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1627 Mallard Cir
.?- Receipt 1MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee L Fill in numbered spaces S/C ' Type or Prrni legibly Tot. 1. Date 2. Installation Cost . 3. Job Address Lot ; i Blk. Tract I 4. Owner 5. Contractor Phone 6. Address 7. City l ? '' ? State Zip -) -Dk,- 8. Building Type: Residential El Commercial O Institutional ? 9. Work Description: New 11 Add ? Alter ? Repair ? 10. Describe 11. Fuel Type No. €pu'uament 8TU - M. Ea. Forced Air No. Equipment CFM A Mfg. ' , . . , ir Handling: Boilers Mfg, Mech. Exhaust Unit Heater Mfg, Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : " - ' for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numhered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks adaition Mallard Park Second Addition Lot 33 Bik 1 Parcel #10 47251 330 01 owner Street 1627 Mallard Circle State Eagan, hIlV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, 7.8 - STREET RESTOR. 6 17 1977 4 19 . 34 52 . 10 34.60 A014957 12-17-84 GRADING SAN SEW TRUNK a 194.05 12.94 15 38.89 A014957 12-17-84 * SEWER LATERAL 1171 1981 2430.43 486.09 5 - WATERMAIN * WATERLATERAL 1981 WATER AREA 85;L 77.68 A014957 12-17-84 STORM SEW TRK yG 1981 445.37 89.07 5 - * StORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT R 260.00 #44415 6-28-84 WATER CONN. 470.00 BUILDING PER. #9236 sac 525.00 PARK 0 CASH RECEIPT ? CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 wacsweo . FROM • AMOUNT $ ? a DOLLARS ?oo [:]CASH n CHECK . / /. a? / . , G`? • J ?'.'s-,? J ?.r: FUND CODE AMpUNT 7 . ? G Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy ? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55 1 22-1 897 Date Issued: (612) 681-4675 SITE ADDRESS: APPUCANT: I ..li.l I NF;I1 i 11 , . , 1t;;y,il if1ki, 1 r;r.r• 2ND ( tI,? 11,90 • 3900 PERMIT SUBTYPE: '? I . ,:.1!`?M1, TYPE OF WORK: I+AJR NQki F i N!i i ..,_.. , . ,._ ?a` ???.. ... . -. . . :.... _ ?..... ::, . ... . . }t ? , ., . .. ?? x,.. ..,.? ?,. ? e , ? PeRnit No. Pertnit Holde? Date Telephona N ELECTRIC PLUMBING HVAC Inspectlon Dete Insp. Comments FOOTINGS F0UND FRAMING ROOFINQ ROUGH PLUMBING PLBG AIR TEST ti'?Gf ROUGH HEATING GAS SVC TEST INSUI GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BIDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL rI' ? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: tOlt , 3 e LQc K, t APPLICANT: 1r' x! MAlLARd CYR WAXlLy CpMSfi MALLARU PARK 21lD (612) $90-2644 PERMIT SUBTYPE: ?F F'nltl N TYPE OF WORK: ItFMARKs: NFCIF lpl 0 Conirol No. UU C Bd 1 10 ! MFA aAN1,9 ' •B/1o/92 m PormR No. Pamq Holdx Dow Tiiephone # S/V11 PLUM81NEi HVAC ELEC7RIC ELECTRIC Inspectlon Dru Map. CommanM F°°tmgs 1 G? t1J Foundntlon Framing Roofing Rough Pbg• R-0 M9- laul. Rreplece Ftna1 Fttg. Orsat Test Fna1 Pibg Plb9• lngpecYor - hb?IN Piumber Const. meter 6gr./Plen &dg. Flnai °e`r` F'S. Lao ? peCk Fin&I Well Pr. Dlsp. BUILDING PERMIT CITY OF EAGAN ?T? 9236 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 • PHONE: 454-8100 Receipt # - )WG/GA1t Est_ Value $11 (:; ,.`bate .7 [7NE 28 19 84 Site Addc? - - - - -------- MAI-LARD D PK Lot Block.??C1?ub. _ Parcel No. ? OC NBTe +-,.... vv.a.v.,va. ?va.u a W ? Address P. ' ` _ City F ?: ! ? (; OPkone a: 0 ?u V? F- I hereby ocknowledge thot 1 hove read this opplication and store that fhe informotion is correct ond ogree to comply with ell applicoble State of Minnesotn Stotutes ond Ciry of Eogan Ordinonces. Erect 0 " Occupancy Alter ? Zoning --- Repoir ? Fire Zone Enlarge p Type of Const. Move ? # Sfories Dei,wllsh p Length?..s_ Grade ? Depth Sn. Ft. Assessment _ Wa1Bf g $EW. Police Fire PEIo ner Council Bldg. Off. _ APC Sipncturo of Pertniftea . . , ) ,, . , ?j f;T A Building Pennit is issued to: oll work shetl be done in occordorxq?wit? ell applicable Sfate ? JhAinne Buildirg Official ` '?-• - ` j?? ? Permit • 00 Surchorge 58 ' 00 Plon check 236.50 O O snC Water Conn. 470.00 Water Meter " oo Rood Unit 260.00 , :50 Totol on the exprass condition thcir Statutea ond City of Eayan Ordinontes. Psrmit No. Parmit Holder Misc. Permit No. Holdar Plum6iny H.V.A.C. Weil Water Disp. Sewer Ekctrie InyHCtion Date Insp. Other Footingt I r l Z ? ? ) Foundation Framinp ' r- ?jj Rouqh Plba - _ ? Rou9h HVA Inalation Final Plbq. . -y? / - Final HVAC ? Final ? Watar Loeation: Well Sewsr ' Pr. Oifp. Receipt PLUMBING PERM17 + CITY.OF, EAGAN Frll in numbered spaco Type or Prrnt legibly 1. Date 2. Installation Cost 3. Job Address Lot .4 =?-- j _ ? Permit No. Fee a ? S/C ' Tot. ? Tract I 4. Owner ' - • 5. Contractor Phone 6. Address 7. CitY . State --- ZiP - 8. Building Type: Residential ? Gommercial ? Institutional ? 9. Work Description: New ? Add ? Alter O Repair ? 10. Descri be 11, No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner I _ Shower Well Kitchen Sink Urinal/Bidet Other - '? Laundry Tray _., Floar Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspectians: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN M 3830 Pilot Kn ob Road, P.O. Box 21-199, Eagan, N 55121 ••- ` BUILDING PERMIT PHONE: 454-8100 Recelpt # - Tobeusedfor ??S&-iL:NT EstValue $:3,250 Oate APRIL 17 19 85 Site Address 1627 rSALLAf2D C I.2 Erect ?X Occupancy Lot 33 Block 1 Sec/Sub. i4ALLARD Pf: 2ND Remodel ? 2oning Parcel No. Repair ? AddiU ? Type oi Const N St i on o. or es W Name ? ?;ULE & ?NE 1k10RVAN Move ? ? Length h Demolish Dept o Address 5AMF t Im r ? I Ft S p . n . q. City Phone 4 S 2" Z 7?3 3 Install ? o Name in1INCHEi.I. IS CONSTRUCTION Approraft Z 0 ? Address 5107 148TH ST W Assessment ? ciry A-V- Phone 423-3426 Water&Sew. N Police F = ame Fire ? = Address Eng. < W City Phone Planner Council I hereby acknowledge that I have read this application and state that the gldg. Off. 4/15/? information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC ., I Var, Date Signature of Permittee Permit °" • j Surcharge 5.0 Plan Review Water Conn. Water Meter Road Unit Parks Copies ` T 4nl Y 85.50 A euilding Permit is issued to: WINC'rIELL' S CUNSTRUCTIO'.3 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinences. BuildingOfficial L?'?- '"- -- - I IPormn No. I wnd+ Noa.r I Date I Til.phoe. a 1 oa1o Plbp. Htp. Hty. Plbp. Final Occ. F?my. ? CASH RECEIPT ? ' CITY 4F EAGAN P. 0. BOX 21-199 . EAGAN, MINNESOTA. 55121 DATE 19 RQCEIVED . FROM AMOUNT $ I E] CASH F? CHECK FOR ? FUNO CoDI'i .. AMOUNT ? Thank You BY Aa DOLLARS too Whita-Payers Copy Yellow-Posting Copy Pink-File Copy OF EAGAN SEWER SERVICE PERMR Pilot Knob Road ' pERM1T NO.: Box 21199 MN 55121 DATE: 1 No. of Units: r: Cot orate i.onst Address: 4 7 F.'i M em* wkb tlw Cihr of !a!°A of Insp.: TY OF EAGAN C,onnecria, Chcme: Acoount Deposic: _ Pem+it Fee: Surchame: Misc. Choroes: - Total: Oate Poid: 425.00 ?30 Pilot Knob Road `, `77 0. Box 21199 PERMIT NO.: _ - , igan, MN 551k? • DATE: M;np; No. of unirs: !fiW .iohuson No.. eo oeMVh? vri1& tM CRh ef Eessn Connection Chorge: Aacount Deposit: _ Permit Fee: Surcharge: Misc. Charfles: - Total: Date Paid: CITY OF EAGAN WATER SERVICE PERNIIT 3830 Pilot Knob Road P. D. Bax 21199 PERMIT NO.: . Eagan, MN 55121 DATE: ` Za+iny _lNO. of Units: OWfI lr: _.. - - Addrass: ?rr? C? e Iiiip B1 '?ti larc ark nd Site /lddress: Pl b : um er. Y l?? ,?q?' Q+or 470.00 7 9e: n!?I Meter No. 3 ?1 ['\"rC`zE oc? i ??? _ , . _ /kcount Deposit: p ze: : d(-L 4, 7-s?74 der No •' Permit Fee: P . F. agm to =Mpy wuh 11e City ef Epew Surichar4et pd mer. iMnas. Misc. CMrpes: ' Total: Date Poid: Y ??L-- te of Insp : In?.: . ___.?/.?? a 7 ,, - CITY OF EAGAN ?7 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 1?1 ? 9236 PHONE: 454-8100 BUILDINfa' PERMIT 2eceipt # Te 6a und hr SF DWG/GAR Est. Value $116 , OOODate 7LiNR 28 , 19_$4_ SiteAddress 1627 MAI'LARD CIR EreCf oX a?upancy R3 Lot 33 Block 1 ?ec/Sub. MALLARD PK 2 qlter ? Zoning Rl rarcai No. 10-47251-330-01 Repoir ? Fire Zone N A Enlarga ? Type of Const. V W ?lame M.W. JOHNSON CONST Move ? # Stories = Address P.O. BOX 130 Demolish ? Length 42 ? City FARMINGTONphone 432-6838 Grode ? Depth 56 Sq. Ft.- SAjyjE Avvro.als Fees o t- o Name Assessment Permit +S 473.00 U u? Address Woter 8 Sew. Surcharge 58• 0? City Phone 1 Police Plan check 236.50 1- Ww w Name Fire SAC 525.00 ?- ? Address E 470.00 Water Conn U ng. . _ aW City Phone plunner Water Meter 63.00 Council Road Unit 260_00 I hereby ackrwwledge that 1 have read this applicohon and stote that Bldg. Off. - - fhe inlormotian is torrect and ogree to comply with all apDlicable ?j rj0 Stote of Minnewto $fatutes ond Ci1y of Eagan Ordirwncez. APC Totol Signnture of Permittee _ A Building Permit iz issued to: all work sholl be done in acco M.W. JOHNSON CONST on the expreu Corxlitlon thnt . w.7 a I applicable ate of Mlnnemta Stotutes ond City of Eogan Ordinnnces. Building Officiul ;... . CITY OF EAGAN A1 - 3830 Pilot Knob Road P.O. Box 21-199 Eagan MN 55121 ?v 2 11816 PHONE:454-8100 BUILDING PERMIT Receiptu ? Tobeusedfar BASEMENT EstValue $9.250 pate APRIL 17 19 86 SiteAddress 1627 MALLARD CIR Erect Ef Occupancy Lot 33 Block 1 Sec/Sub. MAI'LARD PK 2ND Remodel ? Zoning Parcel No Repair ? Type of Const. . Addihon ? No. Stories W Name BRUCE & ANNE MORGAN Move ? Length Demolish ? Depth 3 Address- SAMF. ? .0 Int. Impr. Sq. Ft C 452 -2793 Install ? o I Name W7NCHF.T ' ONSTRUCTION APProvala $? /+ddress 5107 148TH ST W Assessment • Ciry A-V- Phone 423-3426 WaterBSew. ?Q F W Name s d Address a'= Ciry Phone 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 Sfatutes and City, o aga r5? anc s. A Signature of Permittee - 1? Police Fire _ Planner Council Permit Surcharg?0 Plan Review Water Conn. Water Meter Road Unit Bldg. Off. Tr. PI. APC Parks Var. Date Copies-? Tn?l A Building Permit is issued to: WINCHELL'S CONSTRUCTION on the express condition that all work shall be done in accordance with all a"? te o Minne ota S tu ?s a/nr6 -C-i-ty of Eagan Ortlinances. Building Official ,.. ,? REQUEST FOR ELECTRICAL INSPECTION r ee-ooooi-oa See inatruc[ions for comPlelung lhis form on back of yellow copV. p?{ry - ` ll I 4N "X' Belop o ?? ?? '?Coe ed by Tiiis Requesi Ner, Adtl Nep. Type ol Building APplinncas WireC Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny FixtureS Apt. Bmlding Dryer Electric HeaLn Commercial Bldy. Fumace Silo Unloader InAustnal Bldg. Air Conditioner BWk Milk Tank Fefm Nar Peci y .ther ISUecifyl 1 er Sucee y Ot er Other ComputelnspecUOn Fee-Below - - M Pee ServiceEntrence5iza 4 Fee Feedors/Subleedens k Fee Clremts p U to 200 Am s 0 to 30 Am s 7 "D7•f 0 to 30 Am Above 200 qm y, 31 to 100 qinps 31 to 100 qm s Swinuning Pool Above 700_-Amps Above 700_Amps Transrormers Irrigation Boars p ? Partia6'Other Fee Signs Specialinspection $ ' T Remarks f0•• s OTA 1?E?.1? ?i: v Roueh-in Date , the al ?i 3? 1 tor, hareby :1 0 eova Final ?;^t nsuecUOn has Eeen 1 ? m etle. Tlils reeueat valE 18 montlia fmm This requesi void f I 18 months lrom `' W 0 3 10 1 L? 3,? f /Y-a OL ?j IPI- ?-- ??301 ?y / 5?f.sv Renues[ Date Fire No. RouP - in InsOar,bon Req red> DReadv Nuw 11 Notity Inspec- ?os ?No m When Ready ncensed Electncal Contractor I hareby request inspection ol ebove' ? Owner electncal work inslalled eY ? Street Address, Bor or Route Na C rty 6, 7 MALL,l ?I?t?lc /¢- ection o. Township Name or No. HanOe No. Coun1Y L OccupaM (PftINT) one No. ?/J?, / VO wer Supplier / , ' ? ' E " Address ? c..A z G 9 Of c l Elecvical Co vacmr ICompany Name) l ? Convactor"s Lmense No. ? f MadinO AAdress (COntrar,tor or Owner Meking Instailauon) / .4' 20/ 7 t- 4 AuNonz ign re(Coniractor O r Makmy Installabon) Phone Number ?(bU - (, 3 MINNESOTA STATE BOARD OF ELECTpICITY THIS INSPECTION PEQUEST WILL NOT Griges-Midwey Bldg. - Roam N•191 BE ACCEPTED BY THE STATE eOAFD 1821 Uni Ava., 51. Peul, MN 55104 UNLESS PHOPEH INSPECTION FEE IS vn.._ IF191 947_9111 ENCLOSED. This repuesl witl ,e aduams <<om ? t'd 083245 5R ay?, pk a-- -1( r o. ov Request Date Fire No. RouBh-in Inspecuon . fleqwretl? eady Now Will NoUty Inspec- ?yes o [or When Ready Licensed Electncal Contractor ? ' ? I hereby request inspeclion of above ? Owne, electrical work instellad et: Stree[ AdAress, B.O. or Foute No. Lv^% j J ?' l ? City l 0 - f2?b ".E E. 701 ecuon o. Township Name or Nm Ran9e o. Counry ?? IN Occvpant (PR T) one No. y ? ? -y- '• ? ` W . '-' . rr w ?J n Power $uppher Add/ess Electncel ConVactor (Company Namal ` ? Contractor's License No. .Y %r f G J rp" r?C G ? ailinp Address (ConVaclo/r or Owner Makmg Instaila[ion) J? ) , /^Trtl I'Y? / ?'% ? 4.i Authonze ?gnat (COnttecmdOwn MakinB InstallatmN Phone Number MINNESOTA STATE BOANO OF ELECTflICITY THIS INSPECTION NEQUEST WILL NOT Griggs-Midwav Bltlg. - Noom N-191 BE ACCEPTED BY THE STATE BOAPD 1821 University Ave., St. Paul, MN 56104 UNLE55 PflOPEH INSPECTION FEE IS e?--- 1a111 197711i ENCLOSED. q6oay REQUEST fOfl ELECTR,IO%6INSPECTION es•ooooi.oa ' See inatructrons for compleling this form on beck ol Vellow capy. '?(Q/ ? p???45 ?? 'X"' Below or Covered by 7his Request hiss, AAd Nep. Typa of BwldinB P.Ppliancns Wiretl Equipment Wired Home Range Temporary Service _ Duplex Water Heater Lighiiny Fixtures Apt. Bwlding Dryer Electric Heatin Commercial Bldg. Fumace Silo Untoader Industrial 61Ag. Air Conditioner Bulk Milk Tdnk Farm Othe.r pen y 61her ISPeufyl t ar yccify Otho, Oth,,r Camnute lnspecuon Fee Below p Fee ServicaEntranceSiza b Fee Featlars/Subfaeders # Fea Circuite r 0 to200Am s 0 to30Am 5 ""'a 0 to30Am Above 200 qm s 31 to 100 Ainps 31 [0 100 A s Swimming Pool A6ove 100-Ain s Above 100_Am s Transtormers Irngation Boorcis y?p Partial.'Other Fee Signs Special Inspection $ r TOT Rema rks e ? K flovgh-in - Date 7Elac,,,l I,thInspcertibove Fnal D'??2 76' insoan ?danla ro4uast vold 18 monlhs irom U 5 2 19,L 33 ?? ? "a IC30 °'' FeQUest Dale Frte FouqM1-in InspeMion Reduve0 ? Reatly Now C Will Nisity Ingpecmr X .1iLt 22 1992 es G No Wnen Ready+ Ix- Iicensed contractor rJ owner hereby request inspection oi above elecincal work at Jab Atldress i5treet Boz ar Roure No ? Ciry 1627 Mallard Circle E Sectioo No Township Neme or No Range No Counry Dakato Owupdnl fPRINTI PbOne No Jim Wake1 Construction PawarSuppM1ar Atloress Electncal ConlrnctorlGOmpany Nama) ConhacMf's Lioen5e No Lein Heatin and Electric Inc Maihng Aaaress IComracior or owner Making Installahonj 65 . 170th St. Prior balk n. 55372 Am r ed S ?ew ra iCon actori0 er iny I I Pnooe Number n ^ ?/I/A? ri Y?/?ontractor , .447- MINNESOTA STATE 80ARD OF ELECTRIq? v ? THIS MSPECTION REQUEST WILL NOT Gn99%-Midway Bleg. - Roam S473 ? 8E AGGEPTED BY THE STATE BOARD 1821 Umversiry Ave, St PaW. MN 55106 IINLESS PROPER INSPECTION FEE 5 Phone(612)642-0800 ENCLOSED : ?a3/ga- ? 5 519 -REQUEST FOR ELECTRICAL INyPECTION 0- See instmcnons for completing ihs forrn on back ot yellow copy "X" Below Work Covered by This Request _ M %W g E6-00001-08 ?p ?DO c) ?+.isse.ail ew Add Rep 7ypeofBUilding AppliancesWired EqmpmenlWired Home Range Temporary Serwce Duplex Water Heater Electric Heahng Apt Bwlding Dryer Other (Speafy) F ommllndustrial Furnace arm Air Conditioner Olher?si ConVactor's Remarks Compute Inspection Fee Belaw* wire Porch # Other Fee # SerwceEniranceSze Fee # QrcwtslFeeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps 100 _ Amps Si9n5 Inspeclar§ 115e Only ? TOTAL Irriga,ion Booms c7? 30.50 Special Inspection Alarm/Communicallon THIS INSTALLATION MAY BE ORDERED D CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. I I, the Electncal Inspectoc hereby Roryn-,n ?vrf- cerlify that the above inspection has been made. F,nai a,e C OFFIGE USE ONLY This request vma 18 monIDS trom ? e -e ??'36 CITY OF EACA-N BUILDING PERMLT APPLICATION 2 sets_nf plans, Plari w/elevations & '? set of ener9Y calculatior W Date OFFICE USE OfII,Y To se Usea For '?-' - F, DwCa /CaAR, Valuation ¢y I I?, OCX?. site Acldress: 16-R7 MCi.I/C1&_L/re-/e, Lot 33_ siocx ) seo./sub. /J1/r4-PK c?ect X Parcel # : S/ - 3 jo - o l Alter Repair O.mer: ??e - I,?J. 1nVtn?n 6an_rf. Mve Address: Demlish City/Zip Code: Grade Phone #: Contractor: lnl. Johnsovl (2on<-f`._ Address: ?. D. &x 130 City/zip Cocie: rarmrriq4oYl , /Y1/V Phone #- ?39- 6?3h' Arch. /flig. : Acldress: Occupancy 12-3 Zoning 9-1 Fire Zone I-1 /14 Zype of Const. SL # Stories Front Q- ft Depth ?(o ft APPROUALS FEF.S Assessaents Permit Water/Sewer Surcharge Police Plan Check 23(0. ? Fire SAC F1nq, Water Conn. 4'1 O. ?-° Planner Water Meter (03 . -v COUnCil Road Un1t Bldg. Off. APC City/Zip Code: Phone #: SOTAL Igxl3 = 2"D 4-x',?; z4-- 12?-?) b ?E2= 4?z X s 4= 2494 5 ?ox36 3go x?q--Zos2o Z? x2-- -5'? 2x I I = Coz? Z ??A Y? 4? I5X 22? ??x4? - 13?3c? l?x 2c?- zbo Xq( = 10Q)(0-0 ?7 0 slf?l ?- ,?'? I I C?,oaa ? ??- ------------------ ? For Oftice Use ? j Pertnit #: ? Permlf Fee: ? DateReceived:? j I Staft: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: I(o ?-7 Y" l, I l? ?? ?, , 6, Tenant: Sutte #: RESIDENT / OWNER Name: 6 /o t !'. lf c ,-G a 5 Phone: Address/City/Zip: /& am I??<?u cL?- Applicant is: _ Owner ? Contractor TYPE OF WORK Description af work:?ccr 1)??' (4.),. S? Construction Cost: J? d0() Multi-Family Building: (Yes Nok? CONTRACTOR Name:/t15 4-Gi (?*.M1s?_ Z?L License#: a03v?v3%F? tj ??a? L Address: Yti%cn - City: (-?f?"1-a- C?.?<-crF State: Zip: S? ?1 7 Phone: 6S /' ' G' O 70 Contact Person: ^ 141b COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUiLDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilahon Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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: P/ans and supporNng documents that you submit are consldered to be pub/fc irtformatlon. Portlons of the informat/on may be classified as non public if you provfde specific reasons that would perr»it the City to conclude that fhe are trade seerets. I hereby acknowledge that this Inforrnation is complete end accurate; that the xrork will be in confortnance with the orclinences artd codes aF the Gity oE Ea9an; that I undersiand tfiis is nol a permit, 6ut only an application for a perrnit, and work is not to statl without a permit; that ihe work will be in accordance wi[h the approved plan in the case of work which requires a review and approval of plans. X ???? AL,54,C/ X v?:? `-` ApplicanYs Printed Name ApplicanYs Signature Page 7 of 3 RESIDENTIAL ? ` ; CITY OF EAGAN r-? ?-r 3830 PILOT KNOB RD - 55122 651-681-4675 Naw ConaW clfon Raauiremenfs RemodellReoair Reauiremants • 3 registered sNe surveys showing sq. ft. oi IoL sq. ft. of house; arid all roofed areas • 2 copies of plan (20% mazimum lol coverage allowed) . 1 set af Energy CalcWations kr heated additions • 2 copies of plan showing beam & window slzea; poured found design, elc.) . 1 site survey for ezterior additlons 8 decks • 1 set of Energy Calculafioris • Indicafe N home served by septic system for addNons • 3 copies of Tree Preservation Plan H lot pWfled after 711193 • Rim Joist Detail Optlons seledion sheet (bldgs wBh 3 or less units) (9<? DATE ??6;I6 2- _ VALUATION I/ d d 0 JOB SITE ADDRESS /6a 2 fl?cf `IJ/'d 010eC/P- IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ?O.SC S. I?RJP ,?.-?,CjS TYPE Of WORK DeGA' DA{2 FIREPLACE(S) _ 0_ 1_ 2 APPUCANT ?OSe taS _ PHONE# ADDRESS I(o 2 7 AVIARD Cioc• ZIP CODE _5 5 I Z Z PAGER # BUILDING PERMIT APPLICATION CELL PHONE # FAX # NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY ener9y code cate9ory _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Su6mitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: _ Mechanical Syslem Includes: Sewer/Water Conhactor. _ Air Condifioning Heat Recovery System All above information must be submitted prior to processing of application. ree: $90.00 Phone # Fee: $70.00 Phone # ? ? ?q T u T ? I hereby acknowledge that I have read this application, state that the information is cbRecf, and agree to comply with all applicable StaTe of Minnesota Statutes and City of Eagan Or iA nces. Gtj/ Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Receiv _ Not Requir _ Updated 2002 _ Water Softener Water Heater No. of Baths Phone #: Lawn Sprinklcr No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? •? . 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plax ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 08-plex 'k 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entfre Bldg only) - Give PCA handout to applicant Valuation Occupancy 00-' 3 MC/ES System Census Code _43P Zoning p -/ City Water SAC Units o/ Stories Booster Pump Nbr. of Units '- Sq. Ft. PRV Nbr. of Bldgs - Length Fire Sprinklered ? ? Y' /?G T f C ype o onst Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) ? FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain TIle pther Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ _ Retaining Wall Approved By l,ii6'f !6 -, Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total city oF eagan I?4TRICL4 E. AWADA Ma}ror PAULBAKKEN PEGGY CARLSON GYNDEE FiEIDS MEG T[LIEY Council Mem6ers THOMAS HEDGFS GryAdminiauazor Municipal Cencer. 3830 PJot Knob Road Eagan, MN 5 51 22-1 8 97 Phone: 65I.681.4600 Fax: 651.681.4612 TDD: 651.454.8535 Maimmnance Facility: 3501 Coachmm Point Fagan, MN 55122 Phane: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 www.cityofcagan.com THE LONE OAK TREE 'I1ie rym6ol oFstreng[h and grow[h in out communiry February 20, 2002 Mr. Jose Vazgas 1627 Mallazd Circle Eagan, MN 55122-2544 Deaz Mr. Vazgas: This letter is in follow up to coaection notices previously issued requesring that you repair your deck railing. As of February 20, 2002, the railing has not been fixed. I spoke with you by telephone and you indicated that you would take caze of this issue. We are now asking that you correct this code violarion by March 4, 2002 to avoid further action by the City. If you have any questions, you can call me at 651-681-4679. Sincerely, '!?G?fr Terry Zelenka TZ/jb cc: Dale Schoeppner, Chief Building Official -k l ?M IT R-E-PiH e-- W A-S -cy?7?7Ev Z/?S??L • ?" 41?dtV oF eagen PATRICIA E. AWADA Mayor Februazy 20, 2002 PAULBAKKEN PEGGYCA2ISON Mr. Jose Vazgas 1627 Mallazd Circle CY-NDEE FIELDS Eagan, MN 5 5 1 22-2 544 MEG T[LLEY CouncilMembers DeazMr.Vazgas: This letter is in follow up to correction notices previously issued requesting that you Tt-toMns HEnGes repair your deck railing. As of February 20, 2002, the railing has not been fixed. I spoke cirynM,irtiscroior with You by telephone and you indicated that you would take care of this issue. We are now asking that you correct this code violation by Mazch 4, 2002 to avoid further action by the City. MmaiciPal Center: If you have any questions, you can call me at 651-681-4679. 3830 Pilot Knob Road Sincerely Eagan, MN 55122-1897 '% Phone: 651.681.4600 Fam: 651.681.4612 Terry Zelenka TDD:651.454.5535 'I'Z/)b Maincenance Fuiliry: ec: Dale Schoeppner, Chief Building Official 3501 Coachman Point Eagan, MN 55122 Phone: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 www.eiryofeagan.wm THELONEOAKTREE The rym6nl oFstrength and grovrtli in our communiry ? INSPECTION RECORD I C°n °"°. 0602 CITY OF EAGAN PERMITTYPE: euiLoiko ,.... 3830 Pilot Knob Road Permit Number: 000749 Eagan, M in nesota 55123 Date Issued: 0 6/ 10 / 9 2 (612) 681-4675 SITEADDRESS: LoT: 33 BLOCK: 1 APPLICANT: 1627 qALLARD CIR WAKELY CONST MALLARD PARK 2ND (612) 890-2604 PERMIT SUBTYPE: SF PORCH TYPE OF WORK: NEW REMARKS: RECEIPT # r- ? PERMIT C°n °"° 0602 ? CITY OF EAGAN ? 3830 Pilot Knob Road PERMIT TYPE: . BurLoiNG Eagan, Minnesota 55123 Permit Number: 000749 (612) 681-4675 Date lssued: 0 fi/ 10 / 9 2 SITE ADDRESS: 1627 PIALLARO CIR L07: 33 BLOCK: 1 MALLARD PARK 2ND DESCRIPTION: ;'Building Permit Type SF PORCH Building'Work Type NEW - Building Leis•gth 18 ?Building Widtfi, 12 . ' , p n :R?:• •,1,!' ? ??t?? „ i LD REMARKS: RECEIPT N C?IQ?SO FEE SUMMARY: VALUATION 8ase Fee Surcharge Lic. Search Fee 5ubtotal $117.00 $5.00 $5.00 $127.00 ;ie.eee CQPIES $2.00 Total Fee $129.00 CONTRACTOR: - Applicant - ST. lI OWNER: WAKELY CONST 18902664 000544 MORGAN BRUCE 13613 WASHBURN 1627 MALLARD CIR BURNSVILIE pIN 55337 EAGAN MN (612) 890-2604 I hereby acknowledge that I have read this application and state that the information is correct and agrea to comply with all applicable SCate of Mn. Statutes and Gfty of Eagan Ordfnances. ? APPLICANT/P RMITEE 51 NATURE _ IS ED BY: SIGNATURE PERMIT" # ,- 7 ?! CITY OF EAGAN REacTivATE _ 1992 BUILDING PERMIT APPLICATION 681-4675 (,,9? , ? at?a o 2 REcti SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typinq of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. ate le / } / 9 z Valuation of work Site Address: ??a 7 rVi kac.G -rYL.D STREET SUIiE tM Tenant Name: (commercial only) IAT 3 3 BIACK T SUBD. Yh P.I.D. # Sc- o,.a Descri tion of work: 3 Str+Soti Pao?c.fJ The applicant is: ? Owner Contractor ? Otll@P (Describe) Name I-n 0 2?i9vV 3jZvG&` Phone Property LAST FIRST Owner qddress m?LL_t92z c 2 STREET STE 0 City C)O?4 H/n-Y State mk1J Zip Company _(A1W[LFCU C.divST Phone g90 -D60`f Contractor Address /3(e 13 L1_))q S0134/alv License #6ODSYyZ Exp.3:13 C1ty I3U2/vSG/L (_r` State h-+ n/ ?? Zip SS3?7 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer 8 water permits is two days once area has been approved. 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. 5ignature of Applicant: r OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition %04 SF Porch ? 05 SF Misc. WORK TYPE '?. 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair GENERAL INFORMATION 0 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace O 15 Deck ? 35 Tenant Finish ? 36 Move Const. (Actual) Basement sq. ft. (Allowable) lst F1. sq. ft. UBC Occupancy 2nd Fl. sq. ft. Zoning Sq. Ft. total N of Stories Footprint Sq, ft. Length 11?• On-site well Depth On-site sewage APPROVALS Planning Building Engineering Yariance REQUIRED INSPECTIONS ? Site ? Nallboard ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Nater Meter Acct. Deposit S/N Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. CoPies Other Total: 17.cv I valuetim: $ 1 Eg60 0? j.on ". Ob 0.oo 12xre- 21GK$(5?, 1 72'D O 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code 5AC Code Assessments SAC % SAC Units ? - , ? ,. w CERTIFICATE OF SURVEY I ? o..?--?---- g ?4J5 (os - ------' qh ?30. 01 q4 , lA) D 14. + J N? lL U 93 5 Ip al Ir? NI LOT 33 i ao 9 9i I ro 0 3 BLOCK I I wti' -- 32. 3 . oo 15?1 3 PR OSED ii o N 30 N-- o , houl,E ? °° ? +2 a @ aea<'= s-v?r \Vp'` t' ? ? s e a ? J o zo N s I J Z I eS 2333 t0 I " I ? w 9 ? j ? ml ? Ci?<AiNf?Gt AND L ? ? ON 0- 0 z ? r! p UTi?_?TY E.ASEMENT I O I I I =: 9i . ? 30.05 ? J? ?, , 9?•2 ° (ol.77 -- ""a? --- CvI.77 - g'S N P,(° 14' 03"E R= S 89° 38' 54' W MALI..ARD DR1VE YC.g 9i, I 1 4I•$ F.lovations shown are eeisting gradet and I are based on a,sumed datum. And that i am a duly registered land surveyor under tt I3WS oE Staco of *tinnrsota. Da[ed this 219t cfay of June, 1984 Gene L. Jacnb on,c Mi ,Reg. No. 77314 DR BY ORJ I SCALE - 1" = 30' I a DENOTES IRON MON Prepared fur: M. W. Johnson Conttr. P. 0. Aos 130 Farmingtun, MN 55024 I hereby certify that th{s is a rorrrct representation of a survev of: Lot 33, BLock 1, MALLARD PARK SECPND AUDITION, Dako[a County, Minncso[a, according to the recorded pla[ thereof.. BEARINGS ARE ASSUMED DATUM., JACOBSON SURVEYORS LAKEVILLE, MINN. '?5044 PHONE 469 -4328 ; PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: gu=LnsNG Permit Number: 029129 Date Issued: 10 / 2 S J 9 6 SITE ADDRESS: 1627 MALLARD CIR LOT: 33 BLOCK: 1 MALLARD PARK 2ND P.I.N.: 10-47251-330-01 DESCRIPTION: (ROOFING) B'uilding•,.Permit Type ibuilding Wor_k Type P"Census 'Code ? ? . "? , . 5. ?;?. . A STORM DAMAGE REPAIR 434 ALT. RESIDENTIAL ? ? " - :-? ,_•,.? " l'__ ._? ?...,'. .- -.t r'; .. J .,:.?..i ?.. REMARKS: FEE SUMMARY: CONTRACTOR: - Flpplicant - ST. LIC OWNER: HORIZON ROOFING 18903900 2001279 VARGAS GLORIA 1333 LARC INDUSTRIAL BLVD 1627 MALLARD CIR BURNSVILLE MN 55337 EA6AN MN 55122 (612) 890-3900 (612)454-1381 iL- T hereby ackn4wledge__th.at.Z,have Nead-this-aR.plieation and state that the 3nformation is correct and agree to camply with all applicable State ofi Mn. Statutes and City of Eayan Oxtl-ircenoss, APPLICANT/PERMITEE SIGNATURE 1(k, n R oj I)'11 J1 ISSUED : SI A U E CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 S` m? 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conslruction Reauirements RemodeVReoair Reavirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies ot plans (include beam 8 window sizes; poured fnd. design; elc.) ? 2 site surveys (ezterior addBions & decks) ? 7 energy calculations ? 1 energy wlculations tor heated additions ? 3 copies of tree preservation plan if lot platled after 711l93 2qulred: Yes No DATE: / 0/15)3/9 ?O CONSTRUCTION COST: ? 'S-0 ? DESCRIPTION OF WORK: ?Le?,v' (;2 eFe- 04? STREET ADDRESS: 7' Cil-dQ- LOT _J_L_ BLOCK SUBD./P.I.D. #: 4111 PROPERTY Name: Phone #: OWNER °' R" Street Address: ? 6127 WC"11G1'c1r1rc.b _ City: State: Zip: coNTrtacroR Company: 170)el20l? Phone#: 890 39Uo ,sL ?fLVa/ Street Address: 333 ?/a,QC Z??cs 374?tcense #: :2 State: 7?Kj ZiP: S 5.337 City: ARCHITECT! Company: ENGINEER Name: Street City: Sewer & water licensed plumber: change are requested once permit is issued. Phone Registration State: Zip: Penalry applies when address change and tot i hereby acknowledge that I have read this application and state that the information is correct and agree to comply with aH applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Pian Received _ Yes _ No 1986 BOILDIHG PSRMIT APPLICATZOH - CITY OF fiAGAN HOTE: ALL CANTRACTOES MQST BE LICENSSD WITH THE CITY OF EAGAH 3IHGLS F94IILY DiIELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLS DiiELLI9GS - 9ESIDffiiTIAI. EENf91. DBITS FOR SALB ONITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECH iiITH HLDG. DEPT., 1 SET OF SNERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 7 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANASCAPE BOND o? To Be Used For: q? Valuation: Date: Site Address c:;Jf.. I OFFICE IIS8 ONLY Lot . _j_ Block Parcel/Sub [U`o,r) .Qaf l< 4ecj ;T;ah Owner V?cor- t + Hv,ne, raa?\ Address J(oa .j no.t?afd C1r c,t, City/Zip Code Eoso,p. Mt? , SiZ3 Phone N52- a`71 3 IContraetor Address o. City/Zip Code ?plr jl?cJ? Mw Phone 14:23'3'-U6 Areh./Engr. Address City/Zip Code Phone S Erect Oecupaney Remodel ? Zoning Repair Type of Const Addition # oP Stories Move Length Demolish Depth Int.Impr. Sq Et Install APPROVALS FEES Assessments Permit 50 ?l•- Water/Sewer Sureharge S, Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg OfP - ? reatment P1 APC Parks Varianee Copies iOTAL 3 •.S?O HOTE: ADDSESSSS FOR CORNER LOTS - CONTRAC?OR/HO!lEOIINER MIIST DfiSIGN9TE ftHICH 9DDRfiSS IS DESIRED. NO CHANGES WII.L BE ALLOiiED ONCE BOILDIHG PERMIY IS ISSUED. i I i ' 2/84 .. . V `--f• t ? ?'??• , CITY OF EAGAN ,t 11 ? APPLICATION FOR PERiMIT --' SEWER AND/OR ti•7ATER CONNECTIODT 1) PP.OPE?'I^! ApDRESS: (PLEASE PRIHT) (p rFr=?L nES=tirTov: ? (Lot/Enlock/Sudatvisicn or Ta{ Farcei I.D. :lur:,er1 41-12F " e.cA? ?J i: r';IS=_-:G ST".;L'C:':.:C, D?'I=.' G^ CRIGi.:AL ciiIL^,L`:G P----_.!I^` ISSZ::::C.: "?--- -? US': 1?,?-1 SuiG'ic r??nS„Ty ,.._.--- --- • .• ?7 p-2 DIIPLE: (?S%O CTNITS ) ? R-3 'I'`'?1IIiC(JSE (TET::r, + LNIITS) ( [P;T:'c) O R?a pnp,R=7n/CC`Z;C=:I'?,1 ( U::i:Si ? CO:,ntE.°.CI.=`,L/Rc.^PAII?0:'FICE Q =CS1iZL:?L, NSTITuTIC:'' L/GGV'E`-c:\ni ?,°^ 2) hAALT=.T O WM...' t a.DDREss: CTTY, ST?'?'-'. ZI?: PfiQNE: 3) PLL:IBro ??= y? ?}.L`dS,E? P,q,JIt1i) ?/./Jl7 S ?! .[)-- FOR CITY USE 04LY ADDRESS: / /i? ??&W PLIIMB RS LICEYSE: Attive CITY, STATE, ZIP: ?{ uic.. PHOJIE&ia?L?/a pLaf1,yBER LICENSE y/fyl?g? = Ezpired Q N t r ecopd ??<J arr initia Q) OCCTnpr,?r/cr.n.TE_-R D]F1h1E : (PLtASE PRINT) ADDRESS: CITY, STATE, ZIP: PHC}:IE: 5) INDIG= WHIC:i PEf?>•LiT IS BEZP:G RDQU£=; MCC:.^IECI'ION 'IO CITY SE?'lEFt _?&CC:'NECTIGV 'PO CITY KATER ? dPf'.F".c2 (PLEASE DESCRIE3E) bl L'JUll+?i.: U:-.:.: ? P.T..-"1?SE F?OLD r1PP!?OVEp pEPMiT FOR PICi:-UP BY ONE OF 11BOVE ,W4jT.E7+SE SML APP!20VF".p PEP_-SIT 'It7 1, 2,4V4 r1E0VE (Circle one) , 7) SICZZA:[.RE: ? DAT'E: / j? ?R w o1:a?a#:)s i? i fa ?c??:a +? rs f? ssa.a.? ?I sa s s.sa: a tr a a? i fPq .e1H,r f? a? !! ?a?ii??{r e F 0 R C Z T Y PERMIT °- ISSUED 1d. " d F°rs= $ $ $ lv `? ?-o $ $ $ ?.17 d . ?'d s s???-d S S $ $ $ $ $ ?-??97 U S E O N L Y , S°_:•i[.? nvo-IT-T (:'_;CL:,?c. Sli?.:..?F.?°i WATER PEI2t1IT (Ii.CLL'DE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE RE"CE3 WaTER TaP (I:QCiUDE COR?ORATIOY STCP) SE:dE3 _A_P ACCOUNT DEPOSIT - SEi';ER ACCOliNT DE°OSST - WA':°R WAC sac T?2li.`1F f•7ATER ASSFSS2I:.:T TRliN:{ Sii4ER ASSESSi•IE:IT LATEP.hL BENEFIT/TRUiIK SET.'iER LATE2AL BL:\EFIT/'i'RU:Ir WATrR OTHER TOTAL AM0U:VT PAID/RECEIPT ; DOES UTILIT'I CONNECTION REQUZRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A"PERb1IT FOR 4VORK SJITHIN PUBLIC ROADWAY" MUST BE ISSUED BY T:-IE ? NO ENGINEERID]G DIVISION. LIST AS A CONDI- TION. SUIIJECT TO TfIE FOLL067IDIG CONDITIONS: APPROVED BY: TI'^LE: DATE: so f was Imm:mmom ec mea sw wti www sia wfG w_40 Wt? w %w _"WPN aa w*Wso s-M 5"r pcM pe Mr§ M = CERTIFICATE OF SURVEY ? m 8B° 24' 20' E ?O0 J i ?+5. co5 -- --•- c, a y 94•'?' qn ? .- 30.01 Q?k lA -_-__ ? r_-oi ? 1 10 (Y- ,O Q1 i Ni " LOT 33 ? U ? 40 9 9i t BLOCK I I I , t,,.o 93-5 QN '... 32.3 N ? I ?R POSED 13 9 N NO 30 y N ? ? HOUSE m eo?? I I ? Q p n? ^, I }2 P. a 13 x !3- O O ? 19y s S'rP.?T ?10 ?? I ? O ? N 0 - o to ? J o J Z I i ?,r p 23.33 l0 I ? Q ? ? DRA?NqGE AhID ( m EN T? I 31 Q UTIttTY ?S?M Ip 10 m --- -- ? -- r'f J? 9i .--ao.o5--? COi.-I7 `--.._._.. ( .-' . 9i•2 R 6 22.15 a $89°30'54°W oi 3Cn.(nl N 0b° 14' 03" 51 MALLARD DR1VE ; „ ai,5 I 90•8 9t-1 F.levations shown are existing grades and are based on assumed datum. I hereby cer tify that this is a correct representotion of a survey of: Lot 33, Block 1, MALLARD PARK SECOND ADDITION, Dukota County, Minnesota, accordi ng to the recurcied plat therenf. And that I a m a duly registered land surveyor under t laws of t Statc of Mirmesota. Dated th is 21st day of .7une, 1984 Gene L. Jacobson, Mi . Reg . No. 7734 DR BY ORJ SCALE - I" = 30' o DENOTES IRON MON. BEARINGS ARE QSSUMED DATUM. Prepared for: ` I JAC08SON SURVEYORS M. w. Johnson Constr. LQKEVIILE, MINN. 55044 P. 0. Rox 130 Farmington, MN 55024 PHONE 469-4328 1,1 --- - '? - EXTERIDR ENVELOPE AYERAGE "U" CQMPUTATION .. ., _ . .. ?` . ' ..`. ;• ::,.? .- . .' _. . r -- _ . ? ' • . ; - "" _ _ - ? = ..:., - ._. • - ? .r OYiNER .. :• . ..--. _ . __ .. , ; • ? ?=? . •, . . . -?. . _.?..., ... , _ ._ ,.... . . _ _ -.- •.. • ..:: _ .,.. ..?.... ... ..... ... , _ ::;'' --. .:--?.,_..,._. ?'';:'>.=_:::==.:::' • _ - _ = = -=:i ? ;• , :?:, :-, _ . , . -?.; ;.: ;t;?. • , --:.} . : .;;:?:.?:_ : , . >: - AODRESS SITE . .. . .. - : . ` " ? ? . _ ';•-,•.. ..-. . . .. _..,- '.'.? ':??:.T.., '" - .r_..;.,?. -::. . '.. t.... . _ ? OR;:' A . •? . :.. - _ .. . .. .-.. ' •' r . •+?•_ _ ? ?. ... - ..: . VJ `?4X ?JSo? ' s-• M ? '..?.:..?'.. . . ATE ? : ? . .. . :. ;.. ' ? ...?'.:.] .. - - 5.??? ;.?. _ . . . . PHONE'?' • - . . - - . .. .. _. CONTR CT . : : .. . ... . . ., . . _ . _ , . - . . _ Determine working square footage of each. n' 1. Total exposed wall area ...... Zrl y 4? c'I Lo sq, ft: z 03-0-11797471 2. Total roaf/ceiling area ...... ?Oq'--kl sq. ft."x 026= ?-H I ? . . Total exposed wall area ahove floor = 23b'1?7- a. Total wall windaw area ... ......... Zy 5?1a .......................•. 3 8' . b. Total door area ......... _, .. c. Total s7iding glass door arza .................... . 4 4 •• ? d: Total fireplace wall area .................... ..... V8 e. Total wall framing area (average 10A)...:........ 2.ILo .•, : f. Total net wall area above floor ................. _j? .•. • g. Total rim joist area ......' ...................... ZLoR_. ' 4 Total exposedfoundatjon area = £3G, rILo ? h. Total foundation window ar°a...................... • i. Toal net foundation area above grade ............ r5. -• Oeteriaine "U" value of ea:h wal] seg.s:ant. ?,•. a. Z4S, Lo X ??U" , 55 = 135•08 ? . , b. 38 '1311 ... C, L4 4 X„u„ , 5 = z z : d. 48 x„u„ ' e,_ z.oz,l t.v x"u" ?O = 14?y f. I ao4,44 X t,u„ , Oy3 9. z?8 X „u„ X „u,i ? - _ ---- _ ;. 89•'llo x liuii ?.. ?:?'?: ? = 303,38 ,. 3 ..................... 9.!-C) . . .rotzl If item 13 ls th,e same as, or less than item F1, you have met tne intent of 53C 60C5(c)2. ? . . . . , . - . . ?• ' Total exposed roof/ceiling area ?nG 3 Total gross roof/ceiling area = I OC13 . _. j. Total skylight area '?- . ...... k. Total roof/ceiling framingarea........??.. I 09-13 _ 1. Tota1 net insulated roof/ceiling area....... 9 (;?3.7 Determine "U" value for each roof/ceiling segment. _.. • ,..... `_ ... z Oull .- , k. • I 09 .3 xliupl . Oz4 ? Z, LO ?. `7 V'i, 1' XliUn ? 0'?1- e .,??• LO 4 .................. 1 Ocf ? ..........Total = ?_4 ?Z ? If total of #4 is the same as, ar less than #2, you have met the intent of SBC G006(c);. . . . • • . ?? To utilfized the total envelope system method, the values.established by the sum of items #3 and #4 shall nat be greater than the sum of itens Bl and #2. t. -3oi.qy +, z. Z8,`II = 330',35 ? s. 3o3,36p+ a. z.?,Z = 3Zr? , 58 '-' MATERIALS Exterior Air 5lding lfaterial Sheathing InBulatioa - Sheetrock Interiox Air Studa Rim Conc. Bl.lcs, , ?. i r i ? ? ; i , i ? j ; ? i ? i r? Therm. Eesistance "R" ?45 Z 0 Lo N. ?.?. , 1 2 , f ? City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1627 Mallard Cir Lot: 33 Block: 1 Addition: Mallard Park 2nd PID:10- 47251- 330 -01 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Fee Summary: Contractor: Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437 -0338 Quesetions regarding elect 445 -2840 RANDY PATTON 122 WEST 3RD STREET PERMIT City of Eaan ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature cal permit requirements should be directed to Mark Anderson, State Elec - Applicant - Owner: Gloria D Vargas 1627 Mallard Cir Eagan MN 55122- -254 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA089956 06/29/2009 ePermit cal Inspector, (952) I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature ø ÿ þ ý þýý üïü úýýøû óâ þý÷ üûúùø÷ ö ß ô ûùø÷ öùø÷ ö ß ßÜ ÷ í ÷õû ô û ô óóïû÷ ø òþ üñû í÷ í í ñû í ú í êî þ ÷ þ ý îî íþ ý ÷ êô îî ÷ î ê ô úíì ñû úø þ î íøí ê çêåêóå öú üû þ è û çêäêä è û óýê õôóô ÷òñ ÷÷ ÷ øô à è þ óá Üýüû áâ ô ÿ þ ÿ þ ó ëáéääóå úø þ ÷÷ îí þ í÷ø ÷÷ ú ü î ü û ôøîÿ þ ï ê ÷÷ ß í üþ û øüþ û CilyofEa 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 675-5694 NOV 0Z2016 Use BLUE or BLACK Ink For Office Use Pernwl Pear& Fee - Oats Received - Stria: 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: k (l' Tenant Site Address: 1 ( 1 W\CL\\ t ni Cit {CA 0 o 3 PNarrrr>e: %a \Ja Address / City /Zip: / . Croix Crystal Water Treatment /mess: 3440 Yoerg Dr City Hudson State: IIVI zip: 54016 Phone: 715-386-8667 Contact Jim: CroixCrystal@att.net 1 Suite 5: / P , Phone: (. 6 (7 61- 5' - 9%3y _100n L.1 License if 64997W RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / Septi System New _ Abandonment 1 Water Softener Add Plumbing Fixtures [— Main / Lower Level) Water Turnaround RESIDENTIAL FEES: 560.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes Slate Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround' (includes State Surcharge) 'Water Turnaround (add $280.00 W a 3l4' meter is required) .00 Septic System New (includes County fee and Stale Surcharge) TOTAL FEES $ 60.00) CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cain 48 hours before you intend to dig ID receive locates of underground utilities. www.gopherstateonecallorq I hereby acknowledge that this information is complete and accurate; that the work *MI be to conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a pemsk, but only an appbcation for a pens*, and work is not to start without a permit: that the work wi6 be in accordance with the approved plan in the case of work which requires a review and approval of pian For Office Use aY4' % i ',F Permit#: 1511 '71 : :' ,,, AN Permit Fee: (100- 00 Date Received: b no r g 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: 913 buildinginspectionsecitvofeagan.com L 2018 RESIDENTIAL PLUMB NG PERT APPLICATION Date: Site Address: i `r 2 g/P (� ( Tenant: Suite#: Ar 1 Resident/Owner. Name: 5f, r)3 dr vii Phone: Address/City/Zip: xi/ � I TiArlf2Name: License#: AI IContractor Address: , �l� Jl� City: c1-7-4__.(2 I State: ,/ Zip: / 9 _ Phoa/2- -/} 7,.) ,?r-a - Contact: Email: iep '' /viPi/ /7/446:#7,7, Type of Work —New v Replacement —Repair _Rebuild —Modify Space —Work in R.O.W. Description of work: 4 ) ' (:AAA 4 s'-1 � RESIDENTIAL i Water Heater Lawn Irrigation( RPZ/—PVB) j Water Softener Permit Type Septic System Add Plumbing Fixtures( Main/—Lower Level) Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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.gopherstateonecall.orq You may subscribe to r-ceive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.city• -•uan.com/subscribe. I hereby acknowle•:- at thi ' ,orm.tion is complete and accurate; that the work will be in confor •- ce with the ordinances and codes of the City of Eagan; that I um- tand is 's of a permit, but only an application for a permit, and work is o o start without a permit; that the work will be in accordance wit' - ap•. .ve,. • :n' the case of : k which requires a review and approval of p x `• ___/`I ' vs, i x //,/ J �/ � Appl •-nt's _I. ! "/ App ca• 9 ` '*_e/ FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test. Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: • e/AAA.0 l PJ ,. v For Office Use I nil E i ' --" Permit#: 1-C1 �i ,q AG N %... Permit Fee: / 70' , 1CZE cEIVED Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 AUG 14 2018 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(a�cityofeagan.com 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Ce/4 y/1S' Site Address: ,6D41 rAck‘1.AR.Q C,►R E,P►CiA4 Unit#: Name: Vh gR,,1.4.0 S A60 Phone: (4)51•a$3-18D5\ Resident/ Owner :x=, Address/City/Zip: v"t'3p SKRIE . CAZ,1.h,,>E, CI1t ftw.1 Applicant is: Owner Contractor -' Type of Work Description of work: ��`( V,,,>J Construction Cost: %O1 t7Ij Multi-Family Building:(Yes /No k ) Company: M t Pl ..- e w)'ZI✓_ dzkys-r. Contact: 4h tK1- C911 1L Contractor r Address: .Z‘? % Vv Bldg) �X City: ‘44K%-re. t3E R L LAKE, State:Mt Zip:� ,0 Phone:��- a•90�mail License#: ) - L tC t d� Lead Certificate#: N{ -• i f] D(4-6 '"l If the project is exempt from lead certification, please explain why: VIZ?".t. ta4ttx t tg8k! COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Fire Suppression Contractor: Phone: NOTE Plansrtand supporting documents that you submit are considered to be public information':}Portions of the in ion'may , r classified as`'non public if you provide sphecifc.reasor►s that would,permit the City to conclude that theyi1it��fe secrets. � '� � e' You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.00pherstateonecall.orq 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 approvalofplans. x Mt IAE,L C�A,I�1Z.�.lL. x "14 Applicant's Printed Name Applicant's Signa DO NOT WRITE BELOW THIS LINE 1e2,1 cello-1410C..c'd-' 7 .// . 5 . 4 SUB TYPES _ Foundation _ Fireplace Porch (3-Season) _ Exterior Alteration(Single Family) LO Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement — Siding — Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Iv 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 ...J...le C MCES System Plan Review Code Edition j7i 25/, SAC Units (25% 100%�) Zoning -( City Water Census Code Stories Booster Pump #of Units Square Feet ' ' PRV #of BuildingsLength Fire Suppression Required Type of Construction 1/10/I3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: , Footings (Deck) Final I C.O. Required Footings (Addition) yo Final I No C.O. Required Foundation Foundation Before Backfill HVAC-Gas Service Test Gas Line Air Test Hood Roof: Ice &Water Final Pool: _Footings _Air/Gas Tests Final 1" Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final _ Siding:_Stucco Lath Stone Lath :_Brick EFIS )O Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In Final Braced Walls Erosion Control Shower Pan_ '� r Other: Reviewed By: ,/}' `' '14. /.70,4 , Building Inspector RESIDENTIAL FEES Base Fee / 7 Surcharge 041 2c'• 6) Plan Review (_, MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 0/41165"- For Office Use Permit#: /1111--- EAGANPermit Fee Date Received: K. 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 'S J, { (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(a cityofeacian.ccm AUG 2 '2 2018 L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 56/7?//S Site Address: $(earl ted tU. ? Unit#: Name: GLORIA Q v*eW A S Phone: gieidentiiTt - Owner Address/City/Zip: %LP rvuktAARD . ..:. Applicant is: Owner Contractor Type ®` Work Description of work: 1.4104.14.., c ,MOtlgL 'fir � etit... t t�STALL #. Construction Cost: 3r7w Multi-Family Building:(Yes /No_&) Company: W\ttMAlc,t,,. CJ.ttt>Ut. &O..b .. Contact: MIKE. jA11)Zt,L rx Address: '\%' Owl%%DN LT. City: U3K ITE GENILAj4. Critf'actor State: IfV10 Zip:C:11 E t%O Phone(5'"910 90V7mail: License#:sse., '1O .!7 _Lead Certificate#: 1VFC1 t t t °Z(1).5"1 If the project is exempt from lead certification, please explain why: Vek"bt- wAs i v1ti.-r t>ti tqriy COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Fire Suppression Contractor: Phone: NOTE Plans and supporting documents that you sub nit are considered to be public information Portio ns of the nFp� dr) nay be classified as non-public if you provide specific reasonssthat would permit the City to conclude that:the r"e `ram de se:rets uv� You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.00pherstateonecall.orq 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 riot to start wi hout 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. �tC. E1�. annss.� ��fl�c x ,►� l�- Applicant's Printed Name Applic nt s Sign DO NOT WRITE BELOW THIS LINE /e ' '7 NIl/P- ( / /5/ qz-Ls , SUB TYPES Foundation Fireplace Porch (3-Season) _ Exterior Alteration(Single Family) Single Family Garage Porch (4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding — Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior )0 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 4 3 7©‘;'.' Occupancy .� a.' 1 MCES System Plan Review Code Edition di/) 2"5--r ' SAC Units (25%_100% 3) Zoning - – / City Water Census Code Stories Booster Pump #of Units Square FeetPRV #of Buildings Length Fire Suppression Required Type of Construction 11 t Width REQUIRED INSPECTIONS Footings(NeW Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) \; Final/No C.O. Required Foundation. Foundation Before Backfill HVAC 'Gas Service Test Gas Line Air Test Hood Roof: _Ice &Water Final Pool: Footings _Air/Gas Tests _Final y0 Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding;_Stucco iL,ath _Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall: Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan �I Other: Reviewed By: ! 0 OA. / I 'l�iy h/' , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3