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3900 Donegal WayCIT` OF EAGAN 9830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: I 'NI,t,I1 11A ! I PERMIT SUBTYPE: TYPE OF WORK: N I Imo) INSPECTION TYPE DATE INSPTR. INSPECTION TYPE • 1.1 I) 1 11Mf.5f 1: 14A i 1111-W DAN I P',N 1 VLF1 b HY f311 I APAM'; F iCVRD PERMIT TYPE: Permit Number: '? 7 H Date Issued: 131 / 0a 1 F; r, K APPLICANT: Per mit Holder Date Telephone # fSLUM T ?? HVAC lit& e- a g 9w-DO - Inspection Date Insp. Comm ent FOOTINGS 0 ? r JQ ??RJ A K+LJ FOUND / G K- FRAMING D/ ? ` , l ? , ?8 ?/ ??• ??? C _ C1-?- ???? ROOFING ROUGH PLUMBING ?? - PLBG `? lr AIR TEST ROUGH HEATING GAS SVC TEST --- --- -- M.??? L&VEL P OtJ,?1J JT?T9rltvVM-t INSUL ?,110r! ?L p/'C GYP BOARD ---------- ----- - - ---- FIREPLACE - - -- ----- FIREPLACE AIR TEST FINAL PLBG ?,- `ZT? - --------------------- --- - - -- ------ FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER - ----------- - FLUSH - MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL wertificate of cccupanc? with of Wagan Trartmext of ZuRbing ana0ection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use cimirimim: S F D W G Bldg. Perna[ No. 3 2 6 7 0 oc ,., Type R-3/U-1 Toning MUM R - I Type Coen. V - N BaldingAdd,ess4 3400 DONEGAL WAY L,.,;,yLOT I I , BL 2 MURPHY FARM 1 l F [ice: POST IN A CONSPICUOUS PLACE Address . s 70 6 /.-1 c n 2g g i? 1-4,' Lot Blk Sub 1 THESE ITEMS WERE / WERE NOT COMPLETE AT Zip 5512 OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) - 2 Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SF DWG NEW R-3/U-1 V-N R1 82 58 SITE ADDRESS: P.I.N.: 10-49500-110-02 DESCRIPTION: 1 2,366 101 1 - FAM. DETACH I . i -. ?' F 4 I F} ti PERMIT PERMIT TYPE: BUILDING Permit Number: 0 3 2 6 7 0 Date Issued: 07/31/98 3900 DONEGAL WAY LOT: 11 BLOCK: 2 MURPHY FARM Buildirzg,Permit Type Building Work Type J; "UBC Occupanc Construction Type Zoning Building Length Building Width "a Bui.lding.ISto ri:as " S re Feet 4a4? 3 Can su s, Code REMARKS: S & W PLUMBER - MATTHEW DANIELS #(612) 423-3730. PLAN REVIEWED BY BILL ADAMS. FEE SUMMARY- VALUATION Base Fee Plan Review Surcharge SAC SAC SAC Units Subtotal $1,112.25 $722.96 $72.50 $1,000.00 100 $2,907.71 $145,000 MISC. FEES $1,592.50 Total Fee $4,500.21 CONTRACTOR: - Applicant - ST. LIC OWNER: ,_JOHNSON CONST, MARK 14511676 0003288 JERPBAK DONALD P 0 BOX 21327 5380 WATERS EDGE DR FlGAN MN 55121-0327 MINNETONKA MN 55343 (612) 451-1676 (612)935-4578 I i I hrer,eby acknowledge that. I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan ordinances. L J APPLIC T/PERMITEE SIGNATURE ISSUED BY: SIGNATURE I r j *1?rF%kMC?t 7? TATTTT*A*iA* F 1k YCi ** *** OF EAGAN CASHIER- S TERMINAL. NO: 767 DATE. 07/31./98 TIME: 15:44:37 ID:; NAME. MARK JOHNSON CONSTRUCTION 2256 9001 3900 DONEGAL 14A 47500.21 Ta+,;I. Receipt Amount- 47500.21 CR 095x54 6 USER TD: NANCY 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 -- 0 681-4675 New Construction Reouirements RemodeVReoair Requirements 2 Q ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? t energy calculations for heated additions ? 3 copies of tree cras ervation plan if lot platted after 711/93 required: Yes _ No DATE: - / :s--- 9 DES IPTION OF WORK: Al La-u> '/Z E S EETADDRESS: 3900 b©us CONSTRUCTION COST; &-- ti t/i}L- 1?j '/2 O P47L7 Y C nnC / ---,D 7'O LOT: BLOCK: a SUBD./P.I.D. #: MU Yz ht-I y Name: Si?rT2 (' Q R 1e, Dew&i p --14fu4 v Phone #: 93.5- `457?P PROPERTY Last First OWNER \ Street Address: 45-9cF O ((' Art tr?z-S Cz? G U 7? City /L/ / AJ A? 6 7 0 K State: M EJ zip: x6-5 3 ?4-3 Company:/14A-ek-' JoyAAreAj L40vs1r-2UerfA6 Phone#: 76 CONTRACTOR Street Address: 0. L` O 3L ;Z/,3.;L-7 License # City 45O -- A .. State: MA-) zip: a?S/a3?3a7 ARCHITECT/ ENGINEER Company: Phone #: qS,L /09 Z- -Name: D A IL) M A U S F? ,L-4 Registration #: Street Address: City State: Zip: =Sewer & water licensed plumber (new construction only): 4 Penalty applies when address chang and lot change is requested once permit Is issued. 23 W6 Certificates of Survey Received this application and state that the Information is correct and agree to comply with all applicabl f Fagan Ordinances. Signature of Applicant: i-ONLY Yes No Tree Preservation Plan Received - Yes No '14) Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex J8( 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE X 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition r 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous IT-A t Basement sq. ft. fL- 7,5'96 MC/WS System o Main level sq. ft. ? City Water Jam? ?[ sq. ft. ? Fire Sprinldered R l k2 sq. sq. sq. ft. ft. ft. q 7 PRV Booster Pump Census Code. Footprint sq. ft. SAC Code Census Bldg Census Unit Building -,OaL Engineering Valuation: ,801 WWI Wti r Ne4 n 5c,ru<%a j?aurj ?J? ?r Variance $ PLC/T ? A 2S a" : 34900 /s y!, X s- Yfjo Z, .3c. /1 4Y, 7 0 41 X /c am = // 1216 1/ /9,x. X 30 S 7Go >2dd y130 _ i ,FS At % SAC SAC Units LOT SURVEY CHECKLIST FOR RESIDENTIAL ii o a /z Q" ? [gam ? I, ? SPA ta" ? a-? 29 -o 0 13 51,(, vo""<? PROPERTY LEGAL: m y oil !ate %--- DOCUMENT STANDARDS Registered Land Surveyor signature and company Building Permit Applicant Legal description North Address nd scale L6 ?e L` j x House typ er, walkout, split w/o, split entry, lookout, etc.) Directional drainage arrows with slope/gradient % Proposed/existing sewer and water services & invert elevation Street name Driveway Dfc,ve-,,JA y A X ? /O ELEVATIONS Existing G ta' ? Sewer service (or Proposed) 0-'0 ? Property come _ wM ElY ? M?- • Top of curb t the drive IT-'o ? Elevations of any existing adjacent homes Proposed 0 -1" ? Garage floor l?r'? ? • First floor . [9? ? • Lowest exposed elevation (walkout/window) I? ? ? • Property corners Ian ? • Front and rear of home at the foundation PONDING AREA fif aoplicable) / ? ? ? Easement line -/ ? I7 ? • NWL / ? ?/ ? HWL ? ?/? • Pond # designation ? ? ? • Emergency Overflow Elevation V/11 ? ? 2 ? ? Q'- 0 ? a/'?O F3 '5P? C? ? C? ? Cdr ? • Lot lines/Beadngs & dimensions • Right-of-way and street width (to back of curb) • Proposed home dimensions including any proposed decks, overhangs greater than 2% porches, etc. (.e. all structures requiring permanent footings) • Show all easements of record and any City utilities within those easements • Setbacks of proposed structure and sideyard setback of adjacent existing structures • Retaining wall requirements, y any Reviewed: January t 996 CRAIG19WftDGPRMT.FM r LATEST REVISION: 1,%18.98 09:56 FAX 612 627 0679 SBL RIVER YARD 'x1002.004 Exterior Envelope Thermal Transmittance Worksheet rrrv SITE P.DDRESS °" ' MARK JOHNSON CONSTR. JERPVAK RES DATE FORM COMPLETED BY: 07.16.98 FRANCES M FLOOR AREA Ll•Factor U-Factor ASSEMBLY AREA Sq. Ft. x Area 43 127 2176 1958.400 .022 . Insulated Area 600 217 .026 5.707 a Frarn!n Area . 000 ti ht 3 .000 other _.. _ __... 0 j 4 00 .000 A 2175.000 :. R x8.834 Tmeds r IAvcra^ !' `c, =fir 48.83385706 S 21'-? tr 022 I` p RegWred U-Factor (from Energy Code): I? I I _ -° ? 2348.922 .044 102.21 l V Br?9 iii5u z 339.000 .092 31.241: Framin Area _ , - _ 4111 yc5 ._s2J 2.63f:: . Windows 2-F !)°8 .?. 00 98261 (Doors _, OOi .000 .044 ? . Rim Joist I uuU !MfVp!3ce Wall Above c;rade Foundation Wall 000 R ,, ounda ion Windows F % 7 t .000 . tV jlo Doors 11 u-(actor for simcmt and windm rtmst be detertnhed by ft National penectmdan Rating Ceurwil Standard 10041 a ASHRAE 1933 '-larcbodk of runda. z tais, C:hoptcr27,'abie 5. .,. _. ?.___._.+4 __ _' _^_^u.. Im I Incn.--- ma5v+n ??tE nAtAi stlltl 7Yelk!a)- .er?r5ni iieus--11?wop.7.-.. ..?.••. • _.__ a ___.. w e - art 1'87:.:c13. subpart 4. 0716,198 09:56 F.AS 612 627 0679 SBL RIVER YARD 4003/004 Assembly R and U-Factor Forms ASSEMBLY ROOF AT FRAMING Material Describe Thickness R-Value Interior Film Coefficient .610 Sheet Rock .560 Ceiling Member 4.360 Insulation 32.000 f_+;.•;ic, Film Coefficient 410 Total Assembl Thermai Resistance 38.130 Assembly U-Factor (1fTotal R) .026 ASSEMBLY Material Describe) Thickness R-Value interior Film Coefficient 680'' Sheet Rock 560 insulation 44.000 Exterior Film Coefficient .170 --' R Tv?a-i r°•5561iibiy Then:cuumi BJIJiEIRie 4J.4ry Assembl U-Factor 1,Total R) 022 . nna` ?1Et V .:: t.t4 A•T FT.LRg1Al Nl? 1 r. Material (Describe) Thickness R-Value Interior Film coefficient? - -- .660 tt .heal Rock ?i - -_ -? •450 Stud 6.870 i=`!E•3.r,1'g j 2.070 oining I •610 exterior Film Coefficient .170 ....... Thermal Resistance A- 10.850 /,s;a,-nbl U-Favor (1/Total Ri .092 ASSEMBLY RIM Material (Describe) Thickness R-Value Interior Film Coefficient .680 Insulation 19.000 Rim 1.890 Sheathing 2.070 Siding .610 Exterior Film Coefficient .170 Total Assembly Thermal Resistance 24.420 Assembly U-Factor (1/Total R) 041 !ASSEMBLY &;LL AT inISL" Arinnl 4lstafial Describe) -•r.i-;.ness R-Value Interior Film Coefficiert -68t _ Sheet Rode Insulation 45t 19.0c- Sheathing 2-07 Siding F)derior Film Coefficient i Total Assembly Thermal Re6 sv:x cc ci.3G0 Assembl U-Factor (1/Total R) 1 Jaa ASSEMBLY BLOCK Material (Describe) Thickness R-Value interior Film Coefficient •680 Concrete Block 1.280 optional Insulation 11.000 Stud 4.350 Exterior Film Coefficient 170 Total Assembly Thermal Resistance 17.480 Assembly U-Fector 1/Total R) 057 07/18:98 09:57 FAX 612 627 0679 SBL RIVER YARD . 4 Forth for use with Minnesota Rules part 7670.0475, Subp.2 1 & 2 Family Residential "Cookbook" Method 2004/004 finimum Criteria: Rin Jcis R49 tre w:bon Entry ono 1al4 inch mid wood wdh ?40M ar betler Foundation W naom: Insulated glass yr ?i sFact, woad dr vinyl flame WINDOWS (Including foundation windows): Dimensions Qty Area 1.670 1.670 10.000 27.889 1.670 3.000 3.000 15.030 2.180 8.000 5.000 65.400 5 000 4.000 1.000 20.000 4.670 1.670 1.000 7.799 1.670 61000 7.000 58.450 1.67 6.000 21.000 210.420 2.000 4.000 1000 18.000 2.000 4.000 7,GUG 56.000 0.000 0.000 0.000 0.000 1,011) Total V`aindow Area 47(.9-j-1 DOORS: 3.000 6.670 9.000 180.090 7.500 E.000 1.000 45.000 ?0?000 0.000 . _ 0_04_0 _ 0.000 Total Doors Area 225.090 Total Area of Windows & Doors 702.078 SOX A Total Wall Area in Sq. Ft. Wall Total Perimeter Heiaht Area 110.000 1.000 9.000 990,000 240.000 1.000 10.00(l 2400.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3390.000 BOX B e l er 2 calculatearea as a ercenr ur wall wan area) Times r uu equals me wtnuow ano door area as a percent of wall area (BrxC) i Box A 702.078 x100= 20.7101 Box B _ 3290.0001 BOX C I STEP 3 Design Features ASSEMBLY OPTION FRAME. IVALL: 3"ANIPR4P FRVVT!G ADVANCED FRAMING CAS ITY INSULATION R- 19.000 SHEATHING: LESS THAN R-5 OR MORE E WINDOWS(EX.CEPT FOUNDATION WINDOWS): U-FACTOR u-1- From the table, determine the maximum percent window & door area for the design options selected and enter the Value in box D below: 18.800 Box D Box C must be less than or equal to aox D MARK JOHNSON CONSTRUCTION TREE PRESERVATION PLAN Murphy Farm Lot 11, Block 2 3909 Donegal Way (Note: Homeowner has applied to change address to 3900 Donegal Way) Property Owner: Contractor: Telephone: Fax: Date: 7-23-98 Donald and Marianne Jerpbak Mark Johnson Construction 451-1676 306-9110 PO Box 21327 • Eagan, Minnesota 55121-0327. 612/451-1676 t GO • y/v.. Nit) (9O4 +? V 1 '`O'ff, 14 r a OS 9 j '1?fi3 T,e6Es N0 Lar oN MARK JOHNSON CONSTRUCTION TREE PRESERVATION PLAN Murphy Farm Lot 11, Block 2 3909 Donegal Wav (Note: Homeowner has applied to change address to 3900 Donegal Way) Property Owner: Contractor: Telephone: Fax: Date: 7-23-98 Donald and Marianne Jerpbak Mark Johnson Construction 451-1676 306-9110 PO Box 21327 • Eagan, Minnesota 55121-0327. 612/451-1676 6 Nib, ? .V q i 20 0 X? 14, 1 i ? o o tio+ 004. 0--* ` t ?G ?ON '? )% - . ?w ?.'47.1f.S h?v IV+ AGAII.. N? ?,e6Es Lar pN r? 1...e CERTIFICATE OF SURVEY For. MARK JOHNSON CONST. 3926 DONEGAL WAY PROPERTY DESCRIPTION: Lot 11, Block 2, MURPHY FARM Dakota County Minnesota We hereby certify that this is a true and correct survey of the above described property and that it was performed by me or under my direct supervision and that I am a duly Licensed Surveyor under the laws of the State of Minnesota. That this survey does not purport to show all improvements, easements or encroachments, to the property except as shown thereon. Signed this 17TH day of JULY 19 For: J es R. Hill, Inc., u {/wC ( ( v?t-?J By- Harold C. Peterson, Minnesota L.S. No. 12294 Notes: 1. Building dimensions shown are for horizontal & vertical of structure only. See architectural plans for building & foundation dimensions. 2. No specific soils investigation has been completed on this lot by James R. Hill, Inc. The suitability of soils to support the specific house proposed is not the responsibility of James R. Hill, Inc. or the surveyor. 3. No specific title search for existence or non- existence of recorded or unrecorded easements has been conducted by the surveyor as a part of this survey. Only easements per the recorded plat are shown. 4. Proposed grades shown were taken from the grading &/or development plan prepared by B.R.W. A Denotes set nail O Denotes set iron monument • Denotes found iron monument x927.6 Denotes existing elevation (930.00) Denotes proposed elevation Denotes proposed drainage Bench Mark: 910.26 -TNH-Corner Lots 11 & 12. Black 2. Murphy Farm Proposed Garage Floor= 911.9 Proposed Garage Top Block= 912.3 Proposed House Top Block= 913.0 Proposed Lowest Floor= 904.2 Bearings are on assumed datum Scale: 1"=30' Page 1 of 2 to M :0 ° ?? m v James R Hill inc CO m N, D . , . __j ?o PLANNERS / ENGINEERS / SURVEYORS N o oy CO m 2500 W. Crr. RD. 42, Suite 120, BuRNsva1F, MN 55337 612/890-6044 FAX 890-6244 xp. Ld O u_ iL Ld LJ co M 0 O 0 En 0 O n CERTIFICATE OF SURVEY For. MARK JOHNSON CONST. 3926 DONEGAL WAY N89°03'1 0"E 36.64 (902.0) 902.0 I -? II h 10 I I \ l i I n -r .I .? I L. V I I L II I IV DRAINAGE k UTILITY EASEMENT PER PLAT' W 902 , 6 1 50+ f 9? (3N/ \ BENCH MARK I CS iK'/ DP OF SPIKE ELEV.= 910.33 soX.6 1 / 1'9 9 22 ??' 905.3 0 00 9057 °>j .9 10 63g <\ in L?- 907.2 907.6 I /l T L_ V I Scale: 1"=30' ° SERV. ELEV. / =909.8 / INVERT ELEV./ / =897.0 / 58.46 -? BENCH MARK ` TOP OF SPIKE ELEV=910.21 ?n I V Y ryo 0 QO (O d?W x A ?- O CC Page 2 of 2 James R. Hill, Inc. L>• / CITY USE ONLY L / BL 2 SUBD. J RECEIPT #: q5 / ?0 RECEIPT DATE: 7A9 7 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system -- - --- - - - - - - --------------------- FIXTURES y EACH # TOTAL Shower 3.00 x 2- = 6100 Water Closet 3.00 x 3' = 19-00 Bath Tub 3.00 x 3_40 Lavatory 3.00 x = Al-w Kitchen Sink 3.00 x 19.00 Laundry Tray 3.00 x 3.00 Hot Tub/Spa 3.00 x = Water Heater 3.00 x 3.00 Floor Drain 3.00 x 3.00 Gas Piping Outlet " minimum - 1 3.00 x 3.00 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 `fordwelling under const. 3.00 = U.G. Sprinkler 'forexisting dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems `Abandonment 20.00 = STATE SURCHARGE .50 TOTAL ?o I ---hat - - - - hereby acknowledge t I have read this application, state that the information is wrrect, and agree to comply wkh all applicable City of Eagan ordinances. it is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: 7MewG . k t i r v fciii+f v+ INSTALLER NAME: ?642,E ?u1?? Y?Lri _ TELEPHONE* 641 5/23-35C30 STREETADDRESS: 15-43,0 n oAAagg / 'V .c CITY: L[f"i viy r. l? STATE: `/-r- ZIP: _5606Y JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 CITY USE ONLY LOT g BL cz RECEIPT #: SU : , ?QiyYy?i / RECEIPT DATE: (/C 919 I 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF BAGAN 0©B SBSO PILOT KNOB RD /? £AGAN MN $5122 (612) 681-4675 Date: ?l Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 4. ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) / 00 /y(GlittJ GIGLlJ ?.? ?-u' • State Surcharge: .50 • TOTAL: ? o Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required 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 Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: OWNER NAME: PHONE #: -71? /-/tom 76 INSTALLER NAME: STREET ADDRESS: CITY: PHONE #: crl-eQnJ ZIP: -, FM JS/FORMS BLD/MECH PERMIT (RES) - 1998 L BL SUED. APPROVED BY: RECEIPT #: RECEIPT DATE: INSPECTOR 1998 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN S$SO PILOT KNOB RD EAGAN, MN 55182 (612) 6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE* CITY: ($.50 per $1,000 of permit fee due on all permits.) CITY USE ONLY CONTRACT PRICE: PHONE #: STATE: ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY p L ? BL ? RECEIPT #: I o O G ?( SUED. RECEIPT DATE: cS -((-4 -9-1 -1 PERMIT # 1999 PLUM$INH PERMN (RESIDENnAL) CITY OF EAraAN 3830 PILOT KNOB RD EAHAN, MN 55122 (651) 681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet * minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished * requires MPC lic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/repair 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ p Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surcharge .50 > ---> ----> $ 50 Total > ....> $ 30 Reminder. Call for inspections of alterations, Le. water heaters, water softeners, etc. --- ---- - --- --- --•- - -- --- --- --- - --- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: de OWNER NAME:: J?it ???GfL TELEPHONE #: 6_6j-_ /'' (AREA CODE) INSTALLER NAME: GL )eID +?S TELEPHONE 47 4;2- `{7S o acr('o STREET ADDRESS: 31 S aj c Wc!-,, ( (AREA CODE) Le CITY: ?'/c?ruocrr({ STATE: l ZIP: SS? SIGNATURE ERMITTEE PERMIT City of Eagan Permit Type:Building Permit Number:EA110544 Date Issued:05/15/2013 Permit Category:ePermit Site Address: 3900 Donegal Way Lot:11 Block: 2 Addition: Murphy Farm PID:10-49500-02-110 Use: Description: Sub Type:Reroof & Windows/Doors 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, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Windows/Doors: If altering the opening size, a framing inspection is required. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Donald M Jerpbak 3900 Donegal Way Eagan MN 55122 (651) 994-0245 Reroof America 10740 Lyndale Ave S Suite 10W Bloomington MN 55420 (952) 888-8440 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116300 Date Issued:10/04/2013 Permit Category:ePermit Site Address: 3900 Donegal Way Lot:11 Block: 2 Addition: Murphy Farm PID:10-49500-02-110 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 . Angie Olson 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 - Donald M Jerpbak 3900 Donegal Way Eagan MN 55122 (904) 242-0444 Reroof America 10740 Lyndale Ave S Suite 10W Bloomington MN 55420 (952) 888-8440 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171236 Date Issued:08/06/2021 Permit Category:ePermit Site Address: 3900 Donegal Way Lot:11 Block: 2 Addition: Murphy Farm PID:10-49500-02-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Donald M & Marianne Jerpbak 1601 Ocean Dr S Apt 206 Jacksonville Beach FL 32250 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature