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1655 Mallard Dr0 CASH RECEIPT 0 CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 D A TE i ! R6CtIV6D ^ . l r?oM ? ' ?i ? I . ? L?7C AMOUNT a ooLLwws te. ? CASH -JD-CFrECK er ,??. . . . , Whits-PsYen CoPY Yellow-Postinp Copy Pink-Flls Copy Thank You BLRG. PERMIT N0. - -` - : . 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ? ? 4 ? CASH RECEIPT 0 CITY OF EAGAN 3830 PILOT KNOB ROAD ' EAGAN, M I N N ESOTA 55122 ' DATE ? 19 RECHIVCD FROM AMOUNT I$ at DOLLARf ?oo ? CASH []CHECK ; FOR ' ' • ? ?/.?"? /'V G- ? !?. - ? ?.1! /? ?.J? ? ?.l• '` PUNO GODE qMOUNT r 7., . 7 , Thank You `White-Payera Copy Yellow-Posting Copy Pink-File Copy ? INSPECTIQN RECURD CITY OF EAGAN ' PERMIT TYPE: 3830 Pilot Knob ROad Permit fVumber: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ? MAti I-Akc; I'nuk :'acf PERMIT SUBTYPE: ..,, ,.,11 z6 Ri OCY APPLICANT: TYPE OF WORK: INSPECTION .. . .. ? r?c?n?K.??-?.`sF?y+?r?Ar? wr??r?J 1ti rrF?aIIxRFn rc?R ?aw?r ??i.F?c?-rra??Ae U01 ?.. . r. 4! . . . . . . . . .. . - ... ? Permit No. Permit Holder Date Tetephone # ELECTRIC p g5' g 7 7 I&?°? PLUMBING HVAC Inspectlon Date Insp. Comments FQOTINGS FOUND FRAMING 7 ^,4j3 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BBMT FINAL DECK FTG pECK FINAL ?---? ?CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# To be used fcx •Est. Value L:J L-' Date AI'I.t t L 23 Site Addrp6s :,R:1 Uk I Lot Block Parcel No. a Name = Address ° City `. Phone }' . a ,o Name ? ? Address City Phone PHILLIBS pLAN SERVIGE Address City • • Phone 3 I hereby acknowledge that I have read this application and state that the intormation ia correct and agree to comply with all applicable Stete of Minnesota Statutes and City of Eagan Ordinancea Signature of Permittee ? ,..,. ., . , `.: . , ,?. A Buildfng Permit is issued to: all work shall be done in accordance with all applicable State of I Building Official OFFICE USE ONLY On 5ite 5ewage _ Occupancy MWCC System _ Zoning On Site Well ? Type of Conat City Water _ (ActuaQ (allowable) * of Stories Length Depth S.F. Totel Footprint S.F. APPROVALS Assessmenta Water/Sewer Police Fire Engr. Planner Council Bldg. OH. APC Variance FEES Perm it _ Plan Review _ SAC, City _ snc, Mwcc _ Water Conn. _ Water Meter _ Road Unit _ Treatment P1 _ Parks Copies TOTAL l; 508 19 R3 kl -7- ? + _ on the express condition that and City of Eagan Ordinances. ' Permit No. Parmit Holder Dats Tslsphone t? Plumbin9 S ' )J -/-9 i H.V.A.C. 7/ff Electric 56S Q.,? Softener Inapection Date Insp. Commenta Footings I Footings II Foundation Framing A p A, .4 ?--' /vo Av7• ?1 ,4,+ Roofing [ < , t ? Rough Pibg. Rough Htg. l5ul. r? Fireplace ? Final Htg. 7 y y y/O Final Plbg. Bidg. Final Cert.Occ. 7 q ? ? Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. 3 _ 4. . .h .. ... . , , . , PERMIT # • ' PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: MB?, 1?, 1?18 7 .....?.,..,?.,.....?- -••--•- --- ---- Site Address Mallard Drive LOt 2 ` BIOCk I Sec/SUb m Name _ m Address .? c City BLDG. TYPE Res. X3IXXXX MufL Comm. Other ? Name _ 3 Address p City J FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 5/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAC',AN FIXTURES r ClOSet - $3.00 Tubs - $3.00 :ory - $3.00 WORK DESCRIPTION New Add-ort Repair owci - W.vU y Tray - $3.00 )rains - $1.50 Heater - $1.50 ool - $3.00 ping Outlets - $1.50 JOTAL -oo U? 4, "'r Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 7777 FEE STATE S/C: .?? ? GRAND TOTAL• ? ' '-' ? . : . . ? . i _ . .. ' ?. . . .. . . . , . .. 4i.F:; . . . . , . `,T ' . J , , _ . PERMIT # pl? S-'?- . ' . - MECHANICAL PERMIT RECEIPT # 7Z9 70 CITY OF EAGAN _ ? . 7 h, -7 3830 PILOT KMOB ROAD, EACAN, MN 55122 DATE: INTRACT PRICE: PHONE: 454-8100 m Name _ m Address c Ciry _ Name c Address ? ? p , City Phone' TYPE OF WORK ? : Forced Air BTU Boiler M BTU Unit Heater M BTU Air Cond, M 8TU Vent CFM Gas Piping Outlets # Other ? FEE: S/C: TOTAL: BLDG. TYPE WORK DESCRIPTION Res. fVew f M ult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS QUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE /6F. 1, oLUt7?:-?- IiVIV11VL I'LA 1 G Nr'rLICA TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) PERMITTEE FOR: CITY OF EAGAN ., .a fEtrfiftraft n# (Orrupaury tttp of (Eagan FPFeti[Ptif Uf iLtdbtttg jwPl'ttDt[ This Certificate issuedpursuant to the requirements of Section 306 of the Uniform Building Code certifying rhat at the time of issuance thrs structure was in compliance witti the various ordinances of the City regulating building construction or use. For the following.• ux CLair,cariai I7YJC;/i:.`,?' sik Plrmit Mo. 0-uva-r TYve R3 z.oWs ncmod ``- i rya con,L oworrorHuiidi ?i.W. .IGIII45I Cd?:'?: ,. a?m 1"?? C'' ':4?., .?- ? 1655 VAI" DR.VT- 1,75, `.;I, aw"ng naa= t.=sey .? . ;?, . D.w Building OtfkW POST IN A CONSPICUOUS PLACE CITY OF EAGAN Remarks Addition Mallarrl Park Second Additinn Lot 25 eik 1 Parcel #la 4725.1 250 01 Owner street-1f;55 Ma11a7'd ILive stete Eagan, NIlV 55122 ' ?__,_ f_ u.:C Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, fi STREET RESTOR. 6 ? J GRADING SAN SEW TRUNK W , 70 * SEWER LATERAL 471 1981 2430.43 486 09 2• WATERMAIN * WATER LATERAL 1981 WATER AREA STORM SEW TRK 1981 445.37 89.07 5 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STFiEET LIGHT WATER CONN. BUILDING PER. SAC PARK 5-?_C--a.7 TY OF EAGAN Permit No: ? Date: , r; =: Knob Road Meter No: • 7 l y 7S Size: ? ,O. ?o?c 21199 Reader No: A !L-P P? 1 ?T Date: , gan, MN 55121 wner. . To.?nsa:: Canst.. i• r r . f - r? : 11 "1 l 1•, -l D'. i T SiteAddress: Lriv? =""3 '-allar Plumber "w1z--'? an Conn. Chg: 525. f?()g(' Acct Dep; 1-,, ',,,p" NwAx" ? Permit Fee: p}? ? Surcharge: ?()p1 1 1ry VL' d .00 pd CC? R1 Dmply with the Cily of Esgan Tr. Plant Meter. ?' - ??«•' - Misc.: B WATER SERVICE PERMIT CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pllol Knob Road P.O. 06x 21199 PERMIT NO.: - Eagan, MN 55121 DATE: Zoning; rli No. of Units: I ?'? • ?' • n r O Jahnson G:ons t . . w e Address: i?'?? SiteAddress: -[Pllard IJrive I.25 31 . 1]_;?r_: ' ? k ZI Plumber. r-tn4- -?2van ? 1 agme to com* wNh tha C1ty of Eagan Ordinancas. ? ' BY ? Qate of Insp.: E ?..?Insp.: . . _ . _ ? 140.OQpd Connection Charge: 5-'s5 - ffM.?' Account Deposit: 1 S ?pA Permit Fee: Suroharge: Misc. Charges: TotaL• ? Date Paid: Permii No: Dat? OF EAGAN Size: ? p11ot Knob Road Meter No: Date: Box 21199 Reader No: an, MN 55121 . - ?p;_."!SO'1 CQitl`3t. 1Pr. _ . _ .-- - , ? ? at t+?al 1 arcl P1? IT Piumber. - •?? 525 . CO? Zoning: Conn. Chg: . 00a No. of Units: ? pl Acct. Dep: i?C}pd 10. e: Permit Fe .Wpa I 89ree to comply with the City ot Eagan Surcharge: 1 0. ?opd Ord{nances. Tr. Plant Meter. 67 By Misc.: I WATER SERVICE PERMIT u _ _ ,? CITY OF EAGAN N° 13 5 0 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PH ON E. 454•8100 BUILDING PERMIT Receipt# 7'2P,)-- i? To be used fw SF DWG/GAR Est. value $121, 000 Date APRIL 23 19 87 SiteAddrrss 1655 MALLAHD DR Lot ZS Block 1 Sec/Sub. MALLARD PK 2ND Parcel No. a Name M.W. JOHNSON CONST w z Address 14251 CEDAR AVE a CitY p`•V• Phone 432-6838 o Name SAME ? a Address ?m City Phone Name PHILLIPS PLAN SERVICE Address _ City A. V Phone 432-2044 OFFICE USE ONLV On Site Sewage _ Occupancy R3 MWCCSystem X Zoning R1 On Site Well TyDe of Const - Ciy Water (ACtual) V ? (Allowable) 11 # of Stories Length 52 Depih 43 SF To[al Footprint S.F. APPFOVALS FEES Assesaments _ Permit s 566.50 Water/Sewer _ Surcharge 60.50 Police _ Plan Review --- 28»45 Fire _ SAC,City ? Engc _ SAC, MWCC t??n,t n Planner _ WaterConn. t?.o?s nn Countil WaterMeter c? nn 1 hereby acknowledge thet I have read this application and state I BId9. Oif. _ Roatl llnit ? thattheinformationisconectandagreetocomplywithallepplicable APC ` TreatmentPt . State of Minnesota Statutes and City of Eagan Ordinancea. Vanance _ Parks ^ Copies Signature of PermitteeAQ)Llf. 04 , TOTAL $2, 612 • 25 A Building Permit is issued to; %.W. JOHNSON CONST on the expresscondition that all work shall be done in accordance with all apNC§ble State of Mip9espta Statutes and City of Eagan Ordinance& Building This rnQUest void IXA lfxl-? 18 months imm c 56574? flequest Daie _ ` Fre No, pea?hed?lnspec[wn ?qeady Nuw?°Jili Noufy Insuec s ?No ror When Ready 121rcensed Electncal ConVactor 1 hembv request ins0ection nl ebove ? Owner elecbical wark installed et: Street ?tl?ss, Box vte No. qY. r.l C?ty ? ecLOn o. 7pwnship Name or No. ange o. Caun Lllf- Occupant (PflINT) Phone No. fm? VS L • Power $uppher ?? ? Address E ?jncal Conuaet ICOmpany Namel Con[ractor's License No. L?/? Ld?f G'Z-c c d ai m9 Atldress IContractor o. Owner Makinp Inatailauonl ?- AuMonzed natur (ConVaclor wner Makine lnsWllation) Phone Num?or V- G'6 ?v?f ?- MINNESOTA STATE BOARO OF ELECTRICITV TMIS INSPECTION PEQUEST WILL NQT Oripys•Midwey eldp. - Noom N•191 BE ACCEPTED BY THE STqTE BOAPO UNLESS PNOPER INSPECTION FEE IS 1821 Universitv Ave.. St. P.O. MN 55104 Phone16727642-0800 ENCLOSEO. /??}f `] REQUEST FOR ELECTRICAL INSPECTION ?eja-o/oooi/-os' 1 `? ? See insiructiona tor comoleLnp Nis form on back ai yellow copy c g(,` G"J A "X" Below Work Covered by 7his Request Equioment Wlred Av N Fea ServlceEnhenceSize k Fee Fexdera/5ubleeders b Fee Grcu.Is v U to 200 Am 5 0 to 30 qm s pi, $f>ov 0 tn 30 Am Above 200 qmpy 31 to 100 qinps 31 to lOD Am s Swinming Pool Above 100_Am s Above 100_Amps Transtormers rrigation Booms D Partial.'Other Fee I Signs I I ISpecial Inspectwn 'S Nemarks T _ _ s6?D TO7 ( f?{.'FEE??) _'--.. ... - - I. xne Elactncal Inspecbq hereby certify tha2 tha above Finel D?te? ? insoection hes been ? mede. mu,aoumf vaa 3 4 0- 9 5 8?8 ?s request void 18 manths iram volidonon dak pnnkd in thi5 bge? oY eAZ> PLEASE PRINT OR TYPE Reqvest DaM Aoogh-in inspenion reqmred2 ? No Inapernon Olher Than Rough-In [] Reody Now ill Call (Yau must mll ?he inspeaorwhen reody) ?ak Reody I, ` icensed contracfor ? owner hereby requesf inspedion of fhe above eledncol work at. Job Address (Street, Bw, or Roufe No ) 14,5;sr 00 Gry ?',r ? Zip Cade Sedion No Township Nome or Na. Range Nn Fire N. Couniya?s? Occ?pont ? ? Phane No - ? PavrcrSupplrer Addresz Eletln I CanhnMr ?Compony Name) Ca?ntroc?ror/L«n/se N/o+' .?7 J Maskr Li< No (Plont Eled Only) Mar6 q Pddrezs ? o/n?cror arOwner Per(orming Insbllo?io c7'? ?? L?'?+f s J?t?7! r Amhonzed SignaNm ?Conlraclo, or Owner Pe rmng In lal) on) Phone No ?-6Y6 EB- 0 6/95 STATEBOMDCOPY-SEEINSTIiUCTION30NBACNOFYELLOWCOGY : Minnesota 21QUnrversitY Ave., dRm S?- 28?t.'PaulP, MNTSSO104?? IIII I III1? I II III ?III I III I I II I II II I IIII B * 0 3 4 0 9 5 8 8* anone (siz) ea2-oeoo (p?7 ` Home Duplex Apt. Bld?. Other, New Addn Commercial Indusirial Farm Remod Re air Av Cond. Htg. Equip. Wafer Hh Load Mgmf. Other: D er Ran e Elea Heat Tem .$ervice "X' above fhe work covered by this request. Enter remarks in Mus spoce and on the back oi the white mpy only. P7? - !O?' ?_?a t?c5 Calculaie Inspechon Fee - 7his Inspechon Request will not be oc<epted withouf fhe comect fee: Olher Fee $ Service Enhance Size Fee # Circuih/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Streef Lig./rraffic Sig. Above 200 Amps A6ove 100 Amps Tmnsformer/Generator INSPECTOq'S VSE ONLY TOTAIy? Sign/Outline Ug. Xfmr. Alartn/Remote Conhol Swimming Pool i he.tb cern thm me aiaan?ai inslollafion dmrn6ed heron on Ihe dvros abkd Irngofion Boom Roogh-In Daie $pecial Inspedion Investigohve Fee Final `'Z ???9 8 9 THIS INSTALLATION MAY 8E ORDEflED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 4§> City of EaiaR 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?----------------- i i j Permit I ? I i Permit Fee: ? ? ? Date Received: I Staff: I 2008 RESIDENTIAL BUILDfNG PERMIT APPLICATION Date: Site Address: Tenant: SuBe #: RESIDENT / OWNER -Cf Name: \.,w? Phone: Address / City / Zip: ??M"'??t4jm Applicant is: _ Owner Contractor TYPE OF WORK Description oF work: Construction Cost: vc `- Multi-Family Building: (Yes Nok'-) CONTRACTOR Name: t-' l U CNL V 7i)LLGr.C?/hicense#:??? Address: ? ? ?W V ' City: State: Zip:C7?5? Z'Z` Phone:I?f'.`Z'???? Contact Person: ? ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code . Residential Ventitaiion Calegory 1 Worksheet ? New Energy Code W orksheet Category Submitted Submitted (4 Submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan 6ased on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are consldered !o be public.lnfo'rniation. Portionso'f ` the informatlon may be classified as non•public li you provrde specific reasons that would permlt the Gity fo conclude thaf the are trade secrets. ' I hereby aledge that 's information isscom? te and acwrate; that the work will be in conformance with the ordinances and codes of the City ol Eagan: th understand this 's not a permit only an application for a permit, and work is not to start without a permit; ihat the work will be in accorda with,Jhg appr ved lan in Ihe of rk which requires a review and approval of plans. x Applicant's Signature Page 1 of 3 ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 657•681-4675 Y New Construction Reaufrements • 3 registered site surveys showing sq, N, of bt, sq. ft of house; and II roofed areas (20% mazimum lot coversge allaxed) • 2 copies of plan showing beam & window sizes; poured touM desrga, elc.) • isetofEnergyCalcNations • 3 copies of Tree Preservafion Ran it lot platted aRer 7/1/93 • Rim Joist Detail Oplions selection sheet (bldgs wifh 3 or less unils) DATE SITE ADDRESS1/!',? TYPE OF WORK 7- APPLICANT STREET ADDRESS j1 9j4 LIr2 Q 1 r.l 4-u TELEPHONE # LL PHONE # 'S?l STATE?'ZIPs??3 F,ax #9?'.?[ PROPERTYOWNERkl+I h l/ AYr}/I.C3t/ TELEPHONE#?Q`GcP'cS?'- COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RiJLES 7670 CATEGORY 1 MINNFSOTA RUI.ES 7672 (4 submission lype) . Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope CalculaUOtts Submitted Plumbing Contractor. ____ Plumbing system includes: Mechanical CoMractor. Nlechanical system includes: Sewer/Water Conhactor. _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee: / 1 nn(1 ?, ? Q . ?-' Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Oryinapcek Slgnature of ApplicanT OFFICE USE ONLY _ Water Softener _ _ Water Heater _ _ No. of Baths _ Phone # Lawn Sprinkler 010. of R.I. Baths --, RemodellReoair Reauirements . 2 copias of plan . 1 set of Energy CalcNahons forheated additions • 1 site survey for exterior additions & decks . Indicate it home served hy septic system for additions VALUATION /?''? t?MULTI-FAMILY BLDG _Y?PY FIREPLACE(5) _ 0(0_ 2 Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 R OFFIGE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plax ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool 0 21 Porch (3-sea.) ? 22 Porch/Atldn.(4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt- Multi ? 33 EM. Alt - SF 0 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump N6r. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Frarfung Siding Stucco Stone _ Fireplace _ R.I. _ Air Test ? _ Final _ Windows (new/replacement) _ Insulation _ Refaining 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 w 198 ING PS ERLfLT APPLIC O- GITY OF E9GAN NOTS: ALL CANTRACIORS MOS'f BE LICSNSSD fiITH THS CITY OF EAGAN SI6GLE F6MIILY DAELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MQLTIPLS ?TiEI.LING3' - RfiSIDfiNTIAL INCLUDE 2 SETS OF PLANS, CES' 1 SET OF ENERGY CALCULATIONS EENT9L DNi?S FOR S6LS ONITS OF SOR9SY - CHECg WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 1Zf,?0 ? To Be Used For: L Valuation: -? 3, w?• - - Date: ?J Site Address r OFFICE D3E ONLY Lot c-'J~ Block ? Erect ? Occupaney I IF, 3 'nJ ? Remodel Zoning 2 I "? Pareel/Sub 'Y ul,r.t,aaiuT (GVI.}C? Repair e Type of Const _SL Addition # of Stories Owner ? Move _ Length _sz_ Demolish _ Depth 43 Address Int.Impr. _ Sq Ft Install City/Zip Code _ Phone APPROVAI,S FEF.S Contractor ?? I'IN? AYiNtSC'1 bY4 Address ?o'?l I;YUvY? Y•Q, f.??? City/Zip Code n l,' dCL?l'a', Phone Meh./Engr. PU11 LGM Address City/Zip Code Phone fF Q?'yZ - s? 9ssessments Permit j(o(o.- Water/Sewer Sureharge GO -7-0 Police Plan Review 'L83.25 Fire SAC I pp . Engr Water Conn -6z.5. Planner Water Meter 525. Council Road Unit ?S. Bldg Off ' Treatment P1 12>O. APC Parks Variance Copies TOT1L. -?-?-? ,.,,1 r?/,hot NOTE: ADDSESSES FOR CORNER LOTS - CONTRACTOR/HOFIEOfiNEE MQST DBSIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOHED ONCE BOILDIAG PSRMIT IS IS3IIED. ? ? 45474- I? ? Ic? = 22¢x ?o 2?7, Z 24-X 2? " ?-12x(2 ? ga?? 26 ? a4- ? I. Z3Z ?4-4- ` ? ? Z08 126?5G r---- 566 • 5ut 50•5u+ ? 2Ll5•15+ 625•00+ 52ti•U?'? 67•OU+ 305 •UU+ 1SU•UU+ ? 2,n12•25* `S 4 CERTIFICATE ? s ( \ xa3 ?O ? e 2 ? W ? W ? ? I5 ? OF SURVEY 25 ? a I ? O ? [3LOGK ( 0 0 o a' z1 l e nl n t 00 ? 9y 0 O 4G Przr?QO?E? d ? ? ? o ? I? Io m HousE V ui v I ali., v n 2 9 9?'S 2 45 ? GAR ? . ? ? .110 I 36 z4 z9 " °j ' :' ---- O -------" 91•I - ' 93'? ----- 0 0 1 0 S N 0 o y . q ? 70,00 2(.Ob S 82°59' Q-=73Z.84 p= 1 ° S8'31 M-5 MALLA2D D2. 90.2 lilevattons shnwn are existing grades and are assumed datum. Prnposed garage floor elevation = 92.0 Arrows denote praposed direction of sircEace water runuff. I hereby certify that this is 'a correct representation of a survey af: Lo[ 25, Bl'ock 1, PfAL1,ARD PARK SECilSD AllDITI0i3, Dakota County', Minnesota, accurding to tlie recorded plat thereof. and that this survey and cer[tficete was prepared by me or under my direct supervision and [hat I am a duly registered land surveyor under the laws of the State of Minnesota. Gene L. .lacobsofS,/Minn. Keg. No. Dated this 22nd day of Aprii, 1987 OR. BY; GLJ SCALE - I"= 30' o DENOTES IRON MON BEARINGS ARE ASSUMED DATUM. PREPAREO FOR ; JACOB'SON SURVEYORS 3ohnsoa Construction P. o. Box 24389 LAKEVILLE, MN 55044 Apple Valley, MN 55124 . PHONE - 469-4328 11 s-s9 PPILt1P5 PLAN S=nV,?E ' PHILLIPS PLAN'SERVIC= ? usm svem . aviav::ley,MN 65726 EXTERIOR ENVELOPE kVERAGc "U" COMPUTATION ?1 ;. r•?? 04lNER L?-24?4C SITE ADORESS CONTRACTOR. M. Vll . JoHNSo? DATE PHONE ?. Determine working square faotage of each. 1. Total exposed wall area .... Zq 8$,`1 sq. ft. x .Il 2. Total roof/ceiling area .... 10 loZ sq. ft. x Total exposed wall area above floor = Z43Z 'a. Total wall windaw area ........................... 3 Z,Z,Z. b. Total door area ................................. ? c. Totai sliding giass door area .................... . y y d: Total fireplace wall area ........................ y g e. Total wall framing area (average 10%)...:........ f. Total net wall area above floor ................. 1? ?o R,U Z g. Total rim joist area ........................... Z L" ?J Total exposed foundation area = G 1,y h. TotaT foundation window area..................... - 1. Toal net foundation area a6ove grade ............ ,y Oetermine "U" value of each wa11 segment. a. 3 zz, 2- x „u„ ,Yz = 103,1 e. • 54 x lfu" .13 = R? 5 c. x [iuti ? ?5 = zz1 a. yg x „U" , 3LAP = I'1.Z& e._ !9(v•38 X "U" 1096 = 19?,R5 f. 1`?lo'1,NL x "u,. ? oy3 =tis'q? 9•_ Z..la? X ??U" Oqi = IO?aZ? x nUil . ?• _ Z? x -ir ? ( 3 .. .............. ..... ?.,?8!?. ....Total If item #3 is the same as, or less than item 01, you have met the intent . of SBC 6006(c)2. , `;/'i1:?•, ';n; oaL?e;, .??!'1K?':k9?l??iS.ANi??}.PJ'i1,id.r_, ,.., " "?:??_?4"_; ":b;>;a7. ''e?'ri?".: .. _ t, "- ..?.?;i] ; <.,=? .SSf?!,?', . lf???u_',4-?5..??-p'!•'.?.:1...'?:e.?3'?!. ?'-elyJ o'...?, _Y" .>.•FL"??g<`?:.',. __ ..!,? .r?,. ?'e , -, = 'I ' 7ota1 exposed roof/ceiling area O L nZ Total gross roof/ceiling area "'- Total skylight area ... ••••••••••••. r k. Total roof/ceiling framing area .. 1. 7ota1 net insuTated roof/ceiling area....... ??& Deterinine "U" value for each roof/ceiling segment. . _? . .. • X ltuil - _. • . j. ---- k. l Oli•Z Xoluit ? dZ = "2i? ?. Ct55.8 X ??U" ,ozZ = zl?oZ ?.p?oZ, ..........rotal 4 ............... If total of #4 is the same as, or less than R, you have met the intent af SBC G006(01• To utilized the total envelope system method, the values established 6y the sum of items #3 and N4 shall not be greater than the sum of iteis 01 and 42. l. + 2._ - - 3. + 4.? _ MATEfiIALS Exterior Air Siding Matarial Sheathing Insula.t ion Sheetrock Interior Air Studs Rim Conc. Blks. Tyer:n. 3esistanc2 "f?-" ,?f? ?'+5 2,OL ? 1.?8 I 2 •, - y.. ; ?y?e+'? `?. ;9p ?.:hY` :??" ?.?r7 '.. ?- - ` `3 ? ... , : '.? " : ?`` ??i?' , +:? - ?` • " ... ; ? . .• ...?- 1??:'.*`}:i0.?;d??.:_Y4 •v ? `. { .?.,. , 1'' ?:.?3V;..-.?:....G.• .. •.M,:•, 't1 ?E ;:y 'f i: a ? 'N ? td e' "" :• .:: ` ?. : _ ? "a:. ':,? ? F?3?_ +Rxilx ?"5: :'- :s??'*' - t'd?x1?4_i?:?J?r ??Ti'. J.. ?J .V:_ i `?+xn rrty???4?'??'1? l,3 'i`? a? ? ' x > '?: , . ;?,. " '??' , ? . T?., . ,. . . , j . : a? w r • ., ?" :ry c " ^? ' . -t -,,?;x a ,N,?! Y„p: ?„??'=?':' .,<s. ,.., '?' . i.., . ......i,..... . ...?:,. ?av ^ ?. .. . .... . ? .. .. . .. . ??-x ,• - . . t . • . k ei Tv OF EAt;arE CA`,-;F+.1:E'i2; ,:IS TERMTAlAI_ N03 il.;i K'YEs 09!2:1.l93 TTr1l'2 0r42:45 IU^ NfiPt'; ? B:7(:uiICSTri'61ND GUM='f;NIc':i TNf;. 021il .'3(:fU:. iks ;;; i'At..LAh?s artd 191.25 205 ?Cipj. 055 t1,'li_.l.A'':D UC'i 5„00 Tot:a;l. F:eceipt P.rsurr.t: 186.25 C4! 17E'6.l , USf::Yi 0; .7AN I 1999 BUILDING 7? 9 U-2l.- New Constructlon ReaulremeMs PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Remodel/Reoalr ReaulremeMs D 3 regislered s8e surveys showing sq. ff. of lot, sq. H. of house and g§ roofed areas f2095 max(mum lot coveraae allowed) D 2 eopies of plans (show beam 3 window sizes; poured fnd. design; efe.) ? 1 sH of energy calculallons ? 1 coples of Tyep qresenatipqpipp N lot plaMed alfer 7/11/93 DATE: DESCRIPTION OF WORK: STREEf ADDRESS: j?- r? 2 copiea of plan 1 sef of energy calculalions fw heated addMlons 1 slFe:urvey for exterlor addNlons 6 decks CONSTRUCTION COST: 4? /?q LOT: ? BIOCK: SUBD.JP.I.D.#: ' y?-?,?D-k aJ PROPERTY OWNER Street City Phone #: / `+'" ?? v / 7 "J State: . . JIL /? Zip: ?/ ;) , Company: Phone #: (area eode /-/ CONTRACTOR Street AddressI I L_O ?I? ??-/ I 1o??11?'? `J ? License # Cify ` State: Y Y' \ f? Zip: ARCHITECT/ ENGINEER Telephone #: area code ( Name: Stree'1 Address: Registration #: City State: Stwer R water Iicensed plumber (reaulred for new consfrucfion onlvl: Zip: Penalry appiies when address change and l01 ehange is requested once permif Is Issued. , I herehy acknowledge that I have read thia appiicaTion, sfate that the Info n is correct, ar?d e ta2o ? ly wMh all applicabl Sfate of Minnesota Statutes and CHy of Eagan Ordinances. Slgnature of Applieord: OFFICE USE ONLY ,. ^ Certificates of Survey Received _ Yes Tree Preservation Plan Received Yes - NO SEP 1999 ? _ No _ Not Required BY; ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 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 ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair u s4 Kepair ? 38 Demoiish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowahle) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee I s I • 2- :S- Surcharge Fla? rcevizro License MC/ES SAC . City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/VN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies TotaL ?Is (? - aS Valuation: SAC Units % SAC C I T Y O F E G A f? *"?T? ` pA'T'F?"'r oF ???°F ? ?. APPLIcATIoN DoFS rxrr CDNSMTUM * * APPROVAL OF PERMIIT. * APPLICATION FOR PERMIT * * . y INSPF]CTION OF SE.TM ANID/Ct FTA'tER * *t ItasrAr.r.AmrON,S WII.L NOT BE SCFm-- * SEWER AND/OR WATER CONNECTION ?UI UNTn+ PERAIIT FI+,S BEEN ? ? APPROVFn. • . . . rt - * r w -.. +:?**t:**:*??*+,ex:f+r*:**#*,rx*?****** 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: LOT M. W, SOHIVSON CONSTRUCTION P. 0, BOX 24389 ? Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRL'CILRE, DATE OF ORIGINAL B[,'ZI,pING pE„'RMIT ISSL'ANCE: ' PRFSENP ZONING/pROPOSID L'SE: (Mon Year) ? CO"1''ERCIAL/RE,TAIL/OFFI(E Q INIDC'STRIAI, ? INSTI'IL'TIONAL/GpVII2M?ZM 2) IVAh7E: ADDRESS: CITY, STATE, ZIP: PHONE: App1e Va11ey9 MN 55124 432-6838 3) u i: ?• NAh4E: ADDRESS: CITY, STATE, ZIP: PHONE: Genz-Ryan Pltmibing and Heating Co, 14745 South Robert Trail ease Prin R-1 SIIVGLE FAMILY Z"_. R-2 DLPLEX (Tt„v IInits) R-3 TOWDII30DSE (Three + Units ) { L?nits ) ? R-4 APARTT?=/CpNIDOMIN2C'M ( Units) Rosemaunt9 MN 423-1144 55068 MAS'IE2 LICENSE# 1849M 4) oaa •,D ? A7nME: ADDRFSS: CITY, STATE, ZIP: PHONE: 5) c+, 5 a• .m -r -e?- yvar fgX CONNECTION 2O CITY SEWII2 FZ.? Cpbm7ECTI0N TO CITY WATIIt 6) PLEASE HOLD APPROVID PERMIT FOR PICK-C?P BY ONE OF AHOVE - --- ? PI,FASE MAIL APP PHRMIT TO l, 2, ? 4, ABpVE ? (Circle) 7) r r. U• _ Cm/ e a Active }-{ ExPired G_Z Not recorded Sta?`f Initial ? ?? FOR CITY USE ONLY PERMIT # ISSUED of::? 7? Z . Pd w/Bldg. Permit FEES: . $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ /G' j 0 WATERtPEgNI2T (INCLDDE SL'RCHARGE) $ C? c,} $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOL'NT DEPOSIT - SEWER $ $ ACCODNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRCNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT S $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BEN°FIT/TRUNK WATER C` $ WATER TREATMENT PLANT SURCHARGE S $ OTHER: $ G' 2o TOTAL _7z f Z q RECEIPT RECEIPT DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WDRK SVITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING ? NO DIVISION. LIST AS A CONDITION. SOBJECT TO THE FOLLOWING CpNDITIONS: APPROVED BY: TITLE: DATE: :1<.**. 00 '? vk* "Y•>'r.* P"c*:A AYFr my<? t::!.74' tY L.AfFAM l;ISirrit;c JS ' ?GF'M'CtdFll. N(?u `.'.;i ^Al'Es 07/10/97 T'.i.i'(Ec 0e28e43 T.D ;; NFd4f:^ id .IF1C!:)I3gnN 3i:':t0 `?CIC'i :!OIS MAI..LAItiD Dk 205 S:lp[li. !.6.`':5 Mal..l._A1;ti I?R 3430 aOpi icbSS MAl.i_Aft:U riR 3430 9001 1655 MAl._LA14Li DFi 7frta'I. Piece:i.r.ii; AIT?i:l1.;11'I:,Y o ?.,;, CI?i(?! ?:iJr}I..: +.it,c:R :r.D: :inN `,i0.pp t),.':i0 ,-,., an p. 2:, 55.75 PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan. Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: auzLozrvs Permit Number: 0 3 0 3 9 6 Date Issued 0 7! 10 / 9 7 SITE ADDRESS: 1655 MRLL,ARD DR LOT: 25 BLOCK: 1 MALLARD PARK ZNq p.I.N.: 10-47251-250-01 DESCRIPTION: ermit Type p,rk Type . ° ?v 8A5EMENT FINISH ALTERATION 434 ALT. RE3IDENTIAL ?? ' .F §q ?s ? '? e ? e i ?9? tl ?? ? REMARKS: 5EPARATE PERMITS REQUIi2ED FOR ANY ELECTRSCAL OR PLUMBING WORK FEE SUMMARY: Base Fee Surcharge Lic. Search Fee Subtota] $50.00 $.50 $5.09 $55.50 COPY (1) $•25 Total Fee $55.75 CONTRACTOR: -- Applicant - ST. LTC OWNER: JACOBSON CtlNSTRUCTION 15789673 2001250 BAZLEY MIKE 6120 VAI.LEY CREEK RO 1655 MALLARD DR WOqDBURY MN 55125 EAGAN MN (612) 678-9873 (612)688-8145 .I hsre:tsy?ac?i???r?a?B•? StaCutes.a-ri,d' C't?y..o°f ?r?ixitan?tz?°; ? .. // : .. . .... :. ' _ i.. . .' . .e...z : ? . _ APPLICA /PERMITEE SIGNATURE t-atsa? ?nn::.?: f + y g ? T tr _. ?.. S? a.m__ .........._? F' ..?V. .... _ ? .. ..,.._. ? r. . a. ? ISSUE K SIGNATURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ! b 3830 PILOT KNOB RD - 55122 681-4675 Nsw Canstruction ReauiremeMs I -11'••'J;-'. -.O-Ik' S S. 7j` ? 8 registered site surveys 4 y eppies pf Plan • 2 mPies of Plans (inGude beam & window saes; poured fid. design: eta) ? 2 sRa surveys (exterior adtlitions 6 dedcs) • t energy calculationa ? t ene rgy calculetions fir heated addltlons ? 3 eopies M tree preservation plan H lot plattatl after 711/93 required: _ Yes No ? - ? DATE: 7 a9 ? ? CONSTRUCTION COST: DESCRIPTION OF WORK: t I N IS ft STREETADDRESS: IoSS M?LL7?? 'j)}2t\J(Z- e ? -7 ? ?p ?4 LOT `? 5- BLOCK ? SUBD./P.I.D. #: ?ta-?'`?J`??`?' 1? PROPERTY Name: ??fMIK? V-FF??`'?• Phone#: ?Ogg-??? owNeR Street Address: ? (05 S A/At ?? ? Z • City: '"LC7A6-+P State: Zip: S i 2Z 0 CONTRACTOR Company: ?om:pN U NS i? h? : ?d -Q973 Street Address: b jZd v-AU4-f Cfc-?-D License #: ?1'2503 City: t,A.1odbl3Um State: Mi/vA-/ zip: ? ?ZS ARCHITECT! Company: 04 Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer 8 water licer.aed plumber (new canstruction onty): . Penalty appiies when address Change and lot change arc ?equested once pertnit is issued. i hereby acknowledge that I have read this application and state that the informaUon is correct a agree to comply with all applicable S2ate of Minnesota Statutes and City of Eagan Ordinancgs. Signature of Applicant: OFFICE USE ONLY RECEIVED Gertificates of Survey Received _ Yes _ No J U L 8 997 Tree Preservation Plan Received _ Yes _ No _ Not Required B? OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging --z?16 Basement Finish ? 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex n 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex o 14 Fireplace o 21 Miscellaneous ? 05 SF Misc. ? 10 = plex o 15 Deck WORK TYPE 0 31 New Alterations o 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowabie) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered 2oning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. 5AC Code Census Bldg ? Census Unit (5 APPROVAL5 4 Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies . 2 S Total: % SAC SAC Units +2sa t,? -*-, 2006 RESIDENTIAL BUILDING rExNUT arri.icaTTOrr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauirements 3 registered site surveys showing sq. ft. af l04 sq. fl of house; and all roofed areas (20% maximum lot coverage albwed) 2 copies of plan shaxing beam & window sizes; pouied found design, etc. 1 sef of Eneqy Calculadons 3 wpies of Tree Presenatbn Plan rf lot plaHed after 711/93 Rim Joist Depil Op6ons selection sheet (buiidings with 3 or less units) Minnegasco mechanirelventilationfortn 14S - ('A 000 CQ Date 5 / --36_ l (J & . / Site Address Construction Cost ID /5 Unit/Ste # E Description of Work I t 2??6 Multi-Family Bldg _ Y ? N Fireplace(s) _ 0 _ 1 _ 2, Property Owner Telephone # (6_5j Contractor Yl i r\ ? . Address /lJ;xz, Sta[e 'in ( 4 /1 G. (itJcc?(y7 ,A City Zip L=Q Telep6one # (6S t ) ?-f?a - 9aS6 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 "?'n Energy Code Category (4 submission type) . Residential Ventilation Category t Worksheet • N Submitted S • Energy Envelope Calculations Submitted In the lasf 12 monihs, has the City of Eagan issued a permit for a similar plan based on a mast _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor '` ?zAy 3 ?ZOO?CID; Telephone # ( ) Telephone #( 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 applicarion for a permit, and work is not to start without a permit; that the work will be in accordance with the appkove!jplarj '(Li the case of work which requires a review and approval of plans. 4-7p, Q5 RemodeVReoair Reaulrements Offiee?Use On ` . . . , Iv.---., ?2copiesofplanshowingfootinqs,beams,jois5 Cer,Cii?;Suiv"e`„yRe 1 set of Energy Ca?ulations for heated addilions TreeP2`s??an ?sitesurveyforaddifbns8decks ireePies'N?iredY=_N Add'dion-imdicateNOn-sitesepticsystem Onsile, SSpUcb?¢tem;?;'.,?;;=z.Y„_N UfJ 4 PLhjro/usl. ?U Applicant's Printed Name DO NOT WRITE BELOW THIS LINE , Sub Tvoes ? 01 Foundation ? 07 OS-plex O 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-piex X 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvaes ' . ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding X- 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 AlteraGOn ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant D@SCI'iptiOn: Water Damage _ Yes Valuation ?-,-'__?A ~ Occupancy MCESSystem Plan ReviewlL' 100% or _ 25% CensusCode ?3y Zoning R-r Citywater SAC Units '- Stories - Baoster Pump - # of Units '- Sq. Ft. PRV # of Bldgs Length & Fire Sprinklered Type of Const Width //Y REQUIRED INSPECTIONS Footings (new bldg) Sheeuock ? Footings (deck) FinaUC.O. _ Footings (addition) ? FinaUNo C.O. _ Foundation HVpC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing Siding _ Stucco Lath Stone Lath Brick _ Fireplace _ R.I. _ A'u Test Final Insulation - _ ?_ Retaining Wall - Approved By: , Building Inspector Base Fee v ? Surcharge Plan Review MC/ES SAC City SAC Utiiity Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?,Cc ft ?,?iU s ? 2 d W } r ? JI ? Q O WI 00 ? Z 4 ? rJ ? ? - 0 sf 0 ? % PC? ?a CERTIFICATE S s . 6? ?e \ ? \ \h 'l I_ O ? ZS 6LocK ? ? ry ? \ ? 99 4L ? 2, PszovosEO ? M r "' NousE 5 OF SURVEY 101 w ? ? O Q Q e{' ° ? ??NS, Auo I? 29 9 8 i o.s GAR. ? p0 I 38 Z4 r --- O --------• 9 l? I -- -----q `3 3"? W '?. 0 O 5? m ? 5 --- --- N o ? 70.0O ? 21.00 5 82°59' 28?? E -73z 84 1° 38` 31 8S•9 ML}LLA.C O D2. 90.2 E'leva[ions shown are existing grades and are assumed datum. Proposed garaKe fLoor elevation = 92.0 Arrows denote proposed direction of surface-water runoff. I heraby certiFy that this is a correct representution of a survev of: Lot 25, Block 1, !NALI2I11) PAKK SECO[1D ADDI'CTON, Dakota Countv', Minnesota, accocding [o the recorded plat lhereof. and that rhis siirvey and certiFicate was prtpTred hy me kir-und.r,r my direc[ vupervisi.un and that : am a dul}' regi;,tee^:t land surveyor under thc taws of the State oF Minnesuta_ ???? Cene L. Jacobso Minn. Reg. No, 773? Da[ed thi, 22nd day of Apri1, 1987 IDR. BY: GW SCALE - 1"= 30' o DENOTES IROti MON BEARINGS ARE ASSUMED DATUM. PREPARED FOR ; JACOBSON SURVEYORS ? Jobnson Construction P. o. Box 24389 LAKEVILLE, MN 55044 Apple Va11ey, MN 55124 • PHONE - 469-4328 I I S-Czq _(p 2007 RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 ??SU Piease complete for modifications to existing residential dwellings. Do not combine inside and outside olumbina on the same aoolication: senarate adolications and oermits are required. Date I v2 dQ 7 ? , Site Street Address 4?i llQ/° r/'? e- Unit # Property Owner ei £. Telephone #(?? 6? l Contractor Lt, 6?? - K46: Telephone # (fA ?I33.S-636 Address -X.406- ?/< /C9a City State jf Zip S? The Applicant is: _ Owner & Occupant ?Licensed Plumbing Contractor Refurbished Submit 2 sets of ptans and MPC license Septic System New Inctudes County fee _ _ $ 100.00 ? Peras-built $ 10.00 Fire Repair (replace burned out flxtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Afterations to existing dwelling $ 50.00 _ Add plumbing fiutures to main level lower level. This fee includes installation of a water softener andlor water heater at the same time. If you are installing onlv a water softener anaVor water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $136.00 if a 5I8" meter is required) Other: Water Soitener Water Heater $ 15.00 _ new _ replacement ? Lawn Irrigation _RPZ CPVB _new _repair _rebuild $ 30.00 SWte Surcharge $ .50 T t l $ ? L ? o a 1 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete antl accurate; tnat tne wonc wni oe in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, 6ut only an application for a ermit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is r ired to re wed and approved. rF All, App icanPs Printed Name ApplicanYs Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA109194 Date Issued:02/19/2013 Permit Category:ePermit Site Address: 1655 Mallard Dr Lot:25 Block: 1 Addition: Mallard Park 2nd PID:10-47251-01-250 Use: Description: Sub Type:Residential Work Type:New Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Dayna Gardner 505 RANDOLPH AVE Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - JOHN A WHYTE 1655 Mallard Dr Eagan MN 55122 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - i I For Office Use I n.~ s = City O1 EaEd Permit I Per mit Fee: 3830 Pilot Knob Road I Eagan MN 55122 I I Phone: (651) 675-5675 I Date Received: 3 I Fax: (651) 675-5694 I I Staff: I 1-----------------I 2013 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Address: FOR OFFICE USE ONLY i - Property Owner: PRV required (Z- ZZZ_SS~ - y R-O-W Permit Phone: Z r City tact Name: / O/~J~_Vj~ i f' r- County R-O-W Permit Plumber: 0.#A.]r--.5 ~°t~►~tP QA) 261&0U111) - Plumbing Permit SEWER WATER Sewer Service Water Service Sewer lateral charge Water lateral charge Sewer trunk Water trunk City SAC @ $1001unit Water supply storage i MCES SAC @ $2,435/unit Receipt , Date: Receipt , Date: Treatment Plant @ $801/unit Permit Fee $60.00 Permit Fee $60.00 State Surcharge $5.00 State Surcharge $5.00 TOTAL: 'Plumbing Permit Required - water meter to be acquired with building permit TOTAL: - . ro..~~ . wT...._ SEWER & WATER Sewer Service -Water Service Sewer lateral charge Water lateral charge Sewer trunk Water trunk City SAC MCES SAC Receipt # Date Water supply & storage Receipt # Date Treatment plant Permit Fee $120.00 State Surcharge $5.00 'Plumbing Permit Required - water meter to be acquired with building permit TOTAL: Number of SAC units is determined by the Metropolitan Council Environmental Services (651) 602-1000. 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.goi)herstateonecall.org Cc: City of Eagan Finance Department PERMIT City of Eagan Permit Type:Building Permit Number:EA115320 Date Issued:09/25/2013 Permit Category:ePermit Site Address: 1655 Mallard Dr Lot:25 Block: 1 Addition: Mallard Park 2nd PID:10-47251-01-250 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Audrey Flattum Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John A Whyte 1655 Mallard Dr Eagan MN 55122 (612) 834-4272 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA129321 Date Issued:01/30/2015 Permit Category:ePermit Site Address: 1655 Mallard Dr Lot:25 Block: 1 Addition: Mallard Park 2nd PID:10-47251-01-250 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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 by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John A Whyte 1655 Mallard Dr Eagan MN 55122 (612) 669-5968 Signature Select Contracting 332 Minnesota Street - W3171 St Paul MN 55101 (651) 248-4994 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132458 Date Issued:08/17/2015 Permit Category:ePermit Site Address: 1655 Mallard Dr Lot:25 Block: 1 Addition: Mallard Park 2nd PID:10-47251-01-250 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John A Whyte 1655 Mallard Dr Eagan MN 55122 (612) 834-4272 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature 4° City of Eapri 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUL 1 61016 r Use BLUE or BLACK Ink ,, p For Office Use ( Permit#: / 791).+71° /LI25 3 Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: v kv�. U t 4 /51-6,,, Address / City / Zip: l6 575 tviti (4_ Applicant is: Owner Contractor Description of work: _jy, e Construction Cost: 3000 ))rt-4-rv' Phone: ,.s751 Z 7 -- eI Multi -Family Building: (Yes e --- / No ) Company:f/c f' Q f or w'4Ce�.to Contact: /L P rsc'./t i� ( L 2J City: 1 "l/ h 1,ey /`S Address: -3: 8' (Q l'*kLtr Ati State Zip: ._/.-;3o 7 Phone: 6/2-I2 74) 9/5) Email: 044k112Jc L/ /1-iCa.l, ' C 7 License #: 1��_ �' K-3 Lead Certificate #: If the project is exempt from lead certification, please explain why: 1r 1q COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: 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 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota days of permit ipsuance. 7 % x �=G fkr 6I�I4 Applicant's Printed Name x B, iIode muss be completed within 180 Applicant`s Signature Page 1 of 3 /.:d f/i)j1gJ�JDO NOT WRITE BELOW THIS LINE / 37()_: SUB TYPES Foundation ja Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ") Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level ?O Interior Improvement Move Building Fire Repair _ Repair 20o.c-z-D REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water Framing 30 Minutes _ Fireplace: Rough In _ p Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Final 1 Hour Air Test lm ► 14 Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant VY7n2CIC MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final _ Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL S'XZ3`�ilSsy�./ 59 71" Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA137954 Date Issued:08/01/2016 Permit Category:ePermit Site Address: 1655 Mallard Dr Lot:25 Block: 1 Addition: Mallard Park 2nd PID:10-47251-01-250 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures - stand pipe and laundry tub Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John A Whyte 1655 Mallard Dr Eagan MN 55122 (612) 599-2968 Norblom Plumbing 1465 Selby Ave St Paul MN 55104 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165636 Date Issued:11/12/2020 Permit Category:ePermit Site Address: 1655 Mallard Dr Lot:25 Block: 1 Addition: Mallard Park 2nd PID:10-47251-01-250 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 - John Allan Whyte 1655 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 Permit Type:Building Permit Number:EA176492 Date Issued:05/18/2022 Permit Category:ePermit Site Address: 1655 Mallard Dr Lot:25 Block: 1 Addition: Mallard Park 2nd PID:10-47251-01-250 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 - John Allan Whyte 1655 Mallard Dr Eagan MN 55122 (612) 599-2968 Twin Cities Siding Professionals 664 Transfer Road St. Paul MN 55114 (651) 255-2844 Applicant/Permitee: Signature Issued By: Signature