1640 Mallard Dr• CASH RECEIPT ?
--• CITY OF EAGAN
? 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
. .
r
DATE ! i 19 ?
RECEIVED RRO?N AMOUNT $ I
Ee DOLLARS
+oo
? CASH CHECK
FOR
? S
FUMD CODE AMOUNT
?.
_ I .
? i
.}? •r'? r,,} 1J?..?i
Thank You
BY
White-Payers CopY
Yellow-Posting Copy
Pink-File Copy
? CASH RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
.
DATE 19
R?GEIYEU . ? ,
FROM
AMOUNT $ I
& DOLLARS
+oo
[] CASH [:] CHECK
POR ?. .F- LN `.!-?{== ?-r! L 1.. •?% l r
1 /
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
-?-T-'--??
ERMIT N0.
o?? . I
( t,; T U // ?,,I t .t •f.,,-`..
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm,
01-3446 SAC/Adm.
01-2155 Surcharge
?
17-3860 Road Unit
,zo-z275 sAc
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 k7ater Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
S?? 7Jr
! r'
? t-
? I
TOTAL -_,, y jc I "'. - I
CITY OF EAGAN
Addition Mallard Park Second Addition Lot 3 F31k Z Parcel #10 47251 030 02
Owner Street 164Q Mallard Drive State Eagan, MN 55122
, f< -?
r , af..
Improvement Amount Annual Years Payment Receipt Date
STREET SURF. ? 'I DU .S
STREETRESTOR. ?Q j7] 9 34 52 10 r"
GRADING
SAN SEW TRUNK -'!W 1974 194.05 12.94 15 ?i `?• ?J
• SEWER LATERAL r q
WATERMAIN
* WA-fER LATERAL 1981
WATER AREA 2, 1977 194. 05 12.94 /0 ?.
STORM SEW TRK ?Q 1981 445.37 89.07 5 7
* STORM 5EW LAT 1981
CURB & GUTTER
SIDEWALIC
STREET LIGHT
WATER CONN.
SUILDING PER.
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTI4N REC4R.D ? Control No. 1_ ; ? ?
PERMIT TYPE: 01.111 p I pO
Permit Number: er i 037
Date Issued: ; 1/24/0?
SITEADDRESS: Lpt, 3
1640 MALLARD UR
MAt l ARb PARK 2HD
PERMIT SUBTYPE:
nc ck
0t4ck: .. APPLICANT:
UMFHA QkVe?aPMEM? [NC
(612) 56N-7681
TYPE OF WORK: 'ME?'.
vermte No. parmlt MoMer aes r.lepl,on. #
S/1N
PLUMBING
HVAC
ELECTRlC
ELECTRiC
1nePwtlot? Date Inap. CommerNs
Focrtingsl
Foundaticn
Fren1?Rg
P40a9
Rouph Pftog.
ROIgh tilg•
lsul.
Rr9plaoe
Flrol Fftp.
Orset Tesi
Finel Plbp. Pibg. Inspector - t'btqY Plumher
Const. Meter
EriprJPlan
Bldp. Finel
Oedc Ftg. ?
Dedc Fnal
weu 1 IK 9`? ?P
Pr. oisp_
-----?---
' • - . ..'..
. 3834 Pilot Knob Rc
,. -
BUiLDING PERMIT
To be used for Est.
I SiteAddress_
l
Lot Block
Parcel No.
Address
OF EAGaN
!. Box 21-199, Eagan, MN 55121
E: 454-8100
Receipt #
narp
Sec/Sub.
a Name
.o
? ? Address
? City
Name _
Address
City _
I hereby acknowledge that I have read this application
that the information is correct and agree to compiy with all
State of Minnesota Statutes and City of Eagan Ordinanc
Signature of Permittee
A Building Permit is issued to: '
all work shall be done in accordance with all applicable
and stat
eppliCabl
es.
lf'?', i
9379r
19 ?
OFFICE USE ONLY
On Site Sewage
M
CC S _ Occupancy
ystem
W
S
O _ Zoning
n
ite Well Type of Const
City Water (Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
/APPROVALS FEES
Assessments _ Permit
Water/Sewer _ Surcharge
Police _ Plan Review
Fire _ SAC, City
Engr. _ SAC, MWCC
Plannet _ WaterConn.
Council _ Water Meter
Bidg. Off. _ Road Unit ?
APC _ Treatment P1 ?
Variance _ Parks
_ Copies
TOTAL
on the express condition that I
e
e
Minnesota Statutes and City of Eagan Ordinances.
?
' Permit No. Permit Holdor Date Telephone ?
Plumbing S
H.V.A.C.
'
• -
? ' -?
Electric
Softener
Inspection Date Insp. Commenri
Footings I ,7
Footings II r
Foundation
Framing
Roofing
Rough Plbg. -/o•? ?,.
Rough Htg. j? ?9h f
Isul.
FireplaCe
Final Htg.
Finai Plbg. . g ?
Bidg. Final /f,vtl A 0 s I?4 flFjEi?o
Cert.Occ. ? b
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
..
(Itr#i#iraft of COrrupanry
Cttp of (eagatt
op}ttTl"bt[Pltf of l1teUtg j[SpPtttptt
This Cenifecate irsued pursuant to the requirementr of Section 306 of rhe Unifonn BuiJding
Code certifying that at the time of rssuance this structure was in compliance with the various
ordinances of tlre Crty regulating building eonstrucldon or use. For the following.-
ux Auijiwoon `T 'T/GAR a?ea. Rrmii wo. 1379J
? ,O-PR-Y TYPe R3 7ooiog Disuia 7ype Const. ,
o?rore? M.W. B?19Q`t ?h?L'CrZ,e„ P.O. BCIX 24389, t.?r.
BLtflding Addrm 1640 MALW:) ?Frv%1? Lccahty L3, B2, MALtAM FK 4m)
pate: ?qnu.e.rT, 1984
gUMUg OfficLal w1 S
POST IN A CONSPICUOUS PLACE
.
? ? Gs?
PERMIT # ? ,
. MECHANICAL PERMIT
7 r g?'?
RECEIPT #
CITY OF EAGAN
X
3830 PI LOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRI E RHONE: 454-8100
Slte AddresS '- ?' ` BLDG. TYPE WORK DESCRIPTIOM
Lot Block - S /Sub Res. L__? New ?
? Name Muft Add-on
11 Comm. Repair
Addr S
? ? ? 11'
A `
-C) f Other
City
- - hone {
FEES
Name , l
RES
HVAC r0-100 M BTU - $24
OU
.
.
c Add(ess ADDITIONAL 50 M BTU - 6.00
p phone?- (RES. HVAC INCLUDES A!C ON NEW
CONSTRUCTION)
50 EA
GAS OUTLETS (MINIMUM - 1 PER PEFtMIT) - 1
TYPE OF WORK , _ .
.
COMM/IND FEE - 13'o OF CONTRACT FEE
RATE APPLIES
APT
BLDGS
- COMM
Forced Air M BTU .
.
.
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM $_ (ADD $.50 S/C IF PERMIT PRiCE GOES
Gas Piping Outlets # BEYOND $1,000)
Other ?
FEE:
S/G: SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
-.a?, ; ?F k,'a[-k4' '?'?.G?-.:.? . }•' a.-}.
PERMIT # Z?-
PLUMBING PERMIT
CITY OF EAGAN RECEIPT # ? •% -
3830 PILOT KNOB ROAD, EACaAN, MN 55122 DATE: July ?i 1987
' PRiCE: PHOt+lE: 454-8100
Site Address IhTs ma1i8rci Drlve
Lot 3 Block 2 Sec/Sub
Name Ge=-R= P&H
m Address 14745 South unbeY
c City Rosenount, MN Phone
Name M W Jahniann ConS1-
3 Address A.].. w,Y 2aia9
p City 1nnn7.a vs.1 tov_ "hone
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
BLDG. TYPE WORK DESCRIPTION
Res. XS[XXxxStxX New xxxXYxx
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
FIXTURES
Water Closet - $3
?
00 OTAL
_CoeD
.
.
_?BBth Tubs - $3.00
?Lavatory - $3.00 ae>
'
_?Shower - $3.00 o
-LKir.chen Sink - $3.00
Urinal/Bidet - $3.00
---/--Laundry Tray - $3.00
_,t-Floor Drains - $1.50
-LWater Heater - $1.50
Whiripool - $3.00
--/-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
.Private Disp. - $10.00
R
50
O
i S
pen
ngs - $1.
ough
FEE:
STATE S/C: • tkU
GRAND TOTAL:
FOR: CITY OF EAGAN
?; . .
ITY OF EAGAN Permit No: pate: 7 30-87
30 PNot Knob Road Meter No: o? Size:
O. Box 21199 Reader No:
. agart, MN 55121 Dafe: ?
Owner. ;o;::isoa !;o^st.
Site Address: Drive L3 ; 2 "dallard Pi; ZI
Plumber <<:=z-R an
Conn. Chg: 5"S. QOpd w eRNI ng:
Acct Dep: 1 ?•oo d
Permlt Fee: Zo.oe ae
Surcharge: P T?1? , ? f .
Tr. Plant • , ??? pl ith thi!i?En .
Meter. •' 1 t ?? /
WATER SERVICE PERMIT
FEAGAN
ot Knob Road
c 21Y99
MN 55121
Px
.. • ??-! , -"7 74? ;rj
to comply wNh ths City of Eagan
SEWER SERVICE PERMIT
PERMIT NO.: `C, 07 I
Connection Charga: 5
Account Deposit: i-3 . uuJZSL_
Permit Fee: 10. OO.Rd
Surcharge: • S0Fd-
Misc. Charges:
Total:
Date Paid:
' OF EAGAN Permit No: i Pllot Knob Rosd Meter No:
Box 21199 Reader No:
an, MW 55121
Jonnson Const.
B2
Date:
Size:
Date:
7-30-87
f
Zoni ng:
No. of Units:
I agree to comply wiih the City of Eayan I
Ordinances.
CITY OF EAGAN (vo 13 7 9 5
3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121
PHONE:454•8100 02
BUILDING PERMIT
_
(
peceipt# ?
Tobeusedfor SF DWG/GAR Est.Value $97,000 Date 1UNE 19 19 87
Site Address 1640 MALLARD DRIVE OFFICE USE ONLY
LOt 3 BIOCk 2 Sec/Sub. MAI'I'P'R PK 2ND
OnSiteSewage
Occupancy R3
T
MWCC System X_ Zaning
Parcel No. on Site Well Type of Const _17
Ciry Water X (qctuaq
v_
a Name M.W. JOHNSON CONSTRUCTION (Allowable)
i P.o. BOX 24389
Address * orstories
?-
;
o City A.V. Phone 432-6838 Length
oevtn .33
Total
S
F
.
.
p Name SAME Footprint S.F.
0 a Address APPROVALS FEES
?w CityPhone qssessments _ Permit ? 493.00
48
50
? water/Sewer Surcharge .
w W NamC Police _ Plen Review ??•6 50
t F SA
I
z
x-
0
Address ire ry
C,C
-
-t66:00
u
sW
City Phone Engc
Planner _ SAC,MWCC
Wa[erConn. 525
?
_ ??
Council WaterMeter ?roQ
I hereby acknowled9e that I have read this application and state Bld9• Off. _ Road Unit 305. 0
thattheinformationisconectandagreetocomplywithallapplile APC - 7reatmentPt ?0
State of Minnesota Statut s and it of Ea9a Drdi anee& Varianc _ Parks
4
Signature of Permitte? /?i
JJG ?£T
CopieS
TOTAL
$2r440_.D0
A Building Permit is issued to: M. W. J011NSON C STRYJ CTION on the express condltion that
all work shall be done in accordance with all a licable State of?p)p innesot
tatutes and City of Eagan Ordlnances
a S
Building Official ?
?
{
REQUEST FOR ELECTRICAL INSPECTION ?es-oooo1-os
1 See instructions for comolelinp this form on beck ol Vel low copy. y (, /c9,
84 "X" Below Work Covered by 7his Request
?ana??'?Tvoe ol? Aooliencea Wired Equipmenl WireA
Silu Unloader
Bulk Milk Tan
N Fee ServlceEntronceSize k Fee Fenders/Subfeetlefs N Fee Gvcwts
T.oo 0 to 200 qm s 0 to 30 qm s Z-u 0 tn 30 Am s
Above 200 qmps 31 to 100 Ainps ,;,, 37 to 100 A s
Swinmin Pool Above 100_Am s A6ove 100_Am s
Transformers IrrigaLOn Booms 6 Pertial,"Other Fee
1Signs I I ISpecial InsPection ?S
Remsiks ^ - I - 6z.Sb. TOTAL C, 4
I noupn-in I. the Elecvical
?? v ?? • ? M? ??9? Inspector, heraby
? cerLty that the above
Final n.speciion hes been
b . ? /? meAe.
This re0uesl voitl/?`?
18 rtpn?bs (rom
( 56384 DO
HeQUast Dat 1re No. Pou h-in Insuection
-7 eeq ired, ONo ?Readv Nuw?'ill Nntity Inspec
V es ?or When Ready
Ucensed Electncal Comractor Y I heraby reauesc rosoeclion of ebove
Owne? electncel work nsfelled ar.
Street Address, Boa or Route No. . City
r6,1/6 ki?A&d4
ecuon a. Township Name or o. kanBe No. County
Occuoant IPHINTI I?
%L Phone No.
Pow $ pplt Address?
?f
Ele rical Convactor ICOmpanv Namel Cont acmr's License No.
ilm Address ICo tracmr or Owner?+ akinp Ins ailaLonl, '
?'ul7 S <<w Gr U
Author etl S?gnawre IContracto /Owner MakinB Insta ion) P ona Number
MINNESOTp STATE BOA0.D OF ELECTflICITY TMIS IIVSVECTION NEQUEST WILL NOT
aripps-Midwav Blde• - Moom N-791 BE ACCEPTED BY THE S7ATE BOAND
1821 Universitv Ave.. St. Peul. MN 55700 UNLESS PROPER INSPECTION FEE IS
Phene16121662-OHOO ENCLOSED.
/oCYGo1?1'
7
K
Z 3 A-i ? ? ? -5CI'
d 6 ?a
Request Date ire No gh-in Inspection
Reqwred?
e?7 RBatly Now p WIII NoGy InsQepor
11-12 - 9 2 ? ves 2E No wnao aaaay+
IK. licensed contractor ? owner hereby request inspection of above electrical work at:
Jop AtlCress IStreet. Box or Route No ) Cily
1640 Mallard Dr. Eagan
$eclian No Township Name or No Fa,ga No County
Dakota
Occopant(PRINT, Plwne No
Ralph Wilkes
Power Supplier Atltlress
Dakota Electric Farmington
Electncal GonVactor IGOmpany Namel Coniractor5 Lwen9e Na.
Roehning Electric CAO 1557
Madmg Atlaress ICOntrecror or Owner Making Instellatan)
14811 Endicott Way Apple Valley, Mn. 55124
Auln
acloriOwn axmg ins Pnone NumUer
?
? 423-4328
MINNESOTA STATE BOARU OF ELECTRICITY / THIS INSPECTION FEpUEST WILL NOT
Gripgs-Mldway Bltlg. - Noom S173 BE ACCEPTEO BV 1HE STATE BOARD
1821 Univers'Ty Ave.. SL Paul. MN 55106 UNLESS PROPER INSPECTION FEE I$
Phone(612) 642-0800 ENCLOSED
/??/?'? REQUEST FOR ELECTRICAL INSPECTION "
A ee-ooom.oe
'
K 1619 7 ?e inshucuons lor complenng this form on Deck ot yellow mpy
° -
? /O? Go B
X' 6elow Work Covered by This Request
e AtId Rep. ' TypeofBmlding ApplianceSWiretl EquipmentWired
Home Range Temporary Servwe
Duplex Water Heater Electric Heating
Apt. Buddinq Dryer Otheu(Specdy)
Comm./Indushial Furnaca pea me 2Y
Farm Air Conditioner
Of?er (speafy) ConVeCOrS Remarks,
Compute Inspection Fee Be/ow:
# Other Fee # ServiceEMranceSrze Fae # Circuits/Feeders Fee
Swimming Pool 0 l0 200 Amps L- ILIO 100 Amps
Translormers Above 200 - Amps Above 100 _ Amps
Sgns inspecror's Use only TOTAL
Irrigation sooms
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDE ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above mspection has
been made. R°°9n-m
F,,,ai
? oete
a?e?
,?
OFFICE USE ONLY ?
This request vaitl 18 monihs from
lv2.tZo
S 3? ,?.?
RESIDENTIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for. Single Family Dwellings & Townhomes and Condos when permits are requircd for each unit
Date
Site Address ?{C?C5 HQ a ?lr {A nr i UP Unit #
Property Owner M`lR(l e? (1L-k ?tCl__ Kt"'J _ Telephone #( fcS
Contractor r p')1r'1'l-('G AkQA h,l,r
Street Address QIQIO !L4t 3C's pkVpY11.1P? City V LtfYY?t (lQl
';J b(1
State N(L? It
Zip .'??? .?1i"? Telephone#(6S l
Bond #: _ Expires:
The Applicant is _ Owner J Con4actor _ Other
Add-qn, modifcation or alteration to esisting dwelling unit $ 30.00
Jfurnace replacement
air exchanger
? air conditioner _ New
other rp r, lrle zi i l _ Replacement
?
State Surcharge ,? -_ - 7-7 1 $
?
l .50
? If
i
nI
$
st.??
Total
I hereby apply for a Residen6al Mechanical Pemut and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
pemilt, but only an applicarion for a pernrit, and work is not to start without a pemut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans. ,
C'In t lci-e4-4-P C?0l P_.I ?-,, L?
Applicant's Printed Name ApplicanYs Signature 0
COMMERCIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when sepazatc permits are not requrzed for each dwelling unit
Date
Site Street Address Uoit g
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Conhactor Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove "*see below
_ Interior improvement _ Install Piping _ Processed _Gas
Nature of Work:
"When installing/removing undeiground tank, call ior inspection by Fire Marshal and Plumbing Inspector
Pe1'71lit F0e5: $70.50 Underground tunk mstailanonlremoval
$50.50 Minimuen (includes State Surcharge)
or
ConhactValue $ x 1% _ $ PermitFee
• If permit fee is $1,000 or less, add $.50 => $ State Surcharge
If ernvt fee is over $1,000, add $.50 for
every $1,000 pCrmi[ fee $ 1'otal Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accwate; that the work
will be m conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a pernut, and work is not to start without a pernvt; that the work will be in accordance with
ihe approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Applicant's Signahue
Approved By: , Inspector
INSPECTION RECORD I C°n °"°. 1328
CITYOFEAGAN PERMITTYPE: $ti TI-DtNG
3830 Pilot Knob Road Permit Num6er: 0 m 18 3 7
Eagan, Minnesota 55123 Date Issued: 11 I24 / 91
(612) 681-4675
SITE ADDRESS: LOT o 3 BLOi, K e 2 APPLICANT:
1540 MALLARO Oft OMEGN DEVELOPMENT 7NC
MALIARD PARK 2N0 f6121 5547-75£31
PERMIT SUBTYPE:
nF r.K
REMAf2K5: kECE.TPi #
?
TYPE OF WORK:
NEW
?
CITY OF 'EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
Control No. 1328
PERMIT TYPE:
Permit Number.
Datelssued:
su.rLozNG
0 0:L637
11/24l92
SITE ADDRESS:
1640 MIaL!.ARD DR
LOT: 3 BLOf:K: 2
MflLLAR[7 PARI< 2ND
DESCRIPTION:
'Build3'nq Pei'mi.r: Type DL"CK
C3ua.lding,,Work Type NFI,J
? -
\
?
?
?
?
r
REMARKS: ?
REctrPT
FEE SUMMARY:
R7e.e FFe $25.00
Surcharge $.50
Lic. Search Fee $5.00
Total Fee $30.50
CONTRACTOR: - Applicant - sT. LTCOWNER:
OMEGA DFV[LOPMENT IIVC 15507581 0002466 W7LKES RALPH
4180 BERKSHIRE 1640 nIALLflRD qft
PLYMOUTH NN 55446 EA6AN MN
(612) '_i5O-7581 (612)688-2337
I hereby aoknowledge that Y have read th.is applicution and state that tihe
information is corr•ect and agree to compl.y with all applicable State ofi Mn.
Statut.s a?y of Eagan Ordinances.
? -
?11??11l11 11?
APPLICANT/PERMITEE SIGNATURE ISSUEU BY: SIGNAYUFE
PERMIT N CiTY OF EAGAN _$? 0 Z, n
p`..?}?IHT? _
1992 BUILDING PERMIT APPLICATION
681-4675
1 C RECD
SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typiny of permit is requested, but not picked up by last working day
af month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Valuation of work
Site Address:16;'910%?
STREET SU[TE !
Tenant Name: (commercial only)
IAT 3 BIACR Z SUBD.,At?/???p? < 2, ?j
y"%d ? ??i P.I.D. k
Descri tion of work: ` £ - A:?
The applicant is: ? Owner ?Contractor ? Other coesoribe>
Name _ U) &Lira-? Phof,e
- Z:?;3 %
Property ,
LAST FIRS7
Owner Address _ < <o 40 f? -tLt 1 ??D _F?>?+ ?
STREET STE X
City State Y?? t'? Zip
Company _-W'r_.Phone S_Sz?> - 7S? ?
COntraCtor Address ? 3??q? ?'
License # Z1l? Exp: -
City _1:?'C-y M State Zip
Company Phone LI Zd-r}S'fGn
ArchitecU
Engineer Name R.0C-;r Reglstration k
Address `i`tS-l ???o A-i AF'+L (:;-
City i`A!'??1,? 5ta*.e ??'? I 1u? ZiP 7-
Sewer 8 water licensed plumher . Processing time for
sewer 5 water permits is two days once area as been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Hinnesota Statutes and City of
Eagan Ordinances.
Signature of Appl icant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
11 04 SF Porch
? 05 Sf Misc.
WORK TYPE
W31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
11 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
/ of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
V(15 Deck
O 35 Tenant Finish
? 36 Move
Basement sq. ft.
lst Fl. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Yar9ance
O Site ? Footing
? Nallboard ? Final
? Framing
0 Draintile
%3c/
O Insulation
? Fireplace
Permit Fee v,i,.tia,:
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Hater Meter ,
Acct. Deposit
S/W Permi±
S/W Surcharge "-'-
Treatment P1.
Road Unit
Park Oed.
Trails Ued.
CoPies
Other
Total:
.&?. :
N 'a '! s
?
C916`Bas?me'Ipt Finish
O 11 Swim Pool
? 18 Comm./Ind.
? 79 Comm./Ind. Misc.
? 20 Public facility
? 21 Miscellaneous
? 31 Demolish
MWCC System
City Nater
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
;- . CERTIFICATE OF SURVEY
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3044 „
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tffl - EWSEMCNT
90.00
N a'3- ZS' 3G".E:
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Arrows deno[e proposed direction I
of surface watcr runoff.
DR. 8Y; CC?.1 SCALE 1= 30' o pENOTES IRON MON. BEARINGS ARE ASSUMED DATUM.
PREPARED FOR;
JAC08SON SURVEYORS
.7ohnson ronstruction
P. o. sox 24389 .' LAKEVILLE, MN 55044
Apple Valley, IMI 55124
. . PHONE. - 469 -.4328
_ _ .. . _ . . ,,. . . . . ._ , . . . . _ _ _....._,:. _
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I hereby certiFy that this is a
cnrrect representation of a
survey of:
Lot 3, Block 2, MALLARD PARIi
5Et;(HJD ADDITiON, Dakota County,
Minnesota, according Co the
recorded plat thereof.
and that tliis survey and
certificate was prepared by me
or under my direct supervisiun
and that i am a duly registered
Land surveyor under [he laws of ,
the Sta[e of Minnesota.
'?-?.?-?. ?
C e L. Jacobs ,
Minn. Reg. No. 7734
Dated Sune 15, 1987
Elevations shown are existing
grades and are assumed datum.
Proposed garaRe floor = 93.5
o•,
o•*
493•uo+
.. 4E?•70+
246•50+
o27•OU+
52`i•UU+
C7•OU+
:5U5•UU+
1S0•OUr
*
2?490•U0
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SETS OF PLANS, 3
EAGAN
OF SIIRVEY, 1 SST OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR COHNER LOTS - CONTRACTOR/HOMEOANER MDST DESIGHATS AHICH ADDRESS
IS DESIRED. NO CHANCafiS WILL BE ALLOWED OACE BDILDING PERMIT IS ISSQED.
M[TLTIPLE DWELLINGS - RESIDENTIAL
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COMhIl?RCIAL
RENTAL ONITS FOR SALE D?IITS
OF SIIRYEY - CHECB iiITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE SOND
To Be Used For: UZFnlup`aluation: 0170C)o Date:
Site Address OFFICE USE ONLY ?
Lot 3 Bloek 7i On Site Sewage_
MWCC System ?
Parcel/Sub ?rA On Site Well
?
Owner Wl ( (C25 City Water
Address
City/Zip Code
Phone
9PPROV9LS
Contractor ?.?• .?Q?.Stv? ?5}?yyvc, Assessments
Water/Sewer
Address Pp,{3oh ??3$9 Police
'? ` ? ? Fire
City/Zip Code Engr
C? Planner
Phone °?b ?-32-? ? 3 8 Couneil
Bldg Off
Arch./Engr. ?Aj? APC
Variance
Address
City/Zip Code
Phone ll 't 3Z ?? 204 y
r
?
BDILDING PERMIT 9PPLICATION -
Occupancy ?•3
Zoning ? •?
Type of Const
(Actual)
(Allowable) ?
4P of Stories
Length 5E>
Depth 35
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge ?
Plan Review Z4?-b
SAC, City ?o 0
SAC, MWCC 5 2S.
Water Conn S'Z-S•
Water Meter
Road Unit ? S
Treatment Pl 1 gp.
Parks
Copies
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Za x2-? ? ?`72 X f2 `- ?t?C? ?
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CERTIFICATE
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9a ?aMAL.LAk D DRIVt-
N BC 14- 03 E
90./4
OF SURVEY
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90.00
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I hereby.certiFy that this is a
correc[ representa[ion of.a
survey of:
Lot 3, I31ock 2, MALI.AND PARR
SLCOND AUDITIOh, DakoCa County,
Minnesotu, according to the
recorded plat thereof.
and that tliis survey and
certificate was prepared by me
ar under my direct supervision
and that I am x duly registered,
land surveyor under the-laws of
the State oY Minnesota.
^e L. Jaco ,
Piinn. Reg. No. 7774
Dated June 15, 1987
Elevations shown are existing
gradns and are assumed datum.
Proposed garaRe Eloot = 93.5
Arrows denote proposed direction I
of surEace water runofE.
DR. BY: CnJ I SCALE I"= 30' o pENOTES IRON MON. BEARINGS ARE ASSUMED DATUM.
PREPAREQ FOR:
.iohn:;on ronstruction
P. 0. Sox 24:189
Apple Va11ey, MN 55124
JAC08SON SURVEYORS
LAKEVILLE, MN 55044,•.
PHONE - 469 - 4328
. ..:
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.... . . ?,.,'-- -? ?•. . . _ . ., ?... ?.., .... t...i.._.:..:: .. ,. ... . -.? :+?.'? . .t --
I • . ? rritt.[ IPS PLAN SERVICE
r. .? •
F?•1LLiPS PLAN SFrtVwc ?o?.. ?--c-
di30,W. 145[h 9Vea1
V.-Jey, EXTERIOR ENVELOPE kVERAGE "U" COMPUTATION
OWNER q -Z787C
:;??: ? ,: . .,. .. . . .. -
;"": • " er?r Anneree. .
T DATE ?;r=...-;.. R-';-;Wr-- P.I
footage of?each. =-
.;?;•?,:
: 53q ;:71e' s9.`ft.''z
sq.ft. x
T otd];'ex{paSed wall; drea aDOYe I c-' •jt941yRAR
z rXTr_
?"?find?
r
Tf>i•
-
a.
?Tota1 •
.
wall window area............ .:`::`:`.:..:...... .
OI .
b. Totai
:.:.'......
door'area ........................
.
c. 'Tota1 _
sliding giass door area " '
:.d. Total
................
.
'Fireplace wa'!1 area ........
.?--..
e. Total wall framing area (average :.`.:: I
f. Total :
net wall area above floor ..........:.....
g. Total rim joist area ............................ 'LSR
, ,:Totai exposed foundation area =. 1 b . ..
ti.
h. Total foundationwindow area.......... .......:.... .45
1. Toal net foundation area abpve grade ............ ar-1.3 L
Determine "U" value of each wall segment.
a. 30I . q x lluii !54.9-5
e. 54 . x „u,,. .139 = '7. S
c. - x
d. i X
e. 183.lv1 x
f._t 6S2,4`i x
9- Z58 x
n. q,45 x
;._gp.31 x
Hull - a -
????? ?o?llo = IrLIDZ
„u„ , 0q3 = '7 I , 05
itult ,041 = ?0 5?
,
f,u., 55 = , I
„u„ , 082, = b, Sg
?>; v' :,,i'
:: .,.
:,
-.. ,
3. ....:.: ...... .?,? 3 .9: 7 .....Total . = 42.Lo?/,N ;,,F
If item 13 is the same as, or less than item k`1, you have met the fnte
..
Of 96C 6006(C)2.
... ... ., .?"?
? -u:^>a?? •=F'????i:_ _r-. ' _ - - .:'
•,y,Y".a....?'y^f_ : rr»?..K.?y? " _ - '?' '_ =_ .n
? : c
?? k- . ?..? ;i.:?} _ a° - ..?*•";",?b-?,` ., e4?' , en t ?.a-2.:1`: '
= n.Tj- r:?M ?,? .L:? ??,f?. ,1? lJ.y YR.y ? - .^:?ci?xz ?'?~?ti"i`?•
kY;-r ??cv _ _ ,Ky';5,.a' . ?:i:•:Y::` _ .;.n;-' -, r,"T?)f, i«?.1, -`Y„ t• ,#:
-?ii.?.u:?J e`..k>??;` _ .. - ?.?.`,^??`::??f:..Jlf{?'n, IY. ?• ..PC",::'ks"h?
,.
PF Total exposed roof/ceiling area = qq Z-
Total gross roof/ceiiing area = 99 Z- ,
j. Tota1 skylight area .......................
k. Total roof/ceiling framing area .......... ,
1. Total net insulated roof/ceiling area.......
. Determine "U" value
J. X
k. q4 .2 x
I . 89Z.8 x
a ...................9q Z ....
for each roof/ceiling segment.
liull
4fUll, 02q
„u„ ?C>zZ
,...Total _
If totaT of #4 is the same as, or less than #2, you have met the
S8C G006(c)1, To utilized the total envelope system method, the values establi
sum of items #3 and p4 shal7 not be greater than the suin of ite:
? ?. ..
3.
MATERIALS
Ezterior Air
Siding.Material
Sheathing
Insulat ion
Sheetrock
Interior 6ir
Studs
Rim
Conc. Blks.
+ 2.
+ 4.
Therm. 3esistapce "R"
,17
. y3
2,Oto
?
I
?
2 8
,
?. .
?. , .. . ? , . . . ._ , . . . . .? .._; -....., ;,rr??.;:z:.... _. .,.?.>.. ..:..:.:.... .._,. ?..... h.;ra?z.,....,.:-_ ?* ? . ,-i?y,r;_ --
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*KYrP.: PAYMEnll' OF FBE AT 1'IME OF
APPLICATION DOFS N(7P QONb'1Z1V1E
APPR(nJAL OF PEEtNIIT.
INsrDCrzoN oF sE.WEz AND/oR W?=
INs-rALLAazoris waa. Nvr sE sCHEn-
trzEn nrrrII. PrPDnT Hss sEM
APPROVID.
• P ease Print
?1) PROPERTYADDRESS: 111L "
LEGAL IIESCRIPTION: LOT ? BIACK r?c ???j?'?,r??',j?/ ???? G1?? '-
Lot Block Subd?ivlsion or Tax Parce ID )
IF E7QSTING STRCY.Z[JRE, DATE OF ORIGINAL B[,'ILDING PERMIT ISSi'ANCE: .
PRESENT 7ANING/PROPOSID LSE: (Mon Year)
CD COrP'IERCIAT,/PJUArr /OFFICE
Q INIDL'STRIAL
ZNSTI'iC*i'IONAL/GpVEF2iZ=
2) F.T-0-grw-Mrsa
I
9R-1 SINGLE FAhIILY
Q R-2 DL'PLEX (1t.o C?nits)
? R-3 TOWNHOC?SE (Three + Units) ( C?rtits)
R-4 APARTP=/CObIDOMINIUM ( Units)
N11I•E: M. W. JQHIJSON CONSTRUCTION
ADDRFSS: P. 0, BOX 24389 ..
CZTY, STATE, ZIP: Apple Valley9 MN 55124
PHOAIE: 432-6838
3) For City Use
NAME; Genz-Ryan Plumbing and Heatfng Co, Pltmbers License:
ADDRFSS: 14745 South Robert Trail Active
Expired
CITY, STATE, ZIP: Rosemaunt, MN 55068 Not recorded
PHONE; 423-1144 MASTER LI(EIVSE# 1849M
stair
Q) •sa • e ia-
NAME:
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
5) ?? vi i a+: ?• :?t 7vff-75?4' OX CONNECTION TO CZTY SEWER EZF CONNECPION 'N CZTY WATER ? 0'IHR '- •
6) ?? ?• o r E] PI.F.HSE HOLD APPROVID PERMIT FOR PICK-OP BY ONE OF ABOVE -' --
? PLEASE MAIL APPROtIID PERMIT TO 1r 2, 3 4. ABJ VE
.
? (Circle one) .
7) r. ?. u• • ?.?????`-? ?,1'? ? G' ??
? ?S ?c ? t: a ? rc • •,? n ? r •e • • • 'ta a• ? i. y?• . ?,.
` . ?..• . ' ?? ?• ? ?
u?. •6'• ID. I :.'. a:r. •,tl9? ? 1 ?' a- ? ?? a• ? ?1 ?' • :I C?. .
FOR CITY USE ONLY
PERMIT # ISSUED
f
Pd w/Bldg. Permit FEES:
$ S ?DS? SEWER PERMIT (INCLODE SIIRCHARGE)
$ $ S-7) WATER PERMIT (INCLDDE SDRCHARGE)
$ $
WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?cS^` CI U ACCOONT DEPOSIT - SEWER
$ S /?` U 4 ACCOONT DEPOSZT - WATER
$ WAC
$ $
SAC
$ $ TRUNK WATER A$SESSMENT
S $ TRL'NK SEWER ASSESSMENT
_ $ LATERA L BENEFIT/TRONK SEWER
a $ LATERA L BENEFIT/TRUNK WATER
$ N $ WATER TRE
ATMENT PLANT SURCHARGE
$ $ OTHER:
$ 1 e72 c) J`G)-? $ O TOTAL
RECEIPT R ECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CpNDITIONS:
APPROVED BY:
TITLE:
DATE: ?? ??/ ?
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Raad, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
R-jU.C>o
New Construchon Reomrements RemadeUfieoair Reauirements ORice Use Onlv
3 registeretl sne surveys shaxing sq. fl of bL sq. fL of house; and all roofed areas 2 copies oi plan _ Cert of Survey Reoi
(20% maximum lot coverage allowed) 1 eet of Energy CalcuWtions lor heated addiUons Tree Pres Plan Recd
2 copes of plan showing beam & window saes, poured found desgn, etc. t gile survey Mr additlons & decks Trae Pres Not Reqd
lsetofEnergyCalculatbns AddN'on - aidicafeRon-sifesepfksysfem _ On-siteSepficSyslem
3 copes of Tree Presena6on Pyn d lot platted after 7l1193
Rim Joist Delail Options selecUon sheet (bldgs wiN 3 or leu umts
Date c?A/ 614j Construction Cost
-?? ??
Site Address `\ G`-t? ?, 1 ?, L
1a1 ?
?o i?y(
1. ' UniUS[e #
Description o[ Work :VAv `A R) \??j
Multi-Family Bidg _ Y?,/ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone #
Contractor
Address City l?y? ? `ml1
State )OM_ Zip Telephone#(?j,) N",L'?p
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Mumesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Suhmittetl Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone #?
C \_
Mechanical Coniractor ? D Telephone # (
APR 1 8 ZUUD
Sewer/Water Contractor Telephone #(
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MiN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start wi[hout 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.
?????k ?10Y??Q.Z
ApplicanYs Printed Name
Applicant's Signature
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg
O 02 SF Dwelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Ait - Multi
? 03 01 of _ plex ? 09 07-plex p 17 Garege ? 22 Pprch/Addn. (4-sea.) E3 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Mlsc
?
05 03-plex
?
11
10-plex
? 19 Lower Level
? 24 Stortn Damage .
? 06 04-plex ? 12 12_plex Plbp_Y or _ N ? 25 Mlscellaf180u3
Work Types
13 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Damollsh (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement ' `Demolltion (EnUre Bldg) - Gi ve PCA handout to appllwnt
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
MCIES System
City Water
Booster Pump
PRV
Fire Sprinklered
_ Footings (new bldg)
_ Foohngs(deck)
_ Footings (addition)
_ Foundahon
Drain Tile
Roof _ Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test Final
Insulation -
REQUIRED INSPECTIONS
Fina]/C.O.
_ FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding Smcco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
RESTDENTIAL BUILDING ? ??cc)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mu 55122
Telephooe # 651-675-5675 FAX # 651-675-5674
00 `
New Con5WC6on Rmuiremenis RemodellReoair Reauirements Otfice Use Onlv
3 registered sde surveys showirg sq. ft. of lot, sq ft, o( house, and all rootetl areas 2 copies of plan Cen of Survey Recd
(20 % maximum lot coverage allowed) 1 set of Eneryy CalculaGOns for heated addiGons Tree Pras Plan ReW
2 copts of plan showing 6eam & window szes; poured tound desgn, etc 1 site survey for addNOns & decks Tree Pres Not Reqd
1 set of Energy Calculations AddNon -mdkate ilon-sde sepiic system _ On-site Sephc System
3 copies otTree PreservaGOn Pian i( lot pWtted after 7lV93
Rim Joist Detail OpUOns selecLOn sheet (bldgs with 3 or less units
Date --&__ ! 07( / 0?,_
Site Address ?(.p'y Q b'3(g ljo(? ::j Construction Cost _ &?o ? CX)
)4- - UniUSte # .
Description of Work fffy?C)VQ r (' 6_cSL.'r'oGt?
Mul[i-Family Bldg _ Y'14 N Fireplace(s) _ 0 _ 1 _ 2
Property Owner 0-, lC-A Telephone #op-
.D 9
Contractor TQC-h-eYl14 ??-1,/?/?' •-? ?l? I?a ???
Address ??1 -7? ?-fCy>•? S
State j _ r`!1 l)
Zip p
Cityw. 1EJ(1lV
Telephone # (467j1) Z( & l( ( q C 0 U
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rutes 7670 Cate¢orv 1 Minnesota Rules 7672
Energy Code Category . Residentlal VenUlation Category 1 Worksheet • New Energy Code Worksheet
(J submission rype) Submitted Submitted
• Energy Envelope Calculatlons Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # ( J
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.
i,..?)(?n sAw rtetLhenW
ApplicanYs Printed ame I ApplicanYs Signa ure ''-?
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-pleX PI6g_Y or_ N 0 25 MisCeilaneoU3
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) • Glve PCA handout to appiicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Dram Tile Other
Roof _ Ice & Water _ Fi nal Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
'?..' :
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7
3
1'
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7
7
? For`DiticB?l9'sj"e__-_--_'-- -- I
? Permit #
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PermitFee:
3830 Piloi Kno6 Road ? I
Eagat? MN 55122 ? Date Recerved:
Phane: (551) 675-5675 I j
Staff:
Fax: (651) 675-5694 -___--^______ ?
L
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
IC'd I-)r
? 4-08 Sit
Address: 1640 kw --
.
e
a{g;
nant:
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EStDENT J OWNER Name: Phone:
Address / City ! Zip: ct
License #: ?? Q??`v l - !
CONTRACTOR Name:
Address: Champion ?
City. 3670 Dodd Rd. #100 Siate: ZiP
agan, -
Phone: Contact Person: ,1
?
Typ? ?F WpRK _ New V/Replacement _ Repair _ Rebuild Modify Space _ Work in R.0.4V.
Descripfionofwork: ?-
pERMlT TYPE RF?SIDENTIAL
? 'dVater Fieater _ Water Softener
Lewn Imgaiior: Add Plumbrng Fixtures
C__ RPZ! _ PVB) ? Main _ Lower Level)
_ Septic System _ W ater Turnaround
New
Abandonment
=s1OcNTlAL FcES:
i0.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (indudes $.50 State Surcharge)
;0.50 Lawn i; rsuadon (mciudes w.50 State Surcharge)
;0.50 Adr, °IUmbEng Fixtures, Septic System Abandonment, Water Turnaround" Qnc(udes $.50 Stete Surcharge)
Ta;naround (add $136.00 if a 5/8" meter is required)
'30.50 Scptic System New ($10.00 per as built) (indudes County fee anc $.50 State Surcharge)
156 Rrr, Rdpair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ?
TOTAL FP-ES $
_reby acnnoadeage :nat this informohon is compicte and accurate; ihat the work will be in conformance wRh the ordinances and codes of the Ciry ot
-n; thal i urdersmid this is not a permit, but oNy an apphcahon for a permit, and work is not to start Wlhout a permit: lhat the work will be in
??idarce wr.r: !ho Lp?roeed plan in the case of wod; which requires a review and approval of plans.
l ?. S x s u aCV2??°' .
,?anc's F; (r.ted Name Applicant?ls S' ?
)R DFr=ECE ItSE ReweWed By Dafe ` ?uire.?`, Inspec?.i?.?ns: Under Ground Rough ln Air,Test =GasTest,: Final
3 5 I57 f4b
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122190
Date Issued:04/29/2014
Permit Category:ePermit
Site Address: 1640 Mallard Dr
Lot:3 Block: 2 Addition: Mallard Park 2nd
PID:10-47251-02-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Allan Kosel
1640 Mallard Dr
St Paul MN 55122
Elite Exteriors
1513 Southcross Drive West, Suite A
Burnsville MN 55306
(651) 688-7808
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169662
Date Issued:06/04/2021
Permit Category:ePermit
Site Address: 1640 Mallard Dr
Lot:3 Block: 2 Addition: Mallard Park 2nd
PID:10-47251-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Allan & Karla Kosel
1640 Mallard Dr
Saint Paul MN 55122--255
(651) 485-6029
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176855
Date Issued:06/03/2022
Permit Category:ePermit
Site Address: 1640 Mallard Dr
Lot:3 Block: 2 Addition: Mallard Park 2nd
PID:10-47251-02-030
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Allan & Karla Kosel
1640 Mallard Dr
Saint Paul MN 55122--255
(651) 485-6029
One Hour Heating & Air
15191 Boulder Ct
Rosemount MN 55068
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179294
Date Issued:09/27/2022
Permit Category:ePermit
Site Address: 1640 Mallard Dr
Lot:3 Block: 2 Addition: Mallard Park 2nd
PID:10-47251-02-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Allan & Karla Kosel
1640 Mallard Dr
Saint Paul MN 55122--255
Pcs Residential
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature