The URL can be used to link to this page

1604 Mallard Dr lUse 13LUE or BLACK Ink (DO -0 - -1 I I I Permit lF:r~ City of Eagan I , ~ Permit Fee: t~-- `1, I 3830 Pilot Knob Road I Date Received: Eagan MN 55122 I Phone: (651) 675-5675 i staff: I Fax: (651) 675-5694 - - - - 201o RESIDENTIAL PLUMBING PERMIT APPLICATION 1 t tUU t,r~~~ V L/ Date: Site Address: 11004 Tenant: Rcocr Tcnne)A Suite RESIDENT I OWNER Name: Phone: bSe}451LD / Address I City J :!in-- Y CONTRACTOR Name: ~1 ~t(}['12~ t 111 j4ajnQLIcense Address: I q bq `ey i oyl 1 City: State: -oam_ Zip: 6553 Phone: Contact: sate VlY"1 al Email: TYPE OF WORK _New Replacement _Repair ,Rebuild _ Modify Space Work in R.O.W. DesCri tion of work: PERMIT TYPE RE ENTIAL / Water Heater Y Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ I _ PVB) Main _ Lower Level) Septic System Water Turnaround New. Abandonment RESIDENTIAL FEES. $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $50 State Surcharge) 'Water Turnaround (add $166.00 if a 5/8" meter is required) $900.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) GJ✓ 00 TOTALFEES- 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. v opherstateonecail oro I hereby acknowledge that this Information is complete and accurate; that the work wail 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 reWIres a review and approval of plans. 11 X Applicants Printed Name A41anitft Signature c ' r psi r"}E~ •-i .x-z S'~37as.. iz . i_~'" s:?^:. W ' ~r x ~ ~ f , s.• ' ~zY ar IEx~.~c`n' Pa' 'i r t~• i t .~a.a. iY! ~.rfF ~ R ~ . f, i!~ ~ ~ z s it • a. t.__ _ • t z. M M a ~~z : ri : ~ Lf~ ys.a~~Cie~ r P ~ i alt t . y:.. !f i') ~p . I.~,.'a nN. ie 00 bi> NI'M Z'd Eb6S-GEb-i59 jnoH 8u0 s,J0uu00,0 Wb0i:9 OiOZ i0 oaa CITY OF EAGAN ?7r? ? 21?:,.4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for 1'JF 4-^9,UX Est. Value w 74,1100 Date JvN} Site Address 1 61Z : 'Al Lot } • Block Parcel No. W Name .; [?AkE DRY!lY.t}??iT. L7C.?3 3 Address .135TiC BD SE ? City Phone 447-2*24 Mame r' ti?1?- Address Phone Name - Address 14-9. ? OFFICE USE ONLY Occupancy R-3 '4"2 FEE5 Zoning PD R`4 (Actual) Consi V`N Bldg. Permit ?2 <•00 lAllnwahlel V"N 97 fYti I # of Stories 649 c>urcnarge Plan Re ie - *Yv ? ? ? i• Length v w Depth 109 SAC. Ciiy IC7 •00 S.F. Total - SAC. MCWCC ? 75.00 S.F. Foatprints ??t?• '? On Site Sewage Water Conn On Site Well Water Meter ?U •?' MWCC System •'Y Acct. Deposit 30. ? City Water x{ 20.00 PRV Required l SM/ Permit Booster Pump - S%W Surcharge 1.00 Treatment PI 228• APPROVALS Road Unit -? ?'?' , ?• 7 Planner Park Ded. Council eldg. Off. Copies Variance TOTAL '? ? TL?"?? Building Official Permit No. Permit Holder Date Telephone # WATER ? • SEWER ? PLUMBING 5ol`3 r H.V.A.C. I ELECTRIC y??Cf C/ E81? Inspection Date lnsp. Comments Foolings I Foundation Framing Roofing Rough Pibg. IlG aougn Ht9. Isul. Fireplace Finel Htg. Fnal Pibg. Const. Meter Plbg. Inspector- Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final We44 Pr. Disp. (gpr#ifira#e u# (Orrupanry titp of Cagan ]9rVWrtnceW of luilaing 3ns,prriimt Tlris Cerrifrcare rssued pursuant to the requiraerrrents of Section 306 of the Uniform Building Code certifying that at the lime ojissuance this structure was in compliance with the various ordinances of the Ciry reguJnling bmldfng construction or use. For the following: use c 1 ? 4 Pf? ?t Ho. 16625 ?m? sm?. ??e? II?? LAiCE I?'VF?L L ? ID. ?? 6648 R[1S7.TC'? SE, PRIaIR T.M euaa' nad? ?"- Vm+1 . . ? DEM42R 15, 1989 eui1mng offiCW POST IN A CONSPICUOUS PLACE PERMIT # Site MECHANICAL PERMIT RECEIPT # CITY OF EAGAN -r ' 3830 PILOT KNOB ROAD, EA(iAN, MN 55122 DATE: - ITFiACT PRICE: PHONE: 454-8100 For Office Use Onl m Name ? Addre c City _ TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other BLDG. TYPE WORK DESCRIPTION Res. New ? M ult Add-on Comm. Repair Other ?. , FEES HVAC 0-100 M BTU RES -$24 00 C?l . ADDITIONAL 50 M BTU . - 6.00 Phone DES A/C ON NEW CONSTRUGTIpN) GAS OUTLETS {MINIMUM - 1 PER PERMIT) 50 EA - 1 COMM/IND FEE 1% OF CONTRACT FEE . . M BTU - APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPLIES M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & M BTU REMQDELS - 12.00 M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1 000) , FEE SIGNATURE OF PERMITTEE S/C: ' TOTAL• FOR: CITY OF EAGAN ? PLUMBING PERMIT For CITY OF EAGAN PERMIT # RECEI CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 IDATE: PRICE PHONE 4548100 Site Ad5{es? / v v c? ? i wc,r.r?r?r.c,r Lo? r'`T ??; Block ? , .,: 7, i. . ? Name .: ? ?! /•??iv . 's! Address ? ' `' - .,. " y•-, 'A City Phone Name 7&777Fjl?} sGic? , ? Addre s ? Cfty Phone FEES COMM./IND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S?C PER EACH $1,000 OF PERMIT FEE) Res. New Muft. Add-or Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TDTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 -T Kitchen Sink - $3.00 UrinaUBidet - $3.00 , Laur?dry Tray - $3.00 Floor Drains - $1.50 -? Water Heater - $1.50 1.5 V Whirlpool - $3.00 ?- Gas Piping Oudets - $1.50 (MINIMUM -1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10_00 ? Rough Openings - $1.50 ` PERMIT FEE: STATES S1C: Sd GRAND TOTAL: ?Q PERMIT M , • MECHANICAL PERMIT RECEIPT # -Y , CITY OF EAGAN ; ?y u 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: TRACT PRICE PHONE: 454-8160 For Office Use Only: Site Lot. m Name ? Addre c City _ BLdG.TYPE Res. Mult Comm. Other WORK DESCRIPTION New Add-on Repair FEES Name RES. HVAC 0-100 M BTU - $24.00 c , Address ? ` - ?' ' ??7?" ? ?-- Q • ADDITIONAL 50 M BTU - 6.00 Ciy kr ` • " L _' ? Phone ;-? ? (RES. HVAC,INCLUDE$ A/C ON NEW s CONSTRUCTION) GAS OU7LETS (MINIMUM - 1 PER PERMin - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ? Forced Air "? ? M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CaNDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAI FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM p0) PERMIT PRiCE GOES Gas Piping Oudets # ? ?. ? BEYOND $1 0 Other $ . FEE 'f .J • u x ``?? ?..:_ ,.. -? ' SIGNATURE OF PERMITTEE S/C: TOTAL• FOR: CITY OF EAGAN , .. ___?_.. _ . .. . ._ _.... . .. ?.... ,?.... . _ . . . . . _ _,. .._-_. ? ___. .' " "'._ ..... J PERMIT # PLUMBING PERMIT RECEIPT # . CITY OF EAGAN 3830 PIlOT KNOB ROAD, EAGAN, MN 55122 OATE: Site Address Lot ' ? Name ? Addre c City ? Name 3t Address O <Ii,1 oL4-. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,004.001 OF BLDG. TYPE WORK OESCRIPTION Res. - New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING I!lQ. FIXTURES TOTAL "- Water Closet - $3.00 $ -.1-Bath Tubs - $3.00 _<_?_4_Lavatory - $3.00 . Shower - $3.00 __?_Ki?chen Sink - $3.00 Urinal/8idet - $3.00 Laundry Tray - $3.00 ?Floor Drains - $1.50 Water Heater - S1 50 _?_Whirlpool - $3.00 ?Gas Piping Outiets - $1.50 (MINIMUM - 1 PER PERMI'n Softener - $5.00 We11 - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: ' STATE S/C: FOR: GRAND TOTAL: ?or (grx#tfir?te nf CO:rrupanry Citp of (gagan iorparmuW of WutiMng 3mwprtinn T his Cernficale iuuad pursuant to [he requironenu ojSeUion 306 ojthe flnijorm Building Cade certifpin8 thal at 1he tin:e of issuaace lhis slructure wias in conrpliancae with 1he warious or+dinancer ojltre City regularing building aonsbuction or use. For the foUowing. ue aksdsmtim I nF [s PLFX ews. Pamc iao. 16694 pw,P.nKT Type RAI IM 1 Zig uW;a Pn /R4 Tj,a cnw VN p..,d&d,r,g 7'FiMAS T.Ai[F. TIRVRT._A&h= hFiGR RTIQTTC Rn SF. vRTnR LAKE POST IN A CCINSPICUOUS PU1CE T4 {: • „ ; - : ? : ? CITY OF EAGAN ?J4 T?' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 • PHONE:454-8100 BUILDING PERMIT Receipt # To be used for ` '- •t? Est. Value Date Site Address Lat - Block Parcel No. W Name '1'-''? LAlfE DEYELOP?T. L`?? o Address PUSTIC !iD SE City 41?:?, u Phone 44-7-2424 ? Name ;o Address ? City Phone Name _ Address I a W I City Phone I hereby acknowlege that I have read this apptication and state that the intormation is correct and agree to comply with atl applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Permitee ' A Building Permit is issued to: • t^ `" ,.-. ;,,:?°'"'.,?'-N? ?:;'I on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Buiiding Official - OFFICE USE QNLY Occupancy R-'' FEES PLt Zoning (Actuaq Cons[ Bldg. Permit ' '? ?? • ?"? (Allowahle) V-N Surcfiarge 44•50 # of Stories 6?i' Plan Review ., ? S?? Length D 301 , ` 30.00 epth SAG City S.F. Total - SAG, MCWCC •? g•00 S.F. Footprints - On Site Sewage _ Wates Conn On Site Well Water Meter ' - MWCC System :"t " 's, , ? ? •, Ciry Water •'?? Acct. Deposit PRV Required x S/W Permit ' L; • W Booster Pump - grW Surchasge 1600 , `- ?13' Q0 Treatment PI APPROVALS 340' 00 Road Unit Planner Park Ded. Councii 81dg. Oft. Copies 2,893' S0 Variance - TOTAL ?':• 1?61/'Q Permit No. Permit Holder Date Telephone # WATER 0 SEWER PLUMBING ILP6- Ot?O y d ? ?O N.V.A.C. /e:2I ELECTRIC Inspaction Date Insp. Comments Fooiings I ??l6 Foundation 30 $' Framing Rooting - Rough Plbg. Rough Htg. $ 1sul. Fireplace .34oI-P 4*44P -Z 4$ Q Final Htg. Final Plbg. Const. Meter Pibg. Inspector - Notify Plumber Engr./Plan Bldg. Finai ?• L g / $ Deck Ftg. Deck Final Well Pr. Disp. 't.H. FQU?_:3JtLe: UrtIT I.OTS21-2G ? _. T • .? . ' BUILDING PERMIT. fo be used for =-? X CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # Est. Value Site Address 1 Lot 21 Block Parcel No. ? Name , 6v; 54; W ,. 3 Address 0 City Phone Zo Name r '.S I.AiCE DEVEWP?fEI?'T. L?D OU Q Address ? City Phone Name _ Address I hereby acknowlege that I have read this application and state that the iniormation is coRect and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Permitee A Building Permit is issued to: `--?t?'• ??YL?r_.'r'u ?? ? on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eaqan Ordinances. Building Official Sec-?Sub. ? . 19 USE ONLY Occupancy g"3 'i FEES zorong PD R-4 (Actuaq Const V-4-11 Bldg. Permit (Allowable) 14 Surcharge 37.00 # of Stories 6l1 ' Plan Review 2? i• ?? Length Depih 10-0 SAC. City 100.00 S.F.Total - SAC,MCWCC 375•00 S.F. Foolprints - On Site Sewage _ ater Conn W 580• ? On Site Well Water Meter MWCC System xx City Water xx Acct. Deposit PRV Required xx S/W Permit 24 • 00 Booster Pump - &W Surcharge i. C?J Treatment PI 126, rh? APPROVALS Road Unit W• 0C Planner Park Ded. Council B? Off. _ Copies Variance - TOTAL i' -"5 • 00 Permit No. Permft Holder Date Telephone # W9TER SEWER PLUMBING °c.I H.V.A.C. f I?? l?- ?7 ELECTRIC G??f/ ? ?• ?? ? ? Inspection Date Insp. Comments footings I i/ 06A, d - 9- Cz! Foundation Framing Roofing RoughPlbg. Rough Ht9. r-01"/ ( Isul. L Freplace Fnal Htg. • L ? Final Plbg. Const. Meter Pibg. inspector - Notify Plumber Engr.IPlan eldg. F,nal i D Deck Ftg. Deck Final Well Pr. Disp. • y ? (Irrti#iratt of (orr??aury titp of eagan ioppartmmt uf luilding Jtto,prrtimi This Certif[cate issued pursuant w the requirements of Section 306 of rhe Urriform Building Code certrfying lhat at the time of issuance this structure was in compliance with the variaus ordinances of the City regulatirrg 6uilding construction or use. For ihe following.use chmrcauoo I OF 4 PIFX Hiag. Pem I a xo. 16622 Occ„P,-y Type R3/1'11 zoning Discnct PD/R4 ryPv Co„st V!V Owner of BuiidingRg'S 'AT, DEVEL• L'TD • Addrets 6648 RU`?C IM `¢', PRIOR I'AKE Nte: AiGUST 31, 1989 POST IN A CONSPICUOUS PLACE • PLUMBING PERMIT . ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EA(3AN, MN 55122 CONTRACT PRICE: PHi Site Address 6!;?, , 4 Lot - / Block Sec/Sub ? Nan ? Add c City BLDG. TYPE Res. .? Comm. PERMIT # /,- RECEIPT # y 2 DATE: WORK OESCRIPTION New Add-on Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ? Name ? Water Closet - $3.00 Bath Tubs - $3 00 $ 3 Address . $3 p Ciry Phone Lavatory - .00 _LShower - $3.00 a = ' _4-Kitchen Sink - $3.00 FEES Urinall8idet - S3.00 - - COMMlIND F-EE -4Wo OF CONTFrACT FEE ' Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES -* Floor Orams -$1.50 i TOWNHOUSE 8 CONDO - RES. RATE APPLIES -LWater Heater -$t 50 z MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 % STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - S10.00 . Private Disp. - $10A0 Rough Openings - $1.50 SIGNATURE OF PEFMITTEt FEE: 4 TV STATE S/C: , FOR: CITY OF EAGAN GRAND TOTAL• PERMIT # ' MECHANICAL PEAMIT RECEIPT # ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ' CT PRICE: PHONE: 454-8100 For Office Use Only: Name ? ? Address c City. , Name c Addre: p City ? TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other M BTU M BTU M BTU M B7U CFM ? FEE: S/C: TOTAL• BLDG WORK S TION . TYP CRIp DE Res. New Mult Add-on -- Comm. Repair Other FEES RES HVAC 0-100 M BTU -$24 00 i . ADDITIONAL 50 M BTU - . 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLE7S (MINIMUM 1 PER PERMIn - 1 50 EA ,l4, ._i J - COMM/IND FEE - 1°r6 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES . . TOWNHOUSE & CONDOS - RES. RATE APPLIES MINVMUM RESVDENTiAL FEE - ALL ADD-ON 8 REMODELS - 12.40 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - (AQD $ 50 S/C IF PERMIT PRICE GOES .50 . BEYOND $1,000) ? •"-.J ` _ _?.,,_? ?? ? ?_'?'. ?'?.? r ?y , StGNATURE OF PERMITTEE-"' ' ?'`? FOR: CITY OF EAGAN - ?? ?i. ??'s•- ? .•- ' • ? CITY OF EAGAN " ?'?•? 1 `, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE:454-8100 BUILDING PERMIT Receipt # Tobeusedfor ?•--• Est.Value $6s+00U Date -?ut Site Address L Lot Block Parcel No. W Name i:ru ; Address ° City Phone 47-2424 ? Name 0 ?Q Address m ?- City Phone Name - Address Phone I hereby acknowlege that I have read this application and state that the information is correct Minnesota Statutes an y g Signature ot Permitee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 2 Sec'Sub. and agree to comply with all applicable State o1 d Cit of Ea an Ordinances. 19G 9 OFFICE USE ONLY ? k- 3 Occupancy t?f- t FEES Pt' ' ' !? "4; Zoning (Actual) Const V-N Bldg. Permit (Allowable) V-l2 Surcharge ?6y.QQ # ot stories 640 Plan Aeview Y$ . ? Length Depth 30' SAC, City I ; `UXo S.F.Total SAC.MCWCC 575•00 S.F. Footprints - On Site Sewage _ water Cann 580. QQ On Site Well Water Meter MWCCSystem ? ? A ct De osit }?? ? ' Ci ry Water ( . p c PRV Required •? S''W Permit 70.? Booster Pump - S/W Surcha e i '00 APPROVALS Planner Councii Bldg. OH. Vanance ? TreatmentPl 2;18 . 00 Road Unit ?43• 0G Park Ded. Copies TOTAL ?• 742•00 Permit No_ PertnR Hoider Date Tslephone # WATER • G ? ' o n, , • {. , .., v ??? ?I SEWER ` PLUMBING ^"tr9 H.V.A.C. L wf(? ^ r7 ELECTRIC OS?J Inspection Daie Insp. Comments footings I Foundation ?D Framirtg A),i-21 n ? Roofing Ww9h PIb9_ ? ? - -? r- ? - Rough Ht9. sul. y ? Freplace Final Htg. FinalPlbg. ConsL Meter Plbg. Inspector - Notify Plumber Engr.IPlan Bldg. Final rp,Z, !!J Deck Ftg. Deck Final Well Pr. Disp. ti . (ger#t#iratit uf (Orru?aury titp of (eagan aeviirttnrttY v# lw[Dcng iwpr#tm This Cenif cate issued pursuant io the requirements of Section 306 of the Uniform Building Code cemfying that at the time of issuance thrs structure was in compliance wiPu bhe various ordinances of 1he CiTy regulating building constructian or ase. For the fotlowing.• Use Ch,aifiariael (]F b PT.F.X &dg. Rrmit No. 1.667 3 pocnpency Type FAh'11 Zoning Disdid ppa4 1}rPe Caret. VN o,.na or Building-11124AS IM IEVE[.. . LID. naarem 6648 HI]STIC ItD SE, PRICLR LAKE swia;ng n,aarm 1600 MALTARD V'TM Li„Y L22, E2, UIMAS LAM WOCW n.u: [Y'f[]1m 25! 196i4 Builtling O(ficieV•• POST IN A CONSPICUOUS PLACE PERMIT # MECHANICAI. PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN ITRACT PRICE: . PHONE: 454-8100 Name ig Addre; c City-= Name TYPE OF WORK Forced Air M BTU Boiler M BTU Unit HeBter M BTU Air Cond. M BTU Vent CF M Gas Piping Outlets # Other FEE: - S/C: -? TOTAL• DATE: For Office Use Only: BI.DG. TYPE? Res. k'? Mult Comm. Other WORK DESCRIPTION New Add-or? Repair FEES RES. HVAC 0-140 M BTU -$24.00 ADDITIONAL 50 M BTU (RES HVAC INCLUOES A!C ON NEVY - 6.00 . CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. COMM/IND FEE - 1°rb OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES ? TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20,00 S7'ATE SURCHARGE PER PERMIT - ,50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) FOR: OF OF EAGAN F?_ - _ , - - , :?; V.-... y3?,?.F,• ?. . .. PERMIT # • • . PLUMBING PERMIT RECEIPT # CITV OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: %- Q CONTRACT PRICE: PHONE: 454-8100 T Site Address Lot;Z ? ._zBlock 7- See/Sub ? Name 1 ? Address c Cityr„4_,sL.q. 6z4?.4: Phane Name _ Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDQ - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1.000.00) BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES 2'- Water Closet - $3 00 TOTAL . Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 - i Kitchen Sink - $3.00 Urinali Bidet - $3.00 . Laundry Tray - $3.00 " rFloor Drains - $1.50 ?iWater Heater - $1.50 r Whirlpaol - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMin Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 OF FEE STATE S/C: ? -- FOR; CITY OF fAGAN GRAND TOTAL: - - SEWER 8 WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.b. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE '' / 1 y--i WATER PERMIT # `-0 SEWEA PERMIT # METER # ?JI B.P. RECEIPT # C 2 451 9 # B.P. RECEIPT DATE 6111118 METER SIZE !WZ ISSUE DATE 10 -?? 'x PRV _ BOOSTER PUMP SITE ADDRESS ??' /? -???'K' '?'?u • PERM(T REQUESTED ' LOT?-' BLOCK -?" SEC/SUB ?^ ???? t? ? C SEWER !L/ WATER TAPS i APPLI ANT: / I ADDRESS: C M/IND L.L RESIDENTIAL CITY, STATE ?,? ZIP ? PHONE: NEW - EXISTING . PLUY.BER: ; ADDRESS: ? ? ???r G/•? -` , I AGREE TO COMPLY WITH CITY OF CITY STATE ZIP • EAGAN ORDINANCES: , PHONE: , OWNER: ADDRESS; SIGNA WHE R ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS CONTACT ENGINEEHING DEPT. , , _. ..? - - - -- - -- - -- -- - j SEWER & WATER PERMIT I C1TY OF EAGAN ? 3830 Pilat Knob Rd. P.D. Box 21199 Eagan, MN 55121 OFFICE USE ONLY ?4rx %; PERMIT DATE ;n WATER PERMIT # SEWER PERMIT # METER # B.P. RECEIPT # C 2f- '1 READER # B.P. RECEIPT DATE METER SIZE ISSUE DATE k" PRV - BOOSTER PUMP SITE ADDRESS ' ' ?-'/GG%G?? ' PERMtT REGIUESTED LOT'- BLOCK % SEC/SUB - APPLICANT: ? SEWER -iL . WATER ? TAPS ADDRESS: -'? • ?d ? ?" ~ ? _ CqMM/IND ? RESIDENTIAL CIN, $TATE : ??!.C'.r- , .?';?y???` ZIP PHONIP: ?YNEW EXI5TING ? _ ? PLUMBER: , ' ADDRESS: I AGREE TO COMPLY WITH CITY OF CITY, STATE : 7" ZIp ;? ? •' ; ?? EAGAN ORDINANCE r' S: PHONE: _ - ? :. % • , OWNER: _ ADDRESS:_ CITY, BTATE PHONE: _ qw ZIP L' SIGNATURE WHEN METER ISSUED PIEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMI7S, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.c: BoX 21199 Eagan, MN 55121 SITE ADDRESS Z 4(5 ' ' LOT >` ?? BLaCK ,2- SEC/SUI APPLICANTy ADDRESS:_ CITY. STATE OFFICE USE ONLY PERMIT DATE )! 14/ i:9 WATER PERMIT # SEWER PERMIT # METER q z 2? B.P. RECEIPT # C 24 41 AEID-ER # ud 96f B.P. RECEIPT DATE 6 13 89 METER SIZE ISSUE DATE = 3' Z^fi O y? pRV _ BOOSTER PUMP 2? ZIP PHOME: ? 1 PLUMBER: ADDRESS: CITY, STATE '?.'•?=' Zip PHONE: OWNER: _ ADDRESS:_ CITY, STATE PHONE: ZIP ? PERMIT REQUESTED i- SEWER -ZWATER T TAPS / - COMM/IND ? RESIDENTIAL i? ' --LL NEW - EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCK'': ? SI URE WH METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING OEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 SITE ADDRESS 'LOT BLOCK --"` SEC/SI APPLICANT: ADDR&SS: CITY, STATE _• _ ,' ??.f? i..: ZIP - PHONG: . . ?. PLUMBER: ' ?>'i1 j /1';•<?;i. '7'- ./•y-?ir?,?? ._„?. ADIIRESS: CITY, STATE ? - ? ZIP PHONE: OWNER: _ ADDRESS: _ CITY, STATE PHONE: _ OFFICE USE ONLY PERMIT DATE " I ' ' WATER PERMIT # SEWER PERMIT # METER # B.P. RECEIPT #' READER # B.P. RECEIPT DATE METER SIZE ISSUE ?? ZIP Xx- PRV - BOOSTER PUMP PERMIT REGIUESTED ? SEWER _ WATER _ TAPS - COMM/IND - RESIDENTIAL NEW _ EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3836 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 QFFICE USE ONLY PERMIT DATE % I '_ + i : WATER PERMIT # SEWER PERMIT # _ METER # Q B.P. RECEIPT # : ?451 +% R# O B.P. RECEIPT DATE 5 13 8q METER SIZE ISSUE DATE ??Id -- g?L Xx PRV _ BOOSTER PUMP SITE ADpRESS LO-P?-tLOCK APPUCANT: ADDRESS: CITY, STATE PHONE: PLUMBER: i,? ADDRESS: 152 CITY, STATE PHONE: -;K ?-3'- OWMER: - I AGREE TO COMPLY WRH CITY OF AN OFiDIN"CES: v ADDRESS: SIGNATURE WH€N MEYER ISSUED CITY, STATE ZIP PHONE: ? PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. , ? f PERMIT REQUESTED ?'-c_.?.?•,c=e-v / ? -\ZSEWER ;L WATER _ TAPS CO?n1M/IND ??RESIDENTIAL ZIP -? • ? ? NEW _ EXISTING ? f-;; SEWER 8 WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 SIT-E 1ADDRESS ' -'>? LOY'?LOCK ?'- E APPLICRNT: ADDRE3S: CITY, STATE PHONE: PLUMBER: ADDRESS:--? CITY, STATE PHONE: _.._ ? OWNER: _ ADDRESS:_ ; CITY, STATE I PHONE: _ OFFICE USE ONLY PERMITDATE 6 f 14 WATEH PERMIT # 1(1 l n SEWER PERMIT # METER # B.P. RECEIPT # READER # ? B.P. RECEIPT DATE a 13 8 METER SIZE ISSUE DATE -= PRV _ BOOSTER PUMP _ ? ?- _???v lSUB , '.fscr.t-s?' :?714_7C. Ll??? f. :? ? • c ,L ? _? , ZIP 1. , ZIP ZIP , PEFiMIT REQUESTED i _VSEWER -fWATER - TAPS - COMM/IND ? RESIDENTIAL % ?NEW _ EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN OROINaiYCES: i SIGNATURE WHEM METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. L - - - - - --- - SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 6114189 3830 PIIOt KflOb Rd. WATER PERMIT # 110517 SEWER PERMIT # P.O. Box 21199 , METER # ya d/ -7D1 '33 B.P. RECEIPT# C 2451 Eagan, MN 55121 # B.P. RECEIPT DATE 6 13 89 METER SIZE ISSUE DATE ? U ? 7 3 9 XX PRV - BOOSTER PUMP SITE ADDRESS _ LOT ? Z BLOCK CITY, STATI PHONE: • PLUMBER: - ADDRESS: _ CITY, STATE PHONE: _ OWNER: _ ADDRESS:_ CITY, STATE PHONE: _ ZIP - ZIP ? PERMIT RE?y ESTED .ti / - SEWER ?/ _ WATER _ TAPS - ?NE M/IND ?! RESIDENTIAL - EXISTING 1 AGREE TO COMPL WITH CITY OF GAN ORDINAN , r • ? U SIGIy? RE WHEN M T ISSUED i? PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT . ENGINEERING DEPT. ?` SEWER & WATER PERMIT CITIf OF-EAGAN 3830 Pifot Knob Rd. P.O. Box 21199 Eagan, MN 55121 SITE ADDRESS _ LOT • - BLOCK ADDRESS: ; CITY, STATE PHONE: + OFFICE USE ONLY PERMIT DATE 6114,:'. ?WATER PERMIT # 165117 SEWER PERMfT # METER # B.P. RECEIPT # 0 2451 READER# B.P.RECEIPTDATE 6 13/ao METER SIZE ISSUE DATE PRV -BOOSTER PUMP ZIP PERMIT REQUESTED i. SEWER - WATER -TAPS ? COAAMlIND .? NEW ? RESIDENTIAL EXISTING PWMgER: ADDRESS: - ?` !r`"- •?f?'??-? I AGREE TO COMPLY WITH CITY OF CITY, STATE ' ZIP EAGAN ORDINANC15 • S: , ; PHONE: OWNER:.- ADDRESS:_ CITY, STATE PHONE: ZIP SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING aAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ? CASA FiECEIPT ? I ? CITY QF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ,. DA7E s?cEwEO 1 ' , . FraM /:. / 1 1 _ , . ` y AMOUNT DOLLARS ,oo ? CASH [I CHECK 8Y C s,?te-Peyem Cop, YaHaw--posting Copy Pink-Fi10 Copy Thank You INSPECTIDN RECORD ? CITY OF EAGAN PERMIT TYPE: ''?+??? i r??? 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: , oir,t I ni(ii v1r i1 ? ? . ., i ... ? b.ffl(1[)S PERMIT SUBTYPE: TYPE OF WORK: ?1*11) rrH 1. 1 1 1 1 1 h1A l Permit No. PertnM Molder Date Telephons # ELECTRIC PLUMBING HVAC Inapection Date inep. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FlNAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: "? <<?` ?"?'' 3830 Pilot Knob Raad Permit Number: - Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 SITE ADDRESS: L APPLICANT: :?;1 !?'?'t•[! 1?i1 t I ?Jt+I k1+ PERMIT SUBTYPE: • 14 TYPE OF WORK: UV1CR I[i'TTE)N A1 Tf Fi11'1 I () N ( NU Rf'toitf11'1PI INSPECTION .• . D• I iiiRkg, A!3P.'qAItATE 1lf'12M1'T Y i liIF-011lhF0 fO(' AI nV _ ? ----------- -- Permit No. Permlt Holder Date Telephona 7t ELECTRIC PLUMBING HVAC Inapaction Date Insp. Comments FOO7INGS FQUND FRAMING Y7--? ROOFING ROUGH PLUMBING ,/v, ?q PLBG AIR TEST ROUGH HEATING GAS SVC ?EST INSUL 7. / GYP BOARD ? FIREPLACE FIREPLACE AIR TEST ? - ? ( FINALPLBG r Or ! [Y ? FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ce_ 0 ? CITY OF EAGAN 3830 Pilot Knob Road ' Eagan, Minnesota 55122-1897 ' (612) 681-4675 I i r SITE ADDRESS: , „ I: i 1.,,f rant t /lF;U IIIt i I II11Mti'• i(it 1 4Jf4(101= PERMIT TYPE: Permit Number: Date Issued: fiuiI uI wf. q.'t; NFi ' ' ti(y t:'H I+aF PERMIT SUBTYPE: APPLICANT: t lltj I 1 94/ 49,r TYPE OF WORK: 111 .i ! 1 ! 1 I -'t.! Hf: ia ?l "•;F A`iDH 1}(1R1"li/111 t'K j INSPECTION DA • • D• , . . . :i. +`,+t I rJ• ! NI `. 11 ((1 f f 1'1 /t I l? _ _ ? Parmit No. Partnit Hoider Date Telephano N ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments fOOTINGS F011ND FRAMING 11-27'St A4* ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FlREPLACE FlREPLACE AIR TEST FINAL PLBG FINAI NTG ORSAT TEST BLOG FINAL BSMT R.I. BSMT FINAL DECK FINAL ? --- - l - 1 . P- 3 81 Requast Date ? ire No. Raugh-in Inspecbon Requiretl'+ 0 Reatly N. ill Notily Inspector W?en R tl 7 ? f S J es ? N. ee y Ip licensed contractor ? owner hereby request inspection of above electrical work at: JoC Atldress (SUeat, Box or Rwte No.) 1? ? City , Sedlon No. Township Name or No. Range No Coumy ^ ?GL OccupeM (P T) Phone Na. Powe Sup r & ? ? Adtlress x2 ? u < !il n a ElecVkal nbactar (Company Name) Conira § Licanse No. x' - ? u/ 9.?s=3 MaiArg Adtl ss (CanVada ar Owner Meldng Installalion) - ?5 D ? / "777 ignaWre (CoM? orNwne? ing Irtiallation) Phone Number NINNESdfA STATE BOARD OF ELEGTHICRY THIS INSPECTION REQUE5T WILL NOT Grigga-Mitlwey BWp. - Poom S173 BE ACCEPrED 8Y THE STATE BOARD 1841 Unlvorelly Ave., Sf. Paul, NN 5510I UNLESS PROPER INSPECTION FEE IS PhOne(615) 6624800 ENCLOSED ???SZ9 REQUEST FOR ELECTRICAL INSPECTION __-ll? See insVUdions iw completing ihis fom on back ot yelbw copy P -4 0381 X" Below Work Covered by This Request AM% E&000p1-09 ry35%? e Add Rep. Type of Building AppliancesWiretl EquipmeniWired Home Range Temporary Service Duplex Water Heater ElecVic Heating Apt. Building Dryer Olher (Specity) Comm.llndusirial Fumace Farm Air Condihoner Olher (specdy) ConVedork Remarks Campute Inspeciian Fee Below: S Other Fee /f ServiceEntrancaSize Fee # Grcuits/Feeders Fee Swimming Pool 0 to 200 Amps j 0 to i00 Amps 5L- Transformers Above 200 _ Amps Abo _ Amps Signs Inspectar4 Use Only: Tp? ? Irriga[ionBOOms ??• ?Q?' Special Inspection Alarm/COmmunication Olher Fee I, the Eledncal Inspector, hereby certify that the above inspection has been made. Rouqn.m r Da 7A d Flnal r0 a OFFICE USE ONLY This request wi0 18 monihs Imm ¦ - 0 3 91 zc-g Fequest Oafe ve No ?/? RougMin Inspection RequrtedT iN Abhiy Irtspector ? ReadY ?w ?t W ' 't ' s ? wo hen Reatly N I licensed contractor ? owner hereby request inspeCtion of above electrical work at: ,bb Atltlr/e?ss?(,S/ireet, Box or Route No.) Ciry ?r Section No. Tavnship Neme w No Faige No Counry OccupaM INT) Phom No. ??,??'r [/?"V Power lier? Pddress Elecirical traclor (COm any N CoMra Ucenee Na - , Mauhng AMress (COntractor or Owner Making Inslaila4on) 2 ? ? I , /J K _ • ?1z , z2 2// - Au1M7 nature ?CaNraqw/Owner /M?aki/ng aliabon) Iqne Num/Jba/rJ/ / / Vil // MINNESOTA STATE BOAND OF ELECTRICffY iF15 INSPECTION FEQUEST WILL NOT Griggs.Midway eldg. - Hoom S173 BE ACCEPTED BY THE STATE BOARO t821 Univenily Ave., SL Paul, MN 551G9 UNLESS PROPER INSPECIION PEE IS Phwie (612) 662-0800 ENCLOSEO. qw9 P 40391 REQUEST FOR ELECTRICAL INSPECTION ? See insWCbons tor completing this rorm on Oack of yellow copy X" Below Work Covered by This Request EB-00001-07 ew Xdd Rep Type of Building AppliancesWired EquipmeMWrtetl Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Building Dryer Olher (Specify) Comm./Industrial Furnace Farm Air Conditioner ONer (speary) Conlrador§ Remarks: Compute Inspection Fee 8elow: # Othar Fee # ServiceEntrance5ize Fee # Circmts/Feeders Fee Swimming Pool 0 to 200 Amps 13 0 to 100 Amps s?- Transformers Above 200 _ Amps Above 7 Amps Signs Inspectws Use Oniy 7p7pL Inigation Booms 7Q'V ?Q ? Special Inspection AIamVCommunication Other Fee 5z ? I, the Electrical Inspector, hereby tif h h R°ugMn ate ? A4C ? y t cer at t e above inspection has been made. Finel a? _ OFFlCE USE ONLY This request void 18 monNS Irom II REQUEST FOR ELECTRICAL INSPECTIONG? '•II IIII I?I I I I? II I III I I I I I II M821 Universiry Aveef Rmf S7128, ?t. Paul, MN 55104 * U 3 2 CJ 4 3 5 L* p h o n e (612) 6 42- 0 8 0 0 / o 2 '9( P Home Duplex Apt. Bldg. Chher: - New Addn Commercial Indushial Farm Remod Re oir Air Cond. Hfg. Equip. Wafer Fifr. Load Mgmt. Ofher: D er Ron e Elec. Heat Tem . Service ,"X" a6ove fhe work mvered by fhis request. Enter remarks m this space and on tbe back of the white mpy only. r'e Pci.?r !) ?Y? ?ltJ?"1? i GEi Q.?-f?CtM?G.? • Calculate Inspection Fee - Tha Inspection Request wrll not 6e atcepted wifhouf fhe cortecf fee: Olher Fee # $ervice Enkance Size Fee # Ciraih/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Lfg./Tmffic Sig. Above 200 Amps Amps Translortner/Genemior INSPEC7oR'sUSEONLY OTAL ? $ign/Oufline Ltg. Xfmr. • ? Alarm/Remote Conlrol $wlmmmg Pool I hereb cem Mal I ins ected ffie e on desmbed hercin on Ihe dolm smied Irrigotion Boom Rouqh-ln Dok $peaol Ins ection p Investigofive Fae "ml D. THIS INSTALLATIDN MAV BE ORDERED CONNECTE OT COMPLETED WITHIN 1 8 O THS. 3 n O?/? ?? ? ?. G t USE Li Thiz requatvoid 78 monMs fmm validafion dale pnnted in Ihis b O ? ? %cv (1 0'- ? ? 1 ? ? rp7, ? - ,,-,?- k t ?ziM 90 ,Xk "66 PLEASE PRINT OR TYPE o . 1 Reqoesl Do Rough-m inspeclian reqwredi [] Yn Iropecnon Other Than Rovghin: keady Now ? Will Coll $ (Yoo mat roll Ihe inspecbr »hm mody) Dah Ready I, <ensed contracror ? owner hereby request inspedion of the a6ove elecirical work ot: bb Addrezz fStreet, Boa, or Rouk Na ) I Gp ? Zip Gode 5sr,;L-a Setlion Na. Tawnship Name or No Range N. firo No . Oaup nt Phone No ? yrrlx P vnr applier Address El. Commdor (Compom Nome) ?? 1 Commnor bcensa No ? ? Mamr Ga Na. (Plom Elecl. Only) Mailirg Address (Conhacror ar Owner Pedorming Inzmllobon) zs is lunhorix? Nro(ComronqcorOwnaiPeRormin) P n Na. gq( EB-OOO70Ihlo.?5 ?? STATEBOARMCOPY -`BIW INSTRUCTIONSONBACKOFYELLOWCOPY s;4 " g3s??- ? 40390 ? Request Dete rte No Faugh-in Inspection Requiretl9 I ? AeaAy Now?'4Vill NoOry Inspeclor ??l CJ 7 Ves ? No Whan Raeay? I[licensed contractor ? owner hereby request inspection of above electrical work at: Job Mtlres?s (Str/eet, Bm ar R/o?N^e No.) CRy $ecLOn No. Ta.mshlp Name ar No Renge No. County Omupant (PfiINT) Phone No. Powar u ier / AtlOress Eleciriral CoMractor (Company Neme) Contmctoig Lcen&e No. Maibng AWrew Contractor or Owner Making Installafion) /- AWhorizetl Signazum (Cantraqor/Owner Makirg I IWlron) Phona QNumbe?r ? ? - n J lo ./? G' NINNESOfA STAiE BOARD OF EIECTPICRY TMIS INSPECTION REQUEST WILL NOT GrlggrMidway Bldg. - prom S173 BE ACCEPTEO BY THE STATE BOARD 1821 UMVersily qvp., yY p¢W, MN 55f09 UNLESS PROPEfl INSPECTION FEE IS Ptione (612) 612-0800 ENCLOSED. REQUES7 FOR ELECTRICAL INSPECTION No See instrucliws tor cnmpletiig thm torm on back of yellow copy. P 4 0 3 9 0 X" Below Work Covered by This Request E8-00001-07 " y 3.5,?7c,7- e A8tl Rep. ? TypeofBuiWing AppliancesWired EquipmeMWired ? Home Range Temporary Service Duplex Water Heater Elecuic Heating Apt Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Condkioner OMer (speciy) CoMractorY Remarks: Compute Jnspection Fee Bebw: # other Fee # ServiceemranceSize Fee # Qrcmis/Faeders Fee Swimming Pool 0 to 200 Amps 'SI_ 1 13 0 to 700 Amps 5 zY TransFormers Above 200 _ Amps ove Amps Signs Inspedor§ Use Omy ? r d TOTAL Irrigation Booms ? ?? 7L) Special Inspection Alarm/Communicaiion O[her Fee cs? I, the Electrical Inspector, hereby certify thatthe above inspection has been made. R°ugh-in OFFIGE USE ONLV This request voitl 18 monihs irom 8/r ?/Frr 9 357 ?- P? 40382 ?? ReQUest Date / f rte No RougMn Irtpenion ? Ready Nowll NoM1fy Inspecla R iretl? R Wh .. . en eaW es ? V No licensed contractor ? owner hereby request inspection of above electrical work at: Job lWtlress (5[reet, Box or Route No ) / CMy Seceon No Township Name w N. Rerge No. CouMy Occupant(PR Phone W. Pmver S ppl? ?c-C2? AtlOrew ? . EleNicyl C ropor (Comparry Name) Conlraclor9 L nse No. e. osii9?s--? Mailing Add ss (Con i r ec tor or Owner Making Inslallatlon) ? ? { ? /'/ e li . / L Aulhorizea ' nature (COMr w/Owner Makirg tallation) ` P one NumEer/J IIINNESOTA STA7E BOAHO OF ELECTFICT' THIS INSPECTION REQUEST W ILL NOT GrIBBaMitlwey Bltlg. - Room &773 BE ACCEPTEO BYTHE STATE BOAFD 1827 Univeniry pve., SL Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS Mme (812) 602-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION eeu0001.07 li? See insVUClions for complehrg Mla tortn on back pt yellow copy % a3?? ?-- / r- 4 03 82 X" Below Work Covered by This Request ew Add Pep. TypeafBuilding AppliancesWired EquipmerrtWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Intlustrial Fumace Farm Air Conditioner Olher (spen(y) Coniraclor5 Remarks: Compute Inspection Fee Bebw: # Other Fee # ServiceEntrance Size Fee # CircuitslFeedere fee Swimming Pool 0 to 200 Amps 0 t ps Transformers Above 200 _ Amps Amps SigI1S Inspeqor5llse Only 1 O TAL ,.?/,. - Irrigation Booms CJ 76• ? Special Inspection Alarm/Gommunication Other Fee ? I, the Electrical Inspector, hereby certify that the a6ove inspection has 6een made. Rouqn-,n 40 ce ? q? L oare l0 "4-0 OFFlCE USE ONLV This request vaiG 18 months hom Address: 1604 MALLARD VIEW Lot 23 Slk 2 Sec/Suh THOMAS LAKE WOODS These items weie/were not complete at the time of the flnal inspection. D te: 5 1 Yes No Final grade (6" from siding) ? Permanent steps - garage t/' Permanent steps - main antry f Permanent driveway v/ Permanent gas ? Sod/seeded grass Trail/curb damage ? Porch ? Basement finish ?' Deck ? Please varify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outsida larm faucat before £reeze potential axists. ? xECmEOwrtn White - City copy Yellow - Residant copy Pink - Contractor copy BLDG. PERMIT NO. 01-3210 Bldg. Permit 5 d LU 01-3422 Plan Check 00 01-3445 Surch./Adm. ? 01-3446 SAC/Adm. 5 ?5 5? 01-2155 Surcharge ? 75-3860 Road Unit 3'q U ? 20-2275 SAC 5?oc) 203865 WaterConn. 5g0 c? 20-3868 WaterTrmt. °P a6 60 ? 20-3716 Water Meter q () 0L 20-2252 Acct. Dep. ? on ? 20-3773 Water Permit y? y?? Do g 20-3743 Sewer Permit 10 ? 79-3866 Sewer Conn. I C) C) (DU 28-3855 Park Ded. TOTAL "?? "? ? ?? CASiN RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 aeTE ? ,s ? nco `?-- ,?`-???,,.,.?? LE1)6. L; ,iu?.f AM«,NT S oouwAs ,m ? GSH ? CHECK )bw,lLLz, It,04, aizoCr n"Vlccc.lJ FUNO OBJECT AMOUNT Thank You , ev <--?c_,L??_r C 2451 ,^NW-°s".CWY Yapo*--ftebq Gopy ? CASH FECEIRT ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 oAre ? f I;:.. ?0 1' I arourrr oounas ,b ? CASH ? CNECK ? j-,.i`? 1(nuO;tLc,2, V ) l«?; .. Lc LX r ` FUND OB,IECT AMOUNT Thank You ? ar C 2451 ? ' ? BLDG. PERMIT NO. 01-3210 Bldg. Permit L7 Q7 ? 013422 Plan Check z-c 20 ? 01-3445 Surch./Adm. 9 J 01-3446 SAC/Adm. 5 01-2155 Surcharge 'L1)4 59 75-3860 Road Unit 40 00 20-2275 SAC J Gdc) 0-6 ? 20-3865 Water Conn. ` X) 20-3868 Water Trmt. ? ? ? 00 ? 20-3716 Water Meter ? 20-2252 Acct. Dep. - 20-3713 Water Permit ILD 00 20-3743 Sewer Permit 10 oo 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL 3 i DATE: y f14194 - I J RE: 1600, I602, 1604, 1696 UALLARD 1T1fiW ?. . .. LOT 22, 21. 23, 24, 32, THb3.:AS LAKE [700DS _XE_ ; 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.•'8E SURE TO "CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TUR*ON. _ Your Sewer & Water Permit for the above property cannot be completed for the (ollowing reasons: ? Your Sewer & Water Permit for the above property has been completed, but the meter Cennot ' be issued or occupancy allowed 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 Inspec(oi? - 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, 8uilding Inspections Dept. BLDG. PERMIT NO. 01-3210 Bldg. Permit IDdc 01-3422 Plan Check ? 01-3445 Surch./Adm. 01-3446 SAC/Adm. ? ? 01-2155 Surcharge ` 75-3860 Road Unit ?- ? ?- ? 20-2275 SAC S ?c ? 20-3865 Water Conn. ? ? 20-3868 WaterTrmt. 20-3716 Water Meter ? ? 20-2252 Acct.Oep. ? 20-3713 Water Permit ? ? 20-3743 Sewer Permit 79-3866 Sewer Conn. I L C) 28-3855 Park Ded. 00 TOTAL CASH RECEIPT ? CITY OFEAGAN 3830 PILOT KNOB HOAD EAGAN, MINNESOTA 55722 OATE 19 rven ?" ^l ? / L{ ()i? /)ll AMOUNi ? GSH ? CHECK +m r ?C`A II?LU,I&c?, _ s LtJ?c'd , , FUND OBJECT AMOUM Thank You ev "c_,??{ r C 2451 COW I - BLDG. PERMIT NO. 01-3210 Bldg. Permit "? C-C L-Ij 07-3422 Plan Check a4 8 co 01-3445 Surch./Adm. ? ? 01-3446 SAC/Adm. ? 01-2155 Surcharge ? 75-3860 Road Unit ?3q 0 cc ? 20-2275 SAC 5009 ? q? 20-3865 Water Conn. J30 60 ) 203868 Water Trmt. a a ? C 20-3716 Water Meter ?!C:? ? C 20-2252 Acct. Dep. oo ` 20-3713 Water Permit C w O ? 20-3743 Sewer Permit - 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL 75 DATE: 6/14/89 RE: 1609, 1602, 1604, 1606 @ae1LLARD VZE6] LOTS 22. 21, 23s 24 B2 TEIOMAS LAKE td00D8 ? Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO ,CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. 1 ?'Your Sewer 8 Water Permit for the above property cannot be completed for the following <[easons: ? Yr Your Sewer 8 Water Permit for the above property has been completed, but the meter cannot be Issued or occupancy allowed until fuRher 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 - TELEPFIONE, ELECTRIC, GAS, ETC. - RE4UIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. iois'Ki0?4SALE UNITS CITY OF EAGAN L. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8700 Receipt # C To 6e used for 1 OF 4-PLEX Est Value • 1989 ..Site Address 1606 MALLARD VIEW LOt 24 BlOCk 2 SeClSUb.THOMAS LAKE WOOD OFFICE USE ONLY Parcel No. occupar,cy R-3 M=1 FEES PD R 4 Zaning = = Name THOMAS LAKE DEVELOPMENT. LTD (ActuapCons( V-N emg.Permit 522.00 ; Address 6648 RUSTIC R? SE (Allowable) V=N 37 00 0 Surtharge . Ciry PRiOR LAKE Phone 447-2424 xoisiories 641 PlanRaview 261.00 Le'ym o Name SAME Depih -3-W SAC City 100.00 . g¢ Address SF.ToWI - , 575 00 SAC,MCWCC . ? Clly Phone 5 F. Footpnnis - Waler Conn 580.00 On Ste Sewage _ Name On Site Well - Water Meter 90.0 P 1 1 Address MWCCSystem ? 30 00 0 - 1 City Phone Ciry Water }CX nca. oeposii . xx S/W P t 20.00 PqV Raquiretl ermi I hereby acknowlege ihat I have read this apphcahon and state that the Booster Pump - SIW Sumharge 1.00 mlorma6on is correc[ agr e to comply wrtall apphcable State of Minnesota StaWtes d Cit Eagan Ord nanc . Trealmenl PI 998.00 ' / SignatureolPermAee APPROVALS qoadUnit 34n-n0 A Building Permit is i u tl to' - THOMAS Lt1KE DEVELOPMENT Planner - Park Ded on ihe express condi n[hat all work shall be done in accordance wdh all Counctl _ applicable Sta[e of Minnesola S1aWtes antl C iry ot Eagan Ordmances. eldg Oft Copies I ?y y? Bwlding Otficial ?.(?4 ? ???A ? I ? ? Varianca - TOTAL z,784. ^0 000 N° 16625 'D 'A v+ T_ H. FOR-SALE UNITS CITY OF EAGAN N? LOTS 21-24 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 BUILDIfAG PERMIT PHONE: 454-8100 Receipt a To be used for 1 OF 4-PLEX Est. Value $89, 000 Dale J12M-13 16624 19flL Sile Address 1604 MALLARD VIEW Lot 23 Block Z Sec/Sub.THOMAS LAKE WOOD Parcel No. w Name THOMAS LAKE DEVELOPMENT? LTD o Address 6648 RUSTIC RD SE City PRIOR I.AKE Phone 447-2424 Name _ Address Phone r ww Name ?? Address aW City Phone I hereby acknowle( inbrmation is corri Minnesota Statutes SignaWre of Permrt A Building Permitis on the express corl applicable State ot Bmlding Official 7) I have read this apphcation and state thatthe agree to compry with all applicable Siate of ?AI Eagan 9rdiry?ncee, Idto: THOMAS LAKE DEVELOPMENT that all work shall be done in accordance with all isota Statutes antl City gf Eagan Ordinances. OFFICE USE ONLY Occupancy R-3 M=1 FEES zoning PD R=4 (ACWaI)Const V-N BIdg.Permit 540-n0 (Allowable) V=N Surcharge 44.5D s of stones 64' PlanReview 29$.00 LengU Depih 30' SAC, Ciry 100.00 SP Tolal - SAC, MCWCC 575.00 S.F Footpnnts _ On Sue Sewage _ Water Conn SAO.00 On Srte Well - Water Meter 90.00 MWCC System 7CR_ XX Aat Deposit 30.00 Cdy Water PRV Required XX &W Permit 20.00 Booster Pump - SiW Surcharge 1.00 TreatmentPl 228•00 APPROVALS Roed Unit 340.00 Planner - park Detl. Council - eldg ary _ Copies Variance - TOTAL 2,893. 50 T.H. FOR-SALE UNITS Lars a]-; 24 CITY OF EAGAN ' 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERPbF To be used for 4-PLEX Est value $74,000 Receipt # x? lsszz C 0 45 Date JIINE 13 , 19$9_ Site Address 1602 MALLARD VIEW Lot 21 Block 2 SeGSub. THOMAS LAKE WOOI Parcel No. w Name THOMAS LAKE DEVELOPMENT. LTD 3 Address 6648 RUSTIC ROAD SE ° CjtY PRIOR LAKE phone 447-2424 ?o Name THOMAS LAKE DEVELOPMENT, LTD ? Address SAME UQ ? City Phone ww Name ? ma Address <w Ciry Phone I hereby acknowlege that I have read ihis apphcation and state that the informahon is correct and agree lo comply wnh all apphcable State of Mmnesota Slatutes and City oi Eagan Ordinances. Signature Ot Permitee A euddmg Permit is issued to. THOMAS LAKE DEVELOPMENT on the express condihon that all work shall be done in accortlance wnh all applicable State of Minnesota Statutes antl Ciry of Eagan Ordinances. Bwlding OHicial OFFICE USE ONLV Occupancy R-3 M=1 FEES Zomng PD R=4 (ACtuaq Const -V--N Bldg. Permtl 599. (10 (Allowable) V=N Surcharge 37.00 # olStones 64' Plan Rewew 261 .00 length Depth 30' SAQCiy 100.00 S.F rotai - snc, Mcwcc 575.00 5 F Footpnnts - On Sde Sewage _ Watar Conn SfZO _ OO On Srte Well - Water Meter 90.00 btWCCSyscem M_ 30 00 City Water XX Accl. Deposit . PRV Required XX SIW Permit 20. 00 BoosterPUmp - SiWSurcharge 1_00 TreatmeniPl 29R-n0 APPHOVALS Road Umt 340. 00 Planner - park Ded Cauncil -- 1 00 BIdg.Olf _ Copies . Variance - TOTAL 1+785.00 T.• H. T3R-SALE UNITS CITY OF EAGAN N? 16623 LOTS 21-24 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for 1 OF 4-PLEX Est. Value $68, 000 Date JUNE 13 ,1989 Site Address 1600 MALLARD VIEW Lot 22 Block Z SeGSub.THOMAS LAKE WOOD OFFICE USE ONLY Parcel No. Occupancy R-3 M=1 FEES PD R 4 Zoning = w Name THOMAS LAKE DEVELOPMENT, LTD (Adua1) Consi V=N slag Permn 496.00 o Address 6648 RUSTIC RD SE (Allowable) V-N S 34.00 urcharge City PRIOR LAKE Phone 447-2424 8mstories 64' Plan Review 24$.00 Lengih o Name SAME Depth -101 SAG Qty 100.00 i U< Address sF rotai 575 00 ? City Phone 5 F Faotpnms - snc.MCwcc . Water Conn SRO _ 00 On Sile Sewage _ ww Name OnSdeWell - WarerMeter Qo-?0 s? Address MWCCSystem __ ? ACCt Deposrt 3?. ?? aw Ciry Phone cnywaier XX S1W P it 20.00 PRV Required _ _ erm I hereby acknowlege t I have read this application and state tha[ the Boos[er Pump - SNJ Surcharge 1 00 mformation is corre t a d ygree ro compl with all applicable State of MinnesotaStatutes nd 'l9 fEaganOrd'r?n TrealmenlPl 228-00 SignaWreofPermit RPPHOVALS RoadUrnf 340-00 A Bmldmg Pertnrt i ued to: THOMAS LAKE DEVELOPMENT Planner - park Ded. on the ezpress condilion thal all work shall be done in accordance with all Coumil -- applica6le State of Mi nn esota Stawte s and C ity of Eagan Ordinances Bldg. Oe. _ ?Pies / } y ? J ?J Building Official ,! 1M?1 !A ? I -y 11 /I Vanance - 70TAL 2,742.00 ? PIONEER Me dota1fle ghlsUMN 55120 *?engi* eering,. --- -- f Istzl sel 1914 ?* I Certificate ol Survey ?or: Or' K ' lM "' "???? NCY1E ! ? 1"A1- ? vE , / ? ? ? ? ? _ 'e= Sac.98 LoT 24 ? 941 • B? I ? ? o M? o o ?oT 23 I n H M / o a zo.o o ., H o ? ? N ? /42.00 N N '`o.1'N? N [?p°1 f `V I 436.34 lSB o ED o 944 1 166 ? c QS N o I cq . y ZO.O? 20.0 o N ? M ^ N?11 i L-Or ZI 19.o i5.o ioa ----- ?---. ? i9.o Lol ZZ ?C w ioo ??° d N`n I e? ? 94s.o9 ?? ? I y,?.?p J ? ? ? ? 1157 rN,34`3 Daty"SGAIi? `?oRoVa RE?',{UO?ED E?T.Ca'7I??ERIP, "..... ?,9oo.o Venotes eris{rn? Elevuflor? I)Ep RUPO5f0 1/UUSE ELEVq i_IVNS ? 9oao benofes prof?os? d Flcvalion - Uenolns DmrrJcre ((Ililify F.asemenf Lowes? floor- Elevallon =-_ ---- Derto/es O1a1nb e F'Iow`Arrows 76p o("glvck F/evcrfion=---- -- o!)er?U?es nlonUrrler?[ Garc??e Slab Elevalion-?. 945•?3__ BPC11•111?5 shnwn care assulned Sub.lecf fo tasemen{s of record [.ots z1,22,23424 , BLOCK 2, THOMAS LAKE WOODS bqK01A C0UNTy,dlrn+Nf5o7"q I hrie6y r,enify thal Nds Survey, plan rn fPpOf1 Wd5 ?Jf.(10fCtI Dy I11 , t m der my difect supervisbn anA thpl I am duly Fiegislered LanA Surveyor uuJer Ihe laws nf tlhe Stale of Mlnnesota. Dnted tl+is_ day ot A.D, 198cj_, J JCC]'le: iirdi: 4 0 *eF ?? 88081?? r ,. 1969 BOII,DIAG PEflHTT APPLIClTION CITY OF EAGAN 3INGLE FAMILY DWELLIRGS 2 SETS OF PLANS 3 AEQISTERED SiT6 SDHVEYS 1 SET OF ENEHGY CALC3. 1 t, c, 13 MOLTIPLE DWELLINGS 2 S6T8 OF PLANS AEGI3TfiRED SITE SDRVESS - (CHECB ftITA BLDG DIV.) 1 SET OF ENEHGY CALCS. SEi1ER 8 W?TEA PERHIT FEEg 9lTD ACCOUN'f DEPQSIT F6E3 flil,L BE INCLUDED BITH T8E HOriDIN6 PERMIT FEE. PAOCE9SING TIME FOR 3EWEF AND {iATER PERHITS IS THO DAYS ONCE A PEAMIT HAS BEEN COMPLETED INDICATIHG A LICEN3ED PLUMBEN, MULTIPLS DWELLINGS RENTAL ONITS FOH 3ALE UNITS X i OF UNIT3 1 of 4 NOTEs lDDRF38E3 POH COANEA L073 - COATRiCTOA/HOMEOWNER lSOST DESIQNASE NHICH iDDRFSS IS DFSIRED. NO CHANGFS WII.L BE ALLOWED ORCE BUILDINa PERMIT IS I93f1ED.. PENALTY APPLIES WtiEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REpUESTED. LOT CHANGE IS REpUESTED ONCE PERMIT IS ISSUED. To se usea For: Multi Family Valuation: $67•$2 Date-a N A9 9 g" stte Address 1600 Mallard View Lot 22 Block 2 Parcevsub Thomas Lake Woods owner Thomas Lake Development LTD. Address 6648 RuStiC Road S. E. City/Zip Code Prior Lake, MN 55372 Phone 447-2424 contractor Thomas Lake Develop. LTD. Address 6648 Rustic Road S. E. City/Zip Code Prior Lake, MN 55372 Phone 447-2424 Arch./Engr. _ Address 6$,ODo Occupaney 2oning Actual Const Allowxhle R of stories Length Depth S.F. Total Footprint S.F. R-3 M-I PD R-(I Y-N V^N (.41 30' On site sewage On site well MWCC System ? City water ? PRV required ? Booster Pump _ APPROVAiS Planner Council Bldg. Off. Variance COMfERCIAL 2 SETS OF ARC9ItECTUAAL & STROCTIIAAL PL6N3 1 SET OF $PECIFIC9TIONS 1 SET OF ENERGT CALC3. FEES Hldg. Permit 14qb, 00 Surcharge 705 Plan RevieW 2119,0 o SAC, City IDD,Cb SAC, MWCC 00 5951 Nater Conn sigo, Nater Meter 50,D? Aaot. Deposit 3o,r? S/N Permit 20,00 S/W Surcharge 1, o0 Treatment P1. L ,oep Road Unit 340?oJ Park Ded. Copies 30BTOT9L Penalty iOTAL City/Zlp Code Phone 0 .E ,?AME: THOMpS LAKE DEl1ELOPMENT, LTC>. ADDP,ESS• 1656 MALLAP,n 4!IELJ +_dT : 22 EsLULI<: , PHASE r t FRICE YES SQ. FT. SC7, FT. TOTAL L+AF,AGE 1 $14.36 440 $5 313.40 MAItJ FLOOR.iBASEMENT $48,68 1144 , 66 $0 SLAE MAIM FL0OR 1 $53.68 1144 . $61 409.92 SECOND FLOLR $38.94 520 , $0.00 UNFINISHED SASEMENT $10.96 1144 $0 00 FINISHEU EtFiSEMENT $13.60 1144 . $0.00 Er;TH BFtSE.i2PlD FLOOR $I,000.00 0 $0.08 FIREFLACE $1,096.00 1 $0.00 C;LHSS PURCH $25.00 144 $0.06 uCREEN PuRC:H $20,26 144 $0.50 6EC:K 38.00 126 $@.ad $67,?28.3i .E --r----------=-=--- --- DHTE: 11-12-86 ------------------= -------- -------- --===-°_ --- -------------------___----------- -------------------------------------- TRAN5MIS5ION FACTORS COMM ___--------?'-----__ ------- -------= N0: 8661 CHA^-uNEY HSSOCTRTES - TNC. __---------------- ---------------------•---------------- PROJECT: OAK RUN -------- -------- 4979 OLSON MEMORIHL HWY. RUN N0: 01 PAGE N0: 0 1 MINNEpPOLIS, MN. 55 ---- 422 ENGINEER: pA6 FILE: C ALC OS --------------= ROOF R ------------------- -==-=-== VALUE -------- -=°_=___----------------___---------- ----------------------------- ROOF FRAMING R -------- -------- -------- VALUE UUTSIDE HIR FILM .17 ----------------------------- pUTSIDE AIR FILM -------- .17 ROOFING ,44 ROOFING qzl 12" FIBERGLAS 38.00 FRAMING , 12 50 5/8" SHEE'iROCK .56 5/8" SHEETROCK . .56 INSIDE ASR FILt1 ,61 INSIDE AIR?FILM ,,61 TOTHL R VALUE ------------------- 39.78 -------- TO7AL R VALUE -------- 14.2E3 RODF U VALUE .0251 ----------------------------- FRAMING U VALUE -------- .0700 WALL N0. 1 R ------------------- VALUE -----°- WAL,L FRAMING R ---- VALUE OUTSIDE HIR FTLM ,17 --------------------------------- pUTSSDE WIR FILM --------- .17 BIDING " .79 SIDING 79 5.5 FIBERGLAS " 16.50 FRAMING , E,q 5/8 SHEE1'ROCK .56 5/8" SHEETROCK _ .SC. I fJ ? I D E A I R F I I_ M ' . 61 _._._.___........ ..._....---.__....._-----... --- INSIDE AIR FILM - --___........--- - 61 T171 HL R VALUE ------------------- 18.63 -------- 70TWL R VALUE '• ------- . 2_82 ROOF U VALUE -----•--- .0537 -- ------------------------------ FRAMING U VALUE -------- .3546 WF1LL N0. 2(DSMT) R ----------- ------ VALUE -------- --------------- FRAMING?2 (EiSMT) R ----- __._..?.__. VALUE UUTSIDE AIR FILM " .17 ------------------------------- OUTETDE AIR FILM ^^ 17 8 CONC BLOCK " 1.85 8" CONC BLOCK 1 85 1 THERMlaX 7.20 1 1/2" S7RIPPING . 1.£t7 .._ .. __.....__ __.. -- °- ._• INS....._IDE A.. IR FILM 68 _.._................. _......... ...... IN52DE AIR FILM . . .. . 6•8 TOTAI_ R VALUE ------------ 9.90 -------- 70TAL R VALUE ------ 4.57 WALL U VALUE ----------__.._--- -- .1010 --_=_=_= ----------- -------------------- FRAMING U VALUE ----- - -- -------- .2188 RIM JOIST R VALUE ' - __.?__-====_=_== _=_=z _=_==_======xc-: = ? c=c==:_ ------------ ----- R -------- VALUE UU'1'SIUE HIR FILM .17 _ _ _ _. _ _. ------------------ ------ OUT:iIDE AIR FILM - - 17 SIDING " .79 ^ oIDING , 5.5 FIE3ERGLAS 16.50 ._ .......:...... _...... _.....,......_ .__.... I NS R F _..__...i__.._....... IDE HTLM .. . 6i3 ...... __._..... ... ,.......... _..__...._ TOTAL R VALUE . 18 14 INSIUE ATR r-zi_rl ' ------------------- . -------- l DTl11_ R VF11.I.1E ---- ------- _F35 WALL U VALUE 0551 - __--------'---___.--? - FRAMING U VALUE - ------- ... ---- =_ °=_=_=_-'?=__ =="==- 1.1765 G LASS - U VALUE ____" = ^ -- ° -- - `• --` - _==_== _=--='_=_ ? =====ccc .61 DOOa - U VALUE .51 DATE: 11-12-86 ENERGY CODE CALCULATIONcu -------------------- -------- ===---== COMM N0: 8661 ----- == CHHuNEY pSSOCIATES INC. - - =-----= -------°-- - PROJECT= ----?------- -___...---°--- OAK RUN -----__?_-- --------- 4979 OLuON MEMORIHL HWY. LOCATION: BURNSVILLE MINNEAPOL,IS, MN. 55422 BLDG TYPE: TYPE A2 PHONE: 612/546-3355 -------------------------------- DEGREE DI=iYS: 8300 INDUOR DE^IGN TEMP +72 DEGREES ------------------- ------------ ENGTNEER: ----------- DFa6 OUTDOOR DESIGIV 7EMP -16 pEGREES __..------------------_== =-:cz•r ===== FILE: _ E-£3661-1 CEILING - ROOF ASSEMBLY . ccn:x==:_r AREA-SQ FT - n_ _.._,___,..___ __------- U VALUE _.._----- ' ----------- U x A INSULATED AREA FRAMING AREA ====1152 =====-=.025= == =28.92 BKYLIGHTS 117 .070 8.19 OTHER (DESCRIE3E) 0 0 0 OTHER (DEuCRIBF) 0 0 0 -------------------- c) -- 0 0 1 TUl'ALS ------------------ ----------- ---------.. Z AVEf2AGE U V!-1LUF (UxA)/(A) LTNE 1 12 y9 A-a:a: 37 _ 1.1 3 REQUIRED U VALUF .029 _ ,033 EXPOSED WALL ASuEMBLY AREA-S8 FT U VALUE U x A INSULATED W(-1LL tll AREA 575 Pft!-11111VU F1RE(-1 Ifl ,054 30.88 wIIVUUWS /rI .JSJ 22_60 UOORS 129 .610 70.69 RIM JOIST AREA ?» .510 16.?3:3 FIRF"PLACE WAL L 101 .055 5.57 . IIVSULA7ED WALL 42 AREA ? 0 0 FRAMING ARFA 412 9l .101 9.11-? UTHGR (DESCRZF3E) 1!) .219 2.1? OiHER (DE;CRIE3E) 0 U ` -------------------- o ---- 0 U 4 TDTAL.°, ----_._-•-------- -------•---- ----------- 5 AVEI2HGE U VALUE (UxA)/(A) LINE 4 101J3 *:KB:;KA:i.1::K 166.01 6 f1C8UIRED U VALUE .166 **?**a:? i: ---- ---- ---- - == .230 -------- ?_---- == TOTpL ENVELOPE METHOD =cxn=====-= -------- =-------- 7 AREA (LTNE 1) + AREA (LINE 4) 1269 lOC3 0- fl UxA (LINE 1) + Uxq (LSNE q) 37.1'1 166 C-1 0 2??z 9 AREA (LINE 1) x U (LINE 3) , - 1269 ?03.1?1 10 HRFA (_INF 4) x U (LINE 6) o ; 1003 ?1?8? 11 QUDGET (I_IIVE 10) +(?_INE 9) _23 230.69 41 fiE3 230.6y 12 U V(aLUF (LIDlE 11) /(L_INE 7) -- . 272_57 22-i., 2?2-57 --?------------------------- -----------------••- ------ -- ----------- -- . ? SU MMARY ------ -^-----------------U-V ------ ----^---- ________? ALUEo REQUIF:ED _._.._.._.____ _=?----- - -- ACTU61l_ ___ --------- DIFF CEILING/ROOF A3SEMF3LY U VALUE ------------------ ------- EXPOSED WALL ASSEMt3LY U VALUE • 029 .0011 TOTAL ENVELOPE BUDGETS '166 -061 ------------------------------------- 272.57 ---- 203.14 69.43 IF F,F1CH ACTUFIL U Vf-1LUE OR IF BUDU'ET COMPUTER CALCULATEi I 1 ' - IS t_FSU THAN RECIU[RED, DLUG MEET; CODF , fD fICCURFaCY OF .00000001 k3U'f ,t 11 ]:i ,3F{pWM FUR CL/?RI1"r' . 1989 HOZLDIAG PEPH2T APPLICATION CTTY OF EAGAN 14422. SII7GLS FAMILY DWELLIHGS 2 SETS OF PLANS 3 AEQISTEAED SITS 308VEYS 1 3ET OF ENER6Y CALC3. MOLTIPLE DHELLINGS 2 9fiT9 OP PLAN3 RECIST6RED SI2E SORVEYS - (CHEC6 iTITH BLD(i AIO. ) 1 3E'! OF ENEAGY CALCS. MULTIPLE DWELLINGS RENT9l. ONIT3 FOR SALE UtiITS X f OF ANITS 1 of 4 NOTEo IDDRES3E:4 FOR COBNEH LOT3 - COATHACTOA/90MEOtiRIER FIOST DFSIGNATE SiSICH ADDNE4S IS DFSIRED. 80 CEIANaES AII,L BE ALLOHED OPCE BUILDIN4 PERMIT I3 253QED.. SEiiER 8 WATEA PERMIT FEH3 ?ND ACCOUNT DEPOSIT FSE4 {iII.L BS INCLUDfiD WITB T8E BUILDINfi PERMIT FEE. P80CE43IN6 TIME FOR 3ESiEA AND WA?%R PERHITS IS TWO DAYS ONCE A PEAMTT H63 BEEp COMPLETED INDICATIN(i A LICENSED PLUlSBER. PENALTY APPLIES NHEN: PERHIT ZS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANCE IS AEQUESTED DNCE PERMIT IS ISSJED. 02 3UN QM To ee Used Eor: Multi Family vaiuacion: g?°,^-?-?,? uate: 06/07/89 Site aaaress 1602 Mallard View Lot 21 Blxk 2 Pareel/Sub Thomas Lake Woods owner Thomas Lake Development LTD. aaeress 6648 Rustic Road S. E. City/Zip Code Prior Lake, MN 55372 Phone 447-2424 Contraetor Thomas Lake Develop. LTD. Addresa 6648 RuStiC Road S. E. City/Zip Code Prior Lake, MN 55372 Phone 447-2424 Areh. /Engr. Address City/Zlp Code Phone 0 17 y' JDJ OFFICB U3E Oecupancy R-3 M-I Zoning Aetual Const V-N Allowa6le V -Nl 0 of stories Length Depth 30• S.F. Total Footprint S.F. On site sewage On site crell MWCC System ? City water fi PRV required ? Booster Pump _ APPROVALS Planner Council Bldg. Off. Varianee COlRKERCIAL 2 SETS OF 1HCHI?ECTURAL & S?ROCTOAAL PLAN3 1 SET OF BPECIFICATIONS 1 3ET OF ENERGI CALC3. FEFS Bldg. Permit 57-2 Sureharge 37- Plan Review ,2 SAC, City rbo- SAC, MWCC 5??.5 - Aater Conn ,580 J liater Meter 5 D _ Aect. Deposit _ 3p - S/N Permit 20 ' S/W Sureharge Treatment P1. z2h _ Hoad Onit Park Ded. Copies cC 3UBTOTAL Penalty TOTAL ?,? ?- VAME= ADDkE58e ! GT ; 6LOCK: ?HASE THOMAS LAkE DEl:ELOPMENT, LTD. 1562 Mfi,LLARC VIEW 21 2 I FF.I CE `rES SQ. FT. SQ. FT. TuTHL GARF',C;E 1 $14.36 440 $6,31S.40 „AItJ FLCiOR,•BASEMENT I $48.68 1144 $55,689.?2 SLAE Mair•a FLuOF $53,68 1144 $0.00 '=EI:OPdty FLdCR $35. Y4 526 $0.00 UNFINISHEG BASEh1tNT 1 $10.00 1144 $11,440.00 FIhJISHED BHSEMENT $13.00 1144 'S0.00 BF,TH EF,5Ei2hlD FLODP. $1,000.00 0 $0.00 '";F.EPLACE $1,000.60 1 $0.00 GLF;SS PORCN $25.00 144 $0.02 SCftEEN POF,C:H 5520.@0 1 44 $6 .00 UECK $8.00 120 $0.00 $73,448.32 E _.. r DATE: 11-12-86 ----------------= =- -==---- TRANSMISSTON FACTORS COMM ------- ---------------? N0: 8661 CHASNEY ASSOCTATES -- INC. -------------- -------------------------------------- PROJECT: OAK RUN -------- -------- 4979 OLSON MEMORI pL HWY. RUN N0: 01 PAGE NO: 0 1 MZNNEAPDLI^•u, MN. ----------------- 55 -= 422 -==-==- ENGINEER: DAB FILE: C '"----------------`------ ALC OS ROOF ----------------- R -- VALUE ------- -------------- -------------------------------------- ROOF FRAMING R ----------- - -------- ------- VALUE OUTSIDE HIR FILM .17 -- ------------------------ OU7uIDE AIR FILM -------- 17 ROOFING " ,44 RDOFING . 4n 12 FIBERGLHS " 38.00 FRAMING , 12 50 5/8 SHEE'I'ROCK .56 5/8" SIiEETROCK . .56 I N S I D E A I R F I LM . 61 .__.....__......._._...._._.__.__._.... ...,_ _.._ INSIDE AIR?FILM ................ _......---.----... .... 61 TOTAL R VALUE ----------------- -- 39.78 ------- TOTAL R VALUE --------- . 14.28 ROOF U VALUE ----------------- -- .0251 -=--=-- ----------------------------- FRHMING U VALUE =-=--"_ -------- .0700 WALL N0._1_____-_ -R _VALUE_ _ • Y WALL`FRAMING R --- VALUE OUTSIDE AIR FILM .17 --------- ----------------------•-- OUTSIDE AIR FILM -- ----__.. 17 SIDING " .79 uIDING . . 79 5.5 FIBERGLAS " 16.50 FRAMING _ 69 5/8 SHEETROCK .56 5/8" SHEE.TROCK .56-, ' INSIDE AIR FILM ....... 61 TOl AL R VALUE ------ -- 18.63 ------- TOTRL R VALUE '• --------- . 2_82 RODF U VALUE ----------------•- _ .0537 =__=_=_ ------------- ---------------- FRAMING U VALUE _=__=___ -------- .3546 WEiLL N0. 2(SSMT) --------- R -- VALUE ------- ____=__=====_____=_____=_=__`= FRAMING 2(BSMT) R ------- ____'--_ VALUE UUTSIDE HIR FILM t3" .17 ___ --------- ------------------ OUTuIDE AIR FILM ---------- 17 CONC BLOCK 1" 1.85 8" CONC BLpCK . 1 85 THERMAX 7.20 1 1/2" STRIPPING , 1.017 _..... ._--- ----........._..__?_ .---- INSIDE HIR FILM ^ W ?? ?6II ...............--- ---------_._..__....._.___.........._.._ IIJSIDE AZR FILM .,....... g TOTAI_ R VALUE --------- -- 9.90 -------- TOTAL R VALUE -- ------ .i, 4.57 WALL U VALUE .1010 ----------------------------- FRHMING U VALUE -- -------- .Zlgg RIM JOIST R VALUE ---------- ? _^ -------- _ _ R -- ^ - VALUE OU:('SIDE AIR FILM .17 ------------------------------ OUTfiIDE AIR FILM -- SIDING 79 ? 17 5.5 " FIBERGLAS . 16.50 .,ZDING .... __. _- ---...____._. I N S.I_DE H T k F I_ LM... . ..Ci... ___._- _----...._..----- _._ - _..-------------._..----------• - _ ...... ....... ..-- .. TOTHL R VALUE . 18 14 IIVSIDE AIR f=Il_M .61.1 --------- -------- --- , ------- TOT/-1L, R VFlI. UE -------- . 05 WALL U VALUE 0551 ------------- -------'"""- ? - - - - - - - - - - - - - - - - - -------°-- - - - --_ - - _ - . _ FIZAMING U VALUE - - --- ----- 1.1765 GLHSS - U VALUE _ .. _ ------- __ --•--------------:'c=-c: ? ?---?- == : = .61 DOOR - U VALUE .51 ,- , - - - - - - - - - - - - - - - - ----------------------------- ---------------------- -------------------------- DA?E: 11-12-86 ENERGY CODE CHLCULATIONS ----------------------- ---?--- - ------•'---- _ ----------- ----------- COMM NOc -------- ---------- ..--------- 8661 -----?- -- --- -'- CHHSNEY ASSOCIATES INC. ------- ------------ PROJECTe --- ---`------- OAK RUN --=-=----- - 4979 OLSON MEMORIAL HWY. LOCATTON: ' BURNSVILLE MINNEAPOLIS, MN. 55422 BLDG TYPE: TYPE A2 PHONE: 612/546-3355 ------------------------------------ --- DEGREE DAYFi: 8300 INDOOR DESIGN TEh1P +72 DEGREES ---- ------------ ----------- ENGINEER: ---------- DA8 OUTDOOR DESIGN TEMP -16 DEGREES ---------------------- = = FILE: E-3661-5 ------------- CEILING = ROOF ASSEMBLY --------------- ------ ---- -- = --=---==-- AREA-S8 FT =-----==--- U VALUE -=--====-= U x A" ------ INSULHTED AREA 1152 .025 20,92 FRHMING AREA 117 .070 8.19 SKYLIGHTS O 0 O OTHER (DESCRIBE) 0 O 0 OTHER (DESCRIBE) ? ------------------------------------ ------ 0 0 O 1 TOTALu. - ------------ 1269 ----------- ******** ---------- 37.11 2 HVERAGE U VALUE (UxA)/(p) LINE 1 ******** .029' W******* 3 RCQUIRED U VALUG - ---- '- ******** -- .033 ****?:?::?* -----------?- -------- EXPOSED WALL pSSEMBLY -----------------?---- =_________ ------- =__ --------- AREA-58 FT U VALUE ---- U'x A ---- INSULATEb WHLL Stl AREA ____ _=______==_= 1494 __== .054 80.23 FRAMING AREA Itl 165 .355 58.51 WINDOWS 195 .610 118.95 DOORS 33 .510 16 83 RIM JOIST AREA 101 .055 . 5.57 FIREPLACE WALL 0 O 0 INSULHTED WALL #2 AREA 69 .101 6.97 FRAMING AREA 3f2 7 .219 1.53 O7HER (UESCRIEiE) O U OTIiER (DESCRIBE) 0 O ----------------------------------- ---- 0 U 4 TOTALS --- ------------ 2064 ----------- ******** ---------- 288 58 5 AVEkF1GE U VHLUE (Uxfa)/(A) LINE 4 *****?** .140 . *y?***W** 6 REQUIRED U VALUE ------ ******** .230 ------ **W**W** ---------------- ----- TOTAL ENVELOPE METHOD --------------- -= ----- ----------- ---------- ---------- ------- =---------== 7AftEA (LINE 1) + AREA (LINE 4) ------=- 1269 -=----===== 2064 z=====_==_= _=_==_°__= 3333 8 UxA (LINE 1) + UxH (LINE 4) 37.11 288.58 3<^5 69 9 AREA (LINE 1) x U (LINE 3) 1269 03 . 10 /1RGA (L7NF 4) x U (L1NE 6) 2064 . 23 41.88 11 E3V[JGET (L1NF lU) ?(LINE 9) 474 72' . 41 4$ 474.7;' 12 U VHLUE (LINE 11) /(LINE 7) . 516.60 . 3333 516.6p ------- - == -= .15 uU - MMARY -- ------ --=--==-- --=-"=__=•: ------- U V -------------------------°- -- ? ------ AWEo - ----- ----------- REQUiRED ----?------ ----------_ ACTUAL -----._--- vUIFF CEILING/ROOF pS;EMBLY U VRLUE ------- ----------- 033 -------- EXPO^-ED WALL FlSSEMBLY U VWLUE . .029 ,004 TOTAL ENVELOPE BUDGETS .230 .140 .090 ------------------------ 516.60 325.69 190.91 IF ERCH ACTUAL U VALUE OR IF BUDGET COMPUTER CALCULATES U TO I5 LESS THAN RE9UIRED, BLUG MEETS CODE ACCURRCY OF .000000 01 BUT .001 IS SHOWN FOR CLqRITY . . o•? 59u•o0 } 44•hU+ 295•00+ 1?964•DU+ 2,893•5G?r 590•00+ 44 • 50+ 295•OOt 1)964•Ou+ 2>893•5U* J SINCI.E F9MILY DSiELLIH65 2 SET3 OF PLANS 3 AEOISTERED SITB SORPEYS 1 3ET OF ENEHCY CALGS. 14 4 14 MULTIPLE DWELLIN63 2 9ET3 OF PGANS AEGI3TfiRED SITE SOAVEYS - (CHECF iiITR BLDG DIV. ) 1 3ET OF ENERGZ CALCS. COM4ERCIAL 2 SETS OF ARCHITECTURAL 8 STROCTQAAL 4LlN3 1 SET OF $PECIFICATIONS 1 3ET OF ENERGT CALC3. MilLTIPLE DWELLINf35 AENf9L i7NITS FOR SALE IINI't5 X 0 OF ONITS 1 Of 4 NOTHt IDDRFS3E9 POR COANER LOTS - CONTRACfOp/80MEOWNER NOST DFSIGNAlE VHICH IDDAE4S IS DE4IRED. NO CHANGES SiILL BE ALLOWED ONCE HUILDIt76 PERMIT IS I930ED.. 3EWER 6 it9TEA PEAMIT F'EES Al1D 1CCOOHT DEP0.4IT FEE3 iiII,L HS INCLIJDED MITH THE HUILDINO PEAMTT FEE. PROCF33IN6 TIME FOR 3EWER 1ND WA18H PERMITS IS 4W0 DIYS ONCE A PEHMIT 9A3 BEEH COMPLETED INDICASIBC A LICEH3ED PLUMBER. PENALTY 6PPLIES WIiEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. M JU N 91989 'Xo Be usea sor: Multi Family Valuation: Date: 06/07/89 site Aaaress 1604 Mallard View Lot 23_ Hlock 2 parceiisub Thomas Lake Woods Mer Thomas Lake Development LTD. Aedress 6648 RuStiC Road S. E. City/21p Code Prior Lake, MN 55372 Phone 447-2424 contractor Thomas Lake Develop. LTD. Address 6648 RuStiC Road S. E. City/Zip Code Prior Lake, MN 55372 Phone 447-2424 Arch. /Engr. Address City/Zip Code 1969 BOILDIAG PERMTT APPLICtTION CTTY OF EAGAN 8`f b oO Ocoupanay 3 2oning D -4 Actual Const V-N Allowable V- N R of stories Length ? Depth S.F. Total Footprint S.F. On slte sewage_ On site well MWCC System fi City water +r PHY required ? Booster Pump T APPROVALS Planner Couneil Bldg. Off. Variance FEFS Bldg. Permit 0oo Surcharge Uy, F-- Plan Aeview , 00 SAC, City 100101b SAC, MWCC $75100 tiater Conn SIDO ,Oe Nater Meter 5'0,00 Acat. Deposi t 30,0o S/N Permit 20,00 S/W Sureharge ,v ,2 Treatment P1 . 2 i ,oo Road Unit 3 0 00 Park Ded. Copies 3UBTOT9L Penalty TOTAL Phone A! ? "dAME : HD6F.ES: : BLOC:K: "F!A 5 E THUMFI5 LAKE DEVELLRMENT, LTP. 1504 1IALLF,RU 4'I EW 22 2 PRFCE `fE5 SR. FT. SQ. FT. TGTF7L ------------------------- Gl=HRAL'iE ----------- 1 ------------ $14.36 ---------- 440 --------- zb6,318.40 MAIP! FLOORiBFtSEMENT 'b48.68 1144 30.06 SLAE MA I tJ FLOOK 1 $53.68 1144 $51 ,46?. 92 SEG«htD FLGDR 1 $38.5/4 520 $20,248.50 UNFIh1ISHED BASEh1EtVT $16.00 1144 $0.00 41'21IEp BFaSEMENT $13,90 1144 $0.00 BHTH BHSEi2hJD FLDOF. 1 'b1,000.00 1 $1,660.00 7IREPLF-iC:E $1,000.00 1 $0.00 GLA55 PQRCH $25.00 144 $0.00 St;REEN F•ORC:H 'b20.@a 1 44 3+0.O0 UECK $8.00 120 $0.90 $88,977.12 .E , ------------ ------ ------- DATE': 11-12-86 ----- --- ------- ------------------------------?---------- ----?•---?---?--------------------------------_.... TRANSMISSION FACTORS COMM NO• 8661 CHASNEY AS50CIHTES INC. PROJECT- OAK RUN -------------- 4979 OLSON MEMORIAL HWY. RUN NO: 01 PA6E N0: 01 MINNEAPOLIS, MN. 55 ------------------- 422 -------- ENGINEER: Dp8 FILE: -==-------------------- CALC OS RODF R -------------------- VALUE -------- ------------ ROOF FRFIMZNG ----------- ---------- R VALUE? UU'fsIDE AIR FIL.M ,17 ------------------------ OUTSIDE AIR FILM ---------- .17 ROOFING " _44 ROOFING ,4n 12 FIBERGLHS " 3E3.00 FRpMING 12.50 5/8 SHEE7ROCK .56 5/8" SHEETROCK .56 ..._._....____._._..._...___------- - INSIDE AIR FILM ------- _61 INSIDE AIR FILM .61 TQTFaL R VALUE ------------------- 39.78 -------- TOTAL R VALUE -------- 14.28 ROOF U VALUE .0251 --------------------------- FRAMING U VALUE ---------- .0700 WALL N0. 1 R ------ VALUE -------- WALL FRAMING ------ R VALUE OUTSIDE AIR FILM .17 ---------------^-----°-------• OUTSIDE AIR FILM ----------._ .17 SIDING " _79 SIDZNG _ ,79 5.5 FIBERGI.AS 16.50 FRAMING 619 5/8" SHEETROCK .56 5J8" SHEETROCK . .Sf. __.._.._...----...__..___...__.____.__ _.. INSIDE AIR FILM ??_, .61 _ _.__................___._...._.___._..._..__.._ INSIDE AIR FILM J TOTAL R VALUE ------------------- 18.63 -------- TOTAL R VALUE • ---------- . 2.F32 ROOF U VALUE ----------------•--- .0537 -=====__ ------------------ °----- FRAMING U VALUE --------_ __=_= ---------- .3546 WALL N0. 2(F3SMT) R ------------------- VpLUE -------- _________---- ___=__== ----------------------. FRAMING 2(BnMT) ? -- ---------- ..---------' R VALUE OUTSIDE AIR FILM " .17 -------- ----------------------'--- OUTSIDE AIR FILM ------------ 17 Q CONC BLOCK " 1.85 8° CONC BLpCK . 1 85 1 THERMAX 7,20 1 1/2" uTRIPpING . 1.87 N?DE AIR I I FILM ............ --- .60 - . .................................... ............,......._ ' INSIDE AIR FILM , .. 6.8 TOTAI_ R VALUE --------- 9.90 -------- TOTAL R VALUE --------- , 4.57 WHLL U VALUE ------------••______ .1010 ________ ------------ --------------- FRAMING U VALUE _____?__=_ ---------- .2188 RIM JOIST R VFILUE _______=__=?_°=_=__" ----------- -------- ---- R V/-1LUE OU'fSIDE AIR FILM ' ' .17 ----------------•---------------- OUT:;IDE AIR FILM --------.. 17 S 1 DING " .79 ^•uIDING , 5.5 FIE3ERGLHS 16_50 --------- ---...._...._..-------...___. INSIDE HTk F.iLM - ?-_._..__._........ Q . ..... , .............__ _ TDTAL R VALUE 14 1II IIV;;IUE AIR PILM ------------- ' -------- TOTAI_ R VAl. U[ --------- - _ t75 WALL U VALUE 0551 ------------------------- ------ -'----==0=`--------- -----•?---- , . ----- _.. c-= FRAMTNG U VALUE ?----- = 1.1765 GLHSS - U VALUE . __ __-----'__ ----""'--" = ----- ----------'-- ? --•----•--- .61 DOOR - U VALUE ,51 /rA111P2 --------------.--------__._____.._-------____._.__.,_----___ DRTE: 11-12-86 ENERGY CODE CALCULATIDNS ' -------------------'__-- ------------------ - _----___..__ COMM NO_ ------`- __-----.- - 8661 --• ---------------------- CHHSNEY ASSOCIATES INC. ----__....--- PROJECT_ -__ ---°---°--- OAK RUN .--------- ---------=_ 4979 OLSON MEMORIAL HWY. LOCATION: BURNSVTLLE MINNEAPOLIS, MN. 55422 BLDG TYPE: TYPE A2 PHONE: 612/546-3355 --------------------------------------- DEGREE Df-iYS: 8300 -- - INDUOR bESSGN 1'EIhP +72 DGGREES ------------ ----------- ENGINEER: ----------- DF1B OU7DOOR DESIGIV TEMP -16 DEGREES ------------- -- FILE: E-8661-1 ------------------ CEILING - ROOF ASSEMBLY ------c?n:-c= AREA-S8 fT ===='__'___ U VpLUE - =__=__''_"- U'x A INSULATED AREA 111)2 .025 2$ 92 FRAMSNG AREA 117 .070 . 8.19 SKYLIGHTS Q v . 0 OTHER (DESCRI6E) ?? 0 OTHER (DESCRIBE) ------------------------------------- o 0 0 u -------- l TOTALS --------- - - 17E,9 ---___----- *:??+*a?::? --------- 37.11 2 F1VEf'2AGE U VALUF (Uxl1)/(A) LIIVE 1 .02 9 A:B:Y-k:1':kA:'1 3 REQUIREU U VHLUE -- - .033 a: ?**x.:k*?: ----____-°---?---- ---------- EXPOSED WALL A,,SEMBLY ----- ------------------- ----------- ------------ AREA-S8 FT ---------.._ -------- ----------- U VALUE ---------- ------- - U x A ---- ------------------ INSULHTED WF1LL tFl AREA _ ------------ 573 _---------- ---------- .054 ---------- 30.88 FkFli•111VG F1RF_A Itl !:"I .355 22.6° WIIVUOWS 12 9 .610 78.69 LOOR3 :.;;i .57.0 16. r33 RIM JOIST AREA 101 .055 5.57 FTREPLFICF WFlL.L 0 v INSULA7ED WALL 42 AREA 91 .101 0 9.L9 FRAMING AREA #2 1.0 .219 2.1^ OTFIER (DESGRIBE) 0 ' 0 0 OT HER (DESCRIBE) f) 0 ------------------------------------ ---- U ---- 4 TOTALS ---------- -__ 1003 _----------- ----------- 166 0,1 5 AVERAGE U VALUE (UxA)/(A) LINE q .166 . **??**a??. G f2C9UIRED U VALUE .230 - ------------ TOTAL ENVELOPE --------- - - METHOD -'-____=__? ===_____._= 7 AREA (LINE 1) + AREA (LINE=4)?======1269 ^v~^= lOu3= ==-^_^=__-- =?=1==??.? -? z 8 UxA (LINE 1) + Uxfl (LSNE ?I) 37,11 166.U<1 ? ? 203 11 9 AREA (LINE 1) x U (LINE 3) 1269 0,? . 41 8E? 10 AREA (LINE ?l x U ) (LIME G) 1003 ; ; . ? 11 BUDGET (LINE 10) +(LINE 9) 230 69 _ , ql £'?i Z ,V 6y . 12 U VAWE (LINE 11.) / (L.INE 7) 272 57 . 227:' 272.57 . .17 SUMMARY ----=--- ----- ---------- ----------- U VHLU[S ------------------------------- ------._---? REBUIF!ED ?=_:=°==_° A;TUFIL. ==_------- DIFF -- --- CEILING/ROOF ASSEMBLY U VALUE ------------ C 33 ------- ------ EXPOSED WALL HuSEMf3LY U Vh1LUE . 1 :?:0 029 00/1 TOTAL ENVELOPE E3UDGE7S . 166 .OE,? -------------------------------------------- 272.`_?7 203.14 69.43 IF F,ACH ACTURL U VALUE OR iF BUllGCT IS LES; ------------- THAN REGI!CR - ED, pLUG MEET; CppE CUMPUTER CAL.CULATES U TO AC(.`URHf.Y OF .000000pl t3U'f .("1 I fl SHUW11 FOR C;L/1R11 Y U•* 522•OU+ 37•00+ 261•OD+ 19b4•OU+ 2, 7 8 4 •00* 1989 HOILDIPG PERMIT APPGICATION CITS OF EAGAN 14 4 ?-ff SINGLB FAMILY DNELLINGS 2 SET3 OF PLINS 3 AEfiISTERED SITH SOHYEYS 1 $ET OP ENER(3Y CAI.C3. MULTIPL6 DtiELLING3 RENTAL [JNIT3 COlQSERCI9L 2 SETS OF ARCHITECTURAL & S2RUCTQAAL PL9N3 1 36T OF $PECIFIC9TIONS 1 3ET OF EIiERGT CALC3. FOR SALE T7NTTS X # OF UN2TS 1 of 4 BOTEi 1DDRE33E9 FOR COAHEB LOT3 - WATHACTOA/60MEOYINER FIOST DESIGNATE i1HICH iDDPESS IS DFSZAED. BO CAANGFS WILL BE ALLOHED ONCE HOILDINU PERMIT IS I330ED.. SEIiER 6 W1TEA PERMIT FEES 1ND ACCOi1NT DEPQ9IT FEES WILL BE ZNCLtJDED KITH THE BUILDIN6 PERMIT FEfi. PAOCFS9ING TIME FOR SEWER AND WASER PERMI'IS IS TNO DAYS ONCE A PERMIT 9AS BEEN COMPLETED INDICATING A LICENSED PLOMIDEEi. PENALTY APPLIFS WHENt PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REpUESTED. LOT CAANCE IS REpUESTED DNCE PERMIT IS ISSUED. so ?uN s ? To ee Used For: Multi Family vaiuation: $5L ,9-82 nate: 06/07/89 site aaaress 1606 Mallard View Lot 24 Block 2 Parcel/Sub '[homas Lake Woods owner Thomas Lake Development, LTD. Address 6648 RustiC Road S. E. City/Zip Code Prior Lake, MN 55372 Phone 447-2424 contraotor Thomas Lake Develop. LTD. Address 6648 RuStiC Road S. E. City/Zip Code Prior Lake, MN 55372 Phone 447-2424 Meh./Engr. _ Address City/Zip Code MOLTIPLE DiiELLIN63 2 9ET8 OF PLAN3 REGIST6R6D SIiE 30RVEY5 - (CHECB SiITH BLDG DIV. ) 1 3lif OF ENERCY CALC3. 1) y,oov' Occupancy R-3 M-I Zoning Pp R_y Actual Const V-N Allowable V -N 0 of stories Length -4,?- Depth _ 30 l S.F. Total Footprint S.F. On site sewage_ On site rrell _ MWCC System _ City Water _ PRV required _ Booster Pump _ l4PROVAIS Planner Council Bldg. Off. Yariance FEFS Hldg. Permit 52Z 3urcharge A r)_ Plan Heviecr 7_(?j_ SAC, City lOb- SAC, MWCC S7,5 _ Water Conn f3o - Water Meter 9 0 - Acet. Deposit so- S/H Permit 7-0_ S/W Surcharge I? Treatment Pl. Z28 Hoad Unit ? Park Ded. Copies 30BTOTAL Penalty TOT9L •1 ?I?il nl Phone 0 E.. M1 Il?fa` . ,.?,. . pCiDREBS ! frT . ?41 • ELC1l;K : r.r ?nr? TH4MAS LAkE PEUELOFMEtJT, LTD. 1666 h1flry?LLRRD VIELJ 24 2 FRI CE ----------------------- 'r'ES SQ. FT. --------°------------- SQ. FT. ---------- T07AL ------°----- ------------------------- uARAGE ----------------------- 1 $14.36 ---------- 440 ------------- $5,318.40 ""?IN FLdORtBHSEMEh1T i '€4?t.d8 1144 $55,c?9.92' SLF,B MF1IP3 FLGGR $53.68 1149 40.06 SEC.Oh1U FLOOR $34, s.74 520 $0 .60 UM1IFINISNED BASEMEFJT ] $16.00 1144 $11,440.00 ri?viSHED E'f?SEMEh1T 'b13,01? 1144 `$C1'.61? BHTH BHSE/2h1D FLOOR $1,000.06 Q $0.06 FIREF'LAiE $1 ,00L+.NN 1 zb0.00 GLH55 PDRCH $25.00 144 $N.aE) SCFEEN PORCH $20.00 144 $0.00 DECft $8.00 120 $0.06 $73, a4$. 32 E ?------------------- --- DRTE: 11-12-86 --------------•----= ------- ------- ___===_ --------------------------------------?-------- ----.._-------____-------------------------_.?_ TRpN^-MISSION FACTORS COMM N0: 8661 ____====_-°-----?-------- CHASNEY ASSOCIATES INC. ----------- --------------------------- PROJEC7: OAK RUN ---------- ---------- 4979 OLSON MEMORIAL HWY. RUN N0: 01 PAGE N0: 01 MINNEAPOLIS, MN. 55 422 ENGINEER: DAB FILE: CALC OS ROOF R - -------------° ___ VALUE __---_- ROOF FRFIMING __-------------- R VALUE OUTSIDE AIR FILt°I .17 -------------------- OUTSIDE F-lIR FILM ---------- .17 RUOFING .44 ROOFING 4n 12" FIBERGLAS 38.00 FRAMING _ 12.50 5/8" SHEETROCK --- -- ----- ---- .56 5/8" SIiEETROCK .56 INSIDE ASR FILM .61 ...__......_....__------...._..._._...........--- TNSIDE AIR-FIL11 _ .61 TOTAL R VALUE ------------------- 39.78 -------- T07AL R VALUE ---------- 14.2E RODF U VALUE .0251 -------------------------- FRAMING U VALUE ---------- .0700 WALL N0. 1 R ------------------ VALUE -----°_ WALL FR(aMING _____- R VALUE DUTSIDE HIR FILM .17 ---------------------__------• OUTSIDE AIR FILM ------ ----- L7 . SIDING " .79 SIDING' . 7?? _ 5.5 FIBERGLAS " 16.50 FRRMING E,o 5/8 SHEETROCK .56 5/8" SHEETROCK . .Sf. --. ... _. ?.......------ _ _..._?_.. __. _ IIVSIDE AIR FILM __ ' _----.61.. _ ..__?_ I_DE____A .... S_ R._._....F _ I_?M_..__ IN., .......°-------... 61 TO1 AL R VALUE --------------- 18, 63 -------- TOl'AL. R VALUE . --------- . . 2.82 ROOF U VALUE -- -------------•-- .0537 --====°_ -------------------------- FRAMING U VALUE " __________` ==_==__= ---------- .3546 WFaLL N0. 2(SSMT) R ---------- VALUE -------- _------?-----• _ FRAMING 2 (BnMT) ---- ---------- R VALUE pUTSIDE HIR FILM " .17 -------------------------- , DUTSIDE E1IR FILM ^ 17 F3 CONC 8LOCK " 1.85 8° CONC SLpC7( 1 85 1 THERMHX 7,20 1 1/2" ^-TRIPPING . 1.ft7 ... . . .. ...........- I N ? I DE A IR FIL ht 68 n.. ............................ IIq oTDE......AIf; FILM 68 TOTAI_ R VALUE "------ 9.90 -------- T07AL R VALUE --------- , 4,57 WALL U VALUE .1010 ----------- ---------------- FRAMING U VALUE ---------- .2188 RIM JOIST R VALUE -------------- ----=_===__=== -.x_==_?=_ ----------- -------- ----- ----- R VALUE OU'fSIDE HIR FILM .17 ----------•-------- - - - - - - - OUTSIDE AIR FILM - 1'? STDTNG " .79 SIDING 5.5 FIBERGLAS ........... 16.50 ?-------- . .............. ............... INSTDE AIh FILM 68 - -- --..........._..- . .. . . ......., .. , _....... .. _. .. ... . ? TpTAL R VALUE 18 111 I IVS IUE A IR f= ILM _ 6P ------------------- . -------- TOT/-1_ R VAI. UE -- -------- . 65 WRLL U VALUE 551 - ---------------_.------- -------°-- . FRAMTNG U VALUE 1.1765 GLHSS - U VALUE _°__" ? .61 DDOR - U VALUE .51 ____ =___°_-==-___=__= ___= bATE: 11-12-86 ENERGY CODE CALCULATS ------------ -- ------- ---- - ONS ----------- CDMM N0: ----------- 8661 ---- - ------------------ CHASNEY ASSOCIATES INC. ------------ PROJECT: ----------- OAK RUN ------ ---------- 4979 OLSON MEMORIAL HWY. LOCATION: ' BURNSVILLE MINNEAPOLIS, MN. 55422 .. BLDG TYPE: TYPE A2 PHONE: 612/545-3355 ----------------------------------------- DEGREE DAYS: 8300 -- INDOOR DESIGN TEMP ±72 DEGREE^- ------------ ----------- ENGINEER: ---------- DHD OUTDOOR DESIGN 7EMP -16 DEGREES ------------------- ' FILE: - E-8661-5, _----------------------- CEILING ROOF ASSEMBLY ---------------- - - ___=_=====__ AREA-SO FT U VALUE U x A - ------------------ ------ INSULATED AREA --====---°__ 1152 ___=_=__- .025 --__ 20,92 FRAMING AREA 117 .070 8.19 SKYLIGHTS 0 0 0 OTHER (DESCRIBE) 0 O 0 OTHER (DEuCRIBE) ' ------------------------------------------ 0 -- O 0 - 1 TOTALS. ---------- 1269 ----------- ******** ---------- 37_11 2 HVERAGE U VALUE (UxH)/(A) LINE 1 ******** .029 ******** 3 RCOUIRED U VALUG ----- ******** .033 ****?a:?* ------------------------- EXPOSED WALL A^oSEMBLY ------------------- ---=- -----_____== AREA-S9 FT _- U VALUE - U'x A ----------- -------- INSULATED WpLL #tl AREA -----=-=--=- 1494 =--=-==-=-- .054 ---=----=- 80.23 FRFlMING AREA #1 165 .355 58.51 WINDOWS 195 .610 . 118.95 DOORS 33 .510 16.83 RIM JOIST AREA 101 .055 5.57 FIREPLACE WHLL 0 0 INSULATED WALL #2 AREA 69 .101 0 6.97 FRAh1ING AREA #2 7 .219 1 53 OTHER (UESCRIQE) 0 . UTIiER (DESCRIBE) 0 0 0 0 ------------------------------------------- O 4 TOTALS ------------ 2064 ----------- ****** u* ---------- 2£58.53 5 FIVERAGE U VpLUL (UxA)/(p) LINE 4 ??***?:** ,140 *,y;*****W 6 REQUIRGD U VHLUE -- ******** - ,230 ----- **y.**W** ----------- TOTAL ENVELOPE ------------- ------- ----- METHOD ----------- =---___=_= - - 7 AREA (LINE 1) + AREA (LINE 4) 1269 2064 3333 8 UxA (LINE 1) + UxH (LINE 4) 37.11 288.58 325 69 9 AREA (LINE 1) x U (LINE 3) 1269 .03 . 41 88 10 /1RE/1 (LTNF 1) x U (LIN[ 6) 2064 ' .23 . ,?7^ ??. 11 [3UUGET (L1NE lU) f(LINL 9) 474_72 41.68 516 60 12 U VHLUE (LINE 11) /(LINE 7) 516.60 ---------- 3333 --- ------ = . .15 SUMMARY --------- --- - =----=---•: ------------ U VALUES ----------------------------- ----------- - REBUIRED ---------- ----------- ACTUA!_ ---------- ---------- UIFF ----- CEILING/ROOF HSSEMBLY U VALUE ------------ 033 ----------- 029 ---------- EXPOSED WALL FlSSEMBLY U VALUE . 230 . .OU4 TDTAL ENVELOPE BUDGETS . .140 .090 ---------------------------- 516_60 325.69 190.91 , ---- IF EACH ACTUAL U VALUE OR IF BUDGET IS LESS COMPUTER CP LCULATE^- __- _ -- THAN REBUIRED, BLUG MGETS CODE . U TO ACCURACY OF .00000001 BUT .001 IS SHOWN FOR CLARITY k . . 4 . .. . ' . ?f. • .. . . . _ ? . . n?n • ?i(a? '1'? v t }?^??•..'? f)?f??P??.f:'1i ?.1.IG.X ?..3???':?.'.7f''''. ? r• Rkrn 1? . I...m,,,( "JiU'Cr6; . ,. -? ? ' ?- Mf. AOc. "tAr.i..F`RIl4iT£:' , 5Eixq, " nj a r.?a ,r.?r??r_ .dP..:. .?i. i?ff! I.. ?iil...??. 'i - ?.;.. p 2 . ? ' x i: : ? ? ; 14 . +. . ? Ci'TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: p.I.N.: 10-76100-210-02 PERMIT PERMIT TYPE: B U I L D I N G PermitNumber: 029769 Date Issued: 04 J Z 1/ 9 7 1602 MAI.LARD VIE,I,J LO7: 21 BLOCK: 2 THOMAS LRKE WOOC7S DESCRIPTION: 15 ", ?w ? Jt _ aY EF?n.L. S ;,,Permit Type ',rk Typa ??.? yrvy4A:?-8? A ,q, pECK NEW 434 ALT. RESIDENTTAI {?a4i &' '?'? .?5.' u REMARKS: FEE SUMMARY: 6ase Fee $50.00 5urcharge $.50 TntaS Fee $50.59 CONTRAC70R: ? y - I, h?reby???,?knes?t?ed:i?? ?}?atl Y. h S t ro ?,U ? B $ ?: R9 €t`e ? 13'?{ _ ?(1'? a'Pf uK?-C Ao? PPLICA lPERM E SIGNAT RE OWNER: - Applicant - DUVICK LARRY- 1602 MALLARD VIEW EAGAN MN 55122 (612)452-1832 4 Y e i`.? 9 F rr'?-_ EfY: ? ISSUED SIGNATURE ` ? 1997 BUILDING PERMITAPPLICATION (RESIDENTIAL) $J?O.,,?O ? CITY OF EAGAN 5830 PILOT KNOB RD - 55122 681-4675 R[^'I • i . r MI - _ n, ? Name: 1`?uVlcii L-??J;y ? 3 regialered site surveys ? 2 copies W plan ? 2 coples ot plans (indude beam 8 window saes; poured fitl. design; etc.) • 2 site surveys (exterior edddions & dedcs) ? 1 energy calculations ? 1 energy calwlatlons for heatetl addRions ? 3 copiea of tree presarvetion plan tt bt ptatted after 7!1193 required: _ Yes _ No ' DATE: <o NjZ °? 7 GONSTRUCTION COST DESCRIPTION OF WORK: 0 PI) I76^cK T'? L= X? sTr.vG J-(c /=-t [' STREET ADDRESS: q' lbUf)' L/i L'A.? lOT I 1 SLOCK 2 SUBD.IP.I.D.TPc PROPERTY OWNER Phone#: L/s?' - / e3" Street Address: 16'0? MJ?? 77?/tj v City: cON7wacTOtt Company: 5j-i A-7 L , RemodellReoeir Reauiiemenb State: kY"tl Zip; S ? / at Street Address: City: Staie: Phone #: License #: Zip: ARCHITECT! Company: ENGINEER Phone #: Name: Registretion #: Street Address: City: State: Zip: Sewer & water licensed plumber (new canstruction onty): . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknrnnrledge that i have read this application and state that the information is correct and agree to comply with all applicabie 5tate of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: ?Z L?? OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No AP 0 ?997 Tree Preservation Plan Received _ Yes _ No _ Not Required BY? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex n 02 SF Dwelling ? 07 4-plex 0 03 SF Addition o 08 8-plex ? 04 SF Porch ? 09 12-plex n 05 SF Misc. 0 10 = plex WORK TYPE New ? 32 Addition ? 33 Afterations ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth n 36 Move 0 37 Demolition Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq.ft. sq.ft. Footprint sq. ft. APPROVALS Planning Building kg ?' ? ,? ?•, ?? 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System ? City Water Fire 5prinklered PRV Booster Pump Census Code. Ll 3 4 SAC Code oL Census Bldg i Census Unit n Engineering Variance Permit Fee 5urcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ? 11 Apt.lLodging ? 0 12 Multi Repair/Rem. ? n 13 Garage/Accessory o ? 14 Fireplace ? ,W'15 Deck Valuation; $ % SAC SAC Units ? y ? * PION II * engini 2422 Enterprisr. Urivc Mendota Heights, MN 5512(1 I6121 681-1914 Certificate oI Survey far: ?? ? 9W "- _ ???? NOME-S ? ? ?• °o 3 ? > 0 ? d ? J Q :F "sov.u Denofes • goo.o Denofes UCnoles - Deno/es 3-AG1i1V EIgQCI1?a sfiri¢ F(ev??hvr! ??o?d F_ltvalion rina?e (Ulilify Ecxsemenf x,r,b e F7ow ?Arrows o I )enofeS r1100c/irien f HPCIf'lr1?J5 S??C?W/) ?1'P , LOTS22,23f 24 , BLOCK OqKO q COUNTy', A7In/NESOTA asWmed R.V. REQl11RED .CJ.-.?: FZUPOSfD lIUUSE ELEVqT-IpNS l.owesf floor E%vcrl7on = -- --- 7"v17 v(^Black E/evafian= Gara?e Slab flevalion= 93 _ Sub.iect fo kasemenfs of record Z , THOMAS LAKE WOODS 1 hniNry clrt11V IhOt IINf Surv•,Y. pW0 rn tPp0r1 w25 p! pa,Hl hV m r umler my diroCt SUpOrvision and Ihal 1 em IhJy FlI!giltered I OnA SurvlVrn under the inw4 nl IMe Slata ol Minnemta. Daled ebie dnV nl Ap. J/TCl1 - ' Sca/e? 1=- . qp'JeF _ ?----- ----- ----- - -- ----- 63 88082 n^eEn i R. SlKtr.n 1.5. r., rin 14 019 , -z 1 Z 740?..' /i< S U P- 2 8- S 9 T H U 1 5: 3 0 . E». T w S. E2vGINEERING TECHMCAL SERVICES DUANE D. BOICE, P.E. Trent R. Nelwn, C.E. 5teve H. Hoff, C.E. TO: SubJect: Thr,ma?. Date: qhK /ssQ I nereby certify that tnle plan, apeci8eation, or roport waa prepered by me or under my direct peraonal aupervislon anG that I am a duly replatereG profesaional enpineer under the laws ot the atete ot a I un compatent to prepare this doeument. - Signsture e???IRep. ! pn1C I? I i 1 I I I I ( I I ' I I I I f I I I I I I I I I r ? f $ T I I ? ? I 1 I I } I ' i ? i i _ ' . .. . ._ ? .?. ? ? - ? ?.T 7 L? ? : P°` . i?I T? i 1 7 j ! ! I I i : ' i i I ', ? i t ? - i ? i } T' ? ? ? ?? ? ? ? , ; , r A ? _t 4? ?? f L I r ' ? ? ' ! - T? ' ' , , L _ ? ? _ ? ? ? ? ? ? i • E t I L L L , T I I I F T • • I I i i i 1? I• ? ? _L ? f I T I 1 Y t I I ? I' I I I I I I' I?? 1 I ? ? I I? 1 I ( I I I I i I I I I J? I I I _t_ T ? I t I ?..L I 1 i t l I I i ? I 1 ? I I ? ? r ? I i I I ? r r - f ' i i ? i ? _. 1 1 r , i r _ ._ Y?x;:!cv,.ik?''(?.5'c9d'k:Y.YF? k?k R%Y'?t%'F.?U?.yt•X<.kW K :S<k'.>?t 'MX:9':Y?k;',:YriY„?; CITY (:if i',:AGAN f:fi2iH.[i:_4>e Fi 11ii:kMTi4AL. NI]^, 43) aIrF: WRoi96 rr.Mr-:: 0:20% TTI ; Nrr+c:;, LnWi_r c:aN:srRUc;rI.oy :#i'tU 900i i.E,f.)b MAI._I..AIiD Dl-i 1_49., i"i 205 9001 I606 1"AL.l._fiP?1 U;± 4,50 Tptal Recf.,ypi; Ainuvnt; 04„2"3 CROt.46s.38 Us3E.l? 7:9c NANCY :k/F:d' ?Y*',k'IF **Yn')X*k:XC 'M**Yt:J:)?6***)'F9FM 9FM>X*7K 'MT'<W%X)k4F3k 'M I PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: s uILn x N G Eagan, Minnesota 55122-1897 Permit Number: 028862 (612) 681-4675 Date Issued: 9 9/ 2 0/ 9 6 SITE ADDRESS: P.I.N.s 10-76100-240-02 1606 MALLARp DR LOT: 24 BLOCKa 2 7HOMA5 LAKE WOODS DESCRIPTION: 4-SEA50N PORCH/DECK Permit Type SF ADDITION ?#qrk Type NEW 434 ALT. RE5IDENTIflI V ,? ; - a ?* u = '=s m+ REMARKS: ??_. ???P, ? s? ?atp9w? ?i? -? v?` pgy,g"W,c ?? p ? FEE SUMMARY: Base Fee Surcharge Total Fee VflLUATION $149.75 $4.50 $164.25 $9,000 CONTRACTOR: - Appricant - ST. LIC OWNER: LAKER CONST 14473572 2005390 KERBER KEN 16011 WEST AVE SE 1606 MALLARO DR PRSOR LAKE MN 55372 EAGAN MN 55122 (612) 447-3672 (612)686-5439 9 ??u?TFt'E:?t ?ndd,C1"??+, ? c APPLICA T/PERMITEE SIGNATURE 'v. ?oinplyt?a3th ?all', appliCakr ?,,0` Srate_:?f.Mn - a 1?'i'?S H•- i " . 4 " „ ? J ??\?? ? ? / / • ` ISSUED BY: S GNATURE CITY OF EAGAN -i ?'?1?, 3830 PILOT KNOB RD - 55122 21996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 irements RemodeVReoair Reauiremen ? 3 registered site surveys ? 2 copies oi plan ? 2 copies of plans (inGude Deam & window saes; poured fnd. design; ete.) ? 2 sile surveys (exterior addNions 8 decks) ? i energy calculafiona ? 7 energy calculatlons tor healed addihons ? 3 copiea of tree preservation plan H lat plaried efier 711/93 requlred: _ Ves _ No DATE: ?? ((P1 St ,S`.,f ONSTRUCTION COST: ?'1-0 C) DESCRIPTION OF WORK: ? r a rz c? ??y rz c uz o 14 2 STREET ADDRESS: LOT BLOCK ? SUBD /P I D #: ?? ? ?t Owh) . . . . PROPERTY Name: kE iz-b P?L kEN _ -To EF? Phone #: 15,4 3$ OwNER usr o ? ???.9 nns* // A ? 011 Street Address: y City: State: ? Zip: SS I a- `?- CONTRACTOR Company: L-4ke A C,tis -/x4 c1,0A1 Phone #: '+`E7 - 3E 7a Street Address: )joU c( wes fi +4ti 5=. License #: ao o S 3 g o 0 City: ?h4 State: eAi Zip:SS 3-7 Z ARCHITECT! Company: Phone #' ENGINEER Name: Registration #• Street Address- City: State: Zip: Sewer 8 water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowiedge that I have read this application and state that applicable State of Minnesota Statutes and City ot Eagan Ordinances. the fot?ri ? ? la?on is correct and agree to cQrppiy with all ???? Signature of Applicant: OFFICE USE ONLY Certificates of 5urvey Received _ Yes _ No SLt? cp?a? ?J W Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex a' 03 SF Addition ? OS 8-plex ? 04 SF Porch ? 09 12-plex ? 05 5F Misc. ? 10 = plex WORK TYPE ? 11 0 12 ? 13 ? 14 ? 15 Apt./Lodging ? Multi Repair/Rem. o Garage/Accessory o Fireplace o Deck 0 31 New ? 33 Alterations ? 36 Move p" 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION 16 Basement Finish 17 Swim Pool 20 Public Facifity 21 Miscellaneous Const. (Actual) Basement sq. ft. MC/WS System ? (Allowable) Main level sq. ft. City Water ? UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump ' Length sq. ft. Census Code. _?_ Depth Footprint sq. ft. SAC Code 01 Census Bidg i Census Unit o APPROVALS Planning Building A45 Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License ? MC/WS SAC ?LJW tb s,/ _-7 7-7` City SAC ? Water Conn. i z? o Water Meter Acct. Deposit 7 S/W Pertnit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units A- ff-qc h.?? NR;g?.bo 2 ? 4 ? r ? TO vi ? ? ? go p `r0 ?. St2ee? ? SRC Pa??er? ?S_/ Tv p(LuPERf7 ll:V'P 0 ??,?^?.?? r ?Pa, pos?? pa • I(Do(? ?'??I r? 11 A?.? pR Lt? ke? Co Nsfia??fi ? ? F Form for use with Minnesota Rules part 7670.0475, Subp.2 1 8 2 Family Residential "Cookbook" Method SITE ADDRESS CITY 1606 MALLARD DRIVE EAGAN BUILDER DATE LAKER CONSTRUCTION 9/12196 Minimum Criteria: Rim Jofst: R-19 insuYation Foundatlon Windows: Insulated glass, 712" air space, wood or vinyl freme Entry doors: 1-X4 inch solid wood wiM storm or better STEP 1 Window 8 Dow Area Total Window & Door Area Sq. Feet WINDOWS (including foundation windows): Dimensions Qty Area 4.000 5.000 Total WindowArea DOORS: 3.000 6.667 1.000 20.001 0.000 0.000 Total Doors Area 20.001 Total Area of Windows & Doors Total Wail Area in Sq. Ft. Wall Total Perimeter Heioht 248.001 BOX A Area 28.000 1.000 8.000 208.000 138.000 1.000 8.000 1088.000 93.000 1.000 8.000 744.000 0.000 2040.000 BOX B STEP 2 Calculate area as a ercent of wall Bax A(window & door area)divided by Box 8(total wall area) times 100 equais the window and door area as a percent of wall area (BoxC) Box A 248.001 x100= 12.157 Box B 2040.000 Box C STEP 3 Desi n Features ASSEMBLY OPTION FRAME WALL: STANDARD FRAMING ? ADVANCED FRAMING CAVITY INSULATION R- 19.000 SHEATHING: LESS THAN R-5 ? R-5 OR MORE WINDOWS(EXCEPT FOUNDATION WINDOWS): U-FACTOR U- 0.270 From the table, determine the maximum percent window & door area for the design options selec[ed and enter the value in box D below: 22.000 BOX Q Box C must be less than or equal to Box D Exterior Envelope Thermal Transmittance Worksheet ASSEMBLY FLOOR AREA U-Fador U-Factor AREA S. Ft. x Area Insulated Area Z 1487.984 .043 64.611 Framin Area Z 204.000 .092 18.718 Windows ' 228.000 .270 61.580 _ Doors 20.001 .200 4.000 Joist .041 .000 ? Fire lace Wall .000 ? Above Grade Foundation Wall .057 .000 Foundation Windows .000 a Patio Doors 100.005 .270 27.001 „ Other .000 y .OOO a .000 a .000 X .000 W .000 Totals E 2040.000 F 175.888 Avera e U-Factor F 175.8882623 /E 2040 G .088 R uired U-Factor from Energ Code : H .110 If C is greater than D, or G is greater than H, revise the design as necessary to meet the envelope criteria of the Energy Code. 1) U-factar fvr skyllgM and vnndrnv must be determirred by the Natiwnal Feneckation Rating Caunel StarnWrd 10691 a ASHRAE 7993 Handbook of FunMameMals, Chapter 27, lable 5. 2) Theimal TransrnHtance of opaque comporwls (induding iMegraly inwlated masonry and metal stud framing)- use part 7670.0450, subpert 4. .• 4 : Assembly R and U-Factor Forms ASSEMBLY ROOF AT FRAMING Material(Describe Thickness R-Value Interior Fiim Coefficient .610 Sheet Rock .560 Ceilin Member 4.350 Insulation 44.000 Exterior Film Coefficient .610 Total Assembly Thermal Resistance 50.130 Assembl U-Factor 1/Total R .020 ASSEMBIY WALL AT FRAMING Material Describe Thickness R-Value Interior Film Ccefficient .680 Sheet Rock .450 Stud 6.870 Sheathin 2.060 Sidin 670 Exterior Film Coefficient .170 Total Assembl Thermal Resistance 10.900 Assembl U-Factor 7/Total R .092 ASSEMBLY RIM Material Describe Thickness R-Value interior Film Coefficient .680 Insulation 19.000 Rim 1.890 Sheathin 2.060 Sidin .B70 Exterior Film Coefficient .170 Total Assembl Thertnai Resistance 24.470 Assembl U-Factor 1/Total R .041 ASSEMBLY ROOF AT INSULATION Material Describe Thickness R-Value Interior Film Coefficient .880 Sheet Rock 6560 Insulation 44.000 Exterior Film Coefficient .170 Total Assembly Thermal Resistance 45.410 Assembl U-Factor 1lTotai R .022 ASSEMBLY WALL AT INSULATION Material Describe Thickness R-Value Interior Film Coefricient .680 Sheet Rock .450 Insulation 19.000 Sheathin 2.060 Sidin .670 E?cterior Film Coe?cient ct .170 Total Assembl Thermal Resistance 23.030 Assembl U-Factor 7rfotal R .043 ASSEMBLY BLOCK Material Describe Thickness R-Value Interior Film CoefficieM .880 Concrete Block 1.280 O tional Insulation 71.000 Stud 4.350 Exterior Film Coefficient .170 Total Assembt Thermal Resistance 17.480 Assembl U-Factor 1lTotal R .057 czTV aF EAcAN CASH]:ER: tS TERMINAI,_ NOe 618 DATEe 12/16/37 T:f.M[;; 34.12e04 IDe NAHE: f;ENNETN F..: P:FRPCI't 3210 9001 1.606 MAI_IAFiU Dft 50.00 Pj.JJ 3001 1.606 tSALLAR11 UR 0.50 To+,a1 Receipt, Amount. 50.50 CFi0Bh477 usF_R zn; JAN J PERMIT -%? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (6127 681.+G675 $50.00 $.50 $50.50 SITE ADDRESS: 1606 MALLARO DR LOT: 24 BLOCK: 2 THOMAS IAKE WOOOS P.S.N.: 10-76100-240-02 DESCRIPTION: (Na sEoROOMS) ermit Type BASEMENT FINISW *jc Type ALTERATION 434 ALT. RESIDENTSAL R : ? c- & V ??, ? {5# -r REMARKS: A SEPARATE PERMIT IS REpUZRED FQR ANY PLUMBING OR ELECTRZCAL WORK FEE SUMMARY: Base Fee 5urcharge Total Fee CONTRACTOR: I T..ho: ; . ?.rtfcr` ?ita* okfrtat n,. PERMITTYPE: BuxLosNG Permit Number: 031281 Date Issued: 12 / 16 / 9 7 OWNER: -- Applicant - KERBER KENNE7H 1606 MALLARD DR EAGAN MN 55122 (612)686-6439 IITEE IGNATURE ISSUED B SIG R 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3SM10 ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ' ^ - 681-4675 New Construction ReouiremeMs RamodeVReoair Reauiraments ? 3 registered ske surveys ? 2 copies ot plan ? 2 eopies of plans (indutle beam 8 window sizes; pourad fnd. dasign; etc.) ? 2 site suneys (exterior adtlitions 8 dedcs) ? 1 energy calculations ? 7 energy ealculations Mr heated addkions ? 3 eopies of tree prexrvation plan if tot platted aRer 711193 requlretl: _ Yes _ No ' DATE: - m CONSTRUCTION COST: DESCRIPTION OF WORK: STREETADDRESS: LOT -jL BIOCK " G 1 SUBD./P.I.D. #: ? 1l b L - ?/ ' r" I N Q- ??? PROPERTY Name: e.?e-447_ eiK 12Y J ? ?. Phone #: OWNER / , Street Address: te) 4? 4,0ej VV-, - : !E ??'? ??l State: Cit '? Zi :??? y p CONTRACTOR Company: 'Se Y l Phone #: Street Address: lh DG; /-I tqt l14 { )??License #: 2r? D _ City: j: A,,? Y? rJ State : n1 Zip: ARCHITEC7/ Company: Dj Phone ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer 8 water licer•Red plumber (new construction only): and lot change arc iequested once permit is issued. I hereby acknowledge that I have read this application and state that the information is State of Minnesota Statutes and City of Eagan Ordinances. y Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Penalty applies when address change and agree to with all applicable 0 OFFICE USE ONLY ?? • ? ?c.. BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _ plex WORK TYPE ? 31 New .2( 33 Afterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Aliowable) UBC Occupancy 2oning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ,et 16 Basement Finish ? 12 Multi RepaidRem. ? 17 Swim Pool 0 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move 0 37 Demolition Basement sq . ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Permit Fee Surcharge Plan Review License MCNVS SAC Cfty SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Traits Ded. Other Copies t ' , ?. ? crcxrw?,?•...i % SAC ,,- SAC Units?"" T i _ _..?,_.?.._.. 443 Engineering Valuation: $ MC/WS System ? City Water / Fire Sprinklered PRV Booster Pump Census Code. 1 3ZJ_ SAC Code ?L Census Bidg Census Unit Variance ?, / CITY USE ONLY L `t 8L ? RECEIPT#: 691?7-I9 SUBD..?a./U?_ RECEIPT DATE: 7 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please wmplete for: . single family dwellings • townhomes and condos when pertnits are required for each unft • backflow preventer for underground sprinkler system FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain GaS Piping Outlet ' minimum -1 Rough Openings Water Softener ' for dwellings under construction Water Softener ' for existing dwalling U.G. Sprinkler ' tor dwelling under const. U.G. Sprinkler ' for existing dwelling Alterations ' to existing residence Water Turn Around Private Disposal System ' Dak Ctylic. (new and reTurblshed systams) Private Disposal Systems' nbandonment I hereby adcnowledge that I have read ihis apptication, sfete that the iMormation is corred, end agree to-compy wtth ali appliceble City of Eagan oMinances. It is the epplicaM's responsibiliry io notify the proparty owner that the City of Eagan assumes no liebility for any damages caused by the Cily during fls normal operelional eM maintenance adNkles ta the faalities consWdedunderthis pertnit within City property/right-of-wayleasement. SITE ADDRESS: /?/ 4;?? /'22 ? OWNER NAME: INSTALLER NAME: STREET ADDRESS: cirr: ? 3'3"17 gA FACH ?Q TOTAL 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = • 3.00 x ,2 1.50 x = " 5.00 x = 20.00 x = 3.00 = 20.00 = 20.00 20.00 75.00 20.00 = ? STATE SURCHARGE .50 TOTAL TELEPHONE #: STATE: ? ZIP: ?? SIGNATURE OF P AITT i-i? ?? 'Off 3g asr ?.?A^- ?v??? :?, 6uefp p4- ? L ??O CITY USE ONLY SUBD. s RECEIPT #: I? 0 l I RECEIPT DATE: I LL ? l PERMIT# I ? al1 1999 PLi1M$INfi PEfiMTi' (gESID£NTIAL) C11'Y OF f AfiAPI 5830 PILOT KNOB RD $t4fil4N, MN 551 iE (651) 6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ G25 i in OUtlet ` minimum - t 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alteretions to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installationlre air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ te closet 3.00 x = $ Water hea ea 3.00 x $ U.?/v Vv-atersoftign-er If dwellin under construcfion 5.00 x = $ - Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .50 --> ----> ----> $ .50 Total _> -> --' ----' $ ' O . SU Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. --------------------------...---------------•------------------------------------•-•--------•----------------•----------------------------- I hereby acknowledge that I have read this appliwtion, state that the infortnation is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYS responsibility to notity the property owner that the Ciry of Eagan assumes no liabilily for any damages caused by the City during its normal operalional and maintenance achvities to the facitities construded under this permit wlNin Cily property/right-of-way/easement. ?-- - . SITE ADDRESS: OWNER NAME: : KERBER,KENNEfH 1606 MALLARD DRIVE EAGAN, MN 55122 (651) 686-5439 TELEPHONE #: (AREA CODE) INSTALLER NAME: r- DOM PLUMBING CO. TELEPHONE #: . , --..iJJ (AREACODE) STREET ADDRESS: CITY: MN 55408, STATE: ZIP: SIGNA OF PERMITTEE CITY USE ONLY ? L -,' i ? BL ? RECEIPT#: SUBD. RECEIPT DATE: 1997 PLUM$INfi PEftMIT (RXSID£1VTIAL) CIT'Y OF EAfiAkN S$SO PILOT KAOB $D gAfiAN, MN 551£2 (612) 6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain GaS Piping Outl2t ' minimum - 1 Rough Openings Water Softener `for dwellings under construdion 'Water 8ortener = wr exisnn9 dwemng U.G.Sprinklef `fordwellingunderconst. U.G. Sprinkler "forexistingdwelling AltBfatiOnS ' to existing residence Water Tum Around Private Disposal System ' oak cry iic. (new and refur6ished systems) Private Disposal Systems' nbandonmenc EACH 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 20.00 3.00 20.00 20.00 20.00 75.00 x x x x x x x x x x x x A # TOTAL 20.00 = STATE SURCHARGE TOTAL --- -- -..- - - --•---------- - - I hereby acknowledge that I have -read this application, state that the infortnstion is- . cortec[, - and - agree • to canply with all spplicable City M Eagan ordinances. It is the applicanPs responsihility to notify the property owner that the City of Eagan assumes no liebility for any damages causad by the City during its nortnel operational and maintenance activities to the facilities construc[ed under this pemtit wRhin City property/right-of-way/easement. SITE ADDRESS: / Co c) !o OWNER NAME: I??-- ??x ??- • INSTALLER NAME: TELEPHONE #: Y ? f 7 3 4-7 c? STREET ADDRESS: CITY: STATE: CDIFORMSlPLBG PERMIT (RESIDENTIAL) 1997 SIGNATURE OF s;Zv_ nL: .50 ,,2U JSO ZIP: - -, ? ? l...? ? ? •-r-r? ?' G G 1- -? ? i ` , _ - ? I \ ? - ?---- - - - - '_ ? o *s Ll .?" ?4 V I ? I? Y?I_ ?M_ ! __4? ?'?P/ .. ' . BA i ,o-%a ID? %Zoe.a?; ?. i ,?? .. 7 `rc-c ? :c-. _ ,. . =5S- - Q- --- ` n ? - ?'- -- - ? '? - - ---- `? - - ? - .-Eb t? LOCA, i IOti t? x N-45- /' s..,.;i:..: ? n " ?? -.----.? _?- ? .i;,t,Ai anc', KEl;` KFE'EF,`t+ ^?Hi1AND i}sR?I/? Ca Vr HY?iYi'I? T?IiV2 G f 1 L ,_i`??-G V (?I/"?? /?J V t???a.A 3r?z ? , -3 s 3'V, e,..? rc .? ll?? ?y7! 3? -7Z _S -t -7'7 PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA078079 Eagan, MN 55122 . Date Issued: 06/04/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1604 Mallard Dr Lot: 23 Block: 2 Addition: Thomas Lake Woods PID 10-76100-230-02 Use Description: Sub Type: e - Underground Sprinklers Work Type: Backflow Preventer Description: New Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Eric Bruckmueller 3992 Pennsylvania Avenue Eagan, MN 55123 Fee Summary: PL - Permit Fee (Res Modifications) $30.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: 530.50 Contractor: - Applicant - Owner: Bruckmueller Plumbing & Heating Roger H Tenney 3992 Pennsylvania Ave 1604 Mallard Dr Eagan MN 55123 Eagan MN 55122 (651) 686-6696 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 Issued By: Signature