4296 Pintail CtAddress 4296 Pintail Ct Zip 5512 ?
IAt 3 Blk I Sub Mallard Park 4th
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 99 Yes No Inspector: ?
Fina] grade (6" from siding) ?
Pecmanent steps (gazage) x
Permanent steps (main entry)
Permanent driveway
Permanent gas X
Sod/Seeded grass
TraiUcurb damage ?
Porch x
Basement finish 3? ? ?+', h(
Deck
Please verify with the bwlder the removal of roof test caps from the plumbing system and [he shu[off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 661-4645 before working in rightof-way or installing underground sprinkler sys[em. ?
White - Ciry Capy Yellow - Resident Copy Pink - Conlractor Copy
CiTY USE ONLY
LOT ?- BL RECEIPT#: lOlD
SUBd-y? RECEIPT DATE: '???/rr 9
G?
MECHANICAL PERMIT 4 C?
1999 MECfiANICAL PEft14IIT EfiESIDENT1AIa
C[TY OF £AfiAN
3830 PaoT KNos ltu
gwsnrr auv 55192
?
Date: Fg
(651)681-4675
Complete this section onlv if you are installing HVAC in a single famiJy dwelling, townhome or condo under
construction and not owner /occupied.
• HVAC: 0-]OOMBTU
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
/ C)o
cL
State Surchazge .50
Total $
Complete this section onlv if you aze remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration Repair _ Other
Reminder: Ca11681-4675forinspections.
_ Furnace
_ Air exchanger
SITE ADDRESS
OWNER NAME: ?
INSTALLER NAME:
STREET ADDRESS:
?
CITY: 1(V
Air conditioning
_ Other
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
, PHONE #:
(AREA CODE)
PHONE #: -
(AREA CODE)
_ STATE: ZIH' S?c)
SIGNATURE O PERIVIY. E
L BL
SUBD.
APPROVED BY:
INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
1999M£CHikNICAL PEfiMIT (COMMEftCIAL)
CITY 0F ElFfiAN
3$30 PILOT KN08 ftD
EAcA11v. Nuv 55122
(651)6$I-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PffiCE:
WORKTYPE: NEWCONSTRUCTION INTEAIORINIPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLl):
INSTALLER:
ADDRESS:
CITY:
CITY USE ONLY
($.50 per $1,000 of nertnit fee due on all permiu.)
PHONE #:
(AREA CODE)
PHONE #: -
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT -.5- BL ? RECEIPT#: D S S(,
SliBD. aff-r?( Cena? RECEIPT DATE:
1999 MECHANICAL PERMIT (RUIDENTIkL)
CR'Y OF EkfiAN
3830 Pu.oT tcxoa Rn
eafinx Mrr s5122
Date• 31h p h? (651)691-4675
Compiete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
- HVAC: 0-:00 *.4 ° T U ? 30.00
ADDITIGNr,L 50 M BTU 6.00 ?
• Gas outlets (minimum of one reql ired @$3.00 ea.) 6.oD
• State Surcharge: .50
• TOTAL: 2,-9D
Complete this section oslv if you ar? remodeling, addir,g iq cr repa;ring existing singie family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
X New _ ?eplacement _ Repair _ Other
X Furnace Air conditioning
X Air exchanger, i.e. Van e system, etc. ? Other F"CPA`e
P.enritrder: Cal! 681-467;i for inspeations. $ 30.00
State Surcharge: .50
Total: $30.50
SITE ADDRESS: ? ? 1-7
OR'?r'ER NAME:
I\STALLER NAME:
STREET.4DDRESS:
C[TY: SA V
gA,jl CI+c.GLE
SGoTT LI-Arl E
126on uiEw
E
7S.FORN1S BLD,MECH PER'NIT (RES) - 1999
PHONE #: 4 54 - ?-3 L?
PHONE #: g 3L(- lq9)
_ STATE: M r? Zip; c' S 3-7a
SIGNA EE
CITY USE ONLY
L BL _ RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR
1999 MBCHl4NICAL PEtMff (CQMM£RCIAL)
CITY OF £RfiAN
3$30 PILOT KNOB ftD
EAfilkN, MN 55l EY
(651)6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
CONTKACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR 530.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
($50 per $1,000 of nemut fee due on all pemuss.)
OWNER NAME:
TENANT NAME (IMPROVEMENTS O1VL,Y):
INSTALLER:
ADDRESS:
PHONE #:
CITY: STATE: ZIP:
SIGNATURE OF PERiMITTEE
L 3C) - BL ?
SUBD. C" 4 ?CITY USE ONLY
T~ RECEIPT #: A9170 r715
RECEIPT DATE:
1999 n UM$INF PEdMIT (U.&IIEN"cIAL)
CI1'Y Of' EAfitkN
3830 Pv.or Ecivo$ itn
EAflAN, MN 55122
(651) 6$1,4675
Please complete for; : single family dwe lings
> townhomes and ondos when permits are required for each unit
i backftow prevent r for u nderground sprinkler system
------------------------------------------------
FIXTURES ------ ---------------------------
EACH ----------------------.-------------------------
# TOTAL
Shower 3.00 x 2 = ?
VUater C!oset 3.00 x
Bath Tub 3.00 x A_ _ CYn
Lavatory 3.00 x q_ = 12.0:5
Kitchen Sink 3.00 x I_ _ J ? C)c
Laundry Tray 3.00 x _I
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x
G2s Piping Outlet ` minimum - 1 3.00 X =
Rough Openings 1.50 x = !?
Water Softener ? for dwellings under co struction 5.00 X
Water Softener for existing dwelling 30.00 x =
U.G. Spt'inkler ' for dwelling under con st. 3.00 =
U.G. Sprinkler ' tor existing dwelling 30.00 =
Alterations ' to ezisting residenc 30.00
=
Water Turn Around 30.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished sysfems)
Private Disposal Systems ' Abandon ent 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE .50
Reminder: Call 681-4675 for inspections of
water softeners, alterations, etc water heaters,
?
? TOTAL
-- ---------------- -------- ---------------------?---------------------------?-------------------------
I hereby acknowiedge that I have read this application, tate that the information is correc[, and agree to comply with all applicable CiTy of Eagan ordinances.
It is the apphcanPs responsibtliry to nohiy fhe property wner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operahonal and maintenance activities to the facilities constructed under this permit within City propertylright-of-way/easement.
SITEADDRESS:
OWNER NAME:
('Ra?1c?..{ ?os, C'an5?cuc,?i?n
INSTALLER NAME: SCVV-fQA' Q 11-1
STREET ADDRESS:
CITY: V`ivt'
y%oo NdF
'Lake
,?VclG TELEPHONE#:
5C-
STATE: m0
(Vnz
NATURE OF PERMITTEE
Z1P: 55 3 7Z
CDlPERMI7 FORMS/RPLBG PERMIT (RES) - 1999
L ? BL I CITY USE ONLY RECEIPT # (? 6& 1
SUBD. \, RECEIPT DATE: 0-4;q-
PERMIT # /
1999
Please complete for:
? single family
? townhomes;
? backflow pre
FIXTURES
ill\4 IEnMU (ts+.SIDENTIAja)
crrYoF E,tshx
3830 PaoT xxoB ttn
E,o?sax, atx ssi 22
(ssi ) 681-4675
condos when permits are required for each unii
ter for underground sprinkler system
TOTAL
Bath tub I $ 3.00 x = $
Floor drain 3.00 x I - $
Gas i in outlet ' minimum - t 3.00 x = $
Hot tub/s a 3.00 x = $ 3
Kitchen sink 3.00 x = $ 3
Laund tra 3.00 x l = $ 3
Lavato 3.00 x = $ a
Minimum fee alteretions to! existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbish d* re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installati n/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower I 3.00 x I = $
Under round s rinkler if dwellin is u der construction 3.00 x = $
Under round s rinkler if existin dw Ilin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwellin unde consWCtion 5.00 x = $
Water softener if existin dw Min 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ---> $ .50
Total --> --? ----> -._> $
Reminder: Call for inspections
i.e. water heaters, water safteners, etc.
I hereby acknowledge that I have read this applicatio , state ttiet the infoimaUOn is correct, and agree to comply witt? all applica6le City oF Esgzn ordinances.,
It is the appiicanYS responsibility to notify the pro rty owner thal the City of Eagan assumes no liability for any damages caused by the Ciry during its
normal operafional and maintenance activilies to th , tacilities constructed under this permit wlthin City property/right•of-way/easement.
SITE ADDRESS: Vz
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS: S 410
ciTV:
EACH If
TELEPHONE#:
(AREA COOE)
TELEPHONE #: 6 St V` o -,Fy Z- 2-
(AREA CODE)
STATE: ZIP: SS? `7
?.
SI NATURE OF PERMlTfEE
CITY USE OtiLY
LOT ? BL ? RECEIPT #: ? I X ? A 1
SUBD. G,? `Q?"-C(1?ti(? RECEII'T DATE:
MECHANICAL PERMIT #
1999
Date: __?_T?< 9
fICAL PERMIT (RESIDENTIihla
crrYoF fasax
3 830 Pu.oT xivos sn
EAfil4N hIN 5518E
(ssi) 681-4675
Complete this section onlv if you ar i installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occuuied.
• HVAC: 0-l00 M B T IU
A,JUI1iUNAlI. ?,V M 1'i7Ll
• Gas outlets (minimum of one
@ $3.00 ea.)
State Surchazge
Total
$ 30.00
't'OT-
.3.d?
.50
$ 33.50
Complete this section onlv if you a-e remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate i it is a new item, alteration, or repair.
7- New _ Alteration Repair _ Other
R minder.• Call 681-4675 for inspections.
Fumace
_ Air exchanger
Other
3 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SIT'E ADDRESS: (a
OWNER NAME: ?--
INSTALLER NAME: v
STREET ADDRESS: Vn /Dt 1 p,.
CITY:
PHONE #:
(AREA CODE) '
_ PHONE#: ,4?/
(AREA CODE)
_ Air conditioning
-STATE: ? ZIP
SIG A O &PEL
L
SIJBD.
BL
CITY USE ONLY
APPROVED BY:.
INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
1999 MEcit"icA1. PEMrr (caMMfAtclAL)
CiTY oF £Ac6m
S$SO PILOT KNOB i;D
£A6AN, MN 851 EE
(651)691-46?5
Please complete for: all commercialMdustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRiCE:
WORK Tl'PE: New construcrion Install U.G. Tank
_ Interior Improvement Remove U.G. Tank (Minimum Fee)
Processed Piping (Minimum Fee)
*•NOT'E: When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal
and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of contract price O$ $30.00 minimum fee, whichever is greater.
CONTRACT PRICE x 1%
PERMIT FEE
STATESURCHARGE
TOTAL
-------- •-----------------------
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLI'):
INSTALLER:
ADDRESS:
CITY:
($.50 pec $1,000 of pgg3Lt fee due on all pemrits.)
PHONE #:
(AREA CODE)
PHONE #: -
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMITTEE
ITY i1'" E.AGnPd
rASICtI:F<' 1?; I"i_iir?7'h(ll.. Npe 7??iJ
U;="''1"':.: I]3i0'7/9.`.-7 1':f.ftc, 11:C)4:05
i: i.R., 4 1E'E:G'FiT i: ASSOCi:F,T'E'. ;; :I:t4C.
`r.?C_e 90;.?ri 4236 r-:ri,'i'A71_ (7f :;tl,f.lrF
320 `.}iiJ:!. 4296 f'7:TlT'rl,rl_. CT q^;1G . J:J
2e:66 930 •t.&tsae, P:trar?.^.,TI. rr t[iO.Op
2422 9iltli. •i.i?J', ''r'T.Tit(1:[L. CT 853,.42
2275 9'r.'.i'rCC .9r?.9b "TuTnTL CT i„n3'.r7.50
34.46 9,nL19 4-96 f-':in1.i°i:il_ CT Lo.50
%3:LCi`.': .`:ILI('.i'. Ai..'.`dt:, I-'7.t!'iAI.'.. t;r 0„5q
343 '_)';'"M 4296 l°'TNifil'.L (.1 50„0+1
i:,i`:i'i '_?t:i'r 4P96 F'IPdTr1:I:L C": 7£3.50
9068 7221 4296 FT.i?fFtfl_ (';" 163.00
CFi1l.t', 70" A;g CtiN`i':fi+iIIE
USEF' :(D' :7F.'t.. :itx r07,:'iShtUE
C1:T'Y QF L:A('_f,ir'
COFi'i'.I.Nl.ll'•.
Ce:;aFi:ll:fio . 7`si flcFiiliPJAI.. I!'ii' "r"5Y
U(1TE:: 0`.:?lC17/S?=) 'C".',:MEa i:Lrt.lArC?h
SD;
NANiCe H.R. I•ICftl'_iz:T L FlS[iCD :;:1:A7l:iy 1T2!'.
3i1E> '9220 096 f'i:Pllft]:L. CT 114,00
3713 '9220 096 I'3:N'in}:}.. CT 50,.00
3665 C9220 4296 PrNra:rL rr s325.00
'fa'C!?:l !"i4.eeaprt f-,mauni:o 4,932a:i7
CR:t (;76U
I,151 . ., '';1: li.^.,h!
- --7 ? ,l 3830 PILOT KNOB RD - 55122
651-681•4675
n Reauhem
c- ai--?
Remodel/Reoair ReauiremeMs
D 3 rcgblered aNe surveya showing sq. fl. of lot, a4. R. of house
antl gU rooled areas (20% mmcimum bf coveFaae allowed)
D 2 copies ol plans (show beam a window eizer,;pourcd Md. desfgn; etc.)
D 1 set ot energy calculaHons '
? 3 copks M hee presenalbn plan tl loT plaHedlatter 7/1/93
DATE: Y ' aS " g
2 coples ot plan
1set of energy calculaNOns tor heated addXloro
1 sHe survey (w exier(or addRions 3 dec W
CONSTRUCTION COST:
Gi.pO, c2 co, eoo
ati
PROPERTY
OWNER
CONTRACTOR
a-
? 1.?
(area code)
License # ??Exp.
State: /YIll1 Zip: '15-5 1
ARCHRECT/
ENGINEER
Phone #:
Name:
Telephone #: area code ( )
SheeY Address: - RegistraHon M:
? Cffy I State: Zip:
Sewer 6 water Ilcensed plumber (reaulred fof new conahucNOn onlv): 0-0
j (,S I - ?} (? O
Penalty applies when address change and lot change is requested once permk b hsued.
i
I hereby acknowledge thaf 1 hwe read thls applicatlon, atate ihaf the informaNOn Is corteci, and agree to comply wkh ail applieabl
State of Mlnnesdta Stdtutes and CfFy of Eagan Ordinancea. ?
I Sfgnature of ApplicaM: ?. ? ?-
_.'4:..
Certificates of Survey Received ?Yes
Tree Preservation Plan Received _ ?es
?
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
• CITY OF EAGAN
Name: NalAA Phone?: GJS3" yo?Co?
' lasl First
Street Address: ? ?9 w S??
Cify Tlt) lelc StaFe: Zip:
5-?2-
,
OFFICE USE ONLY
No
- ?2
_ No ?ot Required ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
1 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
2 SF Dwelling
V ? 07 5-piex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging O 20 Pool ? 25 Miscellaneous
WORK TYPE
0" 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood 5tove ? 45 Fire Repair
0 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) 5 - id Basement sq. ft . 7 S 7 Census Code !o1
(Allowable) ?•?f Main level sq. ft . 4r50 SAC Code o J
UBC Occupancy L• 3- U •( !, e? sq. ft . /"6 3 y No. of Units I
g
Zonin
i7_
sq. ft
. -79I
No. of Bldgs 1
# of Stories 2 sq. ft . MC/ES System 4_
Length 5-0 sq. ft . City Water
Width IU Footprint sq. ft . 2y6S Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ 1S?_ 5?67
Surcharge
Plan Review
S, 7E kS Q
G?-
License
MC/ES SAC 2,4 „a.75'
•
CitySAC )6 x IS 3y ?-?Z•3 ???
Water Conn.
Water Meter /6 x 3? 1 +?y 1,(3Y A `
77 ( x 1?,
uG
Acct. Deposit ,
)--?336
S/W Permit A gg?236'
SNV Surcharge
TreatmentPl.
r?.,:? Law.? 1<„LI F?.S?.ad
[.au-e? ?e??i v??•??s?-?d
Park Ded. 2-0 • S xZo I S. S k N G
Trails Ded. 1 S.r /E, JS ? p. 3ir 1?, 3
Other l0, 7s ,r s,?s -- - ?
Copies d
7?y k SN.oU '7 57 N'rl S,OG
Total: A 35?o?iG `,
q93a.3c7 r•.a?. Lvwtr ?,.. S?ad JIi I 3S5
i
SAC Units 14 r ?
°k SAC 7:z<_ X,4t4, rru
jt 5, SN'I
SfJL- I-r :?9.9-524
? ENEKGY CODE WORKSHEET FOR 1& 2 FAASTLY DWELLINGS
' - --?=-? -
1 SIT6 ADORSSS '-'-----
CITY
COMpLETED BY; ? ?m, PIIONS DATE
-
HIIILDIt7G CLASSIPICATION; ? ca
HINIMUtd CRITERIA tagoiy 1(otandard) orff caleqory 2(muet_ inEluda vantilation)
Foundation Insulation-R10
' slab on Grade Insulatioii-R10 {4alle & Windowo
(See
forallowa6le percen[ages) Roof Attic Ineulation;
R94-Hith At[ic No lfeal
Floor over wiheated epaces-R24 R30-14iCh Attic Raised Heel
Foundation Windowe 1/2"
ineulated claec.
R38 & 115-Solid RaEteis
-Wood or Vinyl Frame ,
BTHP 1 Window & Door Area I STBP 2 Calculata area ao a percent of wall
A. Total Window 8 Door Area inl
WINOOWS (Including I'oundati Sq. Feet
6n Windowe): '
WIN'JOW MALNFACT[7RE NAM6: I C. From Step 1 dlvidz b
A
WZNDOW HAiNFACT[lRE TYPH; 7??Q
?? ox
(Vlindow & Door
nrea) by 6ox D(to[al wall area) Cimen 100
equals the window and d
WINDOW MA27UFACT[7R8 Q FACTOR: I
?? oor acea ae a
percent of wall area (box C),
R. O. QuantiCy
?imensians c;q.f:l.Area AoX AX 100 =
Rax ? 2 !5-ZZo
Fi5,4 ?
?
210, x?..,vr
f 1 ?
I L2r)
"
X
-
?
X
q
l/.r7Y g
tt Uy X 11 6?
-4 1'/ x??,/, ?
X ?
X
X
°IV:,?,??
3° X
tl -7 X
Tutal Area oE
Wiridowe & ?oars n_
7J=tv
8• Total Plall Area in Sq. Ft
47a11 Total f{eig}it I nrea
Perimeter
Z.J
fl•.
STEP 3 Oen3qn Featureo
a.sseras[.Y
PRAMIHG TYPE:
STAtdDARD FRNIING' X ctuds 16" o.c.
ADVANCED FRIilMING rtude 24^ O.C.
CAVITY I0SUI,AT70N R 1 -/
9HSATHING TYPS:
LESS TIIAN < R-5
R-5 > OR MONG
U-FACTOR u
From thc [able, (reveree side) determine the
maximum percent window E door area for the
design optione ee]ecCed and enCer the k value
in Box D below bar,ed on the window mfg. U-
fac[or:
tfl °
The :va]ue from Lhe 1.able in LIOX D shall be
cyual to or greatcr than t}le };n IIox C
1'otal Area of Nulls I??'yGY•c?,ft
i
- •
ONE- & TYVp_gAMILY RES(DEfVTtAI. p[TILDINC pRESqUp-rNE (CaOK-BOOK)
API'ROAQ i
MAXIMUM W(NDOW qND DOOR AREA AS A PE2CENT OF OVERALL WALL
AREA
6?itlonal talcula t?pspy
STANDARp
STANDARD R17 < R- 5 11.9% 13.7% 18.4% Z1.5%
ADVANCGD R-17
R"17 Z R- 5 13.89'0 18.4'/0 21.5 /e
°
25.09'0
ADVANCED
R-17 < a• 5 12.6°/a 16.8% 19.69'0 22.93'0
R- 5 14.3`o 19.Q% _221% 25.79'0
Nates;
Wlrtdow area equals rough opening minus lnetillation clearances.
Window U-factor musl be determined by either the National Fenestrat(on Rating
Council standard 100-91, or ASNRAE 1993 Handbook of Fundamcntals, Chapter 27,
Table 5.
PostdM F1tx Note 7871
R
From M? Kule?yart 7670 0475 at WILZ, &,,, E
I
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL /_dT -3 /
DATE OF SURVEY: 7- 7 3 '
LATEST REVISION: S- 3O '139
OOCUMENTSTANDARDS
I/
? • Registered Land Surveyor signature and campany
? c • Bwlding PermR Applicant
C ? • Legal descnption
v?
? ? ?
? • Address
N
h
l
d
??
? ort
arrow an
sca
e
•
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? ? • Directlonal dreinage arrows with slape/gradieM °r6
? a ? Proposed/existing sewer and water services & invert elevation
? e ?
Streetname
y? ? ? • Driveway
? ? ? • Lot Square Footage
V/ ? ? • Lot Coverage
ELEVATIONS
Ew'stlna
?o ? • Sewer semce (or Proposed)
? ? ? • PropeM1y corners
u?'?o ? ? Top of curb at tl?e driveway ,
ID' ?Elevahons of any exisDng adjacent homes
??? Adequate footing depth of structures due ta adjacent utiliry Venches
/ Prooosed
k*' ?^ ? • Garege floor
? ? • First floor
?? ? : Lawest exposed elevation (walkouVwindow)
? e Property corners
s? e o • Front and rear of home at the foundation
PONDING AREA (it apdicadel
0 0 • Easement line
'
? ? • NWL
?
? • HWL
0 ? ? • Pond # designation
11 ?o • Emergency Overflow Elevation
? DIMENSIONS
?' ? ? - Lot IineslBearings 8 dimensions
V?'o o • Rightof-way and sVeet width (to back oi cur6)
a? ? o • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
? (i.e. all structures requinng permanent foo6ngs)
0 ? • Show all easements of recard and any Ciry utiti6es within those easemenis
?o ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
? n' o • Retaining wall requirements, if any
Reviewed:
MarCh 19M
cnaWeincvrtWr FM
2007RESIDENTIAL BUILDING rERMiT arrLicaTTON
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Re uirements
3 registeretl site surveys showing sq. $. of lot, sq ft of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placetl on disturbed soil
2 copies of ptan showing 6eam & windowsizes; poured found design, etc.
1 sel of Energy Calculations
3 copies of Tree PreservaUOn Plan if lot platted after 711l93
Rim Joist Delail Options selection sheet (bwldings wilh 3 or less units)
Mi h '
I ??•?
RemodeVReoair Reouirements Office Use OnIJ
2 copies of plan showing footlngs, heams, joists CedW Survey Recd _Y _N
1 set of Energy Calculations for heated addiUons Soils Report _Y _N
1 site survey for addi6ons & decks Trce Pres Plan Rerd _Y _ N,
Addition-mdicate6on-sdeseptresystem TreePresRequired _Y _N
On?ite5epticSystem _Y _N
nnegasCO mec anical ven4lahon fortn
Plans are considered ublic information unless ou state the are rade secret and the reason.
Date ) / ) D/ v? Construction Cost 300 o
Site Address y G? ? ? N?q? y
? e U V' 1 UniUSte #
?
no,
IV
? }
Description of Work ?d d rA klE OC? Vh ? ? T?1 F I n W C-5+
Mulfi-Family Bldg _ Y X N Fireplace(s) ? 0 _ 1 _ 2
Property Owner _E? E]? ri I O?S ? N O. e f Telephone #5 1) ?s L,' nl 3,3 o
Contractor f 4 f-
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventllahon Category 1 Worksheet
(dsubmissiontype) Submitted
. Energy Envelope Calculations SubmiBed
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, daTe and address of master plan:
Licensed Plumber - ? Fl 1 Telephone # (
-?
Mechanical Contractor ? II Ini 1l')?#?' I?, Telephone #(
Sewer/WaterConfractor ?n.?UN `?-? Telephone#(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan.m the case-of-work which requires a review and
approval ofplans.
(p? k s? --
, , _ -. .
ApplicanYs Printed Name EYpplican?rs`Signa e i `""?
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex -W 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvoes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Qemolish Foundation ? 45 Fire Repair
A 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 R2p18Cement 'Demolition (Entire Bldg) • G ive PCA handout to applicant
D@8CI'IqtiOft: WaterDamage_Yes
0
Valuation '90 Occupancy MCES System
Plan Review 4100% or 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ? Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ Sheehock
_ Footings (deck) FinallCO.
_ Footings (addition) ? FinallNo C.O.
_ Foundation 7y HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Poo] Ftgs Air/Gas Tesu Final
_( Franung _ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
? Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
3 f ?o i?
?
,
a
*
N?u R?? FOR
hOp2ES5 PEe ??T-? - 429cD CouP-T
A(SPF_', V?D b?oU-SF AO aUwlK>6Q.
p ?
/ ? ? L07' 4E.At : 1 I0i WD4
?A5
or
1 o CAOEP-.
?oP41t L?,, t??,?oa410F0R4U0 REC??JflG? ?
a ZD
N, , ? 7?• 8? ??????P ?ug ,
d, io L:
?950.
U\ qs
z.o ° ? ? 1 ? ? r !r
1' ? 9 N m 00
LL, O
143
? o
3od?ag 11r 3 ?° s° ? t- o? °
o w o U-1
? r .i v r
50 v ? ' ,o
': 3j•O ??? ?•33 ? ? ?? ?
/ M
Q x? 9? ?14.??` w ?rn}
(?J? `Q M } cr So 3\\ ?J `?`?'f? W? ?O GL.1
( ? G
_? %/? zz!
??
? u7 0?y? e1.:°150.12 ?9 To 58 °O i? Q .9 .?
EteJ
t?' cr7' P Qu 10
8 0? 9
,`
RS Yx.1i?T RhU?QCcty .. ?pfE1 ?IO??Tt?f, ?Pi?J1D?1 ?VR???? ?
Hearings are assumed -
?.J
Subject to easementa oi record ii eny
. Q Denotee set or iound iron pipe monuments
^?Z 3 $ Denotes set wood hub and tack
y Proposed garage floor elevation
-rg¢0 Denotes existing elevation
U • propoaed top oi 61ock elevation ?Denotes proposed finish grade elevation
Proposed loweat floor elevation Denotes direction of suriace drainage
.
Q
Sco Q" o
I hereby certity that this is a true and correct repreeentation oi a survey oi tha boundaries
3 Hlock ?R? 4? Apfl?n?, ?Ammk of Lot ? , County. Minnesota as on file and of record
in the Ofilce oi the County Recorder in snd tor eaid County, also showing the proposed location
of a house as etaked thereon.
That I am a duly Regiatered Land Surveyor under the Laws oP the State of Minnesota.
1
Dated:??AL? n I'7q9 t
30; l;?
I ?
. (?
?? ?I U Allan R. Haetinge
Minnaeota Regietratlon No. 19009
r, By, 212 Esst FirsL Avenue.
'
Suite No. C
' Shakopee, Minneeota 55379
'7I``T`" ?EPT.
Phone 612 445 4027
,
I . .. ,
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Ce,(JS2
Permit #:
Permit Fee:
Date Received:
Staff:
/ON'6(
ob
INFLOW 'INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: 949 b01( Site Address:
F'v1'/
Tenant: Suite #:
RESIDENT / OWNER
Name: -i(2 -.f115 of L,S0cN.- Phone: 7)),-. aq3, Fr -
-rra'q % 10,',4E1;/ C
Address / City / Zip: 1-11)-9
CONTRACTOR
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
)/ Sump Pump Repair Repair
Other: Other:
DESCRIPTION
Description of work: (r�'`q 0 `fie jo Le --74.)-74.)b» Ud, P C °
J
Li
FEES
$55.00 / Each (includes
$5.00 State Surcharge) TOTAL FEE $
*
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.qopherstateonecall.org
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 wor hich reqs s a review and approval of plans.
x V 15 1941./t,-sv,�
Applicant's Printed Name
x
Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: _Under Ground Rough -In Final
Sep 0512 11:51a Lite Construction Inc.
41. City of Eaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-6694
7634980067 p.1
Use BLUE or BLACK Ink
For Office Use
Permit #: /066,1
Permit Fee: 7.0'5:
Date Received:
Staff.
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
J
("C
Date: 1 — 45. — [ — Site Address: Unit #:
RESIDENT /
OWNER
Name: 1-0-A11j4; i24-1., � S 0 tO Phone: '/Z — 2 3cr ' 882 31
Address I City / Zip: 4 29 c Qt NIA 1 L (7 +. _A( -fit`' 4331 2- 2 -
Applicant is: Ownery Contractor
Applicant
TYPE OF WORK
Description of work: 12-5E42-00 I--
Construction Multi -Family Building: (Yes / No )
CONTRACTOR
Cost: /
Company: L 1 --E. C JSi . ilnnk; INC Contact E21 C. " L,12 ' (785-41-16 Z
li-
Address: Coq I S r-2-3 3 "'Cr 5( - City: S E 1—
State: /IA N3 G-3 -Lc Phone: 3 Z.0- 275-- ..A7-7 7
FZillp.
ILicense #: `1 SC Lead Certificate #:
If the project is exempt
C.�41..)
from lead certification, please explain why: (see Page 3 for additional information)
s 01•31-4 6 2/ c 1f k Co_silletx_c.k ell.l`,..
In the last 12 months.
Yes If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and
the information
supporting documents that you submit are considered to be public information. Portions of
may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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. oopherstateonecall.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 must be completed within 180
days of permit issuance.
x
L-1 C- LINO tI S
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
7
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110428
Date Issued:05/10/2013
Permit Category:ePermit
Site Address: 4296 Pintail Ct
Lot:3 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-030
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, 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 -
Erin E Paulson
4296 Pintail Ct
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
..
Use BLUE or BLACK Ink
^-----------------
� For Office Use �
� j Permit#:�O( ""��1N / I
�1�� �l ����� � ���� �
3830 Pilot Knob Road RECEIVED � Permif Fee: _ �
Eagan MN 55122 j Date Received: ���� i
Phone:(651)675-5675 M�� � � ?���j I �t7 I
Fax:(651)675-5694 I Staff: N�
� �
. � ����.���������__��J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION `
�� �l
Date: Site Address: Unit#:
; ' Name: ��1� �,�JL��� Phone: �jo� �,.3�/ �°2�J
� RE:SidE:Fttf � �/
' OWI��t ' Address/City/Zip: `I���O �1�1�(� C�U�-T�
Applicant is: � Owner Contractor
Description of work: �����"' �� ���
Type of Wark
' Construction Cost: ��40a� Multi-Family Building: (Yes /No /�)
Company: Contact: �,
COr1tPaCtdt' ; Address: City:
State: Zip: Phone:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
��`
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: . _ __ _ .Phone: . _ _ _ .
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NQTE:P►ans and supparting documerrts�hat you subrrt�t are considered to be public infarma#ion. Portions of '
th�informatian may be classified as norr-pu��ic�f you.provitle specifie rea�ons that woufd�ermif the�ity to
' conelude that the' are trade�ecrets. '
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.qopherstateonecall.org
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 S te Buildin de mu t be completed within 180
days of permit issuance.
X T"r.�di�P�,�r���J X-
ApplicanYs Printed Name Applicanfs Signature
Page 1 of 3
, , . �
�--�c��� ��l��� C�;�
DO NOT WRITE BELOW THIS LINE �� `� �� �
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
� Single Family _ Garage � Porch(4-Season) � Exterior Alteration(Multi)
_ Multi 'S( Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
� 01 of_Plex Ty Lower Leve! _ Pool _ Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
�y Addition _ Move Building _ Reroof _ Demolish Interior
_ Aiteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window � Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to appiicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_100%� Zoning 1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction 1�'p� Width
-T�°
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
�i ; Footings(Deck) Final/C.O. Required
Footings(Addition) g�' Final/No C.O. Required
Foundation T HVAC Gas Service Test Gas Line Air Test
Roof:�Ice&Water �Final Pool:�Footings Air/Gas Tests �Final
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
. Fire Walls __ _ _ Erosion_Control __ _ _ _ _
Braced Walls Other:
Reviewed By: ��, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge �F" n�
Plan Review ����
MCES SAC
City SAC �
Utility Connection Charge
S8W Permit S Surcharge ,r—/� �� ',
Treatment Plant ����r" � 4j� �,
Copies / �
TOTAL
Page 2 of 3
• �
������ ,
• � ���
r � b �ir ��✓�/� �
�� ��
♦.i/1► ����f rr� �� �
�Dq2E5S �'�e ���c - q,2�� ��u�A�� C�u�,T
�
�1�r��, 11n �ou,s£, �l0 1�uw��E�.
/ 2� Lo� ��: 1 b�odo ��
� �`" � � a` �u��D�Uc�'Rt�P�� 2��4 a�'�
��M � „ �� o
�. �Q: w $..� `�' ��1�3 �o CAt�,�. ,
Qv,�' � !-- "� ��P �-��, � �Da�D� o �
;� �_`.. �,�95a. ����� ������ ��C��O���
�f" y�' � 7 ?8 � � -
� _ � ° .
. '� °p �c� �
. �� '� .� - + g� � ��A' � � ,. (���' � ��:
z�.
� �� -�-'� o. � b `��`g48.55 /�`��,c��.^, � ��'1.
� -� `��� � �3 � 3 (a � l�
�'' �- .00 -_ � � 2 30 „ /
� �"d `` ° .
dC �v �C+�� � N 22•6� 4 ` �f ��`�
`� r Q � � `'' �95p��,
� 0 �7� "' z•D - ° .�' ` ,�. 'r�4' u
^' , �J lOp
��. u� N � � z . � i" ` `�` --� �0 � C�
5�,
_ � ����� . „ � _ � � �� . ` � �
rn I '30 1 � � � ' 1 �� �
7 / �
� �'" �' r _��f l� � Z (, � � _
' 30�g 1!r 3 ���Q �r� � ��LTl a ° o t�k � � ,�
� � ' N � • � �' [� � � i f � '
� � � �, .��/ r , � {,� O • � t�o / � r- o y" f.t,J
� 11
�
5� �� r �,JO �_'T �' �v+ � � � � / � � y �
V �t 3�-p ��! �.3� �� �J ' � � � � � �
—? ` (_ 1/
l� nr�
� 'Q' � > �=`����� r� �a 1�� �c► O;� k—��
� � �
„n { j �0 3� �l' r ._:. �� ,�i� ; �'�'�, � t,Lr
,�-�- 2 ? �. •, r � � ��,�. v.,
�°� �o,� . 08 �'` � � � ~ � �=' °i �
s �
� ""� - � �� �-�. �� �� �
Q� �-� s�a� - S i
�� o �� Et._g5o.7Z 9 S8 nO � �� � �
(�'� �p �u$ 4' f�S '' � � � �
� 9q8.p � � �`
1 � A �
. ��,���w�R �U��R �R i�� ,�� �t; !�c� i�� �-
� �
�S &,i��T`�u��C�� .. ; �o�`�'►�, �P�►���� �c���� �
��� �
. �-�-� ��.� Beari�tgs are assuraed - .
Sub�ect to eaBeraents o� reccrd ii aey
• � DeKOtes set or �ound iran pipe monuments
(1��.2 $ Denotes set wood bub and tack
�� '� Propoaed garage iloor elevation
'�g¢.p Denotes existing elevation
��• Proposed top o! biock elevation �� Denatea proposed finish grade elevation
' (�/� /�_.� Detsotes direction of sur:face dreinage
1������ Praposed lowest t�oor elevation
. ,
. � ' �
t��
i hereby certity that thia is a true and corract repreaentation o� a survey oi tha boundaries
� C��Lt,I�R� �R. 4� Aafl��o� p���-�
of Lot .3� Black , � County. Minnesota as on iile and o# record
►
in the O�tlice ot the County Itecarder in and �or said County, alao showing the praposed l.ocation '
o? a house es staked thereoa.
That I am a duly Registered Land S�rveyor under the Laws a! the State ai Minnesota.
�
�u��� 23� 1��9 t
Dated; •
R���s�.�: f�.�,sT 30; ���----��—..�, '�
�:� . ��.y � ��
� � ' Ailan R. Hastinge
� � � . . � Minneeota Registratian No. 17049
�.+ . �� • ZJ,2 �as� First Avenue, ,
;� ����`�
; T?r*y�_ S ui te No. G
�' . � �� . `•� •-""";-°;''-�,.��' _ n•��,P'i: Shakopee, Minnesats 55979
��`{r� � � � Phone fil� 445 4U27
� ',' '
, .
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169827
Date Issued:06/10/2021
Permit Category:ePermit
Site Address: 4296 Pintail Ct
Lot:3 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Joseph A & Laura A Chilson
4296 Pintail Ct
Eagan MN 55122
(605) 553-8496
Sedgwick Heating & Air Conditioning
1240 Trapp Road, Suite A
Eagan MN 55121
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176748
Date Issued:05/31/2022
Permit Category:ePermit
Site Address: 4296 Pintail Ct
Lot:3 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Joseph A & Laura A Chilson
4296 Pintail Ct
Eagan MN 55122
Estate Claim Services Llc
6701 Penn Ave S, Suite 201B
Richfield MN 55423
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature