1667 Mallard Dr? CASH RECEIPT •
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ? 19
RECEIVEO
FROM
AMOUNT ? I
ac noLLAes
,co
? CASH ? CHECK
FOR
BY
? White-PaYen CoPY
Yellow-Posting Copy
Pink-File Copy
Thank You
BLDG. PERMIT N0. t,:•1;;. ?'?" ??? !
01-3210 B1dg..Permi
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 Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
? A
i
?
G N0 1267
?
3830 Pllot Knob Road
P.O. Box
2
-
1 9, Esgan, MN 55121
`
PHONE: 454-8100
BUILDING PERMIT Receipt #
'' F UWG/GA-R
T
b
d $123,000 SEP TEP-113LR 23
86
o
e use
1or
Est Va lue
Dete 19
Site Address 1667 tdAI,LARD DR Erect Occupancy R3
Lot 12 Block 1 SeclSub. RALLARD PK 2IVD Remodel ? Zoning R1
Parcel No. Repafr ? Type of Const t1*+
Addition ? No. Stories
m Name i'?lETRO CUSTOM HOME S I ?IC Move ? Length 4?
P
= SOX 1049
O
Demolish ? ? R
Depth
.
.
3 Address
° City Li' VILLEphane 454-9383 Int Impr. ?
Install ? Sq. Ft
o Name Approra{s Feea
?°,i Address
Ci Assessment
Water & Sew Permit '??
e - 5 U
rchar
S
ry Phone .
P
li g
u
??' 25
Pl
R
i
? Z Name
oc o
ce
Fire an
ev
ew
SAC ??00
_
Add 0
00
a
ress Eng. .
WaterConn.
< W city Pnone Planner Water Meter 63 . 50
Council
I hereby acknowledge that I have read this application and state that the
-
? Road Unit
?0 0
Bldg. OH
information is correct and agree to comply with all applicable State of Tr. PI.
Minnesota Statutes and City of Eagan Ordinances . APC Parks
SignaWre ot Permittee ' Var. Date
- Copies
? . S
TQ?l
A Building Permit is issued to: '„' `'9
all work shall be done in accordance with all
j Building Ofi
?-- -- -- --
Hot IL:S ILIr.:
on the express condition that
if Minnesota Statutes and City of Eagan Ordinances.
WrmK No. PsimH Holdor Dste TNsphone N
alume+ng `7 0l(?, ?"'?C?c - ??E:.?_?,, 'riy?•rco
H.V.A.C. q 3Y I7 A LS
Eieetrle E l' 3 / =? 02 • Cy :l
7
(o41 g
,-
?l,:5,<c-
$OIIMlf
Irtapsctbn Dab Imp. Commenb
Footin9. I
Fooflnyt 11
Foundatbn
Framiny
Rooflny
Rouqh Plbp. ? -?-? -
Rouyh Hlp.
Imul. ii; .
, ??, : ? ' _L..r
?_ _. aea2 ? ea
Flrep?ac.
Final Hty. ??S gT ,Q{ti
Final Plbp.
Bldp. Flnal ? r
CM. Occ.
Osck Fty.
Dsck Frm9.
Wo11
Pr. Dbp.
I CONTRACT P.RICE:
Site Address I
Lot Block
m Name -
? Address _
c Ciry
, Name
c Addre
p City _
TYPE OF WORK
Forced Air
Boller
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
' . . ... " . ., . _ i .
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PIL OT KNOB ROAD, EAGAN, MN 55121 DATE:
PHONE: 454-8100
? PE WORK DESCRIPTION
BLDG
T
SeC/Sub ,
7
R
? N
?
es.
ew
lt Add
M
' ` -on
u
i
C
R
•
?> ? :, omm.
r
epa
Phone - `' Other
( "i 1 FEES
RES. HVAC 0-100 M BTU -$24.00
Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
M BTU COMM/IND FEE - 196 OF CONTRACT FEE
M BTU MINIMUM - RESIDENTIAL FEE - 10.00
M BTU MINIMUM - COMM/IND FEE - 20.00
M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
., CFM BEYOND $1,000.00)
FEE
SIGNATURE OF PERMITTEE
S/C:
TOTAL•
FOR: CITY OF EAGAN
?...i,-? ..?. 1 .? . . .. ,,. . . , . _ .. f / a (?
, PLUMBING PERMIT PERMIT #
RECEIPT k
CITY OF EAGAN
3830 PILaT KNOB ROAD, EAGAN, MN 55122 DATE: ,f 1
CONTRACT PAtCE: PHONE: 454-8100
Site Address
lot ?_ Block
-i4 SeclSub
BLDG. TYP WORK DESCRIPTION
New x
. Add-on
? Name i
?o Address
? Ciry ?
Name _
3 Address
O City ?.
Phone
Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20,00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES
_3?_Water Claset - $3,00 T TAL
"
-ZL_Bath Tubs - $3.00 -
-_9--Lavatory - 53.00
Shower - $3.00
_i-Kitchen Sink - $3.00
Urinal/Bidet - S3.00
--I-Laundry Tray - $3.00
__J__Floor Orains - $1.50 I• SJ
_.,IL-Water Heater - S1.50 /• ,?c-?
Whirlpool - $3.00
-/--Gas Piping Outlets - $1.50 ?
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
P
n D
vate isp. - $10.00
::3:Rough Openings - $1.50 ?y
SIGNATURE OF PE 1+111TTEE FEE:
STATE S/C: '
FOR: CITY OF EAGAN GRAND TOTAL:
CITY OF EAGAN
AdditionM211arti p-g-rk SeCOnd Addltion -Lot 22 Bik 1 Parcel #10 47 5 0 fll
Owner 5treet 1667 Mallard Drive State Ea-gan, MN 55122
?. cU_
Improvemeni Date Amount Annuai Years Payment Receipt Date
STREETSURF. 7 Tmp
STR E ET R ESTO R. 3761' p ?
GRADIMG
SAN SEW TRUNK a ?
*.SEWER LATERAL 71 1991 2430-43 486-09
WATERMAIN
*INATER LATERAL 1991
WATEFi AREA
5TORM SEW TRK
ASTORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
To be
Site AddrE
Lot
Parcel No
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ; r x r
iMIT Receipt # - .• .. •..,•i r ?c"
tlMCEst. Value d 1, L16(% Date 3UNE 26 , 1g Sy
Btock 1 SeGSub.
W Name _
o Address
Phone
Address
City Phone
I hereby acknowlege that I have read this application and state that ihe
in(ormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City oi Eagan Ordinances.
Signature of Pertnitee
A Building Permit is issued ta: !?L+`.?T,.
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officiat
Occupancy
Zoning
(Actuaq Const
(Allowable)
# of Stories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On S'rte Well
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bidg. OH.
Vanance
OFFICE USE ONLY
?
?
FEES
26.00
.SO
Bldg. Permit
Surcharge
Plan Review
SAC, Ciry
SAC, MCWCC
Water Conn
Water Meter
Acct, oeposit
s.NV Permit
S/W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
.50
?7.00
PRrmR No. PermR Holder Dats Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
InspecUon Oate Insp. Comments
Foolings I
Foundation
Freming
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Fnal Htg. l -fp/'
Rnal PIb9• ;y, d f N g?l?C{ie«
ConsL Meter r'
Plbg. Inspector - Notify Plumber
Engr.lPian
61dy. Fnal
aock Fcy. ?
Deck Fnal
Well
Pr. Disp.
c
irY oF enGnN
3830 Pflot Kno6..Road WATER SERVICE PERMIT
P.O.?ElOx 2119°a PERMIT NO.: gig}
Eagan, MN,55121 DATE: ' g 3 r€ f
Zoning: .
No. of Units: 1
Owner. Qust om HQueB
Address:
SiteAddess: si i a r-d-nr-ive IBI
-14a3 &rd D' 11
Plumber: -
Meter No.: ? ?? ? '?? ? ?7 • Cc?r??e. ?gA-rC?Bp?
ReadeF No.: 61 'K/ 15 'pef ?
i agree to coly wkh the City of E?fe d???j
Ordinancesrt?p
. ? ? tri EPih k'
By
Date of Insp.:
/ s - aa - gc- ?
CITY OF EAGAN sEWR =VICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: ,
Eagan, MN 55121 D^TE:
Zoninp: No. of Units;
Owrsr.
/lddross:
Site Ilddreu: -
Plumber:
• . , . il: . _ ' .
1 peM N eewwlq wrilb !M CIly of /qpw C.onnettion Chwrqe:
Orlimwam Account Depotit:
- e'
PlrR* FQC
SurchnrQs: - -
BY Misc. CharpeX
Dote of Insp.: Totol:
insp.: Dot. Poid:
OF EAGAN
Pilot Knob Road WATER SERVICE PERMIT
IOX 21199 PERMIT NO.:
t, MN 55121 DATE:
9' '` 1
' No. of Units: -- 1
r _ T?
:-trn ,istnr.. TTn.,ne
SS:.
iber: PdnrThnen Wpclanil-a1 - - ,
3
Pr No.: Connection Charge: 51'111
Account Deposit: - 1 S t?;Ta ?
ler No.: Permit Fee: 7 f? ?? j
ae to compfy wRh the Gty ot Eagan Surcharge: 5?}= ?t
tiances. Misa Charges: I 5F n!1PA !?n
Total: -- 63 5C),n4_.eE-er
Date Paid: ?
of Insp.: Inso..
CITY OF EAGAN
- 12679
3830 Pilot Knob Road, P.O. Box 21-199. Ea9an, MN 55121Np
PHONE: 454-8100
BUILDING PERMIT Receipt# Lele r,(o
SF DWG/GAR $123,000 SEPTEMBER 23
86
7obeusedtor
EstValue Date 19
SiteAadress 1667 MALLARD DR Erect ID Occupancy R3
Lot 22 Block 1 Sec/Sub. MAr'LARD PK 2ND Remodel ? Zoning R1
Parcel No Repair ? Type of Const. jin
. Addttion ? No. Staries
METRO CUSTOM AOMES INC Move ? Length 40-
W
z Name
P
O
BOX 104 9 Demolish ? Depth 38
3
° .
,
Address Int.lmpr. ? S Ft
Q
Ciy B'VILLEphone 454-9383 Install ?
i F Name - SAMF. APPrOPi
$ ¢ Address ASSeSSment _
`' City Phone Wa[er & Sew.
1- ? Police -
Name
Fire
_ Z
(z Address En
0 g.
a w City phone Planner_
f here6y acknowiedge that I have read this application and state that ihe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci of Eag$ Or mances.
r ? ?
Signafure of Permittee
A euildin9 Permit is issued to: M TRO CUSTOM HOMES
all work shall be done in accordance with all applica(bf? t o( Minnesota
Buildmg OHicial
Council
BIdg.6ff 9/16/86
APC
Var. Date
Permit + "'"• -'"
Surcharge 61.50
Plan Review 245.25
SAC 575.00
water Conn. 5 0 0. 0 0
Water Meter 63.50
RoadUnit 290.00
rr. Pt 156.00
Parks
Copies
2,381.75
INC on the express condition that
Stakutesaryd City of Ea9an Ordinances.
CITY OF EAGAN N9 16711
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt #
To6eusedfor DECK Est.Value $1,000 Date JUNE 26 , 7989
Site Address 1667 MALLARD DR
lot ZZ Block 1 SeGSub. MAILARD PARK 2 OFFICE USE ONLY
Parcel No. occupancy - Fees
Zomng -
a Name DAN HOLSTE (ACtuaq Const - Bldg. Permd 26.00
w
o
AddresS 1667 MALLARD DR
(Nlowable)
-
h
S
50
.
urc
arge
City EAGAl`1 Phone 452-2141 x a stories -
' Plan Review
20
Length -
-
Nlfilg - - $AME Depih Cny
SAC
}F ,
a
0 AddfeSS S F Total -
,
?
CI[y Phone
S.F. Foofprinis SAC, MCWCC
-
Water Conn
On Srte Sewage _
Name OnSiteWall - WaterMeter
o Addf@SS MWCCSystem -
Ciry Phone
ciry water Ac? Oepost
-
S/W Permit
PRV Required _
I hereby acknowlege that I have read this application and state that the Booster Pump - S/w Surcharge
infortnation is wrrecl and agree to comply wnh all applicable State of
Minnesota Statutes an ojjj Ea an rdmance
s. Trealment PI
J
Signalure of Permit i?,,. APPROVALS Roatl Unrt
A euuding Permit is issued to: DAN HOLSTE Planner - park Detl.
on the express condrtion that all work shall be done in accordance wrth all Councd - 50
applicable State of Mmnesota
Statutes and City ot Eagan Ordinances. &dg. Oif. _ CoPies .
p
BuildingOlficial nN111 Il?
i Vanance - TOTAL 27•00
AEMCE31'rF6FtECEC7RfCAL INSPECTION
' See instructiona far com0leti" this fwm on baek of Yallow copy.
ir d/1 1 P,Q "X" Be/ow Work Covered by 7his Fequest
AAtl Reo. r ryoe ol Bwlaine AoVlancm wired Equiument wued
Home Range Temporary Service
Dupirx Water Heater LighLny Fixtures
Apt. QwlAing Dryer ElecVie HeaLn
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air CondiUoner Bulk Milk Tank
Farm m, oep1fy isoc,,iv1
t er ucc.i y Oiher Oth.r
ompute lnspection Fee Below
# Fee ServiceEnlrance5ixa N Fee Fenders/Subl¢ede,s ? Fee Cvcwts
0 to200qms 0 to30Ams 0 tn30tlms
Above 200 qmps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 1Q0-.4mps Above 100_Amps
Transiormers Irngation Hooms PerUal,'Other Fee
Signs Special inspecLOn S ?
TOTAL FEE
Aemarks
1. the Electncel
Inapector, hereby
certi(y that the above
Dnte
ThIn fepuest
This request voitl ?
18 mon?hs Irom
44184 ?aa ? 4'?na,?0.Y a ;an?
•J/ ??-QC
Hequest Uate Fre a.
p?
?V Rouph-in InsVecuon
Req ired?
?Aeatlv Nuw Q WiII NoUiy Inspec-
tor Wh
q
Yes ?No en
eatlV
? Licensed Eleclncal Contractor 1 hereby request inspecLOn of ebove .
? Owner electricel work inslalled at:
Street Address. Boa or flou[e No. ?\
? Gty
r
LJ
. YI ?!-,
? 7 Q LZ?)
G
ectmn o.
I
I Township Name or N.
Range o.
County `-lJ -
.L..J?(?-4W
Occupdnt IPRINTI
C Phono No.
e-h'o
u64vhv
Power SupObar
Zakofct, 4!51ed' Address
?ccrmrn -?h
Electncal Convacmr (COmoanv Name)
/Y],dlakid Contrnctor's License No.
41-1 -a-
Madinp AdJress (COMractor or Owner Makina Instailatmn)
;'60o W L'a sQd V.*- jGcrNS?t ? /(!?-
Authorize Si wre ctorlOwner Makma lnstallationl Pho
n
e N
umbnr
?
?
"
p /
MIryNESOTA STATE eHD OF ELECTqICITY
Grie9s-Midwey 91d9. - poom N-791
1821 Universitv Ave.. St Peul, MN 55109
Phone 16121 297.2111
THIS INSPECTION flEQUEST WILI NOT
BE ACCEPTED BY THE STqTE BOAPD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See InStructiOn9 f0r COTPIBting this form on back of yellow copy. 7Sa,3!/
7
:??4 ? "R" " Below Work Covered by 7his Requesf
Adtl pep. Type ol BuilCinO AOVlinneea Wired Equioment Wiren '
?1] Home 11 Ranpe Temporary Service
Bulk
k Fee ServieeEntrence5ize N Fae Feadera/Svbteedels N fee Circu, ts
00
t
0 to 200 qm s
0 to 30 Am s
.6P
0 to 30 Am
Above 2 0 qmps 31 to 700 Amps 31 to 100 A s
Swimming Pool Above 100_Am s Above 100_Am s
Transfortners Irngation Booms .35 Partial- Other Fee
Signs Special Inspection $
Sd TOTAL ??
emnrks
, the E160?,Mol
nsPetbq helaby
7 cerL/y thet the nbove
insDection hes baen
mede.
wque9t
,h = .aa.e= o d LP
18 rtqnths /rom 7 C9
=
Ne est Date
? 1 { p
, Fire No. pough-in In50ection
Re netl,
??es ?Na
OReatly Now 0Wdl NotHy Inyp¢c-
tor When Ready
Lmensetl Electncal Contractor 1 hereby repuesf inapection ot above
Owner elemrical work installetl ef:
SVeet Adtlress. 9ox or Routa No.
16617 /y/4 /I ¢r
?'Fxe e ? Cay
EQ Cc v?
ection o.
1 1 Township Name or m
Bange o.
Coun?
04?
Occup ntIPHINT)
efro eus4,0 m Phone No.
Power Su00her
ko-fu. lee Atldress
Farm Ir?
-fav?
Elecvical Convacmr ICompany Namel
Mldlahd E/ec-?-ri e, Cnntracmr's License Na.
ela-a--
Mailinq Atldress (Convactor or Owner Meking InsteNauon)
ed
W e
soo
o j
Aut r¢ed S?g? re IConttactor Owner Mak?ne lnstallationl
r
1
Phonie (?NumDer q /
O /0 -6?O?1
MINNESOTA 57ATE BOABD ELECTRICITYTHIS INSPECTION qEQUEST WILL NOT
arippe-Mitlwey Bltle• -Roam •181 BE ACCEPTED BY THE STATE BOAflD
7821 Univsreitv Ave.. St. Peu. MN 66104 VNlESS P0.0VEP INSPECTION FEE IS
P11one (612) 842-0800 ENCLOSED.
RESIDENTIAL
? 3 3 BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PIlOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canstruction Reavirementa
• 3 regis0ered srte surveys shovnrg sq. ft of lot, sa. R. ot house, and all mofed areas
(20% max;mum lot wverage allawed)
• 2 copies o( plan showing beam 8 tnndow saes: paured (oun0 de5ign, ztc.)
• 1 set of Energy CalculaUons
. 3 copes of Tree PreServation Plan A iot platted aker 717/93
. Rim Joet DeWA Ophons selecGon sheet (61dgs with 3 or less umts) 1
DATE ,4 I a_??
!
SITE ADDRESS _ ?? ?-7 Aj4 IIk /cQ Ic?6'i Ui! MULiI-FAMILY BLDG Y N
TYPE OF WORK- Pie. Vo.-F Ay,-tS FIREPLACE(S) _ 0_ 1 _ 2
APPLICANT
STREETADDRESS _ 2-S Z-?' lti?a S`I" CITY ?PIs STATEAw ZIP S'S'?lb
TELEPHONE aSFCELI PHONE #? l2- Ff a?I D FAX #
PROPERTYOWNER Q510/ 46I611t? TELEPHONE#6?1' /$2'_2'(`{1
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVVESOT:1 RCI.GS 7670 CA'CF.GORI' t YIIN\LSO'C:\ RI I.1:S 7672
(J submission type) . Residentlal Ven4lation Category 1 Worksheet 5ubmitted • New Energy Code Worksheet Su6mitted
. Energy Envelope Calculatlons Submttted
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor.
Mccf?anical systetn includcs:
Sewer/Water Coniractor:
Phone #
Fee: $90.00
1 AE1???
Fee: S
-----------------------------------------------------°-----.._._....----------------------------°---------°---°-------
I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan inanc .
Signature ot Applicant
--------- _ ------ _--------- ___.__------ _------ __----- ------°_.__..._""___--------------- ""-------- -___-°_--.-------- ^---
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _
Updated 4102
_ Water Softener
_ Water Heater
_ No. of Baths
Ramodel(Reoair Reauirements
2 copies of plan ?
1 set of Energy CalculaGOns for heated additions
S. ? 1 sde survey'or extedor addifions 8 decks
Indicate it home served by sepuc system for addibons
6.p ' u ( )_ _?< 0 1,_/ _
VALUATION 7 a a -o
Phone #
_ Lawn Sprinkler
_ No. of R.I. Batt
Air Conditioniiig
FIca[ Recovey Systcm
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 _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) 0 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 0 36 Move Bidg. ? 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
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FuiaUC.O.
_ Footings (deck) FinaVNo C.O.
_ Foorings (addition) _ Plumbmg
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Warer _ F inal Pool
Ftgs
Air/Gas Tests Final
_ Framing _
_ _
_
Siding Stucco Stone _
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulanon _ Retauiing Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
5&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Building Inspector
Copies
Other
Total
r
490•50+
61•50+
245•25+
5'15•OU+
500•00+
63•50+
290•OU+
156•00+
008
2)381 •'75*
HORE: ALL CANTBACTOaS MUST BE LICENS6D fiITH T9E CITY OF EAGAN
SIPGLE F9lIILY DHELLffiGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
HpLTIPLS DTiSLLIHGS - RSSZDENTIAL
INCLUDE 2 SETS OF PLANS, CSR
1 SET OF SNERGY CALCULATION5
RENTAL DqIT3 FOR 3ALB OEIITS
OF SOBVEY - CHECL FiITH BLDG. DSPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
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To Be Used For: 400.jpki'/V Valuation: Date:
Site Address 16?? /yf IIly YIde- I OFFICS USE ONLY
Lot 2?, Block /
Pareel/Sub
Owner 1W.0 fry (,"vsdH.I//". ?izj` .
Aaaress f. 8- 62.' ?4 r/q
City/Zip Code /JUrnspi/?
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Phone 'qsy-9 38'3
Contractor ??-
Address
City/Zip Code
Phone
Arch./Engr. _5244-Q-
Address
City/Zip Code
Phone #
Erect ? Oecupancy f-i
?
Remodel Zoning
Repair _ Type oP Const
Addition # of Stories
Move Length ?
Demolish _ Depth ?
Int.Impr. _ Sq Ft
Install
APPROVALS FSES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg pff`f•ICoB& Treatment Pl
APC Parks
Varianee Copies
'IOR9L
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NOTE: ADDRESSES FOR CORNER LQTS - CQNTRACTORlH04lE051NER MQST DESIGti9Tfi NHICH ADDRfiSS
IS DESIRED. NO CBANGES HILL BE ALLOWED ONCS BDILDING PERNIIT IS ISSQED.
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COMPANY, INC. q00 EAST 146M STREET, BURNSYILLE, YINHESOTA 5533T PH 44?2-'OOA
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J.,,¢,rg4I .UCJCT'p2Z07L: LOT 22, BLOGK l, MALLARD PARK zND
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I hereby certify that thia ie a true and correct rep:`aeantation of a tract.of
land as sho+m' and deecribed hernon.• Ae preparad by ma on thi• ?/, day of
'1'+16ee , 19 86 .
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(„?? .OEivOTES EX/ST/iYG-
ELEVAT/4?llS
C ) f?ENOrES PROyOSED
E.LEVAT/On[,$
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5[/2FAGE c?RA1NAGE
= F/N/Sf1 GARAlrE' FGOOR
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.'? ?? lf'? 4?"-" _ Hinn. Reg. No. 14o85`
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1989 HfTILDIAG PERMIT APPLICA7ION
CITY OF EAGAN
1c,7lI
SINGLE F9MILY DiiELLI8G3 •;
2 SETS OF PL9NS
3 HEGI3TERED 3ITE SDRYfiYS
1 38T OF ENERGY CALCS.
MLTIPLE DWELLINGS
2 3ET5 OF PLANS
BEQISTfiAED 3ITE SQRVEYS -
(CSECB iPYTH HLDC DI9. )
] S6f OF EIFENGY ClLC3.
CO!@SERCIAL
2 SETS OF 1RCSI?ECTURAL
6 STHDCT(TAAL PLANS
1 SEf OF BPECIPICATIONS
1 3ET OF EHERGI CALCS.
MULTIPLfi DiiELLINGS RENTAL UBITS FOR SALB DtiITS t OF dBITS
60TSs 1DDRESSFS FOA CORNEH LOTS - COATRACTOR/80HEOWNEA MQST DFSIGNATE iiBTCH ADD&FSS
I3 DFSIRED. 80 CH9Nf3FS AILL HE ILLOriED ONCE HOILDING PEAMIT I3 ISSDED..
11C?7 SEWER 8 BATER PEFUIIT FEES lND lCCOIINT DEPOSIT FEFS liII.L BS IACLt1DED itIT6 TBE 80ILDIN(3
PERHIT FEE. PROCESSIbiG TIME POA SEViER AND iiATEA PEAt4ITS I3 TWO DIYS ONCE A PEAMIT HAS
BEEB COl+PLETED INDICATING A LICEN3ED PLUFIDEA.
PENALTY 1PPLIE4 HAENt PERMIT IS NOT PAID FOR IN 3AME MONTH IT IS REQpESTED.
, 1LOT CHANGE I3 REQITESTED ONCE PERMIT IS ISSIIED.
To Be Used For: 2 e-- Valuation: Date:
Site Address fb b'l MAt.AYr6'-7DR,vE
Lot Z Z- Hlock I_
Parcel/Sub _ MRLRiQb Pq12K Z/.rp ,
Ormer J)qN ?IOL 57LZ-
Address
City/Zip Code A1, cJr??°?a
Phone
Occupaney
Zoning
Actual Const
Allorrable
4 of stories
Length -?-
Depth .2o
S.F. Total
Footprint S.F.
On site sewage
On site well _
MWCC System _
Citq xater _
PAC required _
Booster Pump r
Contractor
Address A c?a U e-
City/Zip Code
Phone
Areh./Engr.
Address
City/Zip Code
APPAOVAIS
Planner
Coimcil
Bldg. Off. ?6?ZZ
Varianee
F'EF.4
Bldg. Permib 2C, Go
Sureharge s;.
Plan Review
SAC, City
SAC, MWCC
Nater Conn
iiater Meter
Acet. Deposit
Sl41 Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies .5.)
SUBTOTAL
Penalty
TOTAL ' o ?
Phone # _
r3,? 54 PAe,e 79
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AOBE cPiai+iilEe°s o? °??ei+n s3uavEVOns
ENGINEEt?ING
COMPANY, INC.
1000 EAST 1461h 51REFT, EURNSVILLE, AAIHNESO2A 65337 PH 432-3000
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ELEVAT/ONS
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sentation o[
I hareby certify that this ie a true and-correet repro a tract
ared by me on this day °
deecribed hereon.• Ae prep
l+nd as ¦ho+m'and
?IFi1Bf? ? 19?• ?
?tinn. ]leg. Ho.'
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*iOT?': PAYMFTTI' OF EF-E AT TIME OF
APPLICATION DOFS NOT CONSTINTE
APPROVAL OF PERNII'P.
iNsPncrzoN oF sENM r+rm/OR %%xER
INSTALLATZONS wua, rror as saEn-
UIID UNTII. PEl2NIIT HAu BE?7
APPROVED.
P ease Print)
1) PROPERTY ADDRESS: IFF7 Mal l arrl Dri >P
LEGAL DESCRIPTION: Lot,22 Block 1 Mallard Park Addition
Lot B ock Subdivision or Tax Parcel ID )
IF E7ffSTING STRC'CiS)RE, DATE OF ORIGINAL BUILDING pERP1IT ZSSC'ANCE: '
{Nbn ear -
PRESENT ZONING/pROPOSID LTSE;
0 COI`Y`E[2CIAL/RETAIL/OFFICE ? R-1 SINGL,E FAMILY
r7 IAIDL'STRIAi, ? R-2 DL'PLEX (1Wv tfiits)
? INSTIZT]TIONAL/GOVII2NI]T ? R-3 ZC1WN[-IOLISE (Three + Units) ( Onits)
. [? R-4 APARZTENT/CODIDOMINIUM ( Onits)
2)
• •??
NAME= Northrup Mechanical Inc,
ADDRESS: 7640 146th Street--
CITY, STATE, ZIP: Apple Valley, MN 55124
PHONE:432-0175
3) For City Ose .
NP,NE: Northrup Mechanical inc. Plimibers License:
AMRES5: 7640 146th Street Active
,
CITY, SPATE, ZIP: Apple Valley, MN 55124
PHONE: 432-0175 MASTEFt LICENSE# 2443M ?
Expired
Not recorded
St-71 Init al
4)
NAME= Metro Home Builders
_ ADDRFSS: PO Box 1`049 '
CZT7t. STATE, ZIP: Burnsville, MN 55337
PHONE: 454-9383
'5) ' ? d' • ?' : a • aa • ??
? COMCTION TO CITY SEWEE2 CM CpNNECTION TO CITy WplPER pR'HER ' .
6) ?? • r ? PLEASE HOLD APPROVID PERMIT FC)R PICK-C?P BY ONE OF ABOVE --' -
APPROVID PERMIT TO 1,0 3, 4, ABOVE
(Circle one)
7) ? Stan Northrup ?v 10/27/86
FOR -CITY USE ONLY
PERMIT # ISSUED '
Pd w/Bldq. Permit FEES:
$ $ -,!, U SEWER PERMIT (INCLDDE SURCHARGE)
$ WATER PERMIT (INCLDDE SDRCHARGE)
$ C-3 $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ S /?, L-r7J ACCOUNT DEPOSIT - SEWER
$ $ /SG ? ACCOONT DEPOSIT - WATER
$ ?'J ED •O? $ WAC
$ ,97 S ilrv $ SAC
$ $ TRUNK WATER ASSESSME[VT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERA L BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ ? S G: • CI-G` $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ [Z9t-I SZ $ TOTAL
- ?7 ?, f6 GC 7 96,P'
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MOST BE ISSL'ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148368
Date Issued:03/23/2018
Permit Category:ePermit
Site Address: 1667 Mallard Dr
Lot:22 Block: 1 Addition: Mallard Park 2nd
PID:10-47251-01-220
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: 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 -
Daniel D Holste
1667 Mallard Dr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature