This request void
18 months from
?o?a L(?c bS w, ?`17
w°7 `c
Date this Request I 2 1 0b Firc No. 7207i
`,
I, aLicensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal w?nng installed at:
Street tCddress or Route No. Uo? ??? Rizw-? City a,560
Section Township Range County I*Aa
Which is occupied by
Is a roughin inspection required on this job? No ? Ye? Ready Now ? Will Cal?
Power Supplier 1'?N Address
Electncal Contractor eL C16 Contractor's License N
(??rtl7any pName?)
Mailing Address ?4? ? L?/?/
Authorized
or owner naakinq rnIs instauation)
CS n 5',t'
Phone No.
`l?'U,??pV ?OQ?D ????V Thisinspecdonrequestwillnotheecceptedhythe
r` ?^?? State 6oard unless prapar inspectian fee is enclosed.
minnesoca acaie uoara or tiecmciry
Griggs Midway Bldg. - Hoom N791 '
7827 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 ?
' " RE'tlUEST FOR ELECTRICAL INSPECTION aI ??
CHECK 9ELOW WORK COVERED BY THIS REQUEST
EB-00001-02
60494
Type of Building New Add. Aep. Check Appliances Wired For Check Fquipment Wired Por
Home . ? ? ? Range ? Temporary Wiring ?
Duplex ? ? Water Heater Lighllng Fixtuces ?
Apt. Bidg. ? ? ? Dryec `.Z Electric Heating ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloadei ?
Industrial Bldg. ? ? ? A'u Conditioner ? Bulk Milk Tank ?
Farm ? ? 0 List )?_ List
Other ? ? ? p
Reiers}
) Oehets?
A f
COMPUTEINSPECTION FEE BFLOW
Service Entnnce Size: # Fee Fcedeia h # ee Ciccuita: u Fee
0 to 300 Am s. 0 to 30 res,, 3= 0 to 30 Am eres
47 d0
101 to 200 Amps. 31 to IOOsAm 4ei 31 to 100 Am res
Above 200 Amps. A6ove 10 _Amps. Above 100 Am s.
1'ransformers RemoteControlCiic. Partialor othertee
Si ns Special Ins ection Minimum fee 55.00 0
,
Rema.ks 'fOTAL FE g• ? o
?• ?r
I, the Electrical Inspector, hereby certify that the above inspection has been made.
(Final)
This request voiQ
18 months from
Date
-
P?ie ? - 9p -,?r/
?s W`
Tlus request void L 1P( P
1 amontJig from d+ ( ?
Date o this Request 0 F;re No. S 6 0 4 9 4
I, as Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 4/,2 o s¢'/z a S 097-7 d.& --
Section Township Range CountyZaja;n?
Which is occupied by 64f Q.&ec/ ''?f -??Qe Ds.3
(Name of occupant)
Is a roughin inspection required on this job? Nrye Yes ? Ready Nowk Will Call ?
Powet Supplie???a[,.• Co . ?,c"t??.Address ? '
Electrical Contractor??? Contractor's Lice?N?
(CompanY Name)
Mailing Address 12 51el' ? /Jj^j.c?/?,? 7
(Electri Contr ctor or Qwner Making This Installatlon)
Authorized Signature ep Phone Nu.?QO?• 4pr5??(
(Elettrital Contractol oI OwnefMdking Thls InstailaLion)
This inspectian request will not he accepted 6y the
? L3 fnl ll State Board unlas proper inspection fee is enclosed.
CITY OF EAGAN Inclixle 2 sets of plans,
? 1 site plan w/elevations &
?, ' BUILDINGPE1CT APPLICATION 1 set of energy calculations.
p ?
?To Be Used For Valuation- 79, p D d Date -/ y, -&
Site Prlclress A/j0 3?y.,?.
IAt /?- Elocat 5--sec./sub. Fxact
Parcel #: t2? Alter
? ILepair
Oaner: Eh1arJe -
Nbve
Address: .,f? ?, c- P: <o?,/?d?D?8 ?D . Demlish
City/Zip Code: x! Grade
Phone #:
Contractor: 'rlSG.J
Address: sed- as /PTNik6e/J g n
City/Zip Code: F-46 yyiJ SS/ ?)- 2?
Pnone #: u.,r U- ) 3 p-5?
Arch./EnS..
Adclress:
OFFICE USE ONLY
occupancy _d 3
Zoning
Fire Zone
Zype of Const.
# Stories
Front ? y ft.
Depth ?ft.
APPROVAIS FEES , -
Assessments ML
Permit /7,2
?Vater/Seaer Surcharge
Police Plan Check
Fire SACVeA`Sas IDS"o ?
g1q, ??f cs Water Conn: Llv
Planner z.tGa Water Meter /ao AM
Council 2>li16ROdC1 UTLit
Sldg. Off.
AFC '
City/Zip Cade:
Phone # : TOTAL ' ?
CITY OF EAGAN
3795 Pilo! Knob Roud Eogan. MN 55722 N2 5874
PHONE: 454-8100
I 93 `? g
BUILDING PERMIT Receipt
APPLICATION #
To 6e used Fo. Dbl.Bungalow Est. Value 72,000.00 pate June 13, 19$0
Site Address??3 O Pl Erect [A Octupancy R3
Lot 12 Bfock 5 Sec/Sub. Wi1d.Run 5Eh Alter ? Zonin9 R2
Parcel # I(L?i ?SLi ? ?0 OS Repoir ? Fire Zone III
Enlorge ? Type of Canst. V
w Nome Walter V. Nelson Move
?
# Storie5
w
D Address /y.205 Pi lo+ Knnh RA Demolish ? FronT ?$ ft.
i-?... Fam.?.. F5'1 77 / F/ 100F Grode n DCDtft R.
?
Zu
F°-
f
Name _
Address
Name _
Addreu
Assessment
Woter & Sew.
Police
Fire
Eng.
Planner
CounCil
I hereby ackrwwledga that I have reod this application and stote that gldg pF{, 6 12 g0
the information is corred and ogree to comply with all ap lic le AP?
State of Minnesota Statutes and Cit of gan Ordinanc
Signoture of Pertnittee
A Buildin9 Permit is issued to: WalteP N21SOI1
all work shall be done in oaordance with oll ap ' ble State of/ Ainneso
Building Official /J
Feea
Permit i r ?• ?"
Surcharge 36.00
Plan check gb • 25
SAC 1050.00
Water Conn. 610.00
WaterMeter 120•?0
Road UniT 370.00
TotQi 2.444.75
on the express condition that
Statutes and City of Eagan Ordinonces.
5C? ? S Z? MECHANICAL (RESIDENTIAL)
Permit Application
- City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5674
Please complete for: Single Farnily Dwellings
Townhomes and Condos when pertni[s are required for each unit
3o?5a
Date n (n_ //Q / 03
Site Address 42? 3 ? ?i? ? I
Unit #
55 12- 3 - 1 lo--5
Property Owner 7tci?, Q h? ? v k \,so Y\ Telephone # ( (X6! ) 4541- / 3?'i' -5
Contractor + stn
S[reetAddress 2 (erj -541S4-W •, ?. U, ?C?( 95, City
?
State K\Vj Zip Telephone # (6 ?J' ( ) 32-2 ^89 Z ?
`r3
0
The App?icant is _ Owner X Contractor _ Other
Add-on, modiGcation or alteration to existing dwelling unit $ 30.00
fumace replacement
air exchanger
Z? airconditioner
other
U ?
State Surcharge JUN 1 2 Z??'
', ?
? $ 50
?
?
t
l
T C)
$
o
a ?
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
he in conformance with the ord'mances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
peimit, but only an application for a perndt, and work is not to start without a pemvt; that the work will be in accordance with the
approved plan in the case of work which requires a review and approva] of plans.
?, 1 ? 1 -4-:' (V\ . )'(-?r \.A L), ?t ,
ApplicanYs Printed Name ? Applicant's Signature
?
..
,
; .
I \?
.`
- - ?
3
?
?
a
- y - ? °
p ?
,
- - o
a
?
. ?
I
i
.?6) o ' --
C/?
?
- - --- - - - - ?
_ -_ ?
B T - E, MINNESOTA
EXTERIOR ENVELOPE AVERIIGE "U" COMPUTRTION
OWNER 1&) b4 I 7-GR SO ?
SITE ADDRESS l-OT $*F/2 X//r Ug?f 1J?Sf' RV f?
CONTRACTOR .$ DA'PE?4'0 PHONE
Determine working square footage of ea ch.
1. Tot al exposed wall area . ..... -liza__sq,ft. x .185 =E2M 5-
2. Total roof/ceiling area . .....-- A1?/ sq.ft. x .04 =C1112 r
Total exposed wall area above Eloor =
a. Total wall window are a .................... .... sq. ft
b. Total door area ...... ..................... .... , sq, ft
c. Total sliding glass d oor area ............. .... sq, ft
d. Total fireplace wall area ................. .... -- sq. ft
e. Total wall framing ar ea (averaqe 1050)..... ...
" sq. ft
f. Total net wall area a bove floor ........... :
.. JAV
ft
g. Total rim joist area . ..................... ... sq, ft
Total exposed foundation area ft.
h. Total foundation wind ow area.............. . ...
sq. ft
i. Total net foundation area abovc arade..... ??-
.... (, sq, ft
Determine "U" value of cach wall segment.
Area X "U" Value = Tota "U"
a. ITJ. F'? s X" U,
ft _
q. ?
. .
b- -4U. 01 sq. ft. X "U"
?
I•
c._ tole sq. r?
ft. X„U" L
d. sq. ft. X "U" ...e _ ?
e• ?&, ? sq. ft. X??U?? a f/ i? _ 1
?
f. I-41?2.?/ (?sq. ft. X 'lUll .6/'?'+.r? = Fy,?J•1?
q
) 0 "
X"
ft
a
41
. sq.
• U
?
.
- _ . V
h. sq. ft. X 'lUll ,41?iT _ 714
i . ? sq, ft. X"U" ,021 =IL?.?
3 ......................................... TOTAL = ?
If item #3 is the same as, or less than item #1, you have met the
intent of SBC 6006(c)2.
I ? .
Total exposed roof/ceiling area = sq, ft.
Total gross roof/ceiling area =sq, ft.
j. Total skylight area ..................... ? sq. ft.
k. Total roof/ceiling framing area......... sq. ft.
1. Total net insulated roof/ceiling area... sq, ft.
DETERMZNE "U" VALUE FOR EACH ROOF/CEILING SEGMENT.
j. sq, ft. X "U" = Total "U"
k. sq, ft. X "U" ? 1(09-- _ ? 1 Total "U"
1. 1& IZ Wsq, ft. X "U" Total "U"
4 ................................... TOTAL = i--6i??
If total of #4 is the same as, or less than #2, you have met the
intent of SBC 6006(c)1.
To utilized the total envelope system method, the values established
by the sum of items #3 and #4 shall not be greater than the sum of
items #1 and #2.
ITEM #1 0_ + ITEM #2
ITEM #3 --*/? + ITEM #4 ?
Total envelope DOES DOES NOT meet SBC.
Checked By
Date
-/ DAKOTA COUNTY NAME / DESCRIPTION AN
PARCEL IDENTIPICATiON SG11001
OIST PLAT LOT BLK SVBOIVISION: pqO(;{ D DELINaUENT r,ax n
PPOPERTV OESCR tGunu
VTION
secIo.
JVOGwEN!
VEAF
E 5 A OIi ON
10 A4?54 t20 1 AUN
WILDE9NESS H
THAN SFEHOATE" "TRANSFFAM LASTGPANTEE LZ S
10
9
79 crv
1 7 gobert S. Tilsen et al WD
--
84
462
6 9 30 ter V. & Delores A. Nelson WD
i
:J
770 !1 LJ
C?,fI P/CJ f1c,
.
?
,.:7- -.3 -a-K
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127847
Date Issued:10/16/2014
Permit Category:ePermit
Site Address: 4203 Malmo Pl
Lot:12 Block: 5 Addition: Wilderness Run 5th
PID:10-84354-05-120
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 .
Kathy Espelien
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 -
Krista Nelson
4796 Eriks Blvd
Eagan MN 55122
All Sons Exteriors Inc
P.O. Box 146
Lakeville MN 55044
(952) 469-5221
Applicant/Permitee: Signature Issued By: Signature
� Use BLUE or BLACK Ink
�� r—————————————————+
I For Office Use �
' � /����� �
C�b� Ol L���11 � Permit#: �
� �
� Permit Fee: - J �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � �
Fax: (651)675-5694 I Staff: �
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
� `'��,Z, �nn,�
Date: Site Address: `� ✓ �'�'F7���� 'e-� Unit#:
� t 'A n� ,, ` t�� � ����i b
Name: `I��X.�-�J�\ Phone.
���#BC�� =
��� z� .' Address/City/Zip: M� � ��
� � �
.
�ti- �
� ,s: = Applicant is: Owner Contractor
�. ����� � Description of work: � ` '� ��� �. � � � �
�� ,�✓l � y�
�� Construction Cost: �?� �N✓c1 � Multi-Family Building: (Yes� /No_)
Company: �� eContact:
� � ��� Address: � �v� City:
������� ;�
r ;
State: Zip:� Phone: EmaiL
` � License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit�similar plan based on a master plan?
�,r'"
Yes No If yes, date and address of mast��ian:
.t
Licensed Plumber:_ ✓'��� Phone:
,�
Mechanical Contractor: �^ Phone:
Sewer&Water Contr or: Phone:
Fire Suppression Contractor: Phone:
' ��TE P�5 at��J:��t'�r���O��e��t,y�3�il;���a��8�`e��(�ri b� ��
the��r����i r�a�y b���a��l�ra����'�r"���ra��;�+�c�''���r����'���Co� �.
��
; < •, �- :�.��� �.:i�, ���`t��. s..�-�,w r��
���`
� �
_ ... , �,�`
_.
. � �
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.g,.opherstateonecall.orp
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of perm' issuance
II ���
x _...,. x
Ap IicanYs Printe Name ApplicanYs Signature
Page 1 of 3
�fd�� 1'�l�}l�'�-�' �I, DO NOT WRITE BELOW THIS LINE ������
SUB TYPES
_ Foundation _ Fireplace _ Porch(3Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch (ScreeNGazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation � Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%_) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
� Footings (Deck) Final/C.O. Required
Footings (Addition) �Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls � Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: �1 l�.t-� �- , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S8�W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3