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3914 Donegal WayAddress 3914 DONEGAL WAY Lot 14 Blk Sub Zip 5512 .5!- MURPHY FARM THESE ITEMS WERE ;WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 5 c oeo S Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish t? Deck IY` 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 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy a 0 4 0". psi Werti f irate of cccu l ancC critg of Wagan Me# 1 lent of Z>KOWS anf3pection 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: SF DWG 31326 Use Classification: Bldg. Permit No. Occupancy Type R U Zoning District T,y? C_onst. n 0%-=of Building R A K OT -HOMES Addnza ?fH st W., APPLE VALLEY, MN 3 1 _DQNEGAL WAY -Li 4, B2, MURPHY AR Building AddRSS Locality X Date: 41 Building official /PT POST IN A CONSPICUOUS PLACE INSPECTION RECORD— OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: +t "; ^ 1 '3tiK Eagan, Minnesota 55122-1897 Date Issued: 4+ /0N 1,9FI (612) 681-4675 ? 4'14003 ' 1 403 0' SITE ADDRESS: ' , 14 F11 0 C K W, t.1AY hkl?f f'f?'? I A{; k4 PERMIT SUBTYPE: 1INi; 41" APPLICANT: . , 1, ! t-t 1 .' 1 ft94- 1 4Nfd TYPE OF WORK: I1FSrpIpI ION Nrw I NOR011140 PnOI F 1 N A I f MARKS a P1. AN RvI FWI O BY JOF VI11 r ': A 5A 1-t1 Y 61 A.' I Nei Rrot11 RF w N (-, A F IA( fif 11 TO 4 (IffI IfAVTilk' PLAN`., L ? Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments WVV- FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG 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 ? - - - - - - - --_- CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: ON RECORD PERMIT TYPE: Permit Number: Date Issued: "Tf, - I ri ?y - w/". 14 tI I oI' V : APPLICANT: TYPE OF WORK: INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. I p1 14 AP I( S s S h W F I I II l7 IAI-W: £ i MF I li ? III Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBIN l! /r ? 3 -3r HVAC a t? $ h 4005 Inspection Date Insp. Comments FOOTINGS FOUND FRAMING `?ll?lQ ` ???? L- L ROOFING ROUGH PLUMBING PLBG AIR TEST . ROUGH HEATING ??l r (,Lc, ?L GAS SVC TEST INSUL GYPBOARD FIREPLACE alp/(??'' a ?, FIREPLACE AIR TEST Cl.{? FINAL PLBG 7//J FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG ` DECK FINAL CITY OF CASHIER: MG TERMINAL.. NO: 760 DITE: 01/16/98 TIME: 1306207 As. NAME: R A KOI' HOMES INC 2256 9001 3914 DONEGAL WA 57322.71 Total Receipt Amounts 5,30.0. CR085545 USER IA: MARI._YNN PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 '(612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 031326 Date Issued: 01 / 16 / 9 8 SITE ADDRESS: 3914 DONEGAL WAY LOT: 14 BLOCK: 2 MURPHY FARM P.I.N.: 10-49500-140-02 DESCRIPTION: C rmit Type SF DWG t-,, Type NEW pm R-3 U-1 r#!. GY.iP V-N R-1 tth 6 84 dL F d 1wh .. so sries 2 4 2,939 101 1 - FAM. DETACH 'ay ?e'i:??ffii '+aa. az ,.mow %Y REMARKS: S & W PLBR -- WENZEL MECH FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC j SAC Units ,y Subtotal VALUATION $1,582.25 $1,028.46 $119.50 $1,000.00 100 i $3,730.21 $239,000 MISCELLANEOUS $1592.50 Total Fee $5,322.71 11v114 inm%o1vn: - Applicant - ST. LIC VWrvtts: KOT HOMES, R A 16879513 0001506 R A KOT HOMES 7694 128TH ST W 7694 128TH ST W APPLE VALLEY MN 55124 APPLE.VALLEY MN 55124 (612) 687-9513 (612)687-9513 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN , 3830 PILOT KNOB RD - 55122 Gatt j J 681-4675 New Construction Reauirements Remodel/Repair Requirements • 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes: poured fnd. design: etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservatior? plan if lot platted after 7/1193 required: _Yes A No DATE: t 2I Ly la, CONSTRUCTION COST: D? ©d DESCRIPTION OF WORK: STREET ADDRESS: LOT --L?J- BLOCK 2--- SUBD.IP.I.D. * /VI k PROPERTY Name: Lo K,A - Kzf f-ez".2 s Phone #:487-95/3 OWNER . .61 Street Address: 122) ST- we-171 City: Afign(P a State: MA) Zip: CONTRACTOR Company: SCL"--e- as k Phone #: Street Address: License City: State: Zip: ARCHITECT! Company: Phone #: ENGINEER Name: Registration M Street Address: City: State: Zip: Sewer & water licerned plumber (new construction only): W t°.bl Le + /+' 1-e c ha., r 4enalty applies when address change and lot change arc equested once permit is issued. I hereby acknowledge that I have read this application and state that the information is co(rect ao? g ee to corr?I with all applicable State of Minnesota Statutes and City of Eagan Ordinances. // // , / j '.1 Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No ,DEC 2 4 Off Tree Preservation Plan Received - Yes - No ?o Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _. plex ? 15 Deck WORK TYPE /e' 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth \14 Basement sq. ft. YM Main level sq. ft. r2 3?J-1 z? sq. ft. -( sq. ft. 2 sq. ft. sq. ft. $O ' k " Footprint sq. ft APPROVALS Planning Building A41? 1210 MC/WS System ' I Eiy r, 4404 City Water Fire Sprinklered PRV Booster Pump Census Code. lot z SAC Code 01 Census Bldg I Census Unit 1 Engineering Permit Fee Valuation: Surcharge 3gse Plan Review - ----- - License IL ..14 vs MCNVS SAC zy 4 8k 14 94 4P 'M City SAC S_o?+t+l az.5 Water Conn. r. 5 X14 It,/ Water Meter Y s o Acct. Deposit C7 X fC. s r 1$ 4 n 1 - S/W Permit ' 11 7 S/WSurcharge J? 1n r 1 e g Treatment PI. - -? Road Unit i + ?!? • 3 Park Ded. r S+ Trails Ded. ?I, y r r o J Other Copies z Variance Z3lcI,coo. -- C?cwa?? SL Wisp- +'Z4 Y?Y a/ a 00 r , lean.' it -425 = 4s, zs7. 5' I- I if ZCa I(b 4l S = I T I L G ?' %.S ?- S 24?32. Zgd - SAC its 6 $y sd LOT SURVEY CHECKLIST FOR RESIDENTIAL B LDING PERMIT APPLICATION 4 ?.n PROPERTYLEGAL: DATE OF SURVEY:1 > LATEST REVISION: DOCUMENT STANDARDS d s ?? ? Registered Land Surveyor signature and company ® : ? • Building Permit Applicant ®/? ? • Legal description ? • Address ?? ? • North arrow and scale V 0 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 6 O ? • Directional drainage arrows with slopelgradient % I1al?p ? Proposed/existing sewer and water services & invert elevation ? • Street name ? ? • Driveway ELEVATIONS Existina ? • Sewer service (or Proposed) ? • Property corners ? ? ? Top of curb at the driveway ? • Elevations of any existing adjacent homes Proposed M""? ? • Garage floor Er'? ? First floor M"A ? • Lowest exposed elevation (walkouthvindow) ? ? • Property comers ? ? • Front and rear of home at the foundation / PONDING AREA (if applicable) ? ? ? Easement line ? ?? • NWL C3 HWL ? • Pond # designation ? [ D • Emergency Overflow Elevation DIMENSIONS p ? • Lot IinesBeadngs & 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 ? a ? • Retaining wall requirements .2ny Reviewed: January 1996 CRAIG198&BLDGPRMT.FM EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER LACROIX, JEFF & JULIE PLAN NO. 9-0922-7 SITE ADDRESS LOT 14, BLK 2, MURPHY FARMS CONTRACTOR: R. A KOT HOMES, INC. DATE 12/23/97 PHONE 687-9513 1 2 3 4 5 DETERMIME WORKING SQUARE FOOTAGE 5068.497 Total exposed wall area5148.448 sq.ft. x .11 566.3293 'Dotal roof/ceiling area 2140 sq.ft x .025 55.64 Total floor cant. area 228.67 sq.ft. x 0.05 11.4335 (over unheated enclosed areas) Total floor cant. area 16 sq.ft. x 0.025 0.4 (over unheated exposed areas) Total exposed wall area above the floor. 4672.497 a. Total wall window area .................... 611.94 b. Total door area ........................... 95.6478 c. Total sliding glass door area ............. 0 d. Total fireplace area ...................... 0 e. Total wall framing area (ave. 10%)........467.2497 f. Total net wall area above the floor....... 3497.659 g. Total rim joist area ...................... 396 TOTAL EXPOSED FOUNDATION AREA ................ 79.9511 h. Total foundation window area .............. 0 i. Total net foundation area ................. 79.9511 Determine "U" value of each wall segment. a. 611.94 x "U" 0.41 = b. 95.6478 x "U" 0.06 = C. 0 x "U" 0.33 = d. 0 x "U" 0 = e. 467.2497 x "U" 0.097752 = f. 3497.659 x "u" 0.044843 = g. 396 x "U" 0.042123 = h. 0 x "U" 0.41 = i. 79.9511 x "U" 0.073638 = 250.8954 5.738868 0 0 45.67446 156.8457 16.68071 0 5.887415 6 .....................................Total 481.7226 If item ##6 is the same as or less than item ##1 you have met the current energy codes. 2 MCAR 1.16008 A AND 0. TOTAL EXPOSED ROOF/CEILING AREA j. Total skylight area ....................... k. Total flat roof/ceiling framing area...... 1. Total net flat roof/ceiling area.......... Determine "U" value for each roof/clg j- 0 x "U" 0 = k. 214 x "U" 0.025549 = 1. 1926 x "U" 0.021801 21 40 0 214 1926 segment 0 5.467552 41.98823 7 ...................................'t'otal 47.45578 If item #7 is the same as or less than item #2 you have met the energy code. 2 MCAR 1.16008 A AND O. TOTAL FLOOR CANT. AREA (enclosed). 228.67 o. Total floor cant. framing area (ave. 10%). 22.867 p. Total net insulated floor/cant. area...... 205.803 Determine "U" value for each floor/cant. segment. 0. 22.867 x "U" 0.047192 = 1.079141 P_ 205.803 x "U" 0.021622 = 4.449795 8 ...................................Total 5.528936 If item #8 is the same as or less than item #3 you have met the energy code. 2 MCAR 1.16008 A AND O. TOTAL FLOOR/CANT. AREA (exposed) 16 q. Total floor/cant. framing area (ave. 10%). 1.6 r.. Total net insulated floor/cant. area...... 14.4 Determine "U" value for each floor/cant. segment. q. 1.6 x "U" 0.039793 = 0.063669 r. 14.4 x "U" 0.019924 = 0.28691 9 ...................................Total 0.350579 If item #9 is the same as or less than item #4 you have met the energy code. 2 MCAR 1.16008 A AND O. I HEREBY CERTIFY THAT I HAVE;.CALCULATED TH VALUES HEREIN AND THAT TH /BUILDING HE THE STATE OF MINNESOTA EN RGY CONSERVATIO i i (signa ?(da e) "U" FACTORS AND "R" SCRIBED ACT, ure DETERMINE "U" VALUES" THRU STUD WITH SIDING & S.R. Interior Air...... 0.68 Sheet Rock........ 0.45 Thermo-Break...... 0 Stud.. ........ 6.93 Shthng(Bracerite). 1.22 Siding............ 0.78 Exterior. Air...... 0.17 Total "R" Value..... ....... 10.23 1/R = "U" Value ..... ....... 0.097752 THRU INSULATION WITH SIDING & S.R. Interior Air...... 0.68 Sheet Rock........ 0.45 Thermo-Break...... 0 Insulation........ 19 Shthng(Bracerite). 1.22 Siding............ 0.78 Exterior Air...... 0.17 Total "R" Value............ 22.3 1/R = "U" Value ............ 0.044843 THRU CEILING MEMBER Interior Air...... 0.68 Sheet Rock........ 0.58 Ceiling Member.... 4.35 Insulation........ 32.92 Still Air......... 0.61 Total "R" Value............ 39.14 1/R = "U" Value ............ 0.025549 THRU CEILING INSULATION Interior Air...... 0.68 Sheet Rock........ 0.58 Insulation........ 44 Still Air......... 0.61 Total "R" Value............ 45.87 1/R = "U" Value ............ 0.021801 THRU CONCRETE BLOCK Interior Air...... conc. Blk......... Insulation...... . Sheet Rk. (opt.). Exterior Air...... Total "R" Val.ue... 1/R = 11U.......... . 0.68 1.28 11 0.45 (Add 0.45 0.17 ......... 13.58 .........0.073638 THRU RIM JOIST Interior Air...... Insulation........ Rim Joist....... . Shthng(Braceri.te). Siding............ Exterior Air...... 0.68 19 1.89 1.22 0.78 0.17 Total "R" Value............ 23.74 1/R = "U" ............... 0.042123 U" value for window........ U" value for doors......... U" value for Patio Drs..... THRU CANT. @ MEMBER (enclosed) Interior air...... 0.68 Finish Flooring... 1.23 Shthng(Bracerite). 1.22 Plywood........... 0.93 Joist(W/2x4 Furr). 15.94 Sheet Rock........ 0.58 Still Air......... 0.61 0.41 0.06 0.33 Total "R" Value............ 21.19 1/R = "U" ..................0.047192 THRU CANT. @ INSULATION Interior Air...... 0 Finish Floori.ng... 1 Shthng(Bracerite). 1 Plywood........... 0 Insulation........ Sheet Rock........ 0 Still Air......... 0 (enclosed) 68 23 22 93 41 58 61 Total "R" Value............ 46.25 1/R = "U" ..................0.021622 THRU CANT. @ MEMBER (exposed) (Assumes 200 Joists) Interior Air....... 0.68 Finish Flooring... 1.23 Underlayment...... 0 Plywood........... 0.93 Joist(W/2x4 Furr). 15.94 Shthng(3/4" RMAX). 5.4 Soffit............ 0.78 Exterior Air...... 0.17 Total. "R" Value...... ...... 25.13 1/R = "U" ........... ......0.039793 THRU CANT. @ INSULATION (exposed) (Assumes 200 Joists) Interior Air...... 0.68 Finish Flooring... 1.23 Underlayment...... 0 Plywood........... 0.93 Insulation........ 41 Shthng(3/4" RMAX). 5.4 Soffit............ 0.78 Exterior Air...... 0.17 Total "R" Value............ 50.19 1/R = "U" ..................0.019924 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Ragan, k4innesota 55122-1897 Permit Number: 032138 (612) 681-4675 Date Issued: 06/08/98 SITE ADDRESS: 3914 DONEGAL WAY LOT: 14 BLOCK: 2 MURPHY FARM P.I.N.: 10-49500-140-02 DESCRIPTION: - INGROUND POOL `U,d'in'?Permit Type SWIM POOL Ott lding rk Type NEW zCe'nsus Ccd?' 329 NONBLDG STRUCT. L Y -- Al EY e I 21 ' Q¢ `.1 Iv?IC y ` :m +s+ e +?__ Asa u nv y?? 9tAA'. m? C f+E.IS & . I L1 I ?. f wa're` REMARKS: PLAN RVIEWED BY JOE VOLES SAFETY GLAZING REQUIREMENTS ATTACHED TO CONTRACTOR'S PLANS FEE SUMMARY: VALUATION Base Fee $187.25 Surcharge $6.00 Total Fee $193.25 $12,000 Y - ? 1 bh? 1998 BUILDING PERMIT' APPLICATION (RESIDENTIAL) ?Q 3 7 (.2 ? CITY OF EAGAN ( ` 3830 PILOT; KNOB RD - 55122 C? ?I ea 661-4675 BIZ New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/2193 required: _Yes _ No DATE: .S < t - 7d DESCRIPTION OF WORK: SIRE ADDRESS: J Y 14 O _I 4{ BLOCK: L c ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? t energy calculations for heated additions dlo CONSTRUCTION COST; SUBD./P.I.D: Name: i PROPERTY Last I First OWNER Ctreet Addrecc• 9 I l4 1! C ti(?-C(G l ll? City (-0 lc? State: 11 LLEY /oho/S CONTRACTOR 6.5`/ /7/ Street Address: C? ARCHITECT/ ENGINEER Phone #: 11& 'fl N Zip: J6 . 1 a Phone #: a ! y -/YIPG License # City State: /i`1.f1 • Zip: 3 3 7 Name: Street City Phone #: Registration #: _ State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem.,--43r- 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck Y C Gfi`?/n WORK TYPE ' ?/fIKJ /( 7 o?k?i JFtF?r ?wT ?KP???^ 0'-?62 / rt.c?/Kka?7'S `G(?IT ?77"/?Get1??S ? ,d ? New ? 33 Alterations ? 36 Move ?G--elaoe4- Pv4GE'S ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATI ON Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 3Z4 Depth Footprint sq. ft. SAC Code G/ Census Bldg i Census Unit d APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: i ` % SAC SAC Units Valuation: s 12,600 . j: Section 2406.2 & UBCpage 1-332 2406.4 Item 9 GLAZING IN HAZARDOUS LOCATIONS • Hazardous location provisions of Section 2406 nay apply to glazing in walls and fences enclosing swimming pools and spas. • Ali following conditions must apply: -Bottom edge of glazing is less than 60 inches above the pool/spa decking. -Glazing at or vein 5 feet of swimming pool deck or spa deck intended for pedestrian traffic. • Provision applies to lights of ag size. Glazing to comply with requirements for hazardous location Bottom edge of deck area intended glazing < 60" 5 5 for pedestrian traffic abov e decking 1 If1=1111 = °'= _ '° Swimming pool or spa 108 CITY USE ONLY L BL RECEIPT M V r ?? Z- IF, SUB RECEIPT DATE: 3 G 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, NN 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 __- -? EACH _ # TOTAL Shower 3.00 x &..0,7 Water Closet 3.00 x la-de Bath Tub 3.00 x 3? = 9900 Lavatory 3.00 x 6 = .00 Kitchen Sink 3.00 x _L = 3.00 Laundry Tray 3.00 x 3.00 Hot Tub/Spa 3.00 x = Water Heater 3.00 x / = y00 Floor Drain 3.00 x Gas Piping Outlet ' minimum -1 3.00 x / = 3 0D 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 ' for existing 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 5V-5-10 -- -----by acknowle - ••---- --dge that ------- I - state is -ity of Eaga - -- -----nord----ina--- -nces. Ihere have read this application, that the information correct, and agree to comply with all applicable C ft 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 propertyMght-of-way/easement. SITE ADDRESS: OWNER NAME: X- Q- V ? J . /Xe xL e INSTALLER NAME: G> p ? e , 1?? ?S?e?x tLea/, 4" TELEPHONE #: Y-Z3-3 X30 STREET ADDRESS: 1-5,40D Y / CITY:B al r1 del (i STATE: x? ZIP: SIGNATURE PERM ?s 69 JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 CITY USE ONLY { r L 1 1 1 fB?L n1-o`er RECEIPT #: 115131 l SUED. N1YYI?I ?GLI(Wl _ RECEIPTDATE: PERMIT # 1999 PLUMBINei EERmrr (REsmi AL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 661-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backftow 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 tic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installationfre air 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 = $ 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 --> > > ----> $ Reminder. Call for inspections of alterations, Le.' water heaters, water softeners, etc. nces. I ereby th e to to comply with all all applicable City Cily of Eagan of Eagan n ordinances. to this application, property owner a t the e City lioon n is is correct, rect, and agree co It is the acknowledg notfy responsibility I ti Ity read 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: --CD-/ / -7 OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CITY: I TELEPH NE #: STATE: ZIP: SIGNATURE O MITTEE OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of_ plex ? 09 07-plex ? 04 02-plex ? 10 08-ptex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WQ RK TYPE ,r 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ` ? 13 16-plex ? 21 ? 17 Garage ? 22 ? 18 Deck ? 23 ? 19 Lower Level ? 24 Pibg _Y or_ N Ia?' 25 ? 20 Pool ? 30 Porch (3-sea.) Porch/Addn. (4-sea.) Porch (screened) Storm Damage Miscellaneous Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 01 No. of Units D No. of Buildings I Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building ?? (7 ? 31 Ext. Alt - Multi ? 33 Ext. Aft - SF ? 36 Multi sq. ft. sq. ft. Footprint sq. ft. Census Code 32 `W MC/ES System City Water Booster Pump PRV Fire Sprinkiered Engineering Variance Permit Fee Valuation: $ V U Surcharge CASHIER: JS TERMINAL NO: 708 Plan Review DATE: 04/1.4/00 TIME: 12:04:37 License MC/ES SAC ID: CitySAC NAME: JEFFREY OR JULIE LACROIX Water Conn. Water Meter 3210 9001 3914 DONEGAL WA 125.25 Acct. Deposit 2155 9001 3 914 DONEGAL WA 3.00 S/W Permit SM Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Total Receipt Amount: 128.25 CR126385 SAC Units USER ID: JAN % SAC ******************_********** ? 4B70 New Cgnahucflon Reauiremenh D 3 registered site surveys stowing sq k. of lot, sq. 11. of house and gy roofed areas (2D% mmdmum tot coverage atiowed) > 2 copies of plans (show bearn a window sizes; poured Ind. design; etc.) > 1 set of energy calculations > 3 copies of tree Preservation plan if lot platted after 7/1/93 DATE: ?z 6 / ©0 DESCRIPTION OF WORK: STREET ADDRESS: 7S6r LOT: BLOCK: SUBD./P.I.D. C (o ? ? ? S ? ? 6 6 Name: I'd, G Phone #: Lost First v0\ PROPERTY OWNER Sheet Remodel/Repair Reaulremenh r I . X 2 copies of plan 17fr Se OAT` 1 site survey for exterior additions a decks CONSTRUCTION COST: 3 LID ? 120, 25 C0,1IPd H/12/00 Lia, J City ?a Q State: ?A " L Zip: s S t a Company 1°\t(V S S4 C-? e ?0 S Phone*: 65-1 Lf 3 `?`F6S' (area code) CONTRACTOR / Sheet Address: o F cf ys L v e License M Exp. City S 1 c L (tiur LLY State: fn Zip: ^d ARCHITECT/ ENGINEER Company, Name: Telephone C Street Addr Registration C State: Zip: Sewertwater licensed plumber (if installing sewerlwater): Phone M I hereby acknowledge fhat I have read this application, state that the information is correct, and agree to comply with aR appRcable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant _ OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EiAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Yes No Yes No Not Required C"11 CITY USE ONLY LOT RECEIPT #: SUB . BL VR04V-- RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN S$SO PILOT KNOB RD EAGAN MN 55122 (612) 6$1-4675 Date: 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 $ 24100 ADDITIONAL 50 M BTU 6.00 • Gas outlets ( minimum of one required @ $3.00 ea.) 3 • State Surcharge: .50 • TOTAL: 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 SITEADDRESS: OWNERNAME: PHONE #: INSTALLER NAME: J S/?I(!C //' /(? t L q PHONE #: STREET ADDRESS: CITY: LOOSTA:) ZIP: F PERMIT TEE JS/FORMS BLDIMECH PERMIT (RES) - 1997 2007 RESIDENTIAL BUILDING PFRwffApl ucam City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (29% maximum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form RemodeVReoair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-sfte septic system 50.06 c? Office Use Only Carl of Survey-:Recd Y N Soils Report _Y N Tree Pres Plari Recd -Y N, Tree Preis Required -Y N On-site Septic System -Y _N Plans are considered public information unless you state the are trade secret and the reason. Date 7 Site Address 3?(? ?Ohe 4¢I wd)) Construction Cost 777 , Unit/Ste # Description of Work TA e}- rei oo ?IOrJS??4a?tc 7 ?S? Multi-Family Bldg - Y _ N Fireplace(s) - 0 _ 1 - 2 ?1 / Property Owner Se 6 JJ 1&, La 6-did Telephone # (6S/ ) Z6 ? - s?0/S' Contractor G1&Je 4aKiS ? Sidl v V4 14h',nA,0 717c. Address 313 ae yqd S4 State j w City C4atellh ' IF 96 Zip S531 6 Telephone # ( 76.3) z/27 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y -. N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # 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 in the case of work which requires a review and approval of plans. 9-444 %ck L. MCLCtc Applicant's Printed Name pplicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of-plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex Description: Water Damage Valuation ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 23 Porch (screen/gazebo(pergola) ? 36 Mufti Misc. ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Interior ? 36 Move Building ? 42 Demolish Foundation ? 37 - Demolish Building* 43 Reroof *Demolition (Entire Bldg) - Give PCA handout to applicant Yes MCES System Plan Review 100% or 25% Census Code SAC Units # of Units # of Bldgs Type of Const Occupancy Code Edition Zoning Stories Sq. Ft. Length: Width Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. -Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total City Water Booster Pump-.. PRV Fire Sprinklered REQUIRED INSPECTIONS Sheetrock Final/C.O. Final/No C.O. _ HVAC Other Pool _ Ftgs _ Siding _ Stucco Lath _ Windows Retaining Wall Building Inspector ? 44 Siding ? 45 Fire Repair ? 46 Windows/Doors as Tests _ Final Stone Lath Brick nesIt (UA-Y `15 (vi N , r ve nierPrise Dri t24-22 ndota Heights. MN 55120 w? 12) 881-1914 FAX: eat -9488 er Inp u5 Hitwo 10 N.E. ine, MN 5434 ??,1 12) 783-1880 Fax: 7e3--19' A KOT icate of Survey for: R. 3914 DONEGAL WAY EAGAN EI,EWEU iV l:illLfllMG IPd` !8.;1101: S89ro310 W 136, In ,-- - - - FIL ----------- ,5 my - O ,' EASEMENT PERn 3 ' ?! y 1 _/y 900.1 DECK 902.9 '?^------- ---- Fp/ I 9 2.1 I $ rj?L`Yl` -= r 897.2 10. r? I?r 15 1119004 .Do I,. / a13. r EOU EG CARA E '? ? c 0A 1 h 906.6 rp B,7 ? V3 SUIT 8-2402 La7 I DEpNpC14 MARK .'? 0 ?9a415) 903.3 9. 8 EIEV BO P1$^` y? ENCH MARK O L c to - „ i INV x991.0 13 ? P OF DpIP (??11? o as ?F J M1 LEV.-900.17 902. 0 o I 900.8 ?al?•18A20? 9$ ? l I B 1.6 B...? 0 11a? 72.05 DONEGAL 1 97. WAY , '? NOTE PROPOSED GRADES 911DWN PER CRADINO PLAN BY: BDY! PROPO --D HOUSK F'FVATION_ pq? ? NOTL. TRRUXNO DIMENSIONS SHOWN ARE FOR IIGRIZONTAL AND VERTICAL LOCATION LOWEST FLOOR ELEVATION: FOUNRATOFI 9 ME MY. S.EE ARCHTECTUAL PLANS FOR BUIDNO AND TOP OF BLOCK ELEVATION: O ' NOTE. NO SPEQFTC sons INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE GARAGE SLAB ELEVATION: 4' SURVEYOR. PURVEYED 19 E NOT MATMi ILITY ROF SCILS 10 ESPONSIBILITY OF THE SUPPORT THE 5 EOnC HOUSE K 000.00 DENOTES EXISTING ELEYATION KOIE: TIIts CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN t Do0.00 ) DENOTES PROPOSED ELEVATION THOSE SHOWN ON TIE RECORDEO PLAT. DENOTES DRAINAGE AND UTILITY EASEMENT NOTE, CONTRACTOR MUST VERIFY DRIVEWAY DTSICN. ?- PFNOK.3 DRAINAGE FLOW DNECIION ?- DENOTES MONUMENT NOTFt BEARINGS SHOWN ARE BASSO ON AN ASSUMED DATUM DENOTES OFFSET HUB WE HEREBY CERTIFY TO R.A. KOT THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF; LOT 141 BLOCK 2r MURPHY FAKM DAKOTA COUNTY. MINNESOTA OR ENC1997. VENTS. EXCEPT AS SHOWN, AS SURVEYED8Y ME OR IT UNDER DOES MY NOT DIRECT PURPORT TO SUPERVISION SHOW THIS STN DAY IMPROVEMENTS of DEC., 1987• _D Z'.?/ c r.INFpRDQC- P.A O EER SCALE : 1 INCH - 30 FEET 1] REVISED 12-JO-97 SNOW PROP. BIT. PATH '.61 97500.00, 5WK REVISED 12-15-97 PROP. ELEV'S. Te'd PI N J v '311'-( Don@ild W A-y i EA aw r" A) 2422 Enterprise Drive __'{{EL Mendota Heights, MN 5,5120 LM SU0.V'YOR9 ONL (817) 881-'1914 FAX:881-9488 • r. Amii16 * P11:31MEENa dng noer ng .AtO nA+ans• W osCME rAanlrc,s 625 Highway 10 N.E. Bloine, MN 55434 4( * * * (812) 183-1880 FAX-- 783_I Certificate of Survey for: R.A. KOT a 3914 DONEGAL WAY ILA PAGAN REVIEWi DAI i . 13 -- -30V 400- 4)- - _ 138. aaz.5 001 ZING 111"1'61011 S59M3F100w ?' T ,__ _^ _ - F - ` s ' 4•b7 0 ?. EASEMENT PERnRp 3 / J^rr_ ??` / op I jr 5 `?` ?? C ?U . N Iyq,sf ??+r l / 1 _7y 900.0 DECK 9019 9 75 i ' __ _ ---- 2. I $ Tllpp - 897.2 a 0 , to 14. 1 1 / 15 F- 3 Z I Isoo.4 0° Exlsnn0 r_ s OU E Is I CARA E L t0 I Da $ ?t3 ' ` "01 ' r p 906-5 , 0' I.1 ?\ Ip. 7j 8.87 619802N d` - 1.67 -_ ---- - a t] 14, q --- _ III SpEEpNpC14 MARK 0 i ?9??5) 903.3 818 ?` ELEVQ BOIP16^`^ t 0 L a. ?4 n INVR 891.0 15 h g?PCOF MARK 902. ° ao / o J' LEY.=9 0.1 8 1.6 900.6 ?a1S??a''ZO^ 9 i I ? . Bt 1 • ?1 7 .05 DONEGAL WAY //1 77 1?gpPOSED HOUSE FI }CATION.. Nam PROPOSED GMDES SHOWN S"O PER DUPING PLAN B,: BRIT FLOOR ELEVATION: - NOTE. OU ILDING SIRVCD MLNTURESsISIONEY. 9EE ARG4#TECIV/II?PIANSAfoR BNIDPi0 ANO?IN7N LOWEST FOUNOARON DIMENSIONS, TOP OF BLOCK ELEVATION: OS' NOtE. NO SPECIFIC BORE utVESMOATION HAS BEEN COMPLETED ON TIDE LOT BY THE GARAGE SLAB ELEVATION: ?I - SURVETOR. M SUTAGIUTY OF SOILS TD SUPPORT ME 5PECIFIC HOUSE PROPOSED 19 NOT THE RESPONSIBILITY OF THE SURVEYOR. X 000.00 DENOTES EXISTING EIEYATION NOTE: THIS CERTIFICATE DOES NOT PURPORT 10 SIIOW EASEMENTS OTHER THAN t 000,00) DEHOJE9 PROPOSED 911VAIW THOSE SHOBN ON THE RECOROED PLAT. DENOTES DRAINAGE AND UTILtrl EASEMENT ---r- VENOIES DRARIAOE FLOW DMECTION NOTE, CONTRACTOR Will VERIFY DRFT'ewAY OS31Gt7, DENOTES MOMIMENT NDjU BEARWGS SHOWN ARE BASED ON AN ASSUMED DATUM DENOTES OFFSET HUB WE HEREBY CERTIFY TO R.A. KOT THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 14F BLOCK 21 MURPHY rAKM DAKOTA COUNTY, MINNESOTA IT DOES Not PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 5TH DAY OF DEC.. 1997, PIONEER CINEE G. P. A. SCALE : i INCH - 30 FEET REVISEO 1 1.61 97500.00, SWK REVISED 1 T@'d SHOW PROP. BIT. PATH 01 PROP. HLEV'S• John C. Larson, ?o lord AIVbb:60 L6-0E-3I %96=H 2422 Enterprise Drive )f Mendota Heights. MN 55120 * PIQNElA (812) 681-1914 FAX:881-9488 LAND SURMYoea • CM ENGWLM ung eer ng 1"HM"EA$' 1AN0?JPE""° "? 625 Highway 10 N.E. MN 55434 aF * BIDinD, K 4c * (812) 783-1880 FAX: 78.9-1883 Certificate of Survey for: R.A. KOT ??nn 3914 DONEGAL WAY M?Q?QuU DATE /Z- ?t11 r-i wW 138.75 882.5 BUILDING INS8&4TION" ?.59'0310 C'f.Tb b? D I EASEMENT PERnPLATel? / --- ?? 'rr FRET. WALL BY OTHERS/ •` 9.7 d F 696.1 Ao ?? l 'N v 1 ?rGq 5? ' o z .- 1 _7I t 900.0 DECK 03 902.9 9 2?l r _ ----- -- --G----1 .3 18.92/ DD DD _ _ g tr rG.3l /- 897,2 10. IL l 3 ?b! ? IsoD1 .4 15 F wa GG EXISTING I / O 1g 1 O\U E ?e ?? / Dry . to R7 '? GARA E a 906.6 "ro ? ? o \S \ 53'x' saro4 1 1.1 S , f &67 .49y02?Q/ n/ d BENCOF MARK ?z OI (qb?$1 7 903.3 ELEV.=904-18 D>C? B¢ d /'•??` INV. E. /S "BENCH MARK t,q n U-0 A 7OP DF PIPE 1 ELEV =9D0.17 it L 9 1.6 900.6 °1Ar,18, 20 89, .$? ED ty - 72.08 .?>;•_ ?--?. DON GAL WAY G/? NOTE PROPOSED DIVIDES SHOWN PER GRADING PLAN BY: BRW PRQ2OSEQ NOTE: DURDIND DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTMAL LOCATION LOWEST FLOOR ELEVATION: jM'0 MUSS X ?$M6TIStOk me ARCHIECIUAL PLANS FOR BUILDING AND 7 Q 5. TOP OF BLOCK ELEVATION: ? NOTE: NO SPECIFIC $OILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVETCR. THE SLATABAITY OF BOILS t0 SUPPORT THE SPEaFIC HOUSE GARAGE SLAB ELEVATION: fa 4' PROPOSED IS NOT THE RISPONSIBA.ITT OF THE SURVEYOR. NOTE THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEIAENTS OTHER THAN R 01 DENOTES E%5T1NG ELLYATiON THOSE SHOWN ON THE RECORDED PLAT, ( 000,00 ) DENOTES PROPOSED ELEVATION ._ - ?- DEN07ES DRAINAGE AM UTILITY EASEMENT NOTE CONTRACTOR MUST VERIFY DRIVEWAY OtSICN. ?i- DENOTES DRAINAGE FLOW ORECTION ROTE BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM ?- DENOTES MONUMENT --?-- DENOTES OFFSET HUB WE HEREBY CERTIFY TO R.A. KOT THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 14, BLOCK 2, MURPHY FARM DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS STH DAY Or DEC., 1997. NEO PIONEER F GINEE G. P.A. SCALE : t INCH - 30 FEET t REVISED 12-30-97 SHOW PROP. BIT. PATH Jahn C. LOreon, !B? 97500.00 WK REVISED 12-I6-97 PROP. ELEV'S. T LB'd PERMIT City of Eagan Permit Type:Building Permit Number:EA118245 Date Issued:10/29/2013 Permit Category:ePermit Site Address: 3914 Donegal Way Lot:14 Block: 2 Addition: Murphy Farm PID:10-49500-02-140 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 . George Younes Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey K Lacroix 3914 Donegal Way Eagan MN 55122 (651) 269-5015 Cedar Custom Builders & Remodelers 1501 Keller Lake Rd Burnsville MN 55306 (952) 215-5141 Applicant/Permitee: Signature Issued By: Signature _ _ From:Taylor Gable Fax:R63)400-4503 To: Fax: +1 (651j 6i5•5694 Page 3 of 3 01120I2015 2:4d t�so�t�U�or�LA�K Ink �------ —� r For4ffceU'sa �------- � � . I ' � �,S j ��1�� �,1 ���i3J1 1 Perrnit#: ��. t 3830 Pilotktnob Roa� � i�eomteFsB: � Eagan Mt��5122 1 � F'honc;�65��G7a-56�'a � Oale Rece3ved. � Fax:(651�575-589� � ����: � — ---------------., ��115 C'��CHA►C�1�AL �'ERI�,1117 APPL.I�G;i�►TIQ�f CI �'lease submit!wa(2�set�of pl�ns with�lt ccmmeretal applicatiQns. Datc: t'�"�� S1tol4d�ras$s +���� �'������ �� � "C7" �`e�ant: Su1tn#: � �e51d�i1'�CyWl�1�� ��me.�'�"' i .�ts�j� Phone: v�����`��;'�"�v,�� � Addfess 1 Gity!7rp: �� � ��� GG� t�'"�{ :. I � H�m�.. �? licersse#;,��i�t���g : _� i Gatltf�CZaC Address: � � City:.�,1�������� � Statc;��.�p: �`°x�� �hcne: � r�'� `�� �. ' `CanCact: � `Email: � R�` l'l��l� �/r+� " ��+� ,New �Reptacement AddiUoss�I,c_,_ "�"^'-"an Demotfl'bn o Type!of Vllark Dcsetipkta�of wnrk; � ��� 1 tl•� , NOTE,Rao'f aaounted and�rouad mou�ted mBehaatcal equtpment Is rcr�u3t�d..tn t�a se�ttened:by City � Coda. �leaso�antaat ih�a Meahanlcal tn�poctor foNntdrmatlon an pormllled scre�ning mgtk�ods. � �ES�oE�urrAi� cc��an�E�erac. �F�rnace New.ConsWciion _Inte�oc ImprovemeRt � �AirCcndit�on�er �tns�atl:�?iping _Ptacessed PerrntE 4ypc — � _A�1r�xcharrge: T�G,�s ,_„_,�,ttettot HWAC tJnet , _Hea!PumP ,,,_„UndedAbavs ground Tank (_Instaq f_Remoysy � _K��her �r � R�S1�p�1Vi'1�4t,���5 _ ' S60.�t�: Irri unt Add cratteralion,to an existin.g�tut{in�ludes S5»QO State Surc'�arge) � 510.O.d0 Residential h�ew{Ine�ndes SS.Od State�rehatge} =S TaTA�.EEE �--._ ' �fJMM�f��tA�1.�.��5 ContraetualucS xrOt , �55.OG Po�tntt Fea Mintmurt� i $�'O�Oq Undecgt�undta.nklnstalla:tron/remoxal =� �'Q�'RF'�'� � 'at�4ntract valuu,ts LE��tha�rr 510.410�Surctiarga=SS.Qa ;� Surcharge' •,�t contrati val�e is GREA7ER than$10,t�1 D,St�rcharge=�Ctu�traGtVatue x ffiA.Oq05 •••t1 che�rcjecl va��ationi 3s t�ver5�m►'11ao�.Pleas�catl inx Snrcharge _� T4TAf..F�� - [hereby aCknawAedge Ihat this inlo�rnation�s c�np�ete and�eur�ta.khat I�e w�oric wiu b�ia�contvmraeac�wiiri the ardinances and cod$s of tna�ity at E�gars:t�tat 1 undersland UaIS MS not�peRnit,brat o�ty an sppfiK�atian tnr$pgmu�.anc!vra�k:is not to sta�i vrithout a parmi�U�t Ihe�tk willl be�n acavrdanaQ . wif h Uus a�p(oved p n tn the case of workwl�icts ctquEres:a review and approwai o!pians. x ��"� � �L � , ApPUcanl`sPtlnt��tJamet ApPlicant's Slgnatu fOEt OFFIC�1)5� , � RequEr�d in�pocttnnsc Revtewsd By; pat�: "Under�round ,�,�tough In �AlcTest _Cas Servi�e Tssi ,..._I�rliocrHeat _,Flnat _Ht1AC S+rreening From:Taylor Gable Fax:(763)400-4503 To: Fax: +1 (651�675-5694 Page 2 of 3 01l2012015 2:44 Use��.U�or�I,ACK ink �___"�.--------- —� � �arUMeaU�g 9 � �(�/ d� �1� ���� � � P�errrtilNt � � l � � j Perntit Fce= �, O � 383�pllat KnQh Ro.ad t . � Ea��n�AI��5122 t Data Rece;ved: r , I � �hana�(651�_675�•�6�5 ` S�aK` � ��x:��s��sz�.sssa — --------� �0'�a !R��IdENT1AL P'��M�l[�IG P'EF�i'NIT APPL1Ct�TI�ON F� ��to.:_ ' l�� Site Addresss �� �� ��1� °��� �'�✓�� Yenanl: Suito tt: � � ReSidt3C1l1{lW1t�C Name:�,��� ������ Phon�� � �� G��' ��aaress t��tv r�a; � Nars�e: � � Ucense#: ���t�Q�-J� _. ' � Addres�; �ontr��tor �'� �I `'�' d �'t�' �l��'1 �� ' �.1���2����/ � Stale: Zip. � �f'' Phone: '' . C'untacL' 1 �� E�eail: NG �� � TYPe of Wo[k --�ew ��ieptar,�menl _ftepair _Fteb�n`I.d _Nlodity�pace _'V1t�ric'tn�.O:V11. � p�scrJpiian otwa.rk: F RE5ID�NTlAL � 111later�loaler ' _Lawn IrrigaGon(_RPZ!_PVBj �1N'�ter�cftener � Permit TypE� Add Fiumbin.g�ixtures�Mtaiin!_�owerlavel) � .,,,,,,,,Septfc syst�m � �� ,,,!Water7urnafound i + 1lbandanment RESIDENTIAL.:FEES: � 3&O,ap W�t��#��ater�'V�I'at�r So��ner,or Water Heater ar�d Sot�e�et(induc�es 55:b4 S�ata Su�harge) ' 560.�d`Lawral�r�gal�a�{t�cPu�es.55AQminimu�tStaleSurcharge) S�Q.i10 Add Pl�tmhing F�xtares,Seatic Svstem A6andonrase�l��Ul1�te�7umaround'(�nctudes�S.�OD Stalo S�rcct�acge� ' 'IM1faCer'i�maround(add 520�.4D:lta 518"meteris re.yuired� ' $1'15,00�entic S�r�lem H�w��i0.Q0 per�s bu7t)('�nclude��unty tee and 5�.00 Slate Surzha�ge} ; T07AL F�ES$ CA�L BE�'C?R��ft7U afG. �II Gopteer S�a�e Qtoe Ca11 at j551)454-0�OZ fot prctetlioa against underg�und�t�lity d3mage. CaEI 48 hnurs befare yot�i�iend lo dig to tecei�e 4flcateS a(undetgrou��f uti6t�!s, www;go�hersl�lerr�ecall:orn 1�h�abg ackoowf�edgc�+at thls intormaVa�Js ccxnple4o and aeauata�Ihat Ihe wa�k ryiil ba�In cgnta�nnan�cp�+vi1h ttsa:ordinances a�nd r�of the City ol` Eagarr�hat 1 tmQersRand Ihis fs not�Rernt�,bu�t�nly;8n�DPlication f0�d Perizt�.and Yvq[k Is not to staR w�ttout a i�rmt�that lhe wo�k wilt�sa In �eWrda r�vK(h�1e apprAVC�f plan(r1 the casect wak ikh�ah requires a revderv artd approvai ol�arts. ,�-�,Cl�-, �•,�y(`��(r� x— '�--� ���`._. x V�,�' ..,._. Appltcani's Printed fi�amo Appl�car�l's 'Pg�atu�e � FOR OFF�CE,'U5E Review�d 8y. Data: �equtredln�pections: Und�erGrs�und Roug�ln ��dr'�est GasTest �inal Nleter Ralated lteims: �1+'Cete�Size �2adic Eiead 1Vlanameter StsH: