3922 Donegal Way
wertf cate of cccupano
MO of pagan
2epartmirat of 134"jag a?pectiaa
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 regulatitlg building construction or use. For the following:
i
Use C7assMM ion: SF DWG Bldg. Permit No. 31738
0--P-y TM ROM I Zo ing Mwsa R 1 Type Caost. VN
-- KAIW LRIl4EU alSICM HIES..._.._ 1566 WEXFORD C-T. EAGAN
3+922 Dt WA1 WAY, ia,,;r.L16, B2, MURPHY FARM
Daw:
Feniwing Of 1CW
POST IN A CONSPICUOUS PLACE
INS
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
PERMIT TYPE: It I
Permit Number:
Date Issued:
;CORD
APPLICANT:
TYPE OF WORK:
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
Fit IIi7N: `. 'ti & W III Sk - MA I INFO DANII' I i F11 86
PI ,AN NfvItWfP HY MIF HAPII
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING q73 j
HVAC q -?
Inspection Date Insp. Comments
FOOTINGS %/10/??
FOUND
y11-1Q
O
I ?6k'
at
???dddJJJ
FRAMING l-G?-
Cj 6
ROOFING
! G
lJ
ROUGH
PLUMBING i
PLBG
AIR TEST
ROUG
HEATING H
GAS SVC
TEST
-/? 1
INSUL -57
6 L JL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST r
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL :Y/I;?
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?° i
Address 3822 -ajWcar. WAY Zip 5512 _
Lot 16 Blk 2 Sub MURPHY FARM
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 3 - 9? 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
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
CABki:l:fiR: ' llii'i?ifL. NCI2 67
EATS 04109, 3 (I/?/+1 M5009
1%
r_.c..56 900 1 3922 DONEGAL MA 4q7E':,c.. i'1.
Total Receipt Ali?a?i'r$ g 0762M,
JCROi394 r `i
USER !Dm NANCY
?. CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-49500-160-02
DESCRIPTION:
PERMIT
PERMIT TYPE: BUILDING
Permit Number: 031738
Date Issued: 04/08/98
3922 DONEGAL WAY
LOT: 16 BLOCK: 2
MURPHY FARM
SF DWG
NEW
R-3 U-1
V-N
R-1
70
40
2
2,909
101 1 - FAM. DETACH
II AM
PIA ...!S xet $x` tl cK
tliro
REMARKS:
S & W PLBR - MATTHEW DANIELS PLBG
PLAN REVIEWED BY MIKE BARCK
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$1,262.25
$820.46
$87.60
$1,000.00
100
$3,170.21
$175,000
MISCELLANEOUS $1,592.50
Total Fee $4,762.71
CQNTRACTOR: - Applicant - ST. LIC OWNER:
NEW HOME COUNSELING INC 14560674 2006044 KATHY TRIMBLE CUSTOM HOMES
1566 WEXFORD CT 1566 WEXFORD CT
E%)GAN MN 55122 EAGAN MN 55122
(612) 456-0674 (612)456-0674
APPLICANT/PERMITEE SIGNATURE
-f tt I
ISSUE BY: I E
997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB B RD
51130 RD -55122
681-4675
New Construction Recuirements
? 3 registered site surveys
? 2 copies of plans (include beam & window saes; poured fnd. resign; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _Yes ,Y_ No _
DATE: -r- --, n -
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT BLOCK E UBD./P.I.D. #:
PROPERTY
OWNER
COST: 1:?Z,z4c e e--14-
1 wmw fw jww
Street Address:
City:
CONTRACTOR
Street
1
? 2 copies of plan
? 2 site surveys (exterior additions 8 decks)
? 1 energy calculations for heated additions
State:
Zip'
ARCHITECT/
ENGINEER
Phone #:
Registration #:
Street Address:
City:
State:
Zip:
Sewer & water licensed plumber (new construction only, natty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to
State of Minnesota Statutes and City of Eagan Ordinances. / e
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Yes No /?
Yes No : Not I
1 3 19%
with all applicable
OFFICE USE ONLY
BUILDING PERMIT TYPE
{81 p?j
fY
? 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
Cc 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
13 03 SF Addition o 08 8-plex n 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 13 10 _-plex ? 15 Deck
WORK TYPE
X 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) V r! Basement sq. ft. 2-03S- MC/WS System
(Allowable) TU Main level sq. ft. 20 3S City Water
UBC Occupancy SZ-3.J-I cw sq, ft. S 7el Fire Sprinklered
Zoning Iz -1 sq. ft. PRV
# of Stories Z sq. ft. Booster Pump
Length -701 sq. ft. Census Code. 101
Depth 4 0' Footprint sq. ft. 2 V SAC Code 01
Census Bldg I
Census Unit I
APPROVALS
Planning Building /AA3 Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
SNV Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
jaluation:
SL. x "? L
z ,. s7
3A sx<f
2y27
II.Skr.S
To ! °-,w
% SAC
SAC Units
4QIM.L_
-.?-zt-
3o x/a
2- Zx 2U
$ 17 S voo,
t7eiZ
I I0
Ise
sz
I?-
as=
Zo3Srt
4 CO, 89S,-
20 3 S It 10 .st,/ 1 C qe sqo,
3Lv
'LI14a
7d
?-7 y r!( 1G ??1 ?1??
I ??I , 74g.
2c-, 5'
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILLDINGPERM!T APPLICATION
PROPERTYLEGAL:-Z ,
DATE O SURVEY:
LATEST REVISION:
?
I w
ti
I
DOCUMENT STANDARDS
/z
E? ? ? • Registered Land Surveyor signature and company
? • Building Permit Applicant
13 ? • Legal description
g ? • Address
? • North arrow and scale
? ? House type (rambler, walkout, split w/o, split entry, lookout, etc)
[amp ? • Directional drainage arrows with slope/gradient %
?g ? • Proposed/existing sewer and water services & invert elevation
r3 0 ? • Street name
? ? Driveway
ELEVATIONS
E stin
?? ? S
d
• ewer service (or Propose
)
B?? ? • Property corners
?? ? • Top of curb at the driveway
? ?' ? • Elevations of any existing adjacent homes
Proposed
[-'? ? • Garage floor
i, ? ? • First floor
? ? • Lowest exposed elevation (walkout/window)
?? ? • Property corners
?-"? ? ? Front and rear of home at the foundation
? d
? ?
? [?1
? H ?
t? -1 ?
C5 ?
? ?
?
EI ? ?
ur, ? ?
? R- ?
January 1996
CRMG19WMDGPRMT.
PONDING AREA (if applicable)
Easement line
NWL
HWL
Pond # designation
Emergency Overflow Elevation
DIMENSIONS
Lot lines/Bearings & 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, if any
Reviewed:
A
' II SITE ADDRESS
` COMPLETED BY,
fERGX CODE WORKSHEET FOR-1 &'2 FAMILY DWELLINGS
?L
CITY
"VtL 1NG CLASSIFICATION: ? c,
MINIMUM CRITERIA
Foundation Insulation-R10
Slab on Grade Insulation-R10
Floor over unheated spaces-R24
Foundation Window, 1/211
insulated Glass.
-Wood or VinVl Frame
1
Walla & Windows
(See table on reverse aide
for allowable percentages)
STEP 1 Window & Door Area
A. Total Window & Door Area in Sq. Feet
WINDOWS (Including Foundation Windows):
WINDOW MANUFACTURE NAME,, 21A) IJ?T ,41 ZY
WINDOW MANUFACTURE TYPES d5AI IT,
WINDOW MANUFACTURE U FACTOR: -134o
R. O. Quantity sq.ft.Area
Dimensions
?N X"_l!O
Z ?Cn? x 'f'
Z to u x j (sNj/ csN !f?>t/
S-o" X
1--o" x 1 (o" )
s
i..'d.n x7?a" J
Z (?" X t?0 j)l
Z).ON X 51-0 l 11
X
x ins I
Z4
-10
Doogs
U X C? e ?o
-
T-Total Area of A. ft.
Windows & Door,
S. Total Wall Area in Sq. Ft. .
Wall Total Height Area
Perimeter
3 s (1,V7
4v8
IB a /o: ?7 19 2!
Total Area of Walla ll= (/(uq.ft
DATE
Roof Attic Insulation,
R44-With Attic No Heel
R38-With Attic Raised 1{eel
R38 & RS-Solid Rafters
STEP 2 Calculate area as a percent of wall
C. From Step 1 divide box A (Window & Door
Area) by box B (total wall area) times loo
equals the window and..door area as a
percent of wall area (box C).
BOX A B(v X 100 C
Box a
STEP 3 beaign'Peatures
ASSEMBLY
PRAMING TYPE,
STANDARD FRAMING studs 161, o.c.
ADVANCED FRAMING studs 241, o.c.
CAVITY INSULATION R 1 ?.
9HEATHIHG TYPE:
LESS THAN < R-5
R-5 > OR MORE
U-FACTOR U
From the table, (reverse side) determine the
maximum percent window & door area for the
design options selected and enter the t value
in Box D below based on the window mfg. U-
factor:
W D
The k value from the table in Box D shall.be?,
equal to or greater than the t in Box C
•
ONE- & TWO-PANULY RESIDENTIAL 13UJMINC PRESCRIP77VE (COOK-BOOK)
APPROACH
MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL
AREA
Notes:
Window area equals rough opening minus installatlon 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.
Poet•R' Fax Note 7671 aON
I
From Mlnn R ?I apart 7670 "75 ? p?ri 2 stem P
8sitftWnal s&ulate_ valy,?a
11999 BUILDING PERMIT A
PPLICATION (RESIDENTIAL) r\
OF EAGA
c 7 /, p 3830 PILIOT IKN B RDN 55122 C v
c?
I l J O? 651=681-4675 ? n (? n 'i?:C?
c7i.5!-X_R?1 - ? 1
New Construction Requirements I Remodel/Repair Requirements
3 registered site surveys showing sq. lt. of lot, sq. M. of house 2 copies of plan
and gll rooted areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions
D 2 copies of plans (show beam R window sties; poured Md. design; etc.) 1 site survey for exterior additions R decks
1 set of energy calculations
? 3 copies of tree preservation plan R lot plaited alter 7/1/93
DATE: 7- 3o ",r 9 CONSTRUCTION COST:
DESCRIPTION OF WORK: ?c
STREET DDRESS: 390.2 b°n
LOT: BLOCK: / SUBD./P.I.D.
PROPERTY
OWNER
Name: CQ40/7" ry'7 Phone #: ?- ) /0a
Last First
Street
city 6 e? State:
lnW4
Zip: SS/27-2
Company:- ('A / / P47 ems o-, Phone #. ?sS/ lvd ??5? f?
6 (area code)
CONTRACTOR //
Street Address: /S7y Z4,[ui2a/ License# W7-S.- Exp.3-00
City 4!?-'
State:
/W,4/
Zip: SS'/ -
2-ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code(
)
Street Address: Registration #:
City State: Zip:
Sewer & water licensed plumber (required for new construction only):
Penalty applies when address change and lot change is requested once permit Is Issued.
I hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. - -2?
r Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
_
Tree Preservation Plan Received Yes No Not Required .)? 3
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
,V("'31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Win dows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demo lition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building wl/ Engineering Variance
Permit Fee 6?J 60 Valuation: $-4 7O
Surcharge
Plan Review CA31-I:TE4. : S TERMINAL NO: 729
License DA'1'Ea 08/06/99 T'TME. 11:44.<32
MC/ES SAC ;
City SAC m `
Water Conn. NA11P; C:ARL. A. PIETF:RS.:,0N
Water Meter 34':0 001. 392- j10NEGAL WA 0.50
Acct. Deposit y 3210 9001. 3922, DONEGAL HA 6o.oo
S/W Permit 2..U.55 9001. :39122 DONEGAL- WA O.°,o
S/W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Other
Copies -?
Total: /,? Total Receipt Amount. 61.00
UR J.1.4952
USER Ir.i. JAN
SAC Units
% SAC X 1X K ?:vFrFmX m kk B;rX k kSX%,: X kM kr?8 t?
I k? t:? X XX
L 8L ?,5?
S
CITY USE ONLY 1 ry 9 l
RECEIPT#: 7 7 d 25 p?
RECEIPT DATE: -511
9 O
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF KAGAN
3830 PILOT KNOB RD
EAGAN, tat 55122
(612) 681-4675
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 2 = 6.400
Water Closet 3.00 x 3 = -400
Bath Tub 3.00 x 3•00
Lavatory 3.00 x S = /IrOD
Kitchen Sink 3.00 x -L = 13.4010
Laundry Tray 3.00 x i = 3•ea
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 / = 39 [M
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 5z.5-e)
- - ------ --- --- - - ------ --- - --- ----------- ---- --- -----
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-wayleasement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: ` 1?? w i i?h?i • TELEPHONE #t Y -3X30
STREET AADD )DRESS: 533
CITY: STATE: YL°.t ZIP:
OF PERMITTEE
55068
JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
11
/ CITY USE ONLY n
LOT BL RECEIPT
#:
S Q/ o RECEIPT DATE:
1998 MECHANICAL PERMIT (RESIDENTIAL)
CITY9 OF EAGAN
3830 PILOT KNOB RD
EAGM MN 55122
S
Date: dC) _c1U t (612)' 681-4675
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 $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.) l
• 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:
11
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 co
Total: $ 20.50
SITE ADDRESS:
OWNER NAME: P\ c%'-V.Y\ ? 1 `C envy-- ,) \ ? ?,2 ` gNONE #:
INSTALLER NAME:
STREET ADDRESS:
CITY:
PHONE #: "I G (C)
O a
STATE: M) ZIP: Ss() a C{
U
IG ATURE OF PERMITTEE
JS/FORMS BLD/MECH PERMIT (RES) - 1998 li
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
RECEIPT DATE:
1998 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
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 INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of permit fee due on all permits.)
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (uviPRovEmENTs ONLY):
INSTALLER:
ADDRESS:
CITY:
SIGNATURE OF PERMITTEE
STATE:
PHONE #:
ZIP:
CITY INSPECTOR
L /CP BL /J CZ CITY USE ONLY
SUBID / Y ?fC?1L it y,
RECEIPT #: 9 7lc
RECEIPT DATE:
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
x
X
X
X
X
X
X
X
X
X
X
X
X
,Po, 00
STATE SURCHARGE
TOTAL ;?D.z
---ereby acknowl--- ------ -edge that ------ - --------
-ordin-ances-.-
Ih I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan-
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: 3R CQ?
OWNER NAME: 40 /J
INSTALLER NAME: TELEPHONE #: d<l /off - 753'3???
STREET ADDRESS:oZZL/S lJ ?u(ey v? tom(/ ?O .
CITY: aeE? STATE: 1.11 ZIP: SS C//
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet ` minimum - 1
Rough Openings
Water Softener * for dwellings under construction
Water Softener * for existing dwelling
U.G. Sprinkler * for dwelling under const.
U.G. Sprinkler * for existing dwetling
Alterations * to existing residence
Water Turn Around
Private Disposal System * MPC tic.
(new and refurbished systems)
Private Disposal Systems * Abandonment
RPZ (new installation only)
EACH
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.0
20.00
20.00
75.00
# TOTAL
20.00
20.00
50
SIGNATU OF PERMITTEE a4
/J'/
CD/PERMIT FORMS/RPLBG PERMIT (RES)-1998?,y)A6i /+/.1
--7 %-7s
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. R of lot, sq. ft. of house; and all roofed areas
(20%ma rimum lot coverage allowed)
1 Soils Report d 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 7/1193
Rim Joist Detail Options selection sheet (bulldogs with 3 or less units)
Minnegasco mechanical ventilation form
Telephone #(
RemodelfReoair Requirements
2 copies of plan shoving footings, beams, joists
1 set of Energy calculations for heated additions
t side survey for additions & decks
Addroon - indcafe ff on-site sepfic system
r,r___ _a__ _ ......:.......A ....ki; ; s,,....,.r;n., rrnlaac s.nrr atatP thev are trade secret and the reason.
mars rc cwna.a•c.c.. a.....v .
Date / Z O
Site Address °/Z ??h0_pe/ ?/4
? - --- - - -- -- --7
^
Construction Cost VC t Z,3,0
y Univste #
et'VO7 I?IOU
Description of Work 7?//e ? Se?c? ep? 7 8 SS
_ Y - N
Multi-Family Bldg Fireplace(s) _ 0 - 1 - 2
/?
Property Owner Deh h rt IL ( 7U44) GVO A / Telephone # 4s/) VS-2 -151/de
Oa?s,a S.o?c
Contractor &,-'Aaes7 Ct- I`)i'I.dDus - s-yf
?
Address 313 "TP?r'Y-'t-Prse?, lL1v?
State City
zip _5-25-314 Telephone # (763) YZ 7 - 9? 9 6
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
herebv aooly for a
Telephone # (
Telephone #(
?o-oo
office Use
Celt or Survey Recd _Y _N
Soils Report Y _N
Tree: Pres. Plan Red _Y. - N.
Tree Pres Requued:' _Y._N
on-site Septic System _Y _ N
Permit and acknowledge that the information is complete and accural
e;
that the work will be in conformance with the ordinances and codes of the City at Eagan and the state or tviN
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 Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 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 o8-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof - o 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) • Gi ve PCA handout to applleant
Description: Water Damage
Valuation
Plan Review _ 100% or-25%
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ fee& 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
Occupancy MCES System
Yes
Zoning City,Water
Stories Booster Pump-
Sq. Ft. PRV
Length -'. Fire Sprinklered
Width
REQUIRED INSPECTIONS
Sheetrock -
_ Final/C.O.
_ Final/No C.O.
_ HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco Lath - Stone Lath -Brick
_ Windows
Retaining Wall
Building Inspector
**
* PIONI
* en T?
Certificate of Survey for:
2422 Enterprise Drive
Mendota Heights, MN 55120
'ORS • GAL ENGNEERS (612) 681-1914 FAX: 681-9488
. LANDSCAPE AMITECIS 625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX-783-1883
NEW HOME COUNSELING
3922 DONEGAL WAY
't0) 117.42 PER PLAT
,Z?f S89'03'10"W 104.18-MEAS.
EAGAN -
Ian
"?'IWE
By- Afl i ii
y-6-1;?
GUILDING INSPECTIONS ?E
I
15 666.,
893.7
BENCH MARK
TOP OF PIPE
ELEV.=899.16,,
ry a
t
c 98.1 ?
9?O vl i?'S . a9s.a"
? ??? S'/ ? sue?
( 900.3""'i
896.6 \ \ 900.`]
895.7 Q \ A
893.7
G.B. 6V12 2. /
lizo
00.0
>8
`?8• 898. qY? f
F? s3
r?
Cq< `
8972
1100
'
-
, ??\ / --BENCH
O
L f
E
SERVICE'
INV. NOT AVAIL. FROM CITY
1 899.2
8 <U"r 9./?
898 L
V
E
? .
h
?
.i
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY. BRW
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND
FOUNDATION DIMENSIONS.
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE
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.
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN.
/ MH. PER PLAN)
/ MH. (PER PLAN)
/ 4 3<
fA, z
17
oQ
7 ---- y'Ot'
r? is 4
PROPOSED HOUSE ELEVATION
LOWEST FLOOR ELEVATION: 8TI7-f -5
TOP OF BLOCK ELEVATION: 0 3. 0
GARAGE SLAB ELEVATION: p 1.
X 000.00 DENOTES EXISTING ELEVATION
( 000.00 ) DENOTES PROPOSED ELEVATION
DENOTES DRAINAGE AND UTILITY EASEMENT
-+- DENOTES DRAINAGE FLOW DIRECTION
- a DENOTES MONUMENT
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM -e- DENOTES OFFSET NUB
WE HEREBY CERTIFY TO NEW HOME COUNSELING THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 16, 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 20TH DAY OF MARCH, 1998.
GNED: PIONEER ENGIN ING P.A.
SCALE : 1 INCH = 40 FEET
928 98050.00 SWK John C. Larson, L.S. Reg. No. 19828
-------
/
/
/
DRAINAGE & UTILIIY
EASEMENT PER PLAT-
16
/
0 0653)
/
/
/
/
/
?ro p os?? C ?-
? I
888.9
a
P ee.s /'
T
**
* PIONEER
* ®11rl
Certificate of Survey for:
BY
DATE
BUILDING INSPECTIONS EEI
15
888.
893.7
BENCH MARK
TOP OF PIPE,
ELEV.=899.1,,
?`\ =wry p /
T
vl
o [UJq(o ,.
7
/ 900.3k
\ 900.4'
LAND PLANNERS. LANDSCAPE ARCHITECTS
NEW HOME
3922 DONEGAL WAY
2 4% EN4? 1_
17 oQ
2.0) 117.42 PER PLAT
[1?1(0 S89'03'10"W 104.18111
(265.3)
MH. PER PLAN)
x /
N T n 888.6 /
MH. (PER PLAN) ?
x
* 96.0/ /
' / ilr/aJk"
897.2 I •.° 'r/ 'O •?
TOP OF
SERVICE/ 899.2 ELEV.=E
INV. NOT AVAIL. FROM CITY ?// 898.8 0901%1)
14
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: BRW
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND
FOUNDATION DIMENSIONS.
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE
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.
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN.
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM
WE HEREBY CERTIFY TO NEW HOME COUNSELING THAT THIS IS A
SURVEY OF THE BOUNDARIES OF:
LOT 16, BLOCK 2, MURPHY FARM
DAKOTA COUNTY, MINNESOTA
625 Highway 10 N.E.
Bloine, MN 55434
(612) 783-1880 FAX:783-1883
COUNSELING
DRAINAGE &
EASEMENT P
f89A8= n k ,l 11\,, TL, y
PROPOSED HOUSE ELEVATION
LOWEST FLOOR ELEVATION: 9f4 -5
TOP OF BLOCK ELEVATION: 903. G
GARAGE SLAB ELEVATION: Fat
X 000.00 DENOTES EXISTING ELEVATION
( 000.00 ) DENOTES PROPOSED ELEVATION
- - - DENOTES DRAINAGE AND UTILITY EASEMENT
DENOTES DRAINAGE FLOW DIRECTION
DENOTES MONUMENT
$ DENOTES OFFSET HUB
TRUE AND CORRECT REPRESENTATION OF A
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 20TH DAY OF MARCH, 1998.
*DrT PIDNEER ENGIN ING PASCALE : 1 INCH = 40 FEET
C. Corson, LS. Reg. No. 19828
2422 Enterprise Drive
Mendota Heights, MN 55120
LAND SURVEYORS qML ENGINEERS (612) 681-1914 FAX:681-9488
/
/
16 /'°
/
/
/
/
Use BLUE or BLACK Ink
I For Office Use I I
j Permit ` _Z j
City of Ea aIl I ~
Permit Fee: 1
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (661)675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
`________________J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /TUB - Site Address: ✓ ` ao Unit
Name: _~PJy)Yli.5 &YOLtX.di Phone: ra I- 1 55j--5`00,
Resident/ p y~ _~l_
Owner ' Address / City/ Zip: 3 d ~ ~e tQaft Wa1_ e!!9 ~
Applicant is: Owner X Contractor
Type of Work Description of work: lie - E/ -
ee
Construction Cost: 30 ~000`- Multi-Family Building: (Yes / No
Ceoto.-y I✓Ct~ &006211_15 ~XP- ldote~Conntact: (7C®r~1P yock I£S
Company:
Contractor Address: l ~;O/ h-CIII-eR 1-h- Roo-ck- City. S ao1 S1if rrrT__
State: IV Zip: 5 5; 3& G Phone: ! S,)^ -,J 5' 5/y
License 16C l 75.3 3 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x (~org - yolcne-s x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
z
Use BLUE or BLACK Ink
r
For Office Use
A I
City of EaEaPermit
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ZZZ_ Unit
. u a,.
Name: DT ~ --tr C--CpL_.Arj Phone:
! Resident/
I
g Owner Address I City I Zip: 3`~ 2z, r_~,a~9 c,-A, w6:
Applicant is: Owner Contractor
{
Type of Work Description of work: +t 4, r YCCeS F
k Construction Cost: Multi-Family Building: (Yes ! No
Company: Contact: Zr,__t-s C-er _
Address: qG 3o City: d5Zo0-tea r-_1.J
Contractor I
State: _AlIA-1 Zip: 5 S x/20 Phone: f.5L - 2ao - 7(.7.5--
License J f{ Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
i Exterior work authorized by a building Permit issued in accordance with the Minnesota State Building Code must be completed within 180
J
1 days offer permit issuance.
K
x ► h~'s5 Z X
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS~INE ?0~
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of _ Plex Lower Level Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ 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 MCES System
Plan Review Code Edition SAC Units
(25%100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water Final Pool: Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock 0b, > Erosion Control
Reviewed By: L , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
T)bn
5
t'Ccx.~s ~
eve
5~ 5 3
-J/
CityofEaaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
JUL [2616
Use BLUE or BLACK Ink
1
For Office Use
1-31913
Permit #: %
Permit Fee: Lp c:,
Date Received:
Staff:
2015 MECHANICAL PERMIT APPLICATION
0 Please submit two (2) sets of plans with all commercial applications.
Date: 7 9-14f
Site Address: 29 49,A D to al,
1
Tenant ID -�h�-�' '� �: 1 ,� - Suite 8:
Resident/Owner
Contractor
Type of Work
Permit Type
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge)
COMMERCIAL FEES
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
*If contract value is LESS than $10,010, Surcharge = $5.00
f **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge
Name:
Phone:6eg - 5`! U 2.
Address / City / Zip: J A (� g ---410.4k
0L -4014)4114 -r --"License #:
Name:
Address: /O fD ,, -S City:
J
a.z V5.3
2 t�
State: /11,..1/11,..1Zip: �J �� 7 Phone: S V-�/
I Contact 1. " Email: Sei UM. 1
/J
New Replacement
Description of work:aiA) f4444
Additional Alteration Demolition
NOTE: Roof mounted and ground mounted echanical equipment is required to be screened by City
Code Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL
Furnace
XAir Conditioner
Air Exchanger
Heat Pump
Other
New Construction
Install Piping
Gas
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
( Install / Remove)
Under/Above ground Tank
a 42
O TOTAL FEE
Contract Value $ x .01
_ $ Permit Fee
_ $ Surcharge*
TOTAL FEE
=$
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.
x f o lest s1'e,Fe-
Applicant's Printed Name
X 441 / \ i
ul.
Applicant's Signature
FOR OFFICE USE
Required inspections: Reviewed By. Date:
Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166051
Date Issued:12/08/2020
Permit Category:ePermit
Site Address: 3922 Donegal Way
Lot:16 Block: 2 Addition: Murphy Farm
PID:10-49500-02-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Dennis F & Judy A Gyolai
3922 Donegal Way
Eagan MN 55122--178
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature