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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 ? Ca1ff:.°.CI.?I./REPr1II?/OFF= Q IINDCSi'RL:?L Q NSTI'ILTIO_'?L/GM'E4I,nfE;: Z) APPLI= ?'5E PRISi) NAiti!E: ADnREss: cr=^r, szaTE, zrP: PxoNE: ° 3} P=,'= GENZ4ffA1N1uF&H FOR CITY USE OHLY NAME. ' R d ^ ADDRESS: 6 AI sv? ?;T 14: Yr8 .?--? E85E: + e CITY, STATE, ZZP: , g ed i PHOiVE: _ N?kL PLUNBE R LICENSE N Recurd a T. tnt 4) O=FIdT/C!'7?iIr-R Ni'E: kYLLAJG YH1N1) AC)DF2ES5: 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?/ !? 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