3917 Donegal Way(certificate of cccupancv
Kio of Wagan
cpart- -CIO 0 Sniibing anapccdon
I?
This Certificate issued pursuant to the requirements of the Uniform Building Coder
certifying that at the time of issuance this structure was in compliance with thy` various
ordinances of the City regulating building construction or use- For the following:
use Clusification Did>C Bldg. Permit No. 3424()
0-p.y T)P Zoning DW. R I Type Consl. VN
Owner at 8oilding ILA IHY H lmw r• t 11 i? wt [L?e?cc __,Z?[) wr %,Fzw - aa[s 1
FARM
B2 MURPHY
Banding Adds as 3917 DONWAL WAY Locality LQ+
1 Date-
Btdlding Official
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: APPLICANT:
I r. 0 !
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
??;ray
I :,k`;: PI. AN krvItwr,r( RY (.RA1(1 N('IVAC:Yt
I F
[ L --- - 11
3 7) 4L y
Pennn Holder
Date Telephone #
SEWER/
WATER
PLUMBI
HVAC t - ,J4, w i P 9? AOd 5
Inspection Date Insp. Comments
FOOTINGS L?3/ C
FOUND
? vCr _
FRAMING
ROOFING
ROUGH
PLUMBING 19-K ;b?r /4 ? (??s?k?
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
77 J J-a
GYP BOARD
FIREPLACE
-
Al?
- - -G
ell
FIREPLACE
AR TEST
yC
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
Address 3917 DONEGAL WAY Zip 5512 3
Lot 9 Blk 2 Sub NURPHY FARM
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ??ag Q Yes No Inspector:
Final grade (6" from siding) vl?
Permanent steps (garage)
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
Nov 06 U1 W22p
76 5 s
Buck Christensen
y0Z r41WU4 f p.1
2007 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651.675-5675
Please complete for modifications to existing residential dwellings
5-,0, 50
Date 01_1 Z?/ 07
Site Street Address 3 91 0 001 L LEA Unit#
Property Owner "I'M Cl K /l( Vj4 F} L Telephone # ((S ) `fJ `fr 7272
Y-n
Contractor / I I 'VC e SO r-14.. &6 cl H-r'wi 1 Telephone # (?3:4) S'f5 -9/,fy (/
Address es D i_=) 3 tV j+ L),g- City5-h 4 K
? State !+2 .u Zip ??
The Applicant is. _ Owner & Occupant y Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Indudes County fee'-
s 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90
00
This fee applies when extensive lumbin re airs are made to a buildfn . ,
Alterations to existing dwelling $ 50
00
-YL
Add plumbing fixtures to _ main level lower level. This fee includes .
Installation of a water softener and/or water heater at the same time. ff you are
fnstaNing only a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
-Septic System Abandonment
-Water Turnaround (add $136.00 if a 618' meter is required)
-Other: rk % Q
Water Softener _ Water Neater $ 15.00
_ new _ replacement
-Lawn Irrigation ,RPZ _PVB ,-new ,repair -rebuild $ 30.00
State Surcharge
[ S 50
l $ 5 t7 S?
I herebv annly fnr a Rweirl-nrin1 oi. ?...r,:..,
-- - -- - u• is --- - acnnvwievge mat me information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permitAork is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is reWife reviewed d proved. rr,,
ku? G Su??waL 1h K
Applicant's Printed Name Applicant's Signature
Nov 06 U1 UBZ2p Huck Christensen 5bZMWU4l p.[
2007 RESIDENTIAL !MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MK 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & lownhorn s/co dos when permits are required for each unit
Date
Site Address
-- unit #
Property Owner `?1 l15 e Ci U+h 69--5 L
Telephone # ("/
J
Contractor ] 1 RJL j L QM p? y w ?j, ti 14P?e? I/y,.c
Street Address ?? tf 2-U to City
State _ L N ,
Zip JT3 7. S Telephone#
Bond #:_ (01-1 Expires: L1;0- C .7
The Applicant is Owner Contractor Other -
Fire repair (replace burned out appliances, ductwork, etc.) S 90
00
This fee applies when extensive mechanical repairs are made to a building. .
Add-on or alteration to existing dwelling unit S 50
00
.
furnace !YAddhitmal -Replacement New
air exchanger
air conditioner
heat pump
other. F1 n07 5?.[.h!I+Q. 4-- At_s' M-[?L 4}-
State Surcharge S SO
Total
I hereby apply for a Residential Mechanical 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 Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without r ' - that the work will be in accordance with the
ap roved plan in Lite case of work which requires a review and approval of p s.
Applicant's Printed Name p bcanfs Siguauu e
4P `416
b 4ifl
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
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. tt of lot sq. It of house; and all roofed areas
(20% maximum lot coverage allowed)
I Sacs Report if proposed budding 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 Reservation Plan if lot planed after 7/1/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodellReoair Requirements
2 copies of plan showing footings, beams, joists
t set of Energy Calculations for heated addidons
1 site survey foradoifiuns & decks
Addition - indkefe if onsife septic system
P,0a
'ji 'JAN L2 2007
Office Onlv
Cart of Survey Recd _Y N
Soils Report -Y _ N
Tree Pres Plan Recd _ Y _ N.
Tree Pres Required _ Y _ N
On-site Septic System _ Y _ N
Date a l
Site Address 39/ 7 AoA), Construction Cost S- C? C)
el?I¢L 4./ ? {`tom/ - Jnit/Ste #
Description of Work % ?13£.r*t vT t.-rvzsl4
Multi-Family Bldg _ Y _? N Fireplace(s) _ 0 X I - 2
Property OwnerM-FkiL r lGy}-r//ri ,?sDN i?plt Telephone #
(?SI) `>`s7 ' ?? 7c2
Contractor A
A00 ? 112--e (}
Address%
State ,Z-7 7 City u ??US
zips X33 2 Telephone # (F S 7514 30
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 Lc N If yes, date and address of master plan:
Licensed Plumber NJTN?+f?SoT7A / Lu,,/3ZN6 Telephone fl95d) ?f?f5? ?y5?y
f
Mechanical Contractor Ns/4TTa UFi Telephone #i )
Sewer/Water Contractor
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.
Applicant's Printed Name App icant's 'gnature
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
)4 33 Alteration
? 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
A 19 Lower Level
? 20 Pool ?
? 21 Porch (3-sea.) ?
? 22 Porch/Addn. (4-sea.) ?
? 23 Porch (screen/gazebo/pergola) ?
? 24 Storm Damage
? 25 Miscellaneous
30 Accessory Bldg
31 Ext. Alt - Multi
33 Ext. Alt - SF
36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage_Yes
Valuation 3004
Plan Review 100% or _ 25%
Census Code 17 3y
SAC Units -
# of Units
# of Bldgs
Type of Const ?(? 13
Occupancy /? `-3 MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. - PRV '-
Length Fire Sprinklered
Width
- Footings (new bldg)
- Footings (deck)
Footings (addition)
Foundation
_ Drain Tile
Roof Ice & Water Final
Framing ?y
Fireplace S R.I. -4-AirTest $ 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
? 07 05-plex
? 08 06-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
REQUIRED INSPECTIONS
Sheetmck
Final/C.O.
Final/No C.O.
RVAC
'IT
Other
Pool _ Ftgs _ Air/Gas Tests Final
- Siding _Stucco Lath _ Stone Lath -Brick
Windows
Retaining Wall
Building Inspector
/ 30 =
LOT: BLOCK: SUBD./P.I.D#: Mu?ti?rn
o,Ot?
20WBUILDING PERMIT APPLICATION (RESIDENTIAL) 'S
3p v ` CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675 )_?? ?UII?? ??-7 CQ
New Construction Requirements
? 3 registered site surveys showing sq. ff. of lot, sq. ff. of house
and all roofed areas (20% maximum lot coverage allowed)
D 2 copies of plans (show beam 3 window sizes; poured fnd. design; etc.)
1 set of energy calculations
3 copies of tree preservation plan if lot platted offer 7/1/93
Y Rim Joist Detail Options selection sheet (buildinas with 3 or less units)
DATE: f)-lf c 7 1,
Remodel/Repair Requirements IL,
2 copies of plan Z,V? i? ?? I . a-o ( Tl i V'
1 set of energy calculations for heated additions
1 site survey for exterior additions & decks
CONSTRUCTION COST:G 0-1?
DESCRIPTION OF WORK: D e-c. if multi-family bldg., how many units?
STREET ADDRESS: ?`I I? ff t,9:L`d=
Name: UN'2"nc\I L?aVAPhone #: PROPERTY Last First p
OWNER Street Address: ? eE` ? b
city 4;:-- ony csy-? State: r^ 1 Zip: 5 5 ( -
Ce/?I- ? r-9 ((J2-4 aI,-
Company: 1 f? c.e'^ 5 [0-,^j 'S D-e (KS °?- 6jazelae?hone #:
(area code)
CONTRACTOR l 1' ?j
Street Address: I?1 S Sc)kj+"\ G "e ",j ?J License # '8209 Exp. ("a60-1
City IS , ?f- y'c,,ootl I State: W v. -l Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: ( )
Street
City
Registration
State:
Sewer/water licensed plumber (if installing sewer/water): Phone #:
Zip:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordina es.
Signature of Applicant:
OFFICE USE ONLY O LS "7200n
Certificates of Survey Received Yes - No DEC Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex V18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
01 31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair
? 32 Addition ? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors
? 33 Alteration ? 37 Demolish (Bldg)' ? 44 Siding
? 34 Replacement ? 38 Demolish (Interior)
" Demol ition (Entire Bldg only) permit- Give PCA handout to applicant
VALUATION .2 0,) , 00- Occupancy
Z
i MC/ES System
Cit
W
t
Census Code on
ng y
er
a
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const J -/y Width
INSPECTIONS REQUIRED
-y" , Footings: New Bldg
? Footings: Deck
Footings: Addition
Foundation
Framing
APPROVALS
Planning
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
Insulation _ Windows - new/replacement
Final/C.O. _ Siding
Final/No C.O. _ Stuccofstone
Fireplace: _ r.i. _ air test _ final Roof: ice & water - final
Pool: _ ftgs _ air/gas tests _ final
Building ax Engineering Variance
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
P.:1, .N.e 10-49600-090-02
DESCRIPTION:
397,7 DONEGAL WAY
LOT: 9 6LOCKe 2
MURPHY FARM
trrnlt T'v
E'} 1.ditft] t~7(?'',k f V p e
C Occupancy
1,to nstruction TYPE.
Zoninq
i Building Length
F31J11.dinq Width
'.: evi'tda°nq stories
re Feet
Et`?Cod..--`
PERMIT TYPE: 8 U1:1_DING
Permit Number: 0 3 4 2 4 9
Date Issued: 1.2 / 4 / 9 8
1)6JC
a W
R
L? 11
is -_..
7m
?.31r9
3,01 :l -- S-AM DETACH
REMARKS:
AN REVIEWED
S & W PLUMBED?
FEE SUMMARY:
Base Fee
Plan Review
Surcharqe
SAC
SAC
SAC Units
Subtotal.
VALJ1)Arf0N! $187,000
1.„322.25
859.76
93.50
$1.i?@49. CdU
7.0Fi
1
$:3.:'.75.21
MIS(:. FEE::; l„592.50
T, ta it Fee $4. 867.71
CONTRACTOR: - Applicant - ST. I-Tc. OWNER:
ATHY TRIMBLE CUSTOM HOMES 14560674 20060440 KATHY 'iR1MBLE CUSTOM HOMES
t 66 WEXFORD Cl' 1566 WEXFORD OT
GAN MN 55:1.22 FAGAN MN 55122
12) 456-0674 (651)456-0674
I hereby acknowledge that have read this
information is correct and agree to (omply
Statutes and City of Eagan Ordinancet,
144aLR??)
faY 11 PA 1. ci N0 V r? C?YK ,.
SS MAFIHEW 1) A N 1 E L S AFi01VE H?__ 73G7 ..
applSC,xt on and state that the
with all appJ.a.cable State of Mn.
SUED BY: SIGNATURE
CTT,) OF 1=Ai"AN
CASPTERN 6 TERMINAL NO: 779
T%TQ 12/28/90 TIME: 0814906
7^..
'?'TNE: KATHY TRIMBL.G CUSTPM !-U WES 1WC
USER 0z NANCV
m.o. ba..:o.bx a .. ..nt?o::) „'4' b.o.•?n..b.r :? .Y:.. a. a,,.-.:.y, )
1998 BUILDING PERMIT„ APPLICATION (RESIDENTIAL) /
' 3830 PII.OT KNOB RD - 55122 4 7L7 ?
-2) Ll I
481-4675 f?
New Construction Requirements Remodel/Repair Reouirements
• 3 registered site surveys
? 2 copies of plans (include beam & window saes; poured Intl. design; etc.)
? 1 energy calculations
• 3 copies of tree preservation p" 'If lot platted aRer 7/1/93 ii
required: _Yes No DATE: ??. ?zs? -
DESCRIPTION OF WORK:
• 2 copies of plan
? 2 site surveys (exterior additions & decks)
# 1 energy calculations for heated additions
CONSTRUCTION COST;`
STREET ADDRESS: i
LOT: ?2 BLOCK:
Name: 11 Phone #:
PROPERTY Last First
OWNER
Street Address:
City State: Zip:
Company- Phone #: ' , ?? - ?l0 7T
CONTRACTOR
Street Address. License
?KL
City State: 222Q2 . Zip.
ARCHITECT/ (
ENGINEER Compa - rrl ?/) Phone #:
Registration #:
Street
City
Zip:
Sewer & water licensed plumber (new construction only).' I Penalty applies when address chang
and lot change is requested once permit is issued.
`-fa3 - 3`73 O
I hereby acknowledge that I have read this application and state that the information is correct Land mply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances
Signature of Applicant:
Rl?',?.1 AVED
OFFICE USE ONLY 11 Ilr.n 1 q
. -i IC',.q
Certificates of Survey Received ?Yes No
BY:
Tree Preservation Plan Received - Yes No VNot Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
X02 SF Dwelling ? 07 4-plex ? 12 Mufti 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
)EQ31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. 1 3 MC/WS System
(Allowable) S- ^! Main level sq. ft. 14,511 City Water
UBC Occupancy 2- 3 2 "' sq. ft. 1-11%-- Fire Sprinklered
Zoning 0--/ -sq. ft. f0 1 PRV
# of Stories 01- sq. ft. Booster Pump
Length 13-'75 sq. ft. Census Code.
Depth -70 Footprint sq. ft. - SAC Code
Census Bldg
Census Unit
APPROVALS -
Planning Building Engineering Variance
l0 1
of
Permit Fee
Surcharge
Plan Review
License
MCIWS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SM/ Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
.j,3aa• a?'
93.E
5R59.
000 .00
Valuation:
N3q x /s y
1439 x
Lf /2xSY?_
674 x !b =
-2, '/ tj g SS'4-4?-
-7 7, -7-0&
-
,nom ? ? I r 5-q a
$ /86, 35?q=
Total:
?I
I 1? .23.Ci$
I
% SAC
SAC Units
?g8-? 39
ENERGY CODE WORKSHEET FOR 1 & 2 FAMILY DWELLINGR
SITE ADDRESS G
CITY -
COMPLETED BYS
lEW O.i/r Ga'u S?Wl1/C?
'
?'
_ ttONH
N DATE
BUILDING CLASSIFICATION- ?
category l (standard) 'or category 2 (must include ventilation)
MINIMUM CRITERIA - -
Foundation Insulation-RIO Walls & Windows Roof Attic Insulations
Slab on Grade Insulation-R10 (See table on reverse side
for allowable percentages)
R44-With Atti
.
c No Ileel
Floor over unheated spaces-R24 R38-With Attic Raised Neel
Foundation Windows 1/2-
insulated Glade, R3E & RS-Solid Raf tore
-Wood..orVinyl Frame
STEP 1 Window & Door Area STEP 2 Calculate area as a percent of wall
A.. Total Window & Door Area in eq. Feet '
WINDOWS (Including Found
a
ti
on Windows)
:
?
,J
n
n
?
WINDOW MANUFACTURE NAMES / I,ti9i`U10 I6CLt&e rr .
C
F
S
.
rom
tep 1 divide box A (Window & Door
WINDOW MANUFACTURB TYPE, ?
65'a( I/56rO6 Area) by box R (total wall area) times 100
.F- equals the window and door area as a
WINDOW MANUFACTURH U FACTOR: i 7(Q percent of wall area (box C)•
R. O. Quantity sq.ft.Area DOX A X
.
Dimensions 100
C
, I?
Box H
lw
4
_
L?.c<"x 9 !7R It /J
/? STEP 3
Desi
F
I
p
4
1
M gn
eatures
-
rg
X-
-
0 3 Z ASSEMBLY
~ X 4 -
142 FRAMING TYPE-
1
N
.0 x STANDARD FRAMING -
"
O
r
^
Zt
?yy studs 16
o.c:
U
,o
X ADVANCED FRAMING studs 24" o
c
2j_.0a X 5-(JN ?j
-14 .
.
CAVITY INSULATION
ION, X ?? ?n 1 ?7
SNHATMING TYPES
l' U N X 510 LESS THAN < R-S X
M
4 _
?o
xr ?# It+
7
1
R-S > OR MORE
'
)4
X41 1 -
c
-U ?(J U-FACTOR U
DOf1OgS: g
Z )e ?p
)
l? From the table,
(reverse side) determine the
maximum percent window & door ar
f
3° X G? ea
or, the
design options selected and enter the t value
in Box D b
l
b
' A
W e
ow
ased on the window mfg. U-
factor:
x n
®
Total Area of
Windows & Doors A- aq.ft.
-
B.• Total Wall Area in Sq. Ft.. The t value from the table in Box D shall be
equal to or greater than the t in Box C
Wall Total Height Area
Perimeter
uo 5.a Son
lco 5 ?? l`1co1
x•83 I Sco3
'Dotal, Area of Walls D=??Z kq.ft
•
,
ONE- & TWO-FAMILY RESIDENTIAL BUILDING PRESCRIPTIVE (COOK-BOOK) .
APPROAC3 f
MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL
AREA
LLYLLLR11Iln Rule?yart 7670 OC75 Fes„ ?, item r
Notes:
Window area equals rough opening minus Installation clearances.
Window U-factor must be determined by either the National Fenestration Rating
Council standard 100.91, or ASHRAE 1993 Handbook of Fundamentals, Chapter 27,
Table 5.
Post4VFax Note )eft o¦w
n
Addy an1_wg=d jL
s,
r-
L'
?I
API! &R.47!. NN"y
!CY. i-W40A.nox
:iT. 5--!L
04 Fl',VAIL
RA is IM.
I'4 N 24
V. 'i0• POOTLK) U., E T:7
c1'/!AP 182 slk!e I ON !'O
GJhOITION.AT RAGH 60
D E=TAIL, NOTES
1:1?-
I, "LOOR S'W"d? A%O FLOIR
SLAB TO BL' Ir1 FLAS:C OR Y-.--'L
BRI.C&D S POMI W CKPILI e"
2. PLOxR!'Tax.P.Pt ANC- "-5I4OR
DOLT? &r tL B9 pe-e Ie My f'OR
"RUOrAL:LAI:TCIN OP v
??T?ItA 41?y .
CaNL?CTz bA70 F'51 a 2a PAX!,
R9IHPORC.IYQ, WN A619 ORAg 10
90R, IOONI CRWA. AR° SG' P;i'
IEOAYA-11147 PLWD P!i.'SIOE fdF'PJ
ISRAi,4AR 1 LtSNT-',LAT-!5 P(:'
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4-
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
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PROPERTYLEGAL:
LATEST REVISION:
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, 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
ELEVATIONS
Existina
? ?
0---? • Sewer service (or Proposed)
/
n ? ? • Property corners
? - ? ? • Top of curb at the driveway
Er' ? ? • Elevations of any existing adjacent homes
Proposed
??? ? Garage floor
Z' ? ? First floor
? ? Lowest exposed elevation (walkoutWndow)
?
x • Property
corners
11 ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
/
? ?/ ? • Easement line
? L'? • NWL
? e' ? • HWL
? Pond # designation
? ? • Emergency Overflow Elevation
DIMENSIONS
? di
? ? mensions
Lot IinesBearings &
a' ? ? • Right-of-way and street width (to back of curb)
•0"/ ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
--? porches, etc. (.e. all structures requiring permanent footings)
ements
ithi
iliti
th
0
? ? n
ose eas
es w
Show all easements of record and any City ut
?
?"'?? Setbacks of proposed structure and sideyard setback of adjacent existing structures
/
? 0 ? • Retaining wall requirements, ifAnj _. ,
Reviewed:
1
January 1996
CRAIG190M0GPRMT.FM
DOCUMENT STANDARDS
t? CITY USE ONLY
LOT DL Z_ RECEIPT #: C- 10 38Q-
SUB RECEIPT DATE:
1999 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGA N
3830 PILOT KNOB RD
EA6AN MN 55122
Q (651) 681-4675
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 $
ADDITIONAL 50 M BTU 6. 0
Gas outlets (minimum of one required @ $3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
New Replacement
Furnace
Air exchanger, i.e. Vanee system, etc.
Repair _ Other
Air conditioning
Other
Remainder: Call 681-4675 for inspections.
$ 30.00
State Surcharge: .50
Total: $30.50
SITE ADDRESS: .I-Y/,/
,q}>'i(/ ?< j7N/YI S PHONE #: //)??- ?5? OHO 7?`
OWNER NAME:
INSTALLER NAME: U` ! l/ PHONE #:
r
STREET ADDRESS:
L
CITY: STATE: ZIP: 53 7Cn
SIGNATURE OF PERMITTEE
1S/FORMS BLD/MECH PERMIT (RES) - 1999
CITY USE ONLY
L SL
SUBD.
APPROVED BY:
RECEIPT #:
RECEIPT DATE:
INSPECTOR
1999 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
S$SO PILOT KNOB RD
EAGAN, UN 55122
(651)6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE
TOTAL
SITE ADDRESS:
($.50 per $1,000 of permit fee due on all permits.)
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CITY:
STATE:
ZIP:
PHONE #:
PHONE#:
SIGNATURE OF PERMITTEE
T/ p BL CITY USE ONLY
L 7
RECEIPT #: 049 S 0
SU .. RECEIPT DATE: ?' 99
1999 PLumBINH PERmrr (REsmENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 5512E
(651) 681-4695
Please complete for: D 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 3.00
Water Closet 3.00 x fff = 9.00
Bath Tub 3.00 x -3 = 9-00
Lavatory 3.00 x 1 = 15:00
Kitchen Sink 3.00 x &.60
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x 10
Gas Piping Outlet ' minimum - 1 3.00 x 3 00
Rough Openings 1.50 x 3 = '6a
Water Softener ' for dwellings under construction 5.00 x =
Water Softener for existing dwelling 30.00 x =
U.G. Sprinkler for dwelling under cont. 3.00 =
U.G. Sprinkler for existing dwelling 30.00 =
Alterations to existing residence 30.00 =
Water Turn Around 30.00 _
Private Disposal System MPC lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE .50
Reminder. Call 681.4675 for inspections of water heaters,
water softeners, alterations, etc.
TOTAL S?.OL
- --- --- I h-----read----this--ap--pli-ca-- -,- s th-t---ale--at-t---he --------on -- is- c--ortecl,- -and- - a-g--ree-- t--o---compll---ywit----h -all---applicable----- - - Ci-ty.-of.
E...ag .. an.. -----ordinan-c--es-
I hereby acknowledge that ave tion info- rmatl.
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:
INSTALLER NAME:
TELEPHONE #: ((Q) h423-Z3X30
STREET ADDRESS: f?a30 (4h_ A4L)a,LL 2L4Y: ,
STATE: 7X? ZIP:
CITY: SIGNATURE OF
uT•?0( 8'
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
12-17-1998 3:20PM FROM PIONEER ENGINEERING 681 9488 P.1
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12-17-98 03:26PM P001 441
> '?"0 86-LI-Zi 8896 189
%66-E
2422 Enterprise' Drive i
Mendota Heights, MN 55120
EBRf wro s RwYDAE - CIA aMwmm (612) 681-1914 FAX; 681-948$
.1c *
0 e® wo rTN NMI 1AX°? A 625 Highway 10 N.E.
Blaine, MN 55434
,K 4 1(612) Me-4880 FAX:783-1883
k` hcertificate of Survey for: KATHY TRIMBLE CUSTOM' HOMES
7917 120,U66Ac c,aay
y °OIVFGAL
ar? $784 WAY
BENCH MARK l/G 7. .4S900
a
ELEV. 90BP67 7 ugg?.0 `? ?s 57 906.4
06.8
Cl
GG y) ELE
J
10 ??,V°V /may 9oB s ro (gPRa7 M g N i
, Sig ?, DR r ;
0. PQ
908 7 ?'? /? 0 4 D° \ C?$ 12.00
/ 1 \ 1 mow,
r X+ ?Q
y_? RpA \ ARACE N a
/ z?3p ROl! \ I 24.00 1 c g
906.3 3733 \`
\ I
/ m1 _00. 905
905.09
90832 25.00 -120
F ?
s/
9 ?
/ pRAINA 8c UTIUTY
/ EME T PER PLAT - -
-- - -+i
O ? b
905.8
8
2Z
S89.36'14*W 180.47 90&3
NOTE: PROPOSED MAUS SHONN PER CRANNO PLAN BT! GRw
NOTE: 8"NO OSMEN610NS $NOAN ARE MR HOTeLONTAL AM VSRTIOAL LOCATION
Of STRUCTURES ONLY. SEE ARCHTECTVAL PLANS MR OVU PROPOSED HOUSE ' Ft FVATION
M AND
fCJNCATiCG: OIMEN9pNS LOWEST FLOOR ELEVATION: ar•
NOTE: NO SPIVAO SOIL$ MVESn0AT10N HAS SEEN COWUTED ON THIS LOT BY IHE
SURVEYOR. THE SUTAMdUTY OF SONS TO SUPPORT THE SPEDFIC HOUSE
PR TOP OF BLOCK ELEVATION:
?jl
T
OPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYDR. O.
GARAGE SLAB ELEVATION:
NOTE: THS OERTe1CATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN
THOSE SHONN ON THE RECORDED PLAT.
A 00EN
MG EIEYATIdi
N01U CONTRAO Y T RIFY
? 4 „ US VE OtNVl:1YAY OEBCN-
,. ?. i . I , i OTES MS PROP
000..90 00
() V DENO PROPOSEp ELEVATIgT
- - - 0101079S ORNNAGE AND UTILITY EASEMENT
NOTE-. B6AgINGS ARE 4A5E0 ON AN ASSUMED DATU DENOTES DRAMACE!PLOW OPECRON
M -* DENOTES MONUMENT
WE HEREBY CERTIFY TO KATHY TRIMBLE CUSTOM HOMES T
D
REPRES
HAT THIS IS
SURVEY OF THE BOUNDARIES OF: A TRUES AN
CORRECT
ENTATION OF A
LOT 9 BLOCK Z MURPHY FARM
DAKOTA WUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 18 DAY OF NOVEMBER, 1998. -
ILtL?t See )2--/747
sic EER ENGINES G, A.A.
SCALE : 1 INCH = 30 FEET J.
a BY--?W C
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA100284
Date Issued: 07/26/2011
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 3917 Donegal Way
Lot: 9 Block: 2 Addition: Murphy Farm
PID: 10-49500-02-090
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House
Census Code: 434- Occupancy:
Zonin,:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final. the contractor must meet the inspector Nva ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Eagle Siding Michael W T\IcMonagle
1301 East Cliff Road 3917 Donegal WaN
Suite 117 Eagan NIN 55122--178
Burnsville MN 55337
952 746-3046
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
t f.
17 Use BLUE or BLACK Ink
a" :f SEP 112012
's for Office Use j-/-_
j Permit
o
d tt Eap
1 3830 Pilot Knob Road Permit Fee: 55 -77 I
Eagan MN 55122 1
Phone: (651) 675-5675 j Date Received:
Fax: (651) 675-5694 1 1
! Staff: I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Site Address: tod e re
pp Unit
Name: t t( f, r,o + P (~i
RESIDENT ! hone:
OWNER Address / City I Zip: p,
Applicant is- Owner Contractor
TYPE OF WORK ?Description of work: t c
Construction Cost: ; K,
Multi-Family Building: (Yes / N )
r Company:
,s s !Le Contact: t: S r i t 'Itt
CONTRACTOR Address: City: 4AAC ,zl-
State: J W- Zip. 411 Phone: t - S'1it
License t l Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) q
6 Z,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a
permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Phone
Mechanical Contractor:
Phone:
Sewer & Water Contractor:
_ -a...... r. Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the city to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gooherstateonecall oro
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minneso to Building Code must be completed within 180
day ermit issuance.
App ream's Printed Name X
Applicant's Signatu
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace Porch
- Single Family Garage (3-Season) -Storm Damage
_ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi - Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
- 01 of _ Plex _ Lower Level Pool -
- Accessory Building _ Miscellaneous
WORK TYPES
_ New _ Interior Improvement _
Siding _ Demolish Building"
Addition - Move Building Reroof
Alteration - Demolish Interior
_ Fire Repair _ Windows _ Demolish Foundation
- Replace - Repair _ Egress Window _
Water Damage
- Retaining Wall *Demolition of entire building -give PCA handout to applicant
DESCRIPTION
Valuation Occupancy G'- MCES System
Plan Review Code Edition
(25%_ 100°~~ oZGfi? SAC Units
Zoning City Water
Census Code y 3y Stories / Booster Pump T
# of Units / Square Feet PRV
# of Buildings Length - / y Fire Sprinklers
Type of Construction 3 Width x W
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/ C.O. Required
Footings (Addition) Final 1 No C.O. Required
Foundation HVAC - Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: 2-fice & Water Final Pool: -,Footings Air/Gas Tests Final
Framing Sidin
Fireplace: -Rough In -Air Test Final Siding: -Stucco Lath -Stone Lath -Brick
Windows
Insulation Retaining Wall: - Footings - Backfill - Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES '3.LU 7
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies 8 Q
TOTAL
Page 2 of 3
~f
0 86-LT-3T 8836 189
%66-21
2422 Enterprise Drive
* Mendota Heights, MN 55120
~-ACNEER' LAND Mivr(ms . amL mc,Irm (612) 681-1914 FAX: 681-9488
mng Ng K" `I° 625 Highway 10 N.E.
Blaine. ANN 55434
(612) 783-1680 FA X:783-1883
r
°Certificate Of Survey far: KATHY TRIMBLE CUSTOM HOMES
3917 120A CRG c.~~ y
EAGAN
R E ED
EVIE~w
BY.
BENCH MARK G 07,7 ~""56
TOP OF PIPE (7 U 9~ 58'5 906.4
ELEV.=908.67 9 0 ' 906.8
C A, !O s•~Lr ~'K'Y~j~ / 46.0 BENCH MARK
/ TOP OF PIPE
7J ELEV.=907.40
10 908.5 0, 7 M 5 a, .
N
~p
7a DR
i VE Y N
Property Imes to be verified 3 •q _ 909.0 7 •
by contractor/Owner. - v
t) ''y ♦ o Q ^'20.00 N t
/ li a \ 4_ 10 NO ,0 12-00 4
905-37 N
~DAOSU,Sm I ~GARAQE\o
0--a I o a' ~
- S2llS°~ / 9Q6.3 '37,3 ~ L 24.00 o
I
/ ~ry44~'p ~19.OO.o 905.5,,,_ 1 905.09
Qs.' 2 2 .00 - 12. 0
9
DRAINAGE & UTILITY
/ EASEMENT PER PLAT
5
-
Q
905,$ x
S89"3601 eW 180.47 903.3
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN GV6 SRW
NOTE: BVIIDINC DIMENSIONS SHOWN ARE Faa HORIZONTAL AND VERTICAL LOCATION PROPOSED HOUSE Ft t"VATION
OF STRUCTURES ONLY- SEE ARCHITECTVAL PLANS FOR "I.DING AND LOWEST FLOOP CLE-VA iiON: Gi Z.
rCUNCA....9 =ENSONS. _
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE TOP OF 13LOCK ELEVATION: t711- /
SURVEYOR THE SUITAsgITY CW SOILS TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION:
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN
THOSE SHOWN ON THE RECORDED PLAT. %000.04 DENOTES EXI$11NG ELEVATION
NOTE: CONTRALTO i OUST VERIFY DRIVEWAY DE' GN. O•OO ) DENOTES PROPOSED ELEVATION
DENOTES DRAINAGE AND UTILITY EASEMENT
NOTE: BEARINGS SHOWN ARE !BASED ON AN ASSUMED DATUM DENOTES DRAINAGE FLOW, OIRE"ON
DENOTES MONUMENT
19 DENOTES OFFSET Hue
WE HEREBY CERTIFY TO KATHY TRIMBLE CUSTOM HOMES THAT THIS IS A TRUE A
ND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 9, BLOCK 2, MURPHY FARM
DAKOTA COUNTY. MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS. EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 18 DAY OF NOVEMBER, 199$- _
S,...t J y. 1747
S1GNE .
SCALE 1 INCH = 3p FEET V 1179' E/4" EER ENGINEE G. ,i~.A,
BY: ~ .~f
1926 98050,02 SWK n C. Larson, L.S- Reg. No, 19826
i '.a
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA113171
Date Issued:08/30/2013
Permit Category:ePermit
Site Address: 3917 Donegal Way
Lot:9 Block: 2 Addition: Murphy Farm
PID:10-49500-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Holly Flood
1408 Northland Dr #310
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Michael W Mcmonagle
3917 Donegal Way
Eagan MN 55122--178
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114778
Date Issued:09/18/2013
Permit Category:ePermit
Site Address: 3917 Donegal Way
Lot:9 Block: 2 Addition: Murphy Farm
PID:10-49500-02-090
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 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 -
Michael W Mcmonagle
3917 Donegal Way
Eagan MN 55122--178
(651) 454-7272
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(952) 746-3046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA126520
Date Issued:08/28/2014
Permit Category:ePermit
Site Address: 3917 Donegal Way
Lot:9 Block: 2 Addition: Murphy Farm
PID:10-49500-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Holly Flood
1408 Northland Dr #310
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Michael W Mcmonagle
3917 Donegal Way
Eagan MN 55122--178
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOe NQ. '�t�i 9�3
1408 NORTHLAND DRIVE,SUITE 310 • MENDOTA HEIGHTS,MN 55120 • (952)881-9000 TEST RECORD
ADDRESS 3 g �� `DDn���"�-- �N� ��n� Cs�'-� SEP 19 2014
OCCUPAN ��' OWNER ������'"l3 l.C.��
SOLD BY � INSTALLED BY
MAKE����' ' '�" MODEL � "� `�+���SG�
SERIAL NO. �l tlD���� INPUT ��K
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THERMOSTAT ���VW VENT SIZE �' �
VALVE�����X1�'� TYPEOFLINER ��v
LIMIT� p��i�. LINER SIZE
LIMIT SETTING FILTERS: SIZE �2��� NUMBER
FAN SEITING WIRING � f
PILOT TYPE TS-L- TEST TAG
IGNITION MODEL �����G�' LIGHTING INST.
PILOT TIMING DATE TESTED ��" t�
PRESSURE `� 1 s �'� PERCENT COz ���I �p
COMPANY TESTING � �ti/�
INPUT CFH �d��/C� PERCENT 02 ��� �
STACK TEMR I�� PERCENT CO �p�� NAME OF TESTER C����
FORM 235(REV.10/10) FORM DISTRIBUTION: WHITE COPY•JOB FILE YELLOW COPY-CITY