1591 Mallard DrPECTia
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
171k!MH , 1 (1> I ?ii?l?
? PERMIT SUBTYPE:
01 i Hi ,
PERMIT TYPE:
Permit Number:
Date Issued:
l?-
t? APPLICANT:
, , ,
i t:,j.? i«',:l t,?: r a
TYPE OF WORK:
I rNAi
F
IL
?
?
Permit No. Permit Holder Dete Telephone N
SNV
PLUMBING
IiVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Faundation
Framing
Roofing
Raugh Plhg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notiiy Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
rT ?
We11
Pr. Disp.
? CASH RECEIPT ? CITY OF EAGAN .
3830 PILOT KNOB ROAD `
EAGRN, MINNESOTA 55122
? r "'
DATE 19 1 (
'?? ° ? ? • ? ?'' t? Z l l- l.?C ?
AMOUNT S? I L'-?? ? Cl
8 DOLLARS
loo
? CASH ?j CHECK
t[4?_
FUND OBJECT AMOUNT
Thank You
BY
C 15192 ?/+?'?y
YeYow--Pcntirg Copy ?,N?,'
?_iM?
Pir*-File Capy
?SEWER_& WATER PERMIT
CITY OF EAGAN
I 3830 Pilot Knob Rd.
! Eagan, M955122-1897
i •
DATE q S S
?
r'
OFFICE USE ONLY
METER # PERMJT DATE _'81 30 / c I
CHIP # PERMIT # 19 2419
METER SiZE B.P. RECEIPT # r 1 S1 9.'
ISSUE DATE B.P. RECEIPT DATE 00 12 =%/'s 1
_X_ PRV - BOOSTER PUMP
SITE ADDRESS I `? "?1 `' :! ` .?li '•"
LOT -1 BLOCK i,SEClSUB 16`it1146 r.AKL :100``;
APPLICANT:
' ADDRESS:_
CITY, STATE ZIP
PHONE:
PLUMBER: LE?K1C$SIDE 2LCR12I:'G
ADDRESS: i 2b49 ZItiFAN
CITY, STATE ?A?NGE °li, ZIP `1•`)378
PHONE:
I OWNER:
PERMIT REQUESTED
X? SEWER Y,- WATER - TAPS
- COMM/IND RESIDENTIAL
X_ NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of -Oomestic Meters on Water Line.
CreditWlLL NOT bv 'gfven forDeduct Meters.
OF
ADDRESS: i6817 Lui.UZ7i AL.? '
CITY, STATE P^T;tR t.a:.F HN ZIP 55';':'2
PHONE: 4,40-(3°1'' SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR (IVSPECTtONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
M
DATE AUG 23. 1491
OFFICE USE ONLY
METER # ZI LA6Z97 PERMIT DATE Cb%3U% q1
CHIP # ??? ? 0,? PERMIT # 17949
METER SIZE ? 10 u S B.P. RECEIPT # (' t 51 Q2
ISSUE DATE /6 - oZ a2 -?l I B.P. RECEIPT DATE 13 ' 1
_X_ PRV _ BOOSTER PUMP
? SITE ADDRtSS 1591 MAI.LARB DR `
I LOT 7 BLOCK t SEC/SUB THONAS I,AKE WaGliS
! APPLICANT:
ADDRESS:_
CITY, STATE
; PHONE: -
ZIP
PLUMBER: 1,AICESIDE PLUMEING
ADDRESS: 12549 ZINF,AN AVE
CITY, STATE SAVAGE MN ZlP 55373
PHONE: ? `'?L--7cCC;
PERMIT REQUESTED
X SEWER - WATER _ TAPS
- COMM/IND "RESIQENTIAL
x NEW - EXISTING
Lawn SprinlEler Meters are to k!e Installed
Ahead of omestic,Mtters or? Water Line.
?iven forAeduct Meters.
Credi rNOT,b 7?
? 1
TO GOMPLY WITH CITY OF
OWNER: K y 161 HUME'y ? 1? V11Y Mlr{.rGJ
ADDRESS: 16817 DULUTEi AVL '
CITY, STATE UIOF LAi{E MN ZIP 55172
PHONE: 440--690t SI N TURE WHEN METER ISSUEb
PLEAS? "ALELOVIt TWb WORKING DAYSfQRPROCESSING CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. ,,
?? ' e K
.t?
R ? Ttrtiftrate uf (O.rx??aury
Citp of tagan
Repaumd uf luitding 3kmtrlwn
This Cemficate issued prrrstraru to lfie reqrdremerus of Seclion 306 of Ihe Uniform Building
Code wvfYinS that c1 the time of irsuanae lhisgructure %rrs ia aompiianae with Ihe farious
ordincnc+es aJtlre City regufaliitg building conouclion or use For the followi+rg.
use cholk,so, SF DWG f GAR Bkt& hnr* Nw 14600
pa„p.,y Zyp, R-3 M-1 zodi"06tricit vn u_ t Tppe cones-Y-DI----
?d B.Idig R S M HQMRS ?= 16817 I2IILUTH A1lE
gwkt;,,gAd&= 1591 MA[.i.ARn nR Loce;ty 1.7 1R1 11103iAR LpKF W ODS
4 ? vi.? Do, OCT 3
POST IN A CONSPiCllOUS PLACE
CITY OF EAGAN " +A ? goC?
i • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 1
.QING,PERMIT Receipt # ' ! t : ?
Site Address iS91 Li-AAn Da
Lot 7- Block L- Sec/Sub.131011AS t.M V00D
Parcel No.
W Name x S M H?fES
z
Address 15817 bULIM3 AYE
City PQIO! [.ARE Phone 440-b901
o Name SAME
Ov
,", Address
? City Phone
W?W Name
Fw
? ; Address
<W City Phone
I hereby acknowlege that I
information is correct and
Minnesota Statutes and Cit)
Signature of Permitee
A Buildinp Perrnit is is ed'
i and state that the
applicable State of
OFFICE USE ONLY
Oaupancy ?3 IL-1 FEES
Zoning PO &--1
(Actual) Const ?? Bldg. Permit 550.00
(Allo"able) ?? 40
00
Surcharge •
# ot Storiss -
Lengih 42.! Plan Review 3s7.00
Depth SAC, City 100•00
S.F. Total - SAC, MCWCC 650•00
S.F. Footprints -
w
t
C
660.00
On Site Sewage _ a
er
onn
On Site Well - Water Meter 95.00
MWCC System ? ?
?
Ciry Water X ?• ?Posit .
PRV Required ?- SNY Permit 30,00
Booster Pump - SMf Surcharge • 50
276.00
Treatment PI
APPROVALS Road Unit 370•00
Ion$ Planner - Park Ded.
done in accordance with all Council ?
y of Eagan Ordinances. gldg, pry, _ Copies
Variance - TOTAL 3, 1 58 •30
PermN No. Permit Holder Date TNephone #
WATER 0 ?U 9?
SEYVER
PLUMBING
H.VAC. ?
leK & i4' y I3 / O 7?/'DOOS
ELECTAIC S(p 4146 . ,? ? 0 p 0
lnspedion Deft ,,ap. Comnients
Foo?ing3 1
Foundafan q .
Framing
Roo(ing
Rough P16g. ? ?/ `
Rough Hlg. 904 9/
Isul.
fireplace 0 4
Final Htg. 6
Orstat Test
Final Plbg- Plbg. Inspector - NoG(y Plumber
Const. Meter
EngrJPlan
1
Bldg. Final /`7. Lq
Dedc Ftg.
Dedc Fnal
Well
Pr. Disp.
DATE: AUG 30, 1991
o ..?s
RE:
1591 MALLARB DR (R S M HO!!ES)
X 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 (4545220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permit for the above property cannot be completed for the following
oftsons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy aliowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuanCe,
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Address: 1591 MALLARD DR Lot 7 Blkl Sec/Sub THOMAS LAKE WOODS
These items were/were not complete at the time of the final inspection.
Yes xo - 3 0- ?
Final grade (6" from siding) ?
Permanent steps - garage t"_/
Permanent steps - main entty ?
Permanent driveway
Permanent gas ?
Sod/seeded grass
Trail/curb damage ?
Porch
Sasement finish
Deck ?
Please verify with the builder the removal of roo£ tast caps from the plumbing
system and the shut-off o£ water supply to the outside lawn faucet before
freeze potential exists. ?
wECrnm r.?nx
White - City copy Yellow - Resident copy Pink - Contractor copy
kL
CITY OF EAGAN N? ? 9600
3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55721
??(-
BUILDING P,ERMIT PHONE:454-8100 Receipt # J
To be used tor SF DWG/GAR Est. Value $80, 000 Date AUG 23 , 19 91
Site Address 1591 MALLARD DR
Lat 7 Block 1 Sec/Sub.THOMAS LAKE WOOD
Parcel No.
w Name R S M HOMES
o Address 16817 DULUTH AVE
City PRIOR LAKE Phone 440-6901
a Name SAME
iN ? AddreSS
City Phone
?w Name
z ; Address
aw City Phone
I hereby acknowlege that I hav e+
informatwn is corcect and gr to
Minnesota Statutes and Ci o aga
SgnaWre of Parmitee
i and stale Ihat the
applicable State of
a euiltling Permit is is ed to: j? M HOMES
on the express condi on that all work shall be done in accordance with all
applicable State oi Minnasota Statutes and Ciry oi Eagan Ordinances.
Building Ofiicial
OFFICE USE ONLY
Occupancy R-3 M=1 FEFS
Zoning PD R=1
(AClual) Const V-N Bldg. Permit 0.00
(Ailowable) y=N Surcharge 40.0?
# of stories
Lenglh 42' Plan Review 357_ nn
oepth A8_' SA0. Cny 100.00
S.P.Total - SAC,MCWCC 650.00
S F. footprims -
On Site Sewage _ water Conn 660.00
On Sile Well _ Water Meler 95.00
MWCCSystem )L-_
X
AccL Oeposil
30.00
City Water
PRV Reqwred ? S1YJ Permil 30.00
Boosler Pump - S!W Surcharge . 50
276.00
Treatmant PI
APPROVALS RoadUnn 370.00
Planner - park Ded.
Council
Bldg OH. _ Copies
Variance _ TOTAL 3,158.50
p??/? REQUEST FOR ELECTRICAL lNSPECTION
o I? See instmcLans lo: compleling fiis loun on back ol yellow copy
0 A-':, RyP 2_ "X" Below Work Covered by This Request
?'4.ttg ee?ooooi-oa
?
ew I TypeofBwlding ApphancesWrted EquipmentWired
I Home Range Temporary Service
Duplex Water Heater Electnc Heating
?
? Apt Buildmg
Comm /Industnal
Farm IOryer
Fumace
Av Condilloner Oiher (Specity)
Other(syectlyl
Com,3ute lnspechon Fee Below Contrecmrs Ramarks
# Other Fee # ServiceEntrance Size Fee # CircwtslFeeders Pee
Swimminq Pool 0 t0 200 Amps ? 0 to 100 Amps
Transformers Above 200 _ AmpS Ab VE 100 _ Amps
Si
n5 Inspecrars Use oniy TOTAL O
9
)rri ahon Booms ? J
SpeGal Inspecbon
niarm/Commumcauon THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouyn-in oaee
cerhfy that ihe above inspection has
been made. F,,,ai
'` o??e
? • r 7
rW
OFFlCE USE ONIV This request vmtl 18 mon:hs from
w?r_
/a
p 43882 ?
Reques? Date ? Fre No Rough-in Inspection
Feqwretl9
? Ready Now firMrill Notity InspeROr
i 0 _ N. N10en Ready'
I hcensed contractor ] owner hereby requesl inspecLOn of a6ove electrical work at .
Job Atlaress (Slreel. 8o?r Route No )
? 1 I
r
Cii
? /\.Y? •
Sertion No Townsnip Name or No Range No Count Gi`? W-
Occupam lP j Phone No
Power Su Adaress `
L
Elecincai ConvactorlCOmpany Named ConVactor5 nse N.
Mailing Adtlrew IGOnirecWr r Owner Meking In51dIId?iOn?
Z
5
? l
??
?
Amhorae ?
re
?vaq Owner M
f
? ?
?
? 1:596 e Number
-
3 6D
MINNESOTA STATE BOARD OF ELECTPICITY " THIS INSPECTION REQUEST WILL NOT
Griggs-MlEway Bltlg. - Raom S113 o BE ACCEPTED BY THE STATE 80ARD
1821 Unrveraity Ave. St Vaul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Ghone(612), 6E2-0800 ENCLOSED
qea? f?? REQUEST FOR ELECTRICAL 1NSPECTION
? See msvaolions for compleLng fiis lorm on bac4 0( yellow oopy
I?j 412 F) "X" Below Work Covered by This Request
EB-00001-08
e Adtl Re0. Typeof8uildmg pppliancesWrted EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwldmg Dryer Other (Specdy)
Comm Andustnal Furnace
L
i Farm Air Condihoner
-
I Otner(syeni, Gonhaclor's Remarks
Compute Inspeclion Fee Below
# Other Fee # Service EniranceSrze Fee # Circmts/Feetlers Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Ab Amps
Signs inspecrors use Oniy TOTAL ? D
Irngaiion eooms ?D
?
Special Inspechon
Alarm/COmmunication THIS INSTALLATION MAY BE 0 RED DIS NNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO t
I. the Electrical Inspecror, hereby Rougn-in r, a _
X/
cerhy that the above inspection has
been made. F,,,ai ? Da?e
o
OFFICE USE JNLY ?
This repuest aaitl 18 monins Irom
y/av1si iojieo o
p 64126 / *?p°-°
Repuest Oate Frte No Fough-in InspeGion
'+
? Aeaey No ill Notity Inspector
- /
- eqwretl
?s
-C No
When Ready'
I licensed contractor ] owner hereby request mspection ot above electrical work at: .
JaD Atld ess i5treet Box or Aame N ? Q
LVV'?
Secoon No Townshb Nama or N. Range No Co
I?
Occupant MT Phone No
Power S ier AtlOress
Electncal Convacmr IGompany Namei ? Convador3 L nse No
MaJing qtltlres Goniracror or Owner ldaking Installation)
Nmnor¢etl Siq ure ICOnvace Makmg/lo?st011anon
_ -' ? / • .
_ - ? Phona?N+u?mb/er?.n
V / L/
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Gnggs-Midwey Bldg. - Poom S473 BE ACCEPTED BY TME STATE BOARD
1811 Universny Ave , SL Paul. MN 55100 - UCILESS PROPER INSPECTION FEE IS
Phone (612) 602-0800 ENGLOSED
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: Lo r:
1591 MALLARD DR
THOMAS LAKE WOODS
PERMIT SUBTYPE:
DECK
?
?
PERMITTYPE: BuiLoiNG
Permit Number: 021806
Date Issued: 0 B/ 2 0/ 9 3
7 BLOCK: 1 APPLICANT:
SEABERRY LANDSCAPING
(612) 454-9511
TYPE OF WORK:
NEW
-1
I
< CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-76100-070-01
DESCRIPTION:
PERMIT
1591 MALLARD OR
LOT: 7 9LOCK: 1
THOMAS LAKE WOODS
r?--
B,cfilding-Permit 7ype
Ouildins} 4qrk 7ype
Ey''UBC OCiC1Jr5dFlt,}4,,,
Buzldirig Lerrgth7*=
r' Buildine I?€;dth ?
---?
,
'
i
PERMIT TYPE:
Permit Number:
Date Issued:
DECK
NEW
R-3
15
14
i? `1
8 -ja --9 0
BUILDING
021806
08/20/93
`,`'tl- ????.'??fil,
REMARKS:
FEE SUMMARY:
Base Fee $25.00 COPIES $2.00
Surcharge $.50 Total Fee $27.50
Subtotal $25.50
CONTRACTOR: - Applicant - sT. LIe. pN/NER:
SEABERRY LANpSCAPING 14549511 0006407 SKDG 6REG
3259 TERMINRL DR 1591 MALLARD DR
EAGAN MN 55122 EAGAN MN 55122
(612) 454-9511
T fiere6y acknow],edqe tMat I f5ave read this apPileatian and statt thbt the
inPormation i.s acarrect 4rid agree ta C,camply,with alI applicable State vf Mn.
Stattrtee and Cxty of Eajan ttrdir+anae?;.
J
?^?? NE SIGNATURE ISSUED BA I I S,NA?L. I? ,
REACTIVA7E ,_ ? t?;??Om?? . CITY OF EAGAN ?
PEwatT r 1993 BUILDING PERMtT APPLICATION $zq.0
°' ? InL 1 7 1993 681-4675
P/I ?J.fi'" " -j n
SINGLE 3 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. ,
GOMhIERCIAI 2 sets of architectural d structural plans, 1 set of
specifications, 1 topy of energy calcs.
Penatty applies: 1) when Permit is typed, but not picked up by last working day of month-
ed or 3) lot change is requested once permit
h
dd
i
ang
ress
s c
in which request is made, 2) a
is issued.
Date Akj? Yaluation of work
Site Address: 1?G 1 A??:?v?,
51REEi AIITE r
?
Tenant Name: (commercial only)
? BLACK ? SUSD. J??? P.I.D. N _
of work: E cj<
[Description
e applicant is: ? Owner Contractor ? Other IDescribe)
Name Phone
Property LAST FIRST
Owner l?f? ? ?I L? I -
d
ress
Ad
STREET STE 0
4?\j State M'?"? Zip
06
City lr
-
_?uAL? Phone
COMreCtOr Company -
Address ?license Exp
City State Z;p SSI? ?.
Lompany Phone
Architect/
Name Registration #
Engineer
Address
City State ZiP
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once,area has been approved.
1 hereby acknowledge that I have read this application and state that the information is
licable 5tate of Minnesota Statutes and City of
lt
h
app
a
correct and agree to comply wit
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
0 02 SF Dwg.
? 03 SF Addition
El 04 SF Porch
0 05 SF Misc.
WORK TYPE
?31 New
32 Addition
? 06 Duplex
13 07 4-Plex
? OB B-Plex
? 09 12-Plex
O 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
O 12 Multi. Misc.
O 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
D 35 Tenant Finish
? 36 Move
? 16 Basement Finish
? 17 Swim'Poo1
? 18 Lomm./Ind.
[3 19 Coron./lnd. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Oemolish
Const. (Actual) Basement sq. ft. MWCC System
(Altowable) lst fl. sq. ft. City Yater
UBC bccupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster PumP
, of Stories Footprint Sq. ft. Fire 5prinkler
Len9th /T- On-site well Census tode
Depth rY On-site sewage 5AC Code
APPROVALS - ?
?
Planning Building Assessments
Engineering Yariance
REOUIRED INSPECTION S '
EJ Site Footln9 ? Framing ? Insulation
? wallboard final ? Draintile 0 Fireplace
Permit Fee 25, oo
Surcharge 1 5-0
PlAn,,_"w
Cicense )
City SAC
Water Conn.
Nater Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment R.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
valrcim: $
sac x
SAC Units
/
Sarpelfor'a G'ert??'lcate
9URVEY FOR: IZ S M Homes Inc.
DESCRIBED A3: Lot 7, Block 1, THOAIAS LAKE WOODS, City of Eagan, Dakota
Countp, ytinnesota and reserving easements of record.
?
99i.7
T`
?
/
/
LOT SCJ. FODTA
P_RaV• 0 iEaPF.UI[ lES?
PRflPOSED ELEVATI6NS '
Top ot Foundellons . 544,7
Garege Floor . ana.3
8asomAnl Fbot . q41.3
AppfOX. S9WBf SPIOCB EI6Y. . M/4
ProposadElevetbna .?
Exie4ing ElevallOne .
Urainage Dfieclbna
Danolas nlfsel Slaks ? O
SCALE, 1 Inch = 30 Feet
7NM @ z3/
£leus 923.59
MIN. SETBACK RgOUIREMEN79
Front • 30 House 31dq • io
Rear - is aarage slde •s
JOB NrJ.:
IFiEPEBYCERi1FY 7114T1111919ATqUEANDCOR11E01 qEpRESENiA110N
I
if
E
D
LU
N
D Oi 1HE BWNOARIE8 OF 2NE 4BOVE DESC418E1) VROVERFY A9 SUA• CilR-174
VEYEDBY A1E OH UNOEH 1AY DIRECi 9V7ERVISOt7AN000E3 Ntl! PURPOnT
TO 914OW IMPROVEMEN78 OCROACN1.ffNf6, Exc vt A9 bHOwk. BOOK: PAC3E:
Plann+ng Engineering Surveying ' ?gj Zo
9ld?M4flf?ummwl?55110 ?N ? I ??l 9 ? .
DOREN, LN10 SURV OR CADD FILE: OW(3. CHK.
MINNESOTAIICEN3E NUMBE(i 1437e RSM??
/
?? / ?
/?• ? y?''
Lr ?'
?RQ ti ?'q `
4v, cr y? /
/
/
_ '
i
?
i
0
. , o,*
,50•00+
40•OOr
35'7•00F
2,2„•5o+
3, 158•5J*
550•00`
40- 00{-
357•UOt
2, 211•50+-
3>15£i°50X
1991 BUI1ING?IT'-APCATIDN
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COPII4ERCIAL
2 SETS OF PIANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS-
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FDR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: t CG.rv?. Valuation: ftp? Date:
c
Site Address 1-? q I (hQ\1ck^s- biZ, _
Lot 1 Block S_
Parcel/Sub ('ho.•n«? ?C:,,?ce V,OOA?-
Owner
Address
City/Zip Code
Phone
Contractor [Z.s.m ?&vv?t?j
Address 1?5,L-1
City/Zip Code viziCT?Loscc .1
Phone L1AO " ??o I
Arch./Engr.
Address
City/2ip Code
Phone # ??
o) L-XDD i OFFICE IISE ONLY
FBES
Occupancy Bldg. Permit S50 iOJ
Zoning ?-1 Surcharge 40,0
y
Actual Const V-N Plan Review `rJ.Ou
Allowahle V-N SAC, City
J
100.0
# of stories SAC, MWCC <5z?.d?
Length A12' Water Conn.
L?0
kgo'
Depth Water Meter
a.?
q51
S.F. Total Acct. Deposit i),vo
Footprint S. F. S/w Permit 3L,00
S/W Surcharge 150
On site sewa ge_ Treatment P1. 2U,0,3
On site well Road Unit ,Do
MWCC System ? Park Ded.
City water ? Trail Ded.
PRV ? Copies
Booster Pump _
SIIBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL
Bldg. Off. 72/-9(CS '
Variance
agrees that all work shall be done in accordance with
(Signat4re o'f Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
VA L - U /A T;J (5?l ?,. : .
GA RAGI_
?20 >? Z•'-" ?l'-!O X/ S
?'i.Sl?+l T
..?----?
3b k ??_ ?ss
? -2 = (4 2?.
.?
?Li= 1/5s-r?
i
HoKSE
___--
3 s6x z-?. _ cl 6tS
I 'Zk IC;- :: 1S'
sY,2
?-
izb? xs3?
_?-
Iql o?
'iro?OJD ?
Suivclto?r`e G'ert?,?icatep
SURYEY FOR: 11 S M Homes Inc.
DESCRIS4ED A4S: Lot 7, Block l, T'HOiNfAS LAKE WOOAS, City o£ P,agan, Dakota
County, Minnesota and reserving easements ol' record.
,
? i
497..?
/
L0T SCJ. F007'A E =13,.r`??
PANa N uEQUW UED
PRC?PQSED E?EVATIQNS
TOP oi FOUnf)8110ns . 9993
Ga1899 fE00f + 944.3
8assmanl floor . qa.s
Approx. Sewer Service Elev, a"/A
Proposed Elavetfons . CC)
Exlsling Elevalions .
UrninageDhectlana ........r
Dsnatas ollset Staks e F)
11
Planning Enginesrfng 5urveying
9It1 f??! Bba?lnQiy? f111, r?? rqlon. MMmaal# 5l170
f61 4tM
?_tr.r
M?
? `46d• _
5tALE, 1 lnch ; 30 Feet
I}IEqE9YCERi1FY TNATT111919ATpUE
Of iHfi BOUNDAAIES OF tHE A80VE
YEYEDBY ME Op UNDER MY DIIiECT SVPi
TO 9HOW IMDflOVEMEN7S OR ENCRC
Oen ? 411, I)
gE YFICHA_f?C?? `'++ t
QIl7? 4d754
TNM Q '113/1
£teVa 923.SA
I?yETBACK REQUIREM£NTS
Front • 30 Housa 31do • io
Rear - is Oarage 8ide •5
;r aera¢sEHrnnoH
PpOPER7Y 11A SUR-
C? .
JOB NrJ.:
41R-179
!s3 1 za
V MINNE30TAlICENSE NUMBEA 113Te
..-.?,.,:. u,a??..-ri•.a.y.?asxe?k,?•etwux-._..,_
.r_,_ ....??..,.a,.mwas.„re?a...,x,e... . .. . .
/
/
o y<n
ti
ti
/
EXTL•'RIUR F.NVL''[API: AVIiItAG6 "U" CCYiPU7'ATIOI7 .
, GWiaER
siTe nonREss Mc?.\?c,.•??. bo, f ly $ A-fHD/r16Q= LAkC.Lkzal?s
CONTRACTOR 'e S 9-p AAE S /k) C+ -
DATE $? aG ?Ci.l - r?uoNe ?t16^??t? ?
Determine Workinq sciuare footage oC each.
1. Total exposed s.a11 arca ....... 0 sy• ft. x A1
2. Total roof.ceilinq arca ...... 110 d sY• ft, x •025 = ' rf.G
?
- Total exposed wa21 area above floor =j[y 9g.o
• a. Total wall window area .................................... ?aZ $•y
b. Total door area ........................................... yo•g
e. Total sli.ding glass door'area ............................. 31. 2,
d. Total fireplace wall area................................. D
e. Total wall framing area (average lOt) ..................... f1m B. f3
?'
f. Tota1 net wa11 area above floor ........................... 1328.
g. Total rim joist area ......................................
Total exposed foundation area = A31.G
h. Total foundstion window area ..............•.............., d
i. Total net foundation area above qrade .....................
Determine "U" value oE each wall segment.
a. IAB.N x .. U.. .55 = 71). (v
b. Yo•8 x ..U.. o7L =. 311
C. 31.a X ..U° .sS = 17•Z
a. O x ..u. O - d
e ?g A X ..u.. , j Z = ZO. 2_
c._13z . x ,.U..
???_11??0--- ?•? ,.u,• oy7 = s•3
., ..,,., p o
: Sg p ..... . 00.3
7• `I
1 ..................................... TOtal = M-16--
[C item 41 is thc samc as, or lc:;:; chan itum 01, you Imvt: mot chc intunt
ot suc 6006 (c) 2. gtt,,,,, -j 3 {179'. <$??^ t
4r,y,,4 e{ S Q G 6 00 6(C) Z
Total exposed roof/ceiliny arca = llo ?•O __
.. 0
j.
k Total
Total skylight area
root/eeilinq .................... .................
Eraminy aroa (avcrayu LO'r.) ............. 1! D
.
1. Total net insulatcd rooF/ccilinq aeca ..................... 9 9 3'l -
petermine "U" valur Eor each roof/ceiliny seynenr.,
j. n X„U.. 0 = O
k. /Ib•?/ %..U„ ,62.?
.. 1. og ?? (? x ..u,.
.{_
4 ............................ . ......Total
If total of q4 is the same as, or less than 112, you have met thc intent of
SBC 6006 (c) L. CqJA? + y (-Z S, L) L 9'e°"ti ;V 2 (2 7. fi) 7w.'f 44k 4 -A?
? sf} C. G O D li C J I . .
Alternate Building Envelope Design
To utilize the total envelope system methocl, thc values estabLish•?d by tlle
sum of items 03 and k4 sha11 not 6e greater than tiie sum o: items KL and 92.
,.. • ,
+ 2. 2?•? _ ?Zit{.?
174?L + a. Z3•lo - ? 70 3.z. -'
3•
z ( ,y.y7 > a&--r
rr;¢Eo-?.?.Q ? ?-
"4M
? , ?,.
gi,ai, /-???
UNDERGROUND SPRINKLER SYSTEM
PLUMBING PERMIT
Date: Permit #,
Date /D 5 g0 e/-
Receipt # 5 ?? 9
_ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
5osting residential: $15.50 (Plumbing permit not required if backflow preventor was
previously installed).
_ Residential develoornents: Fee to be determined by building inspections department.
iv1ay r,?,quue paymer,i otwater permit, piumbing permii, WAC, and wate: ireaimeni
plant fees. f q (
M',/IG rl? Or/ (e--
(Address to be sprinklered)
Homeowne lumber: ?? Er?ce, ?)u n"6'Co.
Phone #:
Street Address: /?C
City, State, Zip: ,^'/ t -?53?6
Owner Name: ? ?eC S?oc
Street Address:
Phone #: $`150
Irrigation Conuactor:
Phone #:
C s-g2 cc7 RRZ
I hereby aclrnowledge that I have read this application and state that the information is
corr =and g ree to comply with all applicable City of Eagan Ordinances aT
r?
cc: Engineering Department
? Z
/?
iv-5-1
„ CITY OF EAGAN
' 3830 PIIAT KNOB ROAD
EAGAN, MN 55122
' PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # D O
DATE:
j??$IAF,xITZA?: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS t
TOWNNOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACR UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON _
REPAIR _
OWNER NAME:
SIT_E PDDREvS: ( S?( 'V" 07 <<&kp D4
LOT: -2 SLACK ( SUBD, 7_1V-om'r5 1.9fflc u'a°'a5
INSTALLER:
ADDRESS: BUrf1SV1II@ H88ting & A/C, II1C.
12481 o e s an ve. o.
czTr: Savage, M N 5537@I?122
PHONE #
FEES
ADD-ON MINIMUM $15.00
HVAC . 0-100 M BTU 4.0
ADDITIONAL 50 M STU 6,00
GAS OUTLETS - MINIMUM G'1?
OF 1 PER PERMIT
SUBTOTAL: $? ? r
ST?,TE SuRCkiARGE: .50
i
TDTAL: $ Z Z
SIGNATURE QF PERMITTE
?SS4?I?RCTAT;??lY1TIST?t?AT.:f; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARl
NOT REQUIRED FOR EACH DWELLING UNZT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADllRESS:
LOT: SLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
LOT: ? BLOCK: _I SUBD./P.I.D #: 1hornaS 64 YV d4,?
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
4341 q 3830 PROT KNOB RDN 55122
1 851 •681 •4675
New Constructioa Reauirements
? 3 regisTered site surveys showing sq. ff. of lot, sq. ff. ot house
and all rooFed areas (20% maximum lot eoveraae allowed)
? 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.)
? 1 set of energy calculaHons
? S copies of tree preservation pian H lot platfed affer 7/1/93
? Rim Jolst Detail Options selecflon sheef (bulldlnas with 3 or fess unMs)
DATE: lU- Z?- (5-C
RemodellRepair Reauirements
2 copfes of plan
1 set of energy calculatlons for heated additions
1 sHe survey for exterlor additlons 8 decks
CONSTRUCTION COSE s6zz?!D'
r
DESCRIPTION OF WORK: %P?da1? ?Q !a-r5'Y SQ. J- cT IfmuMi-familybidg.,howmanyunffs?
STREETADDRESS: M aC (c'r d Qr
Name: <5 k6q v r? Phone #: 5F5_.S_<D
PROPERTY Last Ftrsi
OWNER
StreetAddress: L,?
City f/o15l.?+n State: Zip:
gELp, qpQFING & REMODELING, INC.
Company: 4100 EXCELSIOR BLVD.
ST. LOUIS P
CONTRACTOR ID #0001050 M
Sireet Address: '
Ci1y _
ARCHRECT/
ENGINEER Company:_
Telephone #: (
Streei Addreas:
Ciy
Sewer/water licensed plumber (if Installing sewer/water): Phone #:
Zip:
I hereby acknowledge fhat 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.
Signature of Appllcant:
//?l V
OFFICE U5E ONLY
ucense# /D 5 d__Exp. 0 (
Zip:
State:
Name: _
Regishation
_ State:
Phone #: ? YZ3
(area code)
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4•sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened)
? 05 03-plex ? 17 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
VALUATION
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 30 Accessory Bldg
O 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 42 Demolish (Foundation) ?
? 36 Move Bldg. ? 43 Reroof O
? 37 Demolish (81dg)' ? 44 Siding
? 38 Demolish (Interior)
" Demolition (Entire Bidg only) permit - Give PCA handout to applicant
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
INSPECTIONS REQUIRED
MC/ES System
City Water
Baoster Pump
PRV
Fire Sprinklered
45 Fire Repair
46 Windows/Doors
_ Fooangs: New Bldg _ Insulation Windows - new/replacement
_ Footings: Deck _ FinaUC.O. _
_ Siding
_ Footings: AddiIIOn _ FinaUNo C.O. _ Stucco/Stone
_ Foundation Fireptace: _ r.i. _ air test fmal Roof: _ ice & water _ final
_ Framing PooL• _ ftgs , au/gas tests , fmal
APPROVALS
Planning
Building
Engineering
Variance
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
? CITY USE ONLY
• i PERMIT #: ' RECEIPT DATE:
MIDERTIAL M3.'CfiMICAI. PFI.M1T APPLICATION
crrY or EAsRx
ssso Pv.or Kroe Rn
EAHAA b1R 851 2E
657-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: -7 "O+1^ Q l
SITEADDRESS: 1561I MGIII&d. DIr•
OWNER NAME: TELEPHONE #: NSy-3&5D
(AREA C DE)
1 INSTALLER NAME:
STREET ADDRESS:
C ITY:
Place a check mark next to the permit work tvpe
ZIP:
New residential dwelling unit under constructionand not owner/occupied $ 70.00
? Add-on, modification or alteration to existina dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air condkioner
• other
Nature of work: ?? I??G{ 11 !'IYI i
?
State Surchar e $ •50
T
t
l S
o
a L_A_J_
Reminder: Ca11 far inspections.
?TELEPHONE#: Q5g q-3I'7D`19
Wohlers Southside Htg. & A/C, Inc. ? (^REa' c E)
6950 West 146th Street, Suite 106 ?
-Apple Valley, MN 55124
a /? M&'
SIG ATURE OF PERMITTEE
Updated 1/01
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
COMMEItCIAI. MECHAPICAL PEftbI1T APPLICATIOR
CiT'Y OF ERw41Q
3$30 PILOT KAOB iZD
EA6AA, b!A 85122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
STTE ADDRESS:
OWNER NAME: PHONE #:
(ARF.A CODE)
TENANT NAME (IMPROVEMENTS ONLl):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
WORK TYPE: New construction
_ Interior Improvement
_ Processed Piping
SpecifyNature of Work
PHONE #: -
(AREA CODE)
STATE: ZIP:
Install U.G. Tank
Remove U.G. Tank
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing linspector.
Fees: 1% of conhact price OR $50.00 minimum fee, wluchever is greater.
Underground tank removallinstallation = minimum fee
Contract price: $ x 1% _$ (Base Fee)
State surcharge calculate at $.50 far each $1,000 Base Fee
TOTAL
$
SIGNATURE OF PERMITTEE
Updated 1/Ol
gv?5Ts-s
2007 RESIDEN7'TEAL BiUII.DINGPERMIT APPLICATION
City Of Eagau
3830 Pilot I{nob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX #1651-675-5694
Ne+v CansWction Reoviremen5
3 registered sile surveys ahoxing sq. R of Iat sq. R W house; and a0 roofed areas
(20%maximum bt coverage allmed)
1 Sails Report N praposed bWding is lo be placed ai disWibed saN
2 coples of plan shmNnp 6eam 8 windaw sizes; poured faund design, etc
I W a Enersr calcaation:
3 copies ofTree Presenatlm Plan Hbt pWtled aRer 717193
Rim Joist Detad Options sdectlon sheet (buddmps with 3 or less unils)
Mmnegasco mechanlcal veiNlatlm krm
RemodeLReoalrReaarements -O?llse n?
2 copies oTplan ahvxin9 faotinps, beams.lolsts CeR*ot Siiivey Recd
1setMEnergyCalculafim forheatedadditians SWIsRepwt'
1 slte survey kr additions 8 decks T2e Pres Plan ResA ,
Addkbn-irMicateBarsifesepdcsystem TreePresReguVed:;;
Onslte Septly Sjs'tem.:
Y _N
_YN
_Y N
N
_Y _N
Plans are considered ublic information unless ou state the are trade secret and the reason. 11,
Date 7 /?Z
Site Address l 05?,
?QA/(t ConstruMlon Cos&?z LD' 6-i _
Unit/Ste #
Description of Wark K)
Multi-Family Bldg _ YL( N Fireplace(s) ? 0 2
Property Owoer h
?, yL,i1 iJ 9
' L/ Telephone #( )
ContraMor ?
Address
State 7?
CiTyl7 Cle2?ZS ?t(Qpyq
Zip Telephone#(??.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enargy Code Category . Residenqal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submisslon type) Submiped Submitted
. Energy Envelope CakulaUons Submitted
In the last 12 months, has the CiTy of Eagan Issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, data and address of masTer plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge 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 of plans. ?
J a l? i1? ? ??.
ApplicanYs Printed Name 06licant's Signature
DO NOT WRITE BELOW TffiS LINE .
Sub Tvces
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool , ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt - MuKi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4.sea.) ? 33 Ext.AR-SF
? 04 02-plex 0 10 OB-plex ? 18 Dedc ? 23 Porch (screen/gazebo/pergola) ? 36 Multl Misa
? OS 03-plex ? 11 10.plex ? 19 Lowar Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demalish Interior ? 44 Siding
? 32 P.ddi6on ? 36 Move Building O 42 Derrrol(sh Foundadon O 45 Flre Repair
? 33 Atteration O 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doars
? 34 Replacement •Demdkfon (Entlre Bldg) - Give PCA handout to applkant
D6SCriOfI0I1: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review 100% or 25°h
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIItED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ FinaVC.O.
_ Footings (addition) _ FinaUNo C.O.
Foundation HVAC
_ Drain Tile pther
Roof _ ice & Wazer _ Final Pool Ftgs _ Air/Gas Tests Final
_ Framing _
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireptace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: . Building inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utiliry Connection Charge
S&W Petmit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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Use BLUE or BLACK Ink
I For Office Use l
~t JI y~ ;
; Permit
City of E*R
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 ; Date Received: ) ;
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff: off
I ~-V I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 13 Site Address: l5C ~ l t <--~rC~ Or C%&JIL 55 IQ Unit
Name: Phone:
Resident/ ~ v
Owner Address l City / Zip: 15 t h l 11~~'C"(
Applicant is: Owner Contractor
Type of Work a Description of work: 1+t"C f -}6 i
Construction Cost:#&!/n 3 aq Multi-Family Building: (Yes No
~yi
Company: 1 I.Lji fu l ov (1015f .S . Contact: J-e* W jIL14
Tait
r City: ~fi ~
Contractor Address: r
1 r C3, ,
State: M Zip. `7> I I Phone: b, i _r 2s40 - 9 1-16
License p'-Ic t43 Lead Certificate _A_ W194V- I
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 they are trade secrets. 1
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 approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnes State Building Code must be co WWI in 180
days of rmit issu .
a ~
i
r
x x
Applicant's Printed ame
t 70 Ap nt's ignatu
f ` e Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139255
Date Issued:10/17/2016
Permit Category:ePermit
Site Address: 1591 Mallard Dr
Lot:7 Block: 1 Addition: Thomas Lake Woods
PID:10-76100-01-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Gregory W Skog
1591 Mallard Dr
Eagan MN 55122
(651) 454-3850
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142915
Date Issued:05/23/2017
Permit Category:ePermit
Site Address: 1591 Mallard Dr
Lot:7 Block: 1 Addition: Thomas Lake Woods
PID:10-76100-01-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Gregory W Skog
1591 Mallard Dr
Eagan MN 55122
(651) 454-3850
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163579
Date Issued:09/04/2020
Permit Category:ePermit
Site Address: 1591 Mallard Dr
Lot:7 Block: 1 Addition: Thomas Lake Woods
PID:10-76100-01-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gregory W Skog
1591 Mallard Dr
Eagan MN 55122
Snap Construction
8200 Humboldt Ave S, Suite 120
Bloomington MN 55431
(612) 333-7627
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167813
Date Issued:03/30/2021
Permit Category:ePermit
Site Address: 1591 Mallard Dr
Lot:7 Block: 1 Addition: Thomas Lake Woods
PID:10-76100-01-070
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gregory W & Susette Skog
1591 Mallard Dr
Saint Paul MN 55122--254
Snap Construction
8200 Humboldt Ave S, Suite 120
Bloomington MN 55431
(612) 333-7627
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172992
Date Issued:10/25/2021
Permit Category:ePermit
Site Address: 1591 Mallard Dr
Lot:7 Block: 1 Addition: Thomas Lake Woods
PID:10-76100-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Gregory W & Susette Skog
1591 Mallard Dr
Saint Paul MN 55122--254
(651) 278-1103
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature