1666 Mallard Dr? CASH RECEIPT ?.
' CITY QF EAGAN
, P. O. BOX 21-199
? EAGAN, MINNE50TA 55121
•
?
DATE_ 19
RBCEIVED t . ?
FROM
AMOUNT
?
se OOLLARS
? aa
E]CASH E)CHECK
FOR
UN .sG. .¢a? qMOUNT
` .
?
. : ? .
1
Thank You ? f
e v
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
Addition Mallard park Secand Addition Loc $ Blk 2 Parcel #1047251 nun 09
Owner Street 1666 Mallard Drive State Eagan, MN 55122
Improvement Date Amount Annual Years )• ) Payment Receipt Date
STREET SURF. -
STREET RESTOR. .176 34.60 A01 6 -11-$
GRADING
SAN SEW TRUNK 1974 194.05 12-94 1 77.08
$EWERLATERAL 198 2430,43 486-09
-
.
WATERMAIfV
VATER LATERAL 1981
WATER AREA a g, g
STORM SEW TRK lyw 19$1 445.37 89.07
-
STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
oa n t 260.00 #45845 8-28-84
WATER CONN. 470.00 rr ir
BUILDING PER. #9467 r+ tt
SAC
529-00
PARK
Receipt PLUMBING PERMIT. • Permit Na. '
CITY UF EAGAN
Fee -
Fi!l in numbered spaces S/C
Type or Prini legib/ y Tot.
1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract • ,?-
4. Owner
5. Contractor
6. Address
7. City
8. Building Type: Residenti
61
Phone
Zip `,•_
Commercial ? Institutional ?
9. Work Description: Ww 0 Add ?
10. Describe
I 11,
Alter ? Repair ?
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs SepticTank
Lavatory Softner
5hower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all-oYdinances and codes governing this type of work.
Signed : F for
Rough Final
Inspections: Date Insp. Date Insp.
This is Your permit when num6ered and approved.
Approved CITY OF EAGAN 454-8100
? CASH RECEIPT
CITY OF EAGAN
P. 0. BOX 21-199
0
EAGAN, MINNESOTA 55121
r ,
oaTe 1s
/
RECHIVED FRQM
AMOUNT
C] CASH ? C4iECK
FOR
?vo o T
FUND COOE AMDUNT
y i •,
?i
Thank )o?
B Y
I
White-Payers Copy
Yellorv-Posting Copy
Pink-File Copy
. CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55 121
• PHONE: 454-8100 . '
BUILOING PERMIT Receipt #
Te 6t wr SF $ 9 5 0 0 0
d for Est. Vulue ? Date AUGUS`1' 2?s
', 84
19
i 1666 PiALLARD DR ? '23
SiteAd
Yreu Erect Occupancy
Lot `-; Block 2 Sec/Sub. 1'ALLARD PK 2 Remodel ? Zoniny
Parcel No. Repair ? Type of Const.
Enlarge ? No. Stories
M• W• JOHNSON CON$T Move ? Lenytn 50
W Name
z
Add
e P.O. BOX Demolish ? Depth 36
g
r
b r:*., ssr O*? -68388 Grade
432
?bti.,..e ? Sq. Ft.
?j•!?
, oC o Name ;?
?? Address
F City Phone
1- ? W Name
?? Address
tW City Phone
I hereby acknowledga that 1 hove read
the informotion is correct and ogree
State of Minnesoto Stotutes nnd City
Siynoture of Permittee
„
A Building Pertnit fs iuued to: 1"' •
atl work sholl be done in occordor(c M
Buildinq Officiol ?
Assessment _
Water b Sew.
Police
Fire Plonner
; opplication ond st4te-.tMat
li
ii
t
i
h
bl Council
gld9, pff.
:omp
y w
opp
ca
e
t
o
c,,,,,.., n.a:.,.,...e. ,
APC
Pertnit ''' °21 u . v v
Surchorgo 4 7• S 0
Plan check 209.00
gqC 525.00
Water Conn. 470.00
Wcter Meter 63.00
Rood Unit Z 6 0. d('
Parks
Total v 9 .• ._ . -= 6
on the expross condition thot
end City of Eapan Ordinances.
Parmit Na, Permit Nolder Dsta
Plumbing 'a,,j h -L 1/5
H.V.A.C. ? cl (4 3 Pi Al ? 0"I v I ? 'F 1f ?0 - ??c "4
Electrie 41
Softener
Irtspettion Date 4
sp-
Other
Faotinys ? ' /_? (
Found
ation
Freming ?
RougA Plbg.
Rough HVAC
Insulation
Final Plbp.
f
Final HVAC a
Finel
c?e?oc?.
Water Descrihe Lotation:
VYell
f
Sewer
Pr. Disp. '
Receipt k/ MECHANICAL PERMIT ''
CITY OF EAGAN
Fi!l in numbered spaces
Type or Prrni /egibly
1. Date I l_ 2, Insta
?
3. Job Address!
4, Owner
5.
Fee
S/C?-?
Tot. ? ?- t? '? U
Phone L
6. Address
,
7. City State' Zip ?
8. Building Type: Residential 1?1 Commercial O Institutional ?
9. Work Description: New Add ? Alter O Repair ?
10. Describe Fuel TYpe ?
1 11.
No. Equioment STU - M. Ea.
Forced Air ? - ; -- No. EQUipment CFM
Ai
H
li
Mfg. r
and
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : i _
for
Rou h Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
Permit No.
3AN WATER SERVICE PERMR
%ob Road - -
?A PERMIT NO.:
5121 DATE: , - ` - ? S •+
R.1 No. of Units: i
Drive _ L9 B2 Mrillard Park 2ad
Metar No
?•Conr+ection Charge: '+70.00 pd
?,
Size: W &W count Depoait: 15.00 pd
Reode No.: -6?3 LJZ'1 f 7 Permit Fee: 10.06 pd
1-em- to ee-Ply vrili !iN Ciep ai Eaga¦ Surchorge: .5 pcl
Ordhwscoc Misc. Chorpss: 63.00 pd me * e r
Total:
By Dote Poid:
Dote of Ir?sp.; Inap
:
.
Zoninp: A 1 No. of Units: JL
pM,?,: i 1. W. Jobnson Const
Address:
161515 a ve
Site Addresa: 2..-M. 8 a
? ?enz vsn
Plumber:
1-- _ - 456275 .
425.00 pcl
1 pr» ts eemply wilb eiw Cily of Befes Connectlon Charpe:
OrdiMnon. AccouM Depoait: 5• pc]
Pe?rr?it Fas: 0•
SurcFwrpe: ' p
By Misc. Cl,arpes:
Dota of Insp.: Totol:
Insp.: DoN PoW:
CITY OF EAGAN
WATER SERVICE
PERMIT ?
3830 Pilot Knoh Ftoad . ??
x 21199
P
O
B PERMIT NO.:
.
.
o .. ,
MN 551211
E DATE:
agan,
Zon;ng; No. of Units:
?S.W. Jot?nson Conat
Owner
,
?mss
Ma41ar Dr ve L B. ard ar n
Sita /Iddress:
Plumber. et7?z. ..v?n
Meter No
: Connection Charge: p
. 10.UU
p
Ntcount Depastt: 00 •
P
Reodsr No.: Permit Fee:
.5U p
1 agn? !o ao?eply wq6 Hw Ciy of Eeyan Surcharge: p?'- me t e r
Or?lseno?s.
Misc. Cho?yes:
Totai:
? gy Date Paid:
!r?/!?/f?
Vr5?? ir? CI7Y OF EAGA'V
BUILDING PE.'RNIIT APPLICATION
D??2 sets of plans,
llan w/elevations &
1 set of energy calculatio:
To Be Used For '?',F 'GW 61• /Ca,&R• Valuatlon q'5, GOO - 2s?_ Date
Site Address: " rn? ??le)40 D?- oFFz? USE oNLY
Lot 3_ Block sec./Sub. &?lard f?r{<Erect >\ Occupancy g--?)
Parcel #: aN0 Alter zoning R- I
Repair Fire Zone
oaner: M. W ..Jodlvison ?ohs-f- ??e _ zyPe of Const. V
Nbve # Stories
Address: Q.O. .Qo?C /30 Deirolish FYOnt
City/Zip Code: ?arminq-FUvI r MlJ Grade Depth 3C? f?
Phone #: Z13a - 6S>3g zPPxovaL-S FEE.S
Contractor: /j'I. W. JohvlSOil eovtsf
Pb]dress: SQr»n /,1S /,cboVe'
?
Assessments Fennit 418-"?
Water/Sewer Surcharge "1• °
Police Plan Check 20 9.°-
Fire sAc 5 Z 5.°°
Eng. Water Conn. 4?0
?
planner ? Water Meter
Council 1t
oad Unit
Bldg. Off.
APC
City/Zip Code:
Phone #:
Arch. /Eng• :
Address:
City/Zip Code:
Phone #:
TOTAL
? 99d•50
28 x 28 ? 78?f x?- = 42?a3?
29 x 2b
ZxI?_= 2? x 4I - fI4f3
?
CITY OF EAGAN N? 9467
3830 PJot Knob Road, P.O. Box 21-199, Eagan, MN 55121 // ?
PHONE: 454-8100
BUILDING PERMIT ReceiPt # 0T?
To ba wed-Wr SF DWG/GAR Fst.Volue $95,000 Date AUGUST 28, 1984
SiteAddress 1666 MALLARD DR Erect • R3
OccupBnCy
Lot •8 81ock 2 eec/sub. P7AI•LARD PK 2 Remodel ? 2oning Hr-
Percel No. Repeir ? Type of Const. V
Enlarge ? No. Stories
W Name M.W. JOHNSON CONST Move ? Length 50
Z AddressP.,O. BOX 130 oemolisn ? oeptn 36
9 Ccty FARMINGTONphone 432-6838 Grade ? Sq. Ft.
$??.,
o ADVrorals Fen
Name
Address
Assessment ? O
Permil
8u
CitY Phone Water 8 Sew. Surchurge 47. 50
Police Plon check 209.00
?w Name Firo 5qC 525.00
?-, Address Enq. WaterConn. 470.00
?W CitY Phone Plenner WoterMeter 63.00
Council Road Unit 260.00
I hereby acknowledge fhat I hava read tAis aOPlicafion and state that gldg. Off. Parks
the inlormotion Is corred and agree to wmply with all aOPlicoble
f M
f E
d
S
S
d C
O APC Total .$1, 992.50
tatutes an
ity o
r
inonces.
tate o
innewro
agon
Var. Date
Sipnature of Permittee
A Building Pertnit is iuued to: on tha axpress condition Ihoi
all work shall be done in accordo e with II ? St te of 'n e ?ota Statutes ond City of Eagun Ordinancea.
Buildinp Officiol _
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
? See instructians tor cotpblehn9,this torm on back ot yellow copy.
A^- 6.1 ?1 vi I? "x- Below Work Covered by This Requesf
AAtl 0.eD. Type ot 8uiltling Ap0liunce5 Wirod EquiVment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fiztures
Apt. Buildinq Dryer Electnc HeiLn
Commercial Bidg. Fumace Silo Unloader
Industrial Bidg. Av Condrtioner Bulk Milk Tank
Farm Other ueufy ther ?SOer.ilyl
t er ISyeu(V t er Othni
ompute Inspection fee 8elow
k Fea ServwaEntranceSize p Fee Fanders/Subieeders N Fee Cvcwts
( pd 0to200Ams 0to30Ams 7.?0 0m30Ams
Above 200 q?nps?, 31 to 100 Amps g".? • 31 to 100 Am s
Swimming Pool Above 100-Amps Above 100_Am s
Transtormers Irrigation Booms • 0 Pdrti er Fee
Signs Speciailnspecbon
$
T T
Remi Akl?_EE
t n439
RouBh-in Dme I. t v?
? CAI
/O?/G•?. ^spectoq here?y
Final w ?19?
i/l • ection,has been? I
de
Thia repueet voitl 18 manihs irom
ihisreques[voitl ????/({
18 rtpnths from V?? ? T
A - 41"919 L'?
I Request Date
I / Fire No. Fouuh-in InspecLOn
Fe? ed?
?Ready Nuw ill Notrtv ??speo-
?or When Read
I ?es ?No y
4mensed Electncal ConVflctor 1 hereby raques[ mspection ol abova
? Owner electricel work installeE at.
Street Address, Box or floute No. Cilv
_
`
ecU n o. Townshio Name or No. Range o. County
Occupant(PRINT) Fhone Nn.
/? / ?i?/? (?C ?i c..3 d r?
Power Supplier Adtlress
Electncal Contractor IComuany Namel
-
-
X Comractor's License No.
0'1 ?
c ?
4
?- dr?4 y
'
eiline Atldress (COntr tor or Owner Meking Inswilavon)
???? 2?GF? ?j?i?'sss 4
Authonzed Sig [ure (COnttactodOwner aking Ins[allalmn) Phone Nu/mber y
?4d?7 ?3
MINNE56TJ?S}qTE BO_ AR6 OF ELECTqICITY THIS INSPECTION NEQUEST WILI NOT
Griggs-MidwaY Bltlg. - floom N-791 BE ACCEPTEI) BV THE $TATE BOAXD
1821 University Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
NCLOSED.
Phnnw 16121 297-2111 E
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
?lp, 3830 PILpT KNOB RD, EAGAN MN 55122
? U V ` 651-681-4675
New Conetfuetion ReauiremeMs
• 3 registered site surveys showing sq. ft. ot lot, sq. H. M house; and all raofed areas
(20% mazimum lol cwerage allowed)
• 2 capies of plan showing heam 8 vAndow sizes; poured found design, etc.)
• 1 set W Energy Calculafions
• 3 copies of Tree PreservaGon Plan if lot platted after 711/93
• Rim Joist Detail Options selectian sheet (bldgs with 3 or less units)
DATE
SITEADDRES$ linWn iMALLIC1I211 02 MULTI-FAMILYBLDG _ Y _N
TYPE OF WORK ar - izonr FIREPLACE(S) _ 0_ 1_ 2
APPLICANT Len,ac-re2 ccvcr2?.?r*oN z,.ic
STREETADDRESS H3o r?nrd vniaq rcLJu CITY 6vizNCus STATE Mnl ZIP 5.? 23"7
TELEPHONE # 95a-?a?-ia.s?_ CELL PHONE #
FAX # 45a-?v7 - g i aS
PROPERTYOWNER 7171-t S-rw'vzEI _TELEPHONE#
----------------------------------- ------------- -....... ------------'------------'------------
COMPLETE THIS SECTION FOR "NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA R[JLES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
. Energy Envelope Calculalions SubmiUed
Plumbing Contractor: ___
Plumbing system includes:
Mechanical Contractor.
Mechanical system includcs:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Phone #
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 Ordinances. F--\ rp I
Signature of Applicanf
? ? T Le
10 2002
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received ` Not Required _
Watcr SoRener
Water Heater
No. of Baths
RemodeVRenair Reuuiremsnts
• 2 copies of plan
• 1 set of Energy Calculations for heated additions S-
• 1 sitesurveyforexterioraddihons8decks
• lndWe if home served by septic system for additiore
_ Phone #
I.awn Sprinlcler
No. of R.I. Balhs
VALUATION 0 2,500
'1 ,S- 71, a-?
Fee: $90.00
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ pfex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code 2oning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footiugs (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundahon HVAC
_ Draiu Tile Other
Roof _ Ice & Water _ Final Pool Ftgs AulGas Tests Final
_ Frarning _ Siding Stucco Stone
_ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
S&W Pertnit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CERTIFICATE
s
° MqL-?a 9s- I
S 8Z D?.
v 'S9'zg??E
?v 90,7 ?
o ?
MS '
m ? p
g ? ls a
M
Z 9z..8 y_ ' l94
Z
0 ?
9
N GAe N Z8 0K• ia.?
? 19,9 1 N a
? In p??o M I
h
w
N
? 1d
M a dI 1....oT ?u?
? - ?
44? T3LbGK, i w
Q
7
7 I I o!
? a
sL
LA o 0
C-
OF SURVEY
Elevations shown are
exiseing grades and are
assumed datum.
Proposed gnra loor
elevation 94.0
W
? m
r p
? Q
0
BY 6L.J I SCALE - t" = 361 o DENOTES IRON MON.
Prepared for:
M. W. Johnson Constr.
P. 0. Box 130
Farmington, MN 55024
I hereby certify that this is a
correct representation of a survey
o f. :
I.ot 8, Block 2, MALLARD PARK SECOND
ADUITION, Dakota County, Minnesota,
according to the recorded plat
thereof.
and that I am a duly registered
land surveyor under the laws of
the State of Minnesota.
Gene L. Jacobson, Mn. Reg. No. 7734
Uated this 24th day of August, 1984
BEARINGS ARE ASSUMED DATUM.
JACOBSON SURVEYORS
LAKEVILLE, MIN N. 55044
PHONE 469 -4328
,_,?-? Z?'
•Determine working square footage of each.
1. Total exposed wa11 area ...... ZrI yL4 _ci L. sq. ft. x?„??,, ° ?I • y r`
2. Total roafJceiling area ...... 104sq. ft. x--43lo= •'-t I ?
a. Total
b. Total
c. Total
d: Total
e. Total
f. Total
g. Total
Total exposed wall area above floor = 2 3Ul,Z
wall window area ...........................
door area .................................
sliding glass door area ....................
..........••...•••
fireplace wall area.. , ••••
wall framing area (average l?A).............
net wal] area above flaor .................
rim jcist area ............................
Total exposed foundation area = gG, 9 Lo , ..
?-
h. Tota7 foundation window area.....................
?i. Toal net foundation area above grade ............
Determine "U" va1ue of ea:n wall sec-ent.
a. ZUS. l.o ?liU,i , 55 = 13S.o8
?. -3 g X „u„ ,i3 = 5,Z 8
144 X„U i,
C.
d. y g X"U"
e. Zoz,l Lp x "u" O
f. ? 804,44 x°U" , 0y3 =_?? .
g. 21.s8 XIVI ,Oq1= 10.4
h. - X fouli
i. aqIlo Xliull
3 . ...................2? ?-7'9.?R ...Total = ?QX
If item r3 is the same as, or less tnan item rl, you have mst tne int_nt
of 53C 6005(c)2.
Total gross roof/ceiling area = 1093
.
-- - ' -----_-- .
j. Total skylight area .........
k. Total roof/ceiling framing area?... . .... „....
1. Total net insulated roof/ceiling?area......: ,?
- ?'JA ., • . ._ '. . , .. ;'. . . ' f . .
Total exposed roof/ceiTing area
-• Determine "U" value for each roof/cei.ling segment.
X U = --
. ?-
? k. I o9.3 x?,??? z,Lo
?. 9 83 .ri X„u„ Z. 1• t,
4 ................. ).0 Cf ? .......... Tota
?
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c);, .
?. , .
To utiltzed the total envelope system method, the values estabTished by the
sum of items #3 and #4 sha11 not be greater than the sum of itens 81 and #2,
3oLqy + 2. 28,y1 = 330 3?
s. 303.3a + a. z4.-Z.. __ 32-Q,58
MATERIALS Ttierm, ResisEance
Ezterior Air
Slding Haterial
Sheathing 21 OZO
Insulation - i4
Sheatroc,lc
Interior Air ?
8
Studs
Rim
Conc. Blks. I.8
L. -?-- 15-
i
?
2/84
I CITY OF EAGAN
APPLICATION FOR PERMIT
i
-
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPEFrPY ADDRESS : 1666 MAiL z5w1,7 .W/ Ut
rFrar' DESCRIPTION: 1-07-a d?/,e :?
/y/6yi1'.?a 152i?'/Qf
?
(Lot/Block Subclivision or Tvt Parcel I.D. NUTber)
1 .. -
°'ii.,-rc...--,- -?, ST".2CCI"?TiE, DA^ Cv _ ORSGI:itIL nLiI'-^.L`;G F?=•S?mISS??i\i=.:
, -
? PRESy,i .?:II?;r/'2?OPOSr_'"?. US::': 1 S-?GLE ^p?tS?:`_
?
? riUP=1{ (`Iv? :,i:iTS)
? R-3 TOWNHOUSE (TIIREE + UNITS) ( UNITS)
? R-4 APART=/CCNID(',M.IIVIL?'?I ( UNITS)
? c01?1MEzcIAL/xErAIW0IFFzcE
? n\DusTRInL
Q INSTITUTIONAL/GO?/ERRRAENP
Z) APpLICAtv•P (PLEASE PRINi)
Nu,rE: /?1. (,cJ a1c`zA/N.Sr?.-J CpavS7]kve770,?)
rDDREss: i 'Fo
CITY, STATE, ZIPc r2?6 -PSC
PHOLNE: 'y?o? ^ ?o Cg?c4
3) PVJ„BER PLEASE PRINT) FOR CITY USE ONIY
rPrE: (Teiv z - x YRyJ
?o?ss: /?
1y7y5 .jd?l ?/l DdG7er 7
;?4/!.. PLUMBEPS LICENSE:
L] Active
CITY, STATE, ZIP: Q Expired
PHQNE- TFR
PLIIMBER LICENSE # 1?Y9/yj Q Not o Record
e?
a ni ia
4) (,=ANT/aVNEFt NPT'fE: (PLEASE PRINT)
ADDRESS:
CITY, STATE, ZIP:
PIIONE:
5} INDICATE WFfICH P? I IS BEING R?UESTID:
CONNECfION 'ID CITY SaIER
fg?CONNECTION 'Ib CZTY WATER
[] dPHEt (PI.EASE DESCItIBE)
6) If1DI= O?Z:
7) SIQ?'A'IL'RE: DATE: ?Z/
?
E] PLF7ISE HOLD APPR(7VID PERDIIT FOR PICK-UP BY ONE OF ABOVE
? PLFASE MAIL APPROVED PIIRMIT 'RO 1, 2 ,
?q 4 ABOl7E
„ (Circle one)
!li:ltf!!? ft Md1!Itwl 'r.?i . . _
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F O R C I T Y U S E O N L Y ?
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DOES UTILITY CONNECTZO[V REQUIRE EXCAVATION IN PUBLIC RIGi-IT OF WAY?
0 YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSiIED BY THE
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SUBJECT TO THE FOLLOWING CONDITZONS:
APPROVED BY:
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114198
Date Issued:09/12/2013
Permit Category:ePermit
Site Address: 1666 Mallard Dr
Lot:8 Block: 2 Addition: Mallard Park 2nd
PID:10-47251-02-080
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 -
Gary A Olson
1666 Mallard Dr
Eagan MN 55122
(612) 333-0111
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:Mechanical
Permit Number:EA159916
Date Issued:01/28/2020
Permit Category:ePermit
Site Address: 1666 Mallard Dr
Lot:8 Block: 2 Addition: Mallard Park 2nd
PID:10-47251-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Gary A Olson
1666 Mallard Dr
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179696
Date Issued:10/18/2022
Permit Category:ePermit
Site Address: 1666 Mallard Dr
Lot:8 Block: 2 Addition: Mallard Park 2nd
PID:10-47251-02-080
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Gary A & Tammie J Olson
1666 Mallard Dr
Saint Paul MN 55122--255
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature