1639 Mallard CirINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
?83?Pitot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
StTE ADDRESS:
?;,i 1 ANt3 r r1
? t Ft F<: t-s t' ?? i; P; :' N 1?
PERMIT SUBTYPE:
TYPE 4F WORK:
,: .. ?:
I
INSPECTION .. . DA
? .'7- 1o-0? S Ow 1
?a o? ,•,? f : r APPLICANT:
i r. 1.• 1 ,! •, t.f
` ,ARK'; , P ti A N R fV 1 C c-diAl 6 Y 14 T k S= HAPr, V .
Permit Holder Date Telephone #
PLUMBING
FiVAC
Inspectian Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIAEPLACE
FIFEPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECKFfG
rDECK FlNAL
? CASH RECEIPT ?
CITY QF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121 -'
DATE . 19
RGC6IVED ?
FROM '
AMqUNT $
DOLLAR3
ioo
.? FUND GOOE AMOUNT
`
[
_.3' . `)t ? • ( .-J
Thank You
,,)
B'il
,.
,?,
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
? GASH -0 CHECK
CITY OF EAGAN
Addition r,4nij:jr-d Park Secnnd Addi ion Lot 29 Bik 1 Parcei #10 47251 290 01
Owner Street 1639 Mallard Circle State Eagan, Mn 55122
Improvement Date Amount Annual Years gs Payment Receipt Date
STFEET SURF, jJp . 1981 1751.47 350.29 5 -
STREET RESTOR. 6 rf
GRADING
SAN SEW TRUNK aVI
*SEWERLATERAL 1 1981 2430.43 486.09 5 -
WATERMAIN
? WATERLATERAL 1981
WATER AREA 45 ;k- `J
STORM SEW TRK p 1981 445.37 89.07 5 -
* STORMSEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 500.00 11 if
BUILDING PER. 10173 11
SAC 525-00 11
PARK
CITY OF EAGAN `
3830 Pilot Knob Road, P.O. Box 21•199, Eagsn, MN 55121
PHONE: 454-8100 Re«ia #
Sito Addrsa 1;; 3?: Nl?L ? K.: ;., t? I?CI+F; Erect -g] OccupsncY 3
2 Ci Remodel ? Zoning i
lct Block
Repair
?
Type of Const.
Parcel No. Enlarge ? No. Stories
Move ? lsngth C 0
W Na^e Qemolish ? Depth I) C,
? Addre?s '' • t? . Ar: _;. 3 U Grade ? Sq. Ft.
city I_.:''c;E:prwne 432-683 8 tnstau 13
? Name --- --•-• ----------
Addrets Assessrtunt
City Phone Wote? & Sew.
tPolice
p W
?
W Narne fin
?? Addros: Enq.
? W City Phone Plonnw
CAUncil
I hereby xknowladpe thot 1 haw rood this appliwtion and scote fhot Bldg. OfF. 1,' t J
fhe Intormotion is tarect ond o9ree to tomply with oll opplicoble
Stoh of Minnesota
Siqnotun of PermittM
A 8uildfny Permif Is issued M:
oll woric sholl be dont in oCtordonct with all
e6ilding offiaal
APC
Var. Date
f..s
Permir 'A ! A
$urcharye, 4 7
Plan Review "
SAC 5 _
Water Conn.
Wotsr Metor
Rood Unit
rerrka ? .. .
1
Totsl '
' -? 1on tha exarsm conditlon thol
of Mfnnesota Stotutes and Cify of EaQan Ordinonus.
Pwmk No. Pwmit HoMNr Daq TNe hone it
wumwng
HNA.C. 5 ? cU ? ?l b_
el.cc?tc
sottemr
Impsetion Dab Insp. Othw
Footir?gs , tit fi..c of ; r. o(s r4 ,? n t
Foundstion
Framinp ? -
Roofiny
Rough Plbp.
Rough HVAC F J
Insulstfon r
Final Plbq. t ,
Finsl HVAC
Finsl zlr
CMt/Ooe. -+-
w??r Decribs Loeation:
VYsll
Sewrr
Pr. D'ap.
.40
Roaipt MECHANICAL PERMIT Permit No. '.
CITY OF EAGAN
- Fss '
-,
Fl/l in numbered spaces S/C
Type or Prini /egibly Tot '
1. Date 2. Instaliation Cost ?
3. Job Address Lot Blk. 1 Tract
-T
4. OWfl@P
?
5. Contractor Phane
8. Addreu
7. City 5?ata Zip
8. Building Type: Residential 0 Commercial O Inttitutional ?
9. Work Descripiion: New E3 Add ? Alter ? Repair ?
10. Describa Fuel TvPe ' .
1 11•
No.
' Equwomant 8TU - M. Ea.
Forcxd Air No. Equiament CFM
i
Mfg. A
r Handling:
Boi lers
AAfg. Mech. Exhaust
-
Unit Heate?
Mfg. : h
O
Air Cond. er
t
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
Rouph Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Raceipt '
f r)
i--- , '?
1. Date - ? • ' 2.
3. Job Address
4. Qwner
5.
•
I
i PERMIT Permit No.
EAGAN Fae I
rered spaces
nt legrb/y S/C
Tot. ' I
on Cost -- - I
?
t.- 1 Bik. I
___,/_ Tract I
? .. ?.
Phone -
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New E7 Add 0 Alter ? Repair ?
I 10. Describe
1 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor 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 alt ordinances and codes governing this type of work.
Signed : for
Rou9h Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN wA
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: A83
lEagan, MN 551.21 .. F„.?. DATE i. _ 17--5 5
Zoning: - No. ot Units: ?
Owner, To'.ut ?i???-st.
Address:
"
r- .
Site Addrtss: rrc • r. r?? -;,.
:>?.,?, ,. -
T'
PIuTbEr:
Meter No.: 2if
- 7. Connection Chorye: `
? siu:
r? o-?- Acmunt aeposit:
Reader No.: Permet Fee:
1slree h ooM* wilb tiw Clty of Edgan Surchorge:
Ord Misc. Chorpes:
D Total:
W.IM
BY Dote Poid:
Dote of lrup.: irap.:
, a ,
s
CITY OF EAGAN
3830 Pilot Knob Road
P. U, Box 21199
Eagan, MN 551?1
Zonirp:
Onnbr;
Add?ESS:
$it! Aidfl55: ? .. - `"3. .Rr. .
PluwMer. ?- c-u , i• ??,+ i?
I pne M eaaplr wilh llw CifT ef Eeoen
Ordiwenar.
By
Date of Insp.:
Insp.:
SEVNER SERVICE PERMIT
PERMIT NO.:
DATE:
_ No, of UniK: ?
14r:1 Connsction CJhoW: 42 : . ^!' rC
Aceount Deposit: 1. 0 0
Psrmk Fee: ;? • ? . ,
Surchmpa:
_ Misc. Charom
_ Totol:
_ Dats Poid:
Vs0%1zR alER s I%.w r KRIFUN
3830 Hot Knob Road 61123
P. 0. 8ox 21199 PERMIT NO.:
Eagan, MN 55DATE: 5- ! 7_85
Zoning: No. of Units: 1
Oyrwr, .TOtm80n Eftst.
/lddfess:
Site /lddross:
d„_L__, Genz-Ryan P&F
No..
No..
!o oowiPly wi16 fv C.ity of Eaqow
CAnnectivn Chorfle: - • • •, ? "
Auourrt Deposit: ' ' 9,1
.?
Parmit Fee:
. ??
Surcharge:
Miac. Choroes: ' ' : p
Total: .'. !,r r?e er
Date Poid:
CITY OF EAGAN N o 1017 3
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55 727
-
PHONE: 4548700 e
13
BUILDING Recei(N #
PERMIT ?
Ts M " fm SF DWG/GAR Est. Volue 95.000 Dore?dl? y 1
SiteAddrees 1639 MALLARD CIRCLE Erect (9 occupancy
2 Ramodal ?
MALLARD P
29
1 2oning R-l
K
Lot
Blxk
Sec/Sub.
Repair ? TypeofConst. ct
Perael No. Enlerge ? No. Stories
Move ? Length 6 0
Nama M.W. JOHNSON CONST_
Demolish ?
Depth _96
i
? Addresa p- n- BnX 130 Grade ? Sq. Ft.
City RMTN C OPbhone 432-6R4R Instell ?
SAME Aporarals FNs
R Name
?u
Addresa
?- Citv Phone
Name _
Addreas
City Phone
Aasessment _
Woter 8 Sew.
Police _
FM
En0•
Flommr _
Council _
Permit 4 7?n n
SurcFwrpe d :j S fl
Plan Reviewq?ll0 ,__n !1
SAC S7S nn
WaterConn. 500-?0
WarorMeter 63.00
Rood Unil 2Rn n0
I hereby ockrowledgs thot I haw read lhis oppliwhon and store thot 81dg. Off. 5/1 /R 5 #3EIEITP 132.00
tho inlormation is Mrrect and ogree ro comply with oll avPlicoble APC Total 2. 1 74 _ +(1
StaN of Minnewta Statute and iry of Eoqan rdinanras.
? _„ 1 Vac Date
$IQnWurc of Permittes V AL( L k1?yy„ DOUBLE FEE
A Buildiny Permit Is issued to: M- W- .TC1HNSnN rnhemnrtrmrna? m the axpnn conditlon thm
oll work sholl be dona in aecordance wlJh all opplicabl"taM of Minnewro Statutd and CiH of Eapan Ordinancea
Buildinp Offieial
2,-
B19215
REQUEST FOR ELECTRICAL INSPECTION
' Sea ismt...etims Ia completim th:s form m back of yellosr cooY.
"X"' 8elaw Wnrk Covered by This Request
llIwdAddl Rep.l Troe o1 Build:m 1 Avoliances firW 1 EQUipment Wired 1
ElectriC
M Fea ServiceEnM1renceSiza R Fee Feeders/Subteeders N Fee Circmts
a 0 m200 Amps 0 tu30A 7 0 to30Am
A6ove 200 Amps 31 to 100 Artqs ? 31 to 100 q
Swimming Pool Above lIXl_Amps Above 100_Am4X3
Transtonmers Irtigation Booirs Partial: Other Fee
? I ISigns iSpeciallnspecGon
neea.ks J$ TOTAL,FEE-?
5'sao
( N4-J v
the Ellectrira{?
epacbq hereby
idi(V tlpt NB above
sOection hes been
This repuest wid
1
B8 In9?5?P
)-)Vaj-k 4'a P ic
1 NepueS? Date..
-? r? r Fire Na. qouph-in I.?spec[ion
Requ- 7
?PeadY Now?l Notity Inspec-
M?h
R
d
.7 ?
es No en
¢a
y
L?censeA ElecViwl Contractor ?
1 hereby ?uest inspee[ioo of ebove
10 ? Ow?r eychieal ?rork imblletl at_
Sheec AAdress, Bos or Xame No. C.
1v
? I?p I?. s
C
ecuon Township ame w No. Range No. County
Occupant (Hi1NT) Phone No.
-
?/' V
Power Supplfa Add
ress
? ?
C lt L
EI -cal Conpactm ?Conqa?ry Name ? CoMracto,'s Gce
e No.
??? £
Mai llnp Address (Contrac or Owrer Ma4inp Irtsmilation)
AuNmiz ?mtu IC nVactor
r Making Ireulla hon Phone Numbcr
7 C •h-6,3
YIMNESOTA STA7E BOARD OF ElEC7RICiT' THIS INSPECTION REQUEST pILL NOT
gE pCGEPTED BY THE STATE 60ARD
Griggs-Mid?vav Bldg. - p?m N-791 UNlE55 PNOPER INSfECTION FEE IS
1821 Universiry Ava.. St. Peul. YN 56761
Phpn, (61212972111 ENCLOSED.
g??/So C, s+a5'`61
Repuest C'ate ' Fire N Rough-in InspeMmn
Reqmretl9
BReady Now
C M1dl NoLly Inspector
? Yes ? No When FeaCy'+
I Glicensed contractor ? owner hereby request inspection of above electrical work aP
+
Job AaCress (Sireet. 6ax or Route No)
Yk
t o City
'
Y
Z l ct "
i rz P, .a . o
Section No Townsnip Name or No Range No Counry
Occup2nl(PRINTI Phone N.
5 O<j
Pawer $uppLer
. J.p. Apd?ess
Elecincal Connaclor(Company Name)
• Contracbr's Lcense No,
11,
` ?
Maihng qddress ICOnhador or Owner Making Installauon
?
Rn?f2f?i?e??F nS:53
N ixe0 &gnaNre (COnlractoNOwner MaRing Installa?ion) Phone Number
MINNESOLI STATE BOARD OP EIECTBICIiY THIS INSPECTION REOUEST WILL NOT
G.i89e-Miewey Blag. - Hoom S-173 • BE ACCEPTED BY THE STHTE BOaFD
1821 Unlverslty Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0810 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
o r ? See ms[mtlmns (or completing [his form on back ol yellow copy
G? ? a4,d "X" Below Work Covered by This Request
ee-ooooi-o
?` . _+ ? qa&
???ewAtld Rep Typeof8wlding AppliancesWired EqwpmeniWued
ome Range Temporary Service
Duplex Water Heater Eledric Heahng
Apt. BuAding Dryer Other (Specify)
Comm /Industnal Furnace
Farm Air Conditioner
Other(spemty) ConVaclor'S flemarks'
Compute Inspechon Fee Below:
# Other Fae # ServiceEniranceSrze Fee # CircuitslFeeders Fee
Swimming Pool O to 200 Amps 0 to 100 Amps
hansformers Above 200 _ Amps Above 100 Amps
SIgnS Inspeclor5 Use Only T TAL
Irrigation 6ooms calci?-.? ?n(1 I° ? f Is?
Speciallnspection ?
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, Ihe Electncal Inspector, hereby Rouynm oate
certrfy that the above inspection has
been made. Final oai ?U
OFFlCE USE ONLV
This request voitl 18 manths irom
RESIDENTIAL
BUILDINC PERMIT APPLICATION
? CITY OF EACAN
Lf 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reouireman4
• 3 registered site surveys showing sq. R of lot, sq ft. of Muse; and all roofed areas
' (20%maiimum lat coverege allowed)
. 2 copies of plan shovnng beam 8, window saes; poured founW desiqn, etC.)
• 1 sel of Energy CalculaGom
• 3 capies of Tree Preservatan Plan d lot platted afier 71V93
• Rim Jomt OelaA Optians selection sheel (bkigs wAh 3 or less unils)
DATE b? 1 ol
SITEADDRESS rAe`"(" C;r-a`
RemodellReoair Recuiremants
• 2 wpies o( plan
• 1 setof Energy CakaAations for healed additions 3.7?
• 1 site survey for exlenor addibore & decks
• Indicate if home served 6y seDtic syslem for additions
VALUATION?S.U"u° ?''
TYPE OF WORK 9-0 011
APPUCANT K?- EL.?r\ E? ? tL+o z-S
STREET ADDRESS
TELEPHONE # (0%g"`? ba CELL PHONE #
PROPERTYOWNER 14¢)?t%-
TELEPHONE #
------------------------------------ -..... -------------- ---------------------------------------
COMPLETE THIS SECTION POR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO"fA RULES 7670 CATEGORY t MINNESOTA RUI.LS 7672
(J submission type) • Residen4al Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Caiculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Contractor. .,
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heal Recovery Systein
Phone #
Phone #
Fee: $90.00
ree: $70.00
..-----°-------•------°-------•-°-------------------°--- °---°-------------------------°-°---°-------------°-----
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with ali applicable State of Minnesota Statutes and City of Eagan Ordinances ?
Signature of Applicanf ?-
OFFICE USE ONLY
_ Waler Softener
_ Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. oF R.I. Baths
MULTI-FAMILY BLDG _Y -?° N
_ FIREPLACE(S) _ 0 _ 1 _ 2
12CITY I 6Z 0 STATE t`' ^J ZIP SS'cn b
LtotZl 61.5- . wo 1 FAX #6 't q H - 1388
Certificates ot Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
PERMIT# 4q?bI
RECEIPT DATE: 2 f DI
PXSIDEIVTIAL PLUM$INF PEfiMTf APPLICFcTfON
crrY oF f-AsAx
S$SO PILOT KNOB t{D
E,4HAN, MN 55122
651-6e1-4675
Please complete for: ? single family dweliings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS:
OWNER NAME:?aqpl? TELEPHONE
7-
INSTALLER NAME:
STREET
CITY:
V12ra 2 rhar4 mnrlr navt tn tha narmif wnrlr rina
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaroun
Nature of
_ Septic System, new/refurbished - $ 225.00 ?
- includes Ceuniy & Go^sulUng !^specter fees
• requires MPC license
State Surcharge $ •50
Total ? S?D
Reminder: Be sure to schedule inspections of alterations
I hereby acknowledge that I have read this application, state thatthe information is
It is the applicanPs responsibility to notify the property owner that lhe Ciry of Ea
normal operational and maintenance ac6vifies to the facilities constructed under?
sotteners, etc.
all applicable City of Eagan ordinances.
;amages caused by the City during its
OF PERMITTEE
Updated 1/Ot
L L't gL ' CITY USE ONLY /? I??9 RECEIPT#: I.-, (? `
?
SUBD. NIA.??Al1` bl YQi? G-? RECEIPTDATE: " 1 `t
PERMIT# 2,5RI('_
1999 PLUM$INC PEfiMIT (ftESII1ENTiAL)
C1TY Of' EAfit4N
8$30 PILOT KNOB fiD
EkfiAN, MN 5512E
(651)681-4675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTIIRES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas I In Outlet " mimmum -1 3.00 X = $
Hot tub/s a 3.00 x = $ '
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $ '
Private Dis osal S stem new/refurbished * re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
tlnder round s rinkler if dwellin Is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
W r loset 3.00 x = $
Water heater 3.00 x = $
Water softener if dwemn under construction 5.00 x = $
Water soRener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ .50
Total --> --> ----> ----> $ w.
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------------------?-------- ------------------ ---------- ------•-----•---------- ?---------- ------------ ----------
t hereby acknowledge ihat I have read this applitation, state that tha information is cortect, and agree to comply wiN all applica6le Cityot Eagan ordmances.
It is tbe applicanPs responsibihry to nohy the propeAy owner that the Gty of Eagan assumes no liability for any damages caused by the City during its
normal operatlonal and maintenance activities lo the facilities constructed under this permit within City property/right-of-wayleasement.
SITEADDRESS:
OWNER NAME: : /TDGe?ie ?l1E2 TELEPHONE #: ey-l 7r? 5??3
(AREA CODE)
INSTALLER NAME: yJ9/1 pvTE=,e TELEPHONE #l: 6,11-2
(AREA CODE)
STREETADDRESS: ??'D6 ??-e,?,vG•,f p2 ?h?o
CITY: 4f7?6?vr?1 STATE: lk;? ZIP:
1•
2/84
9
CZTY Or EAGAN
iw??
APPLICATION FOR PER`?IIT
• ? SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINi)
1) PROPE.T27.Y- ADDRESS: 1639 11/)9L'L•.11'ge0 L4e
r.FraI, DESG`tIPTZCV: 6-b oz LO I
(Iat/Block/S u isicn or Tax Parce I.D. NL..^rDer)
? I'r' W:Iz=:G S?'D=j:W, DA'r' 0F Oi2T.Gi Ai, :iiIL^•P:G ISsz::-:;G.:
..
_ar,
?
-_
?
P.nE.C.L?: C9'R-1 SL71GL:: cPMSLY .
? R-2 DUP= ('P,%0 L^:ITS)
0 R-3 'IC?v'TU?C(,•cg ('??'°= + L':7ITS) ( Wi Z"_'S)
? R-4 wims;
? CCi2,1E.°,CL'-1L/RE:AIL/Oc:'=
Q MLli5;2I.u
? LNSTI=ICJLAS,/GGVEN^U?-:T
2) APPLI=T iPLEASE PRlfli)
ADDREss:
CTi"Y, STATi', ZIP:
DS;QNE:
3) PLL=ffiE? ?- (PL`cASE PRINT)
??= GEN7•RYAN Pp-N fOR CITY US flLY
?r
ADDRESS:"1.4I45'O• ROBCRT "??jL PLUHBERS C£BSEa
crrr, szpTE, zIP
: ROSEMOUNT
M
N Attive
E=P' d
.?
,
,
aic
PHONE: ^ p??y PLUHBER LILENSE N of R ord
? ? a ntti?
a) o=ruar/a,?brER ruAME:
ADDRESS:
CITY, STATE, ZIP:
PHO`IE:
(PLEASE PRINi)
k
S) INDIG'iTE S4HICIi P T IS BEING RFOUESTID:
CbNNF.C.TION TJ CITY SD1ER
CONNEC:I0:1 'IU CZTY Sdp.TER
? di[ER (PI,I'A.,E DESCFtZSE)
6J 1f:U1Ci'i1::: C:iE:
7) SIG!,A'I[,°F2E:
[:] PI.EaSE E?OID APPROVID PER.'VLiT FOR PICF:-G'P BY ONE OF AB(7VE
,-m-PIFASE-x*AZL APPROVED PM•tZT TJ 1, 2:(D34 A£OVE
? - (Circle_one) -
(_-, - -- , „ I - -- '
DATE: ? I?
?? 4i#RlR.?'J? i Q!l:gf!!! s IltRaiiY if i iiis?:?a i!!la?0?? s f? ?R ?i?igl/
F 0 R C I T Y U S E O N L Y
pED14IT " ISSUED
F°^s: $ 2).S-0
:
$
$
$
S
$
/SUv
$ ?J,oO
$ ?d.v,3
$ 5?zs-u
$
S
$
$
$ o .
SE,vE.°. P°a'?'!rT (I`IC:.:;D? SU°C::?RGB)
WATE? PEi211IT (I2:CiuD : Sli3C::ARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STCP)
SE;vER TAP
ACCOUNT DRPOSIT - PJAT°3
Wr`,C
SPC
TRUVK SIAT°R ASSLSSi'SE:vT
TRCi:d?C SESdER aSSESSMENT
Lr1TERAL BENEFIT/TRUNK SEF:EB
LATERP.L BENEFIT/TRUNK SQATER
OTHER '
$ TOTAL
, trt
$ AMOL:IT PAID/:RECEI2T 9 fZ ?D7
,7 . .. . _ . . '
DOES UTILITY CON[VECTION REQUIRE EXCAVATION IN PUBLIC RIGi-IT OF WAY?
? YES ' IF YES, THEN A"PERMIT FOR WORK WITHIN
PfIBLIC ROADWAY" MUST BE ISS(lED BY THE
??90 ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DAT°_:
km w? we m w sJR wm Ww wEm r? m:mv qpmv saa wE m se m Ou w.?w rtm ra qwm wm
. , .
1985 BUILDING PERHIT APPLICATZON -'CITY OF EAGAN
MDTE: ALL CONTRACTORS Q9UST BE'LICENSED WITH,THE CITY OF EAGAN
??' INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
\ 'P SET.OF ENERGY CALCULATIONS
To. Be Used For; S F.DWG ?G°2J Valuationc •' 15,OOC? •? bate:
Site Address: 14,3q OFFICE USE ONLY
Lot: ?ry Block ? Sect/Sub iyko- I tC2YC1 ,. Erect x. Occupancy PI-?j
/ Remodel Zoning (?-I
Parcel.?l ,Repair , Type of Const Iz
Enlarge' I! of Stories
Owner rn• w,JohnSon Move _ Length (00
Demolish : Depth ?
Address 86}( (30 ' Grade • Sq Ft
City/Zip Code POrr)AI !2 n,' AA ?---------- ------°------- --°---
Phone ' 43a- 693' ' . APPROVALS
Contractor (YI . (.V. Jphn5py% CoyIS{- r 'Assessments Permit
Address
City/Zip Code '
Phone
Arch.%Engr.
Address
City/Zip Code
Phone 11
?
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr:-•,- Water Conn
Planner Water Meter
Council Road Unit
Bldg OffZ"'? - Parks
`APC `?' Treatment P1
Variance
TOTAL
= 10
ZOq . °°
SZS `o
SDO. °-°
200. °-°
l3Z %
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3(o x 2C6 K 54- ° 50s44
24 x22 " 5Z? x I f 5?)p8
3(o?4?^?
°I4-1 Z6
CERTIFICATE OF SURVEY
6:Levatiuns shown circ exi
sting gradcs r?
?' . N
'Sgo
2nd are based iiti Issumeri claLtIm.
9
?/ n°j 64 11
Propnsecl garaKc floor el ev. = 35.0 y?,'
?QS
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LOT 29 5 ??' A
BLOCK I I m
a
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Z hereby certify that this ig? `\
is a correct representatinn of H 61 o "26
\
a survcy uf: 4j 3
$"w
Lot 29, BLock 1, MALLAhll YARIC SECOND
AUUT170N, Daknta C011nty, MinnesoCa, according
to the recorded plat L'hcrenf.
and thnt I am a duly rn};istered land survcyor under
[he lawe of the State ol` Minnesota.
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_ ZDated thi.s l8th day af Apri1, 1985
Gene L. Jacobson, ,inn. Reg. No. 7734
DR. BY GCH SCALE - I" = 40' o DENOTES IRON MOK. BEARINGS ARE A5SUMED DATUM.
PREPARED FOR: JAC08SON SURVEYORS
Jnhnson Constructiun
P. 0. Box 130
Farmington, PiN 55024
LAKEVILLE, MINN. 55044
PHONE 469-4328
• Determine working square footage of each.
1. Total exnosed wall area ...... sG. ft. x???,
2. Tetal roof/cei'ing area ...... I0'-I,) sq. ft. x_?Q?(?=
Tnta1 exoosed wall area above floor = 2 3 8'1, Z
........ Zy 5, 10
a. 7nf-a1 wall windew area ....................
h. 7,,,.a? dcot• area .. ........................... 3 g
c. ic?al :'idine qlass door area .................... . 149
. c. al -°ireo'ace wall area......................... 'Y8
e. Tota7 wa1l, ?°raminq area (avera4el0a)............. 2021 ILO .
. r". 7ota1 nAl- W4ll area abave floor ................. ? OC{'4 y
g. 7ot a1 rim icist area ............................ Z(o PI,
Total exoosed foundati on area = 8G ,`1 Lo • , ._
.
h. To±al foundetian window area.....................
i. 7ca1 nei: Toundatien area aoove arade ............ P-?G-'1Ln
Deter,aine "U" value of ea--h wall see:ent.
a. ZU?? l.o X 11:,11 .55 = 135?08
L 3f3 X tiuii
? c. '44 X flUit , 5 = ZZ
a. 4 Pi X „U,1 , 31.D = I h, Z8
e. Zoz?l ?-o x "u" .0910
t. I 504 x ,lu° , Oy3 = ??.5
x itu,i , oy I= I o,9
h. --- X ,???? • -- _ -
' ?nLLo X Hull ? I = IS.S?o
3 ........:...............Totel
T* item €3 ?s *_ne same as, or 1_ss tnan item P1, you have m_t tne intent
ot 53C 6J1n6(c)2. .
i ' , ., ' . , •' ' . , .
-- ` Total exposed roof/ceiting area =' I I'Ci 3
Total gross roofJceiling area
j. Total skylight area ........................
. k. 7eta1 roofJceilinq framing area .........,.. IC??3
1. 7cta1 net insulated roof/ceiling area.......
Deternine "ll" value for each roof/ce111ng segment.
J: . ? .. x ?lull .-
k. xlouli Z. Lo
I . xf,u,l , ozz Lo
4 .................. (?C?? ..........Totai
If totaT ef #4 is the same as, or less than #2, you have met the intent of
SBC 6006{c}1. • , h
To utilized the total envelope system method, the values.established by the
sum of items #3 and N4 shall not be greater thars the svm of itens #1 and #2.
??. ?3o?,?ty + 2. 2S,?fl = 330,35
s. 303.3!F,- + a. -zq.z = 32- Q - 58
MATERIALS
Exteriar Air
5idir.g klatarial
Sheaihing
Insulatian -
ShestxoCk
Interiox Air
5t;ud s
Rim
Conc. Bik:>.
Therm. Resistance "R"
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SUKVEY
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;C;•{ ? ;,{ f- _41 O' OEN07ES IRON MON. BEARINGS ARE ASSUMEO DATUM I
F-----
FOR:
JACQBSQN SURVEYORS i
? 1' " ''''z !'(' LAKEVILLE, MINN. 55044
:•IN i`;(1?[F
PNONE 469-4326
PERMIT
CITYOF EAGAN sur?oxN?
3830 Pilot Knob Road PERMIT TYPE:
EBgan, Minne5ot8 55122-1897 Permit Number: 6 3 2 Z 3 5
(612) 681-4675 Date Issued: 0 7/ 0 9 j 9 8
SITE ADDRESS:
1639 MALI,flRD CIR
LOTa 9 BLOCK: 1
MALLARD PflRK 2ND
P.I.N.: 10-47251-290-01
DESCRIPTION:
? FTGS/FUTURE PORCN
By?i,?d?°g permit Type qECK
0uj:?-2b,it?g.-Pork Type NEW
e'nduis,C,o de'""Vg434 ALT.
?v
° , a . - _ - r= •,?W
fi•°? ? ?
fri _ -' P+ NI . ' . ? ?v
x is[ t ?'»ad' ° ?
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ar?a
, ??'4.?i?8??•J24t-is....
RESIDENTIAL
? -"'V-'?``?'
'1, rm
u.
REMARKS:
PLAN REVIEWED BY MIKE BARCK.
FEE SUMMARY:
Base Fee $50.00
5urcharge $.50
Total Fee $50.50
CONTRACTOR: -
TiAN50N CONST, RALPH
3392 232ND 5T E
HAMPTON MN
(612) 460-2467
Applicant - 5T. lIC
14602467 0003720
56031
OWNER:
KELLER ROGER
1639 MALLARD CIR
EAGAN MN
(612)454-5883
3 her,eby ,a?,kn,awled?e ?G4??t' T have r'ea+? °th36 ap`Piicata0`rtt 'an;cM >ttra
; - Tnf6?rmat1br5:,is bw=rrsc t'"?,l..agreea bc(mpLy?'w?tt&s St??s'? af
?. --.5?atrLt?s :a m?d. Gia'fi `X a ja a 9rd i,nsn?oie s? ?
r
L?? - ,,, r..: /l .. '. . °: - .._ _ . .. ? ... ..? _ .a. .'' .. .? e t . ? x....... .? -- __.
APPL CANT/PERMITEE SIGNATURE ISSU BY: S TURE
"i
"% ?go, sz
S 98 BUILDING PERMIT APPLICATION (RESIDENTIAL) t,?.l.
CITY OF EAGAN U{, ?
3830 PII.OT KNOB RD - 56122 ?
3 a a / 681.4675 Ui Z2
New Construdion Reauvements RemodeVReoair Reauirements
? 3 registered site surveys
? 2 copies of plans (inGUde beam 8 window sizes; poured fid. d8sign; etc.)
? 1 energy plwlations
DATE: ?Y?l'?P? 2 copies of plan
? 3 copies of tree preservation plan H lot platted efter 7/1l93
raquired: _Yes No
? 2 ske surveys (exterior additions & dedcs)
? 1 energy alwtations for huated addkions
CONSTRUCTION COST; .?-
DESCRIPTION OF WORK: ?/c°Cl/ V
STREETADDRESS: ?Of6 ST Xal4r,-d BLOCK: SUBD./P.I.D.
Name: /? ?lln- OYo 5?e v? Phone #:
PROPERTI' ' Lut ' irst
OWNER /
Street Address: ?6 z/9 ?<??? n/ ?7'?C ? I ?
City SYate: '_?4 Zip:
Company: ??? Phone
CONTRACTOR 3J3! ??j p?
Street Address: .z ? License
City [4VU442lei. Stare: ?q Zip:
ARCHITECT/
ENGINEER Company: Phone N:
Name: Registration #:
Stteet Address:
City State: Zip:
Sewer & water licensed plumber (new construetion only): . Penalty applies when address chang
and lot change is requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the infortnation i ? and agree to comply with all applicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY ?J
Certificates of Survey Received _ Yes _ No ?- 9 1?
Tree Preservation Plan Received _ Yes _ No _ Not Required
Ur 5U+-(V ?Y
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Y\'-------
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_ . _--,--- --- --- - ?, :?)'`S 'kON MO'V BEARINGS A4C ASSUMCD C
? JnC08SOPJ SURVFYOR'?
Ll1KEVILLE, MINiJ. 55l%•-•'
? PHONE 469 - 4 32L'i
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA092812
Date Issued: 02/12/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 1639 Mallard Cir
Lot: 29 Block: I Addition: Mallard Park 2nd
PID: 10-47251-290-01
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by 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:
Apex Energy Solutions Roger S Keller
1509 Southcross Drive West 1639 Mallard Cir
Burnsville NIN 55306 Eagan NIN 55122
(651) 688-2739
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
3830 Pilot Knob Rd Permit Number: EA084633
Eagan, MN 55122 . Date Issued: 07/25/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1639 Mallard Cir
Lot: 29 Block: 1 Addition: Mallard Park 2nd
PID 10-47251-290-01
Use
Description:
Sub Type: e-Reroof & Windows/Doors Construction Type:
Work Type: Reroof & Windows/doors
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Permit closed without required inspection(s). Letter sent to applicant on 3/23/09. (pf)
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $6K $132.75 0801.4085
Surcharge - Based on Valuation $6K $3.00 9001.2195
Valuation: 6,000.00
Total: $135.75
Contractor: -Applicant - Owner:
Elite Services Inc Roger S Keller
2414 - 117th St E 1639 Mallard Cir
Burnsville MN 55337 Eagan MN 55122
(612) 282-8108
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
12/20/11 17:03 FAX 6123744718 10001
f' " •
Use BLUE or BLACK Ink
r
I For Office Use
Permit
City of EqU Permit Fee: O U~ j
I
3830 Pilot Knob Road Date Received: t
Eagan MN 55122 I
Phone: (651) 675-5675 j Staff:
l
Fax: (651) 675-5694 1----------------
2011 RESIDENTIAL /B, UILDING PERMIT APPLICATION
Date: Site Address: ~~o3`r l~,lY Unit
_ ('aG ; 11 , X03 , 6S g
Phone: G s1
Name: A
RESIDENT/ ;&2>9 mgl/,gr4 Gir g#&R-lJ rr)N
OWNER Address / City / Zip:
Applicant is: _ Owner C Contractor
~ t S Pub ~,gor~ its
TYPE OF WORK Description of work:
Construction Cost: d U~ b-p-d Multi-Family Building: (Yes No
Company: Contact: yam,
Address: City:
CONTRACTOR p' b
Stater Zip: q lD Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
w COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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 suPP .16 g •docurbents, that y0. sutimit are cgns de ed tore E~ublic iniPor;.mation. Po bons of
the information, (r►ay,be caassied:as,non=pUklic-it•you<Provid specrtreason:> aha't would, Permit the City to
concluiile that.the .'airii trade secrets.
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 oooherstateonecall.ora
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 stat 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 Mlnnesota S ildinq Code must be completed within 160
days of permit issuance.
Applicant's Printed Name pplicant's Si nat re
Page 1 of 3
City of Eagan
Cash Receipt
Receipt Date 4/4/2012
Receipt Number 178401
CSC EXTERIORS/CC PAYMENT
REINSPECT FEE
0801.4242 50.00
PERMIT#102504 REINSPECT FEE
Total Receipt Amount 50.00
121197 6:22:19
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA103329
Date Issued: 03/16/2012
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 1639 Mallard Cir
Lot: 29 Block: 1 Addition: Mallard Park 2nd
PID: 10-47251-01-290
Use:
Description:
Sub Type: e-Windows Doors Construction Type:
Work Type: Replace
Description:
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: BRUCE CLAUSEN
2801 S. WAYZATA BLVD
MINNEAPOLIS
MINNEAPOLIS, run 55405
Fee Summary: BL - Base Fee $500 $40.00 0801.4085
Valuation: 500.00 Surcharge - Based on Valuation $500 $0.50 9001.2195
Total: $40.50
Contractor: - Applicant - Owner:
CSC Exteriors Roger S Keller
2801 Wazavta Blvd 1639 Mallard Cir
Unit 101 Eagan NIN 55122
Minneapolis NIN 55405
612 767-6301
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.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Mechanical
Permit Number: EA106471
Date Issued: 0812312012
~it~ of 110R Permit Category: ePermit
Site Address: 1639 Mallard Cir
Lot: 29 Block: I Addition: Mallard Park 2nd
PID: 10-47251-01-290
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088
Valuation: 7,000.00 Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Wenzel Heating & Air Conditioning Roger S Keller
4145 Sibley Memorial Hwy 1639 Mallard Cir
Eagan MN 55122 Eagan MN 55122
(651) 894-9898
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
!"
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178790
Date Issued:09/01/2022
Permit Category:ePermit
Site Address: 1639 Mallard Cir
Lot:29 Block: 1 Addition: Mallard Park 2nd
PID:10-47251-01-290
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Roger S & Julianne T Keller
1639 Mallard Cir
Saint Paul MN 55122--254
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature