1615 Mallard Dr?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS: 101:
, ,:l , tI-11 rll,
?Mli, f iti.l t!liUll:.
PERMIT SUBTYPE:
111, " It: ?. - 4
F f F t- k
f 6 121 r,o{i,
TYPE OF WORK:
f+I ,I ;. I : 11 "lJ
? ...,
A! fFltAf tnti
(.i/q 11 At11)
INSPECTION
?• . DA
' •
,?. . , ? .. D•
t I?fli, li i l-t 1I
!?.
?? IJ r'. I
?
PermR No. Permit Holder Dete Telephone #
SNV
PLUMBING ? ? OV' Ss
HVAC
ELECTR
ELECTRIC
kropaction date Insp. Commema
Footings 1
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Rnat Htg.
Orsat Test
Final Plbg.
d Plbg. Inspector - Notify Plumber
Const. Meter
Engr.lPlan -
Bldg. Final ,?! 9
Deck Ftg.
DeCk Final
Well
Pr. Disp.
0
CITY OF EAGAN PERMIT TYPE:
3830 P'ilot Knob Road Permit Number: +?1 ??:' ?
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
' SITEADDRESS: 0" 000 k ' APPLICANT:
? I i11lf9w. 1 f+l. ! 1J11UU:?
PERMIT SUBTYPE:
.• ;
r=0cMt ?Ni,.
!
F
L
TYPE OF WORK:
i i N fl t.
Permlt No. Permit Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inapect?on Date Inap. Comments
F0071NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUQH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIHEPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT TEST ?
eLDG FINAL
BSMT R.I.
B$MT FtNAI.
DEClC FTG
r
-?
-
-
-
DECK FINAL --
?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 4
Eagan, Minnesota 55122-1897 Date Issued: `' •,'{
(612) 681-4675
SITE ADDRESS:
? oAl.! Aftf.i C?R
i tlUMAS l AKF- lJOflp?:
? PERMIT SUBTYPE:
, , .
^/ P.i Qr7 'N;YA.. • .
APPLICANT:
, • , ??, ?+; r?t
TYPE OF WORK:
r
Permit No. Pertnit Holder Dete Telephone N
ELECTRIC
PLUMBING
HVAC
Inspaction Dab Inap. Commenta
FOOTINGS
FOUND
FRAMING
FIOOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST Fq
? p
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDC3 FINAL
BSMT R.I.
BSMT FINAI
DECK FTG
DECK fIIVAL
SEVVER & 16IATER PERMIT
CITI?OF EAGAN
3830 Filot Knob Rd.
Eagan, MN,.55122-1897
DATE? ? DEC 20, 1991
METER #
CHIP #
METER SiZE
ISSUE DATE
SITE ADDRESS 1615 HALLARD DR
LOT 9 BLOCK 4 SEC/SUB TH0MAS LAKE MOODS
APPLICANT:.
ADDRESS: _
CIT`!, STATE
PHONE: _
ZIP
PIUMBER: pARSONS PLUMBING
ADDRESS: 300 FIRST ST
CITY, STATE MOHTCOMERY MN Zip 55069
PHONE: 364-8801
OWNER: GEROLD BROTHERS CONST
ADDRESS: 1704 2$0TH S'f Fl
CITY, STATE NEW PRAGUE MN ZIp
PHONE: 445-3171
OFFICE USE ONLY
PERMIT DATE 12131I91
PERMIT # 12461
B.P. RECEIPT # G 016592
B.P. RECEIPT DATE 12 23 92
X PRV _ BOOSTER PUMP
PERMIT REGIUESTED
X SEWER x WATER - TAPS
_ COMM/IND X RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Cr it WILL NOT be give -AAeters.
?
X '(4, j C44
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
? CASH RECEIPT ?
,
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122
DATE tg
Iwo
AMOUNT $
J ( '?
DoLuvaS
Soo
? CASH C?HECK
Thank You
; - -_
BY
C 016592 .. YWh,,e-Pa,? ?
Yellovf-43ostrq? ?
Pink--Fiie C.opy
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilo# Knob Rd.
Eagan, MN 55122-1897
DATE DEC 20, 1991
OFFICE USE ONLY
METER # 6/5-7 `Z?S ? S PERMIT DATE 12/31/91
CHIP # D a`L,.1 9 7?O 9 PERMIT # 12461
METER SIZE B.P. RECEIPT # C 016592
ISSUE DATE ?_ -/ 5' 9 a B.P. RECEIPT DATE 12 23 91
x PRV- - BOOSTER PUMP
SITE ADDRESS 1615 MALLARD DR
LOT 9 BLOCK 4 SEC/SUB THOMAS LAKE WOODS
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE:
PERMIT REQUESTED
R SEWER X WATER TAPS ?
COMM/IND X RESIDENTIAL
ZIP .. X NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: PARSONS PLUMBING Ahead of Domestic Meters on Water Line.
ADDRESS: 300 FIRST ST Credit WILL NOT be given lMe3ers.
CITY, STATE MONTGOMERY MN Zlp 55069 ?
364-8801
PHONE:
I AGREE TO COMPLY WITH C TY OF
OWNER: GEROLD BROTIiERS CONST EAGAN ORDINANCES
ADDRESS: 1704 280TH ST W ?
NEW PRAGUE 1?II+i ZIP
CITY, STATE
445-3171 • ATURE HEN METER ISSUED
PH?tVE: -
l
PL?`ASALLOVV ''WO WORKING DAY$ FOR PROCE5SI?1G. CALL 454-5220 FOR
SEWER PERMITS, CONTACT ENGINEERING OEPT.
INSPECTIONS. FOR STORM
,??J
MR""
? .?
To
PERMIT
r SF DiiC/GAR
Est. Value
Lot y Biock 4 Sec/SubTHt7!!I?3
Parcel No.
Name CLitOLD pitCrrEtBAB C01t8T
? ,o,ddress 1704 280T8 ST M
Q aiy NE6i PAI?CUE !QI ZP
.., i.i.c ???•
? Name smw-
? Address
CY ZP
Phane
? Licem #
I hereby acknowlege that I have read this application and state that the
information is correct and agree to compiy with all applicable State of
Minnesota Statutes ano City of Eagan Ordinances.
? ? . ,-`•?: ??
Signature ol Permilee
A Building Permit is issued to: GEROLD BYOTHE$S CONST
on the express condition that alI work shall be done in acxordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 681-4675 Y )
Receipt #
D1 9934
l
Im
Date dEC 2 0 , 1991-
3
OFFICE USE ONLY
F EES ?
oocupancy R-3 X-1
2oning pD-- BidB. Permft 5".00 i
;
(,?tuaq C«,st V-N s„mhaW
;
45.50
(Aliowable) V-K pw qa%dew 389.00
. ?
N ol stories
Lengih 50, umm
Depth ?b? SAC,Ciry 100•00
S.F.Total - SAC,MCWCC 650•00
S.F. Foolprints - f
On Site Sewage _ Water Conn Aok- 00 ?i
On Site well water Meter 431•00 '?
newcc system x 30.00 -
?
City Water ?_ ncci. oeposa ,
3
PRV Required x Sl1N Permit 30•00 ;
8ooster Pump - 5/W Surcharge • 50
Treatment PI 276.00
APPROVALS Road Unil 370,00
Planner - Park Ded. ?
ca,ncil -- 1.00
B?. ?.
_
Copies ?
Variance - TOTAI 3 ,2"• 00
?
?
? P"k No. Permit Holdar Date Telephone #
,%W
PLc,MBING
rivnc
ELEcrRic
ELEcrRic
IRapectio, Date Insp. Comments
Footings I %'/ G 9/ t?J
Foundation ?Z. DS
Framing ?_ Zp Z ?
Rooling
Rough Plbg. .. 6 --
Fiough Htg. 3 ?S "' /S RL
.
Isul. Q h/ ii1lS
Freplace C d!i{-D/{/d T/ A/S-OWrT /pCrU s
Final Htg. ° +e .S6// L yi /w LLS-
orsac Tesc ?? i ?G, G'o?c/7?;dc1UR Oi0 No CdGL is/
Final Plbg. Inspector - NOtify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Dedc Ftg.
Decfc' Final
Wed
Pr. Disp.
+t -?. .iw a
? \Yrrttftralt of t'D????aury
(Litp of teagan
Erpwtcuntt ,u# iuoing inopprtin
This Carij'rcate issued pursuant m[he requirements ojSection 306 ojthe Unijorm Building
Code aerlifying that a1 the tirne of issuance tiris structure w+us in conpliance with the various
ordinanars ojtire CitY regutali?iS building consYrudioa or trse For the following:
u- qkar-p- W rr.r Iren gbllg, pawk No. iQWa
0="-77ht IR-1,4m I 7.m. Disttid PI) Type Cnw VN
Owoerafe,1dng rE[xwn F?arac CMcT Ad&= 17Q(+ ?RfrRa ST jaj, NF7W PF2Aa1F.
POST IN A COtJSPICUOUS PLACE
?
°j
J17653?9a `, ?a
ReQUest D te Fne N. o gh+nlnsp¢tlion
¢
Fa
uir¢ '+
? FeaW Now i I Notiy InspectOr
? q
r s ? No PJlieo Ready?
licensed contractor ? owner here6y request inspection of above electrical work at:
Jo0 AdOress (Street Box Or Rome No 1 Ciry
16 '
U
SecLOn No Township Name or No Pange No. County
Occupant (PRINT) ^ ?. PM1One No
4f51- 6
Power Su plier
` Pdtlress
?....
(. 1 ', ...J
Eledncal C a tor ?Company Name) ? ConVactw5 License No.
q
Mailing AQtlress Conlractor or Owner akmg InstallaLOn)
? ?-j fZIJ? 1 [? ?z 1 v?v i 0?
HNM1OnzeO Sig ure ICOnVaclort er Making Install . PM1One NumOEr
-as?6
MINNESOTA STATE BOARD OF ELECTAICITV-1 THIS INSPEGTION REOUEST WILL NOT
Grigge-Mldway Bldg. - Room S173 BE ACCEPTED BV TME $TATE BOARD
1821 University Ave., St Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) B6Y-O800 ENCLOSEO
?Address: 1615 RD DRIVE Lot q Blkq Sec/Sub Tffl4&S LAKE WOODS
These items wera/were not complete at the time of the final inspection.
Da ' 03 26 Q2 Yes No ?
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded gtass
Trail/curb damage
Porch
Basement finish
Deck x
Please verify vith the bullder the removal o£ roof test caps from the plumbing
system and the shut-off of mater supply to tha outside lawn faucet before
freeze potential exists.
nrnxeowe?
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN ?p1 g984
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
BUILDING PERMIT PHONE:687-4675 Receipt # , 0- 47 ?(05-9?
Tobeusedfoi SF DWG/GAR Escvalue $91,000 Date DEC 20 , 1g9L
Site Address 1615 MALLARD DR.
Lot 9 Block 4 Sec/SubTHOMAS LAKE WOOD;
Parcel No.
Er
w
?
Name _
Address
W
City NEW PRAGUE MN 7jp
¢ Name SAME
? Address
? C4 ZP
Phone
? ucense #
I hereby acknowlege that I have read this application and state that the
mlormation is correct and agree lo comply with all apphcable State of
Minnesota Slatules an ' ol Eagan ?Ordin}a?nces. ?
Signature ot Permite
A euilding Permit is issued to: GEROLD BROTHERS CONST
on the ezpress condition Ihat all work shall be done in accordance with all
applicahle Sfate of MinJn'esota Statutes and Ciry,Aof Eagan Ordinances.
8uilding Oflicial ??,MIT;Il(!„I p7.11
OFFICE USE ONLV
-- FEES
OccupanCy R- 3 M_1
Zoning pO
0
Bklg. Pertnk 599.0
(nctuap Const V-d Sumna(ge 45.50
(Allowable) V-N plan Review 389.00
A of stones _
Lenglh SO I License
Depth 46' SAQ City 1 00 _ 00
S F. Total - SAC, MCWCC 650.00
S.F. foolprinls -
On Sne Sewage _ `Nater Conn 66o• 00
On Site Well Water Meter 95.00
MWCC System X 30
00
Ciry waler
?L Acct Deposd .
PRV Requued X S/W Permil 30.00
Booster Pump - S/W Surcharge _ 5!1
Treatmenl PI '276 - nn
APVROVALS Road Unit 370_ nn
Planner _
Council -
BIdg.Ott. -
Variance -
Park Ded.
Copies 1.00
7ornL 3,946.00
a-
/ /G Y ?
9 0 7?r G'7°9, ?' i`,%w? 6?,
Requasl Date
1` ?` ?J
2-
Vyy re NOTICE: Vou Musi -all Eledrtca?
Ii A Bough-In Inspa
? e= ?sR
/
I licensed contractor ? owner hereby quest 'nspectio of abov I I work at
ob AtlGress (Slreet, BOx or Raute No.) P
i
?
W
SecLOn N. Township Neme or No Range No Cou"
O pant (PRINTj PMne No Lv,
pl r
Power S Y ?
Addres'=
Elecmcal Co racta (COmpany Name) Co hadork Ucense No
`
Mailing Atltlress (COor aking Inst L I&M
-
Author S?gnaWre Conir ner Making s?allalion) Phone Numbe?? ?
MINN TA STATE ?LECTBICITY THIS INSPECTION REQUEST WILL NOT
Griggs- Itlway BE ACCEPTED BV THE STATE BOAPD
1821 U versliy Ave, $L Paul, MN 55100 0.'(T UNLESS PROPER INSPECTION FEE IS
Phone(812)662-0800 ?` ENClO$ED.
10211101 REDUEST FOR ELECTRICAL INSPECTION
, See instrucbons for wmpleLng ihis lortn on back of yellow copy
9 073. -'X" Be/ow Work Covered by This Request
? EB-0A0001-08
'
e Add Rep TypeofBwlding App6ances0rted EqmpmentWired
Hom Range Temporary Service
Duplex Water Heater Elecirro Hea6ng
Apt. Buildmg Dryer Load Management
Comm./Industrial Furnace Other (Speciry)
Farm Air Condihoner
Other (speciry) Contractor's Remarks
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # CrrcuitsfFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Translormers Above 200 _ Amps Above 700 _ Amps
Signs Inspector5 Use Only:
Irngation Booms 2
Special Inspecllon J O
Alarm/Communication THIS INSTALLATION MAY ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rou9h-in Dele
cenify that the above inspection has
been made. Final i
/ , Date
.a 4
OFFlCE USE ONLY n? + I M, I
This requesl voitl 18 monlhs Irom ? \ ll U????
C `/ ? ? / ] " " . .
11?*/FA
"J 17053
REQUEST FOR ELECTRICAL INSPECTION
? See insVUCOOns br completing this form on back W yellow cnpy.
"X" Be/ow Work Covered by This Request
&!' 4T E&00001-08
?,?'?' /O 5??`?5?7
New Add Rep. TypeotBmldmg ApphancesWUed EqmpmentWiretl
Home Ranqe Temporary Service
Duplex Water Heater Electnc Heating
Apt Building Dryer Other (Specity)
Comm./Indusirial Furnace
Farm Air Conditioner
OIM1erisyecity) COnhaCtOr$ fl2mdrks
Campufe Inspechon Fee Below:
N I Olher Fee # SerwceEntranceSze Fee # Circuits/Feeder Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps q ?
Tfansfofiners Above 200 _ AmpS Above 100 , Amps `O
51905 Inspectar5 Use Only -1O1- TOTAL SJ
Irngation Booms
Special Inspeclion ??-?
Aiarm/Communication THIS INSTALLATION MAY 8E ORD ED NNECTED IF NOT
• Other Fee COMPLETED WITHIN 18 MO S.
I, the Electrical Inspector, hereby Ro?n-'" Date ?
certify that the above inspection has
been made.
Y-
3¢.MeL?
OFFIGE USE DNLV
This request voq 18 monfhs irom
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMFS AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTf. ,
'O. FIXTURES C TO? ,
? SHOWER 3,00 3. UU
/ WATER CLOSET 3•00 3. ° °
BATH TUB 3.00
/ LAVATORY 3•00 J• °°
KTTCHEN SINK 3.00
LAUNDRY TRAY 3•00
HOT TUB/SPA 3•00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum • i 3.00
ROUGH OPENINGS 1.50 _
WATER SOFI'ENER 5•00
PRIVATE DISP. • n,iLay. uc. 15.00
U.G. SPRINKLER • oome unaer oon:i. 3.00
ALTERATIONS • to aosting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: /5_ 50
SITE ADDRESS: /6/S' 1??Ir1 < «p 49(e
OWNER NAME: Aa W f:-/e /S
INSTALLER: ?404?r_
ADDRESS:
CITY:
STATE: ZIP CODE:
PHONE #: ( ) ro g'L- p-
SIGNATURE O PERMITTEE
1993 PLUMBING PERMIT (RESIDENTIAL) .
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
1993 PLU114BING PERMIT (CONIIIERCIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN SS122
(612) 6814675
PLEASE COMPLETE FOR ALL COMIIvIERCLUJINDUSTRIAL BUILDINGS. AISO FOR MULTI-
FAMILY BUP_DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIl2ED FOR EACH
DWELLING UiN:T.
_ NEW CONSTRUCfION
ADD ON
REPAIR
WORK DESCRIPTiON:
COA'TRACT PRICE: $
FEE: 1% OF COWTRACI' FEE
STATE SURCFIARCE $.50 FOR EACH $1,000 OF pERMU FEE.
MINIMUM FEE $ 25.00 , . .
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SIT'E ADDRESS:
$
$
TENANT NA117E: STE. #
OWri'ER NAME:
W STALLER:
ADDRESS:
CITY:
PHOA'E #:
STAT'E:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
CTTY OF EAGAN n,.
L? B- MECHANICAL PERMIT RECEIPT #(.?//I!J
SUBD. r'tiogu.rf G,vfeeP tc?anpS (612) 6814675 DATE 1 4 9a-
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELLINGS. ALSO, COMPLETE FOR
TOR'NHOMES/CONDOS R'HEN SEPARATE PERMTI'S ARE REQUIRED FOR EACH DWELLING UNTI'.
OWNER: % diy( f¢ I d7' FEES
SITE ADDRESS: `
/ly/f /(;{{¢1Ir),,P0 jJ/1Cue ADD ON/REMODEL (EMSTIIKG
CONSTRUCTION ONLI) $ 15.00
'
f3P? #io? HVAC: 0.100 M BTU 24.00
INSTALLER: ?a? ?d7c t?/?5i .£.?-C' ADDITIONAL 50 M BTU 6.00
ADDRESS: GAS OUTLETS - MINIMiTM 1@ E3 EA. (0,00
CITY: ?{'/.QuJ ZIP:.SG,7/ SURCHARGE: $ .50
SIGNATURE: ? ?a. TOTAL: $ '3 • S o
?
COMMERCIAL
PLEASE COMPLEfE THIS PORTION FOR ALL COMMERCLWINDUSTRW. BUILDINGS. ALSO COMPLEI'E FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACA DR'ELLING UNTT.
WORK DFSCRIPITON: CONTRACf PRICE:
196 OF CONTRACT FEE. FEES
STATE SURCHARGE IS $.50 FOR FACH
$1,000 OF PERMIT FEE. $
PROCFSSED PIPING - $23•00
MINIMUM FEE - $25.00 $
OWNER: TOTAL: $
STTE ADDRESS:
1'ENANT: r r
SUITE #: .
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #: CITY SIGNATURE:
SIGNATURE:
?Iti$!iT'Ztil.z°
"li v2' c.nann rvn V111 uan vO+.a
3830 PILOT RNOS ROAD
EAGAN, MN 55122 PERMIT k
PHONE: (612) 454-8100 RECEIPT #
BING .? .. .....???I?' DATE: / A'J-
??.«?.,..,._
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WFIEN PERMITS ARE REQIIIRED FOR EACH IINZT.
VORK DESCRIPTION
NEW CONST vf'?
ADD ON _
REPAIx _
OWNER NAME: _ TU M FE a pT
SITE ADDRESS: /'?' /S ,vIr4LLr3K? Ji210+E
IAT:?_ BIACK _t?_ SUBD. A?lJ(
INSTALLER: /4eaA/'v f
ADDRESS :_// Ccl c>5 f duK` ??
CITY:cAJ ?ru9ve ZIP:
PHONE #: l! /Z -
SIGNATURE OF
ZIP:
MtSMEBGiALJiNDIISTBTATPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
,?.,.._ . .,.... ...._
HULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY•
PHONE #:
FOR:
COMPLETE THE FOLLOWING:
N0. FZXT[IRES EA. TOTAL
ADD-ON MINIMLTM 15.00
SHOWER 3.00 ? ?3?i
_ WATER CIASET 3.00 1 ?3°`
_ BATH TITB 3.00
_ IAVATORY 3.00
r 3
_ KITCHEN SINK 3.00
_ IAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00 _?
WATER HEATER 3.00 / ?S
_ FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMUM - 1) 3.00 Lt:?r
_ ROUGH OPENINGS 1.50 /, S 0
_ OTHER
_ WATER SOFfENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S /?IS. 5 Q
ST. SURCHARGE .50
?;) g o?
TOTAL: S r
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN
579•UUr
45•50?-
3t3)•JO r
2211•5C??
1•00?
3,246•00'?-
C?5})•u0?
45-501-
389• 00-F
2, 211•>0}
1 •00+-
11
3,245•00
, 1991 BUILDING PERMIT APPUCATtON
' CITY OF EAGAN
REQUIR@MENTS:
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SEf OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE Q@ LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
To Be Used For: PFS; ?o,, ?, ( -Uz,,,;Valuation: --4?RM=' Date: Z 2 //g 1':?- (
Site Address 6 /S
Lot I BloCk L
Parcel/Sub ? ,,,a ?
Owner
Address 17G-/ ? .vf>
city/zip code
Phone _i/ y S - 3/7l
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Sewer/WaterLicensedContr.
for sewer/water permits is two ay?
? - --
!S ?-
?k ;Cu..
ignature ofPermittee
all applicable State of Minnesota Statutes anc
Q
9,'COa ,,,- A )FFICF US E ONLY
FEES
Occupancy R 3M-t Bldg Permit 9,00
Zoning QD Surcharge tiS•So
Actual Const v-N Plan Review 389,ov
Aliowable V M License Fee
# of stories SAC, City 100,00
Length SAC, MWCC ,au
Depth 46, Water Conn.
o
[40,0
S.F. Totai Water Meter
o
95.0
Footprirtt S.F. Acct. Deposit 30160
S/W Permit 30.03
On-site sewage S/W 5urcharge Isc
On-sfte well Treatment PI.
o
a76.0
MWCC System ? Road Unit 3r7fl,ao
City water 7 Park Ded.
PRV Trail Ded.
Booster Pump Copies ?, «>
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Counal TOTAL
Bldg. Off. Iz-IF-q/ DS
Variance
Processingtime
agrees that ali wark shall be done in accordance with
City of Eagan Ordinances.
SS NtT.
26r2-v4\
?VXyS?
. ,?
-7 X
9014 x !µ=
IST
C'>sNOT'= 90W
zn5 = IS
12 %2 331
Z x ?o - ?o
2x z2= ?`?
?Y2X I'/z = ??-
(37.9 953=
6A-RA GE
.--.-
? 4?22 = 5L 8 K?S c?q 20
!
`1'09dr1 oie 91,ac7v'
r
?DEC 16 '91 19:21 TO 612 681 4612 FROM PROBE E1JGINEERING T-725 P.02
? C?EKOLD BROJ. C??T•Pfil:T/ON
hO?? . CONSUlTIHO 4NG NEl4f k CUEN7
?? PtqNNtqS 040 ?OHQ 3UBYYV09f
? PRO??sNO. 39o2.a,
ea?iNwSCaiN`G
?0?111??7?7Ye INC• ' uK./69 PG. 29
IOOV EA57 14BW S7RC[T. PURNlVIItL , MINNESOiA 66337 PN ?32'IIO4D
E
LEGAL DESCr'iIPT10N: i-oT' s awcK ¢ 7hv,'7ms [srxE woad5
09KoYA GOVN7Y M/NNESOTA
scn?.e i r. ?m
pR.9/ria4fi: .M'O
ur?ulY 4vse
?J
\
f \
`J
V
4VL...
1
? t
i .
yx? i
(?'¢lFg ) pEJJ0T6S EXISTING ELEVATION
(965:5 ) DENQ7HS PROPOSED ELEYATION
,r._...-- INDICATES UIRECTION OF 6URFAC6 DRAINAGE
465.83 a FINISHEq GpRAGE FLOOH ELEVA710N
bY Z.9S . m 6ASEMENT i'LpOR ELEVATION ,
b9 6•/6 ... 70H OP FOUNDA710N ELEYACION
'? Aoo,efss : i6 i5 ina?ovzo oR??E
?h
ay,
?s%Irdl?y
i ?.
. ?.
f `\\ 6 ? ' ? ?- ?1
p? ^
^5 ^ r?
D ? I h I ? ? r?
4s.oo Y-1 ,?? ? ? `
M Eksx)
? N NlZ???
2s.4Y r.oo
n i ? I
I ('?[s m> ? .so? Byyld4A; ? ?) . ? j 7ZG??
`?/
(pC _ l
L- ?
?. 14z,05 A. B'
""'` ?yjAGlARD_ -
!t??'-? 3N?''
?- ,
I t/EREBY ClXTIFY 711PQ 1IN118 A THUE ??_ ???710N OR A TPACT OP LAN?
rxrcar.GF.Y
A8 SNOWti AND DESOPAUD NEiWm A4 PR6PAflEUBY NE TMS.LZn' -OAY OF ?
19?._.
/< /lf _ ? lMU?HFY.NO. /GOBS -
<.. .
`- EXTERtOR ENVELOPE AYERIIGE "U° COMFUTATION
3VHER:
?
;ITE AQORESS:
:ONTRACTOR: LIQ,Go?? Rj\OS C'nV? DATE:
?NONE: 05 JT -::3I'/ I
, : ..;
.u
DETEIIMINE MOIIKINf. SO.UAttE f00TAGE OF EALN:
,
1. TOTAL EXPOSfD WALL AREA,,,,,,,, ? 3a y_ sq ft x "U" • I ' ?ss• •?`
>, TOTAL i100f/tE1LIN6 AREA,,,,,,,, ?a sa sq ft x "U" ?•(?r?f1 ' 3?• s ?
). TOTAL EXPOSED HAII IIREA CAICULAT10N5: •
Total exposed wall
s
floor
b
ft •
q
,,,,,,,,
ove
area +
t
e) Total Mail windw+ •rea: J
D? 9lazed
I sa ft x "Un •?? • ,??. D I •
...... a
glesed,,,.,,, sq ft x "U' to
? sq
??
l d ft x "U" 2
b) •
oor area ,,,,,,,,,
Tota cJ
c) Total s11dInA qless door srea:
1-4t)\? gtazsd...... ??..a sq ft x --Un -j
qlazed...... sq ft x `Uu
?
d) Total tlreplace wall area -0 "sq ft x "U"
?
a) Total wall framing area
"
"
/D? '
?
s >c
(Averaqa 10!)........... , I q3.7 sq tt x U • ,?.. N
f) Total nat Nalt area above
floor (Insulated)....... ? 7 7 q sq ft x "U" •?, ' ?
g) Total rim Jotst •rea...... ? a?. s sq ft x "U"
?
? 641.3
?.
Total foundation
oy ?-5- sq
..
area (Exposed)
ft
........
..
h) Total fouedation
p ' sq
rindaw area ............. -
ft
x
"u"
1)
.,• ,..
Total net fouedatlon
?
"
" ?
/ 0
•
?
sq
•rea above 9rode........ lb`Y. ft x U •
-
TOTAL e) thru i) ? gy. r
If lterqi/g (s Me fame es, or less than Item fl. you heve met tl+e Intent of
2 MCA???"?,?I6008 A and 0. ,
Page 1
?
y
I
i
i
?
a
4
;
?
.. . , yG.l ,
4.."TOTA4-El(POSED ROOf/CEIIING LALCULATIONS:
Tota) euposed
a ? a s4
ft `
rqof/uilinq area........ l.
s ft x "U" .J' 1--
1) q
Total fkylight area .......
k) Total roof/celiln9 (remin4 ft "U" O 2 1
sq
•rea (Averaoe 107t1.••••• x
1) Total net lesulated s ft x "U" • O?$ '°? .`
q
root/ceillnq ares.......?_
TOTAL thru )?18 E
4.
If total of 04 Is the sana as, or less than I2. you have met the Intent
2?iCAlt 1 .16008 A aed 0.
. ALTEIWATE BUILDING
To utilize ihe eotal envelope system method,
of Items /) and 04 shall not be greater thao
1. + z.
.3. + 4.
:HVELOPE DESIGN ?
the values establlshad sy the sum t
the sum of Items 01 and 92. !
.
.
-. .?
?
e
CERTIFICATION
1 heresy eertifr that 1 have caleulated the "U" factors aad "R"
values herele and that the bulldlnq hete desFriAed meets or exceeds the State
ot Minnesota Eeeray Conservatton Act.
f K2 /?+
qnaturc ?
? ?1???? i
(Oate) Pege 2 ?
?
?
+?
` ? • '.
WALL
SECTION
.
2
q sTLIn
? sccrta+
?
?
?
vri
2
0
Izi
2ND yALL
?
1 EEC7I?I:
Q
3
7?
N
4im
JOIST-
.
J :n?:: lrLCILMTION$ n .: •:.c. '. at??
VALUE U YALUE
insldt• atr film ' .68
Lntertor rail • ? .
*:1fYiaLlvfl 19 (Wal!) L'
.l0 s by?':
Shea[hing 2
?
Stdtng •4O1 t
.:?uu[dr alr fllm .11
Q mrAL Z f. 5 3
In:tde air film .69 .
in[rr:or vail q5 •
49, stud R' 6:3¢ lFraming7U. 1 .
4,.s7
Sheathing
Slding L/ • rU(O
Ou[side •!r itlm .17
ti roreL 9, 'f
Insulaeton (Ya11 I .
Inside ir [ilm R= .68
I r?oz rall
Sha" Ching
Exierlor vall covetleg
erloc air fi1r.. F .•17
?--
?, j? a TOTAL
Interlor •ir tlim'
Lr.sula;ion lQ.ao
1k 1r.eA soit yuud Rv1.88 (Rim 1! •? o
Joiat)
Slua[Aing ? (a Z
• o y 3
Exterfor vall covering, &I
fxtctior •fr film W .17
a rorAs. Z Z• 9(Q
. interior ai: f!ln R- .6E
? i
Snsuls:lor. ? ? ? ?
FounJa:lon I?2 g (fdn.) U ??¦
•? ?____ Eatertor Si: t11n R' l
•
' ? J
? T _
s rorAL 9.1? 3
'-{xpused 81uck
Pwa E 'S
?
;
t
{r
E
t
t
?
,?
,..: .,. .-
.? ?
,
'.EILItM: SII7H YENTED A171t SPACE ABDYE
` Y U UE
` fNAMIt?; LEIIING
? ?'----? --
? ? 3S
?-
A1r Film _
Insulation
3oist
? S! _ Cei11nQ
O.E1 Air Film
ylLe-13 Toul R,
u•1C
??.
?
?
FLAT RO'F OR CATHEDRAL CfIIING R YAIUE
.so:i twc, /+ CEILING
0.61\ Ins
film 0.61
' I ulatton ?
8ut -uv root ,
p, ) Outt1 Nr tiim 0.17 ___
- :'
Totel R
? . p js
?---
?,.
jindow, inflltraticol .5 cfm/11nee1 toot of crack
lesidential door fnftltratfon 0.5 tfm/square foot or deor ?nd miniauc code requirament ;.
an-nsidential door Inflltration 11.0 cfm/lfneal foct of crack f
Jp 12" toncrete block no insulation •. R 2.1 . ?
lp 12" concrece block insulated tores i.26 R 3.8 . '
iy 12" tighcweignt block .j2 a 3.?
!p 12^ liphtweiyht block insulated tores ?.?12 R 8.3
?Insulation - 3
• ;
J singte ylass • 1.13: rith storn wlndow .54
j douDle ylass ¦ .55 =w3? - ?.
f trlple ylass • .41 ?
E.
S11 exterior walls anQ te11in9s a?ust Aave a vapor Darrler (C.10 pe?
:apor Oarrier must De on the fnside (hea:ed side) of wa'i. siapor barrlers of the polyethelene thin film have no a+atur. ?
: i.
A1r fpa[e ?
f detking
.oZf
6UIDELtNE TO (R) FACTORS fROM ASNRAE MANUAL
Of TYPICALLY USED PRODUCTS
rLs jR1 SMEA? LL
Interior Atr Film Malls) 0.68 3/4" Mood Subfloor or SheatAin9 0.94
Exterior Air iilm Nalls) 0.17 1/2" Plywood Sheathing 0.62
Interior Atr Film Vented Ce111ng?
Exterior Atr F11m Vented Ce111ng) 0.61
0.61 1/2" Particle Board
f;ypsuw or Plaster Board 3/8"
" 0:66
0.32
interlor Air film Non Yented)
d 0.61
17
0 6ypsua or Plaster Board 1/2
8ypsum or Plaster Boerd 5/8" 0.45
j
Exterior A1r Fitm Non Yente .
Plywood 3/8" 0.?
Plyriood 1/2" 0.62
BLOt1I Plyvrood 3/4"
SheatAtng. Reg. Density 1/2" 0.93
1•32
'
Approx. 3" 3
? Sheathing. Reg. Density25/32" 2.06
Approx. 4 1/2p :
1 Na11-BBSe Sheathing 1/2p 1.14
Approz. 6 1 /4" 19 ?
Approx. 7 1/4" 24.00
Approz. T4" 3p,00
ROOFS
Approx. 18" 40'00
gu up.Roofs
0.33
All other lnsulation naterials must Asbestos-Cemeat 5hingles 0.21
be verified (R Factor; Asphalt Rotl Roofing 0.13
Asphalt Shingles 0.44
INSULATION
Insu : 2-2 3/4" Flberglass 7,00 SIDING
lnsutation: 3 1/2" F1Derglass 11•00 Alwninwn SiQing 0.61
Insulatlon: 6" fiberglass 19•00 Alaninwx wlth Backer 1.82
insulatton: 3 5/8" Flberglass 13.00 pluminum N1th Backer 6 Foiled 2.96
lnsulatlon: 9" fiberglass 30•00 112 x 8 Lap Siding (Ibod) 0.81
Insulation: 12" Ftberglass 38•00 7/16 x 12 Hardboard Siding 0.67
Insulation: 8" Cellulose 29.00 AsDestos Sidings 1/4 Lapped 0.21
lnsulatlon: 10" tellulose 37•00 Stucco (Brown and finish Coat) ----
insulation: 12" Cellulose 44•00
insulatlon: 1 112" Thermex 12•00 U
Insulatton: 2" TAermax
16.00
DOORS ?
1 3/4" Solid Core Door .46
Wd00S w/Storm. Mood .31
F1r, P1ne 6 Similar Soft Moods w/Storm. Metal
Pease 5tee1 Door lnsl/N/6L 7.?5R •26
.13
1 1/2„
Z 1/2" 1.e9
3.12 511ding 61ass Door. lfood .65
3 1/2" 4.35 Metal .72
5 1/2" 6.87 .
CONCRETE BLOCK
? M1?Q
crete Blxk (5 6 6 Reg.) '-'=
8" Con 1.11 A» Mindows „ "
IM/SCOT'R15 1 to ? Space) .56
(Filled rith Vermiculite) I,g; Removal Doubte 6laztng (RDG) .55
12" toncrete 81xk (S ? 6 Reg.).- Thermo or Nelded 3/16" A1r Spece .69
wlth Yermicullte)
(Filled 3.15 1/4" Air Space .65
8" Light Melght 2 ?e 1/2" Atr Space .58
(F111ed with Yermiculite) 5.03
(Other windows specifically Leste
d
12" Light Meight 2,48 can use better ratings)
(F11)ed with tlermlculite) 5,82
pFKo E 5
? . PERMIT
--?' CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE
Eagan, Minnesota 55122-1897 Permit Number:
(612) 681-4675 Date Issued:
BUII.DING
027821
06J17/96
SITE ADDRESS:
1615 MALLARD DR
LOT: 9 BLOCK: 4
THOMAS tAKE WOODS
P.I.N.: 10-76100-090-04
DESCRIPTION:
BU,ild$ng,,,Permit Type
/BUilding "GJo_rk Type
? Census Code
_iR
k' U,r ?x
??.
? .
r
OECK
NEW
434 AL7. RESIOENTIAL
???p 4*'? "?i? PTf SE?=`?3 ?t".i? ( 3i
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge 4.50
Total Fee $45.50
CONTRACTOR: - Applicant - 5T. I.TC.OWNER:
THE DECK & DOOR COMPANY 14513192 0005457 FILIK CHAD
11632 AKRON AVE E 1615 MALI.ARD DR
INVER 6ROVE WTS MN 55075 EAGAN MN 55122
(612) 451-3192 (612)686-5586
I hereby acknowledge that•I have read tfiis application and state that the
infiormation is crorrect and agree tocorqply with -all appl,icable State of Mn.
Statutes and City ofi Eagan Ordinances.
?- - - . ;
0
r??APPLP RMITE ?IGNATUR51 ? U?? ???
CITY OF EAGAN 4ff,5 1
jw ? 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Conslrudion Rd±uirements RemodeUReoair Reouirements
? 3 registered sile surveys ? 2 copies oF plan
? 2 copies of pians (inGude beam 8 window sizes; poured fitl. design; elc.) ? 2 sile surveys (exterior additions & decks)
? 1 energy caiculafiona ? 7 energy wleulalions tar healed addilions
? 3 copies of tree preservation plan R lot platted after 7/7193
required: _ Yes _ No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: D!"G:G ?¢i7d<T/oiy/
STREETADDRESS: 4
LOT GI BLOCK NhGG '9/00 l0/? / v?L
47?- SUBD./P.I.D. #: '71viyy
PROPERTY Name: It/Lek CH40 Phone #:
OWNER
/
Street Address Z 6 IS 12ALL,g/L0 iIR91
29 1 lr96
City: AG,+.v State: 1W!c/ Zip:_SS/? ?
CONTRACTOR Company?//4 ??????0do2 6v' /n « Phone #:
Street Address: A?Z?>V A 6&6 tF License #:
City:F lA/l,izlz cf Izr4,Z HCir?Tl A P/State: MN Zip: 71 `
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address,
City: State: ZiP:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is corred and agree to comply with all
appiipble State of Minnesota Statutes end City of Eagan Ordinances.
Signature of Applicant: ,??
OFFICE USE ONLY
Certificaies of Survey Received _ Yes _ No JUN
,.,.?.,,....?..
Tree Preservation Plan Received _ Yes _ No -------
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex
0 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-piex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. 0 10 _-plex
WORK TYPE
31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
0 13 Garage/Accessory o
? 14 Fireplace ?
,,1" 5 Deck
? 36 Move
? 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
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Engineering
Variance
?3 y
6l
D
Valuation: $
r• '°'' , ?Z
? •• ' 'P
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCNVS 5ystem
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
., _
i
?DEC 18 191 10:21 TO 612 681 4612 FM_M PldlkiE EN;ltJffiR1NG T-725 P.02
COfISUI IH ENO Na<45 CLIENT GERDLO BROJ. CA?/9TQ(.CT/ON
;? ppR013? • v,nH ia aaa ?aNn 3unvevoa:
."? • W?G'NCi?.?'?G. PflOYCTNO, ,3902.01
CoMPAN4, INC. ' , ?K.•69 P?- :?
L IOCG EAST 1?81p 3iHLL7, O?RN3VILlL NINNEiOi? 663)7 PII ?Si'i000
CERTIFICATE OF SURVEY
LEGAL DESCr'iIPTION: LOT 9. BLOCK 4, 7AA5W"s Maoos.
D41,07"A 4W41N7l' M/ NESOTR.
(jfi2r,Q ) DENOT&S EXISTING ELCVATION
( 96S y) DENOTES PROPOSEU EIEVATION
INDICATES DIflECT10N OF SURFACE DRAINAGB
965.83 o FINISNED (3ARAGE FLOOfl ELHY/?f10N
6t ' d qqSEMBN7 FLOOR ELEVATION -
d? 0 70H OP POUNDA710N EI.EVAI'ION
aca e ? r - au? .9DD•P?SS : /6 /5 /!l.CG[A?O OR/?E
Qea?.uMe ,wv
i I , `•?/ \`? I
h'r ?p ??? \ ,•?
' 'kv '?&',g?'y ? \ 0'q'a., Y/?•' `??J
9
5i
• \? ? \\??` ? ? ? .?
^
,?o??• r? ;?1 ? r?
`v ? PAO
?
, ? .
/ (IF65
/ /Y?e.?.6 ' p•6• I j ?` ' ? \.d)
M &S"? ??AC4„T00,440fwA
. ? ~ iij \If ? q?b? ? 36TRk'X uM?F,//
f
? ? ? ? .soi869M9E
? 041
I {/ '
?G_-._-___^ C L1'.o0 ?. "
I
. 1.??-._.__.. - R. yei.56? o
Z' f ? ? O
• p,¢iVE
?•_?? ?!?'
1? ri.? . tI IILAY9Y 4Cf1TIFY 7tINT TtY518 A i1WE nN0 GoRI1ECi N6Pfli?TAiqN OP A THACT OP I.AND
?,A 1 --- ?B 81lOWH ANU oE6C(?Y1F? HEMON. AY PNEVAHED BV ME 7HIS ? OAY OF ?+'??'X ?
: ? -- 1i4L_.
;•.`?"o?? ? r . .. fAIMIMILS
GiSH ? • niwsaxa ----
:a
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 2 6 2 4
Eagan, Minnesota 55123 Date Issued: 12 /01 / 93
(612) 681-4675
SITE ADDRESS: Lo r: 9 B L 0 C K: 4 APPLICANT:
1615 MALLARD OR FILEK CHAD
THOMAS LAKE WOODS (612) 686-5568
PE?MITP.Y?T}IPE: TYPE OF WORK: flL7ERArzoN
DESCRIPTION (3/4 BATH)
INSPECTION
FRAMING .• .
ROUGH IN PLBG ..
ftOUGH IN HTG FINAL
?
-1
L J
- - - - - - - - - - - - - - - - -
P38 pOF EAGAN
30 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SF (MTSC.)
ALTERATION
R-3
SITEADDRESS: 1615 MA4LARD DR
LOT: 9 BLOCK: 4 ???? 3
THOMAS IAKE WOODS 1C?1
P.I.N.: 10-76100-090-04 `?1'?
DESCRIPTION:
REMARKS:
?,;% ?,.,, C?v???Uj C?? ? C
(3/4 BATH)
Bui ldxngh Permit Type
I?uilding-Wo,rk Type
r.UBC occupanc}<.,_
.,?
e/
._..'1., n?L?,/ ? ??
PERMIT
PERMITTYPE: BusLozNs
Permit Number: 0 2 2 6 Z 4
Date Issued: 12 / 01 / 9 3
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION
$15.00
$.50
$15.50
CONTRACTOR:
$5@0
hZL"EIC-R' CHAD
1615 MALLARD OR
EAGAN MN 55122
(612)686-5568
Z hereby acknowledge that I have read this application and state that the
information is carrect and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
/w
APPUC ?
/PERMITEE
IG
RE ?.1vw?
'ISSUED B`k 1?
SI Ql.f
NATURE
-1
RfACTIVATE CITY OF EAGAN
PERMIT # 1993 BUILDING PERMIT APPLICATION
2 ? ??? 93 681-4675
SIN6LE & NULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy
calcs. .
COMMERCIAL 2 sets of archltectural l structural plans, 1 set of
specifications. 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last rorking day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date // / z zValuation of work ,/S40 ?
Site Address:
iTREEi W1TE I
Tenant Name: (commerc9al only)
IAT ? BLOCK SOBD. kGh' Q fllk)v?)
d-?+w P.I.D. M '
Descri tion of work: ; ???Cz U o4 °? j3e,?E'`li-
The applicant is: Owner ? Contractor ? Other (Dncri6e)
Name F-le-K C'/1 sd Phone 68G-5s"Gk
Property LASt FIRST
Owner pddress tV19-«,-4 ao OK
STREET LTE /
City 2.Q- raAl State f14"' Zip .s'?izz
Company Phone
Contractor Address license Exp.
City State Zip
Company Phone
Architect/
Engtneer Name Registratlon /
Address
City State Zip
Sewer 6 water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
1 hereby acknowledge that I have read this app1lcation and state that the information is
correct and agree to comply with atl applicable State of Minnesota Statutes and Lity of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 5F Dwg.
? 03 SF Addition
? 04 SF Porch
LK05 5F Misc.
?
WORK TYPE
? 06 Duplex
? 07 4-Plex
? OB 8-Plex
O 09 12-Plex
0 10 Multi. Add'1.
O ll Apt./Lodging
? 12 Multi. Misc.
? 13 6arage/Accessory
p 14 Flreplace
? 15 Deck
? 16 Basement Finish
? 17 Swim Pool
0 18 Comm./Ind.
? 19 Comm./Ind. Mist.
? 20 Public facility
O 21 Miscellaneous
O 31 New ?33 Alterations ? 35 Tenant Finish 0 37 Dewolish
? 32 Addition 34 Repair E3 36 Move
GENERAL INF ORMATION
Consi. (Actual) Basement sq. ft. MWCG System
(Allowable) lst F1. sq. ft. City Yater
UBC 8ccupancy y2-3 2nd Fl. sq. ft. PRV Required
ng
on Sq. Ft. total Booster PumP
?
?f
Stories Footprint Sq. ft. Fire Sprinkler
length On-site we11 Census Code ?
Depth On-site sewage SAC Code
APPROVALS ?
Planning Building Assessments
Engineering Yariance
REQUIRED IN SPECTIONS r`7
0 Site ? Footing 121?Framing ? Insulation
? Wallboard 1?_,Final O Draintile ? fireplace
Permi t f ee I S, 0 9 I Yaluetim:
Surcharge ,ro
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Atct. Deposit
5/W Permit
S/M Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Oed.
Copies
Other
Total:
SAC %
SAL Units
r,r.rv nF Fr,GAN
cA.;i,r.E-R'- t rERM:r.NAt.. rao, %4 8
DAcF: [aai03i98 r[Mi:::n t:aW605
r.D:
riMr:.;: nL.t.IrD Fr..,E.siDE. INr
320 9001 W5 Mni.i_ARti DR 50.01)
055 9001 160 Mgt..l._AizD Dr, 0.50
Tof-,'I. Rt,c.ei.l':rF, rimrnunt? ,`.'iU.'.-,p
f'Iif:lB6990
115EG' 7:Dc NANCY
?
,?-\. ' CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILOING
031524
03/03/98
SITE ADDRESS:
1615 MALLARD DR
LOT: 9 BLOCK: 4
TWOMAS LAKE WOODS
P.I.N.: 10-76100-090-04
DESCRIPTION:
Wwild3nij.,,Permit Type FIREPLACE
? Buildin9 Wg.ryk Type NEW
w C,erts+js EpdB 434 ALT. RESIDENTIAL
?.,?1
; j? ? f
? ?".;"5
L# {:? a
.- -?:...-'.i?`•.??
-?'\?.l _. C^:'
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - sT. LIC.OWNER:
FIRESIDE CORNER INC 16332561 20090911 VANDERWOUDE DON
2700 N FAIRVIEW AVE 1615 MALLARD DR
ROSEVILLE MN 55113-0847 EA6AN MN 55122
(612) 633-2561 (612)432-9857
I
?
I hereby acknowledge that I bave re?ad this applieation anii state`that the
inforinati_on is =correct''ani3 ag?ree,°t6=`omiitp2if'wt-'th ziI1,,appli.e,abLo. Statec, ofi?-Mn.
Stdtutes and CS,ty af Eagan Ordinances.
? i.
APPLICANT/PERMITEE SIGNATURE
UED BV: SIGNATURE
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
1998 FIREPLACE PERMIT APPLICATION
681-0675
? DATE: PERMIT FEE: $50.50
DESCRIPTION OF WORK: _ Consiruct new fireplace _ Alterations to existing
' Install eas insert onlv Install eas line oniv
?` - -
Other
JOB ADDRESS: A (,a 15 1M,w ?..?? ?CZ r? fl (2-\\/<'
LOT: C) BLOCK: SUBDIVISION/P.I.D.#:
APPLICANT (circle one only): OWNER ONTRACTOR
I hereby acknowledge that I have read this application and state that the information is correct
and aeree to comnly with all apnlicabie State of Minnesota Statutes and City of Eagan
Ordinances.
PROPERTY
OWNER
1 ?
Name: RA1?c$k2wov'SJC TDeQ Phone#: 4.Z?d?t?1 7
Last First
Signature:
Sheet Address: ? G ?? ?? }a ?-. L. l? 1Q, O ??.
City G, Q? Vv State: Zip: ?/ Z 2
k %Z lq:T
FIREPLACE
INSTALLER
0 &133-Zs r. I
Phone #: ft -O7S"'$
-w - 1410r- 13 License # 2-00 p6 } //
GAS LINE
INSTALLER
city?ifl_n15 state: kl1/J zip: ?51?715.Z
.
..
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
O 31 New O 33 Alterations
O 32 Addition O 34 Repa'v
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
i •'? AM,
?
?
•?h
RESIDENTIAL
BUILDING PERMIT APPLICATION
?? 4t-€ '? ? CITY OF EACAN CAH
3830 PILOT KNOB RD - 55122
? A? n
651-687-4675 () n i vv'-_'.._ 3?_
New Construction Reauirements RemodeURenair Reauiremenls
. 3 reg'stered sile surveys showing sq. R. of Iot, sq. fl. af house; anM all mofed areas • 2 copies of plan ?{ - y- C) ?
(209S muimum bt coverage allowed) • 1 sel of Energy Calculadom for heated additions
. 2 copies of plan showiig beam & window sizes; poured found desmo, etc.) • 1 site survey for ezlerior addNons & decks
. 1 set o( Energy Calculatiore . Indicate if hane served by septic system for additions
. 3 wpies of Tree Preservatbn Plan rf lot platted after 711l93
. Rim Joist De}sil Options seleclion sheel (bldgs xnth 3 ar less unMs)
DATE 3I21I07- VALUATION ?1'`f
JOB SITE ADDRESS JLs /S /j1fR-4AyEa DQ.
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER -Dc7N VA-64 DE2 LJpUaL2
TYPE OF
APPLICANT
L1:c.
56&6b"() i't,
FIREPLACE(S) !ti 0 _ 1 _ 2
PHONE# S0'7'743 -'YySG
ADDRESS 30I W• HdFt-~ S;'- C*NNkW F6t4--s MA.,, ZIPCODE 63b°S
PAGER #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP
Energy Code cate9ory _ MINNESOTA RULES 7670 CATEGORY
(check one) - Residential Ventilation Category 1 Worksheet Su ?k1AR 2 2 2002
- Energy Envelope Calculations Submitted ?
? MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor.
Plumbing System Includes:
Mechanical Contrador:
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Fce:
$70.00
Phone #
All above iMormation must 6e submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is coRect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SignatureotApplicant ??,
1 / "" l"SL1
v
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
CELLPHONE#SV7-95l-0 4(9 4! FAX#
_ Water Softener
_ Water Heater
_ No, of Baths
Phone #:
Lawn Spruilcler Fec: $90.00
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Acc?s3ury Eddg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ,D< 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
X 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bidg only) - Give PCA handout to applicant
V
I??? a a
aluation Occupancy MC/ES System
Census Code ?3 Y Zoning ? City Water
SAC Units r' Stories Booster Pump
Nbr. of Units " Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const ?-N Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
Footings (deck) ? FinaUNo C.O.
? Footings (addirion) Plumbing
_ Foundation ? HVAC
Dtain Tile Other
Roof X Ice & Water ? Final Pool Ftgs Au/Gas Tests Final
? Framing _ Siding Stucco _ Stone
Fireplace _ R.I. _ Air Test Final Windows (new/replacement)
?( Insularion
?? ` _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
X
22cr V X
Sy-°° - I u??
?/ /?,?f' Cf?i?•C'/L/a-GC. tr I ?'?
ti,y?/J ') '?"?G.J?
?t .,.
Total
?• ?
.,
.
RESIDENTIAL "COOKBOOK" WORKSHEET
Sm(2 C'o,vs
kppiicent Address
cl o/ w r40r-?'r*%-1) s1:
uilding Addresr.
f(PfS
EA64A) rnu ,
The propoud building design reptesemed in Ihese
documents is rnnsistent with the building plans,
speaificetioro, end olher calculMiona submitted
with Ihe pmit applicaiwn. The prupused
bullding has been designod to meel Ihe
Rquhemrnb oflhe Mimiewta Energy Code
MINIMUM REOUIREMENTS for "Cnnkhnnk++ (lntina.
Entry Doors I-3/4" solid wood w/ storm Ceiling with energy truss R-38" Rim joist R-19
door br equivalent (Min. 7%:" top late to shea(hing)
Foundetion Windowst Insulated Glass w/1/2" gap in Ceiling with low heel truss R-44•* Floor over R-24
wood or vinyl frame
• unconditioned space
Include square footage in celculation of Window/Door Area Ceiling-no attic R-38 w/ R-S sheathing
ta determine ebove grade Window U-Value.
.
?at..e.d...:,... n_.c_ ... .
Window and boor Area 100 : 326'.4/ + Z;?-?<.
As% of E:posed Wall Aroa lbme Gnde Window and GrossWdl Ani?
RoundationWlndonlDoor Arca
__...._ ......... ......... ..wgn a,vuunm?m
WINDOW U-VALUE : • 3`?
Wlndow/Door Ara Sonrce: NFRC or ASHRAE 1993 HondEook
?
y
Cheek Wall WALL TYPE
Type Uaed ,
•
:. " MAXIMUM WINDOW A ND DOOR A REA % OF E XPOS Eb WALL AREA
' , 12°/. 14"/e 16% 18•/. 20% 22°/. 247. 26Ye 2$°/. 30% 32% 34Y.
T
YPE A 2x4 framing, R-13 insulation, sheathing R-7 or greater. 0.55 0.41 0.41 0.36 0.33 0.30 ,
0.27 0.25 0.23 0
22 0
20 0
19
TYPE B 2x4 Framing, R-IS insulation, sheathing R-5 or greater. 0.52 0.45 039 0.35 0.31 0.28 0
26 024 0
22 .
0
21 .
0
20 .
T'1'PE C
2x6 framing, R-19 insulation, sheathing less than R-5.
0.48
0.41
0.36
0.32
0
29
0
26 .
0
24
0
22 .
0
21 .
0
19 . 0.15
TYPE D
2x6 framing, R-19 insulation, sheathing R-5 or greater.
0.56
0.48
0.42
0
37 .
0
34 .
0
31 .
0
28 .
0
26 .
0
24 .
0 O.IS 0.17
TYPE E
2)(6 framing, R-21 insulation, sheathing less than R-5.
0.51
0.43
038 .
0.34 .
0
30 .
0
28 .
0
25 .
0
23 .
0
22 .22
0
20 0.21
0 0.20
TYPE F
2x6 framing, R-21 insulation, sheathing R-5 or greater.
0.58
0.50
0.44
039 .
035 .
0
32 .
0
29 .
0
27 .
0
25 .
0
23 .19
0
2 0.18
TL:? _l . . . . . .
2 0.2I
••••, •uv- -1,a11„ ii-ac,po,ailuns oi mc vami s m me energy eoae, Part 7670.0475, Subp. 2.
This is a summary only. Other requiremenls may apply. Sa Ihe Minnaota Energy Code.
Queslions7 Call Department of Public Service Infotmation Center e[ 617l296-5175 or 1-800/657-3710. 2/5/96
pP ?{4'dr?i9
GALVANIZED •
GALVANNEALED •
BONDERIZED •
GALVALUME •
h_Z, ALUMINUM •
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??LEA ffir?
1001 Lund Blvd
Anoka, MN 55303
Toll Free 800-426-7737
Lcea1763-57.6-9595
Faz 763-5764501
E-mail unaclad@unac'.gd.com
http://wwv: inacla;l.wm
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Member Data
Descriptiar Member Tyj+e: Beam nWicalinn: Rooi
Ld?RYdI BfdC111Q: C011p114WiS SIDpB: .QO (12
Deck CoMediorr NAiled Massure Conaition: ory Buildinp Code: u8G
Uve Loatl: 876 plf Oefledion Criteria: iJM live, Lt780 total .500" Ihmc.
Daad loed: BO plf FiIBCwme : KYBt
POL: 1 t5% Menlba . 8 9
q O o--•- 10 0 ? O o--1
! 16a O --'
8earings and RRactions
loeatleu 7Yee WWY+ ToM 119Y t60% ?? Totrl -
1 0• .00^ Wau 3.50" -20Bi -180 oa ?OS ,20BY
2 S 9.58' WCd1 3 50' 98001I 37776 di 8910 4806s
3 13' 9 38^ Wa1 S w 29370 2471I ON 587V 2e9'7s
Qasign spaas
s e.38^ tv wr z.W {ngnt emeJ
?roducc: 2_0 aigiat.am Lvz 1-3/4 x 9.5 2 ply
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9M1wf 2274.8 7265i 3196 379' Toto Iaad 115%
4m ReiCQOrt 4607 i 9185.6 509F 97B' Dd9q IDYtl
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City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651)675•5694
?--
? Pertni?tt?
,IUL
1--11-------------
2008 RESIDENTIAL PLUMBING PERMIT APP
-,
Dafe: -71,95,10 Site Address: I I D ?S m,a 1\11 o Df •
Tenant:
Suite A:
RESIDENTlOWNER Name: f ID Phone:qs?c (eq3 SLiC1
Address/City/Zip:?WlS
f) t0 13Q3
CONTRACTOR Name: License #:
Address: J
: SS3S Q
XCV t 71d Y\ State: Y Y?? Zi
Ci
?
p
ry:
__
Phone: IO IQ gLO R411 ()Q Contact Person: c)Q r5?
TYPE OF WORK ? New _ Replacement _ Repair Rebuiid _ Modify Space _ Work in R.O.W.
Descri tion of work:
PERMIT TYPE ?Ij
RESIDENTIAL
Water Heater _ Water Softener
? Lawn Irrigatio _ Add Plum6ing FixtUres
L_ RPZ / PVB) (_ Main _ Lower Level)
7?
Septic System _ Water Turnaround
New
Abandonment
RESIDENTlAL 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 $136.00 if a 5/8" meter is required)
$100.50 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)
TOTAL FEES $
I hereby acknovAedge Ihat this infortnation is complete and accurate; tha[ ihe work will be in conformance with the ordinances and codes of the Ciry of
Eagan; that I understand this is not a permit, hut only an application for a permit, and work is nol to start without a permit; that ihe work will be in
accordance with the approved plan in the case ot work which requires a review and approval of p14W ?
X 7/nr(n.. LG./11.ti
ApplicanYs Printed Name
FOROFFICE USE? - ' ? _Rewewed By N, Date: ,,a? ?
Reguiredlnspections UnderGround _RoughlnAirTest _GasTest =Finat ,
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA137605
Date Issued:07/12/2016
Permit Category:ePermit
Site Address: 1615 Mallard Dr
Lot:9 Block: 4 Addition: Thomas Lake Woods
PID:10-76100-04-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jacqueline A Turk
1615 Mallard Dr
Eagan MN 55122
Adam's On Time Plumbing & Water Heaters Llc
13791 Jonquil Lane N
Dayton MN 55327
(612) 205-6060
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r For Office Use Civ Il
Eaan
' s9 City of P rmi F /
e t, ee i 7
3830 Pilot Knob Road ,
Eagan MN 55122 RECEIVED Date Received: /, "1
Phone: (651)675-5675
Fax: (651)675-5694 JAN 2 3 2017 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 Z- 17 Site ddress: t 6 / ,- At , -s O Unit#
Name: ( &" U i�!f` Phone: (f/25/- �f C
Resident!
OwnerAddress/City/Zip:
Applicant is: Owner Contractor F__j )
_________ ________ ___i
Type of Work
Description of work: i 'et-0 D.CC l1
1 Construction Cost: (( Multi-Family Building: (Yes /No )
Company: 'frd �esrir $ Contact: t' f' 0
Address: ¶.SC8 v��A'k- ,Q( 1'o a. City: ip
Contractor /�/A� / / _ - i
State: l llk Zip: 6241 Phone: ( /2ZO/jf&?Email: Jt - let * 4.,!S,Cdel-N.
i a
i License#: yy�5/ ,3 Lead Certificate#: AI
C
1 ,a m �.w Pow kVA._ .,, -
If the project is exempt from lead certification, please explain why:
i
i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
x In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes XNo If yes, date and address of master plan:
Licensed Plumber: Phone:
I Mechanical Contractor: Phone:
i
a Sewer&Water Contractor: Phone:
3
i
Fire Suppression Contractor: . Phone:
NOTE:Plans and supporting documents that you submit are considered td be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Ja. cs+voict
x
b0,170----. -
Applicant's Printed Name App Signature
Page 1 of 3
/6,5 ///, //j / { DO NOT WRITE BELOW THIS LINE /7"e 62
SUB TYPES
Foundation Fireplace Porch (3-Season) Exterior Alteration(Singld Family)
Single Family Garage Porch (4-Season) Exterior Alteration (Multi)
Multi 1 Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation xtid60 Occupancy I/!0 -1 MCES System
Plan Review Code Edition y/f SAC Units
(25%_ 100% )4 Zoning ✓'700 City Water ---
Census Code A/311 Stories Booster Pump —
#of Units / Square Feet A 32 PRV
#of Buildings / Length /y Fire Suppression Required
Type of Construction Width ,Z,d
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test
Roof: _Ice Water _Final Pool: _Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_ EFIS
Insulation Windows
Sheathing Retaining Wall: _Footings Backfill— Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan ---- Other:
C
Reviewed By: ,, , Building Inspector
RESIDENTIAL FEESQV
Base Fee /0 3 2. 3? 4v/c 4' / .74 330
Surcharge
Plan Review 47 "
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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ENGINEERING e�,. PROJCOT No. .990a.0/
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• CERTIFICATE OF SURVEY
LEGAL DESCRIPTION: LOT ' -Wcx 4 TSS LA
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(ma) DENOTES EXISTING ELEVATION
(91a;0 ) DENOTES PROPOSED ELEVATION
D i O�Y5,�_ 1INDICATES DIRECTION OF SURFACE DRAINAGE
mg FINISHED GARAGE FLOOR ELEVATION
%L IU' ' r• BASEMENT FLOOR ELEVATION
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;a2 " REVISWNS '
y• ' -10,..4111-4 :
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159261
Date Issued:12/04/2019
Permit Category:ePermit
Site Address: 1615 Mallard Dr
Lot:9 Block: 4 Addition: Thomas Lake Woods
PID:10-76100-04-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael J Soler
1615 Mallard Dr
Eagan MN 55122
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161556
Date Issued:06/02/2020
Permit Category:ePermit
Site Address: 1615 Mallard Dr
Lot:9 Block: 4 Addition: Thomas Lake Woods
PID:10-76100-04-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael J Soler
1615 Mallard Dr
Eagan MN 55122
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature