1652 Mallard Drr
Receipt • PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fss
.
• Fill in numbered spaces S/C
. Type or Prrnt legibly Tot.
1. Date .' 2. Installation Cost
3. Job Address ' Lot Bik. Tract
4. Owner Ili ? • ? ! -^ r? ?
5. Contractor Phone
?
6. Address r' ?- '
7. City State Zip
8. Building Type: Residential ?
9. Work Description: New O
Commercial ? Institutional ?
Add ? Alter ? Repair ?
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory ?
Softner
Shower Weli
Kitchen Sink ?
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I 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 :
Rough
for
Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
addition?4al-lard park Second Addition Lot 5 eik Z Parcel #10472s1 nsn m
Owner Street 1652 Mallard Drive State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. /f a
STREET RESTOR, b Q/?po?.??
GRADING
SAN SEW TRUNK V /Q r
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1981
WATER AREA ? - lp 1+2,S5_ 10T QS'
STORM SEW TRK 411,11 1981 445.37 89.07 5
STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 500.00 el
BUILDING PER.
10640
SAC n rt
PARK
? CASH RECEIPT ?
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 1 9 _
c
vco ROM , 7
AMOUNT s
a DOLIARS
?oo
? GASH Q CHECK
?
?ow. / ' • ' %..1. i - .
FVNO CODE A/AOUNT '
j
L c -
Thank You
?
BY
? White-Payen Copy
Yellow-Posting Copy
Pink-File CoPY
r
BUILDING PERMIT
? To M tmd im
Site Ikddrea
Lot 5 81ock
Parcel No.
et Name - a .
W Address 1? . i.) .
1 1-- k'll1PPhTN)l''1
C'_ON S'I
?O Name
? Address
V
? City Phone
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Sox 21-199, Eagan, MN 55121
PHONE: 454-8100
I hercby ocknowledfls thot 1 iwvo rood this application ond state that
the intormotion is torretf ond ogree to tomply wifh all upplitoble
Stah of Minnesota Statutes ond Cify of Eagan Ordinoncts.
Siqnoture of Pertnitt"
A Buildinq Pen+,it is iss„ed ro: .`'
di work sho11 be dorw in accordance with all
Buildfrq Officiol
Receipt *
Erect XJ Ocwpancy _'.3
Remodel ? Zoning ;.,
Repair ? Type of Contt.
Addition ? No. Stories
Move ? Length
Demolish ? Depth
Inl Impr. ? Sq. Ft.
Install ?
Apow vels fo.s
Assessment Permit
Water 3 Sew. Surcharge
Police Plan Revlew - ? 0 I
???
Fin SAC =?
-
Enp, Water Conn. % 0 k) °
Plonnwr Water Meter F- 3 ^ L
Councll Road UnR
Bidg. Off. 7? Tc PI. I.? ?•0''.
APC PaAtB
Var. Date Copies
Total -JM 124 . sa
a+ tM .xpeess cordition that
soM Statutes and Gry W Eoqan Ordinances.
State of Minne
'Pwmit No. Plnnk Holdw DaN ToIsphono ?
Plumbinp s
H.VA.C.
IA6
EleeMa c
Soit.nw
Irapoetion Dm Imp. 4thm
Footinys 1 j ?
Footings 11
Foundation
Framing ?
Roofing
Rough Plbp.
Rouph Hty.
Insul. y (,v
Firoplacs
Flnsl Htg.
Final Plbp.
Flnal
Cort/Occ. '
Wator Wteribe Loeation:
WoII
Sewer
Pr. Diep.
R.oMpt MECaAwic,AL PEaMff wnnk no., `
cirY oF E?GAur :
FM
FIl! In rwmbsisd tpsc?t ' S/C
7YPs ar Prinr hvlb/y Tot
1. Date 2. Iratsllation Cost
3. Job Addnst 'Lot ' elk. Tract
4. Qwrwr ' -
,
6. Conuactor Phone
B. Address
7. City ? State i Zip
S. Building Type: Rssidsntial ? Commercial ? Institutional ?
9. Work Dsscription: New ET Add O Alter O Repair O
10. Describe Fusl TYPe !
11.
No. EquipmenL 8TU - M. Es.
Forced Air , ; . . No• Eauiament CfM
Air H
ndlin
:
Mfg. g
a
Boilers
Mfg. Mech. Exhaust
?
Unit Heater
Mfg• Other
Afr Cond.
Mfy.
Gas, Pipiny Outlets
12. 1 hereby certify tfiat the abova information is true and wrrect, and 1 agree to
wmply with alf ordinanoes and codas goveming thia typs of work.
5igned : - ---- for
Rough F inal
In:pections: Date Insp. Dste Insp.
This is your permit when numbered and approved.
Approvad CITY OF EAGAN 46"100
Reoeipt . PL4MBING PERMIT Permit No.
? CITY OF EAGAN
Fu
fill in »umbered spaces S/C '
Date
1 Type w Print /egib/y . Tot
Installation Cost
f ? 2
. .
,
Erl.l, /',,. , _?` . br• .. .,
? ?
3. Job Addresa Lot -
Blk. Tract - ?
4, Owner ' -
6. Contractor
' Phone
V
A
ddress
6. L _
7. City ? State ? Zip
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter O Repair ?
1 10. Describe
I 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
l.avatory Softner
Shower Wetl
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
? Floor Drains
Drinking Ftn.
Slop Sink
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 :
Rouyh
Inspections: Date Insp.
for
Final
Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN yyAM URVICE PERMIT
3830 Piiot Knoe Ro.d
P. O. Box 21199 PERMIT NO.:
Eagan, MN 5512DATE:
Zoninp: Na of Un1n: '-
_
OwMr. ' Td-`1I1SOfl 1ANA
/1ddlrss:
VVA
Sita Addre? d Z ,
+----- ? ...-,.-.
Plumber.
.., 5
Met?r No.: • _
ReadsF No.: 11(v l (41 'f (0 6 Permit Fee: ?
I Mm !o oaawlr WMb 1w Clhr of Emps $urchorge; --,=
Mlw. Chorqes; 132.7777 TP
TotoL• te?
BY - _? Doft Potd?
DaM of Insp
? CITY OF EAGAN SEWER SERVlCE PERMIT
i :3830 Pilot Knob Road
, P. O. Box 21199 PERMIT NO.:
` Eagan, MN 55121 DATE:
? ZoNn0: No. of Units:
? Owrnr.
/Wdross:
SiM /lddrofi: `? ?I? :' i?! ? c":i r ? • _ •-
Pluntber: ,--r?
! 1"NM 10 answIr wMb tiw GY of iowa CanrncHon Chaw:
? OriMNOM Aooount Deposit:
Pemdt FN:
1 Surchw^ge:
t BY MIsc. G1orom
dote of Irsp.: Totol:
InsR: Dofe Pold;
CITY t1F EAGAN 1AIATER SERVICE PERMIT
3830 Pibt Knob Rwd
'
?. O.,Box 21199 PERMIT NO.:
Eagan, MN 55121 D/1TE:
Zoninp. No. of Units:
Owner: - . _ . . . , . . .
llddross;
Site Addreex
Plumber:
Meter No.: Connectian Charge:
Size: Aooount Deposlt:
Readsr No.: Permit Fee: ?
IsMM !v a?wph rrllr iV CNy of Eqpw Surcharps:
OrlMuam Mbe. Chorpm : . ' ' •
A.
Date of Irtsp.:
Total:
Dah Paid:
Ir?sp.:
-
+ . CASH RECEIPT •
CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESO 55121
. owre iy _S
d
wecervm
AMOUNT Y? ?) I
_pOLl.ARS
I oo
? CHECK
/I
bi n I /?fi /1 i A
FUN CDOE AIAOUNT
8
/
o? ot ti ?
I
\
Thank You
a?
N_ 55587
White-Payers Copy
Yellow-POating Copy
Pink-File Copy
CITY OF EAGAN N2 10640
3830 Pilot Krrob Road, P.O. 8ox 27-199, Eagen, MN 55121
PNONE: 4548100 Re«iw # ? y")--
BUILDING PERMIT /
Te M m" fw SF DWG/GAR Est. yalue $85,000 pOte JULY 22 19 85
SiteAddreu 1652 MALLARD DR
Lot 5 elxk Z Sec/Sub. MALLARD PK ND
Parcel No.
W Nemg M.W. JOHNSON CONST
; Addre?s P• O. SQX ?. 0
U City FARMINGTONPhone 432-6838
F Name SAME
Address
? City Phone
f?
Name
4? Address
?w City Phone
I hereby ackrrowledga that I heva reud this npplimtion and srore that
tM inlormation is torred ond ogree to wmply with all opplicabla
Stota of Minnewta Stotutea qnd Ciry of on Ordinanus.
/
$ipnofurc of Permittea
N eundiog Pormir Is iasusd m: M.W. JOHNSON CONS
all work sholl bs dana in acoordonce with all a bls Sfate
Buildinp Official `'v?_
Erect 91 Occuosncv R3
Remodel ? Zoning Rl
Repalr ? Type of Const. y
AOdHion ? No. Stories
Move ? Length 50
Demolish ? pepth 28
Int Impr, ? Sq, Ft.
Install ?
Appwak iees
Assessment Permit .00
Water d Sew. Surcharge 42.50
Police Plen Review __L9A__00
Firo SAC 525.00
Erp. WaterConn. 500•00
Vlonner WeterMater 63.00
CounCil RoedUnit 280.00
BIdg.Off. 7 12 $?J Tr.PI. 132.00
AFC Parka
Var. Date Coples _
rotel $2 .124.50
? on fM azpres eordillon thoi
msoro Statutet ond Ciry o7 Eapan Ord{noneaa
REQUEST FOR ELECTRICAL INSPECTION Ea'O00°1-04'
nc(? , See :.str¢tions Tor campleti.g this fam on beck of yellow copv. ?? e?
B?9 1?l "f(" Be/ow Work Covered by This Request `
Adtl 11ep. Tyce of Building AODliaroea WireE Equiv,sent Mirad
Home Range Tempwary Service
Ouplex Water Heater Lightiny Fixmres
Apt Building Dryer Electric Heatin
Commercial 81dg. Furnace Silo Unloader
InxlusVial Bldg. Air Conditioner Bulk Milk Tank
Farm otnar SDec, ty other lSceciN1
t r Speci y i er OtAer
Campute lnspecuon Fee Below
N Fee ServireEMraMeSiza p ?e Fceders/5ubfq¢tlws # Fee CircuMs
0 to Z00 Am 0 to 30 q 0 to 30 A.
Above 200 Amps 31 to 100 Artq?s 31 to 100
Swimming Pool A6ove 100_Amps A6ove 100_Affli?
Transformers Irtigation Hooms tl Partial-°Other Fee
Sigis Speciallnspec!fon
S[?(? fp TO L FEE
Xemerks
, 7.oU
Rouph-in Da[e \
'1
?`fI ?_ qb
ElecLiW
Inspgcbr, herebY
certify tlpt tAe alqre
Fina? r, p_ pectim los been
?d..
1qh napueslYpid 18mmIMlmm
18sreV?eStvoiU '1??3? ???1?
? lU '/ L j ;z 0 Y U.1Let-c( p K a' q7. U C1
Betrcest Uate Fir¢ No. Roueh-in Insuer.tion
fiaqwred? []fleady Now dl Notify InsOec-
s ?NO r When 11¢ady
XT1Eareed Electrical Contractor 1 herab request ins
V peclion ot above
70wn¢r `eleclriral wwk installeA at:
st.ex,t aae.ess, eox or NouM No. Citv
/ A v
o.ion ra.„tship Name or No. Ranpe o. co?
I?
Occu n[ IPII TI
• ?p Ia s-SG ? Phone No.
Power uppl
? Atldr
?
effef c
?
r.
Electrical Contractor IComparry amel
z Co Ictui s Licease Na.
P" v
Q
il n dr s(Contract or Owner Makin taila[ion)
Authwiied SiBmture iComractw/ er Making Insiallation)
Allil Phone Narep¢r
GG-G ?
YI NFSOTA S'fp7E 9pqpp OF EIECTIIIQTV THIS INSPECTION REQUESf OILL N07
Grigps-Yidrer Bldp. - Roan N-191 BE qCCEPfED BY 7NE SfA7E BpARD
7821 Univarsiq Ave.. St. Paul. MN 55104 UNLESS PpOPEN INSPECiION FEE 6
Phore f6121 297-2171 ENCLOSED.
/
RESfDENTIAt
BUILDING PERMIT APPLICATION
7r CITY Of EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Consirudion Reauiremenq
. 3 regisiereG site surveys showing;q. A. cf'oC sq A of house, and ali roofed areas
(20°o maximum lot :overage allCweO)
• ?,:opies of plan showing beam 3 window ;iz?5, poured found desgn, elc J
• 1 szt of Energy Calculations
• 3 copies of Tree Preservalicn Plan if lot pianed after 711i93
. Rim Joist DeWil Ophans selecUan sheet ihidgs ,nth J or less umis)
DAiE
SITE ADDRESS
TYPE OF WORI
APPLICANT (L
STREET ADDRESS
TELEPHONE #
CELL PHONE #
ULTI- FAMILYBLDG _ Y kleN
FIREPIACE(S) _ 0 _ 1 _ 2
FAX # FTJ! ' -
P
PROPERTYOWNER?GLQ.AUL(C.Cl- TELEPHONE#UDI`!q')D' 67 L"n
r%
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTIQN FQR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ NI[VNtSt)T.1 R[iI.E.4 7670 C.\"CEGORY" I YfIN'k,"ESO"C.\ R['LLS 7672
(v su6mission rype) . Residennal Ventilation Category 7 Worksheet Submitted • New Energy Cede Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor: ____
Pfumbing system includes:
Mechanical Contractor:
N[cchaucsil ?%vcut inclu(ies:
Sewer/Water Contractor:
Phone
Phone #
AUG p g 7002
Pcc:
------------------------------•°...-------•-----...------•---•--------------.....--°-------°------------._.....--------
I hereby acknowledge that I have read this appiication, state that ihe information is correct, and agree to comply
with all applicable State of Minnesota Sfatutes and City of Eagan Qroinances., A _1) Z-
Signature oF Appllcant
OFFICE USE OtiLY
Phone #
_ Water Softener Iawn Spri
Water Heater No. oF RI
No. of Baths
_ AlC COII(116Olllila
Hcal Rccovctti' Scs[cm
RamodeUReoair Reuuirements
. 2 wpies of plan
• 7 szt cf caergy Calculahons for heated adddions
• 1 ste survey `or ex[enor aodiLOns 3 Cecks
• InCicale d home served oy sep6c sys[em fcr additions
VALUATION 7006)
Certificates of Survey Recewed - Tree Preservation Plan Recerved _ Not Reqwred _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-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
O 03 Ot of _ plex O 09 07-plex ? 17 Garage q 22 Porch/Addn (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 S[orm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N CI 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 WindowsfDoors
? 34 Replacement `Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry 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) Finali?io C.O.
_ Foonngs (addirion) _ Plumbmg
_ Foundahon HVAC
_ Dram Tile Other
Roof _ Ice & Warer _ F inal _ Pool _ Etgs - Air. Gas Tests Finai
_ Framing _ Sidmg Smcco Stone _
_ Fireplace ? R.I. _ Au Test _ Final _ Windows (new4eplacement)
_ Insulation _ Rztaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
388 • 00 +
42•50+
194•00+
525 • 00 +
500 • 00 +
63•00+
280 • 00 +
132•00+
2,124•50*
- ? = - .
? a
1985 BUILDING PERlIIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED HITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF S URVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: 95,000?-o Date:
Site Address: OFFICE USE ONLY
Lot: Block ? Sect/S
y,b /Y1GtIiprT? Erect x Occupancy
12-3
?{
I%
/?/(2 xn Remodel _ Zoning ?-I
Pareel ak Repair Type of Const y
owner /Y1.W. Johnson Lllrts-F Enlarge
Move - II of Stories
[.ength
So
Demolish Depth Zg
Address .,P0. BOK 120 Grade Sq Ft
City/2ip Code rarminG?-fOl? M/Y
c ' ---------- -- --------------- ------
_ Phone 4/4a - 6 $38 APPROVALS
Contractor /VI. ?,(,?. .Johh5al7 Assessments Permit
Water/Sewer Surcharge ¢ Z 5-°
Address Police Plan Review 194, pO
Fire SAC 525. w
City/Zip Code Engr Water Conn 5ocD. ?
Planner Water Meter co3 °-°
Phone Couneil Road Unit
Bldg Off 7iz Parks
Arch./Engr. APC Treatment P1 l32 =
Add Variance
TOTAL
?S o
ress
City/Zip Code
Phone II
? . ?U ?s
Z4-x 2)C? 1 ZC? ?C SQ- iY S?'j0
Za ? 22 = 4 4o x<< - 48ad
Zs ? 3J ? 7 J`ZD X U ( - ?0"750
.
ta
?
2 4 -?io
_ CERTI FICATE
?
OF SURVEY
q3?` MALLARD DRIVE
q3.a
. R°792.84
O (0°32' 2(c"
Ap, 90.51
O ?
0
?
F--
m S
i m ^ ? ?5 d
m? I 3 ? 'm
0. - Q
M I M GAR. 3a ?? '. .
M ? d R20POSED m I ?
m HoUSE
?
N
M
I
q 20 + ?_ 30 9e
2
0
r m
? LOT 5
I I ?
BL'OGK 2
3 ?
av ?
I ?
I
I
?
j DRAINAGE £ I
I
?fT1l_1TY EASEME-N T I5
5
-------
? ?- i
o
- a
- ?,
o
90.20 °?v
N 84° 25' 3?D• E
P1evaCions shown are existin}; grades
and are assumed datum.
Proposed garage floor elevatio = 97.
W
1 hereby certify thut this is a N?
correct representation of a survey m?
oE: Q I!1
0
Lot 5, Rlock 2, MALLARD PARK N
SPC(7ND ADDI'i'lON, Dakota County,
Minnesota, according to the
recorded Nlat thereof.
and thaC 1 am a duly registered land
surveynr under the laws of the State
of Minnesote.
Gene L. Jacnhtinn, i. Re};. No. 7734
Dated this 25th Day of June, 1.985
. YzI
V
DR. BY GRJ SCALE - I" = 30' o DENOTES IRON MON. BEARINGS ARE ASSUMED DATUM.
PREPARED FOR; JAC06SON SURVEYORS
M. W. Johnson Conytr. LAKEVILLE. MINN. 55044
P.O. Box 130
Farmington, MN 55024 PHONE 469 - 4328
, . ',
EXTERIOR ENVELOPE HVERAGE "U" CQMPUTATION
?._ ;. OWNER . `. .: _-. ." : .. _ . _ • . , .. _ • ? - Y
.
.
. ..
? - - --__:.. _ - - " -- - - .
, -. .. : . " _ _ _ _ . . . . .. : _ . .
- - - _.. .._ .. ... _` - - - --- - -- --- _ ...-- --
- : i•`-'- SITE AODRESS-
CDNTRACTOR VV , JO L( O?oA?-? DATE . - . . ? PHONE.
• Determine working square footage of each.
l. Total exoosed wa11 area ...... Z?1 y`+ ?Lo sq. ft. x???, ° "201 . 4
2. Total roaf/ceiling area ...... 1 0 y3_ sq. ft. x_?0?1?= ?-11
Tatzl exoosed wall area above fioor
a. Total wa11 window area ..................:........ Zy S.lo
b. Total door area ................................. 3 8' .
c. Total s7iding gTassdoor area .................... 4 4
d: Total rireplace wa71 area......................... v8
e. Total wall framing area (averaqel0A)............. 7-Z 11l.P
" .
. Total net wall area above f7oor ................. ,N
q. Total rim .1eist area ........................... ZLO8
Total exoosed foundation area = F?G,1 LD
h. Total foundation window area .....................
i. Tcal net `aundation area aoove arade ............ F:?,4.'11n?
De*_er;aine "U" valu° of ea=h wall s=e-ent.
a. Z4S.l.o ? 125 .OS
, 38 X „v„ , i3 = 5,2.8
X ,lu„ , ? = Z Z
c.
d. 48 X"U"
e. ZOZ, I Lp X "U" ,091..0
•4 q x t,u„ , 0141 9. 2L-oE) x1.ult oy 1= l0.9
Cti
h. - X „Ull
X " v
? .......... ...............Totz,
?-F item `3 is *_he same as, or less tnan item :`1, you have m_t the intent
^r 53C c0-15(c)2.
Y
?-- • • ' Total exposed roof/ceiling area = I n G ?
?• Total gross roof/ceiling area
j. Tota1 skylight area ........................ --'?"
. k. 7ota1 roaf/ceiling framing area ........., 9?3
1. Total net insulated roof/ceiling area....... R 3.7
Determine "U" value for each roof/ceiling segment.
-,• ,. x loull
k. I 09 • 3 X"U" ? 02 = ?, Lo
1. Ci 83.'l X0ull
4 .... . ............ j Oq ? . .. .. . ... .7ota1
If totaT of #4 is the same as, or less than #2, you have met tfie intent af
SBC G006(01. - • . ?
To utilized the total envelape system method, the values.established by the
sum of items 03 and #4 shall not be greater than the sum of itens 81 and #2.
I?. -3o1.qy + z. Ze) ,yl = 330,35
s. 303.38 + a. 7-9 ,z = 32- 2 - 58
MATERZALS
Exterior Air
Siding Material
SheathiTtg
Insulation -
SheetroCk
Interiox eir
Studs
Rim
Conc. Blks.
Therm. Resistance "R"
.19
,45
2. 0Le
?
,45
.1. Loa
.
?
I,8
1,2
V L el ? CITY USE ONLY ? 30??
RECEIPT #:
sUao. Mallard Dark 24 RECEIPTDATE: 5-a'3-0O
PERMITti 0-1 I
8000 PLUM$IN6 PEiMTI' (RESIDENTL4I.)
crrYoF gnsnu
3930 PaoT K[aos gn
gaeaa, esx 55122
651-Mi-46'75
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
0?vr"inco
ceC?N
#
TOTAL
Alterations to existing dwelling - minimum fee
Describe: ? $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
GeS i in OUtlOt ' minimum -1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = S
Laund tra 3.00 x = $
Lavato 3.00 x = $
Se tic S stem newlrefurbished ' requlras MPC Ile. 75.00 x = $
Se tic S Stem abandonment 30.00 X = $ ?
RpZ new installatioNreairlrebuilo 30.00 x = $ ?
Rou h o enin 1.50 x = $ ?
Shower 3.00 x = $ ?
Under rounds rinkler ifdwellin isunderconstruccon 3.00 x = $ ?
Under rounds rinkier ifexistin dwenin9 30.00 x = S ?
Watercloset 3.00 x = $ ?
W ater heater 3.00 x = $
Water softener if dweum under constructian 5.00 x = $
Watersoftener HexistlnBdwelling 30.00 x = $
Waterturnaround 30.00 x ----
State Surchar e .50 --> --> ----> $ .50
To W I -> --> ---> --_> E
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- ------•
-----••--•- ----- -.__..-- .....__...
•
------•-- ----....- ---- •-•----•• ••-------------------------------------
- with all applipble Ciry of Eagan ordinances.
-
-
-
-
•agree -
- to comply -
-mec4 and°
• p--don•
- ,•state-that-the-information.is-w
-appli-
I hereby acknowledge that I have read this- -
Il is the applicanl's responsibiiily to notlfy the property owner that the City of Eagan assumes no liability for any damages raused by the City during its nortnal
operetional and maintenance acuvities to the faaliGes consWcted undgi this pertnil within City propertylrightof-wayleasement.
SITE ADDRESS: ?`5 Z ?sJLG?aO
OWNER NAME: :
INSTALLER NAME: /r6j__.4`
STREET ADDRESS: 2?o &%?
?
TELEPHONE #: 6?_S/J GWT-
(aREA CODE)
TELEPHONE #:
/ (AREACODE)
CITY: Y?ufi 71- ST TE: ZIP:
SIGNATURE OF 146RMITTEE
I&..
:• ? N z/aa
MI
- CITY OF EAGAN
APPLICATION FOR PERPIIT
-` SE[1ER AND/OR WATER CONNECTIODI
(PLEASE PRIHT)
1) PFOP= ADDR:SS: ? ? ' ,.Q.?.£?? ?Q/?i
r.Frzi, DES=LT'_C:7:
(LOt/31ock/Subclivisicn or Tax Parcel I.D. NLUr,^,er1
ST;=,L'CT :v., DaT' G_° CRIGi.:AI, -iiii.DI::G P='-?I':'
! PP_°S=.' Z-1 Si iG'?. rp}r?..ry "-- --' -__' .
? P,-2 CUPLE{ (r-7%70 UNITS)
0 R-3 RCnQNFiCUSE (T:-In + L?]ITS) ( iINI"_'S)
? =?-d ppp,R'I*fz-•±n?CC_`?G L;IL:I ( L?iI
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Z) APPLI= ?'5E PRISi)
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cr=^r, szaTE, zrP:
PxoNE: °
3} P=,'= GENZ4ffA1N1uF&H FOR CITY USE OHLY
NAME. '
R
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^
ADDRESS: 6
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14: Yr8 .?--?
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CITY, STATE, ZZP:
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ed
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PHOiVE: _ N?kL
PLUNBE
R LICENSE N Recurd
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4) O=FIdT/C!'7?iIr-R Ni'E:
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CITY, ST'ATE, ZIP:
PHO^]E:
S) INDIC= WHZCII PERAIT IS BELtiG REQUESTID:
-ET-?CC4IECI'ZON 'IO CITY S?.?•IER
CCCI=GV 'IO CITY AIATGR
? CJI'(iz;R (PLFIASE DFSC?SL'E)
'?T?E f:OID r1PPR()Vp pgRALT FOR PICi:-UP BY O.IE OF ABCti'E
?°IE7= tifAIL APPRM7: PIITMIT 'It7 1, 2, 3, 4 r1BC71E
(Circle one)
7)
Dr,TE: ??j?/
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F 0 R C I T Y U S E 0 N L Y
PERMIT " 755UED
Frrs' $z':';ER nvotlTi (__".,Cr.. -.._,z SU. ?" )
o....rF;.-^"? :
WATER PE:211ZT (Ii.CLUDE SURCS:ARGE)
$ 3
(G
ou WATER METEB/COPPERHORN/OUTS=.^..; Rr..`.DE3
$ A'aT^R TaP ( I.;CiUDF. COR?ORATIC:I STC? )
$ SE:7ER T.".P
$ A-,c,u ACCCU.IT DEPOSIT - SE>:ER
$ L, c",- , ACCOUNT DEPOSIT - taATEB
$ S^v?. ? wac
$ on sac
$ `I'R7.Ji1h ??AT°.°, A$SFSSMt...`?l
$ TRliN:< SE:vER ASSESS:•SENT
$ LATE°.AL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TDUIN 7ii WAT°?
e ? OTHER
$ TOTAL1 -
$ /71, SU AM OU:IT_PAID/RECEIPT ;
DOES UTILSTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGflT OF WAY?
? YES IF YES,"THEN A"PERMIT FOR WORR WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGZNEERING DIVISION. LIST AS A CONDI-
TION.
SUIISECT TO TIIE FOLLOWIDIG CONDITIONS:
APPROVED BY:
TITLE:
C
DATE : J?
06fW w? ? M ME @F?M Bc W M fWwtW w Wpt a? w.-MW,=im ai+ wea Roomm M==
E AG A Nr For Office Use n l
t. $ 0 , Permit#: I��Z�
(._
: Permit Fee: (Y�/ C �
rcEIVE1)
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 OV 0 4 2019
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections@citvofeagan.com
BY'
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 10 I 3-6 11°1 Site Address: 1 b5-01in 6 i IA.(ci Or
Tenant: Suite#:
I/ I f t�
Resident/OwnerName: hln/'4" `- be'bIC. Fawley Phone: $ -<977 -3 3O
r
(
Address/City/Zip:j(9 5--( �a I 16v'pl Or, it'�C'n sada/
Name: fry, ,,,,,,s0.1-0, K 4 V() in,.. License#: PC7 GI X13 o
Contractor Address: 5721 0 4]tti /6'i /1/ City: .///e L,..? fire
State: /A 41 Zip: S-3-111)8 Phone: 9s - c 35-- 9 6
Contact: S(0 4 Z(ffrif,- Email: E.(b'r"IZl" kin /Ili t60+6RAS(0• COM
Type of Work —New X Replacement —Repair —Rebuild —Modify Space —Work in R.O.W.
Description of work:
Tankless Water Heater
Lawn Irrigation ( RPZ/ PVB)
Standard Water Heater
Description k Add Plumbing Fixtures( 3 Main/—Lower Level)
p Water Softener l
Description: C.I1a5 L ovI S3I(XL)tr) i' �y, i1 le±
Septic System
New Abandonment Connection to City Water from Well
, — —
RESIDENTIAL FEES
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* +$290 for Meter and $190 for Radio Read =$540
*Sewer&Water Permit also required for connection charges ap
TOTAL FEES$ (�0.
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.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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 .. 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
x S o/4- Z(em v x - _
Applicant's Printed Name Applicant's Signa
Page 1 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163535
Date Issued:09/03/2020
Permit Category:ePermit
Site Address: 1652 Mallard Dr
Lot:5 Block: 2 Addition: Mallard Park 2nd
PID:10-47251-02-050
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for 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.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Kurt A Pauley
1652 Mallard Dr
Eagan MN 55122
(651) 387-1479
Builders & Remodelers Inc
3517 Hennepin Ave S
Minneapolis MN 55408-3830
(612) 827-5481
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167632
Date Issued:03/24/2021
Permit Category:ePermit
Site Address: 1652 Mallard Dr
Lot:5 Block: 2 Addition: Mallard Park 2nd
PID:10-47251-02-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kurt A & Deborah A Pauley
1652 Mallard Dr
Saint Paul MN 55122--255
(651) 247-3320
Builders & Remodelers Inc
3517 Hennepin Ave S
Minneapolis MN 55408-3830
(612) 827-5481
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169188
Date Issued:05/18/2021
Permit Category:ePermit
Site Address: 1652 Mallard Dr
Lot:5 Block: 2 Addition: Mallard Park 2nd
PID:10-47251-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Kurt A & Deborah A Pauley
1652 Mallard Dr
Saint Paul MN 55122--255
(651) 247-3320
Builders & Remodelers Inc
5301 East River Road
Suite 110
Fridley MN 55421
(612) 827-5481
Applicant/Permitee: Signature Issued By: Signature