1579 Mallard Dr! .
? ?.CITY OF EAGAN INSPECTION RECORD
PERMIT TYPE: '
3830 Pilot Knob Road Permit Number: "
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
Nn; I aIM {II, ??.?,?u? f
,.,tr: .'?.61 f7 .!
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION ., . .•
n1rK :;? sa LJ c?.Rk ..?aN I Ir?c PRv
-1
?
PWmlt No. Psrmlt HoWer Date Tslephone M
S/VN
PLUMBING 4 7 3 ? „ y'h
HVAC
ELECTRIC
ELECTRIC
Inspwtlon Dato msp. Commsnts
Footings I y
Fourida,io,
Framing
Roofing
Rnugh Plbg.
J
Rough Htg.
ls,l.
Fireplace
Flnal Htg.
Orsat Test
Frtal Plbg. .'lZf,n
d? !?
^s? a Plbg. lnspector- Notify Plumber
Const. Meter
EngrJPlen
Bldg. Firrel
Deck Ftg.
DeCk Fin21
Well
Pr. Diap.
? ? i? f4! f?r??
4(f
4 aa ? a ?
a •
,r ?•
Wertificate nf cccuoancv
cfit4 of ftgau
McOfftaieat nf 13ai[i"? 3*60cctioM
This Certifrcate issued pursuant to tfte requirements of the Uniform Building Code
certifying that ai the time of issuance this structure was in compliance with the various
orriinances of the City regulating building constnection or use_ For the following:
SF m
20629
Use Clascificatim: Bidg. Aamit No.
VN
Occupaocy Type Zoning bi.stria 7 ?e C?? 4158 ''LK.?
Owner of Building Address
? s
B?ilding Address Lacatiryr
f ? ,- i y y
/?ii: r? _?,; ? _. ? C ... ?
? naW
? Buildiog OVficial U"
?
POST IN A CONSPICUOUS PLACE k
Address 1579 HaTJ.n_Rn DxzvE Zip 5512 2
Lot 5 Blk I Sub no1AS L41T woms
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON.
Date: - Yes No Inspector.
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exisu.
ContaM engineering division at 681-4645 before working in righbof-way or installing underground sprinkler syscem. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
RE?UEST FOR ELECTRICAL INSPECTION eeaoom-0a
L }?'
LS? 0?2 2 5, See mslmclions for wmpleting Ihis lorm on becN ot yellow capy,
X" Se/ow Work Covered by This Request ??•,?.
e •Tdd Re . TypeofBuilding AppliancesWired EquipmemWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt 8uilding Dryer Other-(Specity)
Comm./Industnal Fumace
Farm Air CondiOOner
Other(suecity) ConVaclor§ Femarks
Compute Mspection Fee Belaw
# Other Fee # SermceEn[ranceSize Fee # CiraitSiFeeders ee
Swimming Pool 0[0 200 Amps _ ^ o 100 Amps
Transformers Above200_Amps ADOVe100_Amps
Sigf1S Inspector3llse Only. 7Q7
Irrigahon Booms ?3 U U ?. ?
Speaal Inspection
Alarm/Communicauon THIS INSTALLATION M BE O DISCONNECTED IF NOT
Other Fee COMPLETED WITH O 5
I, the Electrical Inspector, hereby
certify thal the above inspection has
been made. Reugh-m ? - oa? ???_ p
=?
OiFiCE U9E ONIX
Tnis request witl 18 months Irom
d q 0 2 5
ReQUest Date, Fire No Rough-in In eCtion
mretl9 y?
?Neatly Now p Will Notity InspBClor
_ ? es ? No When Ready'
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job MCress ISIre Box or Ro Ie No 1
C
7?
°
1 D Crty
?
a
r
t
?. -
a
Secu n No Townshi0 Name or No Range No Counry
{{, O
Occ m IPRW J Phone N.
?l /x
Powpr?$uppl?r `
?
J ?
? qtltlres4
ILr'Tw'
.
r r ?
Elecm I Contr cmrlCompany Na I
f
«
l ConiraMOrk 4canse N,o?.
110
7
n v
[cY r?
.u- r
. .?
1
Ma6ng fWtlress (COmranor orc y'nyMaxmg installation) r
i
?
3p'
L
?
Yb
"_
?D 4
0
Aumonze0 ignature IConhactonOw r Makmq Installauon) Pnone IqumO`r
S
?
3
NESOTA ATE B B ELECTRICITY THIS NSPECTION REOUEST WILL NOT
Grlggs•MlEwey Bltlg. - Noom S-173 BE hCGEPTED BY THE STATE BOARD
1821 Univenrty Ave., St. Paul. MN 55100 UNLESS PROPEF INSPECTION PEE IS
VhoM (612) 642-0800 ENCLOSED
Date: 01/31/2007 Revision Date: 01/31/2007
Site Information
Address : 1579 Mallard Dr
Address 2:
City: County:
Application Information
Business Name: Plekkenpol
Contact Person: Gary Otis
Office Ph: 952-888-2225 Fax:
Address 1:
City: State: Zip Code:
Cell Ph:
Existing Construction: Pre 1994.
Project #:
Lot: Block:
Subdivision:
MN Contractor License #:
Square Feet
Square Feet: 3100 sq. ft.
Combustion Apaliance
Water Heater: NA
Furnace/Boiler: Direct VenUSealed Combustion Input BTUs: 90,000 Independently Vented
Other Combustion Appliances
Gas Fired Direct Vent Fireplace(s): Yes
Gas Fired Natural Draft Fireplace(s): No
Exhaust Equipment
Exhaust Fan Rating (cfm): 500 Location: Kitchen
M ir-- - -- -
No Make-Up Air Required by Code
Applicant Name
Code Official
Gas Fired Power Vent Fireplace(s): No
Solid Fuel Appliance(s): No
?? 4?
1
?
Signature/Date: ?- 9- 07
Signature/Date:
(D 2004 CenterPoint Energy Minnegasco. 2004 Mechanica] Code Guidelines. Page I
pl
s www.plekkenpol
a
B U I L D E R S? 1 N Phone: (952) sss
Fax: 952 886
61 E. 78°' St. • emaningWn, MN 55420 MN Lb. 10
F
Date: •? v
TO: ; a 1797
x Transmitta! Cover
?
c - v?
Fax:
From: Gary Otis
Office: (952) 888-222
7his fax cont
Message: o
Fax: (952) 888-2259 Mobile: (612) 328-2338
ins-2 pages, including th+s cover sheet.
rGs • ?se y1
This facsimite iransmission is +
that is privileged, co»fidential,
use of this transmission or ita
you have received this tl8nsmi
orig/nal to ihe address shown 5
fended for fhe addressae indicated above. !t may confain inform
r otherwise protected fran disclosure. Any review, dissemination
rttents by persons other than the addressee rs stricUy prohibited
sion rn error, please notily us immediately by telephone, and ma
bove-
.com
-2225
-2259
ation
, or
. If
il the
L0 39ad -10dN3AA3-1d 89L9888Z56 9Z:E1 L00Z/91IZ0
89L9888256
JHN-17-2007 12:07 From:SECURIRN
n t2 ngEhppdS.COm
•
I/enti/ation
?
Ba celona Collection
500 CFM Isla d Range Hood,120 Volts, 2.$ amps, 60 hz.
. n Mx?, __??cr_ovs
Om?ll bdtan projeam - 23'r:'
tiailu (Less ?uccin8l- ??°
AvaJalle wd1A[- 35'!i'
? HOOD BODY
An meW coldwilW w AJalcat. fi
s MOTOR
Hish mulfry. cR<xm, P-nUY
> ?j.WLRWNM.?1.
DuM mk?tlsWOaiWy Wenatd
59 pmMO?+
? UC:fITINC
1- YWty eatlmee Io wa manm?
s nucrir,c orvtoHs
Yen?n) - 6" iadnd Qud W"f a
yu??n opnaU?n.
1 ?
CioySt fJmr R06, duAwwArt Se
? MOIIIYf1NSr
L:wNng mounIM uan6 wpplmd t
ianmg Inve71 a mm 72" m 15' I
t AvAffARLR MISHE6_
Vllate. lilw.k a SWdas Stvel
6_;1 665 4128 To:99528882259 P.4,6
Ce!! 1-800487•5721 anywAere In the US entl Canade - www.rangehoods.com
I OSo
ppwOH coN (Nha or hmhed +mmlm.
"Mtw,,,,tw. kldcu jzo vaz, i a nffips
m,mf,511 Wnwc a1iuA. 5"l.." wPh
bulb?
r^y,n?i? n.dt ann er?yc. owr?*6
mnt
IWt 6" rennd ducung dKbrcd m modAe
kAo aookmg .nn.ee rnr bca raWn
? m
u
?
CFY
RPM
WAT7S
510
1810
735
A2
1
337
?72
i68!
337
O.tS
456
1910
338 0 .11
0.Y
CM
1966
330
DZS
414
1991
797
O.T
997
2010
136
.. .. .
0.76'
365
2090
796
.. .. .
0.?'
950
2D56
337
.. ..... ...
015' O.S.
310 264
2081 2772
333 331
r.???.? ??.1 ?.rw..?A 6a
1roJputyen u?eraanea ?n Ul.+ucM1 07 Fleanc F?r.e od GSA WrWxd C13 ? Nc 11J GlaA?+. Fw +aJ VemiWwa
C & us
AJr Kino a, ::rangehoods_com is a dlvls+on of kitchen::accessortes
Z0 30tld -1OdN3AN3-1d 69L9888Z56 , 0Z :£L L00Z/91/Z0
DIMENSIONS
IPf+ _ '
D.A.S. Htg. and
Date: 112612007 Revisian a
Sifs Information
Address 1:
Address 2'
City: Eagan Countyr.
Anoliwtion Information
Business Name: D.A.S. Heatii
Contaet Person: Darryl E. Stui
Office Ph: 763-767A650 F<
Address 1: 13736 Johnson $t
City: Ham Lake StaLe: MI
S4uara Feet
Square Feet 2446 sq.ft.
Combustion Appilanca
Water Heater: NA
FumacetBoiler: Direct Ve
Gas Fred Direct Vent F;repla
Gas Rred Natural Draft Firep
Exhaust Eauioment
Exnaust Fan Rating (cfm) 5
?
Make-Un A1r
No MaKe-Up Air Required by
Applicant Name
CoCe Qificial
Z 21104 CentirPoint Eaergy
E0 39tld
763-274-2176
1/26l2007 ExisQng Construction. Pre 1994.
Project #:
Lot' 81ock:
Subdivision:
and Coolirig MN Contractor License #:7057785
763757-4890 Cell Ph:
Zip Code: 58304
_ S;gnaturelDate? ' ? yG'7
Cvmbustion Input BTUs: 90.000 fndependently Vented
No Gas Fired Power Vertt Fireplace(s): No
No Solid Fuel Appliance(s): No
Location: Kitchen
$ignaturelDate:
P2
ZpW Mechan"scal Code Guidelines.
"lOdN3NN31d
Page 1
89L9889LS6 OL:EL L00Z/9L/Z0
7? 2>
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 F'ILOT KNOB ROAD, cAGAN MN 55122
651-675-5575
Please complete for modifications to existing residential dwellings.
Date /?_ I Z-7 I.O&
Site Street Addre M8ggi2 ]ensen unic a
1579 Mallard Drive
Property Owner _ EBgdn, MN 55122 Telephone #( ?
Contractor NDrb(o--n P(,(.{.r}'j,bln G? Telephone# ((p12-)
g2'7-40?3
Address 2qD5 C?tct,r-f-7etd fl-v. So. city YY1nts State M(11 Zip'Z6409
The Applicant is: _ Owner V Contrector _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing only a wafer sofrener and/or water
heafer, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 it a 5/8" meter is required)
Other:
/
Water Softener
Water Heater
_ new ? replacement $ 15.00
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge ? $ so
Total $ 1 5.5n
I hereby apply for a Residential Plumbing Permit and acknowledga that the infnrmation Is complete antl accurate; that the
work will be in conformance with the ordinances and codes of the City' of Eagan and the plUmbing codes; that I
understand this is not a permit, but only an application for apermit, work is not to start without a peirmit and work will be in
accordance with the approved plan in the event a plan is req ' d to be reviewed and approved.
Jeff-rev L. Mor,?lory, AIQ , Applicant's Prin d Name IicanYs Signature °
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
biA LLI;RD f7F.
I:ODU
PERMIT SUBTYPE:
SF DI.iG
? e1 0 c: K: I APPLICANT:
fiAfdER GR-( C
( 612) E583 '?6Ni9
TYPE OF WORK:
NEW
????rr r+
INSPECTION
f1) Of7P;C .. .
F Ri'1MIN G .•
1NStil A1"LOD! f- IMftL
:Yf I'9A :tK`, ; .. ,? 61 f'L8R - JAIVI"t;<Y PlB S I'RV
? - ? - - - -- ._-- ? ? ? _- . '
INSPECTION RECORD v
PERMIT TYPE:
Permit Number:
Datelssued:
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMITTYPE:
Permit Number:
Date Issued: '? • ? ' ? °' '
SITE ADDRESS:
P.T.PI.1f1-7i1 1 0 0 -0 S0 -fd1
11 1 7'i PIALLA V2U t) f2
;OT: S RLOCP.: 1
f 110 M,'1S IAI;E WDOqS
DESCRIPTION:
'-?.-...
i t e1zr; 4-`P& rini t' T.Ype? SF OW(6
riia rl. 1 y p e N FW
.
? C„r "y?o V - IV
PO R-1
?
r{„I?rliy iut <
??f-0
' nq 1 ? 30
?i `„
\
\
V
REMARKS:
.? ?: w ri_';i< ,?ar!rci<r F?i eo ,';iv
FEE SUMMARY:
vnLuArron! $13i,00e
na_. • i .. ??ES9.m(6 r1 ,rri_i Ar! FOUS •?? ;^,_ ^
I'J?n k«r?? ?d ?4f1_5 ;3b lot?l Fea
*68.5Vi
`l P, C`., 1 lA 49
SAC .lnits 1
Sub4.ol?I t _.._._.._.1.,2,0 `37
CONTRACTOR: OWNER: Ap p.1. i c.,r t
rl flur2
4158 I:AIOH C?:?
FAGPX , . . ? .
(612) 6;38 - t:(7, 0 S§
?n'oi ?na t,.io,l js.c?r r?rtrk 1 nci H3q?^. ui r.lt ;{i) 110.;
ii
L _
APPLICA T/PE IT E SIGNATURE ISSUED B GNA RE S
REACTIVATE _, CITY OF EAGAN $ A3I, v
pEkrtrT # • 1993 BUILDING PERMIT APPLICAT ??????D
681-4675
ato 29 A.PR 0 5 1993
SINGLE & MULTI-fAMILY ---------------
2 sets of plans, 3 registered site surveys, 1
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
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 (4 3 Valuation of work I r5, oo d ffous? n?l U
Site Address:
?S REEi SUITE Y
Tenant Name: (commercial only)
IAT BIACK SUBDti P.I.D. M
' L
FIY?lYI C.C (,..c ? O >6'? -. 76100
Descri tion of work: S? "boG.
The applicant is: X Owner ? Contractor ? Other coee«tbe>
Name 14cnt - C?r?va Phone 6?l-2b6C7
Property LAST FIRS
Owner Address L/ /5_1?/rKc>? (` irc ((--
STREET SiE il
City 6ci5 Gv1 State Wt,•) Zips?
Company 61-)e9S 1-4n xr- Phone li:$?f 2F?hr?
COntl'8Ct0r Address License # Exp.
City State Zip
Company Phone 4` ?
A?ChiteCt/
Engineer
Registration #
Name
Address A?? Fr/ll?-il?l2% ?
City 5tate Zip
Sewer 8 water licensed plumber +??r1?'?9 M L9 3 ? . Processing time for
sewer & water permits is two days onc rea has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:- ??I" 14
(7
OFFICE USE ONLY
BUILDING PERMIT TYPE
?.
? 01
Foundation
?
06
Duplex
?
11
Apt./Lodging ...
O"
16,,Bas.emeiQ:anish
)W02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. El 11 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comm./Ind.
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facility
? 21 Miscellaneous
WORK TYPE
]@r31 New ? 33 Alterations ? 35 Tenant finish ? 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System Es
(Allowable) lst F1. sq. ft. City Water YEs
UBC Occupancy ?l 2nd F1. sq. ft. PRY Required ?
Zoning Pp R-I Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length g On-site well Census Code lol
Depth On-site sewage SAC Code oi
5?ln 5 t(
?
APPROVALS c9.V,
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTION S
? Site ? Footing ? Framing 0 Insul ation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee v.iusc;w,: g 131,000
Surcharge
Plan Review ARA : 32 X 22 - 7pL(
License
MWCC SAC
City SAC
Water Conn. 980
?
Water Meter
Acct. Deposit C3SMl'T'? I6xzz = 35Z
S/W Permit -2 8 X 26 = qZ.S
S/W Surcharge -
Treatment Pl.
IsT Fi-oo2f ? 0$o x IS =
I?, 2?v
Road Unit
Park Ded. i3SMT = l04'? o
Trails Ded. ?xg_ $
Copies Z)(e= I?
?otel: 54= 596??
zND ??,b2;
SAC % ! Oa
SAC Units ?
94 x 37 c Ssa
2x IS = 3a .
l?69
?a? ?s4= y`?,?y6
I 3 (o, 5C12
<"''? DES/6rt/ BurL,?.2S
COHSUITIHd ENGINEEBS
RQQE PLi1NNEIIS ond IqND 9U11VfY08S
NGINEEfiING :D? aK. 19i
COMPANY, INC.
? 1000 EAST 1461h STREET, BURNSVIILE, MINNESOTA 55337 PH 432-3000
CERTIFICATE OF SURVEY
Legal Description: _
J
SCALE : T = 30' IVR?
(g?_o ) D[NOTES EXISTING ELEVATION
( 935. S) DENOTES PROPOSED ELEVATION
?.-- INDICATES DIRECTION OF SURFACE DRAINAGE
935, 83 = FINISHED GARAGE FLOOR ELEVATION
Z8.12 = gASEMENT FLOOR ELEVATION
936.16 - TOP OF FOUNDATION ELEVATION
D,PA/N,AGE ANp
!lT/L/Ty EASEMENT
< /
?
i
? ?2e
O? / ?? \ ??6 `?S, ?'?
e0 ? ?
4
? i
\ ,' ?i, (y
l°YAri- 'U
Q?O??`\?/? / R7q?
10
?
i ?
.S
`,
?
0 ?py?y ?l
ro" ? ?l ' \ . 'bl
n
? ??'?/?% \ f F1
3p f=j ?,C'o/VT 94?"/LO/N6
$ETBAC? G/.vE?
I
lq%?
DEPT
?o?oWo ?15?-5U 11 ? ?V
I hereby certify that this is a true and correct representation of a traot o:
land as shown and described hereon. As prepared by me this r day o:
. '
f??/L , 1993
Minn. Reg. No. ?i/ 0A5
?
?
0' ?c0 D
0 E? 0
?D 0
8"e`0
?0 D
LOr scAVtY eazcuse: soR UssatrrruL
natis ei survey: ,/Idk 4f, 1?S
bocmstrrr tTUn 4 s
• Reqistezsd IanQ aurveyor siqrsatnrt anG ompany
• Suildir,q Permit 1lpplicant
• iagal deseziption '
• Ilddress
• North arrow and Dar scale •
• 8cuse type (samDisz, ralkout, spiit w/o, spiit sritry,
lookout, etc.) '
• Direetional drainaqe arrova vitb s2ope/qradisnt =.
• 8ropoaee/existinq sever and vatez servieas
• Street name
• Drivevay
=LrvaTZOre
D H--'o
fl fl D
?a o
?D D
?' D D
• Sever service
• Lot corners
• Top ot cuzb at the Qsivevay
• Elevations of any axisting a0jacent bomes
• Gnraqe floor
• Fizsi iloor
• Lovast exposed elevation (valkoat/viadow)
• pzoperty eornezs
• Front and rear o! Aome at the loundation
D ? 0 • fasemcnt liae
0 ? ?i
D • 0 fl? 0/ • Pond t desiqnatioa
D II ? • L'merqency Ovartlov Siwation
DIl22i 6 S ON8
D D • Lot lines
0? D D • Riqht-of-vay and sLreet vidth (to baek ef eurb)
? 0 0 • Proposea Aome dimensions incladinq any proposed Aocks,
overhnngs qzeater than 20, porchos, etc. (i.e. all
r structures requizinq parmanent iootinqa)
D L 0 • Shov all easements of soeozd and any City utilities vithin
these •asementc
G D • Setbacks of proposed strueture and setbaek of adjaeent
axistinq homes D 6y D 0 Retaiain 1 quisemeats, if any
- Ravieve3:
:
14750 Galaxie Ave. Suite 104
Apple Valiey, Minnesota 55124
(612) 432-2044
Ar-c= (vo0 OS
EXTERSOR EAIVELOPE AVERAGE "U" COMPUTATION
? ?.
nTaPE ) .. ,-)? PLa.rr nUM3ER 'ZD - Z 59 -5
?
? Deterr.iine ororking square footage oP eacr
1. Total exposed wz7.1 area..... ? i I S sq.ft. X .11 ?05•25
2. Total roof/ceiling area...... ???? sq.ft. X, .026
S 2, I 3
Total exposed wall 2rea above floor = 7=-I q to
a. Total wall oair.dow area., . . . . . . . . . . . . . . . .
b. Total door area .........................
c. Total sliding glass door area...........
d. Total fireplace wall.area ...............
e. Total wall framing area (average 10%)...
f, motal net ,oall area above floor.........
g. Total rin joist area ...................
Total exoosed foundation area
h. Total foundation window area..... ,......
i. Total net foundation area above grade...
2?;1
2?1 q „r?
= 7?i
Q
Determine "U" value of each vrall'se,7nent
3.
a. 2 3'1 'X uUn .52
= I??, 2 z
b. 53 x flUlt .139 = 7, ')7
c. X "U,t ,52 =
d. - X "U" .68 = -
e. Zqq,Ib.?X l'Utf ,096 - 2?,RIn
f. I R uLl, y x f[Ull .043
= 815 ,! '
9• 7G g flU`i .041 = , L y
h. q x "u" .52 = L ,16'?l
i. 2,0-1 X ifUll . 082 = 5- , q,?
2oTar ...............................
If item #3, is the sarne as, or less than iten #1, you have
met the intent of S3C 6006 (c) 2.
-' -
.
Total exposed roof/ceiling area = Z O O'?)
Total grross roci/ceilirg area
J. Total skylight area .................. l'
k. Total roof/ceiling frzmirg area....... ZOC7 . ?
1. Total net insulateu roof/ceiling a:ea. i'?,() Z1. ?
Deterrrdne "U" value for each roof/ceiling sep,inent
4
j . x nUn
k. x "U" .024 = ?,if1
1. l ?OL,I, f5 X irIIn , 022 _ 'JQ .7
Tara.i,..... ......................... yLi,S?
i "
Ii total of #4 is the sa*ne as. or less than N2, you rave
met the intent oi S5C C096 (c) 1..
To utilize the total envelope systen method, the values
established by the sum o'_' items #3 and Of4 shall not be
greater than the sum oi items #l and #2.
+ 2
1
+ 4
P•7aterials
?j5)7la
J
1
Thermal resistance "R"
Exterior air.........
Sidi.r.g material......
Sheathing...........,
Insulation...........
Sheetrock............
Interior air.........
Studs ...............
Rim ..................
Concrete blocks......
-2-
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
651-681-4675 - 9?
New Construction Reauirements
? 3 regislered site surveys showing sq. /t ol /04 s4• ft of house
and ?!I rooted areas (20% maximum lot eoveraae allowedl
? 2 copies of plans (show beam 8 windaw sizes; poured fnd. design; etc.)
? t set of energy calalations
? 3 copies af trae preservatlon ptan if lot piatted after 7/1193
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
RemodellReoair ReauiremeMs
a is, a??
?
? 2 oopies of plan
? 1 set of energy calalations tor heated additions
? 1 site survey tor exterior additions 8 dedcs
CONSTRUCTION COST:
I I? Lb4.
LOT: BLOCK: I SUBD./P.I.D. #:
Name: JP-n ? Phone k: K/ J I-?? ???
PROPERTY
oxvvNEa
S[ree[ Address:_ -
City 2CLC4 C?1 State: 7rp: .
Company:_! Phone k: -2=S?D O
CONTRACI'OR (? `?'E
Street Address: ? 1,?3_? ?? ?? ff? S 1-?cense # a?P•
City State: ?"--- - Zip: ?J •5 / ? ?
ARCHITECT/
ENGINEER Co?npu?y:--------- ---------- ---- Phone k: ------------------
N:une:?------- --- Registranon #: -----------
Street Address: _-___ - -
City ----- -- -- S[ate: Zip:
Sewer & water licensed plumber (reauired for new construction onlv):
Penalty applies when address change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information i orrecc, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
._--?.--
OFFICE USE ONLY
II ?-
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No _ Not Required
? - -
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex 0 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.)
? 03 1 of _ plex ? OS 6-plex ? 13 16-piex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
O 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Aiteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Building
D-I`7 .25
Engineering
Valuation:
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
% SAC
IS-3-37
1993 MECHANICAL PERMIT (RESIDIIVI74L)
CITY OF EAGAN
3830 PII,OT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE ?? ? Iq--3
3-?
HVAC: 0-100 M BTU /$ 24•00
ADDITIONAL 50 M BTU / 6.00
GAS OUTLETS (MINIMUM 1@ $3.00 EACH) S,b a
ADD-ON/REMODEL (EXiST'iNG CoNSTRUCT1oN) $ 15.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: I?rI 9? a l la r d?n` vi
O WNER NAME: 'De- S ; TELEPHONE #: 22 6 D 0
INST.
ADDRESS: Sava e MN 5537 •
94-0005
CTI'1': STATE: ZIP CODE:
TELEPHONE #:
/
SI ATU OF PERMITTEE
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UN1T.
NO.
4
c.
?
!
I
(
-3
STTE
OWNER
INST
FIXTURES
SHOWER
WATER CLOSET
BATH TUB
LAVATORY
KITCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OUTLET • minimum -
ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. - nek.ay, uc.
U.G. SPRINKI.ER • eome under consi.
ALTERATIONS ' to adating
WATER TURN AROUND
3TATE SURCHARGE
TOTAL:
d-
1571
?i" ?-
J /+vt e c-K v
F.ACH TOTAI.
3.00 4 el
-'
3.00
3.00 3 =
3.00
3.00 J ?
3.00 s ?
3.00
3.00 j
3.00 3 `-
3.00 .?_
1.50 y ?
5.00
15.00
3.00
15.00
15.00 LF- t ?T z
.50
-?2L2
c, rrare-
CITY: ?1-41 C4, ? fff C`l Gt ?S STATE: ZIP CODE:S?1-0
PHONE #: ( ) CT ?- ? ,
1993 PLUMBING PERMIT (RESIDFNT'IAL)
C1TY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
4
City of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
Site Address:
1579 Mallard Dr
Lot: 5 Block: 1
Addition: THOMAS LAKE WOODS
Description
Sub Type: Single Family
Work Type: Repair
Description: Reroof
Census Code: Addition/Bsmt fin/Decks/Porch
Contractor: - Applicant -
NEEDHAM CONSTRUCTION St. Lic.:
1983 SLOAN PLACE #5
MAPLEWOOD, MN 551170000
Remarks:
Fee Summary: State Surchazge
Valuation: $12,000.00 BaseFee
?
f
Permit Type: Building
Permit Number: EA034750
Date Issued: 03/2211999
UBC Occupancy:
Construction Type:
Zoning:
Squ?re Fee?t,r,,
. - .?
6.00
209.25
$215.25
Owner:
Maggie Jensen
1579 Mallazd Dr
6127765500 1 Eagan, MN S0121 o:) i-tta-
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
PERMIT
(?? Q: ?/?o
I ed By: Signazure
. ?
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsW cUon Reouiremenl5 RemodeVReoair Reoui2men4s
3 regisle2d site surveys showing sq. ft. of lot, sq. ft of house; and aIl roofed areas 2 copies of plan
(20% maximum lot coveraga allowed) 1 set of Energy Calalations for heated additions
2 mpies of plan showing beam & window saes; poured found design, etc. 1 site survey for addihons & decks
1 set of Energy Calculations Adddion - indicate ifon-sde sepfic system
3 cropies of Tree Prnserva6on Plan rf lot platted aker 711193
Rim Joist Deteil Options selection sheet (bitlgs wBh 3 or less units
? ?13i
Office Use Onlv
Cert of SuNey Recd
Tree Pres Plan Recd
Tree Pres Not Reqd
_ On-site Septic System
Date / / / /
Site Address /S79 J
JJ 1,, II Q r^? Construction Cost 9 y?e? 0 '?
UniUSte #
Description of Work ZpozDG K4?c?Ka- liC / f"Jf W
Mu ti-Family Bldg ? N
IOSSt ? P1
Fire lace(s) _ 0
?' O UG-( f ws
Property Owner N_1-GN d U4 Telephone #(?? )?+ O 6- 7/ 7}
Contractor
Address 2121 C --2Si
State,-?
Zip City
Telephone#??)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Erergy Code Worksheet
(Jsubmissionrype) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 ofplans.
a? 0:;Z ( /C?)s
Apph- 'cant's 4'rinted Name pp Ls ignature
OFFICE USE ONLY
Sub Types
? Ot Foundation
X 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
g 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-piex ? 20 Pool
? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Valuation ?l OmD
CensusCode L/34
SAC Units ---
Nbr. of Units `-
N6r. of Bldgs
Type of Const
? 35 Int Improvement ? 38 Demalish (Interior) ? 44
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
? 37 Demolish (Bldg)• ? 43 Reroof ? 46
'Demolition (Entire Bldg) - Give PCA handout to appliwnt
? . „
Occupancy R-3 MC/ES System _
Zoning City Water _
Stories - Booster Pump _
Sq. Ft. - PRV
Length ? Fire Sprinklered _
Width ?
? 30 Aecessory Bldg
? 31 Ext. Alt - Muiti
? 33 6ct. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
_ Footings (new bldg)
_ Footings(deck)
_ Footings (addition)
_ Foundarion
Drain Tile
Robf Ice & Water Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final-
Insularion
REQUIRED INSPECTIONS
FinaUC.O.
? FinaVNo C.O.
Plumbing
? HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
ToWI
------Q--?--G----? -
Approved By
Building Inspector
Date: 01/31/2007 Revision Date: 01/31/2007 Existing Construction: Pre 1994.
Site Information
Address 1: 1579 Mallard Dr
Address 2:
City: County:
Aaplication Information
Business Name: Plekkenpol
Contact Person: Gary Otis
Office Ph: 952-888-2225 Fax:
Address 1:
City: State: Zip Code:
Square Feet
Square Feet: 3100 sq. ft.
Cell Ph:
Project #:
Lot: Block:
Subdivision:
MN Contractor License #:
Combustion Aaaliance
Water Heater:
Furnace/Boiler: Direct VenUSealed Combustion Input BTUs: 90,000 Independently Vented
Other Combustion Appliances
Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Fireplace(s): No
Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): No
Exhaust Equipment
Exhaust Fan Rating (cfm): 500 Location: Kitchen
M ---
No Make-Up Air Required by Code
Applicant Name (print) :??,- Signature/Date:
Code Official (print): Signature/Date:
C 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1
?-qom
Ahk-
Clty of Eaian
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL BUILDING
,
Oate:? Site Address:
Tenant:
RESIDENT / OWNER Name: ?
I Address 1 Cdy / Zip:
Appiicant is: _ Owner _.X ConlractOr
2?u 1'1
------------------
? ?
,
j Pertni[ #: I
? .?
? Pettnit Fee: ?
I
? Date Received: ?
i ?
I StaN: ?
I V J I
APPLICATION
Suite
Phone:
TYPE OF WORK Description of work: 1 t'( .f V L`ti-Y ? lc
k 'E- I?%?
N
?
Y
Construction Cost: o
es
Mufli-Family Building: (
CONTRACTOR Name: ? ucense?: FigLMq
?
Address:
Il(XVd!'er State: ZP: !S!5QFQ
Ciry: dTi
Phone:lo!51'L1?,;I•"1J9.0 ContactPerson: fiQ?J ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672
Energy Code • ResidenGN ven4lation Category 7 Worksheet • New Fner9Y Code workvneet
Category suWnitted suunitted
(4 submission type) • Energy Envebpe Calculations Submitted
In the last 12 months, has the Ciy of Eagen issued a permk tor a 8lmtler plen based on a maater plan?
_Yes _NO If yes, date and address of master plan:
Licensed Plumbar: Phorte:
Mechanical Contractor: Phone:
Sewer 8 Water CoMractor: Phone:
i hereCy acknowledge tM1at this InlormaUOn is canplete arnd acarate; Ihat the work wfll be in coMOrmance wiM ihe ordinances arW codes oi the City W
Eagan; that I unders[a'xl this is not a pertnk, but onty an applitation for a pertnit, and work is not to s[srt wilhuut a pertnd: that the wwk will be in
accordance with Me approved plan in the case of wnrk which requires a review antl approval of plans,
x M G. X ?
Applicant s PrinU d Name App icaM's Signat
Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1579 Mallard Dr
Lot: 5 Block: 1 Addition: Thomas Lake Woods
PID:10- 76100 - 050 -01
Use:
Description:
Sub Type: e - Fumace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952- 445 -2840. Ashley Orman 410 W Lake St Minneapolis, MN 55408 612 - 824 -2656 ashley @standardheating.com
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$0.50
$30.00
$30.50
Owner:
George L Teachout
1579 Mallard Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
Issued By: Signature
Mechanical
EA076154
12/12/2006
ePermit
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161730
Date Issued:06/10/2020
Permit Category:ePermit
Site Address: 1579 Mallard Dr
Lot:5 Block: 1 Addition: Thomas Lake Woods
PID:10-76100-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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 -
Hector W Riascos
1579 Mallard Dr
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature