1626 Mallard Dr
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Lot
Parcel No.
W Name
? Addre
City _
Repair
Addition
Move
Demolish
Int Impr.
?
?
?
?
?
Type of Const. I
No. Stories
Langth
Depth
Sq. Ft.
wporv?a?s ?N?
Name ,; -
Address Asseument Permit O iD
?- City Phone Wcter 3 Sew. surcnaroe I 1_ 4 u
? toe Police Plan Review 1'? r-5??
? gW Nsme Fin SAC S9`? - 0 0
?? Addreat Enp. Water Conn. '+ Q fl (10
' t W City Phone Plonnwr Water Meter -+ -()()
Council Road Unlt ' 4,_:, V)
I hercby ccknowfedpe that I how rcod this application ond stote Nwf 81dg. Off. Tr. PI. i?•?- d0
the intormation is corrett ond agree to tomply with all appliCOhle APC Parks
Stote of Minnesoto Stotutes ond City of Eayan Ordinoncss.
Var. Date Copies
Sipnoh,.e of PerrniK.. l? y . . ? U
/1 Building Petmit Is isswd M: Total ; -f :?•I on the txpress tondition Iha+
oll wcrk sholl be dorn in otoordance with oll opplimble State of Minnesoto Stotufes ond City oi Eopon Ordinances.
Building Offkiol
C!Z"Y OF EAGAN ^ ! d
3830 Pilot Knob Rosd. P.O. Box 21-199, Esgan, MN 55121
? PHONE: 454-8100
eUILDING ?ERMIT Reuipt *
Permit No. Permk Hoidw Dm TeISDhons ?
?Ufllaji/0 ?Y lj ? •? `_.?'?r\Z 1?_ ?• ? ` .?. ?? ` ?
H.VA.C.
EMetrfe CI ? ? ? `r cl?
Softena
IrW»ction Date Insp. Otha
Footings 1 ?
Footings II
Foundation
Framing
RooHnq
Rouph Pibg. .l.?s
Rough Htg. ?
Inaul. ?0
Firepla?
Final Htg. 9 ?(?f
Final Piby. \y- j,J
Final ? ? ` •
CGrt/Oec.
Wat„ Doseribe Loestion:
WNI
Sswer
Pr. Diap.
Reoeipt ?PLUMBING PERMIT
CITY OF EAGAN „
Fill in numbered spaces
Type or Print /egiblY
1. Date U S 2. Installation Cost
/ / ',/,
3. Job Addres4 r?1??!!?7?/r??'tot ? Blk.
4. Owner
?
; No. ?
Fee
S/C ,
;
Tot ?
Tract
?
6. Contracto(Tt/i-/?-- Phone `1?2 3`?141?
z
6. Address.
7. stete All'A ? zip_ ti
8. BuildingType: ResidentialJ? Commercial O Institutional 0
9. Work Description: Newvlg.. Add O Alter 11 Repair El
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
Ce
s
i
fi
t/D
ld
?
Bath tubs s
poo
ra
n
e
$
ti
T
k
?
? Lavatory ep
an
c
S
ftn
Shower er
o
W
l I
/ Kitchen Sink e
l Urinal/Bidet
Laundry Tray Other
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping putlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with al ordin'i'and codes governing this type of work.
Signed'- .-?for
Rough f inal
Inspections: Oate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Rectipt MECHANICAL PERMIT Psrmit No.
CITY OF EAGAN
? Fill in numbered spaces
Type or Print legibly
1. Date 2. Installation Cost
3. Job Address Lot?Blk.
? Trect ma l I. Pk Z;
4. Owner ;-"
5. Conuactor Phone
6. Addreu . '
7. City State Zip
8. Building Type: Residential L?1 Commercial ? Institutional D
9. Work Description: New 11 Add ? Alter D Repair ?
10. Desaibs Fuel Type
11.
No. Epuipnpent 8TU - M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
oomply with all ordinancea and codes goveming this type of work.
S'igned : for
Rouph Final
Inspactiona: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
F?e
S/C
• Tot.
? CASH RECEIPT ?
CITY 4F EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
RtCt1VtD
PROM . / . ,
wMouNT $ -
4 DOLLARi
+eo
0 CASH ,. Q CHECK
.,?:..' - . f ?,./ •?,' . / _
r- , ?---
'
i i tr ?•' r, t??
i
. T i' ?_ .! r j .- ? . . ? ? • . .ii' -
FUNG ' CODE AIAOUNT
...t , . Ll
r ?
. ?
(
Thank Yau
r
BY
3 1
f-
r.
1Mhite-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
Addition Mallard Park Second Addition Lot 1 Bik 2 Parcel #10 47251 010 02 _
Qwner Sireet 1626 Mallard Drive 5tate Eagan, 1wIIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. Im . 1981 1751.47 350.29
5
-
STREET RESTdR. ?b
1977
34.52
GRADING
SAN SEW TRUNK dyI /d 9- // - fS
* SEWER LATERAL / 19$1 2430.43 486.09 S -
WA7ERMAIN
* WATERLATERAL 1981
WATER AREA 2- .G /Q' - ff' ?S
STORM SEW TRK ? 1981 445.37 89.07 S ?
* STORM SEW LAT 1981
CUFi6 & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 280.00
WATER CONN. 500.00
BUILOING PER. 10540
n
rt
5AC rr rr
PARK
CITY OF EAGAN
3830 Pilot Knob Rosd
P. 0. Box 21199 PERMIT NO.:
Eeigan, MN 55121 DATE:
Zonirq: No. of Units:
n
O
w
ar:
/lddress:
.
Site llddress:
piunber.
AAeter No.: Connection Chorye:
Size: Aoaount Deposlt:
Reader No.: Pe?mit Fee:
1ee? 1o a?oip wNh fv City of Lows Surd+a?pe:
AAisc. U+arpas:
OnowsooL
Tatol:
? Dah Paid:
BY
pote of irup.: I^sp.:
CITY OF EAGAN SEWER SERVECE pBMT
3830 Pilot Knob Rosd ^`?
P. 'J. Box 21199 PERMIT NO.: _
Esgan, MN 55121 DATE:
Zonirg: `.2I Na of Units:
Ownsr:
/4ddrcss: n.. t ?
te Address:
uunber:
7-1?.-??5 $3492 45.U
I MrN bpf ?!w ?1 ? vl?e CarNCtion C?+oepe'
M?as. A,caow?t Deposft: 1•. Prm?it FM: _
Surclwrp: i
By Misc. CMroac ;
'Date of Insp.: Total'
I rop.: Daft Poid: j
?
CITY OF EAGAN WATER SERVICE PERMIT
383p, Pilot tf nob Road
P. O. Box 21199 PCRMIT NO.: .
Eegen, MN 55121 DATE: 1+
Zadny ; r )b. oi Units:
OWr1fr:• r?r7i r 1? ?- I
AMIm: , . . ? _ . ? .... _ . .
Sft Add1lR:
PlU1TIbQtC - ?
MlFAf NO'I.
Sim: - - -° - " ????
Rsader No.: Permit Fae:
,
I mrw Io z iM pt?' of Surthorps: ?
p? Misc. Chorpea: - ,
Totot:
By - Dote Paid:
Dote of lnsp.: Inap.:
?s?
g ; J`v
CITY OF EAGAN N° 10 5 4 0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548700
BUILDINQ PERMIT RKeia # ?-
Te r n..e re. SF DWG/GAR Fo v.,I... S82.000 n,,., JOLY 10 „ 85
SiteAddress 1626 MALLARD DR
Lot r- Block Z see/Sub. MALLARD PK 2ND
Parcel No.
W Neme M.W. JOHNSON CONST
? Add,m, P.O. BOX 130
c;ty FARMINGTObiPhom, 432-6838
ruame SAME
? Addrest
? City Phone
GW Name
I? Address
°LZ City Phone
I hereby ockrwwtedga that 1 have read this appliwtion cnd state tMt
the inlormotion is correcf and ogree fo comply with ull oppliccble
Stats of Minnesota Statutes and Gry of uyon Ordironces.
Sfpnoturc of PermiMee
A Buildinp Permir Is inued to: •W- JOHNSON CONS
all work sholt be doro in accordonce wj{Q ayaopplimbla St of Mi
Erec[ YJ Occupanry nj
Remodel ? Zoning Rl
Repair ? Type of Conrt. V
Addition ? No. Stories
-
-
Move ? langth
48
Demollsh ? Dapth SZ
Int. Impr. ? Sq. Ft.
Install ?
Appovak Fen
ilssesunent PermR 379.00
Water 8$ew. Surcherge 41.00
Pollce Plen Reviaw 189.50
Firo snC 525.00
Enp. WeterConn. 50.0-00
Plonner waterMeter 63.00
Couruil Road Unit 7 S(1 _ D O
BIdg.Off. 7 9 85 Tr.P4 132 _ 00
APC Parks
Var. Dete Copiea
50
?
r rotal
on fhe saDraat CordiHOn IMt
xsota Stmutes ord Ciry o£ Eapan Ordinoncac
Bufldlrq OHINaI
REQUEST FOR ELECTRICAL INSPECTION E7
?'O'?
, Sae i-tructions tot completi?g Lhis form on baek of yallow copy.
0 ? ?'eS
19187 "x" 8elow Work Covered by This Request . 3:
Nall Addi flop.j - Type ot BuilEing ApOliaMea tlired Epolpmenl Nired -
Home Range Temporary Service
Duplex Water Heater Lighting Fiz[ures
Apt. Bwldmg Dryer Electric Neatin +
Comnerual Bidg. Furnace • Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Othei aec? dier{SUec,fyl
ther SVeci(y Other 01her
Comoute Insnection Fee Belaw
d Fee ServiceEMranceSae k Fae Feeders/SUbfeeders # Fee Gircm?s
? to 200 A 5 ip 30 Am 0 to 30 Am
Above 200 Amps to 100 Amps / 31 to 100 A
Swimming Pool 10U_Am
:Above Above 100_A
TransVormers igation Boo?r.s Partial%Other Fee
Signs Sper,ial Inspection 5 a?7 f0 TOTAL FEC l\
flertarks / ? /?lOU?
f ??
Ihe E cvical
I?LS(IqCfM. Y
? cBrtify [Iat the above
Final ?1e .epection has been
G' Zd&
XZJ mada.
(his rppuest voitl t8moniletrwn
Thes ravuest
from ? L` vo?d ?l( ? 3 ? ?/ ? ,Z 3 ' /( ]
79 montAs 6
9187 L r? k -?-- 6 o
Request Date F?re No. flouph-in Itispection
Hepu?rtd? DReady Now 11 Noloy Insuec-
1 --9 r s []NO ar When Ileadv
d-Liceased Electnwl ConVactor 1 hprebYreV.est inspeCtiOn ot abOVe
] Owner elecM1ical rwk installed ar.
Sheet Address, Box or Noure No. Ciiv
? V
cuon o Townsh?p me or o. 1large No. Counly
%V'
Occ
u
pam (PRINT) Phone No.
y
?
A.
Pow¢r SvVVlier Address
La
I Conhactur's License Na.
ElecUipl Cm[ractor IC
c
,
-l.
ing Address (Convactar Qr Owner Making Imtai tionl
o r d? ??
u oriz i na[ur ?Contract wrier Making Installationl
dr? Phoeur, Nivnber
THIS INSPECTION REQUFST 1AlILL NOT
YINNESOTA STp'!E BpqRD OF EIECTRICITY gE AGGEPTED BY THE STA7E BOAPD
Griggs-MidwaY eld9. - Room N-187 UNIESS P110PEN INSPECTION FEE IS
7827 VniversitY Ave., St. Peul, MN 56104
ENCLOSED.
Phqnq [8121 2y73111
• CASH RECEIPT •
CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESO A 55121
DATE 19 ?
weeerveo
PROM
AMOUNT $
OOLLARS
E] CASH E C K
1O0
PVNO CODE AIAOUNT
-Y)
Thank You
N_ 54189
ay
i
White-Payers Copy
Vellow-POSting Copy
Pink-File Capy
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALt, CONTRACTORS MUST BE LICENSED NITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: ?•Pp?^?? (??(?. Valuation: cxO W Date:
Site Address ; l6 ;-? 91l 19 1,1-A40 1) }2 OFFICE USE ONLY
Lot: ? Block c? Sect/Sub /}')Rllpr-d Erect x
?? a 'Remodel _
Parcel I! Repair
/? Enlarge
Owner m. i.i1• ,1oh»Sbc7 ( "OYiS?• Move _
Demolish
Address PlJ. 136 Grade
City/Zip Code ?rm?y??phr MN
?-
Phone .-,13a - 683?
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone ll
APPROYALS
Occupancy R-3
Zoning ?-1
Type of Const ?
l1 of Stories
Length L4g
Depth 52
Sq Ft
Assessments Permit -?l `j. W
Water/Sewer Surcharge G I' °°-
Police Plan Review 1 8 9.So
Fire SAC SZS, =
Engr Water Conn 5c?. °-'
Planner Water Meter ? °°
Couneil Road-Unit 280. °-°
_ f?
Bldg Off q ? Parks
APC , / Treatment Pl 12.°=
Variance
TOTAL l/
?
24- " 5Z6 r? ( ( ` soog
,
5 (`3?) Cl-
Cities DiRital
itv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
- ' ` - CERTIFICATE OF SURVEY
- -- - - -1
eNn or sr??ET ?
;
MAL.L.ARD qz.s qz?.;? DRkVE J?
I
i'lev,iti.nis sli - ?iJn .ir,. ...?i,tin: _r.I '1:•.
md a r" Iv;nri,•fI ?Litiun
Pet,p( 's, - d .,nrI tonr ?i" ".ir= u'-.
f hcrohv
L" t i. 131 " r I: t , 2L'11.I.i1 :U P.A3h
SP:t?(W) AWN CIUV, D::koru ,_niintv,
?tinnrcnCa, iccarJiii;, ro Ih^
rrc-,r.lL'd pl:iC lhcr?l 0 i
;vnJ tlia t i im i ?:?,I? r,?•t1 •l?.r,•, I ],ind
,.urvov,,r und'?r CL,? I.iw': t h?-
oi Mi Tm",.q ,
<
a
(;en I, l.icc?l?<nn. `linn I:ry Vi? %i S',
I)?it?•d Lhis ??Ch Il.?v ?,I lunr. I'+`t?
?
R= 97?W
i'` 54" w
28 g0 O . (ol -15
9ul
- ?7
I C
-
Nj
4' ?l' 85 G ? `g9
v'? I 39.00 ?v 2z-T ?9 53
9 N I
! I
I J h ?
?
i 17 e:7 ? N
N 1
?1 m Pr:c,Pns E p
N
I mI
9 HOU"ac N? I
? N
? a'q ?2a ?, -?8 x
m
C
wl q?
o
r? ?3
m ?
'I L..C)T 1
;
I 8L0 cK 2. ;
'
i
?ftA?NRGc - j
?
E=PStZ MENT- I
F; i
IC)
?- -- ----- ?- -J
qO.oo bi9
ri r?.90 25' 3Co^ E
C
7
y ?
? Q
z
DR. BY GCLd SCALE - I" = 30' o DENOTES IRON MOH. BEARINGS ARE ASSUMED OATUM.
PREPARED FoR: JAC08SON SURVEYORS
o-? W. J,?bn?l??? (',)n.tr LAKEVILLE, MINN. 55044
r u ia,,x i sn
F.lrminsjon, PIN 5502'PHONE 469-4328
- - :l EXTERIOR E"[VELOPE AVERAGE "U" CDMPUTATION
• Aetermine worfcing square footage of each.
1. Total exposed wall area ...... 2ri ? `} , C, Lo sq. ft. x -11, °
2, Total roofJceiling area ...... 109 ?S sq. ft. x_?Q?t?= ?{I
Total exposed wall area above floor
a. Total wall window area ..................:........ Z y 5,Ln
b. ?otal door area .. ........................... 3 8?
c. Total s7iding glass door area .................... 4 4
d. Total Tireplace wa?1 area......................... 's
e. Total wa11 framing area (averaqelOb)............. 20Z, )LD
r. Total net wall area above floor ................. 1? Oq,y y
g. Total rim jeist area ............................ Ztop,
Total exposed foundation area = aG.'ll.o
h. Total foundation window ar°z.....................
i. Toal net r"o;mdation area above arade ............ F?,q.'1Ln
Determine "U" va?ve of e ach wall s=_c:,._nt.
a. Z45.Lo X ???,? ,SS = 135?08
? 38 5,Z8-
C. 4 X „?„ , 5 = Z Z
d. 48 X ]lull Lo
e. Zoz?lL-o X "U" ,09 1o_=
?. ? )O`t `4 q X "U" 1 0'4? - ?
4. zLp S x "u" ,oyi = 10,9
x „U,1
? 09 •9 1o X isu., ? I = ! 5.510
3 ........................Tota1 - 303 3s
?f item =3 is *_'r.e same as, or less tnan item 1, you have m_t tne int_nt 11
^r7 53C 0-025(c)2.
. 4 r
Total exposed roof/ceiling area
?Total gross roof/ceiling area 9? .
.. j. Total skylight area .......................
k. Total roof/ceiling framinq area ............ i 0?7.3
1. Total net insuTated roof/ceiling area....... q p? 3.?
Determine "U" value for each roof/cefiling segment.
X louli
k. I 09 .3 XOull , OZt4 = 2, LO
X liuli ?ZZ ss ZI• Lo
4 ................. jUC1? ..........Total
If total af #4 is the same as, or less than #2, you have met tfie intent af
SBC 6006(c)'i. .
To utiTized the total envelope system method, the values.estabTished by the
sum of items $3 and #4 sha11 not be greater than the sum of itens 01 and 02.
+ z. ZS,fI = 330,35
3. ?'J03.3& + 4. Z.'4 .Z = -3 2.r1, 5 5
MATERIALS
Exterior Air
5lding Material
5heathiYig
Insulation -
Sheetroclc
Interiox Air
Stude
Rim
Conc. 81ks.
Therm. Resistance "R"
.?7
Z.bLo
,45
Lo
5?_
I , S E3
1,2
i
'
I
y
z/aa
i
.. . y
f?
?
?
' CITY OF EAGAN
?
i APPLICATION FOR PERMIT
SE[vER AND/OR WATER CONNECTIO:•1
(PLEaSE P4IHi)
1) PPOPERPY ADDRESS:
rFr=,L D..SC2I°'i_C:7: /2--
(IAt/31cck/Subd?vision or Ta.Y Farcei I.D. :iu:,:7er7
i: EKI5__ :G ST^== . DAM G:' CRIGI.IAL `iiILD-L`:G _..='•i••• rc?-???:`''.
•
? FP.: SL.: ....^,`!1^:7+/-z."OFC.c= L•JC.: X
1 Siiiu, ^P?•??,TV
-R- "?_--?"--- ,
-2
C'JPI,Er: (70C0 UMITS)
O
0 R-3 `SC'n?1iIIIC(iSE (T`L?--?c, + =TS) ( WI'_'S)
? 3-d p?na?r??;m?CC:T?Ci-L:IL:1 ( Lti'L?Si
Q COP?i?ff..'?C.Tl`,L/?ETr1II?OFFICi:
? I'i?DliSTRi.?,T,
? ItiSTI=-TIC.''l' L/GG4'?'-cN't.,1•?•
2) APPLI= ?/? {,IPL?„SE Pft1Aij
ADIDRESS : 13 (f)
crrY, su=-, zrP:
Pho%E:
?
3} p??MEa ' (PLtASF PRINT)
-- FOR CITY USE 09LY
rAL,T: (;E1VT.RYAN
pP_W
rDoREss:
14745 So (}?
?? TV11' PLU"BERS LICE95::
• ctive
CITY, STATE, ZIP:
PHOiVE: RQSEL4eLI?? ?N ????
iuJTt_
pLU46ER LICENSE N 118%'9/j?? C] Expir d
N ai Fetord
rr initia
4) OCC[7PAi]T/L;7iI? NAhSE lrLcn?t YHirvi)
:
ADDRESS:
CITY, STA'I'E, ZIP:
PHO:IE:
5) INDI= S+Ii3ICIi PEP`1IT IS BEI?,'G REQL'ESTID:
CC:?TIEC:;GV 'Io CITY SE:•IER
? I CC:INECI'ICV 'Ib CITY WATLR
? O'IizR (PLFASE CFSC:tIL'E)
6) -C:DIG,.a C:W:
? T9=SE F:OLD r1PP:?QVn PER?LIT FOR PICi:-iJP_ BY O:IE OF 1?'B0'?'E
t?LE?SL ?r?1IL _APPRdS r'?-PEF2•lIT-'P3 3? 2-. 3- 4 r'1ELT.7i
onei -' ` -
7) SICi.'aTL,ctE: DATE:
_?
O!/!!?I-iFlilili?i!!!-lfft'?l1RIln?:?.Aim??90-j? ?fr!l?E?.^?-?- -
- ?
F 0 R C I T Y U S E O N L Y
PERMIT °- ISSUED
L
gErs: $ -$_0
$ lG sU
$
$
5
$ / S•chJ
$
$
S
$
$
$
$
$ TOTAL
$ -;71, -> v A.'IOU:]T' PAZD/RECEIPT ;
DUES UTI?.I^1Y CONNECTION REQUIRE EXCr'.VATION Ziv' PUBLiC QIGi:T OF 44AY?
? YES ? IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERZNG ?IVISION. LIST AS A CONDI-
TION.
SUBJECT TO TEIE FOLiO!1IDIG CONDITIONS:
APPROVED BY: (,-y
TITLE:
DATE:
?---?
?e sw W.s ww?w.mw Mm"a sM wtwoomw s" ws? wa w_? w? r? w? aa ?t ? s? a? wa ?c? ?a ?? w?
S°i?iE-^. r3ov%IrT
WATER PE?211IT (Ii7CLtiDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE REquc3
WATER T.a? (INCiUDE COR?ORATICN STCP)
SE:]E3 m'-` n
ACCOUNT DEPOSIT - SEi•:ER
ACCOliNT DEPOSIT - WATrR
WAC
sac
TRURF: ?4AT°.°. ASSESS:-'.E.iT
TRli.1F ScivER ASScSSMENT
LATEP.AL BENE°IT/TRUNK SE?dE2
LATERAL BENEFIT/TRU:1ri WATER
OTHER
ia 0°
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 S`70 v0
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWctlon ReauiremenLs RemodeVReoair ReouiremeMS ?
3 registered site surveys showing sq. R of bt, sq. R of house; and II roofed ar?s 2 copies of plan ?0'1?$§ivey ReEd? Y?'?
(20% maximum bl coverage allowed) i set of Energy Calculations for heated additions ?[re?"T'?sP?a? Recd ,y ,
2 mpies of plan showing beam 8 window sizes; poured found desgn, etc 7 site survey for additions 8 decls j[nea?Sei?tdr?,=,?„?.=_.;N ?
lsetofEnergyCak,ulations Add'dlon-irrdkateilon-adesepticsystem
3 copies of Tree PreservaUon Plan if lot pletled after 7l1193
Rim Joist Detail Optiore seleciion sheet (bldgs wfth 3 or less units
Date I dL Construction Cost Q?'I ? k-
Site Address ? lp a ?y i?nallacdb?; ?.:e. UniUSte #
Description of Work ??.Q ? LkJlraD,_-) s LA?( t tl`3 ??is'T? 1^Gn !1p-Q/1'1, L\QQ
Multi-Family Bldg
_ Y _ N Fireplace(s) U
_ 0_ 1 _ 2
P
t
O 4?c NE??t
a Tele
hone #(6St)(A2 - l? D s
roper
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wner L, _
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RMA HOME SERVICES, INC.
Contractor Home Deopt Installed Sales
Address 3200 Cobb Galleria Pkwy.Ste. #200 C'ty
State Atlanta, GA 30339 _ Telephone #( )
763-542-8826 BC-20268257
COMPLETE TFIIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission rype) Submitted Submitted
• Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand tYris is not a permit, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case oF work which requires a review and
approval of plans.
sha.c av.,-' L, ,? a?--?
ApplicanYs Printed Name Applicant's Signature
OFFI('.E USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? , 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteratian ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/DOOrs
O 34 ReplaCement "Demolition (Entire Bld g) - Give PCA handout W applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type af Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Installed
Siding and Windows
LIMITED POWER OF ATTORNEY
CviJNTY OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Serviccs, Inc., DBA Home
Depot Installed Sales located at 660 Mettdelsschn Aeer_ue North, Gn!den Valley, MN
55427, having a license number of BC- 20268257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Ina ("AgenY') as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "LVork").
The powers conveyed to the Agent by this Limited Power of Attomey are
limited solely to the express powers delineated herein and apply solely to the Work.
This Limi*ed Power of Attomey shall expire and automatically be revoked on the 21 st
day of May, 2004, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN WI_'NESS WHEREOF this Limited PoNNrer ofAt?omey is execirted this
21 st day of May, 2003
.
David N. Katz
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21st day ofMay, 200
Notary P ic in for the StateC oMeorgia
My Commission Expires: January 21, 2006
396816 v3
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
. ? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsiNC6on Reawremenis RamodeUReoart Reauirements
3 registered stle surveys showing sq k of lot, sq ft of house, and all rao(ed areas 2 copies of plan
(ZO% mazimum lot coverage allowed) 1 sel of Energy Calcula6ons for heated adddions
2 copies of plan shaxing beam & window sizes; poured found design, etc 1 sile survcy for additions 8 decks
1 sei of Energy Calculafions AddRion - indicafe if on-sde sepfic system
3 copies of Tree Preserva6on Plan if lot planed afler 7!tl93
Rim Joist Detail Ophons seleclion sheet (bmldings wtlh 3 or less unds)
,Yqf V.,, !j `d/l 5/°s ?v
CC42t'
qerlolSurveyReFd .. _.Y:?_N
F[eCRtes;PlenReal'?:--- -_Y.:t,4
Iree i?res tiequir@ii: ? Y . :,N
Ort-siisSepticSystem - -_Y??N
Date 6 /z-oOS Construction Cost
Site Addreas /'h w < < '-" CQ Unit/Ste #
DeacriptionofWork
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property'Owner Telephone #( )
Contractor Q,.e ?-
Address City
?Aj
State /1^ Zip 5--'.?e '/jTelephone # (9S
Ct
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateQOrv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plaM
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Conhactor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
??--
Applicant's Printe Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ?Ell 18 Deck ? 23 Porch(screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex pibg_Yor_ nl ? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation o1, Dc?lO • '
? 30 Accessory eldg
? 31 Ect.Alt-Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interiar ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repau
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
"DemoliHon (Entire Bldg) - Give PCA handout to applieaM
Plan Review _ 100%or _ 25%
Census Code
SAC Unils
# of Units
# of Bldgs
Type of Const _ X "?
Occupancy R '-? MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length 12 ? Fire Sprinklered
Width
Foolings(new bldg)
ZQ Footings(deck)
_ Footings(additlou)
Foundaaon
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulalion
Approved By: 7 WA'L,,Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
? (lt?T Feel
,aS
REQUIItED INSPECTIONS
FinaUC.O.
? Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ AidGas Tes[s Final
_ Siding _ Smcco _ Stone _ Brick
_ Windows
_ Re[aining Wall
Cities Digital
itv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
CERTIFICATE OF SURVEY
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DR. BY GRJ SCALE - I'I = 30` o DENOTES IRON MON. BEARINGS ARE ASSUMED DATUM.
PREPARED FOR: JACOBSON SURVEYORS
t•t. W. l??l?ns??i? t.n.tr LAKEVILLE, MINN. 55044
P n R,,s I'10
Fdrnin,tnn, `Rv s 5 0 3i PHONE 469-4328
71047
aoos RESlDENTIAL PLUMBING PeRnmraPPLIca-rioN
cirY oF eaGaN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dweilings.
/S -Z)
Date -__ ! g?.t,. / Q I
Site Street Address Unit #
Property Owner_l'Cl,?? Id? E I4en? Telephone#
Champion
Contractor
Telephone # ( )
651 365-1346
Address 3670 Dodd Rd. #100 City State Zip
The Appilcant is: _ Owner _ Contractor _Other
Septic System _ New _ Refur6ished Submit 2 sets of plans and MPC license Includes County fee
$ 100,00
Per as-built - $ 16.00
AlteraUons to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. B you are fnstalling on a water softener anU/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Ahandonment
_Water Tumaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener
Water Heater $ 15.00
_
,
_ new _ replacement
Lawn Irrigatlon _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total ?
I hereby apply for a Residential Plumbing Permit and acknowledge mat the Intormation is compiece ana accuraie; uiac uie
work will be in conformance with the ordinances and codes of the Cify of Eagan and the plumbing codes; tha
understand this is not a permit, but only an application for a permit, work is not to start without a permi !
accordance with the approved plan in the event a pian is required tp e reviewed and approve -(? ? 11
Iny,a
' ? ?,0 200? U
ApplicanYs Printed Name ? Appli nYs Signature 7?
swc(s
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1626 Mallard Dr
Lot: 1 Block: 2 Addition: Mallard Park 2nd
PID:10- 47251- 010 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Guillermo C Etienne
1626 Mallard Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA084603
07/23/2008
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1626 Mallard Dr
Lot: 1 Block: 2 Addition: Mallard Park 2nd
PID:10- 47251- 010 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
1 Patio Door
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Guillermo C Etienne
1626 Mallard Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA090845
08/25/2009
ePermit
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA106724
Date Issued:09/07/2012
Permit Category:ePermit
Site Address: 1626 Mallard Dr
Lot:1 Block: 2 Addition: Mallard Park 2nd
PID:10-47251-02-010
Use:
Description:
Sub Type:e-Reroof
Work Type:Replace
Description:House & Garage
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Guillermo C Etienne
1626 Mallard Dr
Eagan MN 55122
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature