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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