1663 Mallard DrCITY OF EAGAN Rema?ks
Addition M213-2r-d Park Secand Addi??e? Lot ?23 ? Blk ? Parcel #10 47251 230 01
owner Street 1663 Id2.lla-rd.-Drive scate Eagan, Mn 55122
Improvement Oate Amount Annual Years g5 Payment Receipt Date
STREET SURF. ? -
STREET RESTOR, 76 34.60 A01 76 7-12-85
GRADING
SAN SEW TRUNK a $,? A015769 -12-$
iSEWER LATERAL
WATERMAtN
AVATER LATERAL 981
WATER AREA ? 6$ of "
STORM SEW TRK ' 19$1 445.37 89.07 $ '
ISTORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
51008 4 8 8
WATER CONN. 500.00 of 't
BUILDIMG PER. 10112 it it
SAC
29-00
PARK
• CASH RECEIPT ?
CITY 4F EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19`
RGCEIVtD '
FROM
AMOUNT $
?
FUND COOE pMOUNT
!' l
ThankJ ?Y?ou
-` BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
& DOLLARS
7
oo
? CASH ? CHECK
?
0
I CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:'
? ?t,?l t Hlrtl+ I?t<
;??;, ? i ..?; i? ? ..? . •rtr?
PERMIT SUBTYPE:
I I . , 1
1 11 , I ! , , H t FI
PERMIT TYPE:
Permit Number:
Date Issued:
` ? F --', 30 - 0 1 APPLICANT:
r3 111 r?Ck
TYPE OF WORK:
IlF ',I F; 11 ' i 1 tiM
1 1 NA!
1 11' !iA f f 11ry
I tA's t N- , ! V f 1
Permit No. ParmR HoldW Data Telephone /t
ELECTRIC
PLUMBING
HVAC
Inepectlon Date Insp. Commenq
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
(? (O
FliiEPLACE
AIR TEST ?
FINAL PLBCi
FINAL HTG
!o
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
BUILDIMG PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 4548100
Receipt ?
S9u Addrsa t b O:{
Lot ' BloCk 1 Sec/Sub. : 'LA t 1
Parcel No.
e; Name N.W. JOiiA'Scl??:'Ch"_?;
? Address p . () . •°•.r'1X 1.3 LI
. .'1 i •`yf;Tt`,hx- - - - 4 1 i:... ..:J
Z? Neme
uu Addreu
Citv Phone
L-
gW Nsme
H 1y Address
? W City Phone
1 F+ereby ocknawledpe that 1 haw rood
the inlormotion is correct ond ogree
State of Minnesotu Stotutef ond City
z
Erect tJ
? Ocwpaney ff -
Remodel
Repair
? 2oning ?. . - ?
Type of Contt.
Enlarge ? No. Staries
Move ? Lsngth
Derr?olish ? DePth ,y
Grode ? Sq. Ft.
Assesunent
Water a Sew.
Poliq
Fin
En0-
wonn..
Cowrcil
BIdg.Oft. 4 1 8r;
Permit
Surchorge
Plan Review ,
SAC
Watar Conn.
Wotar Meter
Rood Unit -
Total ?
Sfynotun of Pennittee
I? 8uildinq Pem,1t Is 1ssuwd to: on Mn exprm conditlon thot
oll work sholl be dorr in ocoordance with all appliaobls State of Mfnnesoto Stotutes ond City of Eopon Ordinonces.
8uildinp Offkiol
I Irqpsctian DaM I Insp. I Othar I
Foundetion
Framinp S11
Rootiny • •
Rouyh Plbq. ? ,
- IL?
Rauph HVAC
Inwlstion .. ?
Final Plb¢ (•- L.
Final HVAC
Final
Crrt/Oee.
Watsr
YVsll
Saw"
Pr. Disp.
CITY O
F EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P; -10.. Box 21199 PfRMIT NO.:
Eagan, MN 55121 DATE: -
Zon;ng - lp ] s:
?
Owner, M r `" - .. ,
Address: P nCn
r'
.
Site /?lddross: 1 :'- ( q •:t:? 1 T a64i? DT'iv i- 3 - L 1
? --
q-p, , Var:r
umber:
VA"r No.: 9 a conmecri«i.
St:e:
? R
1
?
? Acoa,nt Deposrr:
O
eader No.. C?
• Permit Fee: '
1agroe to emoly wieii lho City ei Eagon Surthorge:
oononenea. Misc. Cl,nroes: - ? ;? on 3 ?.
7 Totol:
; SY
lqz?i?2
n/xy?
. : r
Date Paid:
R.' Date of insp.. r Insp..
6 - 4 --8 t;--
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pi(ot Knob Road ?? 33?
P. O, Sox 21799 PERMIT NO.:
Eagan, MN 55vi DATE; 5._6-85
Zoninp; No. af Units:
xc ' n tianr? C`.nnat
ess: , ?!al ar Par =
Address: 1, u? ?iive L 1?
M eenh wi1h !be Gry ef E690a
TY OF rcAGAN
30 Pilot Knob Road
0. Box 21199
iaan, MN 55121
Co^n.ccion O,arpe: 425.00 pd
15 . 0
A,coouM Deposit: 10. ()
Pam+it Fee:
.5~
SurcF+aros:
Misc. ChwrOex
Tatol:
DaN Paid:
1NATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: 1
I
)vner:
Fmres" 1 mallard P r 2
iite /lddress: 1(,F,? ::?1 g L'' Ve L23 ?
Plurnber: - - - _•- ?, , , ?,
Connection Charge: 5'?0 OOQpd s
4leter No.. /ccount Deposit:
5iu: ?
Reoder No.: Permit Fee: _
I eyra- !o omPlp wuh !M City °f Ewn Surchorge: ;
Misc. Choroes: _ 13' 00 G•i ,
Qf,iM11CM. ?
TOtGl: ?? ?:'t l n r{ o f- e
BY Qate Paid:
Date of Insp.: Inap.:
RESIDENTIAL
? y?j???S ?/ BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New ConaWetion ReaulremeMa
• 3 registered site surveys showing aq. ft of lot, sq. fl. of house; and all roo(ed areas
(20°k maximum lot caverege allowed)
• 2 copies of plan showing beam & vrindow sizes; poured Pound design, elc.)
• 1 set of Energy Calalations
• 3 copies of Tree Preservation Plan if lot plafted after 711193
• Rim Joist Defall Optlons seleclion sheet (61dgs wiUh 3 or less units)
DATE I b_ 2 5-
JOB SITE
IF MULTI-FAMILY
PROPERTY OWN
HOW MANY UNITS?
TYPE OF WORK?k SZeb FIREPLACE(S) _ 0_ 1_ 2
APPLICANT 1?j_Anct,15Sct/i?u-t. Fi,)L' ?.87?- PHONE#-7413•_7F50- ZaOD
ADDRESSJ fZYo k&l1/- lU 114 87,(,AncLS &1! e ?? ZIPCODE S'J //2_
PAGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residentlal Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contrador:
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovcry System
All above information must be submitted prior to processing of application.
I hereby acknowledge ihat 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 Eagainances.
SlgnatureofApplicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
/
?I
`?3??? as'
RenrodeUReoair Raouirements
• 2 copies of plan
. 1 set o( Energy CalcWations for heated additions
• 1 sitesurveyforexterbradditions8decks
• Iridicate if home served 6y septic syslem for add'R'ans
VALUATION?ZZ.,GY.70
_ Water Softcner
Waler Heater
No. of Baths
Phone #:
Lawn Sprinkler Fee: $90.00
No. oF R.I. Baths
_ Phone #
Fee: $70.00
Phone #
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex 0 20 Pool ? 30 Accassory Bldg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Parch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
Footings (new bldg)
Footings (deck)
Footings (addirion)
Foundarion
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Au Test _ Final
Insularion
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding SNcco Stone
_ Windows (new/replacement)
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
REQUIRED INSPECTIONS
Finavc.o.
FinaUNo C.O.
_ Plumbing
HVAC
Building Inspector
CITY OF EAGAN No 10 ? 2
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PNONE: 4548100 ?
BUILDING PERMIT eeceipt g
SiteAddreu 1663 MALLARD DRIVE
Lo: 23 elock 1 Sft/Sub. MALLARD PK 2
Parcel No.
W Name M_W. SOHNSON CONST
; Addreas P• n- BOX 130
b City FA RMTN rTpNphone 417-6838
E nleme SAME
st
Addras
?
? City Phone
Neme _
Addresa
City
Phone
Eract X.I
Remodel ?
Repeir ?
Enlarge ?
Move ?
Oemolish ?
Grede ?
Install ?
Approvals
Assessment _
Water 8 Sew.
Polite _
fire
En0•
Plannar __
Ocwpancy R-3
2oning R-1
Type of Conrt. V
No. Stories
Length, S(
Oapth __4A_
Sq. Ft.
ha
Permit 4:)u.7u
SurcMrga 53.50
Plan Reviaw 2 2 2 - 9 5
snc 52 5_nn
WarorConnSOO nn
Woter Meter 61 00
CounNl Rocd Unir 9Rn nn
I hemby ockrowladge tFat I hova road this oDWication and stcro ihct Bldg. Off. 4/1 7/R SAWjfT.E__ 13 2_ 0 0
tha inlormotion is corrcct ond agrea ro wmply wfth all oOVlicabls AP Toul 9 ? 2(, 2 S
$tata of Mirina7ota S tu and Cif ?pqon Ordina s .
??1, V r.Date .
Sipnoturo of Permittee c?/?'LA^v7diY' L-flf?' .oi?
A 8uilding Permit Is Iswee to:` • W- JOHNSON CONS5 .?°'- a, eha ,Xpress coneuion tno,
oll work shall be doro in acoordaneNwith Ail aDVliSapla State of Minnesota Stmutes and City of Eopon Ordironcet.
Bulidinp Officfol
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651•681-4675
New Construalon Reauiremenh
• 3 registered site surreys showinq sq, fl. ol lot, sq. ft. of house; and all roofed areas
(20% maximum lot coveraga allowed)
• 2 copies of plan showing beam 8 window s¢es; poured found desgn, etc.)
• 1 set of Enerqy CalculaUOns
• 3 copies af Tree Preservation Plan d IM platted aRer 711193
• Rim Joist Depil Options selectron sheet (61dgs with 3 or less uniLs)
DATE
SITE ADDRESS / (%(7 3
TYPE OP
APPLICANT
RamodeUReoair ReuuiremeMs
• 2 copies of plan
• 1 set of Errergy CalcWahons far heated additions
• 15itesurveyfore#erioradditians8decks
. Indicate if home Sen+ed 6y sepfc system for additions
VALUATION
rs
MULTI-FAMILYBLDG _Y _N
_ FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS Z;4,46'57 CITYAPLS
TELEPHONE#e??IZ''52`f'C758`bELLPHONE#GJ2-8c`tifFAX#
_ Phone #
I.awn Sprinkler
No. of R.I. Baths
?
?i
PROPERfl OWNER r P ?'Pi ln/ ?U rf _TELEPHONE#
COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CA1'EGORY I MINNESOTA RULES 7672
(q submission type) . Residential Ventilation CategOry 1 Worksheet Submitted • New Energy Code Worksheel SuCmitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Pluin6ing system includes:
Mechanical Contractor:
Mcchanical sysLCm includcs:
Sewer/Water Contractor:
_ Water Softener _
Watcr Hea[er _
No. of Baths
Air Conditioning
Hcat Recovery System
I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagar
Slgnature of
OFFICE USE ONLY
Phone #
S SV/d
Fee: $90.00
Fee: $70.00
?e #S
lU ?
ect, and agre0 to comply
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4102
OFFICE USE ONLY
O Ot Foundation ? 07 05-plex ? 13 18-plex O 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex 0 18 Oack ? 23 Porch (screened) ? 36 Multi
? 05 03-plex 0 11 70-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex p 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repafr
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •OemollUon (Entire Bldg only) - Give PCA handout to appilcant
Valuatlon Occupancy MC/ES System
Census Code 2oning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. ot 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
Dtain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Base Fee
Suroharge
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
" - INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: e uILo r N G
3830 Pilot Knob Road Permit Number:
026414
Eagan, Minnesota 55122-1897 Date Issued: g g/ 19 / 9 5
(612) 681-4675
SITEADDRESS:P•I•N.: 10-47251-23e-01 APPLICANT:
LOT: 23 BLOCK: 1
1663 MALLARD DR FTRESIDE CORNER TNC
MALLARD PARK 2ND (612) 633-1042
1-
?
DESCRIPTION
ALTERA7IqN
(GA5 INSERT
?
?
PERMIT SUBTYPE: TYPE OF WORK:
FIREPLACE
.. PERMIT cOW
LCITY OF EAGAN
-"? 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 PermitNumber: 026414
(612) 681-4675 Date Issued: m 9(19 / 9 5
SITE ADDRESS:
1663 MALI.ARD DR
LOT: 23 BLOCK: 1
MALLARD PARK 2ND
P.I.N.: 10-47251-230-01
DESCRIPTION:
- (6AS IN5ER7)
Bhiiidi.ng-°h?ermit Type FIf?EPLACE
ouildi.ny Wo`rk, Type AL7ERFITION
?
J'
--
?
REMARKS:
FEE SUMMARY:
Bass Fee $25.00
Surcharge $.50
Tota1 Fee $25.50
CONTRACTOR: - Applicant - 5T. Lzc. OWNER:
FIRESIDE COftNER INC 16331042 0001068 FREDRICKSON BRIAN
2700 N FRIRVIEW AVE 1663 MALLARD DR
RpSEVILLE MN 55113 EAGAN MN 55122
(612) 633-1042 (612)454-7321
I
I hereby acknowledge that I have read this -application and stste theT, the
information is correct and agree to comply with all applicable State af Mn.
5tatutes a City of Eagan Ardinances.
AP GANT/PERMITEE SIGNATURE ISSUED BY. IGI ATURE
v- y - _-
• CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122
?? 1995 FIREPLACE PERMIT APPLICATION
681-4675
DATE:
ZL14 L
I.J 5 c.?Ylr
DESCRIPTION OF WORK: ? INSTALL ?Ip( FIREPLAC :_ WOOD BURNING ? GAS
AREA TO BE INSTALLED IN: (Z m 112tU7 tzt '`'1 :5 /' I ti' LN 4 cSN+\'1 r-,r" ..,? .-?
STREET ADDRESS: 1?6 3 IIJX-?-A,2-1) 01Z"°
LOT M? BLOCK SUBD./P.I.D. #:
APPLICANT: (arole one only) OWNER
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.
PROPERTY
OWNER
FIREPLACE
INSTALLER
Phone #: 14 3 3 '2?Z I
276 o r, 9? yU/t 6LJ License #- lb G'
INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
Name'F2~?b+uCK-?&b,3 6e21 AtiI jAnIt,-? Phone
?, ,.?..
Signature:
Street Add
City: State: ? o? Z;p:
A
State: ALJ Zip•,5Y!13
GAS LINE
INSTALLER
Cor^^a^y•
Nar
Signature:
Phone #-
Street Address•
City:
State:
Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 14 Fireplace
WORK TYPE
0 31 New ? 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. _
SAC Code
REMARKS: Chimney/flue must be inspected before coneealing.
Aiy ?1?
•?.
FEES
Permft Fee
Surcharge
Other
Copies
Total:
,I 1 I :S9
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
cirv oF eacnN
3830 PILOT KNOB RD - 55122
651-881-4875
c
Re /Reoalr ReaWrements
New Con:lrucHan Reaulremenb ( 3! 3(0 0
a 3 reptstered tlte wneyt ahowlny aq. it of bl, tq. k. o?'ffo?te ?
antl Qy roofed areas (10% mm&rwm tot covaraae dbwedf
> 2 eoplea of plans (ahow beam & wlndow slzex poured fnd. tlealgn; etc.)
> 1 set W enerpy calcWatlana
> J coples o/ hee PreservaHOn Pfon if lot plaMed aMet 7/1 /9J
-
DATE: ?/ ( ?>4 O ?
DESCRIPTION OF WORK: /el t, r ?'b/?E '
STREET ADDRESS:
2 topies of plan
1 set of energy caleWaHOnS for heated adm8au
1 sile survey (or axteAw additlona & tlecka
CONSiRUCTION COST:
IOT: -2LZ,)- BLOCK: ? SUBD./P.I.D. #:
PROPERTY
OWNER
CONiRACTOR
ARCHITECT/
ENGINEER
r-rew/LrvC/7/'? r
Name: ?1?? ? ? P?/ ?1 ? Phone C
latt ist
/<-? 6 3
City State: //"! X Lp:
Sheet
Company: C? ` - ?J Lr/ t/'S
Sheet
a+y
2 ?' Z6 Gt/?O-?-/'
swre:
Phone #: 9y0? z??`? S fC O
(area code)
lJCense M ZdI 3/.3 / Exp. vi A
zip: ?SviD
a
Company: Name:
Telephone A: ( )
Sheet Address: ReglstraHon Y:
CNy
Stafe:
Sewer/water licensed plumber !H ina*?tIlna sewer/water): Phone #:
1 herebY acknowledpe thaf I have read ihis apPlkaNon, dafe thaf ihe informalion
of MinnesoM Stafutes and Cify of Eagan Ordinances.
Signalure of
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
J
No
No - Not Required
Lp:
cnd ggree fo comply wNh atl app8cabie Stafi
.lUiN 5
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling O 08 06-plex O 77 Garage O 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex O 18 Deck ? 23 Porch (screened)
? 04 02-plex O 10 08-plex O 19 Lower Level ? 24 Storm Damage
? 05 03-plex O 11 10-piex Plbg _YOr_N O 25 Miscelianeous
? 06 04-plex O 12 12-plex O 20 Pool O 30 Accessory Bidg.
WORK TYPE
? 31 New ? 36 Move Bidg. O 43 Reroof
0 32 Addition ? 37 Demolish (Bldg)' O 44 Siding
? 33 Alteration O 38 Demolish (Interfor) O 45 Fire Repair
? 34 Repair ? 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
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
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 Sprinkiered
Variance
O 31 Ext Aft - Multi
? 33 Ext. Alt - SF
? 36 MuRi
Permit Fee 11 `? S?
Surcharge a - z:7 l?
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: l I 3-l S
Valuation: $
SAC Units
°k SAC
f
I 2/84
lI CITY OF EAGAN
APPLICATION FOR PERMIT
i
SEWER AND/OR WATER CONNECTIODI
(PLEASE PRINT)
1) PROP£Frl^l ADDRESS: Z 23 /i//9//T/C.12 ,f/L;'
T,FPnT, DESCRIPTION: 1-07-o-29 ???.f? /
(LOt/Block/Subdivision or Tax Parcel I.D. NtuTber)
IF E=_?'^:C STRC:CTG:?, DAi:. 0F ORIGiiJAL 'nii2;.DL`?G PZ:;-II':' 1=7r+1\:G.:
I
I PRESL.i Z?ir;/PPDPOSsDl U SE: k?
R-1 S=1G7.: r^Ptitri,y
? R-? DUPT?F"..? (7.?17 L'\TTSj
0 R-3 TOdDIIHOUSE (THREE + UIdITS) ( I7NITS)
? R-4 P.PAR2=/CONDCKIIQIUM ( UNITS)
p C0,'?MEE2CIAL/REPAII,/OFFIC.5'
? Ii\DL'STRIAL
? INSTITUTIONAL/GOVERI?gIVT
z) APPI,IGAN2, (PLEASE PlRINT)
NAME:
aDDRess:
CITY, STATE, ZIP:? ?,FJfO?(j ,,p'/?
PHONE: - $ ?
,
3) P?,,,BER PLEASE"PRINT) ?
rArE: GE 7•RYAN PIW? FOR CITY I1SE ONLY
aDnREss: 14745-S0. ROSERT TRA_F-1,- PLUMBERS LICENSE:
=Active
czT^r, sTATE, zzP: ROSEhAOUNT, MN 550a- C] Expired
? Not of Record
PHONE:
---- PWMBER LICENSE N
a ni ia
4) OC=ANT/aWNER (PLEASE PRINi)
,NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) INDICIITE WIIICH P?M I? IS BEING RDQUESTfD:
.F?! _- ---- -
LVIVCA;1'll1lV '1V l;l'1'Y JLN1t:tC
COrbIEcrioN To CzTY waTEri
? O= (PLFASE DF.SCf2SBE) _
6) INDICr1TE ONE:
rFnSE AOID APPR(JVID PERMIT FOR PICK-UP BY ONE OF ABC)VE
_ PI.EASE MAI-L APPROVED PII214iT tO 1, 2-4
- - - - -- - - (Circl`8" one) ?
?
7) SZG41'IT.TRE: ppTE: ?
?! ?! N:iiiwll:l?i? J? !! ?9t:im f? s R?+a?i:a? i? i?:ssra:llr a?t rt?ms?:fli? i? f? as ie ?ai?psa? w
F 0 R C I T Y
PERMIT ii ISSUED
F°ES: $ ?G• SU
S /? , S v
$ (O o
$
S
$
$
$ c'oU?t?`U
S
$
$
S
oC2 .
S E O N L Y
SErriER DEq1QTT (I'ICL'uDE SUP.CHARGc)
WATER PER1,41T (INCL'JDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
S?ivER TAP
ACCCUNT DEPOSIT - SE„ER
ACCOliNT DEPOSIT - WATER
wAc
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SE;4ER
LATERAL BENEFIT/TRUNK WATER
OTHER
$ TOTAL
$ AiMOUNT PAID/RECEIPT #
DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY?
C-] YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
LS_}/ ivU ENGINEERING DIVISION. LIST AS A CONDI-
TIO[V.
SUBJECT TO THE FOLL0WING CONDITIONS:
APPROVED BY:
TITLE:
DATE : S ?a?B S
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7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
tIOTE: ALL COAITRACTORS AfUST BE LICENSED.WITH THE CITY OF'EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
' - 1 SET OF ENERGY CALCULATIONS
To Be Used For: ?•?QW?• ?IP?• I Valuation : 0' -7,C)00.7 Date:
Si±e Address: ? 66?'3-1 TyAJU-A? Aw^ OFFICE
'• ? ; USE ONLY
Lot: 03 Bloc k I Sec±/Sub r1!lA.l?krd Erect Y.. Occupancy
P,? Remodel _ Zoning ?
Parcel ll Repair .. Type of Const
Enlarge' : Il of Stories
owner /Y1. W. Johvuovl COV15+ ' '?Move Length 56?
A
P
() p
C (30' ' _
Demolish Depth 444
ddress
? . Cj6} Grade Sq Ft
City/Zip Code ?'Ayry?? y1 a ?? ' '. ?"---°----- ----------------------
Phone 43a - APPROVALS
Contractor m • w . Jahnson
&17;;f
Assessments
Permit 45O. `
?
Water/Sewer. Surcharge ,5'3 5O
tlddress . Police Plan Review 2ZZ. Z?
' Fire . SAC 525' ?
City/Zip Code Engr ' Water Conn 500.
Planner ' 14ater Meter
Phone Council oad Unit 'LgD,
. Bldg Off Parks
Arch./Engr. ' APC Treatment P1 (32 0=
Variance
Address ' TOTAL a? a?. a 5
?
City/Zip Code ,
Phone II ' + '
ZZx ?C? - 7?12x 54 4
oeD
-Z?(
f?1 ? Z2 ° 3?4 x s4 ? 2019 b
_ 81 26
Z4-x ? ??4 x 4?- 35 ? 24
Io&c-(G
ities Di ital uality Control
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Every effort was made to capture the content
from the original page.
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9DR. 0't Gch SCALE - I" = y[?' o DENOTES IRON MOPI. BEARINGS ARE ASSUMED DA7UM.
?r=REr'r1RLf) Fr3R; ?
? JACOBSON SURVEYORS
? .iohli:,,,l? (:;,n,;? rucct„n
.
L.AKEVILLE,
MINN. 55044
i
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?,,??, :?,a ;,02'?
: , PHONE 469-4328
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[UK L'NVCLUPL AVtKllGt "U° Lu:9PUllUtUii
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COii??2AC70R DATE PNONE :"
• Determine working square footage of each.
, ?. ?otal exoesed wa? 1 area ...... 2.?1 y 4, sq. ft. x--(
2. Tnfal roof/ceiling area .... I Oq3 sq. ft, x.L{ I
Tatal exposed wall area, abave floor = 23b'l,Z
a. TotaT wa?l window area .................:........ ZL4 5.la
h. 7rla" coor area ................................. ??& ' -
c. T:_±al slidina q1assdoor arza .................... . 4 4
. d: -.,-Dta7 -?irep"ace wall area......................... b'8
e. Tot a? wa'" r'raming area (averaqelOA)............. 202,1ln .
. r". 7otal net wall area above floor ................. ?
g. 7ota1 rim jeist area ............................ zin?
Total exoosed foundation area = P,G,r1l.0
h. ?otal foundation window area.....................
1. 7oa1 net foundation area above arade ............ ?q,'il,.o
De*_emine "U" va?ue of eacn wall s=_cment.
a. ZG 51 Lo x I I , 55 = 135.08
X „u,,
? C• "I q. X „u„ , 5 = Z Z
a. 4 X ltull , 3l0 = I'7? Z8
? e. Zoz. iL-r) x "u" ?OGI,n = IR?y
t. I504 -1 ? x "U„ , 0143 =
L? a x 'lull , oy i= 10,9
x „u., .
i ??;•?Lo x "u,l ? f = IS.SIo
3 . .....:.:............?? .1.'-.r-?....Totzl = 303'381
.r' item ,`3 is rne same as, or less tnan it=m P1, you have met tne int_nt
?? 53C o0C5(c)2. .
' Total exposed roof/ceiling area Il) G 3
? Total gross roof/ceiling area = 10 9 3 .
_ j. Total skylight area ........................
. k. Tota1 roof/ceiling framing area .......... q-3
1. Total net insuTated roof/ceiling area........
Determine "U" value for each roof/ceiling segment.
?: -. ._ .. x itute --
?c. I b9,i X°ull ? O'L`4 = Z,L.p
?. G zt,u„ , ozz ? z,?. LO
4 .................???r-1? ..........Total = 2 4?
If total of #4 is the same as, or tess than #2, you have met the intent of
SRC G005(01. • .
To utilized the total envelope system method, the values.established by the
sum of items #3 and #d shall not be greater than the sum of itens 01 and 42.
+ 2. 2a.?i) = 330,35
3. 303,3€, + a. zL4.Z = 3?r?8
MATERIAL5
Exterior Air
5iding Material
S heat hiYig
In5ulatina -
8hoptroclc
Interior Air
5tuds
Rim
Conc. Bic3.
Therm. Resistance "R"
.1?
.y5
Z?bu
I C?
l4S
, Lo
I ?,5r1
I . SB
I,2
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1663 Mallard Dr
Lot: 23 Block: 1 Addition: Mallard Park 2nd
PID:10- 47251- 230 -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:
All Pro Exterior
11235 Eastwood Ave SE
Watertown MN 55388
(763) 315 -4245
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:
Bryan Fredrickson
1663 Mallard Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA087420
11/13/2008
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:EA113521
Date Issued:09/05/2013
Permit Category:ePermit
Site Address: 1663 Mallard Dr
Lot:23 Block: 1 Addition: Mallard Park 2nd
PID:10-47251-01-230
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 -
Bryan Fredrickson
1663 Mallard Dr
Eagan MN 55122
(651) 402-8458
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK
€
~t
For t11111oUe ~
r
• o goo tern t#. I I 1
U9 of Eapo t Penn'd Fee_ 00
E~ #N 55122 t Date _ l
Phone: (651) 67545675 l i l
-2
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: /_6 43- 12 ~
Tenant
Res4denbTKw" Name- Phone.
ic;<l
Name- License* 'ed
Stale: ConftactDr Address:
./V Al zip, 3 yea _6/2 - ffe~ Z 0 e ~42-
Contact : a fn a n el 11d e GZC11, ef4
Type of Mork -New _ Repair -Rebuild 11,111OCKY Spam work in R -OW
~ v Z~1
Descrwm of wadc
RESIDERTlAL
_kWater Healer
V4atersollksm
ftMIt T Lawn Irrigation RPZ PVB) Add Pkimbing Fvftres C_ Main I Lower Level)
- Septic System
-New WaterTurnaround
-Abandonment
RESWENTIAL FEES:
x.00 Water Heater, Water Sri, or Water Heater and Softener (includes $5 00 State Swdkm
.00 Lawn Irk (indudes $5_00 mwmnxn State Su)
00 i g F 5vsterri Water T (kxkxim $5, Sur+h)
*Water Turnaround (add $200_00 it a 5V meler is requffed)
$115.00 Sew Syst+ t ($10.00 per as built) (kwkjdes County flee and $5_00 State She)
TOTAL FEES $ 60. c~ 4
CALL BEFORE YOU DIG. Call Gopher staft one can at ( 7 ) for rid uli ft damage.
Call 48 !agars tyre you r4end to dig to rye of nd b www.gooherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the worst 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.
X d e x
A Ca Primed Name ApplkwW mature!
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-in Ai Test Gas Test Fls'al
Alleter Related tterrrs: Meter Size Radio Read s