1646 Mallard Dr
Use BLUE or BLACK Ink
For Office Use
1 ! 00 7 1
I ,
City of EaEd R I Permit
Permit Fee: I
3830 Pilot Knob Road I
Eagan MN 55122 1 Date Received:
OP FIVED I I
Phone: (651) 675-5675 I staff: 1
Fax: (651) 675-5694 L
FEB 2 3 2011
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: oC _ v2 ®Site Address: o 441?,
Tenant: Suite
RESIDENT /OWNER Name: -7o- J"-A- .alari Phone: /n S -z Address / City / Zip: 16 ~Il Q AI'
~A ~/+icense d S7 93 7 ,OM
CONTRACTOR Name:
- 7' 6f
Address: ! o?~e~ 1 City:
7
State: A/ Zip: Sy,.?3 Phone: (!~7
Contact: Email:
TYPE OF WORK - New Replacement Repair _ Rebuild - Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
1/ Water Heater Water Softener
Lawn Irrigation C RPZ / - PVB) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Tumaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $ Jc- J +
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.aopherstateonecall.ora
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.
f.`'lc?m1
Xmonr rx~4 x &OZU7zd~
Applica is Printed Name ApplicantSignature FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
CITY Of EAGAN
Addition Mal-lard park Gecond Additian---Loc 4 sik 1) Pa«ei_- 030 47251 " 040 02
Owner Street 1646 Mallard Drive State Eagan, MN 55122
Improvement Date Annual Years Payment Receipt Date
, STREET SURF. Ilfl?} 1981 157 350.29
STREET RESTOR. 4 P
GRADING
SAN SEW TRUNK a ?
*SEWERLATERAL 1981 2430.43 486.09
WATERMAIN
* WATER LATERAL 1981
WATER AREA
STORM SEW TRK G 1981 445.37 89.07 5
* STORM 5EW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
HUILDING PER.
SAC
PARK
? IN5PECTION RECURD
CITY OF EAGAN PERMIT TYPE:
? 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: APPLICANT:
1646 ;i?s? ? f,?:?, ???; .,. . . ? r _
? , 1 3 t .51:
I PERMIT SUBTYPE:
i . TYPE OF WORK:
lyl. I,( k I I1 1 I I,ht
itii i I to i 141,
H.•,10 cH
c1,4 r:•,, J41 t
nt i t 1: A 1 iit w
( IiA I 4!lrilfrfi? )
INSPECTION .• D.
F
-
? ____ __.____.____.__- _- ._- - - _- ._._- -
Permk No. Pe?mft Holder Oate Telephone 11
SNV
PLUMBING
?,
?Aw
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Comments
Footingsl
Foundation
Framing x ?
Roofing
Rough Pibg.
Aough Htg.
Isul.
Fireplace
Final Ntg.
Orsaf Test
Fna! Pibg. !/ ?d CZ Pibg. Inspector - Notily Plumber
Const. Meter
Engr./Plan
Bldg. Fnal f , . . Q
Deck Ftg.
Deck Final
Well
Pr. Disp.
? r-
Phone
PERMIT
:-%' DwG/(--AR Est.value $106,C00
Site Address
Loc 4
s
,o
=U
o?
?
Erect ? Occupancy f? j
Remodel ? Zoning R I
Repair ? Type of Const ?
Addition ? No. Stories
Move ? Length S ?
Demolish ? Depth 1 ?
Int 1mpr. O Sq. Ft
Install ?
A ppro vals Fees
Address Assessment
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-195
PHONE: 454-8100
Eagan, MN 55121 11849
Receipt # ?
19 86
PLAN
Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with all applicable 5tate of
Minnesota Statutes and City o( Eagan Ordinances.
Signature of Permittee'?? (z U.4-•N"r
...V1. 13t3i;iJ70 CO''s5T
A Building Permit is issued to;
all work shall be done in accordanee with all applicable State of Mitanespt
Building Official
Water & Sew.
Police
Fire
Planner
Council
Bldg, Of
Permit ?
Surcharge
Plan Review 44t1. UU
53.00
224.00
SAC 575.00
WaterConn. 500 .00
Water Meter 63. 50
Road U nit
Tr. PI. 290. 00
L 5 o.(10
Var. Date I Copies
TOtal '?`! , 3U9 • !)U
on the express condition that
Statutes and City ofEagan brdinances.
1 . I PsrmN No. I P+rmft Holder 1 oaa 1 TNsphona # I
Plby.
Hty.
Plbg.
Flnal
Occ.
Frmy.
Dirp.
? .
+ PERMIT #
MECHANICAL PERMIT RECEIPT # ?J
CITY OF EACAN , -
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: - 1
ANTReCT PRICE PHANF• d5a-A1AA
Site Address
Lot Biock Sec/Sut
Name
m
? Address
c City Phone
_
Name
?
c Add
p ress
City
Phone-
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
VeM. CFM
Gas Piping Outlets # ?
aner
BLDG. TYPE
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New '
Add-on
Repair
FEE
S/C:
TOTAL•
FEES
RES. HVAC 0-100 M BTU -$24.00
ADOITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10A0
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARC.,E PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
: • ?
?PERMIT'#
RECEIPT.#
DATE
CITY OF EAGAN
PLUMBING PERMIT
asa-sioo
MINIMUM RESIDENTIAL FEE - $10.00 + $.50
MINIMUM COMMERCIAL FEE - $20.00 + $-50
FEE ?3' 00
sic ??D
TOTAL -033• ?D
1. Bldg. Type: Res ? Comm Inst 2. New Add Alter Repair
3. Total Bid Price lT ?- ?U 4. Job Address
Lot fl Block '2' Sec ??<< ?»? /viil ` °? ??? • 5. Owner " •?' ?J• ? • 11?? ?!?5
6. Contractor
(Name)
7. Contractor Phona#
FIXTURES NO. FIXTURES
r Closet - $3.00 ? Laundry Tray - $3.00
Tubs - $3.00 Floor Drains - $1.50
:ory - $3.00 Water Heater - $1.50
4
rer - $3.00
en Sink - $,3:00 _ Whirlpooli $3.00
Gas Piping Outlets - $1.50
iI/Bidet - $3.00 -Softener - $5.00
NO. FIXTURES
-Well - $10.00
-Private Disp Syst - $10.00
?Rough Openings w/o
Fixtures - $1.50
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed:
for
Approved Inspections: Date Rough Insp. Date Final Insp.
? CITY OF EAGAN
? 3830 Pilot Knob Road
P. O. Box 21199
' EagaA; MN 55121
Zoninfl:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No, of Untts:
Owner: '. T4• Johnson Cons
Addresx
Sift /lddross:
PlUfl'1blr '•ii?: rv",.
?
Meter No.: ._,:?-??
Size: 9
ive L4 E2 r$l1arJ Pk. ^
I .,m. ,o am,ti WIA H.
o.da..o.. ftWREi?"B?fAA!
? Misc. cj,orges:
meter
CITY OF EAGAN
3830 Pilot Knob Road
P. 0.,8ox 21199
Eagan, MN 55121
Zoninp:
OM'1'IQr: r•?. .?C?}7°?.?iUs! L,'G:.
AMfew.
Sih I?ddress: 1. 64 6?rb 1_, r;.i •
Ptumbsr:
AAeter No.:
Size;
Reoder No.: -
? ?pif ? whi? !M. Ci?, •f EOy?¦
By
Dote of )rap,:
Connection Ciwrgs
Account Dcposit: _
Permit Fee:
Surcha.pe;
Misc. Charges; -
Total:
Dote Pcid:
?.• ,, .
? .;..
jr 3
TY OF EAGAN
30 Pilot Knob Road SEWER SERVICE PERMR
O, Box 21199 PERMIT NO.: ?
gan, MN 55121 D^TE:
ni^p: No. of Units:
mRf; T7 S! \l ^ i(.: ...i I
drcss:
Addross: 1546 ?isllard Dt-i?
ber:
w M aeMplq whh !iw Cihr ei !!""¦ ConnocNon Chorgs: 1, 1,7
wilam Acoount peposit: •r -, ? , ; ?-
Permit Fes:
Surchorps:
Misc. Gwrgm
of Insp.: Tofol:
WATER SERVICE PERMlT
PERMIT NO.:
DATE:
No. of Units..
cirv oF eaGaN N? 11849
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8700 /
BUILDING PERMIT
7obausedtor SF DWG/GAR
Est.Value Receiptq
$106,000 Date ? ?
APRIL 24 19 86
SiteAddress 1646 MALLARD DR Erect LJ? Occupancy R3
Lot 4 Block 2 Sec/Sub. MALLARD PK ND Remodel ? Zoning Rl
Parcel No Repair ? Type of ConsL V
. Addition ? No. Stories
JOHNSON
M
W CONST INC Move ? Length 58
?
.
.
W Name 14251 CEDAR AVE Demolish ? Depth
3 Address
432-6838
A.V.
a Ci Int. Impr. ?
? Sq. Ft
ry
Phone Instau
o Name SAME Approvals Feea
?a Address As3855rti0nt P2ffillt $ 448.
00
'm City ahone Water & Sew. Surcharge 53.00
Ge Police PlanReview 224-00
w PHILLIPS PLAN SERVICE
Name Fire SAC 575.00
F
?,?-? nddress Eng. WaterConn. 500.00
a W ciry Pnone 432-2044 Planner Water Meter 63. 50
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 an i ol Eagan Ordi?es.
Signature of Permi e
M.W. JO QSON CONST
A Building Permit is sued to:
all work shall be do e in accordance with aFYapolic. e State o( M nesa
Council
Bldg. Of
APC-
Var. Dat
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies
Total $2,309.50
on the express condition that
and City oi Eagan Ordinances.
Building
`?
d
'7 2 ?
?
1 hd
^
Requesl Date r Fre 1 y_ Rough-in Inspection
iieqwred9 ? Ready Now OQLII Notdy Inspector
? es G No When Ready'
I*iceosetl contractor O owner hereby request inspection of above elechical work at.
Job Atltlrass ?31ree1 Box ov Rame No ) Ciry
MALI-ARZ U"" E-A 1911J
Sec[ron No Townsbip Name or No Range No. Counry
Dl'rAV 51'7
Ocwpam (PRINT) Phone No
3
6
POwB[ CppPLBI Atltlle66
Eleclncal Gon[raclor (COmpany Name) ContractoPS License No
F FLUnkiiiz- Pr o0
Matliog Atltlrsss (ConhacWr or Owner Mekmg Installetionj
S ? , 37
nu1 orrzetl SigoaWre iConVamonOwner Making Installanon) Phona Number
MINNESOTA STATE BOAHO Of ELECTqICITV C??• THIS INSPECTION REQUEST WILL NOT
Griggs-Mbway BIOg - floom 3-173 BE ACCEPTED BV THE STATE 80AflD
1821 Oniversny Ave. SL Paul, MN 55104 l1NLE5S PFOPER INSPECTION FEE IS
Phone(612)66b0800 ? ENCLOSED
d 1 271
REQUEST FOR ELECTRICAL INSPECTION
? See mstmcuons lor completmg ihs larm on back ol yellow copy
X" 6eloW Work Covered by This Reques!
EB-00001-08
ew AVd FW_R. + TypeoiBmlding AppliancesWired EquipmentWiretl
S Z Home Range Temporary Service
- Duplez Water Heater Electric Heaiing
Apt. Bmlding Dryer Other.(Specify)
Comm /Industrial Fumace
Farm Av Condnioner
Otner(syecdy) Canlractors Remarks
Compute Inspection Fee Below:
# Other Fae # ServiceEnUanceSze Fee # Circmts/Feaders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A6ove 100 _ Amps
Signs inspamor's use onry TAL
IrrigationBOOms
Special Inspection
Alarm/Communicaaon TNIS INSTALLATION MAY BE OF?BEHE ISCONNECTED IF NOT
Other Fea COMPLETED WITHIN 18 MONT
1. the Electrical Inspector. hereby Rougn-in oate
certify that the above inspection has
been made. oeie
OFFICE USE ONLY
This requesl voitl tB monins Irom
?XU66
S 70 oa
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consimdion Reauiremenls
3 regislered stle surveys showing sq %, o( lot, sq fl of house, and alt rcofed areas RemodeUReoair Reowremenis
2 copies of plan Office 1ke13ttTv
??S
?`?eCt?
U
-?Y ?N
Y
N
(20°!o maximum lot coverage allowed) 1 sef of Energy Calalations (or heated adchtions
k
& d TtEe Pres Pian Rec
ired-
ReW
IreeArQ9 -
.
N
?Y
2 copies of plan showmg beam & window srzes; poured found design, etc. ec
s
1 sde survey For additions
Addition - indicafeAonsrtesepticsystem _
.
?
Drc-sileSephGSystam ,,,.
. ,.,.Y _N
lsetofEnergyCalcula4ons
3 copies of Tree Preserva6on Plan d lot platled after 7l1193
Rim Jois1 Detail Options selechon sheei (bmldings wdh 3 or less untls)
Date .) / DJ ? ct?j_ OU
Construction Cost
f {
Site Address D ! ? i A t'A Y'Gl JJ Y' ? V UniUSte #
S "I
tion of Work Fcl,t'-p S
Descri
,
p
Multi-Family Bldg _ P_ N Fireplace(s) _ 0_ i _ 2
PropertyOwner _R01"?Y_ Telephone#(GS? ) 77D
v rh S? hw +
Contractor >L o Cr?^ S127k^G/'t Jl? Z? (
.
Address oZ(7f?o KPF1r'?L? i9V
State ?? ?(tvil1f YVI tl) '?i
Zip ? S U 4 y City
Telephone #( 9Sa )Li(o?a_ct?,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mimesota Rules 7670 Cateo 1 _ Nfinnesota Rules 7672
Energy Code Category . Residential Ventllation Category t Worksheet . New Energy Code Worksheet
(d submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Piumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
7elephone #(
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.
Dqq) b 7?4) c,/E< 6 4 ? U? -?X? ?
Applicant's Printed Name Appl- ?ic°ant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 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 ? 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_vor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 In1lmprovement ? 38 Demolish Interior ? 44 Siding
? 32 Adddion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant
Valuation Occupancy MCES System
Census Cotle Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addilion)
Foundalion
Draui Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By:
8ase Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinaUC.O.
FinallNo C.O
Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Building Inspector
RE5IDENTIAL
?6 3? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsLuclion Reauirements
• 3 registered site suNeys showing sq. ft. of lot, sq. ft, of house; and all raofed areas
(20°h maximum lot coverage allowed)
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies M Trea Preservation Plan'rf lot platted after 711193
• Rim Joat Detail Options selection sheet (bldgs with 3 or less unils)
DATE ql 12 I r)A
T
SITE AD[
TYPE OF
APPLICI
STREEi A
TELEPHC
PROPERTY
/4? - 76
RemodeVReoair Reauirements
• 2 copies of plan
. 1 set of Energy Calculatrons for heated additions
. 1 site survey for eclenaradditiore & decks
• Indkale if home served by septic system for addifions
VALUATION :::? CaJ
TELEPHONE# (05145? ol?7
-------------------------------= --°---°------------------------------------------------ -----
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CAT"EGORY 1 MINNESOTA RLJI,ES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
r 1 71 s P 1 3 2oo2?vlllll
----------------------°-----'----""--°°-'----------°°--------""""--"""'----°` _'--°-"""---""'--'r---
( ?. .--a-
I hereby acknowledge that I have read this application, state tha the information is t corre , n agree to `omply
with all applicable State of Minnesota Statutes and City of Eag?ngnc?s. I ?
Signature of Applican
OFFICE USE ONLY
_ Water Softcncr
Water Heater
No. of Balhs
_ Phone #
Iawn Sprinkler
No. of R.I. Baths
Air Conditioning
Heat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? Di Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 07 OSplex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch(screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext, Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 37 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 *Demolition (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 Widfh
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile ptheI
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Fina1
_ FIUning Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _
_ Final _ Windows (new/replacement)
_ Insulation _ Retainuig 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
IIAZZ
7986 BiTII,DING PEMIIT APPLICA OH -
SOTE: ALL COBTRACfOHS H[JST BE LICSNS6D WITH THS CITY OF EAGAA
SINGLB FAFILLY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS
M[ILTIPLE DWELLINGS - HESIDENTIAL
INCLUDE 2 SETS OF PLANS, CER'
1 SET OF SNERGY CALCULATIONS
COMAfERCIAt:
R6dTAL DBITS F'aH SALS ONITS
OF SOFYEY - CHECB IiITH BLDG. DEPT.0
INCLQDE 2 SETS OF ARCHITECTURAL
1 SE2 OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
& STRUCTURAL PLANS,
SET OF
To Be Used For: Gl??`?c?cd'i?G? Valua
Site Address AoY"
Lot ? Bloek _c:?:
Pareel/Sub
Owner Blltt-?
Address
City/Zip Code
Phone
i ?
tion: ? ?p Date:
Contractor m.W"{1 45I7}?? 9twi. ,i( .
Address 145 ' /,,CGC.wA(/(.(t(. •
City/Zip Code (,{•?/, ??d'l ???i"r
Phone y 37i" ?Q83U
Areh./Engr.
Address
City/Zip Code rl-U•
Phone # `T ? 2 ' 7idY `/
Erect Occupancy -3
Remodel Zoning ?. /
Repair _ Type of Const ?
Addition # of Stories
_
Move _ Length 51?3
Demolish Depth .°?
Int.Impr. Sq Ft
Install
APPEOVAL4 FEES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC j -7s
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off 4- / Treatment, P1
APC Parks
Variance Copies
AlAN^C/
roTAL
53•Oa
Sa
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOftNER MDST DESIGNATE AHICH ADDRfiSS
IS DFSIRED. NO CHANGES WILL BS 9LLOW6D ONCE HOILDING PERMIT IS ISSOED.
5f2 = 5??i9z
Z
.,.
CERTIFICATE OF SURVEY
3
a
N
P Q
r?t ?p
0
O ^
O a
z
ee3 MALLARD ORIVE ee?
a=q0i4'03" N 86°403"E
e
9 R=792.84
58 59 31 .48 fO
-
lo-
9
0 0
a 5 ? - - ' ? 5
N
o
In I j o
? M '
I
Y]
9? 12 ;b 9p 9i_ 20
? ZZ Q?. 12 ?
24
n
GAR. PROPOSED
a
? I
HOUSE °
9 22
.6,
? 9S ? 36 w
W
W
?- - ? >
?
J
I
LOT 4 ?
? I
I
BLOCK 2
w
\ ?
a
Z
5
I a
¢
I
0
APPARENT OCClypq?Qy 5
__ ? E
MOWED /
AWN
?
L
L
O
9 p 9
>
$y
90 00 3
N 89°25'36" E
3
P
N
?O
-o
z
I hereby certify that this is a
cnrrect representution nf a
survey of:
7,ot 4, 61ock 2, MAL7?e1BD PARK
SEL'(t,U ADDITION, Dakotn Coiinty,
Minnesota, according Cn tlie
recorded plat thereof.
and that L ain a duly registered
Land surveyor under Uie Laws of
the State of Minnesota.
Gene L. .Iacobson, 1-.fid Surveyor
Minnesota Registration Nn. 7734
Dated this 18th day o( Apr. 1486
Elevations shown are existing
grades and are assumed datum.
Proposed garage floor = 92.5
Arrows denote direction of surface
watcr runoff.
DR. BYDCM SCALE - I" =30' o DENOTES IRON MOPt. BEARINGS ARE ASSUMED DATUM.
PREPARm FOR' JACOBSON SURVEYORS
,7ohnson Construction
P. o. aox 24389 LAKEVILLE. MINN. 55044
Apple Valley, hN 55124
PHONE 469-4328
I {G-
y ,- EXTERIOR ENVELOPE kV:RAGE "U" CO!1PUTATIOti
ODItiER
-- `' _=- . .- ? ".. - _ ;:_;.._:??- . :_- ?;?-._r• =:'' :. _ -.. ? .
SITE AOORE55^ ' • " -'.:-' __. • -
CONTRACTOR W . L3 ' ?-DATE PNDNE-
• Det=rmine working square Footage of each.
1. Total exposed wall area ...... "Z32G.?vy sq. ft. x •11. ° ?? Z •
2. Total roaf/ceiling area ..... 9 iI-P _ sq. ft. x
Total exposed wall area above floor = tq Lo 8 4e?
a. Total wall window area ........................... iy 7-,3
6. Total door area ... ........................... 3 8 ' .
c. Total s7iding glass door area ...................
d: Total fireplace wa]1 area.........................
e. Total wall framing area (average 10p)............
f. Total n°t wall area abov° floor ................. . I 5Z 4,'13
g. Total rim icist area ,,,,,,,,,,,,,,,,,,,,,,,,,,,, -2- Lc O
To'Lal exposed r'cundation area = JUi utl ,
h. Total founcaticn t;indow arez ..................... _
i, Taal n°t foundakion area aoave g;-ade ............ I/)I
Deterr..ine "U" value of ee_n wall sec-ent.
_
z
, `'t , -
+ ? .?
...,I,
`
2
?4
V _
X
JI L
. ?„
x
„
?
Li L
I
a. - X
?
J Gr/ XU??
g. Z lGQ Xlull La
h. X „ull °-----
i I n? r_?; X "U" I
??
. --
? ................ .............. .....:...1G`_Hl - ??
:r' i??n =3 is
es, cr 1
=?s ?? • _ ??
T6 t-
• * '4 • ' , ' .
Total exposed roof/ceiling area
Total gross roofJcelling area = C{i lo
a. 7ota1 skylight area ....................... --
.
k. Total roof/ceiling framing area ............
1. Total net insulated roof/ceiling area.... ... y,y
- Determine "U" value for each roof/ceiling segment.
X flUit
k. 1. lo X[Bull , 0 2.9 = 2. cr5
X ,'Lill .I?2J = ZO?lnl
4 ................. q.?.L.P ..........Total ' G la
If total_ of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1.
To utilized the total envelope system method, the values established 6y the
sum of items #3 and #4 shall not be greater than the sum of items #1 and tt2,
3,
1dATERIALS
Exterior Air
Slding Naterial
Sheathing
insulation
Shastrock
InterioT Air
Studs
Rim
CO11C• AiI:s.
+ Z, _
+ 4, _
Therm, Resistance "P.ol
.I?
`I S
.Jlr
? c,
?Lr r
?rl`z?7
?????
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: Lar:
164b MALLARD DR
MALLARD PARK 2ND
4 B l 0 C K: 2 APPLICANT:
BIEBER TILE, DAVID
(612) 898-3136
BUILpTNG
022038
09/27f93
? _ - - ?
? _- --? ?
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Datelssued:
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) ALTERATION
pESCRIPTION (BATHROOM)
CITY OF6EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
3 s3i
suxLaxNG ?
022038
09/27f93
SITE ADDRESS:
P.I.N.: 10-47251-040-02
(BATHROOM)
r-.
B?yil,s#?. g? Permit Type
Bu33tfing tdo,rk Type
'1 ?
r
F?. ' . . . ., ~i
,. ?
DESCRIPTION:
SF (MISC.)
ALTERATTON
? ? s, ;s ?•? F.- ?` ,?
Ftiry ?
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search
7ota1 Fee
PERMIT
1646 MALLARD DR
LOT: 4 BLOCK: 2
MALLARD PARK 2ND
VALUATION
$81.00
$3.00
Fee $5.00
$89.00
$6s000
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
BIEBER TILE, DAVIO 18983136 0096014 BAUER TONY
17695 IDALIC PA7H 1546 MALLARD OR
LAKEVILLE MN 55044 EAGAN MN
(612) 898-3136 (612)456-0634
T hereby acknawledge tfiat I havv r*ead th,ie
irrformatian is qurraat a,nd agree tq co&ply
9Zatutes and City of Eagan Ordinaneer..
C- -. ? --
t
APPLICA T/P RMITEE SIGNATURE
aRA.liGdt7.Ofl dfld 9t.8C§ thdt ChE
w#.th aIk applicalSle StaGe of Mn.
I
'IS
BYI SI NATUR
D CITY OF EAGAN ?,
REAC7IYA7E ?C???E
pE?iT ? 1893 BUILDING PERMIT APPUCATION ??Q • O'J
?? ? 1 5 1993 681-4675
tA ?fed.14^:,t:C
?
SINGLE & MULTI-FAMILY
2 sets of plans, 3 registered site surveys, l copy of energy
calcs. .
LOMMERCIAL 2 sets of architectural 6 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot thange is requested once permit
is issued.
Date /g / '1?2, Yaluatlon of work
Site Address:
LiREET WITE f
Tenant Name: (commercial only)
IAT ? B1ACK SDBD.
? 4A? ir4Gl.? N '
Descri tion of work: ??-M-ac?ek ??-'
The applicant is: ? Owner VContractor O Other (Deccribe)
Phone `15b- CYv36
1
?11) V"L
"
-
Name
Property LAST FIRST
OWnef Address lreLlV 17. r
STREE7 sta r
City CState Zip SS"`
Company Phone 4`3r6-0
COt1t1'8Ct01' A d d r e s s I?bFiS Tdc-?% i-AA^' License d090fc06( Exp. 'q
City 5tate w1? _ Zip S 50'/
Company Phone
Arohttect/
Name Registration Y
Engineer
Address
City State ZiP
Sewer 5 water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this aPPlication and state that the information is
f Minnesota Statutes and City of
t
St
e o
a
correct and agree to comply with all applicable
Eagan Ordinances.
ant: ??
li
f A
c
pp
Signature o
OFFICE U5E oNLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
O 03 SF Addition
? 04 SF Porch
eK05 SF Misc.
WORK TYPE
? 31 New
O 32 Addition
? 06 Duplex
? 07 4-Plex
? OB 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
?33 Alterations
34 Repair
D ll Apt./Lodging
0 12 Multi. Misc.
O 13 6arage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
f of Stories
length
Depth
APPROVALS
Planning
Engineering
Basement sq. ft.
lst F1. sq. ft.
2nd Fl. sq. ft.
Sq. Ft. total
Footprint 5q. ft.
On-site well
On-site sewage
Building
Yariance
REDUIRED INSPECTIONS zN O{caolt . SA-r?+rloo"%
? Site ? Footing ? framing
? Wallboard ?Final ? Draintile
73q-
?
? Insulation
? fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
Clty SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
,rr 1, V o Yal?etim: $ ?/Q??
,vo
,- -.
Baseme,pt Finish
O 17 Swim Pool
0 18 Coam./Ind.
O 19 Comm./Ind. Misc.
O 20 Public facility
O 21 Miscellaneous
? 37 Demolish
NWtt System
City Mater
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAL Units
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NEW CONSTRUCTION
ADD-ON A/C
AI`iL-vi3 r iT'tUtiAC'r".
FIREPLACE INSERT
DATE q bk1 Iq4
FEES
HVAC: 0-100 M BTU $ 24.00
ADDTTIONAL 50 M BTU 6.00
GAS OLJTI_.FTS (miNiMurvt : n $3.0n FnCu)
ADD-ON/REMODEL (Exis'rING CoNSTRUCI'ioN) $ 20.00
STATESURCHARGE
TOTAL
.50
L0.4?
5TI'E ADDRESS: WL??0
OWNER NAME: CT?W 'c 3CC?? lQLLxx_e_ TELEPHONE #:
TRI.FPHONE #: 89 O'()-? T)
l-
SIGNATURE OF PERMITTEE
c7?-oY o?;?
1994 MECHANICAL PERMIT (RESIDENTIAI.)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
CIT'Y: Ycf?f'?v olk- STATE: h--, ?-D ZIP CODE: '55 1 3
PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUII,DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACN DWELLING UNTf.
DATE: ---, ._ CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF Y-:., ?? ?: ?.IFEE S
PROCFSSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ?.? ?.?.::,.<.?.::.
?'E? FEE.
TOTAL $
SI'T£ ABDRra"S:
OWNER NAME: TELEPHONE #:
TENANT NAME: (uMPROVEMErrrs orTt,Y)
INSTALLER:
ADDRESS:
CITY' STA'I'E: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITIBE CITY INSPEGTOR
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLEfiE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIltED FOR EACH UN1T.
FIXTURES CH
f SNOWER 3•00
? WATER CLASET 3•00
BATH TUB 3.00
LAVATORY 3•00
KITCHEN SINK 3•00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3•00
WATER HEATER 3•00
FLOOR DRAIN 3•00
GAS PIPING OUTI.ET • minimum - 1 3.00
ROUGH OPENINGS 1.50
WATER 50FI'ENER 5•00
PRIVATE DISP. • oeI.cry. iic. 15.00
U.G. SPRINKLER • eome unaer consi. 3•00
ALTERATIONS • w edstin8 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
STTE ADDRESS: I?O 4?( -
05'V!'?'RTEIi NA.It1£: 1,22? a--
PHONE #: ( )
??x:?,--?y?-G?_
SIGNATURE OF PERMITTEE
1993 PLUMBING PERMIT (RESIDEiV1ZAL)
CITY OF EAGAN '
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
CITY: STATE: ?K-. ZIP CODE: J???.3
1993 PLUMBING PERMIT (COMiERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE fiOR ALL COMIvvERCIAI,JINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUI:_DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIItED FOR EACH
DWELLING UN:T.
_ NEW CONSTRUCfION
ADD ON
RZPAiR
WORK DESCRIPTION:
CONTR.4CT PRICE: $
FEE: IRc OF CONTRACT FEE.
STATE SURCHARGE 540 FOR FACH $1,000 OF PERMTf FEE.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL S
SITE ADDRESS:
TENANT NA114E: 5rr,;. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STA1'E:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
C1TY OF EAGAfV
APPLICATION FOR PERMIT
. _ . . • ..
SEWER AND/OR WATER CONIVECTION
1) PROPERTY ADpRESS:
LEGAL DESCRIpTION:
r
iwA'
ti.oL/ttlocK/SUbdlvisioil of Tax Parcel _ID )
IF E7QSTING S1RCCiL?RE, DATE OF ORIGINAL BL'ZLDING PERMIT ISSCANCE: -' - .
(Mon Year -
PRFSEbTP ZONING/pROPOSID C?SE:
q CaIME[iCIAL/f2ETA?L/OFFICE --`? R-1 SINGLE FAMILY . .
IrIDCSTRIAL Q R-2 DL'PLEX ('lwn LTnits)
? INSTI'Ii*!'IONAL/GpVII2IZjENTp ? R-3 ROWNHOIISE (Three + Units) ( Cfiits)
. [? R-4 APARTA=/CONIDOMID]IUM Units)
Z) .' &'o
N71ME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) • ? c?• NAME: y For City C'se .
L? Plumbers License:
ADDRFSS: Active
ired
CITY, STATE, zzP:--?2Dse,00"T /Yl.+v bt r
ecorded
PHONE: p '?J - //Vf/ MASTER LICENSE# /Sy9,w
st? rnitial
4)
... • • ? i?•
NA?,]E:
ADDRFSS:
CITY. STATE, ZIP:
PHONE:
?
5) win m. . •? a- •w• •?? •y?a-tiuv?
l?d CONNECPION 7V CITY SEWER ?Cp?rION 'Iq CITY WATII2
?..,?
6) PLEASE HOLD APPROVID PERMIT FOR PICK-OP BY ONE OF AHOVE --' -'-
. ? PLE'.ASE MAIL APPROVID PERMIT 1O 1. 2 4, ABOVE (Circ e one )
* *tar;?: YaYr,F.wr oH F7-E AT Ttr,E or•
? APPLICATION DOFS N07' OOIISTSZSTlE
* APPROVAL OF PFIiMLT.
.. .
* nNserx-Tzota oF Mmt Arm/at tMM
* TTLC'I`A7.7ATTQN$ VU,j NO'j' $F. $CHED--
? UI.ID UN'1'II. PERMffT AAS BEE21' ,
w APPRWID. . .
? anm_'
7) 7 r ,. ?Ju; - --07-a o1e /Hm.y 4
FOR CITY USE OfVLY
.
PERMIT # ISSUED •' ' •
'
.
?37 ? ?? z ? ?? ,
- .. , ,..
- . ,
• .
Pd w/Bldg. Permit FEES: • ' ,
$ $ SEWER PERMIT (INCLDDE SORCHARGE) .
$ ` $ WATER PERMIT (INCLUDE SORCHARGE) .
$ / 3'-? $ WATER METER/COPPERHORN/OL'TSIDE READER
$ ' $ ,. ?..,...
WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
ACCOUNT DEPOSIT - SEWER
$ $ ?S• U!_? ACCO[!NT DEPOSIT - WATER
,?•
WAC ?. ;
..::?
SAC _r
$ $ TRUNK WATER ASSESSMENT
$ S TRC'NK SEWER ASSESSMENT
$ S LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
WATER TREATMENT PLANT SURCHARGE
$ S OTHER: -
D-D TOTAL
--. .
Z
RECEIPT
_Ss
R
ECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
F---j YES IF YES, THEN A"PERMIT FOR WORK LVITHIN PUBLIC
ROADWAY" MUST BE ISSC'ED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SC'BJECT TO THE FOLLOWING CbNDITIONS:
1
APPROVED BY:
TITLE:
DATE:
CITY USE ONLY
L BL °?' RECEIPT
SU . ??? DATE:
7995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dweilings
? townhomes and condos when permits are required foreach unit
F1XTl1RES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa
Water Heater (C?ca-•-lc- ? 3.00
3.00 x =
x
Floor Drain 3.00 x =
Gas Piping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkler " home under const. 3.00 =
Alterations ' to existing 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
so
TOTAL
SITE ADDRESS: ,&
OWNER NAME: )??7-
INSTALLER NAME: Zad??.-
STREET ADDRESS:
CITY: ? STATE: ZIP: ?2-?
PHONE #: (O-?-)
x- ? 6;'
8TGR7TQR PF-RMI-FTF-E
5 a,3 ?l6 ?
OFFICE USE ONIY
L BL RECEIPT #:
SUBD.
DATE,
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for. . all commerciaVindustrial buildings.
? multi-family buildings when separate permits are n4t required for each dwelling
unit.
DATE:
CONTRACT PRICE:
WORK TYPF• NFW CONSTRIlCTIpN ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLEDZ YES NO.
FAiLURE TQ PRQVIDE THIS lNFORMATION WILL RESULT tN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 ef gganft fea due on all permits. CDNTRACT PRICE x 1%
w STATE SURCHARGE
TOTAL
SITE ADDRES$: '
TENANT NAME:
OWNER NAME: INSTALLER: _
ADDRESS:
CITY:
PHONE #:
SIGNATURE:
OFFICE USE ONLY
SIZE: " OATE:
STE. #
STATE: ZIP:
APPLICANT
INSPECTOR:
CITY OF EF}CiM
CASrI;.Zti.. ?3 iI:Ri4"_,'rnL rJL'. 7`y"
PA7En 1.3? '.:t G.
1)). ?
?'nNra J()AN M RALrEI:'
200{ i.E,4.r, 14A'..LFi ti? 63 00
205 9GC)i 046 KrtiLl_A'tD :4 .00
224 C ?nfil i6aE_ i?^,LJ_A:;I. '.[Si.c`.i
2•55 9001 !.b4E i1AK?sF'-1) S^^,
Toi;a1 Rer.eipI. WDUriW W6.,27
CR!L'iS`:,
U5G:R TUc NAN.Y
?
VAUK:gr.•;::kMAW .,wa?;":Fxa,Y :!:1 ;; :'?d:?S.R: 'c?k9;?kaK'4
?1401S 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL??
CITY OF EAGAN O
3830 PILOT KNOB RG - 55122
651-881-4675
New Cons)ructlon Reautremenh
? 3 regisTered sNe surveya fhowing sq. tt. of lot, sq. M. of hcuse
and all roded areas (209 maximum lof covewae allowed)
? 2 eopies of plans (show beam S wlndow sizes: poured fnd. deslgn; etc.)
? 1 set of energy calculafions
> 3 copies of hee preservafion plan if loi pfaMed afler 7/1 /93
DATE: __e?As g
DESCRIPTION OP WORK: 1MW0Cat1 -
Remodsl/Reocir ReauhemenTs
2 coplea of plan
1 seT W energy colculations for heafed addttiona
1 sBe survey for exterior addlHons 8 decW
CONSTRUCTION COST:
N
?
DECk
STREET ADDRESS:
LOT: BLOCK: ? SUBD./P.I.D. #: VY ORRQSA
Name: ?A?? 4IJTNo1J ?( Phone 16: fv51 /q-5?o O(03?-
PROPERTY Lan Ftrst
OWNER , . ,t , l
Sheet Address: ? cfl-t k-u "h+tL1? "+'1cv ? '"•vc'
city EW" _ state: klr.l zip: ?512z
? ?\Z/581 - 637,S
Company: ?l)SYOI.r.. CP?'E1?? L??Phone#: ?aS? ?"Y ?a19??
(area co e)
CONTRACTOR 3 3? 2tra
SheetAddress: RI?2 TYmE Lonle llcense# 2010S9 Exp.
Ciiy j1?VER !?Prx}E ffEl/aafTSState: Ak{ _ Zip: SS0'7^I
ARCHITECT/ ?
ENGINEER Company: Name: ^' pu ?'???
Telephone #: area eode ( )
Sheet Address: Registration #:
City State: Zip:
Sewer 8 water Ilcensed plumber (reauired for new conshuction onlvl:
Penalty applies when address change ond lof change is requesfed once permfl is issued.
I hereby acknowledge that I have read this applicctbn, stafe thaf the tnformafion (s correct, and a ree to comply wRh all applicabl
Stafe of Minnesoia Statutes and CHy o( Eagan Ordinances.
? Signature of Applicanh.
; OFFICE USE ONLY
CeRificates of Survey Received _ Yes _ No 91999
Tree Preservation Plan Received _ Yes _ No _ Not Required ?J
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage /;E;C 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE i
A
?
i
O?
.? 31 . New' • 0 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
C! 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (interior) ? 42 Reroof
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
SAC Code
No. of Units
No. of Bldgs
MCIES System
City Water
Booster Pump
PRV
Fire Sprinklered
?/3y
?-
?
APPROVALS
Planning
Building M/
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/V1! Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Valuation: $Q?4.
J ;. 0b = /yZ- X
DC e?, v
? Z yg :-? y.K ?
4612 y
Total:
,
SAC Units
% 5AC
c;ERTIFiCATE OF SURVEY
B3 MALLARD DRIVE lb0'A
a
R=792.84
SB 59
N86°1403??E
31. 49
6
0
0 0
a 5? - - - - - ?
5
o
1
0 N
I I
g j? 'h '
__ 20
3
? ___
22 s at
v12
24
n
o
GAR. PROVOSED
n
I
?
rt0U5E N
9 ZZ
. I •s
9s ? 36' W
a
N ?
?
p
? i++
Q
i W
I
p ?
? P ` --__•? Y
I
Z J
LOT 4 ?
? BLOCK 2 ? I
m
I
Q
?
c
I
4FP4RENT OCCVP T 5
MOWED /
L LAWN ?
- -
_
J
al 0
2
g6 3
90 00
N 89°25'36" E
L hecaby certiEy [hnt thi? is a
correct rcprasuntatiun nC a
survey of:
Lot 4, B1ock ?, NALL.\itl) P.1RK
SEC(R:U ADDITIUN, Dakota Cnun[y,
Minnesn[a, according Cn tiie
racorded pLat thereof
and [hat [ a,i a duly registered
3 land survey?r under thr Laws oE
Q [he State of Minneso[s.
N
ab
n
J?
00
-o
z
Gene L. Jacobson, d Surveyor
Minneso[a Registration No. 7734
Dated this 18th day oE Apr. 1986
3Y DCM I SCALE - 1" =30' ' o DENOTES IRON MOPI.
'ARED FpR:
Johnsun Cunstruction
Y. 0. Rox 24389
App1e VatLey, hIId 55124
Glevations shown are existing
gradea and are assumed datum.
Proposed garage E1oor = 92.5
Arrows deno[e direction oF surface
water runoff.
BEARINGS ARE ASSUMED DATUM.
JAC08SON SURVEYORS
LAKEVILLE. MINN. 55044
PHONE 469-4328
1 1 c-
?
CITY OF EAGAN
EXTERIOR ENVEIOPE AVERAGE 'U' COMPUTATION
(BASED ON 1994 STATE ENERGY CODE)
OWNER:
SITE ADDRESS: lkvA /yalla/'d 1!q
CONTRACTOR: DATE: 6 I PHONE:
1
2.
3.
Total exposed walllfoundation area above grade
Total exposed rooHceiling area . . . . . . . . . . . .
Total exposed floorlcantilevered area . . . . . . .
/9Z-
sq.ft.x.11=
? ? ?
? 46i2 a i,
sq. ft. x.026
sq. ft. x .04 = Determine snuare footaae of each exoosed walllfoundation area "seame-",
a. Total wall window area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Total door area .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Total sliding glass area .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Total fireplace wall area .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e. Total wall framing (average 10%) - See Fig. 1 . . . . . . . . . . . . . . . . . . .
f. Total nr wall area above floor (rim joist) - See Fig. 2 . . . . . . . . . . . ..
g. Total rim joist area - See Fig. 3 . . . . . . . . . . . . . . . . . . . . . . . • • • . . .
Total exposed wall area above foundation = . . . . . . . . . . . . . . . . . .
h. Total foundation window area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
i. Total ng!.J foundation area above grade - See Fig. 4 . . . . . . . . . . . . . . .
Total exposed foundation area = . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deter mine 'U' value of each exposed wall/found adon area "seamen ": A)e-*)
a. 92 x'U' 4139 = ;2 Cf,HH
b. i y x'u' 131
C. X 'u' _
d. x 'U' -
e. x'U' ?Y'6
f. a?,?d, s x'U' -I (.) 3 7
y ?!y xv' oHy = I193
h. x 'U' '
i. x 'u' _
4. T4lal actual 'U' vaiue for exposed walUfoundation area =
(If Item !W is the same as, or tess than item #1, you have met the intent of the
J5,r4,g7-14) 6
?
y
;VTRb
bz,u6o'J
lly,$'N Sr
r'o7'WG
/07.745
yy
i8,937
? Z??
lt/?.Z Z
3y? f 2 711
Energy Code.)
Determine u r r fl i in " ogmwnt"•
j. Total skylight area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-
k. Total rooficeiling framing area (average 10%) - See Fig. 5/6 .
1. Total net insulated roof/ceiling area - See Fig. 5/6 .........
Total exposed rooflceiling area . . . . . . . . . . . . . . . . . . . . . . . .
Determine 'U' value of each exoosed roof/ceilina area "s
riT?x 'u'
2, 6S6 ?d? 6y9??7
w 2e9,A 75,
k. Xv- //-"3
Xu ,024
5. Total actual 'U' value for rooflceiling area
(If #5 is the same as, or less than #2, you have met the intent of the State Energy Cod.,- ? ot)
? G
Determine sauare footaae of each ex osed floor/cantilev red area "seame ?'yf'irl{? ? "
/d9$ 6JP ?f
m. Total floodqntilevered framing area (average 10%) - See Fig. 6. ?*°Y
n. ToWI Djet insulated floor/ceiling area - See Fig. 6 . . . . . . . . . . . . .
Total exposed floodcantilevered area .. . . . . . .. . . . . . . . . . . . . .
Determine 'U' value of each exnosed floor/cantilevered area "seagenl":
M. ! 912 x'U' 1 06r = h 3;?
n. /7;1) ,1 x'U' f DZ.q = 7/O/IZ
6. Total actual 'U' value for floorlcantilevered area =
(If #6 is the same as, or less than #3, you have met the intent of the State Energy Code.)
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum of Item #4, #5, and #6 shall not be
greater thanthe um of Item #1, #2, and #3.
nu 2 8/6 /D ?4fa" 076y
- c/ 6 i 2 -
1. 30 2, HlDx1 +2.
4.
x'!
+5.
+6 6,.336 =
D _
I hereby certify that I have calculated the 'U' factors and 'R' values herein and that the building herein described
meets, or exceeds, the 1994 State of Minnesota Energy Code.
ignature
ate
1.?
2 -
3 -
FIGuRE #1
(WA LL- FRAM (NLI)
?- 4
--*=_&7
CONSTRUCTION:
WALL FRAMING SECTION: FIG. 1
1)
2)
3)
a>
s1
6)
.
TOTAL'R'VALUE
'U' = 1/R =
R-VALUE:
2 WALL SECTION (INSULATION): PIG. 2
3 1) INTERIOR AIR FILM .10B
4 2) YL " DRYWALL • ¢5
F?? uR ?#?
5 3) ?" FlBERRCaI.ASS INSUL.
°
a) SHEATHING
z •?
(WqLL-INSULATION .?--- (p 5) yz"mae>n,tt SIDING ?07
6) EXTERIOR AIR FILM • i7
" OTHER
TOTAL 'R' VALUE
'U' = t/R = c?37E
RIM JOIST SECTION: FIG. 3
?S
1) INTERIOR AIR FILM
1
- ? 2) BATT INSULATION %q
2 4 3) 1-1/2" SOFT WOOD 1.33
5 q) y " "SHEATHING .b2
3 5) ' z" tAnsowtESIDING -b?
FIhuRE# 3 ?--(p 6)
• EXTERIOR AIR FILM
OTHER • 17
?
TOTAL'R' VALUE 22 47
(RIM JOIST? 'u'=1/R= •044
1_? FOUNDATION SECTION: FIG. 4 o?
2 - 1) INTERIOR AIR FILM ?
3 p) INSUL.
' "
3) BLOCK/CONCRETE
,_
'?4 ?-4 4) EXTERIOR AIR FILM
FI? UR£ ' OTHER ?.?
FDUNOATION? TOTAL'R' VALUE
'
=1IR =
v
iNTERIOR AIR FILM
'Ii' " DRYWALL
5.5 " SOFT WOOD
14-1 " SHEATHING
Maso.+,srcSIDING
EXTERIOR AIR FILM
OTHER
CONSTRUCTION: R-VAWE:
ATT_IG. CEILING SECTION (INSUL.): FIGS. 5 OR 6
? -? 1) INTERIOR AIR FILM . (a8
4 2)
3
- 34' - DR3°WArI CEP0.e
5 SHEATHING (IF NO ATTIC)
R
:(n2"
Y2'p
(SLLb4ESTd )
o - 55
4) %2. " 'BaAS INSUL. 38
5) EXTERIOR AIR FILM Al
' OTHER
TOTAL'R' VALUE
a.
?
'u'=vR= ,
.0.24
2
0
_1 J
U. CEILING FBAMIdSt SECTION: FIGS. S OR 6
? 1) INTERIORAIRFILM •??
F I C UR E#5 2> 3/4 - eR*aaEL cE0ar- a3
ATTIG
) -(su&aesTSC)-.a _ - Arnc>
2 ^ 'Batt'S INSUL. %z"ass -?2
311 ty
EXTERIOR AIR FILM • ?"i
6)? -1-'r"-S6FT WOOD - T2V?5
VENT. SPAZ£ ? OTHER TOTAL'R'VALUE 44•53 ????
E v'=vR= .02-1 ?,03
t ` -
?
_
/
-T
/
A ! 4
1f\ ?' ? -
EX
POSED FLOORICANT. SEC. (INSUL.): FIG. 7
1) INTERIOR AIR FILM
2)1 CRe.PEt FLOORING Zoe
-_
-
- 3) 3 4° 1 SU&FLOORING . WN
? 4) `i • " INSUTATION 30
-2 F I C
L
? R E #? 5) PLYWOOD •?2
1
O _
?
. 6) EXTERIOR AIR FILM j
1 (N O AT TIG) • oTMER ?-
TOTAL'R' VALUE 34,44?
'U'=1/R= .029
1
2 EXPOSED FLOOR/CANT. FRAMING SECTION: FIG. 7
3
L
1)
INTERIOR AIR FILM
- L-6
2) C?V_PE-r FLOORING ? ce
'
? 3) 4" I'VA SUB-FLOORING
' 93
l-
? 4) s" SOFT WOOD
ll
?J-
? i 4!? 5) PLYWOOD -?? 2-
6) EXTERIOR AIR FILM L?
?
'y
? • OTHER
TOTAL'R' VALUE
?
FfC RE? # 'U'- 11R
CANTIL6Vf.R5 AND
ADDITIONS ON POSTS)
OR
4 OVER GrARAy ES ,j
i:IT'V Uf ;:_AGR?d
f°f???iTi°_i-1'^ . 'l.ni!.iN^'_ PlC; 759
naT=: 0608/99 'i'rrf.r.. 13:52:0
:L; •,
!fiME:
T&p ':?pf;:l iGA.E. i':AL_L.r:RJ 59,00
^ciS5 9091 046 M!3ULA5D i ,C11
3210 900! 9646 }+ALL.Ar{D 13125
W':e ')C)D1 iG46 MA!...I...ARIJ ,',.Oi.
.
Tn::E Rr-:ceip` Amt3Un'.;: i?36,,25
CR" e:I.J JG
11$<'R )'D NP,\'CY
?
1999 BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New ConshucHon ReaulremeMs
(RESIDENTIAL).0 70- 0-7)
U ?
Remodel/Repatr ReauGemenis
? 3 reg(sfered sHe surveys showing aq. ff. of lot sq. Tf. ol house 2 copias of plan
and all roofed areas (20% maximum lof eoveraae allowed) 7 sM of energy calculaNons for heated addNions
? 2 copies of plans (show beam 6 window sizes; poured Ind. design; etc.) 7 sNe survey for exferlor addRlons 8 tleeks
? 1 sei o1 energy calculatlons
D 3 coples ot free preservatMn plan 8 bf platted olfer 7/1/93
DATE: b rI 1D 10 CONSTRUCTION COST: +'r rVV0
DESCRIPTION OF WORK: `n - 9^ t7cc-A
STREETADDRESS: 16 Yb ?• lA,? 0 rr' ?
vf-
LOT. e' 8lOCK: ? SUSD./P.I.D. #: ?'d?? i"
S' r) dS/ (YI-0 Od-
?
Nome: ?mr rn AM AA00.A Phone#: C.??'ySlr-063Y
PROPERTY La+? First
OWNER r n ,n
Street Address: J? ?'/ Ait 1 QFZ?' 1U r-
City ;;?k,qgState: MN Zip:
cl
Company: Phone #:
(area code)
CONTRACTOR
Street Address: License # Exp.
City
ARCHITECT/
ENGINEER
Telephone #: area code (
Street
City
Sewer 8 wafer Ilcensed plumber (reautred for new consiruction onlvl:
State: Zip:
Name:
RegistroNon
State:
l'enalty applies when address change and lot change is requested once permff Is issued.
Zip:
1 hereby acknowledge that I have read fhis applicaNon, state thaf fhe fnformation Is coneci, and agree t ply with all applicabl
$tale of Minnesota Sfatutes and City of Eagan Ordinances.
SlgnWure of Applicant:
OFFICE USE ONL
Certificates of Survey Received _ Yes
_ No
Tree Preseroation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Firepiace O 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex O 17 Garage ? 22 PorCh/Addn. (4sea.
? 03 1•of_ plex O 08 6-plex O 13 16-plex ? 18 Deck ? 23 Parch (screened)
O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level 0 24 Storm Damage
? 05 3-plex ? 10 8-piex ? 15 Lodging ? 20 Pool )?r 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas lnsert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code -//3q
(Allowable) Main level sq. ft. SAC Code ?L
UBC Occupancy sq. ft. No. of Units O/
Zoning sq. ft. No. of Bldgs ?
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee &Z Valuation: $ ;;Z 060
Surcharge /
Plan Review
License / 2 x/6 =lQZ X/O =/G/Z
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/VII Surcharge
Treatment PI. -
Park Ded.
Trails Ded.
Other
Copies
Total: 70
.
:
SAC Units
% SAC
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA096657
Date Issued: 10/25/2010
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 1646 Mallard Dr
Lot: 4 Block: 2 Addition: Mallard Park 2nd
PID:10-47251-040-02
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Pronto Heating & Air Conditioning Anthony J Bauer
7588 Washington Avenue South 1646 Mallard Dr
Eden Prairie NIN 55344 Eagan MN 55122
(952) 835-7777
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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Building
Eaaan. Permit Number: EA103425
Date Issued: 03/26/2012
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 1646 Mallard Dr
Lot: 4 Block: 2 Addition: Mallard Park 2nd
PID: 10-47251-02-040
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Replace
Description:
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Kara Benson
9533 - 367th Street
North Branch. MN 55056
651-674-1766
Fee Summary: BL - Base Fee $500 $40.00 0801.4085
Valuation: 2.169.00 Surcharge - Based on Valuation $500 $0.50 9001.2195
Total: $40.50
Contractor: - Applicant - Owner:
Renewal Andersen Anthony J Bauer
1920 County Road C West 1646 Mallard Dr
Roseville NIN 55113 Eagan NIN 55122
(61)264-4777
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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137099
Date Issued:06/15/2016
Permit Category:ePermit
Site Address: 1646 Mallard Dr
Lot:4 Block: 2 Addition: Mallard Park 2nd
PID:10-47251-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Anthony J Bauer
1646 Mallard Dr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
EAGAN
Permit Type: Building
Permit Number: EA162234
Date Issued: 07/06/2020
Permit Category: ePermit
Site Address: 1646 Mallard Dr
Lot: 4 Block: 2 Addition: Mallard Park 2nd
PID: 10-47251-02-040
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: Replace 5 windows - same size & style
Census Code: 434 - Residential Additions, Alterations
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for fmal inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota
Fee Summary:
Valuation: 5,000.00
BL - Base Fee $5K
$118.00
Surcharge - Based on Valuation $5K $2.50
Total: $120.50
0801.4085
9001.2195
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
- Applicant -
Owner:
Fawn C Botts
1646 Mallard Dr
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature