4288 Pintail CtINSPECTION REC4RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
? Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTfON .. . .•
??; i r, ? , ,
• '?; ?. , ? ?;;. ,
M A I? K P tAN k F v i I W c(? ?iY tt!1 Y N t M 1 1 I f-l
r ,. , , „ I ik•, ., , . .., ,.,........ ...
-1
i
33? Parmn ??ldor Date Tele,hone «
SEWER/
WATER
PLUMBING 7 ? ????pg
HVAC ,Ca. A?RZi ,?as-(o4G
Inspection Insp. Commente
FOOTINGS
!
FOUND
!
FRAMING ?
2
ROOFING
ROUGH
PLUMBING ,I ?
PLsG
AIR TEST u / I
ROUGH
HEATING !??
GAS SVC
TEST
INSUL
?
GYP BOARD
0
FIREPLACE
? ?
FIREPLACE
AIR TEST ?
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
MEfER
IRRIGATION
METER
FLUSH
MAINS
coNDucrivm
rESr
HvoROSrnnc
TEST
65MT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
. . •-
%ertif iCQt¢ df CCC1tpQ1iC?
Wtv of Cfagan
Zevartraeut of 8xiibacg jtti3p¢ctioa
Ti?is Cenificate issued pursuant to the nequirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of tlre Ciry rrgulating bui[ding construction or use. For the following:
uu c,?irKa;on: SF 1xaG Bae. Per„„ No. 33756
OccLpancy Type R3/U I Tming District R I TYPe Consc. VN
RfTiiRR FYi1STTY; ONEO .,,..?_ ?M 10(rAILWr AMU VALIEY
L,ocaliry
POST IN A CONSPICUOUS PIACE
Address • 4288 pTANraz, COuar Zip 55122
Lot 5 Blk I Sub MALLARD PPMC 41H
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: 7j / g 5 S Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from ihe plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contad engineering division at 681-4645 before working in righ[of-way or installing underground sprinkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contracror Copy
L ? B I u? CITY USE ONLY RECEIPT #: ,?5
---??- /?
SUBD. ?1LU? PNVI? 1 ?- RECEIPTDATE :a '
PERMIT# ? (0 JZ
1999 PLUMBIN6 PEiMIT (RESID£NTIAL)
crrY oF EAsniu
3950 P1LOT KNOB RD
EAfiAN, MN 55122
(651)6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ` minimum - 7 3400 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x - $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30400 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3400 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water Softenef if dwellin under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x $
State Surchar e .50 --> ----> ----> $ 50
Total °> --? ---' °--' S B .
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-
-
-
-•?----------------------------•- - -----•-------•--------• -------- --- -- ---- --------
- s-.
-is-
- City- of Eagan -ordinan ce---
- with-all- applicable-
-co?-ed-, and agree-to comply-
I hereby adcnowledge that I have read this appliption, state that fhe-infortnation-
It is the applicanPs responsibility to notify the property owner that the Cily oT Eagan assumes no liabiliry for any damages caused by the Ciry during its
normal operational and maintenance activitles to the facilities wnstructed under this pennit within City property/rightof-wayleasement.
SITE ADDRESS: C 0 , Vl I Z9-, f -
OWNER NAME: : Iry\ IMG'?Q W S TELEPHONE #:
(AR A CODE)
INSTALLERNAME: ?k'M? ?`ELEPHONE#: ff
AREA ODE)
STREETADDRESS: I C`7 f3?2 VCG ? P
CITY: Z4, ` V r f ? STflTE: M i,-\ -__-• ZIP:
SIGNATURE OF PERMITTEE
z CITY USE ONLY
L BL
?
S
RECEIPT #: / g,-f-?
RECEIPT DATE: O ol ?I 9
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IQ70B RD
EAGPN, MAi 55122
(612) 681-4675
Pfease complete for: ? single family dwellings
/ ? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTURES ~EACH # TOTAL
Shower 3.00 x 00
Water Closet 3.00 x 3 = , o 0
Bath Tub 3.00 x .1?
-- = ro,oo
Lavatory 3.00 x kT- = ia,oo
Kitchen Sink 3.00 x _j_ = 3, o0
Laundry Tray 3.00 x 300
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x 3, o O
FloorDrain 3.00 x 3.00
GaS Piping Outlet ` minimum -1 3.00 x I = 3,00
Rough Openings 1.50 x 3 = , 50
Water Softener ' for dwellings under construction 5.00 x =
Water Softener " for existing dwelling 20.00 x =
U.G.Spfinklef `tordwellingunderconst. 3.00 =
U.G. Sprinkler ' tor existing dwelling 20.00 =
Alterations ` to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' nbandonment 20.00 =
STATE SURCHARGE .50
TOTAL SO , o n
•--•------------------------------------------------------ ------ ----------- ------- -------•-------------------- •-----------
I Aereby adcnowledge that I have read this applicafion, state Mat the infortnation is corted, and agree to compy wdh all applicable Cily of Ea9en ordinances.
It is the applicanPs responsi6ility to notify the property owner that the City of Eagan assumes no liability for any damages caused by lhe City during its
nortnel operational and maintenance activities to the facilities construded under this pertnit wkhin Cfty propertylright-of-wayleasement.
SITE ADDRESS: ?I oZ $ 5 /'1 hIa I' I Ca u r4
OWNERNAME: A6u'f'10 e' 14- ousiny l_0r 10
INSTALLER NAME: C?C TELEPHONE#: 61a -?Sa-gIo $ f
STREETADDRESS: /SD 9 E Nw? /3
CITY: .G' u r h s L" i ll-J STATE: Ai? ZIP: 5 S 3 3 7
c ?
SIGNATURE OF
JS/FORMS BLDG/PLBG PERMIT (RESIDENTWL) 1998
U 'H,:l?h*#?'kx;'K?<:{thtxp ,<,"* y,w??k.* se;k?Y?}:8'* mt:k
G.T.7Y C1F' I'=r,GAN
c;(,,SH:cr_r: c:, rrRM iNr,L t.O,: Ot.;,2
nAr^-. a.,.)in;1i98 rar:r.-,
TL';
NF1;1F,. 23F Hl.)I_D1:tJG, ['.'OMI'ANY
2256 9001. 4238 I'-'fNTrl:t:i_ Cl" 4.`311.96
?
"io'ta:l Rec:c.ip+, Fmini.irtit:; 4 ,::)L1..96
CR C]9£ib r.9
USF'I' tI;a NANCY
',`;Y!?r7X* 9FyF * vl.YF p;YFYn** '1,•::t q,n.?w:Y,<<k'?;''.?ik%K? kk)k *
? CITY aF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
N.I.N.: 10-47253-050-01
PERMIT
PERMITTYPE: guxLozwe
Permit Number: 0 3 3 7 5 6
Date Issued: 18 / 2 2( 9 8
4288 PINTAIL GT
LOT: 5 BLOCK: 1
MALLARD PARK 4TH
DESCRIPTION:
Bui'lding',Permit Type
Building Work 7ype
.UBC prcupanc,y
?Construction TypE
Zoning
r? E3uilding Length Building WidtM
_ Building sT.ories -
--"S.q,u9r e F eet _ Cen??s?usCqde. --' . ';-
SF DWG
NEW
R-3,U-1
VN
R-1
62
45
2
2,245
101 i - FAM. DE7ACH
. . _ , ?_ " " „ . . _ ._ .. . .. ..
REMARKS:
PLAN REVIEWED BY WAYNE MILLER.
S& W SS WELTER & BLAYLOCK PHONE0852-8681.
PRV REQUIRED<
FEE SUMMARY:
Base Fee
Plan Review
Surcharqe
SAC
5AC %
SAC Units
Su6total
VAIUATION
$1.347.25
$875.71
$9G.0@
$1,000.00
100
$3,318.96
$192.000
misc. FEEs 1.592.50
Total Fee $4,911.46
CONTRACTOR: - Applicant - ST. LIC. OWNER:
BUTI_ER HOUSING CORP 14314132 0001715 BUTLER HOUSING CORPURATIDN
P 0 BOX 24597 4288 pTNTflIL CT
flP VALLEY mN 55124 EAGAN MN 55123
(61 } 431-4132 (761)650-1,040
I
I hereby acknpwledge that I have read this application end state that the
in'Formation is correct and aqree to comply wi.th all applicatale 5tate nf Mn.
Statutes and Cztiy nf Eagan Ordinances.
G-?? "
A LI ANT/PERMITEE SIGNATURE
SSUED BV' IGNAT
?
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAQAN
3830 PII.OT SNOB RD - 65122 si,4. Cl H 4?1
681-4675
NewConstructionReauiremants RemodeVReoairReaviremeMS???? ?o '?"I- `
? 3 regiatarod aite aurveys
• 2 copies oi plans (inGUde beam 8 window saea; pouretl fnd. design; eto.)
? t energy calwlations
? 9 coPies ot tree proeeneti n n H bt plaMed'after 7H/93
Fequired: _ Yes No
DATE:
? 2 aopks oi plan
? 2 site surveys (exterior additbns 6 decks)
? 7 energy ralalations for heated addkions
CONSTRUCTION COST; qP15?1I, 0570, ?
DESCRIPTION OF WORK: NO-b7X G 444 LLfE4
STREET ADDRESS: -(
LOT: ? BLOCK: SUBD./P.I.D. #: 4V?Gt
Name: Phone #:
PROPERTY 1-ast Fim
owrrEx ? f 5?l 7
Street Address: . ciTy srate: z;p:
,
Company: Phone#:
CONTRACTOR 2
Street Address: - ? 1J0X License #
ciri srase: ?Y, z;p:
ARCHIT'ECT!
ENGINEER Company: Phone #:
Nama Registration#:
StreM Address: -',t/ /lL!'G ';?7VZ1 b ' C
z
City Statc: __AM Zip: /2512
Sewer & water licensed plumber (new consbvctlon onty): ??e?,Penatty applies when address chang
and lot change is requested once permit is issued.
1 hereby acknowledge ttiat I have read this application and state that the infortnation is correct and agree to comply?with all applica6l
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of
Y
OFFICE U7yies
Certficates of Survey Received Tree Preservation Plan Received _ Yes
---
:
,A
_ No j
_ No Z Not Required l J
BUILDING PERMIT TYPE
Valuation: $ l99? p O0
aG t
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
?02 SF Dwelling ? 07 4plex ? 12 Multi RepaidRem. O 17 Swim Pool
? 03 SF Addition ? 08 8-plex 0 13 Garage/Accessory 0 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
A!C31 New O 33 Afterations ? 36 Move
O 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) VA)_ Basement sq. ft. 0s- MC/WS System x
(Ailowable) Main level sq. ft. / 3//.2 5 City Water T
UBC Occupancy Aqwjlt jisq. ft. / 5'93 Fire Sprinklered
Zoning k=Z. 6-4A sq, ft. 9 3.775 PRV ?
# of Stories ?- bGfi sq. ft. ?76 Booster Pump
-
Length 6/7 sq. ft. Census Code. 7
Depth HH N Footprint sq. ft. a SAC Code b I
Census Bidg O /
Census Unit ?
APPROVALS
Planning Building Engineering Variance
Permit Fee
Suroharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC UnRs
I OUO o
t S`'7 2.?C.7
/ya i /1
- jj9X'
?, a6 X
t a x
r zx
-Y 16 X
OFFICE USE ONLY
/5 = /qj 1 _ --
?.54 = l 366
6 = !lby
y6_ _
r ?,2b
6-l= r z,5
_
7 = i o.s
-}- i k S - 6
13l fw?5x b `+? = 7 0`ae
uP PE'v
y? X2gy' /3,3?G
- i Ox 6 - ?r
Lt el l? 1 6x 11 = 16•6-
7?6 x 2? = 336
/ sy3 X6N
„x 33- ll ?3?.h
t`X ?S;t b_ ji,?5 /N
-io x ? = ?n_a ?f33.7f3r?b =
? /°!D 377
9-l?K 1 ?.ClO
/ a/. 6-77
L
Surveyor's Certific?ate
I SURVEY FOR :BUTLER HOUSING
DESCR I BED AS :Lot 5. Block 1, MALLARD PARK 4TH ADDITION, City of Eagan, Dokola
County, Minnesoto and reserving easements of record.
?/
CO
V?
nl ?
4sA.b
9s2.3
s
?
41?
> o> 4
? U..
L O T SQ. F00 TA GE = 15,983
.._ .. • `9? _
C==oL -L? ? .. . ? a
? ? ?-• r, ; v?l?/?-r ? -? T- - : ?, . _ -
PROPOSED ELEVATIONS
Top of Foundation = 956.9
Goroge Floor = 95515
Bosement Floor =qqg,s
Aprox. Sewer Service = qq2.s!
Proposed Elev. _ C=D
Existing E!ev.
Droinoge Directions = -
Denotes Offset Stake = •
SCALE: 1 inch = 30 feet
BENCHMARK,
MIN. SETBACK REQUIREMENTS
Front-30 House Side -10
Rear -15 Garoge Side-5
JOB N0:
H?????? 1 HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 98R-481
OF TVIE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BV ME OR UNOER AtY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANNINC 6NCINE6RINC SURV6Y/NC SHOW IMPROVEMENTS OR E ROACHMENTS, EXCEPT AS Howw.
2005 Pin Ook Drive 2 q D
Eogan, MN 55122 DATE CAD F RE;
Phone: (612) 405-6600 FF D LINOC EN, LANCI VEYOR
Fox: (612) 405-6606 INNESOTA LICENSE NUTAB:ER 14376 BUTLER98
• ?' `LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION ,
PROPERTY LEGAL: ?l /
? ? DATE OF SURVEY: _L
y
? LATEST REVISION:
DOCUMENT STANDARDS
o ?
/
?
O
0
Registered Land Surveyor signature and company
p?y 0 • Buiiding PermitApplicant
? ? ? • Legaldescription
f?o ? • Address
? • North arrow and scale
? • House type (rambler, walkout, split wlo, split entry, lookout, etc.)
? ? • Directional drainage arrows with slape/gradient %
?P ? • Proposed/epsting sewer and water services & fnvert elevation
i?
C2 ? • SVeetname
? ? • Dfireway
ELEVATIONS
Exds n
e' ?? ? • Sewer service (or Proposed)
rd? ? ? • Properiy comers
m?q?o • Top of curb at the driveway
a?o ? • Elevafions of any epsting adjacent homes
Praaosed
PY ? ? • Garage floor
a,--6 0 • First floor ,
?b ? . • Lowest exposed elevation (walkoutFMndow)
? ? • Properry corners
? 0 • Front and rear of home at the foundation
? PONDING AREA Crf aoolicable)
o a' ? • Easement line
? 0' ? • NWL
O er'o • HWL
? e?? • Pond # designation
? C?' ? • Emergency Overflow Elevation
DIMENSIONS
d/ O ? • Lot IinesBearings & dimensions
d/ ? ? • Right-of-way and sUeetwidth (to back of curb)
O ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
/ porches, etc. Q.e. all structures requiring pertnanent footings)
?? ? • Show ali easements of record and any Cily utilfies within those easements
C?f ?? • Setbacks of proposed structure and sideyar setback of adjacent ebsting strudures
? C?' ? • Retaining wall requiremeats,
Reviewed:
V?
January 7996
CqA1C.19py9l00PRMf FM
Date: PAGE _ of_
FAX - MEMO
1'0:
Fax # ?
FYom: DENNY BUTLER, Pres.
Subject:
L L '
?? ???^ ?
Butler Housing Corporation
PO. BOX 24597 • APPLE VALLEY, MINNESOTA 55124 • PHONE 612/431-4132
Licensed Building ConiraCtor A1715
r:NERGY CODE WORTCS1iEET FUFi 1 & 2 r'Ab1ILY 4-a.LL1Nls5
SZTS' ADDRESS La? 0)C? "i r1 f+%^ ! ? I? •CITY ?-? ?
?
?U?I??? ??7??tT?
tl DAT& lD l2'? ???'7
e? PHONE #I.f?
COMPLETBD HY: 21 I
BUZLDING CLASSIFICATION: ? category 1(muet include ventilation) or category 2(etaadard)
MINIMUM CRITSRIA
Foundation Insulation-R10 Walla & Windowe Roof Attic Ineulation:
sulation-Rlo
G
d
I
Sl
b (See table on reverse side
for allowable percentages)
R44-With Attic No Heel
e
n
on
ra
a
Floor over unheated 6pacea-R24 R38-With Attic Raised Heel
Foundation Windows 1/2" R38 & R5-Solid Raftere
insulated Glas:..
-Wood or Vinyl Frame
9TEP 1 Window & Doot Area STSP 2 Calculato area ae a percent o£ wall
A. Total Window & Door Area in Sq. Feet
WSNDOWS (Zncluding Foundation Windows):
From Scep 1 divide box A(Window & Door
C
WINDOW MANUFACTURB .
Are.a) by box B(total wall area) Cimes 100
B TYPH•? equals tha window and door area ae a
WINDOW MANUFACTUR
? percent of wall area (box C).
?
WINDOW MAN[7FACTURB U FACTOR: ^
n
+
R. O. Quantity eq. ft.Area X 100 = C=/?
BOX A
?
?
Dimeneiona ?
BOX 8
v
x STEP 3 Deeign Faaturas
X ASSEMBLY
X FRAMING TYPE:
STANDARD FRAMING scuds 16" O.C.
X
cCUde 24" O.C.
ApVANCED FRAMZNG
X ?
fI . CAVITY INSULATION
X
X _
SHEATflING TYPE:
V
X LESS THAN < R-5
? R-5 > OR MORE
X I
2-o U-FACTOR U °L/.y
X
From che table, (reverse side) determine the
DOORS: maximurn percent window & door area for the
tione selected and enter the 'k value
i
d
gn op
es
in Box D below based on the window mfg. U-
X
factor:
D
X
=
Total Area of Aaq.ft.
- ? 0
Windows & Doors
Total Wall Araa in Sq. Pt.
B The a value from the table in Box D r:hall be
C
. equal co or greater than the % in Box
Wall Total hleight Area
Perimeter
l ? ?? ? ,
1
J
'
Total Area of Walls EC
B= ? eq
Page 2 OF 2
TOTAL WALL WINDOW AREA: 359.20
TQTAL PATIO DOOR AREA: 30.00
TOTAL BASEMENT WDW AREA: 0.00
TOTAL WINDOW AREA 389.20
U-VALUE 0.361
U-VALUE 0.361
U-VALUE 0.421
TOTAL DOOR AREA: 33.80 U-VALUE 0.066
TOTAL AREA- WINDOWS & DOORS: 423.00 [A)
TOTAL AREA OF WALL: 3,384.00 [S]
ACTUAL. WDW & DOOR AREA AS $ OF WALL: 12.50$ [A] \[Bl
TANDARD WALL FRAMING
HEATHING <R-5, INSULATION R-19, WINDOW U.351= 16.0$ MAX WDW/DR AREA
__----------- - ______
CALULATIONS_FOR_ 428_8-PINTAIL COURT EAQANMN.
BvT-U #; RQU A ING CORPORA T10 N
Page 1 OF 2
CAUU4AT14N3 FOR;. 4288 PINTAIL 50URT, EAGAN, MN,_
BUT4ER HOUSING CORPORATION
OCTOBER 12, 1998
----------------------------------------------
WINDOW AND DOOR SCHEDULE
--------------------------------------------------
QUANTITY TYPE SIZE FACTOR WINDOW
OPENING
-------------------------------------------------
0 BASEMENT 27 X 14 2.60 0.00
1 PATIO DR 6 X 6 30.00 30.00
6 CASEMENT 24 X 48 6.00 36.00
0 CASEMENT 20 X 36 5.00 0.00
0 CASEMENT 20 X 60 8.30 0.00
0 CASEMENT 16 R 60 6.70 0.00
1 CASEMENT 36 X 42 9.45 9.45
1 OCTAGON 24 X 36 4.80 4.80
1 SGLE HUNG 20 X 20 5.60 5.60
2 SGLE HUNG 24 X 72 12.00 24.00
2 SGLE HUNG 36 X 72 16.20 32.40
4 SGLE HUNG 42 X 72 18.90 75.60
9 SGLE HUNG 42 X 60 15.75 141.75
2 SGLE HUNG 30 X 48 9.00 18.00
2
- SIDE LTS.
-
--
--
- 1
--- X 5
--- .8
----- 5.80
--------- 11.60
----------
-------
31
--------
-------- --
--
-
-
- TOT AL GLASS AREA: 389,20
-----------
-----------
--------
------ -----------
DOOR
----------- ---
SCH
--- ---
EDO
--- -----
LE
----- ---------
--------- -----------
-----------
--
QUANTITY TYPE SIZ E FACTOR DOOR
OPENING
-
-----
--------
1 -----------
THERMATRU ---
3' ---
-0" -----
X 6 ---------
18.00 ----
-
18.00
1 THERMATRU 2' -8" X 6 15.80 15.80
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
-
---
-------- ---------- -------
TOTAL -----
DOOR ---------
AREA: ----
---
33.80
?
CTfY USE ONLY
LOT 5 BL % RECEIPT #: ?O O?O 9?---
SUBI ,Y/? RECEIPT DATE:
199$ MECflMICAL PEfZMIT (RESID£NTIAL)
C1TY OF F-EkfiRN
3930 Paor KNos Ro
SAfiAN bIN 55122
Date: (81E) 6$1-4675
/
Complete tlus section onl if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied '
• HVAC: 0-100 M B T U 1?(djab $ 24.00
ADDITIONAL 50 M BTU 6.00 ?
• Gas outlets ( minimum of one required @$3.00 ea.) ? 4?M
• State Surcharge: .50
2
. TOTAL: d6l
'
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical pemut is not reauired for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install furnace _ Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Miiul'i1i1L'1 :C2 8py1ieS t0 &ii L.°.iai^vde1 ar a3u-Gi15 ^vf CXiStliig ia°.s1dvilGYJ $ 20.00
State Surcharge .50
Tota1: $ 20.50
SITE ADDRESS: 4atcfar l"? /vC &VI/LJ-
OWNERNAME: <- / PHONE#:
INSTALLER NAME: ?,Yd , PHONE k:
STREET ADDRESS: /// d l
CITY: M/' 4 S? STAT'E: ?_ ZIP: 4--3 W
SIGNATURE OF PERMITTEE
JS/FORMS BLD/MECH PERMIT (RES) - 1998
L BL
SUBD.
APPROVED BY:
RECEIPT #:
RECEIPT DATE:
CITY USE ONLY
19981NECfiA1VICAtL fl$[ZAlIT (COMMERCIAL)
CITY OF £AHAN
S$SO PILOT KNOB ftD
E,aeAlv, Mv 55122
(61E)6$1-4675
Please complete for: all commerciaUindustrial buildings
multi-family buitdings when separate permits are not required for each dwelling unit
DATE:
CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1 %
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
($.50 per $1,000 of oermit fee due on all permits.)
TENANf NfiME (IIvIPROVEMENTS ONLY):
INSTALLER:
PHONE #:
ADDRESS: PHONE #:
CITY:
STATE:
ZIP:
SIGNATURE OF PERMITTEE
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4288 Pintail Ct
Lot: 5 Block: 1 Addition: Mallard Park 4th
PID:10- 47253- 050 -01
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Brock Corporation, Taylor
6253 Bury Drive
Eden Prairie MN 55346
(952) 888 -2000
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
When installing ventilated soffit material, remove existing soffit mate
take steps to ensure maximum ventilation into attic space.
$90.00
Owner:
Lennis Mathews
4288 Pintail Ct
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA085916
09/09/2008
ePermit
al (i.e. debris that could block vent openings) and
$88.50 0801.4085
$1.50 9001.2195
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
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114077
Date Issued:09/10/2013
Permit Category:ePermit
Site Address: 4288 Pintail Ct
Lot:5 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-050
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 .
Laura Gillespie
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 -
Lennis Mathews
4288 Pintail Ct
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122062
Date Issued:04/23/2014
Permit Category:ePermit
Site Address: 4288 Pintail Ct
Lot:5 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lennis Mathews
4288 Pintail Ct
Eagan MN 55122
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122855
Date Issued:05/21/2014
Permit Category:ePermit
Site Address: 4288 Pintail Ct
Lot:5 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Lennis Mathews
4288 Pintail Ct
Eagan MN 55122
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature
Date:
CityofEaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
JUN 1 41016
Use BLUE or BLACK Ink
For Office Use
Permit #: ._5 Z 7o
Permit Fee: 41/. ,
Date Received: C� r / 4167
Staff:
7
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: / I " t A- f Unit #:
Address / City / Zip: 4:7d U �,, .a. /i [, COale {
Applicant is: Owner X. -Contractor
Description of work: P25 tot 4- 1/41,f
,ate
Construction Cost:: tij. 00v
Multi -Family Building: (Yes / No )
Company: (Ili bAyt, f roL- OV/t- s L Contact: / V \PJ
Address: / 75/ gi,p,fi-%ytiCity: /i J L S
State: 'Zip: (t Phone: �,'l (75.7PC)Email: U,2t8,40 Z5/1/0 Z.N^S vL
License #: 6 Mr(
Lead Certificate #:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
Fire Suppression Contractor: Phone:
)TE: Plans :and supporting documents that you submit are cons
ec-
e information maybe classified as /760706blic ff you provi asp.
noncludelhat they are trade secret
ions
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
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code st be completed within 180
days of permit issuance. C /
x � e 4 5/
App icant's Printed Name
Applicant's Signature
Page 1 of 3
z -/x
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%, )
Census Code
A; e-1.-
DO NOT WRITE BELOW THIS LINE
Fireplace Porch (3 -Season)
Garage Porch (4 -Season)
Deck Porch (Screen/Gazebo/Pergola)
Lower Level Pool
_ Interior Improvement _ Siding
Move Building_ Reroof
'(} Fire Repair 4 q /? t 4 -;71‘i_____ Windows
Repair S ;. �-z i is �- _ Egress Window
# of Units
# of Buildings
Type of Construction V 3
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
(10 Miscellaneous
Accessory Building
Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
Occupancy 3C. RIC
_)
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: >lIce & Water `Final
i Framing 30 Minutes 1 Hour
Fireplace: Rough In Air Test Final
`L3 Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By: f D Imo'
fl\2O iS
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
,d Final / No C.O. Required
j43 HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
td Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: _ Footings Backfill _ Final
Radon Control
Fire Suppression: _Rough In Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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