1555 Mallard DrINSPECTION RECORD
' CITY OF EAGAN PERMIT TYPE:
? 3830 Pilot Knob Road ' Permit Number:
? Eaqan, Minnesota 55123 Date Issued: 4
SITE ADDRESS: iti i
j 111?1Ml1'? 1 A?.F I,.lt??r???.
PERMIT SUBTYPE: /In
1'. i1 I - . - JI fl's,
t 11VIi';
IU +wln!
APPLICANT:
I! I I: t ? i I ,' l r?
TYPE OF WORK:
ta? ?r
??r .? ?? ? i i; ??ri ??I?1 i?/?3?•'I I??t
E I: AM l N1i
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Commenta
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Firepiace
Final Htg.
Orsat Test
Final Pibg. Pibg. Inspector - Notity P(umber
Const. Meter
EngrJPlan
Bidg. Final
Deck Ftg.
?
Deck Final Ttrb G?/ _ ? 2 ?
Well
Pr. Disp.
..__ _ R'^T"". .-r. _ . .. . . .
SEyVER &WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
1
oaTE . Mut 17. 1990
OFFICE USE ONLY
METER # PERMIT DATE 05/22190
CHIP # PERMIT # 1..] 405
METER SIZE B.P. RECEIPT # C 7914
ISSUE DATE B.P. RECEIPT DATE05121 /90
XX PRV _ BOOSTER PUMP
SITE ADDRESS 1555 HALGARD DRlV=
LOT 1 BLOCK 1 SEC/SUB THO!!AS LAICB iIUODS
APPLICANT:
ADDRESS: .
CITY, STATE
PHONE: ?+
I PLUMBER:
? ADDRESS:
'CITY, STAI
? PHONE: ?
ZIP _ -??
ZIP
OWNER: B'F' lCNIGHT 1NC ?
ADDRESS: 2500 W CTY RD 42
CITY, STATE WRNSVIJ.LE ZIP 55317
PHONE: ?90'2021
PERMIT REQUESTED
X SEWER x WATER - TAPS
_ COMMlIND
x NEW
awn Sprinkler Mi
Fiead of Domesti
redit WILLNOT bi
x RESIDENTIAL
_ EXISTING ,.
are to be Installed
ers on Water Line.
EAGAN ORDINANCES
CITY OF
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
, CITY OF EAGAN
' 3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
l4AY 17, 1990
OFFICE USE ONLY
METER# '137 -?_6 76a- PERMITDATE 05/22/90
CHIP #a 7PERMIT # 11405
METER SIZE c B.P. RECEIPT # C 7914
ISSUE DATE B.P. RECEIPT DATE05 21 u?
XX pRV _ BOOSTER PUMP
SITE A?DRESS 1555 MALLARD DRIVE
I LOT BLOCK 1 SEC/SUB THOMAS LAKE WOObS
APPLICANT: z--, r" -
ADDRESS: K
CITY, STATE /INS?
I PHONE: - - ?12.0 --;I
PLUMBER:
ADDRESS:
CITY, STAI
I PHONE: ?
C'
ZIP
PERMIT REQUESTED
X SEWER X
COMMlIND
x NEW?„?.----?
WATER - TAPS
X RESIDENTIAL
- EXISTING
La,wh Sprinkler Meters are to be Installed
/Aho of Domestic AXeters on Water Line.
. a Credit WILL-IVOT b,q'given for Deduct Meters.
'ZIP jj5 343
?
?GRE CONIPLY WITH CITY OF
E.F. KNLGHT IN? l74
OWNER: EAG RDINANCES ?
ADDRESS: L
CRD 42 ryj t-'?J
ITY, STATE BURNSVILLE Zip 55317 ` -
PHONE: 90-2021 ATURE HEN METER ISSUED
PLEASE*ALLOW TWO WORKING DAYS FOR PROCESSING. CALI 454-5220 FOR INSPECTIONS. FOR ST RM
'' SEWER PERMITS, CONTACT ENGINEERING DEPT.
- .,
? _ _.«__.? "J
! -
To be useq?
.
Site Adlre
Lot
Parcel No.
CITY OF EAGAN ? 1$3 17890
! i da
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?
D'iiC/GAR $154,000 Receipt #
Est. Value Date , 19
, r
Occupancy
Zoning
(Actual) Cons1
OFFICE USE ONLY
R-3 M-1
R_-y PD FEES
vA f
$29.00
?
VA Bidg. Permit
- -- 77-.bO
Surcharge .
?r Plan Review 539.?
?
•
- SAC, City
- SAC, MCWCC
625.00
waterConn
9d•OQ
X27- Water Meter
???
?- Acct. Deposit
? ??000
SJW Permit
.50
- S/W Surcharge - -
Treatment PI Y.
3S5•00
Road Unit
- Park Ded.
Copies
- TOTAL
Block ? SeclSub.
W NafT18
? Address
s
City evittz
Phone
o Name
t
ouQ Address
cc
City Phone
?
WW
Name
z
_
-, Address
AI
on
Buiiding Official
# of Stories
Leogih
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
nnwcc system
City Water
PRV Required
Booster Pump
APPROVAIS
Planner
Council
Bldg. Off.
Variance
Permit No. Permk Holder Date Telephone #
WATEfi j ?OJ ? tyI L ???lCO
SEWER
PLUMBING ? . ? v
H.VA.C. a??? . C? ? d? 9a
EIECTAIC ?9
Inspection Date Insp. Comments
Footlngsl
Foundation 2 9 l?'?-v? S?`!D cc? r 3d 9?-
Framirn? -Z ? ?o Q?
Roofing
Rough Pibg. -" ?
Rough Htg. ? 7'-g0 S ?
Isul. - ??D
Fireplace
Fnal Htg. 7 L!/ -%? - (' •
Final Plbg.
Const. Meter Plbg. Inspectar - Notify Plumber
Engr./Plan
BkJg. Fnal
a-Z
Deck Flg.
Dec* Rnal
Well
Pr. Disp.
?
. r a, .
3
s '
?
(Cirp of (eagar?
lkmtunct of Nuiidiatg itcwPrtimt
This Ceriifiaale isxusd pursuartllo [he requiremenu of Seclion 306 of lhe Uniform Building
Code auYiJyirig tJrat at the tirrre of issuarue tlrisstructure Kas in canrpliance wilh the various
ordinances of 1he Crtj' regulwin8 buildrng consaucdan or erv- Far the foUowing:
ue anmwo.n g'' ?R eld& ebmk No. 179c)1
OXW-CY T)" R3/141 Zm;,a u;tr;c R I/P93 Tyr ra..s VN
owma Ocemm E F IINICHT INC A&j= 500 WRn 4, B'tm.r.F
Biad Ad&= 1555 MALT-AM ARIVE L,CRHW L I, B 1. II3QW LARE WOODS
&a&n O&W
POST IN /l CONSP(CUOUS PLACE
PEfiMIT # ' ' -
( •-
MECHANICAL PERMIT , : i, , -- ? ? r
RECEIPT # -?-
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ,-
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address
' ? gLDG. TYPE WORK DESCRIPTION
Lot
Block Sec/Sub Res. - New
- Mult Add-on
-
.9? Name
A , : Comm. Repair
.5 ddress
'
r
?h?
c City _, •
? Phone r- i
FEES
?
c Name
%
' RES. HVAC 0-100 M BTU -$24.00
00
ADDITIONAL 50 M BTU
6
p AddresS
City ui [•
• •s
ii/A Phone y -
.
DES A/C ON NEW
CONST'AISCTiON)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
50 EA
TYPE OF WORK
• „ .
.
CaMM/IND FEE - 1% OF CDNTRACT FEE
Forced Air :--, M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Un+t Keater M BTU REMODELS - 12.00
Air Cond. ' M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent.
i
G
Pi CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1
000)
as
p
ng Outlets # 4 ,
Other ?
FEE:
SIGNATURE OF PERMITTEE
S/C:
._
TOTAL• ? FOR: CITY OF EAGAN
CONTRACT
PRICE
Site Addrss
Lot -?"
m
?
N
C
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
FEES
COMM./IND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD$?30 S/C PER EACH $1,000QF,PE,F;MIT FEF,?----,
BLDG. TYPE
Res.
mult.
Comm.
Other
For Offf?e, ?Qn y
PERMIT # ? ?
RECEIPT
DATE:
WORK DESCRIPTION
Add-on
Repair.
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO? FIXTURES TOTqLU
Water Closet - $3.00 $
-t Bath Tubs - $3.00
-? Lavatory - $3.00
?- Shower - $3.00 -?-
?- Kitchen Sink - $3.00
VIIIIQUDINQI - ?PJ.VV
? Laundry Tray - $3,00 ?
?
--
Floor Drains - $1.50
-?
Water Heater - $1.50
-T Whidpool - $3.00
?- ?
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
Sofbener - $5.00
Well - $10.00
Private Disp. - $10.00
l
Rough Openings - $1.50
`
PERMIT FEE: ?
STATES SIC:
-??
GRAND TOTAL:
(o??'J/SO 97(o?v 2
C? 65915 - ,o -°v
Request ?ate Fre No.
j Fough-in Inspedion
Reqwred?
? Featly Now ?i Will Notity Inspector
C7' ?O'? 6
( Ves Ci No When ReaOy'
IX licensed contractor ? owner hereby request inspection of above electncal work aY
Jo0 AOtl
res
s
(SVeet Bo
or
Route No )
x Gry
L
?
?
y
?
/
1JJJ I tA I l )rri' ri?e. E R!^-+
Seaion No Township Name or No Range No, Gounry
Occupant?PRINT)
. f . Phone No
Power $u0P6er AtlOress
A IotG.- ?1eC-h'iC,
Eletlrcal Conhacror (Company Name) ConVacfor5 License No.
?? ?IFC??1 C
Matling Atl ss (Conlractor or Owner Making Installalion)
U01),
')`B3 5ui Nil NE,
mA, mQ
51
Aullhonzetl S?gna?ure ?COnlraportOwner Maxing Installa0on)
? I? JcL,? Phone Number
'IBli
MINNESOTA STATE BOARD OF ELECTHICITY THIS INSPEGTION REOUEST WILL NOT
C0999-1kiiOway Bltlg. - R.O. 5473 BE ACGEPTED BV THE STATE BOARD
1821 Univernity Ave, SI. Paul. MN 55104 UNLESS PPOPER INSPECTION FEE IS
Phone (612) 643-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ?`=
? "•"T'i4 ee-ooom-m
? l See msimclions for completing iM1is lortn on Oack of yellow copy
?u1" [P
(sj 6 5 g 1 5 "X" Be/ow Work Covered by This Request
ew Atld Rep TypeofBmlding AppliancesWired EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt 8wlding Dryer Other (Specity)
CommJlndustrial Fwnace
Farm Air Conditioner
aher (speaty) Contracror5 Remerks
Compute Inspecfion Fee Below:
f/ Other Fee # SermceEntranceSize Fee # CircwisiFeetlere Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers A6ove 200 _ Amps A 00 _ Amps
SI(Jn5 Inspeclor's Use Only TOTAL 2
Irngation Booms ?
Speaal Inspection
Alarm/Communicanon TMIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M HS.
I, the Electncal Inspector, hereby
rtit
th
t
h Roughm
ce
y
a
t
eaboveinspectionhas
been made. F,,,ai
ex? oate
OFfICE VSE ONLY This repuest wia 18 mon[hs Imm
L • "' DATE:
RE: 1555 MALi.ARD DR
OS/22/90
x Yourewer & Water Permit for the above property has been completed. It will be held at the
Publ" Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
,•
- Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at Crty Hall. Meter s¢e must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TEIEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
i?_ '; " DATE:
RE: 1555 MALLARD DR
OS/22/90
X Your $ewer & Water Permit for the above propeAy has been completed. It will be held at the
PubB'c Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAI PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN NO 17890
3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt # r
?-
' SF DWG/GAR
$154,000 MAY 17 90
Tobeusedfor
Est.Value Date 19
SiteAddress 1555 MALLARD DRIVE
1 Block 1 SeGSub. THOMAS LAKE W00
Lot S OFFICE USE ONLV
Parcel No. occupancy R=3 M-1 FEES
$,
PD
E
Name E.F. ICNIGHT INC zoning
(qpuapCOnst -
Vn_
Bld9.Permit $ 829.00
? Address 2500 W CTY RD 42 (Allowable) Ya- s
h 77•00
0 ' urc
ar9e
VILLE phone 590-2021
City B r oi siories - 539
00
5$! Plan Review .
Length
F Name SAME Depih 3.71 SAQCity 100.00
?
?4 Address s.F.rotai - 600.00
m
SAC, MCWCC
City Phone S.F. Fooyrinis _ WaterConn 625.00
OnSiteSewage _
?w Name onsitewen WaterMeter 90.00
z XX
? Address MwcC System 30
00
? XX Accl Deposit .
g City p Ci1y Water
xX S/^1 Permit 30.00
PRV Required _
I hereby acknowlege that I rea
e d this appl atl?slate that the
Booster Pump
-
SM/ Surcharge
- SO
mformatwn is correct a e to comply hsable State of
252
00
Minnasota Statutes d Ci of Eagan Or, a. Trealment PI .
Signature of P it +< APPHOVALS qoad Unit 355.00
E.F. KNIGHT INC
A Building Permil i issued to:
Planner
-
parkDed.
on Ihe express condition t t all work shall be done in accordance wilh all Cmmil --
apphcable State of Minne a StaWtes and y of ?a n Ordmances. Bldg. Otf. _ Copies
Buddmg OfOCial
Variance
-
TOTAL
$3 ,527. $0
-s
REQUEST FOR ELECTRICAL INSPECTION
III- See inshoqwns for compi¢ling this form on Oack of yellow copy
0 01691 :X" Be/ow Work Covered by This Request
0?5?7?P `7
e Ad Rcp.V ' TypeotButltlmg AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater ElectriC Heating
Apt. Buildmg Dryer Load ManagemeM
Comm /Industrial Fumace Other (Specify)
Farm Av Conditioner
Other lsyenty) Gontracror§ Remarks
Run circuit for outdoor spa
Compute Inspechon Fee Be/ow:
# Other Fee M ServiceEmranceSize Fee # Crtcmts/Feeders Fee
Swimming Pool 0 to 200 Amps 21 0 to T00 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
Signs . ibspecm.5 Use only TOT L
IrrigationBOOms ?.?? .50
Special Inspection ?
Alarm/Communicanon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON
I, the Electrical Inspector, hereby
certity that the above inspechon has
been made. Rou9n-in
?
,
OFFICE USE ONLV
TInS reQUest witl 18 momhs imm
?n+a.oci?a,?t l[/eWjf c?('f? 0? 4f-i ??I
5 /7/5?f 1l,/?l
i ,
001691 940398 ? O
Reduest Data .. ire No ROUg?-In InpsMwn RepurteE InspecM1On Other Than Rough-ln
5 J 94
? ?
F I (YOU ?mtuvst cell ms0ector when reetly)
? ? Rlatly Now ? WIII Nobly Inspecta/
NO
?OP Yes DaieReatl
IEXlicensed contractor 0 owner hereby request inspechon of above electncal work at
Job Atltlress (Streat Box or Route No ) CBy
1555 Mallard Drive Eagan
Section No Township Name orNO Range N. Caunry
Dakota
Oaupent IPRINT)
Steve Buck Phone No
452-9217
Power Suppher AEtlress
Elechical Conbacror iCompany Name) ConVactors L¢ense No
American Eagle Electric, Inc. CA00161
Matlmg AtlOrBSS (COnVactOr or Owner Mekiny Instella0on)
18475 Rum River Blvd NW, Anoka, MV 55303
Amhonzetl 5?9^awre IC actonOwner MaRmg Installalion) P?one Number
753-0438
MINNESOTA STATE BOAND OF CGE4TPICITV ? THIS INSPECTION RWUEST WILL NOT
Grigqs-Mitlwey BIOg - Room 5•173 BE ACCEPTED BY THE $TATE BOARD
1821 Unlvently Ave. St. Peul. MN 5510C UNLESS PROPER INSPECTION FEE IS
Vlwne(612) 863-0600 ENCLOSEO
Cjo.C)o
Clty of Ealan
3830 Pifot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
aLi Q;?
?-----------------
? . ,
? Permit Fee: If?O
?
? Date Heceived: / j
I Statt: ?
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Ct I_D? Site Address: m C4 ard fD c •
ro.,nf• Suite #:
RESIDENT / OWNER I Name:
Phone:
Address / City ! Zip:
Applicant is: _ Owner ontractor
TYPE OF WORK Description of work:
Construction Cost: - a74 • V Multi-Family Building: (Yes_/ No?g
CONTRACTOR Name: ? License#: dv?R?-1UN
Address: 'J?O`It I llf'!?I(7C'iW't iCV? 4y.
Ciry: ? II(?r State: ? ?_??Zp: s5
Phone:C,OJ1 "I?AI•`13;L0 ContactPerson: KQ n
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Sudnitted Submitted
(4 submission type) • Energy Envelope Calculazions Su6mitted
In the last 12 montha, has the City of Eagan issued a pertnk for a similer plan based on a mester plan4
_Yes _No If yes, date and address of master plan:
licensed Plumber:
Mechanical ContraNOr:
Sewer & Water ContraMOr:
Phone:
Phone:
I hereby acknovAetlge that Ihis infortnation is camplete antl aawrate; thaz the work wili be In conl0rtnance wilh the ordinantes arM cades of the Cdy of
Eagan; that I understantl this is not a pertnit, but only an application for a perml6 antl work is not to start without a pertnR; thffi the work will be in
accordance with the approved plan in the case ot work which requires a review and appro of plans.
_???, ?Lrc? X -??-?
A plicant's Pnnted Name ApplicanYs Signature
Page 1 of 3
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: Lor: i BLOCK:
1555 MALLARD OR
THOMAS LAKE WOOD5
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
024474
09/01/94
PERMIT SUBTYPE:
GARA6E/ACCESSORY
1 APPLICANT:
BUCK
(612) 887-6128
TYPE OF WORK:
STEVEN
DESCRIPTION
NEW
SHED/GAZEBO
INSPECTION .. . ..
FOOTINGS FRAMING
FINAL
? ?
L -j
I? CITY OF*EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
1555
LOT:
THOMAS
P.I.N.: 10-76100-010-01
PERMIT
MALLRRD DR
1 BLOCK: 1
LAKE W0003
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
024474
09/01/94
DESCRIPTION:
?
SHED/GAZEBO
B,uilding -Permit Type
6wilding Wo?r_k, Type
'?Building Length
Building Width ,
/ euilding stories' ?
Square Feet
4"
NEW
18
18
1
218
Sr- AU:A?
0-1
REMARKS:
FEE SUMMARY:
VALUATION $4,000
Base Fee $63.00
Surcharge $2.00
Total Fee $65.00
CONTRACTOR:
?
OWNER: - Applicant -
BUCK S7EVEN
1555 MALLARD DR
EAGAN MN 55122
(612)887-6128
I hereby acknowledge that I have read this application and state that the
in'formation is correct and agree to comply wifih all epplicable State of Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE 61GNATURE
J
ISSU??I9SIGN6N E ??-
I
.. 14414
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s rRAClUo?jme ergy
calcs.
AuS 3 1 11 y
? o
COMMERCIAI f
2 sets of architectural & structural plans, 1 set
specifications, 1 copy of energy cal s--------------
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date A Valuation of work ?';; <CX?
Site Address: n2. rtAz ati/
STREET SUITE if
Tenant Name: (commercial only)
LOT BLOCK SUBD. P.I.D. #
-T'HoNCAS L+AL<_€ vicx?05
Descri tion of work: S 2 77 S.rf• r GZe-bO l S• Pf,
The applicant is: Owner ? Contractor ? Other (Describe)
Name .+r ?C_. 5 Phone SZ -az/ ?
Property LaST FIRST
Owner '
r r.t.4U-.? nQ
pddress lsc
STREET STE #
1 City F_A?/<Acd State t?wl Z i p <?5-1 7- 2?
Company Phone
Co ntractor Address License # Exp.
City 5tate Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & 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
Ea9an Ordinances.
?
5ignature of Applicant:
???7?
OFFICE USE ONLY
BUILDING PERMIT TYPE
O DI foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
flq 05 SF Misc. /
STf/??° )£ SNC? 4
C,,qarao (i uN.?j
WORK TYPE
31 New
32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
13 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
0 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Fin9sh
? 36 Move
R
416 ?
46 " ? i ?•'"?i.
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
GEfdERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories _T"-
Length 1-7»
Depth I'l,_
APPROVALS
Planning
Engineering
RE(lU1RED INSPECTIONS
?.Site
? Wallboard
Basement sq. ft.
ist F1. sq. ft.
2nd F1, sq. ft.
Sq. Ft. totat
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
fE Footing
[Z Final
? MWCC System
z?a City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
0 Framing
? Draintile
V3
or
i
0
11 Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vetwtian: S y Ovo ,
Assessments
5AC %
SAC Units
6Y'1VEYOWS CERTIFICATE E.F. KNIGHT HOMES
(02'0)
199.17
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James R. Hill, inc.
?
PLANNERS / ENGINEERS / SURVEYORS '
9401 JAMES AVE. S. • BLOOMINGTON. MN. 55431 • 612-884-3029
.? ?
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLZNGS
MULTIPLE DWELLINGS
2 SETS OF PIANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CNANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/NOMEOWNER MiTST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCE_S'SI -PIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
P MUST SHOW A LICENSED PLUMBER.
4py 1,0 RECo
To Be Used For:single familey res. Valuation: ti'576e@'•'g8"
Site Address 1555 Mallard Drive
Lot 1 Block 1
Parcel/Sub Thomas Lake Woods
Owner E.F. KniQht, Inc.
Address2500 West County Road 42
City/Zip Code Burnsville, MN 55337
Phone 890-2021
Gontractor E.F. Knight, Inc.
Address 2500 West County Road 42
City/Zip CodeBurnsville, MN 55337
Phone 890-2021
Arch./Engr.Steven Buck
Address 4322 Girard Avenue North
Gity/Zip Code Minneapolis, MN 55412
Phone # 529-3792
COMMERCIAL
OFFICE USE ONLY
ISy,oou''
Occupancy
Zoning IPA . R-1
Actual Const V N
Allowahle V-N
# of stories
Length 8
Depth 37/
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System
City water t/
PRV Je
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
B1dg. Permit '825"I'D0
Surcharge r17, OO
P1an Review ,539,00
SAC, City I00.00
SnC, riwCC 600•00
Water Conn 25,0 o
Water Meter O. a O
Acct. Deposi t 3 D,00
S/W Permit
D
30.0
S/W Surcharge ,50
Treatment P1 . 2S2,0?
Road Unit 3.55, OD
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL ?-
?
?
Date: 5-2-90
?)
- - VALu41%,-TtOQ
G ARqGE
24 x22= 528 xis,: r792o
H ausj5
3? n3 6= 1296 ?: i
? x?y= 14
r-
13in x Il6 =
Le5? oY-?7.Ii'?EA
12x,z.= ?yy
3'/Zx3'?i?Z_(a4?
?Zo
1 S! eI 6 v
?br?)
!S3'76? ?2 ? Sy,ooo?
, '`„-
MRY 15 '90 17:37 612 653 0382 EDG MN
ENGINEERING DESIGN GROUP
OF MINNESOTA
12665 HOMESTEAD IIRNE NORTH
WHITE BEAR LAKE, MN 55110
(612) 653-9867
5-15-90
Soe Merchak
City Of Eagan
3830 Pilot Knob Road
Eagan, Mn. 55122
Bus.(612)454-8100
FAX (612)454-8363
Re: Steven Buck Reaidence
1555 Mallard Drive
Eagan, Mn. 55122
Dear Joe,
P.li1
At the request of the owner I am sending this letter to
confirm the structural analysis of the residential structure
named above.
The above named plana were analyzed and structural elementa
were reviewed by thia office and were either found to be
adequate or were changed to reflect an adequate design.
The plan drawings were prepared by SLeven Buck and the
atructural analysis was performed by this office. All
structural design is in conformance with the UBC and any
Minnesota amendmenta.
If you should have any queations or problems with any of tY?e
above mentioned please contact me at your convenience. Thank
you.
Sincerely,
...-?
Sean K. Hallet, P.E.
Owner
Registration Number 19164
SKH/skh
Copy Via Fax
"We make architectural dreams come to life."
CIT1C OF EAGAN
EXTERIOR ENVELOPE AYERAGE OU' CO![PUTATION
OWNER:
SITE ADDRESS: /5SS
CONTRACTOR: ?, f-, ?{i?? G//Tw I"? ?- DdTE: PHONE: ?0 0? da I
Determine rorking square footage of each:
1. Total exposed Wall area ., ?6a? sq. ft. x.11 =?0 01 O?
2. Total roof/ceiling area .. 3/0 sq. ft. x.026 -?
Total ezposed wall area above floor =
a. Total wall window area ............................ .3as
b. Total door area .................................. ?-?
c. Total sliding glass area .......................... -3, 3 -
d. Total fireplace uall area .......... .•............. 4a
e. Total wall framing area (average 10%)........ ..... =. ;29
f. Total net wall area above floor ...................
g. Total rim joist area ..............................
Total exposed foundation area = ?T
h. Total foundation window area ....................... ??-
i. Total net foundation area above grade ..............
Determine 'U' value of each vall segment:
a. x
b, x
c, 33 x
d, x
e, x
f, x
g. x
h. / Z x
i . 13.-.3-- x
?u? .33 /od, 6?
Ou? ,oT = a.s3
' U' . 3-7
TuI -
' U' .__1? .? 7d
'U? ,0 6? ?,Y, 83V,
?u? oy ?.?, rs?
' U' , q.Y = S. 7.C
' U
, ..
3 . ................................................... Total
If item fl3 is the same as or less than item 91, you have met the intent of SBC
6006(c)2.
Total exposed roof/ceiling area = 1310
j. Total skylight area ............................... ?-`
k. Total roof/ceiling framing area (average 10$) ...::
1. Total net insulated roof/ceiling area............
OYER
Determine IU' value for each roof/ceiliag segment: ,
J• &2 x 'U' - ?
k. 131 x , ul ?2. F3 i. /7 X eo, 3S?
u . ...................................................... Totei = ie;2-57.6/f
?
If total of p4 is the same as or less than p2, you have met the intent of SBC
60o6(c)t.
Alternate Building Envelope Design
To utili2e the total envelope system method, the values established by the sum
of Items U3 and f14 shall not be greater than the sum of Items #1 and 02.
1. + 2. -
3. + 4.
2
SINGLE & DOUBLE FAMILY HOMES
• , . 1984 ENERGY CODE REQUIREMENTS
On or about March 1, 1984, the following energy code requirements
.• should be calculated and included with a building permit application.
1. Roof - ceiling assemblies - R-38 U= 0.025 Average
2. Exterior walls & rim joists - R-20 U= 0.11 Average
3. Floors over unheated spaces - R-20 U= 0.05 Average
4. Exterior overhangs will be considered as exterior wall.
5. Foundations (all exterior walls) - Minimum of R-5 insulation.
6. All insulated areas must be separated from the heated space
by a well-lapped or sealed vapor barrier with a minimum perm
rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requirement.
A Kraft face R-19 type insulation will be accepted in the rim joist
areas. Air chute baffles are to be placed in every rafter space.
cmcnu+e ro (a) rnnuaz rrmt Ama;,[ iv,:iwL
. Ov iv riu,iLr us[o reonu[is '
Interior Air Film (Ifa lls)
C
(")
OG
B
GYpsum or Diaster board 3/6" IP)
31
0
at<?ior A?r Fllm (llallsl
Interbr Fir ?ilm (Vented Ceilin
) 0.17 Cypsum or ylastcr 4oard I/I" .
D.L$
'
?
Fat??r;,.r nir i11m (ventca [citin9) 0.61
0
61 C
YDSUm or nl?stcr 6oard 5/B"
" •
0.56
Intcrlor Air iiln (Iltn VnnteA) .
0
61 PlywooA 3/8
" 0.47
Exterior Air Flln (llou Yented) .
0
17 Plywooe t/i
Pl
" 0.62
. ywtwA 3/4 0.93
Rlumin?in
Sidina
0
61 Shtathin9, re9. ?nsitY 1/2" I.32
Aluminum .dtn 9acker .
1
8 Snratninn, rep. Oensity 25/33" 2•06
Aluminum ..itn Bac4cr C foiled .
3
2.96 Nail-Aase she:thinq 1/2" 1.14
111 : 8 lcn sidinn (uooa) 0.81 9uitt-up aoofs 0
37
7/16 . 12 uareeoara Scainq
RsL
t
Si
i 0.67 1lsbes ms-cemn[ sninal,z .
0.21
CS
os
e
nnl 114 LapDed
Stucca (O 0.211 J1sphol[ rall roafing 0.1$ '
n .m an0 iinlsh Coat) --• Aspahlt Shingles 0.44
7;4" vead Subflocr or Sheanhing
1/2" P 0.94 Insulation: I4 3/4" Pibe.vless 7.00
lyvoaC J,oa?ninq
1/2" Parti
l
e 0,62 Iniula[ion: ) 1/2" iiber9lasz 1h.00
c
e
c.rd 0.66 Insula[ion: 6" FiEerglass 19.00
YOODS: BLOVinf. 400L5 .
rtr, p;nc c zlm;lar soft uooes 1 1/2" 1.89 Aonro,. ;^ 9.00 .
2 t/i'• 3.17 apvrex. L 1/2•' 13.00 -
7 1/2" 4.35 APGrox. 6 I/41• 19.00
S I/2" 6.87 Approx. 7 I/4" 74.00
ApPrax. 14" 30.00 _
ADDrox. IB" 40.00
AII other insulatian material5 -ast be
Fjlled verified (R facpor)
(R) Yermicaliic
Conerete Block (5 G G Rey.) 1.11 1.93
12" C.r[rece 81ock (5 L L Reg.) 1,28 3,15 '
8° light uc{on[ 2.18 5.03 •
12" Light 1:ei9h[ 2.48 5.82
nse+eeeea^reee•_-"'" ee. x
NOiE: (U) x Area Square Fect
AIf vfndows -;I?) Lk (w/SIamS 1° m 4" SPacc) .SG .
Rarovol Dov01e Llaaing (ROG) •55
Thermo or wclCeO 7/16" 1 1r space .69 '
1/4^ ai• soacc .65 .
1/2" air space .58 .
(OCner wfnaovs Speciliully tes[ea can use be[ter ratin9s) . I 3/4 solie <are aoor .46 , .
w/scorm, wrood ,31
w/smrm, me ta1 ,26
'
Pease StcelDOOr Inal/I:/CL 7,45R .17 ' .,
Slidilq Class Door, Nood .65
Mrul .715 .
• 1-.['1Vf11\
rIINITNif "U" VALUE Ai\TD A-FLiCTOR AT ROOF, SJALL, RIM l4CD CO\CRETE BLOCI;
J . '
? ROoF ! CEIgNC, .
(Y) VA
iQ W1umo? PaR FIU%1
?Q 5?3 GYP E-D.
? ItiSUtAjION
C4J ? .
OO EXjERlo(? A?F FI?M ' Z/
' (5"[ILL)
''?" = I Itz =. _o? ToTAL C n)= .?/??
? ?
WA?L . .
....
(1Z) Ifat;
QQ tNl?Pt?[= AIfZ FIli't
' '6P
G) '/2" BD.
= -
G) ? Y,?
lr'SULATIoN siz'' 19100
?o ?Crl;??oNl7c Stalr'G
FlLr'1
' 67
,/7
To7RL (
? R) =?.sq
? ?-
iz1M - -
• - ? C?) ?rat?
?L II17Elr?lOP. ?1('. F?111 . r 68?
F1R R11-11 jolsT
is 5/5 ? 5 01"7.-?.'1Tc
?
u• r,F;sor?ITE 5?olrG .
• • ?
:
O . ExTcTctDR E1lR F1Lf1 ' G 7
. 7 •.
u u° _
. - ! /R = ._: , ?d • ToT'P1.1 Cn) ??j'
. ? .
_fcJrADATIoO .
(tt) VALUc
Qli" lNTEt7lZ AIiL FILj1 - ?
.
Q 5%z. r.! f ? ?f O d
C
l1 i?
???X$GG?1G?
3,_y, .
?•?/d?
O ? N? r9??t.?1._?
lR? -?-N•_?LD
-
e EYJIcm0z AIR F1LM
uUll
/ r^
Floors ove; unhea[ed spaces must have mininum R-faetor of R-20 (tuck-under garages).
Floors occ.r outdoor air (ovcrhangs) nust tiave a cdninum P,-factor of R-33. '
IiS"f1:NInH EMVCLOP6 APCRAGh: "U" ln:lP111'A'I'70H
Owner Address 1`lione
Legal Desciiption of Yioperiy: LoL 111ork Additlon Uate
Si[e Address
AVI'.SAGE L11;Ii4L FEIi'f 0v
PAPOtiLU IdALL A0.h:A .41iUV1 CRAUC PCRhII'C NO,
Plain level
Lineal Ft. of framed w•nll a6nve crnde x hriF:hu oC wall -
Rim joist ar ea
Lincul. ft. of rim n ceiThC of rim -
Lower Level
Lineal f[. oE fi'2med wall above grade x hoigh[ nF 11,111
-
Lineal f[. of masonry uall abuae grode___ _r. he1g11l abuve g.r.de
TOTAL wall arca above gradc including windows and dwrs -
WINDOi.'S
Make d : Area
? X<? ft
C
bl? rliull ?
(l!) (A)
„ YP
,CCLZ7o?Zsa. .
fr. a , „u" (u)(n)
Cc/L480XZsq. rL .,U., Qq(:U
? QC/sq. f? "U" (P)(A)
ri 0'>(n)
„ cczz rysv. ft (U) cA>
-
cL „U,. _ (u)(A)
? cc 3 PYd _Lsq. E? "u"? (u) (n)
3Za68?t, sq. C[ °U" (U)(A)
O:a ?A yIF/_Sq. fL (11)(n)
NxIO X sq. tt "u" -- (u)(n)
y564-1LX6VlrL ?<i. ee "°" ---(u)(.a)
n sq. CL. (A)
-_
Ct. r: „u- ?ll)(:1)
u u _ Sq. Cl. __ % U° _ (I:)(e1)
(;I) (A)
fi. .__ a ? .- -_ (l!) (A)
(!') (A)
'
" %00
DOORS:
Hake 6 Area x
va ue
U
/
?s
eype ??'r0 y
eAsi/r6 t
rllie/.p
r ;
"u"
7a
0??=
(u) (A)
IP .
.
y-----
„ . _
,
__
?
.? (ll)(T)
sq. it. _x
_
3 /e (U)(n)
, sq. c?. x U„ -
--'- (u)(a)
OPAQUE IJALL CONSTRUCTION; Arca x"li" valuc
TI _ / Y Zys
F[tAMLD WAI.L ([otel arue luss
De[ail opening, framing membzrs in
refcr-
ence fr wall rtm juts[ ace.i 5 masunry)
om
actached ----
F[_min inrmhers ln wall sq.
fL. -__"-_ _ -_
(I1)(1)
Shee[s
Rim '?i[ •'-?'c??! - -
----- - _
(L)(A)
(G)(d)
Y'0'fAi. Wall dlca inl-Luding
41jnduwe 5 Unors
TOTAL (U)(A) VN.ULS ?
DIVIDGD !lY 'fOTAL WdI.L ANEn
'Pit'[:1L (li) (A)
= AVC. "1l"
AVEHAGE "U° Ninimvm .71 or less fnr 1 d 2 f'amily duelling+
Minim.ni .2:1 or les. Lor a71 oLhex bidldings
NOTB: If average "U" values ns ra]cuLnled ahov.• do noe mect the F.nergy Cnde requirementa, [he
"Glerna[e Lnvelope ?esifun" as indicoLCe on ?'ngc 5 may be usrJ.
SURVEYOR'S CERTIFICATE
E.F. KNIGHT HOMES
?
e.: u ... ?- --
EAGA11i EYd
DEPT
? - DENOTES,PFOPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: I INCH a 30 FEET
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR 6 qZo.q FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 91'? 4, FE-ET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 92,1. 3 FEET
WE HEREBY CERTIFY TO E. F. KNIGHT HOMES THA'i THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT I, BLOCK I, THOMAS LAKE WOODS, ACCORDING TO THE
RECORDED PLAT THEREOF,DAKOTA COUNTY,MINNESOTA.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 16 TH DAY OF M ARCN , 1990.
S
PROPOSED 6RADES SHOWN WERE
TAKEN FAOM TNE DEVEI.OPMENT
PLAN FOR THOMAS LAKE WOODS,
PREPARED BV PIONEER ENG.,
LAST DATED B-I8-88.
m
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R. HILL, INC.
JOHSON. A? ° R Hk:ILd N ° "E
MINNESOTA LICEiJSE (VUR?1 79828
James R. Hill, inc.
PLANNERS 1 ENGINEERS I SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 9 612-884-3029
SURVEYOR'S CERTIFICIO?TE
( (jil2'0)
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S 89° 381 54" E
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/
/ V6
h
I Al? Q
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I I
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N
. l v
t
q
,° o ?' .
- - -46.83 ?
I _a
Z 10 ? 921A
Q ?t ?1920.3
NI `??? (9Zo•o)
x S?36.
?- ? 91AD'` i 918.7 Q
? 1
i ZZA PROPOSED ?i
? a o / ' HOUSE o
iR
? a921_11 M h w .
i e
G ? ?i w N 1 Y
a I
N ` ..?.- . II.O 114.0 0 ? - 40 ¢ 01
919.4 _ _
cn 9i?> . _ -- (9U?•?ay, siee 10 M a?e
(9?A.6) 1n ?'-w
mFW
BFN?QMpON ??EWD J?M N O WOJ
TO?,yqOS9 ? ?M
E? 0 10 Q' I 20
` O
`t
p ' 7
70/J0 &`II047'4811 30.53
i ., _? 3,? ggi S 88o 40'10u E ?,
?i ? -? ?
?DIB.I ?6
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91B.1 .
rl ' e RoVe ri° &e.HUfFl E-:r- D
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m o n
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-
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 9 612-884-3029
E. F. KN IGHT HOMES
L-i 1 3 i? THo.AAF?LakE w-k)z?S R Da'nj
ENGINEERING DESIGN GROUP
OF MINNESOTA
12665 HOMESTEAD DRIVE NORTH
WHITE BEAR LAKE, MN 55110
(612) 653-9867
5-15-90
Joe Merchak
City Of Eagan
3830 Pilot Knob Road
Eagan, Mn. 55122
Bus.(612)454-8100
FAX (612)454-8363
Re: Steven Buck Residence
1555 Mallard Drive
Eagan, Mn. 55122
Dear Joe,
At the request of the owner I am sending this letter to
confirm the structural analysis of the residential structure
named above.
The above named plans were analyzed and structural elements
were reviewed by this office and were either found to be
adequate or were changed to reflect an adequate design.
The plan drawings were prepared by Steven Buck and the
structural analysis was performed by this office. All
structural design is in conformance with the UBC and any
Minnesota amendments.
If you should have any questions or problems with any of the
above mentioned please contact me at your convenience. Thank
you.
Sincerely,
Oj'? "
3ean K. Hallet, P.E.
Owner
Registration Number 19164
SKH/skh
Copy Via Fax
"We make architectural dreams come to life."
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160582
Date Issued:03/23/2020
Permit Category:ePermit
Site Address: 1555 Mallard Dr
Lot:1 Block: 1 Addition: Thomas Lake Woods
PID:10-76100-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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:
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 -
Steven Vir G Buck
1555 Mallard Dr
Eagan MN 55122
(612) 386-8239
Mayday Restoration
18062 Judicial Way N
Lakeville MN 55044
(651) 253-4085
Applicant/Permitee: Signature Issued By: Signature
I-
For Office Use
#1, Permit#: /p "
E AGA N
`- - Permit Fee: /��
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 i TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
build ingi nspectionsAcityofeagan.com
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5-11-2020 Site Address: 1555 mallard Dr Unit#:
Steve Buck Phone: (612) 386-8239
Name:
Resident/ 1555 Mallard Drive Eagan MN 55122
Owner _ Address/City/Zip:
Applicant is: Owner / Contractor
Description of work: Re Roof
Type of Work
Construction Cost: 24244.32 Multi-Family Building: (Yes /No )
Company: Mayday Restoration contact: Corey Gindorff
Contractor
Address: 2400 N 2nd St Ste #400 City: Minneapolis
State: mn Zip: 55411 Phone: 6127416336 Email: Corey@hailmayday.com
License#: bc768347 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
re roof
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 submit are considered to be public information. Portions of the Information may be
classified as nonpublic If you provide specific reasons that would permit the City to conclude that they are trade secrets.
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.gopherstateonecall.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 approval of plans.
xCorey Gindorff x Cody Gindoif f
Applicant's Printed Name Applicant's Signature