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1567 Mallard DrPERMIT City of Eagan Permit Type:Building Permit Number:EA128898 Date Issued:12/12/2014 Permit Category:ePermit Site Address: 1567 Mallard Dr Lot:3 Block: 1 Addition: Thomas Lake Woods PID:10-76100-01-030 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Nicholas Luciano 1567 Mallard Dr Eagan MN 55122 (612) 326-1919 The Fireplace Guys LLC 680 Hale Ave N #110 Oakdale MN 55128 (612) 326-1919 Applicant/Permitee: Signature Issued By: Signature im- CASH RECEiPT' CITY 4F` EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ECENED FROM ? AMOUNT $ DOLLARS ioo CJ CASH ? CHECK '; ` ?J/ c White-PaYers CoVY Yelbw-Posting CopY Pink-Flle Copy Thank You , BY SEWER & WATER PERMI7 cmr oF EAGaN ? 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 SITE ADDRESSJS6 0 r LOT-7 BLOCK SEC,(StJ6 0 rn q ADDRESS: CITY, STAT h PHONE, OFFICE USE ONLY PERMIT DATE WATER PERMIT #"+er'-? SEWER PER IT ? _ METER #??.5? S? B.P. RECEIPT # 90897 R# UQk5` -;242 B.P. RECEtPT DATE 2 12 189 METER SIZE 1 0 ISSUE DATE =„a -9 - X_X PRV - BOOSTER PUMP ? Y L'•Vs ,,J00 _ ?c PERMIT REGIUESTED SEWER ?WATER - TAPS - ? . . , . , _ COMM/IND ? RESIDENTIAL ZIP v7- • d- NEW _ EXISTING PLUMBER: " r ! / v m ADDRESS: ? t' r r? c e 1 AGREE TO COMPLY WITH CITY OF CITY, STATE n M Z?R?'?•,3?yo2 U?__ EAGAN QRDINANCES: ?- PHONE: 6.,?-?- ?Jn-??,-^---- aWNER: ADDRESS: IGN URE W SUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKINII? DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. f= -? ?"? - ,J - ? •' ,) ,i SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 SITE ADDRESS OFFICE USE ONLY METER # PERMIT DATE CHIP # WATER PERMIT # 104-q1 " 2263 METER SIZE B.P. RECEIPT # ? 15SUE DATE B.P. RECEIPT DAT? ?• ` PRV _ BOOSTER PUMP APPLICANT: , ADDRESS: CtTY, STATE ZIP PHONE: ' = ?• ? , '.'?^ ? . PLUMBER: ADDRESS: ?'N'?'?? ? •??' ? ,f' ? .; '- " ' ? ? ? ^ ?y l,?' I CITY, STATE ZIP = - . PHONE: Y OWNER: `- , ADDRESS: CITY, STATE • - _ • ,'i'--' ZIP PHONE: PERMIT REQUESTED _+.?.- SEWER ? WATER _ TAPS - COMM/IND )!? RESIDENTIAL -LX- NEW - EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: / SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. W I . ? . ? ? BUILDING PERMIT To be used for • ' Site Address LOt ' BlOCEC ' .5`BC./.SUb. Ti?irMA:s 1..t:kk trK)`'. i: s Parcel No. Zo Name ou ¢ Address '- City Phone ? WW Name shall be done in accordance with all > and City of Eagan Ordinances. Building Officiai CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121• PHONE: 454-8100 Receipt # 1655£ OFFICE U5E ONLY Occupancy R-3 V- 1 FEES ? Zoning , ft' V-Ct f (I (Actual) Const Bldg. Permit (Allowable) V-V Surcharge ,5!] # of Stories 6?b1 Plan Review " = ? 3 •? Length Depth 32' SAC. City 100100 S.F. Total SAC. MCWCC r??•?? S.F. Footprints - " ?• t? pn Site Sewage Water Conn - On Site well Water Meter "?i . ? ? MVJCC System ?' • ? City Water ? 1 Acct. Deposit PRV Required S,W Permit ? Booster Pump S/W Surcharge ?' CL Treatment PI 1 ? ? • ? AVPROVALS Road Unit Planner Park Ded. Councii -- 81dg. Off. Copies 214. Variance - TOTAL have read this application and state that the agree to comply with all applicable State of Permit No. Permit Holder Date Telephone # WAZER C'J` SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation r'/S LJ Framing Roofing Rough PIb9. Rough Htg. 7 / Isul. 7??' Ca r[c7''o„ ??6 Pf D Fireplace Final Htg. ??o? J 44 Final Pibg. Const. Meter Pibg. Inspector - Notify Plumber Engr./Plan Bldg. Final 'IY2.2a ZI?4f Deck Ftg. Deck Final Well Pr. Disp. 4? - .4 4 ? -?-"3- ??: (gexti#iratt of (Orrupttnry titp of (Eagan Mrpttrxmrat o# Tui[Dittg 3wertinn This Certifreate issued pursuanr to the reguirements af Section 306 of fhe Uniform Building Code certifying that at the time of usuance this structure was in complianee with tfie various ordinances of the City regulating building construction or use. For the following.• u.a.6fi.tion SF DWG/ AR Bwg.Nm,;, No. 16556 0-uw-r 7Yne R3/M! Zoning DLqriet PD Type Cons,, VN Owncr of Bw7dieg ?HRUDM ,a,ea. 450 E C1Y RD D. ST PA[1L Baildin Addnma 1567_ ? ?M I.?ity ?, B I, g?S ? ? oele: 11t11.V.sI 21, iJJO Buildi ?cial PO5T IN A CONSPICUOUS PLACE PERM IT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN DATE: 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: ; Site Address BLDG. TYPE WORK DESCRIPTION Lat -- Block ,± , SeciSub " '; : . , ,,1 Res. New ,r ? : ? • ?., _ Mult Add-on ? _°Y Name - r<. Add , r Comm. Repair ? ress Other c Ciry 1 1(? Phane ` FEES Name RES. HVAC 0-100 M BTU - $24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City r k )-i P'hone • ? ` ^ ? (RES. HVAC INCLUDES A/C ON NEW - CONSTRUCTION) GA5 OUTLETS (MINIMUM - 1 PER PERMIT) - 1 50 EA ' TYPE OF WORK . . . COMM/IND FEE - 1% OF CQNTRACT FEE Forced Air ' M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CQNDOS - FiES. RATE APPLJES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL AQD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M 8TU $ MINIMUM COMMERCIAL FEE - 20.00 . V nt CFM STATE SURCHARGE PER PERMIT - .50 ? . e Gas Piping Outlets # R $ (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) Other $ : ., FEE: = SIGNATURE OF PERMITTEE S! C: / TOTAL• ` FOR: CITY OF EAGAN ? _ a CONTRACT PRICE: . Site Lot. m ? y c d c 3 O PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PERMIT # / RECEIPT k DATE: ddress BLDG. TYPE WORK DESCRIPTION Block ? Sec/Sub Res. New , Mult. Add-on Name ? - - 7" , '- Comm. Repair Address t.;2 n? ? -- ? ? ? • Cilty Name j Address C ity COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING NO. FIXTURES TOTAI _-S--Water Closet - $3.00 ? i I Bath Tubs - $3.00 3 --7_Lavatory - $3.00 y -t-Shower - $3.00 3 ?LKitchen Sink - $3.00 ?3 Urinal/Bidet - $3.00 4_Laundry Tray - $3.00 3 -1-Floor Drains - $1.50 _4 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 ' ? (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - St0.00 Private Disp. - $10.00 --,3_Rough Openings - $1.50 FEE 3 S FOR: CIN OF EAGAN STATE S/C: ? GRAND TOTAL: ' - 1 ? '" , CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS ' Correction Notice Located at I have this day inspected fhis structure anct these premises and have found the following violations of city codes governing same:- ' /H' ii;;! /• 7dirj ./?- t i 1D ?r l ?? i ?l,s ' P ? r .s ??. ? n ? 'l G ! ?! / i When corrections have been made, please call 454-8100 for inspection. Date Inspector Ciry of Eagan DO NOT REMOVE THIS TAG CITY OF EAGAN N? 16556 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for SF DWG/GAR Est. Value $142, 000 Site Address 1567 MALLARD DR Lot 3 Block I Sec/Sub. THOMAS LAKE Parcel No. WOODS w Name GARDNER BROTHERS 31 Address 450 E COUNTY ROAD D o City ST PAUL Phone 481-9600 a Name SA? OV Address ?¢ • City Phone .? w Name w ? ; Address a W City Phone I hereby acknowlege iha[ I have read thls applicaiion and s[ate tha[ the mfortnation is correct and agree to comply wrth all applicable State of Minnesota Statutes and City oi Eaqan OuLeansec? SignaWre of ParmRee L A Building Permit is issueA in: GA1 NER BROTHERS on the ezpress condition ihat all work shall be tlone in accordance with all applicable State of Mmneso[a Statutes and Ciry of Eagan Ordinances. Building Oflicial Receipt # l .? '=>? v ? ? OPFICE USE ONLV Occupancy R-3 M=1 Zoning PD (ACNaI) Cons[ V-N Bldg. Permtl (Allowable) V=N Surcharge # of Slones Le(gih Depth S F Total S F. Faotpnnis On Site Sewage On Ste Well MWCC System Cdy Water PRV Required Booster Pump APPPOVALS Planner Council Bk1g. Off. Vanance 64' Plan Review 32' SAC. Cny FEES 786.00 71.00 393.00 100_00 - snc.MCwcc 575.n0 Water Conn 580.00 water Meter 90. 00 xx xx Acct. Deposit 30.00 XX S!w Permit 20.00 - S/WSurcharge 1.?0 Treatment PI 228. ?0 Road Unil 340.00 - Park Ded Copias - rornL 3,214.08 DATE: b/8/89 1567 MNLLARD DR1VE, L3. B1, THONAS LAK6 WDODS XX Your Sewer & Water Permit for the above property has been completed. It will be held at the Public 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. q Your Sewer 8 Water Permit for the above property cannot be completed for the following ? reasons: ? . . ? Your Sewer & Water Permit for the above property has bden completed, but the meter cannot • be issued or occupancy allowed until further notice. ? - COMMERCIAL PRWECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 4548700) 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. DATE: 6/6/89 RE: 1469 qALf.ARD DR1H6. 1.3_ Bl, THOAIA& I.AKE GSOODS KX Your Sewer & Water Permit for the above property has been completed. It will be held at the ? Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO S CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. ? Your Sewer & Water Permit tor the above property cannot be completed for the following `easons: Your Sewer & Water Permit tor the above property has been completed, but the meter cannot be issued or occupancy allawed until further notice. COMMERCIAL PROJECTS ONLY: Please pay tor 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. ? BLDG. PERMIT NO. _ -I- --") .12P nr h 1 01-3210 Bidg. Permit 01-3422 Plan Check ` 01-3445 Surch./Adm. Q 01-3446 SAC/Adm. 07-2155 Surcharge ? 75-3860 Road Unit ? 20-2275 SAC ? 20-3865 Water Conn. ? 20-3868 Water Trmt. 20-3716 Water Meter ? 20-2252 Acct.Oep. 41 20-3713 Water Permit -' 20-3743 Sewer Permit 79-3866 Sewer Conn. 283855 Park Ded. p`7 F?Cc OC n i???c ?? TOTAL 7ias?igy >d , C? 22660,C Qi ' '1. ReQUest Data /j 9 Flre No. Fiougn-in Inspectwn ? Reqyired'+ ? Reedy Now CJWII Notiry?peclor P Wt R / ? ?en e ???Ves ? No vtl licensed contrac[or ? owner hereby request inspection of above electrical work at: JobAtltlressSV?BOxor HWe No?L?& S A Qry? a? Section No Townshtp Name or No. Range No Counry Occ 1(PRINT) Phone No. PowerSUppfier ? ?Ako r'? ?'lE ? r2? C, Atltlre% Elecirical CoMreqa (COmpany Neme) Conhactor5 .L?ice?ns¢ No. _pa ? % '? r°-/ - aAng Address (CoMraclor or Owner Makmg Installation) ?to /,d • /70 a;L Q?a?i y/?f _ ? ?a? ///.if S5 %?' Autha' gneWre (COMract ner MakiWlnstallaUOn) Flwne Numper MINNESOTA STATE BOARD OF EIECTRICITY Grlgga-Mitlway Bldg. - Room fr173 1821 Univusiry Ave.. SI. Paul. MN 55104 Phom (812) 6420800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BV THE 3T.4TE BOAflD UNLESS PROPEH INSPECfION FEE IS ENCLOSEO. ?f/?tf/?9 REQUEST FOR_ELECTRICAL INSPECTION ? See insVUqions fa complelmg this fem an back of yelbw, copy. P `J ?RRn X' 8elow Work Covered by Thls Requesf EB-00001-0] "? 9??6-/ Ne% Atltl - ep. TypeoiBuilding AppliancesWired EqmpmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Commllndustrial Furnace Farm Air Cqndihoner Olher (speciy? ConUadora Pema*s. Compute Inspection Fee 8elow: # Dlher Fee # ServicaEmranceSize Fee # circuits/Feeders Fee Swimming Pool ? 0 to 200 Amps 0 to 1 ps n e c7w Transformers Above 200 _ Amps 0_ Amps -70 SIg05 Inspeclor5 Use Only: \ I TOTAL SD Irngation Booms oJ?QrJ Special Inspection Alarm/Communication ? Other Fee I, the Elechical Inspector, hereby tit h h Rough-in • oat r/ y t cer at t e above inspection has been made. Fnei o OFFlCE USE ONLV Thrs requesl witl 18 months hom RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN l I_ r q? 3830 PILOT KNOB RD, EAGAN MN 55122 -? e r 651-681-4675 Naw Conf W ctlon Reauiremenb RemodeVReoair Reouirements • 3 registered site surveys showing sq. R. of lot, sq. 0. ot house; and all roofed areas • 2 copies ot plan (20°k mazimum lat coverage allawed) . 1 set of Energy Calculations for healed additions • 2 copies ot plan showing beam 8 window s¢es; poured found desgn, elc.) • 1 site survey for exterior additions & decks • 1 sel of Energy CalaAations • Indicate'rf home served by septic system for additions • 3 copies of Tree Preservation Plan'rf lot platted after 7/1193 • Rim Joisl Detail Optbns sefection sheet (61dgs wAh 3 or less units) DATE JC? ` o? o - UD` SITE ADDRESS TYPE Of FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT iTn;rPd f''nnsmiction Inc. STREETADDRESS 171? I 2kP Dri`/P. WP.St CITY STATE_ZIP TELEPHONE # FAX # ?a-3?ot PROPERTYOWNER I)LK, L?/?C _iGY1C-1 TELEPHONE#9Q II o-0 ------------------'-----------------°-----'-°'--------°-----------------------'------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNES0I:A RliLES 7670 CATEGORY 1 MINNESOT:1 RULES 7672 (J submission type) . Residen6al Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor. _ Plumbing system includes: _ Water Softener _ Water Heater _ No. of Baths _ Phone # Lawn Spivikler No. of R.I. Baths Fee: $90.00 Mechanical Confractor. Phone # Mechanical system includes: Air Conditioning rEc'•_- ,- t0> _ Heat Recovery System ?l C^- Sewer/Water Contractor. Phone # -? LJ ° 1 °°-°•----------------°------------------------------------------------°---- ------- --_-°°- =-_-_--•-----°- I hereby acknowledge that I have read this application, state that the information?is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Slgnature of Appllcant OFFICE USE ONLY $ 8 QG6 (3J VALUATION MULTI-FAMILY BLDG _Y ? N Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 RESIDENTIAL BUILDING PERMIT APPLICATION \ -?- CITY OF EAGAN C) 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 New Construction Reauiremenis Remade1lReDair Renuirements • 3 registered sde surveys showing sq ft of lot, sq. N. of house; and all roofed areas • 2 copies ol plan (20% maximum bt coverage allowed) . 1 set of Energy Calculalions for heated additions • 2 wpiw of plan showug 6eam 8 vnndow s¢es; poured found design, etc.) • 1 sde survey far exterior additions & decks • 1 set of Eneigy Calculahons . Indicate if home served by septic system for additwns • 3 copies ol Tree PreservaLOn Plan J lot Oiatted after 711l93 • Rim Joist DelaJ Options seleclion sheet (6Wgs wM 3 or less unAS) DATE 6 //3/-) VALUATION SITE ADDRES$ IS67 ?P/..//,r/ D/v?e MULTI-fAMILY BLDG _Y ,& N TYPE OF WO APPUCANT , FIREPLACE(S) _ 0 Z 1 _ 2 STREET ADDRESS 3901 /d U 4ve So CITY-,*/5-STATE /JtiZIP SSfid 7 TELEPHONE # 9??' f,47-0 CELL PHONE # (0%7- JW FAX # 6'42 5/ 75/ -3 yr6 PROPERTY OWNER ? i?ho%S /lc icr n C) (las of' E # 6/a - 7S/ ;sY/e6 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Cate9orY - MIN'N1•:5O'I'A RUI.ES 7670 C:\"I'EC012Y 1 (J submission rype) . Residenhal Ventilation Category 1 Worksheet Submitted • Energy Emelope Calculations Submitted Plumbing Contractor: ___ Plumbing systcin includes: Mechanical Contractor: Ylcchanic.il Sy:tilcm iucludc;: Sewer/Water Contractor: Watcr Softcncr Watcr Hcatcr _ No. oC Ba[hs Air Coixli(ioning Hca[ Rccoecny S}•stcm Phone # Phone # JUN 1 4 2002 Pee: $90.00 Pcr. $70.00 --°----------------------------°---------._....-------°---....---°--------------°---------------....-----•-°-------- I hereby acknowledge that I have read ihis application, siate that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signa}ure of Applicant OFFICE USE ONLY _ Phonc # LR I.avni Spiinklcr No. oFR.I. Batlis Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ - Upaatetl 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 OS-plex ? 73 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 77 Garage ? 10 08-plex j?18 / Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pa01 ? 21 Porch (3-sea.) ? 22 PorchlAddn, (4-sea.) ? 23 Poroh (screened) ? 24 Storm Damage ? 25 Miscellaneous _kt ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding I? 32 Addition ? 36 Move Bldg. p 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation r?LV Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const W idth • REQUIRED IN SPECTIONS Footings(new bldg) FinaVC.O. Y Footings (deck) 1( Fina]/?Io C.O. ? Footings (addition) 7 Plumbing _ Foundation HVAC _ Drain Tile O[her Roof _ Ice & Water _ Final _ Pool Ft-s AidGas Tests Final _ Framing _ _ _ Siding Stucco Stone _ _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ [nsulation _ Re[aining Wall Approved By T 2? , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other 066,IG ),f vvv Total G• ? . u? Pyy ?? 3? ?+ . ?1S 9a? ? `? DESGRIP71ot?1 LvT 3, Stx.? 1 ? ? _?•?S ?NoMAS L11KE WOODS, ? CoU?JTY, ? M?UUE6oT?. ? . ? '. ? uT a, ?0 0 0 md \ \ ? !J ' \ U\ ir??? ? R ? •? , ' ? 1 ? A`T ? ' . ? ? O /•? ? ? y ,„ • 901, ("tA , ' ? V • ? 2t • O • ? \ ?11 ? f Q04? Y i ^ll s 6 v' 9 / C ? ? '?? ? ? • ; o? 91>s,r ? / ?! +\,.? oL s ? .PO?aj7! ?.?•yy?•?i / ?„ 9is,? ,?? Q' ?\'? • • F.a 9i??. v 0 No2-f N / ?a ??O ?c.ALE ?u -q-o, of ?you v p.L.L gEQQIN45 AhSUMED 3? '??• ?¢V oOEn?o-rES? IR??{ MO?JVM6?lT ? ?/ ??ED Li ? I hereby certify that this survey was prepared by me or , under my direct supervision and that 2 am a duly Registered Land Surveyor under the laws of the State of Minnesota. Date: M.}r LeRoy H Bohlen . Registered I,and 5urveyor No. 10795 YP4 W? CR- ?"°`?Jf. 1989 BUILDIAG PERMIT APPLICATION CTTY OF EAGAN U00666 SINGLE FAMILY DWELLINGS MOLTIPLE DiIELLINGS 2 SETS OF PL6NS 2 SETS OF PLAN3 3 REGISTEAED SITfi SORVEYS AEGISTHAED 3ITE 3QHVEYS - 1 SET OF ENEAGY CALC3. (CHECg iiITH BLDG DIV.) 1 SET OF ENERGY CALCS. !![TLTIPLE DWELLINGS RENTAL ONITS FOA 3ALE ONTTS COt44ERCIAL 2 SETS OF ARCHISECTURAL & STROCTORAL PL6NS 1 SET OF BPECIFICATIONS 1 SET OF ENERGY CALCS. 4 OF DNITS NOTEs ADDRESSF.4 FOE CORNER LOT3 - CONTRACTOR/HOMEOWNER MOST DE4IGNATE WHICB ADDRFSS IS DESIRED. NO CHANGE3 iiII.L BE 9LLOiiED ONCE BUILDING PEflMIT 13 ISSIJED.. SEWER & WATER PERMIT FEES 9ND ACCOiriPf DEPOSIT FEES NII.L BE INCLODED ftITH THE BOILDIN6 PERMIT FEE. PAOCF.S3IHG TIME FOA SEWER AND WATER PEflMITS IS TWO D?YS ONCE l PEAMIT H9S SEEN COMPLETED INDICATING A LICEN3ED PLUlBER. PENALTY @PPLZES HHEId: PERP9IT IS NOT P&ID FOR IN SAME MONTH IT IS REBUESTED. LOT CHANGE IS REQOESTED ONCE PERMIT IS ISSIIED. 1o be Used r'or: Valuaon: llate: ? i?I i f \ / Site Address 1,--)Ie-4 dl4I4!'!//'iTi`L.?IIC Lot 2 Bloek ? Parcel/Sub Z Owner Addre: City/i Phone Contr: Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Oecupaney Zoning ? Aetual Const V/V Allowable ViV # of stories ` Length ? Depth 3 Z S.F. Total Footprint S.F. On site sewage On site well _ MWCC System City water ? , PRV required L/ Booster Pump _ APPROVAL3 Planner _ Couneil Bldg. Off. Y?45 Variance FEES Bldg. Permit Sureharge _21 Plan Review .393 SAC, City A22 SAC, MWCC 5? Water Conn S Bo Water Meter $O Acet. Deposit 30 S/W Permit Z p S/W Sureharge / Treatment Pl. 218 Aoad Unit -rTYO Park Ded. Copies SOBTOT9L Penalty TOT9l. 717 ??? ?-j ,U . b _.? ; , COF , ? , R ?O y ?3. ? s 93T a . 4e, / ? ? • o ` \ n / / ? aP 0 s DESCRIP7ibN LvT 3, bLoc.V- 1 ? TNoMAs LAKE WOODS, Op,?t,.oTA CoU?.ITY, ,?? MIU?IE4oT0. 40 \ U ?Q? y ?c. . 6 S \ \ \ ??A\?? ? ?? tAy 4 cf.\ c T o ?.e ,? \ ?? ?s• ?; °ty _N .? L \ 1 \ ` ?PS \ f?s? I ? C ? EAGAN REVtEWEp 8Y_ ? S DATE ?NJ Q 4 Y ? QQ.Oo u\ K 9 1y? .?? 0 ,00 0 ryM`,^! ?.? ? ?w 1 ? ?',L e yg' g of s ?o O ? .by°?' ?(F?•\J?i / Cx 911,{. •? ? 0 NoR-'T 1-4 N?.G AW gEAR1?-145 A?rSJMED ?O ,?c• ?Q.V o DENOTFi? IRv#4 M01yvMENT / ? ? ? o ? o V o Fo-) U U H U E D2j ? I hereby certify that this survey was prepared by me or , under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Date : M•#r i,? if:t /?- ?? ?'"?`-'c = LeRoy H Bohlen . Registered Land Surveyor Ivo. 10795 ? EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION - OWNER: , SITE ADDRESS: f?LA? ±-0 VSEl CONTRACTOR: CD?AI?, DATE: ?l?16 PMONE: OETERMINE NOFtKINf, SQUARE'FOOTAGE Of EACH: 1. TOTAL EXPOSED t1AlL qREA„ .,.. 7 "?" •1--_ ??I? 2. TOTAL ROOF/CEILING AREA ?? ? s sq f t x ........ f120 sq re x ,U,, .oze 3. TOTAL El(POSEO NALL AREA LALCULATIONS: Total exposed wall area abovc floor........ '416 s9 ft a) Total wall window area: 'I INSULATED CLAS Fil lazed Z4 ? sq ft ,x ?@ull .51 I . LOW E CLa?S glazed..... ?- ?--s ..... ? sq fc x ??U" .31 b) Total door area ......... 58 ' ""- sq ft x "U" .1 -?? ? . 5Co c) Total slidfng glass door area: • INSULqTED GLA? azed...... sq ft x•Si LOW E CLpSS ----?.? ? • a) ---?.? 4lazed...... ?- 31 sq f t x "U" . d} Total flreplace wa11 area ? sq fr x "u" .og e) Total wali fram(ng area (Average lOR).......... Z I Sq ft x1,U,, ,pql m I f) Total net wail area ?? above 9 flOOr (Insulated).... py _ .• .)? s4 ft x 'lUol • 3 9) Total rim Joist area....., :a fe x "u„ •041 . ?Zo Total foundatioo area (Exposed)......... sq ft F) Total foundatlon wtndow area...... .,,, r • sq fe x "u'? .51 .? Total net foundation ,. ?/? • area above grade........ sq ft x "U" •?ti ? 3- " T07AL a) thru f) . ?jQj? •1? If item 13 is the same as, or less than item 11, yau have met the Tntent of S•R•r• Sectton 6004 (c) 2. .? r 4: TOTAL EXPqSED ROOF/CFILIp1G CqLCl1LA710H5: Tota) exposed 'f,? roof/celllriq area........- ? . ._ .. -.s4 ft j) Total skyliaht area....... sa ft x k) Total roof/ceilinq framinq ? - _ area (Averaoe ln4)....: sq ft x"U" ,•02$ Total net insulated roof/cellinq area...... . 68 .022 s ._.?_ s q f t x"U" ? 2 Z• ? 8 4, 70TAL J) thru 1) -Z4-.9g If [otal of'#1, {S the same as, or less than °2, you have met the Intent-of S.B.C. SecEion hp06 (c) 1. - ALTERtIATE RUILOIHG ENVELOPE nESIGN ? To utilize [he total envelope sys[em riethoA, the values established by the sum of Items 03 and 44 shall not be nreater than the sum of items A1 and !?Z, ?. 310 ,,. Z9,?z - , ?2 -------------- +4. , [ E R 11 F 1 C A T 1 0 p t hereby certify that I have cateutated'the "I1" fac[ors and "R" values hereiri and that the huildinn here descrihed meets or exceeds the S[ate of Minnesofa Enercy tonservation qct, Lqna W re . CyqpL" ' L. (Date) -- - ,' _ . ' / 2 X 6 YAi,i. YITH 25/32 aUjW[tIT1i SH1rATHINC _ I/ISTpUC'ft0y p ??L_? IIALL AMIN6 SECTION: • Intarlor alr fiiw 42 .? - ...cnes sor t wood Ex7071 or a r m...--'- ---,--- . --•-• _. n. . - . _ fOf114 N • Y i II? ¦ 0.92 ' W1LL SECTION (INSULATEU) I . r ; ? RIM JOIST SECTIOf1; --{ 1 lnterln? 3 4 . Q a ...?,. '.. . .: 0. A. ' 1? . I . .?.?. ? '?'.•Ar ' 4 . • Y • 1!g . .043 _ ? 1ATION SECTIOM: '{) Interi0r air fllm {2 . - -. . .. . . . .___ - ?.RA 43 2" CUNCft?.Teh: {M ExtsrFor a r i n -•- .. • , TIITAL R U tr?c .JZ ? '. SMs QH 4RADE ?•••• ..? a Q'a;:?? : . • • 4 Q ,.•.. ?' ? , ,q •t q .. ' ?.. ..y- ? • ?• . ; 4?. . ' . . . 9. . - . :a . .? . 1 • a ..'• ?? a•? .; • o .: ••-• ,.• u Fi ? , • ? ?' ?. • ? . ? '?' ?• : q'i • - ? a 9 . ? ? ?• •?• • ?? •?? f . . • ' ..:. i ? ? {3 ?? ' . ar? ??.''. A ?? q ?'q ?. :u ? ?. ,? ? ? •?? ? 9'? . ?. . r•? . • q, ?. • : 464 ; 9? ,,;•„???.+:?? • • ? ! tl _ f ? ?? ? ?.4? ., ? ? ?q•..,• . . • , . ,, ?o . ' 9?' •*?* ? ` ,4; _ -- f . - _ .. VENTEp . ,-. • , :ucrlnn - - - -' • _ , g- y?„? CElliru: SECTInN (INSULATEp): ( lnterior a(r ftlw , Z f1.f.i • 3 4 E • . 1? ?. •• 1IR . '.fl22 [EILINf. Fpµ1M, SECTION: . I InteroiIr /(I, _ 2 ++.bt M Interinr a r S 3 1 2 f nctks so? - _ t woeA _ ?- TOtp?.ft - .. .? u . i/A ?:ois . ? teILtNc ser.Tinu (I n5uU1TEp); ' I ?ncerlnr af? fI?A 2 5 T r • SULATIUN 4 c,.--'-- - u ' UR . .032 -? tEIIINr, fpMlqr, SEyj10q: . ' I. Interlor.-A i? fIi4 ".• ? 2 ? - •- --=?JG 1 - ` xte? or i r. . f 'st ..7' S m 'q?- lnches sa i-?rood'.- .. fqTAt'R ¦ -- . ? I^side air fllm 2 ? - . ?•RI 3 - = ' 4 ?- 4 Outs de a1r Im . TOTA4 14 w, n? • u `"F/R • __ ?. __ , . 9ui'_der 's I-i.ereby, certiry t'r?t I!-?av= personally :-evie•.+ed trje p:ars `,c specications eubZitted herecaith. BPSed upcn my revfes: I c?reb: cer-?'-;. that such nlans ac;d sxcificaCio? cooply with the applicable b:.iding+ cocz sueciiied below es well as cocrolying with the r°qu D cvrstrxtion ireme;?ts h'U ident'fied in 24 CFR 5200.926d and listed belaw. A merk in the blan_{ at the left ±ndicates that provisions frrn the ma_,,c,.,, code apply: 1• X HCID Ca3lfied Requirementa; Aaplicable Pto-V?isions: 24 CI?g 9200.926d; Applicable Proviaions used: Al1- U9C 2. _ _ Local Code : ; Appiicable Ptov;sions: 3. Stete Code: (? C3? • - - > Applica,`aie A-ovisions ? L - 4. CABQ C,ze and i?.4o Fami 1 y Dwe 11 i ng doc,'e/1983 w] rh 1984 end 1985 a.oenda-nts & 6.?'.C0.926e ADplicable Pravisions: 5• X Elec[rical Code for pc?e 70A/1954 and 'I\,n Fmily L?wellings, y,=?n . 1'"='`5?ana t•`? pu?ose of this ce:tification is m ind?e t:e lini tec States Pepertment oi Houisng e.^,d Urban L?velopment to iss? a?rtgege ' nsu-ance ior this rt,?. I ?1? ??lse c°??ific=tion constitutes a vic atioa o£ $ UrS D? SS1001 a,?c1p punisheble by Fine ar,u/ar i=)Lisonment and, in addition, e,ay resu'_t in d°ba-rment and civil liability for dEnages su£fered by Lre Departmen:. . C2te : . . •, '' F., '. r or Bui er s?gent: ... . • ?-,?-? x ` Euilder Gardn2r Sros. , builder, t?ereby certi£ies thet the plaris ena spec ?lcat ons s tt herewzth tLVe been reviewed try the individue! signing abo,,e and that thBt individi:sl has the knawledge End ax.?erience necessax-y to determine s.teCher such plens and specificetioas cocr?ly cr! th the HI1D r?c?jre?nts set Torth at 24 CFR S200,926d and with other appllcPble hUD requirnments as detetmined in accordanxe c.rith 24 C-r? 8200.926(d)(1) and (2). I ta?derstend the putpose of th;s ce?ifjcation is to inch-?-e the United 5tates Departuent of HQUSirg and Urban Developoent to issue mortgage insurance for this pro-percy. Z iurther understand [hat false certification constitutes a violetin of 18 U.S.C. SS1C01 and 1010 punishable by fine and/or imprisorment and, i? adci[ion, m°y result in debarment and civil liabiliry for dazLages suffered try the DaF&rmmn e . i i Je" Garener - ??rdn??°rps. BUl} C i_L' -- 1'L?:?'C?Clr nCiUCCSS : - The Ioll:s.vtng bonded urethone carpct cu;iliorls manu(actured ty AIIeJu1a Cus!t(on Co. , Inc, meet ur exceed the flatnmahi)icv requiremcnts ot tne Departmer.[ of Commerce, D.O.C. -!='.I'. -.70 (Pill 1'est)dated July 1, 1971, and o[her requirements as ou[lincd beloHr, I _ :. . 1• '••1ST IMPRESSION" quallty c:arpct cushlon mcets or erceeds the requlremen[s tor t,oth Cla_?is ((heavy trafflc) and Class II (moderate traftic), as outllned !n lhe H,U.D,/p,H.n. Bulletln No. UM-47A, da[ed July 8, 1971. Iq add[tlon to excaeding the N.U.D./ F•H.A, re:qulrements,' our "1ST IMPRESSION" quallty of B lb. bonded uretlia:ie cusli;ori passe? the ASTM E- 64 (Tunnel Test) and quali(ies (or use in prcJec[s ln- volving publlc funds as outlined 1n Itie 1-1111-Burton act. 2• "htASTERS TOUCH" quality mcets or excceds the re- qulrernen[s fur Class lI (madcrate trati)r), a; r,utlined ? In lhe I(.U.D,/F.II.A. Etulletln Nu. ;1M-47A, dated July 8. 1971. \ r . ?- - UT1W.USHiCN CC). INC. , Sales hlan6ger ,::.. ?:._ .. ,. BU/Ph :?.. . ;? . . .. . . - t301'Cay 3Pelnq? RQ P.O. Boa :076 Forl Worln, T..a> 76101 ar.lls. ip . • V -- a ? _- -- - ...?.;..........,??._. .? ._..`__ _.?..?..._.._ ...,.? ' . . ?[u?•' _.tJ?J??YU'.. • ? ; ? September 4, 1984 To Whom it Ptay Cencern: The following wi11, describe whaC we do Eo our homes so they wi11 comply caitli the specifications-. - of 79-G.! - We will be re-rodditlg witti 74 rods and putting in cement grade beams in tlie cement in the gzr=ge and/or basement floors where deemed neces- 52TV. In the garage floors, we wi11 also be placing 6x6 - 10/10 WWF wire mesh. Going above and beyond ttie requirements for 79-G, we wi11 also place the mesh in the baser,?ents floors at sites with questionable soils. After, completing these items, our homes sliould more than meet the requirements of 79-G. Sincerely, ? , . Jeffrey Allen Gardner /- ' / _. - . ? - -: --. ._-- . . ? _ .. _. . 2289 COUNTY ROAD J MINNEAPOLfS, MN 55432 (612) 780-5012 2007 RESIDENTIAL BUILDING PERMIT APPLICATTON City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 EAX # 651-675-5694 New Constmctian Reauiremems 3 registered sde stirreys simwrg sq. R. af7ot, s{. R. af haase; arM all roofed areas (20%mauimum lot coVerage allowed) 1 Shcs Repat if pmposed building is to be qaced on disWutied soil 2 copies of plan shovnng heam 3 vnndow srzes; poured found design, etc. 1 set o` Energy CalcWatlons 3 copies of Tree Preservalion Plan rf lot plaried afler 7A 193 Rim Jast Detai( OpUOns selechon sheet (bwfdngs vnth 3 ar less unitsl Mimegasm mediatrical Venhlanm form RemodelRteoaa Reauirements 2 ca{xes of p'an showrng Poafings, beams, lasfs 1 set of Energy Calculations for heated additions 1 site survey fa addnions a decks Addmon - indicate 6 orrske septz system Telephone #( Plans are coais'sdered ubdic informa3±on tirs€ess cu slate they a€e trade secret and Yhe reason. Uate 4' / -2 ! Q7 Construction Cost Site Address 1/ j ? 2 01? 4 &r/J 40r• Unit/Ste # llescriptlon of Work F fmOw cil4 ?t0/nq !?//d4e/ Sr21f* Oil ?CLfjc _, O?fI7/-4G.C?J C3crp? Mu18-Family Bldg _ Y?o N Fireplace(s) _ 0 Lb 1 _ 2 /IJ t O P ld02s 6 la/! B Telephone# 6s/) woer , y roper Contracmr , Ci C-tf' Address City c? State A// Zip Telephone # (,2?2 )(fr24M _ COMPLETE THIS AREA OtiLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rulcs 7670 Cutee.uro I _ Mumesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheel . New Energy Code Worksheet (Jsu6mission[ype) Su6mitled submitted . Energy Envelope Calculations Su6mitled In the Iasi 12 months, has the City of Eagan issued a permit for a similar plan based on a masTer plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/ Water ContracTor I herebv annlv for a Peimit and acknowledge Telephone # ( Telephone # ( ?ftcetlsd0idv Sau RCCrort'°%..?,'. Trea P?PWn Rectl;: N. On-siteSGi6?S?stem, N the information is eomplete and accurat that the work wi1L be in conforniance with the ordinances and codes of tUe City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application f'or a pertnit, and work is not to start without a permit; that the wurk will be in accordancc with the approved plan in the casc of work which requires a review and approval of plaus. `-- ?py?n Applicant s Pruited Name Applicant s Signature I For Office Use ~~Q / I j Permit o "7/ ! j City of EI Permit Fee: `7 4~ r 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: 651 675-5694 I Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION J "eidtct Date: Site Address: Z/" Tenant: W/ el a Suite RESIDENT / OWNER Name:///, 7-7 GI V Phone: ,C/O -1,549 7 Address / City / Zip: 1e, i Applicant is: 'X_ Owner Contractor ~~o~/j73-1-S~' TYPE OF WORK Description of work: 1"®0 / Construction Cost: Multi-Family Building: (Yes 1 No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; tha work will be in e case of work which requires a review and approval of plans. accordance the roved pla24/c x I G ` Ap c nts Printed Name ® U V E lic is Signature ~ Page 1 of 3 JUL 2 3 2009 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage _ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation ~L7 C7 Occupancy 4AZ&- MCES System Plan Review Code Edition SAC Units (25%100% Zoning City Water Census Code ( Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES t,~► Base Fee 0011 Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit $ Surcharge Treatment Plant Copies TOTAL Page 2 of 3 r POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: Applicant Name: i Lr 1r J GENERAL INFORMATION o z ❑ ❑ Applicant name and contact information ❑ ❑ Property owner name ❑ ❑ Address of property ❑ ❑ North arrow, scale (1" = 30' or 40') ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls. ❑ ❑ Location and name of all streets adjacent to property t ❑ ❑ Directional drainage arrows (existing and proposed) ELEVATIONS Existin C~- ❑ ❑ House corners ❑ ❑ Property corners ❑ ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ❑ ❑ Finished pool deck corners ❑ ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes) dL ❑ ❑ Pool bottom (or max. depth) DIMENSIONS Existing ❑ ❑ All property/lot lines on the ❑ ❑ All Easements o property Proposed ❑ ❑ Pool ❑ ❑ Pool plus integrated deck/patio 1!4'/r- Gl ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house Reviewed: '077' Name Date GTORMS/Pool Permit Checklist/02-13-07 ys° ;~~r ~ f ~ DtrSC.RIPYloN •C S TNvMt~ t..Attt< WC4t?S~ V Qg ~p i .re o \ t~, y40,~ea 'ILI 7 ~`S•A S \ \ ~ s ~ Fl J yL^ I ' ~1 t2 I r OCT o 9 J W ~x 9zs.A. NoR.T N v..a 91 Q 00 SOa41W-ro h~ Y Aw- WVb19tN(.4 DhfstJM~a 30 .cam. p„v o t>gNOTF* t RZ)'4 MO atv Mtr NT REQUIRED I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. La O~ :.rt ~go~-'~ _ sya4 s rVei- rr_ i 1 Q r s LU 0 CA, G- i 0 I, ,I al o cog ^t m4 a) O Z z°kn m:@ o cm n U) ca :3 (D W a J N o,d W a0 gat 0 0 U o 0'a III 2 SO 16 0 m Z 00 co e• CL:t3 M S U M gq -22) V-4 6 V11; im :6 3: 46 e Utfl (a U Q mS~ ~ n in e f r Use BLUE or BLACK Ink I For Office Use 71 Cit of Ea an I Permit I I Permit Fee: ` 3830 Pilot Knob Road I - , Eagan MN 55122 Date Receivefi,' Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2009 cRESIDENTIArL~ BUILDING PERMIT APPLICATION Date: Site Address: J J ~``'2✓~~ Tenant: Suite RESIDENT / OWNER Name: Phone: Address/ City /Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: VCC// X1~zeZ11V2 r(' f 1~ ` Pw Construction Cost: `~e-,a w Multi-Family Building: (Yes / No CONTRACTOR Name: SfJrr~er ~Ft ,CG~Gi~`~License#:'/73~I(t'~~ Address: City: State: ''?r~ J Zip: Phone: Imo! rg - 2' 41 Z ""y Contact Person: 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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.org 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 appro/val~ J~tans. x ~~,^J/'/ art' f`' x = tfi,~9v Applicant's Printed Name Applicant's Signature l(" Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage _ Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy - MCES System Plan Review Code Edition SAC Units (25%100% Zoning ~ City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: 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 CAP ~ "Lt~ . i G S TNaMD►S t..AV-L- woacs~ o`ow'~ 34 •=."'r' ~:~7=s®~~"~+'~ flAKQ1'A Cot..rltTY, 0 ' IU Q0 //tee 0 y~C 4 1"N AA OIA AE 41* \ k ~o~ vo. • 1 t~ r ~ q~ e3~ ;r r ~ r ~ M r Ilk >1 is OW Olt 0) NoR.'T f., Oi H ~y1P As" 5WARIN44 A.600N\CD o Ove4tiTF/J t os l MO 14V ME MT I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the' State of Minnesota. ~ O Ba~~ ~ye.!4 • 'Q8~ls.~~r vvh~ •lrNe $i~ S~j,Yes'Qr PERMIT City of Eagan Permit Type:Building Permit Number:EA125702 Date Issued:07/31/2014 Permit Category:ePermit Site Address: 1567 Mallard Dr Lot:3 Block: 1 Addition: Thomas Lake Woods PID:10-76100-01-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nicholas Luciano 1567 Mallard Dr Eagan MN 55122 (612) 751-3486 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153636 Date Issued:01/08/2019 Permit Category:ePermit Site Address: 1567 Mallard Dr Lot:3 Block: 1 Addition: Thomas Lake Woods PID:10-76100-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Nicholas Luciano 1567 Mallard Dr Eagan MN 55122 (612) 751-3486 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature