1643 Mallard Dr? CASH RECEIPT ?
CITY OF EAGAN
P. O. BOX 21-198
EAGAN, MINNESOTA 55121
DATE 19
Rec ervso
FROM
AMOUNT $ I
t oo
E] CASH r-1 CHECK
DOLLARS
-- ,
FOR. `
'4'
FUND COOE AeAOUNT
- 1?
?J
Tha?k You
w BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks ,
Addition Ma 1 1 arrl Parlr .C,arnnrl ArlAi ti n„ _ Lot :27 Blk ? Parcel 10 47251 270 01
owner Street 1643 Mallard Il?rive state Eagan, MN 55122
-16 ,r
Improvement Date Amount Annual Years ?,s Payment Receipt
STREETSURF. /?/I Im . 1981 1751.47 350.29 5 -
STREET RESTOR. ?
345.19
34.52
10
.60
A015315 P
28
GRADING
SAN SEW TRUNK 12.94 15 g.g '.
* SEWER LATERAL ' y 19$1 2430.43 486.09 $
-o-
WATERMAIN
* WATERLATERAL 1981
WATER AREA 452, 1977 194-05 12-94 15 .68 ti rr
STORM SEW TRK p 1981 445.37 89 . 07 5 - e-
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 28
WATER CONN. 500.00 It
BUILDING PER. #9840 ti ?
SAC
929.00
PAR K
Crty
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt
N!.,:-_ 9$40
J
A _- <.r
Zoni ng
Type of Const.
No. Storiea _
Length
Depth
Sq. Ft.
Site Adqr?ss - ? - - ? - --- -- ? -•--- -
Lot ? 81ock ISub. . ReRwdel ?
Repair ?
Parcel No.
Enlarge ?
Move O
r Name
Demolish ?
Address '? • :' ?i? 14: ? 3 (1 Grade ?
6'v Name _
Addrest
? Ciri -
38
SE
Assessrncnt Permit '
_ Phone Wnter b Sew. Surchorpe
police Plan Review
Name Fire SAC
Addresa Enp. Water Conn. ,
_ Phone
I hove rood this opplicotion ond stots tF+at
ond ogree to comply with oll applicoble
es ond City of Eagan Ordinonces.
Plonner Water Meter
Countil Rood Unit BIdg.Off. •'... 'f . -`T•p. APC Total
Var. Date
. Siynoturo of Permittee .
^if/1 Buildinfl Pertnif Is issued to: i"i?. . : an the expnm cpnditfon thar
oll work shall be done in occordance with all opplicabls Stote of Mfnnesotu Stotutes ond Cify of Eoqon Ordinonces.
6uildinp Offitiol ,
PKmk No. Pamit HoWer Dsm Telephona it
Plumbirq ? C/ y ?
H.VA.C. ?, ?P C? h ?? rt1 ?l ! I g 5 ? 2 Z
EWetrie ?
Sohwwr
Infpection Daee Insp. Other
FootinR ?_/y 8$
Foundstion
Frsminp ?
RooHny
Rough Plbp. , ? .
Rouyh HVAC 3
Inwletion Ay.-
Final Plb¢
Final HVAC
Final
Cert/0oo.
Dot¢ribe Loestion:
L
D.-
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN F6e
fill in numbered spaces S/C '
Type or Prin[ legib/y Tot
1. Date ? 2. Installation Cost
3. Job Address Lot -` Bik. Tract
4. Owner
5. Contractor = , . • ??'' Phone
6. Address
7. City ?. State ' Zip S
8. Building Type: Residential L? Commercial O Institutional ?
9. Work Description: New I9 ? Add O Altc[ ? Repair 0
10. Describe
11.
No.
?
- Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
5hower Well
? Kiichen Sink
?
Urinal/Bidet
Laundry Tray
Other
Floor Drains
Drinking Ftn.
Slop Sink
?
?
Gas Piping Ouilets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinancgs and codes gov?itig this type of work.
Signed :
` for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
, F"
ffll in numbered spaces S/C
Type or Prrnt /egrbl y ? -,
Tot.
1. Date c" - 2. Installation Cost
7
3. Job Address i Lot/V Blk. ? Tract -?
4. Owner ; ^' -
5. Contractor Phone_.
6. Address
1
7. City 5tate 1' Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New p Add ? Alter ? Repair ?
10. Describe Fuel Type
?
I 11
No, Fquipment STU - 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
comply with all ordinances and codes governing this type of work.
Signed: ' °- `_. for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
TY OF EAGAN
?30 Pilot Knob Road
0. Box 21199
gan, MN 55121
- ,..-- -
SEINER SERVICE PERMIT
PERMIT NO.: 7147
DATE: ~ -
No. of Unlts• 1
:T Johnsoa (?nat ?
1-10_85 4,8924
fo eanpy wllb iw Citi of Eagaw
By
Date of Insp.:
(:onnecFlon CharQs:
Ikcourtt Deposit: _
Perrnit Fee:
SurcF?orDe:
Misc. Choryes:
Totol;
Dah Pad:
?
. - .?.,.? :
WATER SERVICE PCkMIT
3ox 21199 PERMIT NO.:
, MN 55121 aATE: "
r No. af Units: I I
., .TOi!11.:4Ci1
, i
Address:
Meter No..
Sizn.
Reader No.:
I mDm t0 CO?ply vAh thf rrity OF FOg1111
Ordinanpw
By
CITY OF EAGAN
3830 Pilot Knab Road
P. O. Box 27199
Eagan, MN 55121
Zoninp: -
Owner: .,ll", 701
Address:
2e. . . ? - ?
; a,ar?: 5??a . 00
r? No.: 0,T??Q_7 y(
-
-- i
a ?,t:
Permit Fe . ,
`'1 yrM te oonePhr wleh !!M G
r
-
h ? ?Yvn e:
Surcharge:
?
,
Oedlnanat Misc. C}brpes:
T
I
B OtO
: - ? p{}
f?-
Y Date Paid:
Dote of Insp.:
? J 3/9?
Insp.:
ve L:
Connection Charge:
Account Deposit: J • t
Permit Fee: • '
Surcharge:
Misc. Charges: 132.40 pc!
Totci: 63.00 pd rieter
Date Poid:
WATER SERVICE PERMlT
PERMIT NO.:
DATE: -
No. of Units: ?
* r re
? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN z
INCLUDE Q SETS (iF PL'ANS,
Q CERTIFICATES OF SURVEY
? Q SET OF ENERGY CALCULATIDNS
00
To Be Used For: S•F DWG. C??. ? Valuation: ( ?O,OQ'?• ` Date:
site Address: ??c?3 /ylczl?ard dr • " '
Lot: ;?"/ Hlock: / Sect/Sub: Erect_ x
Parcel #: Remodel:
owner _ M. it1 • clohnso r) ?onsf •
Address: toe, &)e /jp
City/Zip Code: rarmiriqi!?h ? /y(tv
Phone # : ?3a - 6838
Contractor: 4'n. W.
Address:
City/Zip Code:
Phone #=
Arch./Eng_
Address:
City/Zip Code:
Phl+naA-
Repair:
Enlarge_
Move:
Demolish:
Grade:
Occt:gancy :
Zoning: Q-?
Type Of Const:
# Stories:
Length: -
Depth: ?Co
Sq. Ft_:
-::APPROVALS
Assessments:
Water/Sewer:
Police:
Fire:
Engr.:
Planner:
Council:
Bldg. Off.:
APC_
Variance:
Permit: 4.-?'j23'
Surcharge:
Plan Rev.: ZZR. ?
sr.c : 5Z5 • °
Water Conn: 300
Water Meter Co3.m
Road Unit:
-=D Parks:TPc- 132,°`
I° x t?? 234 ? ?? 12c?3?
?l n: ? i = q ? ' ?? 2 3 -7 l?
2-l x ?? - 1?8 x.54 - 4Jo?1 Z.
21P K 22. ?5-? 2'<' 1 ( "G Z9 2--
Z?
I
CITY OF EAGAN N! 9 8 4 0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 4548100 ? BUILDING PERMIT Ree1pt #
SF
$110,000 a
siteAd 1643 MALLARD DR
Lot ?? 61ock ?clsub. ?+T+LARD PK 2ND
Parcel No.
Name M.W. JOHNSON CONST
Add,m, P. O. BOX 130
City FARMINGTONphone 432-6838 _
SAME
? Neme
89 u Address
I- Clty Phone
s
W Neme
F
i-Z Address
U
iW City Phone
Erect ES Occupancv x13
Remodel ? Zoning Rl
Repair ? Type of Const. V
Enlarge ? No. Stories
Move ? Length 3 $
Demolish ? Depth 56
Grade ? Sq. Ft.
Install ?
Aoor"ob Feas "
Assessment _
Woter & Sew.
Police _-
Fire Enp.
Plonror -
Cauncil _
Permit +? 476.UU
Surchcrpe 55.00
Plan Review229+40
sAc S25_n0
Water Conn. .S.0n .9 0
WoterMeter 63 n0
Rood Unit 2Q 4 ^ 0
I hereby ackrwwladge thof I Mve reod ihis apPlication ond sfote fhat Bldg. Off. 1 10 85 I T, p132-00
tM intormalion is mrrecf and agree ro comply with oil opplicabla APC Total $9 _949 nn
Stata of Mmnewto Srotutes and G r of Eagan Ordinor?ces. ar et
i ?46 . n 1,C_ ?
Y/'Y ?
Sipnafure of Pertnittee Lv r
A 8uilding Permit Is issued to: M W JOHNSON CONp on tha express corditlon tha+
ull work shall be done in accordance with oll pyqlicable Sfate yhNionnespto Statutes ond City of Eapen Ordinances.
Bulldinp Offlciol
------------------
? F(T-klse ?
j Pertnit #: ?LC> ? ?? I
i PermitFee: ' Qv I
? Date Received: j
I I
I Staff: I
I
APPLICATION
Oate: 01hA10 Site Address:
2 16q3
Drt.d?-
_
TenanC kry-m-! c in61 ed_I.ac Suite #:
RESIDENT / OWNER Name: -0 ['na,4 r) uP I ¢T' Phone:
/.Li Mgkd_ t4rWe, ??'-4GL/ /i7k?
Address/Ciry/Zip: I
,
Applicant is: _ Owner _ Contracror
TYPE OF WORK Description of work: `?J'rl
Construction Cost: S, OC4 Multi-Family Building: (Yes _/ Nox?
CONTRACTOR Name:Siry,jj License#:
Address: JfC7Gl I0(1//)?, -QCM?
City: °7rRSUlIIfi _ State: mAJ ?ziP: SS33?
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category submined Subminea
(4 submisslon type) • 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 plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contrector: Phone:
NOTE: Plans and supporting documents tIrat yoa submit are consldered to be pablic i»formatio'n: Portions of
the information may tre classified as non Public if you prodide specific reasons ihat would permit the Cety Io
,.
conclude that the are trade secrets. - -
I here6y acknowledge that this information is complete and accurate; that the work will be in confortnance wit he ordinancf(s and codes of the City of
Eagan; that I understand this is not a permit, but only an applicalion for a permit, and woispot to st 'without a pertntl; that the work will be in
accordance with the approved plan in the case of work which requires a review and approvaf of plars.
x l UrS )
Ap IicanYs Printed Name
Page 1 of 3
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConsWCtion Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed araas
(20 % maximum lot coverage allowed)
• 2 copies of plan shaxing beam & window s¢es; poured found design, etc.)
• 1 set of Energy CaICWaUons
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Delail Options selectbn sheet (bldgs wAh 3 or less umts)
DATE ?-/ `1 - 0 Z
Phone #
SITE ADDRESS / CO 6( _? l/( /l cI 1 n,Y'd 6Y MULTI-FAMILY BLDG Y N
TYPE OF WORK yG,t if- FIREPLACE(S) _ 0_ 1_ 2
3ELAROOFING & REMODELING, INC. r??? e?S n 5^Tt`?"`?S
APPLICANT 4100 EXCELSIOR BLVD.
ST. LOUIS PARK, MN 55416
STREET ADDRESS in «nr,n,nr,n CITY STATE ZIP
TELEPHONE #(a<<-l2l> -&4_?oCELI PHONE # FAX #
PROPERTYOWNER TELEPHONE# ?J`rS(j;?2
----------------------------------------------°--------------------------------°----------°-
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MLNNESOTA RULES 7670 CATEGORY 1 MINNI:SOTA RUI.LS 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet 5ubmitted
. Energy Envelope Calculatlons Su6mitted
Plumbing Contractor: ____
Plumbing system includes:
Mechonical Contractor:
Mechanical system inclucles:
Sewer/Water Contractor.
Air Condirioning
Heat Recovery System
Fee: $90.00
???- '7 5
Fee: $70.00
Phone #
°-----°-°--°-------------------°-----------------------°----------------------------
I hereby acknowledge that I have read this application, state that the information is
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
VALUATION
Water Softener
Waler HeaLer
No. of Baths
RemodellReoair Reauirements r / , t
2 copies of plan
• t set of Energy Cakulatians for heated addilions ?
• 1 sAe survey for exierior additions & decks
• Indicate if hame served by septic system for add'Aions
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
pf?(?f?fld(sn
v i n')nn
'rr?Lvo-c-j .LJ
--- ---------------------- ---
c ggct and a ree to m ly
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex 0 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Oemolition (Entire Bldg only) - Give PCA handout to applicant
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) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fraxning _ Siding Stucco Stone
_ Fueplace _ 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
Total
Building Inspector
• CERTIFICATE OF SURVEY
3C. - 3
Elevations shown are existin 99 _i
KY? -? ?? ?
0
6
?
g ?
6
Q
S
grades aad are assumed datum.
S Df24?NAC?E OO O
Propnsed gar e floo I $ UT??vTY a y?
R 64• 2
elevation = 85.0 ? ? lo
I W
? LOT ZZ CiL- oc.k ?
I
9i
I 5 l?
J N p
.6
N V t?j ?
N r
1?
s M
a-i -o U
' -
0 f
I
.
F}ousE ? ?
v,
?
?
Iq1v
u I
e'1_ 4 K,
2 -
? 31
M ? Q D
? 1
/?
v J .
a
' 41 z Ur.
?
? GA'e-
O ?
S ' ? ? a Q
N'_ r BO•3
q?° z .e4 100.1°?
- 32.84 N B(fl° 14 03 ?
M c.??P.czo szw? ?9 •9
D
'!ry•
I hereby certify that this is a corr e3presentation of a survey of:
Lot 27, B1ock 1, MALLARD FARK SF.(:OND AUllITION, Dakota County, Minnesota,
according to the recorded plat thereof.
?
?
And that I am a duly registered land surveyor under the lawG of the State of Minnesota.
Dated this 7th day of January, 1985 ne L. Jacobs , Minn. Reg. No. 7734
IDR. BY GW SCALE - I" = 40] 0 DENOTES IRON MON. BEARINGS ARE ASSUMED DATUM.
lPrepared for:
M. w. 7ohnson Constr. JACABSON SURVEYORS
P. 0. Eox 130 LAKEVILLE, MINN. 55044
Farmington, MIV 55024
PHONE 469-4328
1 o S- 3-7
?
?.r
?
Z /8 ?k
w
n-? f
K3._ -
i'?II
LO CITY OF EAGAN
'
aPPLICATIOY FOR PEFh'9IT
SEWER AND/OR WATER CONNECTIO:T
(PLEaSE P4IHT)
1) P!?OPERIY ACDRESS: 1643 Mallard Drive
r.FrAI. GESGRI°T'_'C;I: Lot 27, Block 1. Mallard II
(Lot/31cck/Si;bcl?visio^ or Tax Parcei I.D. Num:.-er)
ic =-:IS= :G S^_RC'GT7:, Drl2_, G_° CRIGi,;AL .=iiii.^,L:G _':.1T rcSU: ;;('^_:
1 FP=s.-? -
?5?: R-?
S=:G'i, rA:?i:.°. ' ?'---' -__• _ -
13 R-2 GWI,Ei (?T,Cp UNITS)
? R-3 'I'CJ.,1II-ICi;SE (Tf?1L.rc + L?:ITS) ( Uti2=S)
El R_d U:lll.:l
? ca'-11%=cz-s/--rasL?oFFTc::
? ?.?cs?sar,
? NSTI'^u'TIClaL,/CL'4=-,?^=
2) APoL7G?,?n LPLEASE PRi.V?)
NAML: M W 7ohnson Construction
ACDRESS: P. 0. Box 130
CTT'-', ST:,?'E, ZI2; Farmington, MN 55024
PHONE: 432-6838
3} PLv:=,
Np,tiE; (PLtdSE PHiNi)
Genz-Ryan Plumbing & Heating FaR CITY USE ONLY
ADDRE55:
14745 South Robert Trail
P
LfIN¢ ERS LIC.4SE:
, ? pttive
CITY, STATE, ZIP: Rosemount, MN 55068 ? Expired
PHO.TE: i A?It?
+23-1144 PLUMBER LILENSE # 1849M Q Nai Record
?T
arr tniua
4 i ac.?.una_?rria•rr?
NAME_
ADDRESS:
CITY, STATE, ZIP:
PHC}YG:
tYLLAJC rxini)
S) INDIG= WHIC:i FE_R'= IS BEZP:G REQL'FSTrD:
CC:W"?IF.Ci'ION 'IO CZTY SE:•1ER
CC."?:?IFX:TIC.I 'IC) CZT'i Wr1TER
? CII'Eiz:Et (PZTl1SE GESC?.IBE)
ol
[I pr r:,SE E:OID APPF= pg2.tillT FOR PICK-UP BY ONE OF '1B0VE
5?,DI.EaSE MAIL APPRat,^:? PE?'tLT M 1, 2. 3, 4 AEOVE
/, (Circle one)
7) siC=:t.-z: oaTe: i? ?'S
?W01-W?JID-AN! ?!!??? f? i I't ...... ?,=i O f t/:ii:a?a i 11r ?FJ?:?YFJ?i? fA !!! S
ai• e
F O R C
PER`1IT - ISSUED
F°rS: $
s
$
$
$
$
S
S
S
$
$
S
$
Y U S E O N L Y
/a•S?
io•sO
S°_:iE3 nrc;M7'^- 5'vRC?'=_3C.?^,
WATER PERf1IT (INCLL'DE SURCHARGE)
WATER METER/COPPERHORV/OUTSZDE RE:,DE3
WATE.'. TaP ( INCiUDE COF.PORATION STC2 )
S°:•iE? •^"?
ACCCUNT ^vEPOSiT - SE:dER
/S = "-°ACCOUNT DEPOSIT - WATER
WAC
S-2S- ?--d snC
/ 3?.? • °"'? OT!IER
$ TOTAL
AMOU:1T PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
L YES IF YES, THEN A"PERMIT FOR WORK SQITHIN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGI[VEERIrIG DZVISION. LIST AS A CONDI-
TION.
SUIIJECT TO TfIE FOLiO67ING CONDITIONS:
0• * _
458•00+ -
55•00+
229•00+
525 • OD +
APPROVED BY: 500•00+
63•00+
280•00+
132•00+
?ATE: 2P242•00*
TRU:dI; WtlT°D ASSESS.-IE:IT
TRGN:C SE;vER ASSESSMENT
LATEP.AL SENEFIT/TRUNK SE:dER
LATEFAL BENE°IT/TF,U:Vi: WATER
OR aw wm.s w =in glrw RMt @WsM vtwmww w=w wM w.a wc? w lWj"4.09 Ne.+ Wt W se
L'IYYGIUI'L:lfYLl\nUL U
? .__ ?. _ • ? ? tr'_ . .. ,. . .. . . . .
.... :.. ?..-'-._•
?:.... ?: OWr1E :. ----:_ ., . .. . .
? . . ... . _ _ . . . .". .. . . . . _
. ? -.... ... ?: -:.•.':..-. . :._. . :.' _
_ _ _ '"' ti•' ?? ?? - ' .._ ' '':.: .r....::.": c ',;:• :; . ...
`' ; s•'.?:- sTrE aoDRESS-
_ ? - CONTR.ICTOR. DATE
. .. - . -, : • -
.. , - :t T: = .JT •
PHONE'..._?
• Determine working square footage of each.
1. Total exposed wa11 area ...... 2n yL4 - c1 lo sq. ft. x?J,, ? ol . 4
2. Total roof/ceil5ng area ...... I Oq'? ) sq. ft. 'x
Total exposed wall area above f7oor = Z3&l,Z
a . 7ota7 wall window area .................:........ vlS. lc
b. Total rioor area ................................. 3 8'
c. Total slid?ng glass door area .................... . 44
e: Total fireplace wa]1 area ........ .. .... '....... b'8
e. Toi:al wa?1 rraming area (averagelOA)...:........ 20Z,
i` ?.
. Total net wall area above floor ................
g. Total rim jeist area ......' ...................... ZloB
Total exposed foundation area = 8G,rfLc
•
h. Total foundatian window ar°a..................... `-
j. 7oa1 net foundation area aoove orade ............ .'lLo
Detenaine "U^ value af ea:n wa13 s:eiment.
a. Z'4 S. l.o x liL", .55 = 13S•o8
5. 38 X l,u,, , i3 = 5,2.8
c. `44 X tlu„ , 5 = Z Z
d. 48 x °u° , 36 = I 7, ZS
' e. Z.oz,l L-P x "u" .091.0 = 14?`?
r. I 504.4 4 x "u" , 0142)
=
9. zLD 8 X Pluit ? oy I= 10,4
h. --- X „Ulf • ? _ ,
i. ?39•?lD x iiuii 'i = IS.SIn
....:.:............
3 .l.?P .. .Total = ?,38
.
TT 1 t°m f3 15 tF1? Sdf'1° d5, 0!' l°SS tlVdfl lt°II1 cl, ,y011 hdVB ffl°t tlle intent
^r S3C 160C-5(c)2. .
?J . . .
'• ' Total exposed roof/ceiling area 3
` Total gross roof/ceiling area = I 093
j. Total skylight area ........................
k. 7otal roof/ceiling framing area ............ ? pq?3
1. Totai net insuTated roof/ceiling area....... q? 3.7
Determine "U" value for each roof/ceiling segment.
_.. J;.... _ ... X liuti .-
k. I o9.3 ? X°U° , OZ4 = Z,Lo
,. a X„u„ z1. Lo
4 .................. 1OC4 ? ..........Total
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)T. - • . To utilized the totat envelope system method, the values.established by the
sum of items #3 and #4 shall not be greater than the sum of itens 81 and #2.
?. -3oi.q,4 + z. 2a.?il = 330,35
s. 3o3.3g + a. = 3Z2 - SS
MATERIALS Therm. Resistance "R"
Exterior &ir ,I?
S3ding Yfaterial 45
5heathing 2l 0Lo
Insulatian C?
Sheatroc,lc 1445
Interiox Air
5tuds ?
Rim I,$
Conc. Blks. 1,2
. . ? _.
Use BLUE or BLACK Ink
r
For Office Use v~ ~n I
Permit `I r)~ y j
City of Eap I
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 ; Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date. ( ( Site Address: l ic-j V 42lf t o e- Unit
Name: ~ ~ 1' WVId.Gtiv~ Phonek Pf J
Resident/
Owner Address/ City/ Zip: / l0 -1' ~]C{ 1`a~' C~Ji~ (l/~ C K~~) IJ~ Sl
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost_~/S_ 000 Multi-Family Building: (Yes / No v/-)
Company: t Q I" S,/5{C, cdS a~NL Contact. 4NNkJ
Contractor Address:3 City:: ✓~1~~
State: M M Zip: s Phone: g p~
License C1 Lead Certificate A/ A - a b 71
If the pro'ect is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONS RUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be co leted within 180
days of per t issu ce.
x
x 6~~ j:4
Applicant's 'Printed Name . Applicant's Sig ature
V 'v►v 'k + Page 1 of 3
I
Use BLUE or BLACK Ink ',
. . . . . r---�--------------� ��
I For Office Use I ',
� � Permit#: /� �� / � I I
Clty of ����� ; . as ; ��
I Permit Fee: �O � I �
3830 Pilot Knob Road '
Eagan MN 55122 � Date Received: � I I
Phone: (651)675-5675 � � �
Fax: (651)675-5694 I Staff: � I
I I �
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: V � SiteAddress: /�``� �f�L��� [�� Unit#:
Name: Phone:
Residentl
Owner ' Address/City/Zip:_ ��v�� V1•t�� J��
' Applicant is: Owner �Contractor
Description of work: W r��.�'� 1�f=i�ll�Z'�c'�"�'f''�
Type of Work
Construction Cost: Multi-Family Building: (Yes /No�
Company: .S��C I�`L!Y Cv"';'R1"�'!i�� vl=�ontact: ���(—� �c>r1t.�Sc'�,C�
Contractor Address: �3��r� �1�•��y f�l-c� iZ� City: ����£
'' State:�`,Zip: -�✓�� Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be,public information. Portions of
the information may be classified as non-public if you provide 5pecific reasons fhaf wou/d permit the City to
conclude thaf they are tratle 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.orq
1 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 Buildi Code must be completed within 180
days of permit issuance.
x/'J�G�"/� �2�'vG?��` X r
ApplicanYs Printed Name Ap ' ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA131149
Date Issued:06/04/2015
Permit Category:ePermit
Site Address: 1643 Mallard Dr
Lot:27 Block: 1 Addition: Mallard Park 2nd
PID:10-47251-01-270
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Ronald A Moeller
1643 Mallard Dr
Eagan MN 55122
(651) 454-9556
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136940
Date Issued:06/07/2016
Permit Category:ePermit
Site Address: 1643 Mallard Dr
Lot:27 Block: 1 Addition: Mallard Park 2nd
PID:10-47251-01-270
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 -
Ronald A Moeller
1643 Mallard Dr
Eagan MN 55122
(651) 454-9556
Tim's Quality Plbg Inc Dba A Arts Quality Plbg
225 County Road 81, 2nd Floor
Osseo MN 55369
(651) 454-1010
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137654
Date Issued:07/14/2016
Permit Category:ePermit
Site Address: 1643 Mallard Dr
Lot:27 Block: 1 Addition: Mallard Park 2nd
PID:10-47251-01-270
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 -
Ronald A Moeller
1643 Mallard Dr
Eagan MN 55122
(651) 454-9556
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(952) 746-3046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179598
Date Issued:10/12/2022
Permit Category:ePermit
Site Address: 1643 Mallard Dr
Lot:27 Block: 1 Addition: Mallard Park 2nd
PID:10-47251-01-270
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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 -
Jessie Ann Dormody
1643 Mallard Dr
Eagan MN 55122
(507) 398-6681
Mc Exteriors Inc
3529 88th Ave NE
Blaine MN 55014
(612) 618-8763 X84
Applicant/Permitee: Signature Issued By: Signature