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1659 Mallard DrRESIDENT / OWNER Name: t'j '0..../4L )161..lrl,,Q Phone: & ""a 1390,' Address / City / Zip: /459 N t. la /' , CONTRACTOR Name: an Pi /1 License #: 6 7JP/) Address: // (AA/ YO1,/ 1 `J City: ` � � Q -- State: mN Zip: 55-40 L / Phone: ( CG"C9 - I Contact: Email: TYPE OF WORK _ New y Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ _ Descri • tion of work: PERMIT TYPE SIDENTIAL Water Softener Water Heater Add Plumbing Fixtures ( Main / Lower Level) Lawn Irrigation ( RPZ / PVB) _ Water Turnaround Septic System New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ City of Eau Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 RECEIVED Permit #: Permit Fee: Staff: DEC 292010 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Z� Z �L Site Address: / Loci a ✓ Use BLUE or BLACK Ink Suite #: g 7g Date Received: 2 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 I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordarpee�,with the app oved plan in the case of work which requires a review and approval o •!ans. ? CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNE50TA 55122 DATE 19 REGEI V ED FRpM AMOUNT & COLLARS ?oo ? CASH ? CHECK FOR BY ? White-Payers Copy Yellow-Posting Copy Pink-File Cvpy Thank You BLDG. PERMIT N0. ? ._ , ,.__--- _, 01-3210 BldgPQrmit 01-3422 Plan Check 01-3445 Surch./hdm. 01-3446 SAC/Adm. ,01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC ;; ! J ?, 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 ? CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 + 1 ' DATE , ? 19 RECEI V ED FROM AMQL}1VT $ I & DOLLARS ?oo ? CASH [] G1-FECI{ FOR P'UNO COOE AMOUMT Thank You BY White-Payers Copy Yellow-Posting CoPY Pink-File Copy u•??' y CITY OF EAGAN ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?? - PHONE: 454-8100 BUILDING PERMiT Receipt # SF DWG/GAR $106, Ofl0 12833 19 86 Site Address 16$9 MAI'I'Eii2D t)K Erect 8 Occupancy R3 Lot 24 Block t Sec/Sub. A»LAf:D PK 2NU Remodel ? Zonina R1 Parcel No Repair ? Type of Const. Y . Addition ? No. Stories ¢ '•'? • JOKNSON CUNS'' Move O Length 52 Z Name n BOx 24389 ' 1 Demolish ? Depth 28 ; , . 1 Address I t I ? Ft S 0 A V 432-6838 n mpr. q. Ciry ' ° Phone Install ? = o Name SAME o¢ Address , ~ City Phone FW Name I'ItILLIPS PLAN SERVICE _ z Z5 Address i W City Phone 4a2-2?}44 I hereby acknowledge that I have read this application and state that the information is correct end agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee -" - A Building Permit is issued to: r1. bv . JOHNSON CONST all work shall be done in accordance with all applicable State oi Minnesc Building Official Assessment Water & Sew. Police Fire Eng. Planner Bldg. Var. Date Permit ? ?V _" • "" Surcharge 53.00 Plan Review?o ? SAC Water Conn. 500.00 Water Meter 00 Road Unit ' Tr. PI. 156. 00 Parks Copie Total '? ' ' S on the express condidon that City of Eagan Ordinances. Pormlt Na PormN Moldm Dab TNephoM A Plumbinp I HNA.C. 7 Electric S ?eS ? ?)ct? ?• ,? ' % I d `?? -.-C>Cl SoilerlN' Inspeetlon Da" Imp. Commenh FooUngs l FooBnQs 11 Foundatlon Freminy ?,747 zei Rooflny Rouyh Plby. 'Za' 11-142 - ? aou9n Fn9. j-3 ?IP in.,,i. Finplace Final H1y. s a.. ? j?• Finsl Plby. BIdy.Final c?. o?. .- "r Dock Fty. ? Deck Frntq. Wdl ? Pr. Dbp. m Name ? Addre c City _ - Name 3 Addre p CitY - PERMIT # PLUMBING PERMR RECEIPT # qTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: --- ICE PHONE: 454-8100 ",-/ ?%,°Z L ,, " i.. -' BLDG. TYPE WORK DESCRIP ION Block ? Sec/Sub ? Res. New ^? ?_?Z? /C ? 7, ? Mult Add-on Comm. Repair FEES COMM/IND FEE - 146 OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT _ - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Other yQ. FIXTURES TOa/? Water Closet - $3.00 ?Bath Tubs - $3.00 ?Lavatory - $3.00 Shower - $3.00 ? UU Kitchen Sink - $3.00 - $3.00 ,,Urinal/Bidet Laundry Tray - $3.00 • UU Floor Drains - $1.50 • Water Heater - $1.50 ?•-? / Whirlpool - $3.00 Z Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 ' `= ' FEE FOR: CITY OF EAGAN STATE S/C: ' 5v GRAND TOTAL• 50' 610 , . . , PERMIT # ' MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: PHONE: 454-8100 PRICE: ? Name _ m Address c City - ? Name c Address p City Phone TYPE OF WORK Forced Air M BTU Boiler M B7U Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlats # Other FEE: S/C: TOTAL• BLDG TYPE WORK DESCRIPTION . ab R N es. ew M l Add -on u t C R i omm. epa r Oth er FEES RES. HVRC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR CONO. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1°Ya OF CONTRACT FEE MINIMUM - RESIDENTIAL. FEE - 10.00 MtN1MUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) I SIGNATURE OF PERMITTEE . FOR: CITY OF EAGAIV . . • (gerti#trttft of Orruvttury ? Citp of (Eagatt MppNrbUtPttt of Wlttjdtt% 3WPlfitt This CertiJcate issued pursuant to the requiremenu of Section 306 of the Uniform Burlding Code certifying thar ai the trme of issuance this strucuere was in compliance with the various ordinnnces of the City r•egulating building construerion or use. Far 1he foldowing: Use Classi6ation r'WG/GAR Hldg. Permit No. ? OccupancY YYPe ? Zar+ir'b D'ratrict 7'yp, ['mst / C: 4 `*m''?' ? f Address L•t_ ?5 c;`.'. .1Jo Ow?rofBu?ldinB' Buildiog Addrrss ?::GC Pi?;'?` ?•? ?,-. ?uh,? u i, 1'i?!:f,!-.L1;'!?L `L _ :.i.•..?j ?C', j O?, i ikts: - - Builcting O(6cial POST IN A CONSPICUOUS PLACE CITY OF EAGAN Remarks Addition Ma?l?-Ixd D??? SeEend Add}tien -Lot 24 eik 1 Parcel #10 47251 240 07 Owner Street 1659 Mallard Drive 5tate Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. 376 34.60 A015797 7-L5-85 GRADING SAN SEW TRUNK a $.8 A015797 -1 -$ • SEWER LATERAL WATERMAIN * WATERLATERAL 1981 WATER AREA 6g STORM SEW TRK / C 19$1 445.37 $9 * STORM SEW LAT 1951 CURB & GUTTER SIDEWALK STREET L1GHT WATER CONN. BUILDING PER. SAC PARK m crnr oF EaGAN . WATER SERVICE PERMIT 3830 Pllot Knob Road P.Q. Box 21199 PERMIT NO.: 9289 Eagan, MN 55121 DATE: 12-22-E6 Zoning; p1 No. ot Units: 1 Owner: W. .7o nGOil {'onst Address: SiteAddess: 1659 Ma7 1 ai- 1 nrixTp T,24 pl pL TT Plumber. rPn --' Meter No.: -2ze-" Reader Na.:6-RALze I agree to comply wlth ' D te o 6ij. on Charge: 5oo _ t?nnri ov ?ICG? DepOsit: 7 5_ n0n•1 n _ nnn(i ELI???rr'hc Efc. ? Sppd meter ?°?s ?- - Date Paid: 111" CtTY OF EAGAN 3830 Pilot Knob Road SEWER SERVICE PERMIT P.O. Box 21199 PERMIT NO.: 9' 4??? -? Eagan, MN 55111 _-_ r_ -• , ? Zoning: DATE; 4wner. ast No. of Unfts: ?'• t?• .Io soa Gp ' Address: Site Address: `? ar . r ve x•-Y-vv nc??.Jl ` agree tc comply wNh the Gity o{ Eagan Drdinances. BY + Qate ot Insp.: j Insp.: Connection Charge: 4 7 5. aQpd Account Deposit: - 15. Ot)p,4 Permit Fee: 10. OOtsc' Surcharge: Misa Charges: Total: Date Paid: s CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: T'1 No. of Units: I r: .TOhnrCt ] C'cZiin Owner. Address: Site Addess: t ti`"% '°'ra1lf?rd TTr1 rP 74 Rl Mal lard Pk TI Ptumber: ^pr_z-Ryan ?Meter No : i Connection Charge: ??? _ Oi rr1 Size: ? Account Deposit: Reader No.: Permit Fee: " I a ree !o com g ply wlth fhe City of Eagan - S? Surcharge: ps?- ? Ordinances. Misc. Charges: e ^ p Total: - . . 50pd .,eter E By Date Paid: ', Date of Insp.: Insp.: CITY OF EAGAN N-p 12833 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, M N 65121 -- PHONE:454-8100 / d 7 ? BUILDING PERM IT Receipt# G7 Tobeusedlar SF DWG/GAR Est.value $106,000 pyie NOVEMSER 3 19 $6 SiteAddress 1659 MALLARD DR Erect :n Occupancy R3 Lot 24 Block 1 Sec/Sub.MAI,LARD P$ 2ND Remadel 13 Zoning R1 Parcel No Repair LJ Type of Const. 17 . Addition ? No. Stories M.W. JOHNSON CONST Move ? Length tZ W = Name P O BOX 24389 oemolish ? oepth- zg o . . Address A.V. ci Int Impr. ? 432-6838 I Ph t n ? Sq. FL ry ns a one a Aaarovals Fees _? Name SAMF ? a Address ? Cily Phone U? W W F csi? aw a Assessment Water & Sew. Police Name PHILLIPS PLAN SERVICE Fire Adaress Ena. Phone 432-2044 I hereby acknowledge that I have read this applwation and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and gfty of Eaqan Ordinances. SignatureofPermittee "?'??Yr A euilding Permit is issued to:M. W. JOHNSON CONST all work shall be done in accordance with all apylic,*le State of Mill-Ge Planner Council Bldg. Of Permit $ 448.00 Surcharge 53.00 Plan Review 224.00 SAC 575.00 Water Conn. 5 0 0. 0 0 WaterMeter 63.50 Road Unit 290.00 Tr. PI. 156.00 Var. Date Copie'?2 ?c? Total ""'"""5 on the express conditian that SLatutes and City of Eagan Ordinances. 8uddmg This rnpuest void L+ t?'(? la n,ontns rrom C.565..13 c_ oH 6 1, G6`OS.-3 ?v.??qr'%? Ql? ?"C? ?S?•0.'? Rnquest Date FireNO. ou0h-in Inspection uiretl? ?Reatly Nu olifv Inspec- ?No tar When Feetly ¢ensed Electrdcel Contrncior ? 1 hareby request me0eevon ol a0ove Owner electrieal work instelled ai: Stt Address, Box or floute No. ? 7-7 City / aclion o. T wnship ame or No. - enga o. ow y r ?Z Occupant (PPINT) hone No. Su I?er+? / Address i el, on rector IComqanY N mel Conuacmr's Licenee No. Waflini ddress (Contr cro or Ow t MaWnB Instella n) ? . L... Aut?orizetl Sip a lComr or Own MaWnp In letionl Phone Number MINNESOTA STATE BOAPU OF ELECTRICITY THIS INSP CTION RE?UEST L NOT 4fI9114-Midway Bitlp. - Room N-191 BE ACCEPTED BV THE STATE BOAflD 1827 UniveraityAva..61. Peul. MN 68700 UNLESS PPOPEN INSPECTION FEE IS Yhenaf81416d20B00 ENCLOSED. ,,?t? REQUEST FOR ELECiRICAL INSPECTION EB-00001-05 ? Sea inatructiona for com0lebnp thia torm on baek o/ vellow eopv. ??•? C X" Be/aw Woik Covered by This Request ? fle?Bwldina I 4oollancea Wir.C Equipmenl Wiretl I Itl p Fee Serviee Enirenee Size d Fee Foadars/SUbleedara N Fea Gircuita j' U to 200 qm 5 0 to 30 qm s 3 4 Q 0 tn 30 Am s Above 20 _qmps 31 to 100 Amps - o a 31 to 100 q 5 Swimmin Pool Above 100-Am s Above 100_Am s Trenstormers rn ation Booms •sa Purtial.'Other Fee, TOTAL w ...... //?j 6•{?? ? - ? ?'/° . spe ?hecEtortacthe?ab? y CBrIiIY «l th! 9bOV6 Finel INiap I.y. irmpeetlon hea been r Y mede. 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN ? 3830 PILOT KNOB RD - 55122 851-681-4675 a s "ueretl tlte wrveye ahoMnp sq.1t o1 lot. W. H. of naue aW 91 rooled areas C2076 maximum lot coveraaa allowedl D Z coPies of plaru (show Deam d window alzes: Poured Ind. deslyrr etc.) D 1 set of 6nerpy CulculaMOru D 3 cople5 of hee preservallon plon H lot plaHed allef 7/1 /93 DATE: zi' U U DESCRIP'TION OF WORK: STREET ADDRESS LOT: BLOCK: Name: roPnone t: X 4i PROPERiY wst flrst OWNER lf-?-7 Sfreet Cly 2 coples d plan 1 tef d energy cdaAaHOna for heatetl adcSMaa 1 airo wrvey ta axledor adtlitioro d decka State: 21p: 2 Z ,. Company: seLa R0f, " *` Phone #: 100`-•'CCELSIpR aLa ' `. (area code) CONTRACTOR 5T. LOL',"'???,aRK, MINN'SOTA554i? <???. Sheef Addtess: Ifl# nnn,?c., lJCettse # Cly ARCHITECT/ ENGINEER Company:_ Telephone #: ( Sheet Address:. citY _ State: Zip: Name: RegishaHon Jf: _ Sfate: ZIp: _ Sewer/water licensed plumber (If Installirw sewerNvaterl: Phone #: I hereby xknowledpe Ihat I have read ihis appiiccatbn, daFe tthaF 1he nd ? aA app6cable Siate of Minnesota Stahifes and Cify of Eagan Ordinances. Signalure of Applicanh OFFICE USE DNLY Certificates of Survey Received _ Yes _ No ' Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES O 01 Foundation O 07 05-plex O 02 SF Dwelling O 08 06-plex ? 03 01 of _ plex O 09 07-plex ? 04 02-plex O 10 OS-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex O 12 12-plex woRK nrPe ? 31 New O 32 Addition ? 33 Aiteration ? 34 Repair ? 13 16-plex ? 21 Porch(3-sea.) O 31 ExtAlt-Muw ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext AR - SF ? 18 Deck ? 23 PorCh (sCreened) O 36 Muw ? 19 Lower Level O 24 Stortn Damage Plbg _Yor_N O 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. 0 36 Move Bidg. O 43 Reroof ? 37 Demolish (Bldg)• ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair s, ? 42 Demolish (Foundation) ? 46 Windows/Doors ` Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units • No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUSINSPECTIONS O Stucco/Stone APPROVALS Planning Building Engineering sq. ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance ' +*****?+****??????********?****???????* CITY OF EAGAN Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: CASHIER: JS TERMINAL NO: 014 DATE: 04/12/00 TIME: 14:33:11 ID: NAME: SELA ROOFING & REMODELING INC 3210 9001 1659 MALLARD DR 139.25 2155 9001 1659 MALLARD DR 3.50 Total Receipt Amount: 142.75 CR126001 USER ID: JAN SAC Units % SAC Ci 1 Y UF LA?'aAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *h7Pf': P7tYP91"taP Oh' Fl? IiP `ilbT.; Or * APPr icATioN noFS Nar wNszzTUrE * APPROVAL OF PF.RNIIT. * INSPFX,TION OF SEFIET2 ANID/Oi M'CER INSTALLATIONS yI,Z, NCYj` $h' $(?jED- * tnm vrrra. PERMIT HAs sEErr * ? APPROVID. w ? -- -- - P ease Prin1- ? 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXISTING STRL'CiL'RE, DATE C FRFSENP 7ANING/PROPOSID L?SE: ? CO.tiIIMERCIALIRETAIL/OFFICE ? IIID[.'STRIAI, ? INSTITi"PIONAL/GOVMAENT F ORIGINAL BL?ILDING PERMIT ISSC'ANCE:. CZr (Nbn Year} /R-l SINGLE FAhffLY 0 R-2 DLPLEX (Tt-iu [Inits) ? R-3 7OWDIIIOL?SE (Three + Units) ( Dnitt) • ? R-4 APARTmENT/CODIDOMINIUM ( Units) 2) ? NAME; M. W. JOHNSON. CONSTRUCTION ADDRESS: P. oo BOX 24389 -- CITY, STATE, ZIP: Apple Valley, NIN 55124 PHONE: 432-6838 3) NA[yg; Genz-Ryan Plumbing and Heating Co, For City L'se . Pliunbers License: ADDRESS: 14745 South Robert Trail ?tive CITY, STATE, ZIP: PHONE: Rosemaunt, MN 55068 423-1144 MASTER LICEt95E# 1849M ? bcpired Not recorded St?al fj) NA[NF: AODRESS: • CITY, STATE, ZIP: PHONE: . 5) 'e ? m• • ?• : ? - o? - a?? . . tnX CONNEC_TION TO CITY SEWII2 ? CpNNBC1`ION TO CITY WATER a O'j'j_m _ 6) 1 io ? p i• 7) ? PLF.ASE HOLD APPROVID PERMIT FY)R PICK-[)P BY ONE OF ABOVE -' ------ ? PLEASE MAIL APPROVID PERMIT TO 1, 2, 3 4. ABOVE : (Circle one) ;J /?-//? FOR CITY USE 0NLY PERMIT # ISS[JED Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT ( INCLDDE SDRCHARGE ) $ ?3- 52 S WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLDDE CORPORATION STOP) $ $ SEWER TAP $ $ / ? • U? ACCOUNT DEPOSIT - SEWER $ $ UV ACCOONT DEPOSIT - WATER s cJ6b • v-a $ • wAc $ ?7S C7 ?1 $ SAC $ $ - TRUNK WATER A$SESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERA L BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: _ $ ? Z- sz-) S 1i I? C? TOTAL - LPc? s 6?2-I g - RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR F10RK WITHIN PUBLIC Q ROADWAY" MUST SE ISSOED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITIONS: APPROVED BY: TITLE: DATE: ?i 448•00+ ?j 53•OU* 224•UOfi ? 575•00+ 500•00+ / 63•50+ ? 290•00+ ? 156•00+ 21 301•5U, )c;z FE J 7986 BOILDIBG PERFIIT APPLICATION - CITY OF EAG6N HOTE: ALL CO6TR9ClOES M[TS1' BE LICSASBD IiIYH THE CITY OF EAGAN SINGLS FAMIILY DiiELLINGS INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OE ENERGY CALCULATIONS MOLTIPLS DiIEI.LIBGS - EESIDBNTIAL BENTAL iJBITS FOE SALS ONITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVSY - CHECg iiiTH BLDG. DSPT., 1 SET OF SNERGY CALCULATIONS COAAIIsRCIAC --- INCLIIDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIDNS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: ?JnexlG Qm.?x Valuation: Site Address 1(p$??/ /!1?la..-d ?rivL Lot 4'"7' Block ? Pareel/Sub /% !Cl.dttrd &A Owner Address City/Zip Code -?-7` Date: Erect ? Oceupaney ? 3 Remodel Zoning R?I _ Repair _ Type of Const Y Addition # of Stories Move Length 52 Demolish Depth 28 Int.Impr. Sq Ft Install Phone Contractor M• w. IJD{tnsm. Address V(). 6ex City/Zip Code A(? Ld Phone Areh./Engr. 1"111Z1, aS S'u'VILC Address City/Zip Code Phone # 43 a APPROVAIS FEFS Assessments Permit -- 448. Water/Sewer Surcharge 5-?. Police Plan Review: " ZZ 4• Fire SAC r" "15. Engr Water Conn SCo. Planner Water Meter co3.50 Couneil Road Unit Z o. Bldg Off D- ?- 9'bTreatment Pl I Sco, APC Parks Variance Copies TOT9L r;7 NOTE: ADDRESSSS FOR CORNER LOTS - CONTRACTOR/HOPIEOflNER MOST DESIGNATE WHICH ADDRESS IS DFSIR6D. NO CHANGES WILL HE ALLObiED OHCE BIIILDING PEAMIT IS ISSUED. 30x ???8o XS?= 4S24a 3q,5 x St3 = I???¢ 2zx 22 = 484 x 17- = SBog 3c:)x 2? = 8 4o x 4? = 3G JOS o? Z / / ?-L?.?•••?v . CERTIFICATE OF SURVEY R N80*20136"w 90.10 Elevations shown are existing grades 6 0 and are assumed datum. , o ^ti Pruposed garage Elonr elevation = 97.0 I 13 Arrows denote pruposed direction of I surface water runoff. ? ? O z? L 0 T 2 4 i I hereby certify tiiat [his is a eorrect f wl : representation of a survey o w W? B L O C K I ? Lot 24, Block 1, MALLARD PAftK SECOND AUUITION, Dakota County, 1 I Minnescrta, according to tlie Y ?I I W recorded pLat thereuf. W J I ~ N and that this survey and certificate M? ZI I p 0 was prepared by me or under my direct O?t' ? a l 1 p p supervision and that I am a duly ° " w registered land survcyur uadec the Z 2I z laws of the State of Minnesota. ? I al I G i gil 9? I b 30 N 22 ? j ? cP?t Gene L. Jacohso I n PROPOSED ? M Minn. Reg. No. 14 I HOUSE ?e 0 ? N 2 6 sk Dated [his 20th day of Oct., 1986 30 GAR ' . ? ? 9 9 ? N Revised October 29, 1986 to show a _ o ZZ _______58 h m . i 6 h ' new proposed house location 0 m 9 . ?5 n i - L-----'-'- ` O O 'y - - 1 9 90.00 ?e S 82° 59' 28"E MALLARD ORIVE a 0 'ti P 0?' Ah 4i DR. BY DM SCALE - I" =30' o DENOTES IRON MON. BEARINGS ARE ASSUMEO DATUM. PREPARED FOR: JAC08SON SURVEYORS JoiINsoN cohsraucTiorr P. p. BOX 24389 LAKEVILLE, MINN. 55044 APPLE VALLEY, "NI 55124 PHONE 469- 4328 ?]-' - J?{G /1VV41VaAJ CONTRACTOR ?b4irJSow? S-DATE ?-1H-6q PHDN'c _ • Deterznine working squar= foataga of each. 1. Total expos_d wall area ...... "Z32.G .l.oy sq. ft. x •1L ° Z? l?,Z 2. 7ota1 roar/ceiling area ..... '1ILe sq. ft, x •y =t?= ?? iotal exposed wall area above floor = 1G Lc 6 a. Total wall window area ..................:........ I?IZ.3 b. Total doo^ area ... ........................... c. iotal slidinq glass door arza .................. . d: Total ....... fireplace wall area ................. e. Total r:all framing area (averaq°iOF)...:........ f. Total net wall area above flocr ................. g. Total rim ioist area ............................ Z:D IG:3l cXu05°d TGL'n.?'+c=1Cn di"_d = I L^y . ? . . ?---' h. i _o?zl ro,.;nr;=_:?on window arez ..................... i . I^v3l ll_L TO'J n:.+3=100 dl'°d 2b6'._ i;'d?- ? •.•...••...• C>t_r-ine "U" valu_ cf °e-n xali - 3 1 y 2 1 „ ,,, „ - -: IZI 7 . X L? ?. d. X ? C ?In?97 Y A 111,11 U ,??a?? 7 ? t .?11 1 .> j r.r _ ? . , 9• c I.?•J X tlull I2Z,lcu h x „U.. -- !41 A uun ? l. ; .? `:' : io._1 3 . ............. .:.. . ......... ... ... . i w -? ' 7ota1 exposed roof/ceiling area = G 1La Total gross roof/ceiling area = c{1 lo . j. Totat skylight area ........................ "- k. 7ota1 roof/ceiling framing area ............ I,La 1. Total net insulated roof/ceiling area....... r3 2.4 .`F Determine "U" value for each roof/ceilin9 segment. j: X ,iull _. _ k. q 1, 1? x"ull , a z9 = 2. lcs 1. 82.4,q x e,u„ r?'?? 4 .................9.? L.P...........Tota1 If total of 454 is the same as, or less than 42, you have met the intent of 58C GOOo(c)i. To u-il'zed the total envelope system nethod, the values establish=d by the sum of items 013 and #4 shall not be greater tnan the sum of items #1 and n2. l. 3. + 4. MATER IA LS Ezterior Air Siding Y,aterial Sheath'ing Ins:xlat ion Sheetrock Interiox Air Studs P.im Conc. Blks. + 2. Therm. Resistance "P.', .1r) '?.Dtn iq i k r N. 5 h t "-Il-lsil 2005 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos whcn permits are required for each unit 13D ,60 Date ?? / c? / OJ SiteAddress??i9?? m?(QLD ?1? Unit# Property Owner Telephone # ( 6Q) e099- 141 -Q Contractor ?? e.?(1(z__ StreetAddress (a4m? m.F)1 A City State &)'hc\ Zip SS 04 Telephone k(?Jq) Bond #: GG_-kg kk.?'-S Expires: -?? C) The Applican[ is _ Owner - Contractor _ Other Add-o or alteration to eaisting dwelling unit $ 30.00 ? furnace _Additional _Replacement air exchanger airconditioner _New _ Replacement other State Surcharge $ .50 $ ? Total s I hereby appty for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to staR without a4oermA4,hat the work will be in accordance with the approved plan in the case of work which requires a review and approval of p s. ' % Applicant's Printed Name App icanYs Sig e 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commerciaUindustrial buildings multi-family buildings when separate pecmits are no[ required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applican[ is _ Owner Conhactor Other Work Type _ New Construction _ Underground Tank _ Install _Remove "*see below _ Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installatiun/remuval $50.50 Minimum (includes Sta[e Surcharge) o[ Conhact Value $ x 1% _ $ Permit Fee • If ermit fee is $1,000 or less, add $.50 => $ State Surcharge If ermit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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 oFplans. \ Applicanf3 nnted Name ApplicanYs Signature 1 U Approved By: , Inspectar Date:, 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements 3 registered site surveys showirg sq. ft of bf, sq. ft of hase; and all raafed ams (20% ma:imum lot coVefage albwed) 1 Sals Report if proposed building a ta be placed on disturbed soil 2 copies of plan showing beam & vmMow s¢es; poured found design, etc. 1 set of Energy Calalatiais 3 copm otTree Reserva6on Plan if lot platled aFler 711/93 Rim Jdst Oetail Opbons selection sheet (buldings wBh 3 or less units) Minnegasw mechanicai ventila6nn twm RemadeVRenair Reauiremen6 2 copies of plen showing Rwfirgs, bmna, jdsts i set af Eneigy Calala6oris for heabed atlQtlans 1 sRe survey far additiais & dedcs Addifron -indicste if on-sife sepNC system I CeR of Survey Recd N Sals Repat N Tree Pres Plan Recd _ Y_ N, T28P2sRequ'ved _Y _N OnaifeSepticSysOem _Y _N Plans are considered public informa#ion unless v^u state thev are trade secret and the reason. ?ate ? / ? Z / 0 ? Coastrnctioo Cost G ' o site waa,ess uoiuste a ? u v, &J /1l 55 ? ?SL DescriptiouofWork ?elJ ?GL(/G ? W«dOW s 0 Mufti-Family Bidg _ YY N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwuer Telephoue#,527? Coutractor 13 LlCii.(iie,- 1" ? p Address ?/'') / ?! (_/)??Z?' KV C ? S City /?7/ State ?I ? Zip _6?? Tefephoue# COMPLETE THIS AREA ONLY IF CONSTRUCYiNG A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672 (J su6mission type) ' Residential Ventila6on Category 1 Worksheet • New Energy Code WorksheeF SubmilteA Subrtuttetl • Eneigy Emebpe Calculations Su6mMed In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( 1 hereby apply for a ResidenUal Building Permit and acknowledge that the inforrrtation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. [_%Qs SSIe Applicant's Printed N e Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvp? ? 01 Foundation ? 02 SF Dwelling ? 03 01 4_ plex ? w 04 02-plex ? 05 43-plex ? 06 04-plex Work Types ? 31 New ? 32 Addi6on ? 33 Alteration ? 34 Replacement ? 13 18-plex Q 18 Fireplace ? 17 Garage ? 78 DeCk ? 19 LowerLevel ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3-sea.) Q 31 Ext. Alt- Multi 0 22 Porch/Addn. (4sea.) ? 33 Ext Alt - SF ? 23 Porch (screeNgazebolpergola) q 36 Mu10 Misc. ? 24 Stortn Damage ? 25 nAiscenaneous ? 35 Int Improvement ? 38 Demalish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Fouhdation CI 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 48 WindowslDoors •Demolkion (EMire Bldg) - Give PCA hantlart to applkaM D88ClIM.10(1: Water Damage _ Yes Valuation Plan Review Census Code SAC Units # of Units # of Bldgs Type of Const Occupancy MCES System _ 100% or _ 25% Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width _ Footings (new bldg) _ Footings (deck) _ Footings(addipon) Foundation ? Drain Tile Roof Ice & Wa[er Fina( _ Framing _ Fireplace _ Rl. _ A'v Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Pertnit & Suroharge Treatment Plant License Search Copies Other Total ? 07 OSplex ? 08 O6-plex 0 09 a7-plex ? 10 08-plex ? 11 10-pleac ? 12 12-plex REQITIRED INSPECTIONS _ Sheetrock _ FinaUC.O. _ FinaVNo C.O. HVAC Other _ Pool Ftgs _ Air/Gas Tesis Final _ Siding _ Swcca Lath _ Stone Lath _Brick _ Windows _ Retaining Wall Building Inspector 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodellRenair Requirements Office Use Only 3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd _ Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report V - N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _ Y - N 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required _ Y _ N 1 set of Energy Calculations On-site Septic System - Y- N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form P!ans are considered public information uniess you state they are trade secret/a the reason. Date Construction Cost g C) , 1 v Site Address f fo 1 Unit/Ste G~ VV r n de W S fh c5 ~'IG~ ~Y1 Description of Work f _j2 J a Multi-Family Bldg Y X N Fireplace(s) - 0 - 1 _ 2 Property Owner 3fi{ ~J~YU l4~ Telephone Contractor 13 Address A011' d) L1)1k kyr--5 City 0J a /11_ State t V Zip ~ Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (~1 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone # Mechanical Contractor Telephone # Sewer/Water Contractor 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 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. ea cjt° h7_" V Applicant's Printed Nine Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 31 Ext. Alt - Mufti ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) Q 33 Ext. Alt - SF ? 04 02-plex 0 10 08-plex 0 18 Deck 0 23 Porch (screentgazebo/pergola) 0 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex 0 25 Miscellaneous Work Types ? 31 New ? 35 lnt Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof 0 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock Footings (deck) Final/C.O. Footings (addition) _ Final/No C.O. Foundation IIVAC Drain Tile Other Roof - Ice & Water _ Final - Pool Ftgs _ Air/Gas Tests -Final Framing - Siding _ Stucco Lath Stone Lath -Brick Fireplace R.I. _ Air Test Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1659 Mallard Dr Lot: 24 Block: 1 Addition: Mallard Park 2nd PID:10- 47251- 240 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Rybak Brothers Construction 2206 East 117th Street Burnsville MN 55337 (952) 405 -8871 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Frank H Jordheim 1659 Mallard Dr Eagan MN 55122- -254 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA083988 07/02/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State PERMIT City of Eagan Permit Type:Building Permit Number:EA112627 Date Issued:08/20/2013 Permit Category:ePermit Site Address: 1659 Mallard Dr Lot:24 Block: 1 Addition: Mallard Park 2nd PID:10-47251-01-240 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 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 - Frank H Jordheim 1659 Mallard Dr Eagan MN 55122--254 (651) 261-3905 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:EA139395 Date Issued:10/20/2016 Permit Category:ePermit Site Address: 1659 Mallard Dr Lot:24 Block: 1 Addition: Mallard Park 2nd PID:10-47251-01-240 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Frank H Jordheim 1659 Mallard Dr Eagan MN 55122--254 (651) 261-3905 Apex Energy Solutions 9655 Newton Ave S Bloomington MN 55431 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature . ,1dqIt/ For Office Use I n e a� � • l/ Permit$: / s/(p I EAGAN Permit Fee 3 5 - 0 CI ''= C E 1 V E Date Received: J 11 3830 PILOT KNOB ROAD$EAGAN,MN 5512.2-1810 I (651)675-56751 TDD:(651)454-8535 1 FAX:(651)675-5694 MAY 2 g 2019 Staff-. 1 buildinginsoections@cityofeagan.com L 201NRESIDENT IAL BUILB6 APPLICATION 5? c Date: r` � Site Address /. lie_ _ ' ,Z1.7/7 Unit#: Name: Fr2v r4-15C'ns rdhe/hijie Phone: rosy ?h1-39a5i+' Resident) i / .-9/12d.� - •-••O`r��er i Address!City/T_rp: (/J ... re/ I 1 • Y - / /i4,q-1(,qR1-f -/2 c Applicant is: Owner Contractor J Description of work: I y(0 y/�f ier-d hie-, 1.- , Type of Work ; �� �/ , Construction Cost 1 y I�1. Multi-Family Building:(Yes_/No I ) r r 9 Compan� � Y/ l��o �Contact l i • Contractor Address:/4T 33 OS Ally a City: . _j oa�) l a' Staten/2 Z :,S53.55Piton S LOYEm-'• 1 A. �/ i - i p l ! x ie License#B Ci 7 7/919 Lead Certificate#:/v4TI6l.::: 9 eR : If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW GUI ■_. : ' In the last 1 • - • s the City of Eagan issued a permit for a similar plan bas • - master.plan? ; • _Yes __No If yes,date and a-• -' - -- -1er plan: ' Licensed Plumber. Phone: c Mechanical Contractor. Phone: Sewer&Water Co - •r Phone: l Fire - .pression Contractor- Phone: • NOTE-Plans and supporting documents thetyou submit are considered to be public information. Portions of the Information may�1 ' classifledas non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 1 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.eltvofeaslan,com/subscribe. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate:that me work will be in conformance with the ordinances and codes of the City of Eagan:mat 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 accordance6/717547116 with the approved plan in the case of worts which requires a review and approvalalof plans. x (:/1754 11 P Sn r x (�kU Ld L Applicant's Printed Name Applicant's Signature S/Z 'd 1755E .°N wd80: 6lOZ U .1"w r r DO NOT WRITE BELOW THIS LINE / f- - b/ SUB TYPES 6‘7. Mil ''J}-RA be , , Foundation _ Fireplace _ Porch(3-Season) _ Storm Damage Single Family — Garage — Porch(4-Season) — Exterior Alteration(Single Family) — Multi — Deck — Porch(Screen/Gazebo/Pergola) — Exterior Alteration(Multi) 01 of_Plex — Lower Level — Pool _ Miscellaneous Accessory Building WORK TYPES — New — Interior Improvement — Siding — Demolish Building* _ Addition — Move Building _ Reroof _ Demolish Interior slv Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION ,D oO Valuation gr Occupancy MCES System Plan Review Code Edition F,‘ ), 1/ SAC Units (25%_100% \ ) Zoning I City Water Census Code Stories Booster Pump #of Units Square Feet PRV - #of Buildings Length Fire Sprinklers Type of ConstructionY---- Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) Final I C.O. Required Footings (Addition) si Final I No C.O. Required Foundation)( HVAC Drain Tile I l Other: Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing Siding:_Stucco Lath _Stone Lath _Brick Fireplace:_Rough In _Air Test _Final Windows Insulation Retaining Wall:_Footings_Backfill_Final Meter Size: Radon Control Erosion Control Reviewed By: 1-7.." , Building Inspector RESIDENTIAL FEES ,{ Base Fee J t 1/111 Surcharge 0A-FfP Plan Review MCES SAC �� City SAC ,,�' 2� Utility Connection Charge f S&W Permit&Surcharge V i Treatment Plant Copies TOTAL Page 2 of 2 (-116_ 1 ( SAFEBASEMENTS of Mjnne5Qta Inc. 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' .. ,,e . . ;=4,4-7 ....., , :t. .......‘,.,:;74, . ; .1.'':"' , ,. -4....• l',44k.%;07.1! , .- 0 0.‘,7 4 T 14. 4„: .. h >• ' .-.:1'.,'''....7'''':.',..,;',..''''!,..',..,,-.\10111,'-',''..,.'''''',':-.:.‘.,.:,!,,,,,,..,,....,,i,-.:...i.:',,..,.1...,,,.',.,„,,,,;,..,,,.,,,... ,,,,... , .1.- cr . ,..t UPI! -:-1,..• „'''''ti !:,,..7,:'.,::,,".... r 44tf 4.'' 4; „ a . .:It:',.;;..... c `r• + + # SRW,' _, F ,, M - SC' }mss c • $. n . ws¢b yq, 4 PERMIT City of Eagan Permit Type:Building Permit Number:EA159172 Date Issued:11/26/2019 Permit Category:ePermit Site Address: 1659 Mallard Dr Lot:24 Block: 1 Addition: Mallard Park 2nd PID:10-47251-01-240 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 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 - Frank H Jordheim 1659 Mallard Dr Eagan MN 55122--254 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature