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4300 Pintail CtPERMIT City of Eagan Permit Type:Building Permit Number:EA112307 Date Issued:08/07/2013 Permit Category:ePermit Site Address: 4300 Pintail Ct Lot:2 Block: 1 Addition: Mallard Park 4th PID:10-47253-01-020 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 - Mark D Koppen 4300 Pintail Ct Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ? r 51TE ADDRESS: i?? MI11 t APO k'AkK. !i f Fi i PERMIT SUBTYPE: HL i3f'1' Lok- QOx p?' n! oiv RECORD PERMIT TYPE: Permit Number: Date Issued: , APPLICANT: TYPE OF WORK: INSPECTION D. . D• ?.. ,. . ? ? : t . •?&L1 {-`t 111IRfft ? I:i; Y! IIf:K V[ H ? t•!A N RF"V1FWFD is, p rru P, M Rermit No. Permit Holder Date Telephone # ELECTRIC PLUMBING 9 y' '??pg! HVAC FQ5 -6 k4? InspeCtlon lftw Inep. Comments FOOTINGS FOUND x 'CY FRAMING L( ROOFING AOUGH ?LUMBING PLBG AtR TEST ROUGH HEATING 1 ? GAS SVC TEST INSUL GYP BOARD FIREPLACE 7 7 `f A4S 4f `t1/ -97 Au3 No Jv,.-fr.? 7- 4dfe FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL ??? Q / ?C BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL Wertifica#e of CccupancV Wt4 of *agatt #?eparbaeut ef Zai[fing 3nidpccrion This Certificate issued pursuant to the requirements of the Uniform Buildrng Code cerTifying that at the tirne of issuance this structun was in compliance with the various ordinances of the City negubting building construction or use. For rhe following: use c,assirKatm: SF DWG sbg eem;t No. 31396 0-P--y Type R- U-1 nio- R-1 Tya con:t. Vn BUTLER US P 0 BUX 24597, APPLE VALLEY, MN ?? BW? ., ?? L, B, MALLARD PARK 4TH eui"rk! naama I -Ijtx oue: Buil?ob Ofricial , / I ? POST IN A CONSPICl10US PLACE AddYCSS -' - 4300 PINTAIL CT Lot ` Blk I Sub MALLARD PARK 4TH ZIP $$12 0'- TEESE ITEMS WERF / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: 5,?70 y Yes No Inspedor: U4ff Final grade (6" ftom siding) ? Permanent steps (garage) Permanent steps (main entty) ? Pertnanent driveway Permanent gas ? Sod/Seeded grass e/ TraiUcurb damage ? Porch ? Basement finish ? Deck r/ Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply W the outside lawn fauce[ before freeze potential exists. Contact engineering division at 681-4645 before working in rightaf-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy ? 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Pax:(651)675-5694 2008 RESIDENTIAL BU DING PERMIT Date: Site Address: Tenant: ------------------ ? Fiir;t?Et?' uss ? ? / I j Permit #: ? ' ! I i PermitFee: ?EJL.??' I I I ? Date Feceived: ? I ? I Staff: ? ?? 7J 1 s 2008 J - ?0:? ? ? RE$IDENT / OWNER Phone: ,? ?GC_. sz Name:4Y 101 h? Address / City / Zip: AaXD tr ctor C on a Applicant is: _ Owner " TYPE OF WORK Description of work: 6 Construction CosT. f P'i Multi-Family Bwlding: (YesNo ? CONTRACTOR i> 1 Name: License #: ? ? Address: ??? Q , +?l W Zip: ate: \ , City: I Phone Contact Person: ?_- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential VentilaLOn Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 SUbmission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit (or 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: NOTE: Plans a`nd supportipg documentsthat you su6rirrt are`consFdered to be_pyblic intorrr?a'tian ?Portions of., , ; . , o'u=pro'vide specrfic reasons ihai would permrt the.C?ty to u6Lc if s/fied as non- e cl i f tio a th , y p as n orma n m y b e conclude thafihe are;trade secrets. ' ??.?? I hereby acknowledge that this information is complete and accurate; that the work will be in contormance 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 app o of plans. X x ApplicanYs Printed APPiicant's S g ture Page 1 of 3 ?? q (QS PLIIMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete For: 5ingle Family Dwellings Towahomes and Condos when permits are required for each unit Date 10 Si[e Address A700 <2,?Ya?z) ('.&? Unit # Property Owner Telephone # ( ) ? Contractor ka-ti i Address 16-Az Q City State 7n ,) Zip SSabR Telephone# (6W AI1 ,3 ., -grA30 The Applicant is _ Owner ZContractor Other Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. AUditional consultant fees may apply. Alterations To Eidsting Dwelling Unit, Including p i-n -R.mwu $ 50 00 ? Adding fixtures W lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild a? Q Z003 OCT $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 l t ? 2rd _ rep acemen additional QdaL.."50 State Surcharge $ .50 soso Total $ 1 hereby apply tor a Residential Plumbing 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 with the Plumbing Codes; that I understand this is not a peimit, but only an application for a perxnit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work w}ilch requires a review and approval of plans. _ E. L.cclCnujlez. Applicant's Printed Name Applic t's Signature (p G ! &e Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New ConsWc6on Reauirements RemodellReoalr Reauirements Office Use Onlv 3 registered site surveys showing sq ft of lot, sq, fL of house; and all rooted areas 2 copies of plan CeA of Survey Recd _ Y_ N (20% maximum lot coverege allowed) 1 sel of Enefgy Calculations for heated additions Tree Pres Plan Recd Y N 2 copies of plan showing beam & windowsizes, poured found design, etc. 1 site survey for additions 8 decks Tree Pres Reqd _ Y_N 1 set of Energy Calculalions Adddion - indkate if on-site septic system On-site Septic System _ Y_ N 3 copie.s of Tree Preservation Plan if lot platted after 711193 Rim Joist Defail Options selecUon sheet (bidgs wilh 3 or less unils i Date { 1 C l3 l n3 Construction Cost -SG, ond SiteAddress t8 lf) ?//j;t?/L UniUSte # Description of Work UAg)K6'" t- Fi,V +Sf4 MWti-Family Bldg _ Y_ N Ftireplace(s) _ 0tz 1 _ 2 c - .,??_ / Property Owner ?e?G ' j'{'L.G?l4 f '/?1iO/?"? Telephone #( ) Coatractor /? ?7 T1 f? f?`? 57bs, Address ?0430 bp0?l? *?-- City FAo7L L{qK,?- State /N,t/ Zip 55?? 2-- Telephone #(qyL) 22,1,- 4310 RESIDENTIAL BUILDING d-V a COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Venhlation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontypa) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor -------?? a similar plan? _ Y Telephone #( Telephone #( Telephone #( N If so, 25% plan review 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 applica6on 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. /?tolk( ?u?Lt!- / Applicant's Printed Name A?plicant's Signature OFFICE USE ONLY Sub Types - ? - ? . ? 01 Foundation ? 07 05-plex ? 13 76-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_V or_ N ? 25 Miscellaneou5 Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 1< 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 / ? 34 Replacement 'Demolition (Entire Bldg) - Giva PCA handout to applicant Valuation ?UAD Occupancy - {?_ MC/ES System _ Census Code y? y Zoning City Water _ SAC Units Stories Booster Pump _ Nbr. of Units Sq. Ft. PRV _ Nbr. of Bldgs Length Fire Sprinklered _ Type of Const ? Width REQUIRED INSPECTIONS _ Footings (newbldg) FinaUC.O. _ Footings (deck) ? FinaUNo C.O. _ Foohngs (addition) Plumbing _ Foundahon # HVAC Drain Tile Other Roof Ice & W ater F inal Pool Ftgs Air/Gas Tests ? Framing _ Siding Stucco _ Stone Fireplace R.I. Air Test Final Windows (new/replacement) _ _ ? Insulation _ _ _ Retaining Wall ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Eut. Alt - SF ? 36 Multi Misc. Siding Fire Repair W indows/DOOrs _ Final Approved By / ?7 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total /?- ?? .. ?? ----- ('T7y t7G 1=AGAN C:l:i:l-I I'E'I':.i 9 T!:-PiH'CNAL PJrh W'rc:: 05/17/99 T.[PI'i_C 091302=7E3 f','lh?t.-:: t:l1r'I.. !3 I°?ri:1'EI;E3C?A! ,?I.CJ 9001 4300 F'IN'rA7:l_ C;7 WCiO ?iK 9001 4300 t'.T.4i'A:II L;l' 0„50 J , o1, a l R>oce:.p+, Arc;ount, w 60.50 CtCiC.?968 tl_'iEifi 7:tia Nh:iJC4' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT 651-68/46 5- 55122 ? cO •S_/.? LJ New Conshuclfon Reaulremenfs Remodel/Reoair ReaulremerMs S-- 1-7-? ? 3 registered sBe surveys showing sq. M. of lot, sq. fl, of house and all rooled areas (20% maximum lof coveroae allowed) ? 2 coples of plans (show beam L wfndow atzes; poured fnd. design: etc.) ? 1 se1 of energy calculatlons ? 3 copies of free presenafion plan M bt plafFed ofter 7/1/93 DATE: _ - q'9 DESCRIPTION OF WORK: a STREET ADDRESS: y-?c;0 P.n Ta.?/ ILY LOT: ?-- BLOCK: I SUBD./P.I.D. 2 copies of plan 1 set ot energy calculations for heafed addHfons 1 sHe suney for exlerlor addktons 3 decks CONSTRUCTION COST: A3G 0O 4? Name:?KoP pP -1 MA /- k Phone #: PROPERTY I ast First OWNER Street Address: y.100 Ciiy Ea S'ti-, State: ^l /v Zip: -S'S/ Z 2 Company: C.rea P'`i Cv..r l--w lbE -, Phone #: CONTRACTOR (area code) Sfreet Address: /S '7 y '?q /kt e?"e.? License # Exp 3 - 00 City Eq State: n9AI Zip: -2 ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street Address: Regishaiion #: Cfty State: Zip: Sewer 8 water I(censed plumber (reaulred }or new conshucfion onlv): PenalFy appifes when address change and lot change Is requesfed once permM is issued I hereby acknowledge that I have read fhis appfleafion, sfate that fhe InlormaHOn Is conecf, and agree to comply wHh all applicabl ,STate of Minnesota Statutes and City of Eagan Ordlnances. /l /J /1 4, Certificates of Survey Received Slgnafure of Applicard: OFFICE USE ONLY _ Yes _ No Tree Preservation Plan Received Yes No Not OFFICE USE ONLY BUILDING PERMIT TYPE " -t -a ? 01 Foundation ? 06 4-piex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea. ? 03 1 of _ plex ? 08 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 ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only . 0 43 Siding/Soffts/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair 0 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building 11? Census Code SAC Code o / No. of Units ? No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: I.0¢ Valuation: $ SAC Units % SAC •'Surveyor's Certificate GY FOR :BUTLER HOUSING ,CR I BED AS :Lot 2, Block 1, MALLARD PARK 4TH ADDITION, City of Eogan, Dakoto County, Minnesoto ond reserving eosements of record. , 946 .7 ? + ry? ? / 9ysp lo / ?:4 ( F 9? Sy 99,.7 JC ; i q5o. zo 0 d,T o\? o0 9q6 EAG AN n E?.A?I d,w??? /VL B Y DATE BUILDiNG INSPECTIONS DEPT. A? ? oa,yM a? 3oq q9?6' \ ? ? \ q97.g h ` o° I \ \ o? . ? N \ SR i? oa?u :/` Wo-'/ ` , tV 16•s ? ?\ / /' or , ? - h`? ; • / 4 ? LOT SQ. FOOTAGE _ L PROPOSED ELEVATIONS Top of Foundotion = v51.4 Garoge Floor = r150.3 Basemenl Floor = qq3.3 Aprox. Sewer Service = 93?.5 = Proposed Elev. _ C-D Existing Elev. _ Droinoge Directions = Denotes Offset Stoke = • HEDLLl.ND PLANN/NC 6NC/N66RINC SURY6Y/NC 2005 Pin OOk Drive Eogon, MN 55122 Phone: (612) 405-6600 Fox: (612) 405-6606 SCAIE: 1 fnch - 30 feet BENCHMARK, rNH L 10,1 Elev= 452.31 MIN. SETBACK REQUIREMENTS Front - 30 House Side -10 Reor -i5 Goroge Side-5 1 HEREBY CERTIFY THAT THI$ IS A iRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERiY a5 SURVEYED BY ME OR UNDER MY OIRECT SUPERVISiON AND DOES NOT PURPpRT TO SHOW IMPROVEMEN75 OR ENCRO( HMENiS, E%CEPT AS 5 WN. oATE J_? q_?9g ` - ..IL UCENSE NUMBER 14376 ao r? P?` ? /? : ?,?" ?? . . ? G 15, 249 . ? , N0: 98R-002 BUTLER98 ? L CITY USE ONLY ?'??OS BL RECEIPT #: SU RECEIPT DATE: 3 9 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IINOB ItD EAGAN, hID7 55122 (612) 681-6675 Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinklersystem --------- -- ------ FIXTURES ------- - EACH ---- --°-'------ # --------?_ TOTAL Shower 3.00 x ( = 3 0 0 Water Closet 3.00 x , o 0 Bath Tu6 3.00 x -2 = 6,00 Lavatory 3.00 x 3 = 7.60 Kitchen Sink 3.00 x ( = 3.00 Lauodry Tray 3.00 x +Z = 116,00 Hot Tub/Spa 3.00 x = 1NaterHeater 3.00 x 300 Floor Drain 3.00 x ! = 3. o 0 Gas Piping Outlet ' minimum - 1 3.00 x I = o 0 Rough Openings 1.50 x Water Softener ' for dwellings under construction 5.00 X Water Softener ' for existing dwelling 20.00 X = U.G. Sprinkler *tordwelling underconst. 3.00 = U.G. Sprinkler `torexistingdwelling 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 * Abandonment 20.00 = STATE SURCHARGE .50 TOTAL 5570 0 ------------------•------------------------------•-------------•-----------------------------------------•---- •---• •---• --------------- I hereby adcno-wledge that I have read this application, staM that the information is corteG, and agree to comply wkh all applicable City of Eagan ordinances. It is the eppiicanfs responsibility to notity the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its nortnal oparational and maintenance adivities to the tacilities construded under this permit within City property/right-of-way/easement. SITE ADDRESS: 4I30 a I CO u r4 OWNER NAME: [Ju +le r' Hd t[ S/h5 CD /' jo lNSTALLER NAME: We I fe f` o{- Q /q y/o Ck TELEPHONE #; SS.1- Sb 10111 STREETADDRESS: /-fw y /3 CITY: Odfl N Y/ 5 Il i??U STATE: 114 /? ZIP: S5-3 3 7 SIGNATURE OF JSlFORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998 CTTY USE ONLY ZLOT oP- BL ? RECEIPT #: RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL> CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612)681-4675 Date• Complete this section only if vou are installing HVAC in single familv, townhome, or condos that are under construction and are not owner /occuoied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BN ;e 6.00 Gas outlets ( mnumum of one required @$3.00 ea.) ';?' • State Surchazge: .50 • TOTAL: ? so Complete this section onlv if you are remodeline, addinE to, or renairin¢ existine sin¢le familv dwellings, townhomes, or candoa. _ Add-on furnace , Add on air conditioning _ Add-on air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 OWNER NAIvE: INSTALLER NAME: STREET ADDRESS: PHONE #: g?': 6 SIGNATURE OF CITY USE ONLY L BL SUBD RECEIPT #: RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (812)681-4675 Please complete for: ? all commerciaVindustrial buildings. ? mufti-famity buildings when separate pertnits are not required for each dwelling unit. DATE: CONTRACT PRICE: P WORK TYPE: _ NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: ?$25.00 minimum fee or 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $7,000 of pe rmrt fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER TENANT NAME: (InnPROVennerirs oNLr) INSTALLER: ADDRESS: cirr: . PHONE TELEPHONE #: STATE: ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR C:f.TY C?F FAGAN CAFi!-I1:EK:: S TrRM1NAI._ NIO. 729 OFl'1E.r, O1./27/98 TZNIL: 15;::I.6'29 IL:; NIAt1E; L+'F HC.Il,Zi1:nG CQMF'4tNY 2256 3(]01 4300 F'TNTA.T.I... C7 avObf3.9G 70ta7. R:,r_•ei.i';t Amount,p SsOf.,B.`.db CR09''; 761. t.rs:r:rt tD: NFNcv PERMIT _.? CITY-OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE Permit Number: Date Issued: BUILDZNG 031376 01/27/98 SITE ADDRESS: 4300 PINTAIL C7 LOT: 2 BLOCK: 1 MALLARq PARK 4TH P.I.N.: 10-47253-020-01 DESCRiPT10N: 611"di"n_01-Permit Type urtgType Canstriic ?onYng- .`'' 8 u;1'1 i9 i=n'g; ' B 611c1 i ttg' ? ii11d a,N cj. C SF DWG NEw R-3 U-1 VN R-1 68 56 2 2,540 101 1 - FAM. DETRCH or_ a ? ;"?ip ?`a'd'r @M s?m:.?'g eJ°alVq? ???;-,?-.?w???+;?a• ?? ? ?p? .t _ , ?? e?? ,"n s?€ iinn? xa?ti?t,. $ ?r?ts?-ti'ffi a4s N u„S 1 41g-:..?±M'u ? REMARKS: S&W PLUMBER - WELTER & 6LAYLOCK PLBG PRV PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $1,437.25 $934.21 $105.8@ $1,000.00 iee $3,476.46 $210,000 MISC FEES $1,592.50 Total Fee $5,068.96 %+v14 1 rtN%,iVrf: - Applicant - 5T. lIG VWIVtFt: ,BUTLER WOUSING CORP 14314132 0001715 BU7LER HOUSING CORP P 0 BOX 24597 P 0 BOX 24597 ' APPLE VALLEY MN 55124 APpI.E VALLEY MN 55124 4(612) 431-4132 (612)431-4132 ' °I he€?p'6,y aakrr?Wledge znft?rn?i???n.iIs eorrsat ?Rdd s????w??G,?€ oip?,???!?'?,??R????;A?????.'??f,?b;1????t?e?k'c?,? ? . a ?, u ? cemu n? e. e w K p= -?-" g c ? e7?14:tBFId c1?? Q ,/? ? If ' 4'a. 3G4`'? I6?'3 . 6''o-t&wg E IA $3t? ? 3 t Y??'+P4 '? t?t £4 :Z ?' ? a,? ........?? . ...__. . ... ?. a.,?a ._ _ . ?SD4 y ? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ( t CITY OF EAGAN ? I?7 3830 PII.OT KNOS RD - 65122 v`??•• / 681-4675 New Conatruction Reauirertrenfs RemodeUReoeir Reauiremenls • 3 registered site surveys ? 2 copies of plans (Include 6eam 8 window s¢es; poured fid. Eesign; etc.) • 1 energy wlaletbns • 3 copies of tree preservation plan If lot platted efter 711193 required: _Yss No ./kj--fpC?.'d.DYLMµL DATE: ? ? (% ? 2 copies of plan ? 2 ske surveys (exterior edditions 8 decks) ?1 energy calaletions for heffied addkions m CONSTRUCTION COST; 4-,-2 2- ? ,SCO, ? OESCRIPTION OF WORK: ?Z, +'):21 (E FGL Wt i (!I STREET ADDRESS: C- L`OT: ? BLOCK: ? SUBD./P.I.D. #: PROPERTY OWNER Name: P6one #: 4'..) I - T 13 2 '.w` T- 92 (d0 - 1040 StreetAddress: ?.2• C) OX- City MN. Zip: Comp CONTRACTOR Street Add ciri - ARCHIT'ECT/ ENGINEER Company:, < Name:_ Street Add City _ ' Phone #: Registration#: ??""?J7t? State: ??_ Zip: 5?/ ,2- Z Sewer & water licensed piumber (new construction oniy): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this appliption and sTate that the inio on i§'wrtect and agree to compy with all applicabl Sfate of Minnesota Statutes and City of Eagan Ordinances. ? ,-,-? ) //? Signature of OFFICE USE OI?IL?Y v 'v Certficates of Survey Received No Tree Preservation Plan Received _ Yes _ No Not Required Phone #: 4SI ~ { 152- ,., , / ?„ ? License # / 7l 5- 5tate: l? Zip: s?- "//)'( ? i ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish ,E:( 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. O 17 Swim Pool ? 03 SF Addition 0 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Firepiace O 21 Miscellaneous ? 05 SF Misc. ? 10 _ plex ? 75 Deck WORK TYPE Xr 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) ?AI '- Basement sq. ft. i z8o MC/WS System (Allowable) /n'T Main level sq. ft. 15`c. City Water UBC Occupancy 2,YJ sq. ft. Fire 5prinklered 2oning ? -? ZIL4- sq. ft. ? 74 PRV # of Stories y sq. ft. Booster Pump Length ?? ,? •' sq. ft. Census Code. Depth s s? Footprint sq. ft. z,stiv SAC Code Census Bldg Census Unit APPROVALS Planning Build ing Engineering Variance Permit Fee 5urcharge Plan Review License MCNVS SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. 0E 5 v? + Valuation: $ 2- tO, ooo•- 2a9,i ? v. ! 13a ?1 u 30.3'? iO?l.SC. ? i6 ?iS.S z4'8 ,- 4 ?az.-s' i? ? 5r,.,.? p1?s t 8 ? «! ?2?L v Z 7.SX ? P81 R Ded. Z.s Trails Ded. so V z z. Other ?r K '7. s Copies _ ..?.. ?N X 17 Toeai: % SAC SAC Unit? .e? 16. vz<( . zuz? i a 7=1. S a13a 24 IS 4L 11 # 54= 1100 zs-r f 4 5 Lq. - Z 3f 2R, 4 ?r- i6L2.N ri LY 5`l 38` G7d r11it lb = tSiSL?I.-' Surveyor's Certificate SURVEY FOR :BUTLER HousiNc DESCR I BED AS :lot 2, Block 1, MALLARD PARK 4TH ADDITION, City of Eagan, Dakolo County, Minnesota ond reserving eosements of record. i oo/ 94k Dc?/,?y ,? '<^s`Iv ?4 ^ 2s ? ? < F 9\ \ \ \ 1180 i / j / qso. aoo .?4 JO\? . co 9qF 991.7 J ? ISA(G.4=,1w ?RE v? wr? BY DATE BUILDING INSPECTIONS DEPT. , ocoo o ? ?\ E ? 08 J?o 9q6 \ \ \ ' ???qror 99s /??s?saeo. ???h ? h 996.$ • cs aJ, ?o 9 O \ ?0JJ ? N, ?O ?? oi P j,Oc9s? \\ o ?r ry/; ?4. a?. . ?r i tp `39 LOT SQ. FOOTAGE _ l PROPOSED ELEVATIONS Top of Foundotion = qsi.q Garage Floor ='iso.3 Basement Floor = qq3.3 Aprox. Sewer Service =93-7.s? Proposed Elev. _ ? Existing Elev. _ Droinoge Directions = Denotes Offset Stoke = . SCALE: t incn = 30 feet BENCHMARK, Eie?= 952.31 MIN. SETBACK REQUIREMENTS Front - 30 House Side - 10 Reor - 15 Garage Side - 5 JOB N0: HEDLU/VD I NEREBY CERTIFY THAT THIS IS A TRIIE AND CORRECT REPRESENTATION 98R-002 OF THE BOUNDARIES OF THE ABDVE DESCRIBED PROPERiY nS SURVEYED BY ME OR UNDER MY DIREC7 SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE: PLANN/NC BNC/NEER/NC SURVBY/NC SHOW IMPRO?EMENTS OR ENCROA_ HAAENTS, EXCEPT AS S WN. ( 2005 Pin Ook Drive q q ? Eogon, MN 55122 DATE 1_/_L_/.J? ? CAO FILE: Phone: (612) 405-6600 EF . INDGREN, LAND SU EYpR Fox: (612) 405-6606 MI 50 LICENSE NUMBER 14376 BUTLER98 30 t' ?. i; G 15, 249 ? - ? -? - _ z . ? ? ? o fid? ? m?n ?o ?o ? fd? ? [?i' ? ? ? m N ? ? ? ? ? ? ? ? ? 0 ? DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS • Registered Land Surveyor sgnature and company • Building Permit Applicant • Legaldescription • Address • North arrow and scale • Hause type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/exasting sewer and water services & invert elevation • Streetname • Driveway ELEVATIONS Eb 'n 2--'o ? • Sewer service (or Proposed) ?o 11 • Property corners Q 0 Ll • Top of curb at the dmreway 0-16 ? • Elevations of any ebsting adjacent homes Proposed ?o ? • Garage floor ? 0 • First floor 11 • Lowest exposed elevation (walkouUwindow) ? 0 • Property corners ? ? • Front and rear of home at the foundation PONDING AREA fif apolicable) 13 0 • Easement line 0 • NWL 11 M' 13 • HWL o cr' o • Pond # designa6on ci Er? o • Emergency Overflow Elevation DIMENSIONS li' o 11 • Lot IinesBearings & dimensions d o [1 • Right-of-way and street width (to back of curb) ET, o o • Proposed home dimensions including any proposed decks, overhangs greater than 2', f? porches, etc. (.e. all structures requiring permanent footings) e El 0 • Show all easements of record and any City utilities within those easements ?? o • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures ? ?o • Retaining wall requirer,nen4oif any Reviewed: LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: January 1996 CRAIG188WlOGPRMT FM ENERGY CODE WORKSHEET FOR 1& 2 FAMILZ J)WZL1j1NCi5 ?CITY ?-?W? ? ?/? • 7-7 SITB .iWDB&65 _v N' I ?Il? ? 7? ????'? ' DATB < PHONB # ° r LBTSD $Y: ?Y COMP BUILDING CLA33IFICATION: ? catgory 1(muat include ventilation) or category 2(etandard) MINIMIIM CRITBRIA Foundation Ineulation-R10 Walle & Windowe Roof Attic Iasulation: (See ta61e on reverse side 81ab on Grade Insulation-R10 for allowable percentages) R44-With Attic No Heel Floor over unheated spaces-R24 R38-With Attic Raiaed Heel Foundation Windowa 1/2" R38 & RS-Solid Raftere ineulated Glaee. -Wood or Vinyl Frame 8T8P 1 A'fndow & Door Area STEP 2 Calculate area ae a peraant of wall A. Total Window & Door Area in Sq. Feet tion Windows): WINDOWS (Including Founda ? 9VINDOW MANUFACTQRB NAMS: N"? Z C. From Step 1 divide box A(Window & Door LL?'`U- ° 4t' Area) by box B(total wall area) timea 100 WINDOW MANt1PAC7RR8 TYPS: -L' !' equals the window and door area as a percent of wall area (box C). WINDOW MANIIFACTURH II FACTOR: R. D. Quantity sq.ft.Area ? ¢OX A X 100 = C= Dimeneions BOX B7 4,?Ia,_7, J X STEP 3 Daeign Featuree X ASSEMBLY X FRAMING TYPB: ? J / d ? ` y J y c 16" ° /" d X . o. ? etu s STANDARll FRAMING 1 X ? ADVANCED FRAMING studa 24" o.c. ITY INSi7LATION R X ez- CAV X ? SHEATHING TYPE: X LESS THAN c R-5 X l' R-5 > OA MORE a? ?j•_> ZL U-FACTOR X ? From the table, (reverse side) determine the DOORS: maximum percent window & door area for the d and enter the t value ct l e e design options se in Dox D below based on the window mfg. U- factor: I X /i t? ? ?Gl D Total Area of A= ?- a.£t. Windows & Doora B. Total Wall Area in Sq. Ft. The % value from the table in Box D ahall be equal to or greater than the t in Box C Wall Total Height Area Perimet r I Total Area of Walls u B= sq.ft Page 1 OF 2 ?UTL$$ H9DB?Q CORPORATIOP ADQRIS@L 9300 I TA C9Q6T,_ SPM ,_ NKs 55122 -------------------------------------------------- WINDOW ANp DOOR SCHEDULE -------------------------------------------------- QUANTITY TYPE SIZE FACTOR WINDOW OPBNING -------°---------------------------------------- 1 PICTURE 48 X 60 20.00 20.40 2 PATIO DR 6 % 6 36.09 72.00 3 CASBMENT 14 X 44 4,30 12.90 2 CASEMENT 14 % 42 4.10 8.20 2 CASSMENT 30 X 60 12.50 25.00 1 ELIPSE 26 X 98 4,50 4.50 2 TRAPAZDID 30 X AX 3.75 7.50 1 PBNTOID 31 X %% 15.90 15.90 2 SLIDER 24 X 60 10,00 20.00 9 DBLE HUNG5 32R24/36 15.80 63.20 4 DBLE HUNGS 20X24/36 8.33 33.32 3 DBLE HUNGS 20 X 22 7,90 23.70 4 CASElfENT 32 X 38 8.40 33.60 10 DBLE HUNGS 32 X 26 13,60 136,00 2 --------- SIDE LTS. ---------- 1 X ---- 1. -- 3 ----- 6.20 ---- 12.40 43 TOTAL GLASS ------- AREA: --------- 485.22 ------------------ DOOR SCHEDULE ------------------------------------------------ QUANTITY TYP& SIZE FACTOR DOOR OPENING ---------------- 1 THERMATRU 3'-0" X 6 19.04 19.00 1 THERMATRU 2'-S" R 6 16.80 16.80 0.00 0.00 0.00 0.00 0.00 0.90 0.00 0.00 -------------------------------------------------- TOTAL DODR AREA: 35.80 Page 2 OF 2 TOTAL WALL WINDOW AREA: 396.22 U-VALUE 0.361 TOTAL PATIO DOOR AREA: 72.00 U-VALUH 0.367 TOTAL BASBMENT WDW AREA: 20.00 U-VALUE 0.421 TOTAL WINDOW AREA 488.22 TOTAL DOOR AREA: 35.80 U-VALUE 0.066 TOTAL AREA- WINDOWS S DOORS: 529.02 [A] TOTAL AREA OF WALL: 3,883,75 [B] ACTUAL. WDW & DODR AREA AS $ OF WALL: 13.49$ (A] \[B] rsTmnBBQ W1?t lRAMINdI SN6A ItP6 _>B-_5,. I86V4,_ S-] 4, fII.NQQW_ V,36 ?14,00t MBY fIDFJ/DR AR6A ......................... BOTL6R HOUSING CORPORATIOfl ApDRB86_ 4300 PINTAIL CQURT, @AQAN, W,. -5-5122. City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4300 Pintail Ct Lot: 2 Block: 1 Addition: Mallard Park 4th PID:10- 47253- 020 -01 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Total: $90.00 Owner: Mark D Koppen 4300 Pintail Ct Eagan MN 55122 $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 with all applicable State Issued By: Signature Building EA086326 09/23/2008 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA116497 Date Issued:10/08/2013 Permit Category:ePermit Site Address: 4300 Pintail Ct Lot:2 Block: 1 Addition: Mallard Park 4th PID:10-47253-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Amanda Peters 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 - Mark D Koppen 4300 Pintail Ct Eagan MN 55122 Jns Builders Llc 2325 Endicott Street St. Paul MN 55114 (651) 646-0221 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150037 Date Issued:06/19/2018 Permit Category:ePermit Site Address: 4300 Pintail Ct Lot:2 Block: 1 Addition: Mallard Park 4th PID:10-47253-01-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Mark D Koppen 4300 Pintail Ct Eagan MN 55122 Boevaag Plumbing P.O. Box 1257 Prior Lake MN 55372 (952) 292-1511 Applicant/Permitee: Signature Issued By: Signature REcEIVED For Office Use JUN 25 2018 Permit tr 3 0 0 E AG A N Permit Fee: i 4/17*53 ( --qk"A Dale Received: 10, 3530 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 1 TDD:(661)454-8535)FAX:(651)675-5694 Stet ei txiddinaumecbonsOcavareagan corn 1._ .., 2018 RESIDENTIAL BUILDING PERMIT APPLICATION 6/25/18 4300 Pintail Ct Date: ' Site Address: Unit#: - Name: Phone: Alesa & Mark Koppen 651-688-0028 Resident/ Address/City/Zip'Zip: 4300 Pintail Ct, Eagan, MN 55122 Owner X Applicant is: Owner Contractor Type of Work Description of work: Fixtures & Finish Upgrades in Master Bath = 000 x Construction Cost: $20, Multi-Family Building:(Yes /No ) i Roberts' Residential Remodeling, Inc. Chris Baumann company: Contact: Address. 12268 Nicollet AveCity: Burnsville Contractor . State' MN Zip: 55337 Phone: Email:612-804-4275 robyn@robertsresidentialremodeling.corn . BC006885 NAT-42303-2 License#...,___, __ Lead Certificate#:_ If the project is exempt from lead certification,please explain why: Home was build in 1998 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1- t , 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be I classified as non-public if you provide specific reasons that would permit the City to conchidelhatthet are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at wwwicityofeaqamcornrsubscribe. 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. 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, wi.vwpropherstateoneciall orh I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances an codes of the City of Eagan:that I understand this IS not a permit,but only an application for a permit,and watt is peEjo start without a permit: t the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x John Paggen i x Applicant's Printed Name AppIican a Signat e 7 , A 0 it; / e/- • DO NOT WRITE BELOW THIS LINE i-it 30 0 o SUB TYPES Foundation Fireplace _ Porch(3-Season) Exterior Alteration(Single Family) _ .St Single Family Garage Porch(4-Season) Exterior Alteration(Multi) _ _ Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous _ _ 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement ____ Siding Demolish Building* Addition Move Building Reroof Demolish interior ___ _ _ 14 Alteration Fire Repair Windows Demolish Foundation _ Replace Repair Egress Window Water Damage _ Retaining Wall *Demolition of entire building -give PCA handout to applicant DESCRIPTION 1 tr° Valuation Occupancy tItoifir--. MCES System i Plan Review Code Edition , , 4o... SAC Units . 1 4 (25% 100% ) Zoning RV City Water Census Code Stories Booster Pump #of Units Square Feet PRV 4 of Buildings Length Fire Suppression Required Type of Construction ,, Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) $ Final I C.O.Required Footings(Addition) Final I No C.O.Required Foundation Foundation Before Backfill / HVAC Gas Service Test Gas Line Air Test Hood _ Roof: Ice&Water Final _ Pool: Footings Air/Gas Tests Final _ Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS y_ insulation Windows Sheathing Retaining Wall: Footings Backfill Final _ Sheetrock Radon Control ____ Fire Walls Fire Suppression: Rough In Final Braced Watts Erosion COiNtrOi IS Shower Pan Other: Reviewed By: 11/ ,Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review ( iflit IVI5 01, CES SAC City SAC Utility Connection Charge S&W Permit&Surcharge I (c. X )/,0701 9_1, ( 0 0 Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA178440 Date Issued:08/17/2022 Permit Category:ePermit Site Address: 4300 Pintail Ct Lot:2 Block: 1 Addition: Mallard Park 4th PID:10-47253-01-020 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 - Amanda Wenzel Kalstabakken 4300 Pintail Ct Eagan MN 55122 New Life Contracting Inc. 9050 Highview Lane Woodbury MN 55118-5512 (651) 336-9966 Applicant/Permitee: Signature Issued By: Signature