3929 Donegal Way.7---
I
I
Kertificate of Ccc"anc?
Wfity of Wagan
#?e0extmcut of zilgitbing zn,50ectiun
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
.
Use Classificatiore SF DWG Bldg. Permit No. 32319
Occupancy Type
Date: .? / ?1
Building
POST IN A CONSPICUOUS PLACE
Vn
, MN
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
• 3830 Pilot Knob Road t '
Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: J? j , APPLICANT:
PERMIT SUBTYPE:
If. ARTI.AN0
F.] T) N'18
TYPE OF WORK:
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
I I htr PLAN
f '.hlJ
I?
Permit Holder Date Telephone k
PLUMBING
HVAC tf(?J1- ?i?
Inspection
Date I Comments
FOOTINGS -?'
( Gv
///
FOUND ?/?? -
FRAMING
CUQ
l ?7
ROOFING
ROUGH
PLUMBING _
PLBG
AIR T
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL ?1//3'?lJ 8 G?V L
GYP BOARD
FIREPLACE Z ?, 7
FIREPLACE
AIR TEST
FINAL PLB G
FINAL HTG
ORSAT
TEST
BLDG FINAL _ /7_ r
'' ((
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Address 3929 DONEGAL WAY Zip 55122
,Lot 6 Blk 2 Sub MURPHY FARM
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding) x
Permanent steps (garage)
Permanent steps (main entry) X
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
J-q( Q S 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. ft. of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allowed)
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 (bktgs with 3 or less units
Remodel(Reoair Requirements
2 copies of plan
1 set of Energy calculations for heated additions
1 site survey for additions & decks
Addition - indicate ifonsite septic system
of /03
Office Use OnN
_ Cert of Survey Recd
-Tree Pres Plan Recd
-Tree Pres Not Reqd
On-site Septic System
Date 0 03 Construction Cost ?S Ot
Site Address Unit/Ste #
.? a
Description of Work ??LOh/ GOrk rJ ?G7J C_
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # (6,j-( ) ?O r /,?I 1
Contractor A lT/6NE ??rxac 5
Address .? Li TILE. ?j¢?v?-/,erg
State fir, Zip .55/ City - T C__
Telephone # (Ps /) y 9 0- 39 9
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
Licensed Plumber ?. '.\ tl ' \1 Telephone #(
Mechanical Contractor Telephone #(
Sewer/Water Contractor 11 r.. 11 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 N e
12 •?__
App icant's Signatttr
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex X20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. 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 ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35
A 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation l ova
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Demolish (Bldg)' ? 43 Remof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MC/ES 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
Fireplace - R.I. -Air Test -Final
Insulation
REQUIRED INSPECTIONS
Final/C.O.
Final/No C.O.
Plumbing
_ HVAC
Other
Pool _)( Ftgs Air/Gas Tests Final
Siding _ Stucco _ Stone
Windows (new/replacement)
Retaining Wall
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
1°Ovz /So`9 J
iY': i:: °r$"""' •`,ij: Q:;R? i.U;O'.''i?;: ::>".,.'t::'i . , ' . ..
Tc:E .'.\'^.. Vide 0'-1
i
Amoun'
-,,'. ,
(:.. :n;,
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
v
m
GENERAL INFORMATION
a
o z
?t' ? ? Applicant - name, address, phone & fax numbers, signature
Od p ? Property owner name
G?/ ? ? Legal description and address of property
K_/? ? North arrow, scale (I" = 30' or 40') and date
Id ? ? Location and name of all streets adjacent to property
Ud ? ? Site Plan drawn to scale showing location of house, pool and other existing or proposed
structures
Gd?? ? Directional drainage arrows (existing and proposed)
ELEVATIONS
Existino
Q"" ? ? House corners
(Y?
0" O ?
? Property comers
f??
? On property lines at point of measured dimension to pool (see below)
'
If applicable, ground elevation at each end of retaining walls and at wall
s greatest height
Proposed
-/
13 ? ? Finished pool deck comers
2' ? ? Top of retaining walls (if any) and at each different elevation (if it changes)
fy ? ? Pool bottom (or max. depth)
DIMENSIONS
Existing
Ur? ? ? All property/lot lines
Proposed
®' ? ? Pool
0- ? ? Pool plus integrated deck/patio
CY? ? Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
6 -3- D 3
Date
G:/TECH/1R 2002/Pwi Pamit Chmklist
612 890 6244
?9 L5:26 fr ES R. HILL. INC.
612 990 624" ?.02.03
•
or- CERTIFICATE OF SURVEY
For. _ HEARTLAND HOMES
.402e-DONEGAL WAY
9472.1
PROPERTY DESCRIPTION: Lot 6. Block 2, MURPHY FARM,
Dakota County Minnesota
:3 SRI
We hereby certify that this is a true and correct survey of the -ab el that it
was performed by me or under my direct supervision `and thdt- iN -?2 en ed Surveyor
under the laws of the State of Minnesota. That this survey- -does not: Purli&t_ :fe -dhow all
improvements, easements or encroachments, to the property except as shown thereon.
Signed this 17th day of November 11997 lam R MII, Inc.,
> By.
Harold C. Peterson, Minnesota LS. No. 12294
Notes:
1. Building dimensions shown are for O
horizontal k vertical of structure only. 927,68
See architectural plans for building dt (930.00)
foundation dimensions.
2. No specific soils investigation has been
completed on this lot by James R. Hill, Inc.
The suitability of soils to support the specific
house proposed is not the responsibility of
James R. Hill, Inc. or the surveyor.
3. No specific title search for existence or non-
existence of recorded or unrecorded easements
has been conducted by the surveyor as a part of
this survey. Only easements per the recorded plat
are shown.
4. Proposed grades shown were taken from
the grading do/or development plan prepared by
BRW. Ina
O rn >
N n I R E, O
(d
c v i
0 C. , y .
Denotes set iron monument
Denotes found iron monument
Denotes existing elevation
Denotes proposed elevation
Denotes proposed drainage
Bench Mark:
921,01 -S E car transfarrner oad. Deerrood Dr.
k Yurphv Pkwy -
Proposed Garage Floor=
Proposed Garage Tap Block= 905.5
Proposed House Top Block= 896.8
Proposed Lowest Floor=
Bearings are on assumed datum
Scale: 10=30'
Page 1 of 2
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 w. Ctt. ft 42, SWE 120, euaerue. MN 55337
612/890-6044 FNC89a-6244
11, wAle"N . L=-1308 15:27
CERTIFICATE OF SURVEY
Po
.S NF
5t
'?
612 890 624.1
JAMES R. HILL, INC.
I---- k-1
a ?mc \
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?
EXISTING W ` St er i
USE q
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n7
co
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a
For. HEARTLAND HOMES
'-89212 DONEGAL WAY
3q
\
s
/;JQv y0
bQ??
T
LLOT 6
?--? 9o0
EXISTING STORM
SEWER PER CITY--
OF EAGAN
0
899.1
I
,O
?47.66
I T
L.
612 890 6244 P.03i03
BENCH MARK
-TOP OF SPIKE
ELEV=90191
SERVICE INVERT
-ELEV.=889.0
(PROPOSED)
uy
00
o \ \ ?o
- 7? ti J
x 13 \\r
----------
6-1--i
.• ?a,•?. .`per • -
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2.5. 17-
12.89 )p
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QNal*57#¢5"W 39.83
Scale. 1"=30' Page 2 of 2
v
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s ?
D ACA
BENCH MARK
TOP dF SPIKI
ELEV-903.18
James R. Hill, Inc.
TOTAL P.03
I r,CITY OF EAGAN
r 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE'ADDRESS:
P.I.N.: 10-49500-060-02
DESCRIPTION:
PERMIT
3929 DONEGAL WAY
LOT: 6 BLOCK: 2
MURPHY FARM
Bill.lding, Permit Type
Building Work Type
UBC Occupancy.
Cons=truction Type
zoning .?
Building Length
Building Width "-4
Buiidlnr stories
S_iuare Feet ,. ,
PERMIT TYPE: BUILDING
Permit Number: 032319
Date Issued: 06/22/98
SF DWG
NEW
R-3, U-1
VN
R-1
78
50
2
3,060
101 1 - FAM. DETACH
REMARKS:
PLAN REVIEWED
S&W PLUMBER:
BY MIKE BARCK
FARMINGTON PLUMBING AND HEATING
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC
SAC Units
Subtotal
VALUATION
$1,392.25
$904.96
$100.50
$1,000.00
100
$3,397.71
$201,000
MISC FEES $1,592.50
Total Fee $4,990.21
CONTRACTOR:
H,JEARTLAND HOMES
101 GENEVA
B'URNSVILLE
0612) 898-7018
- Applicant - ST. LIC
18987018 2005287
BLVD
MN 55306
OWNER:
HEARTLAND HOMES
101 GENEVA
BURNSVILLE
(612)919-2356
BLVD
MN 55306
I hereby acknowledge that I have read this
information is correct and agree to,comply
5.' d City of Eagan Ordinances.
tee/
AP ICANT/PERMITEE SIGNATURE
application and state that the
with all applicable State of Mr.
?A A,
D NA E
ISSUE
2 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)??'f ! N 21
3 , CITY OF EAGAN ,
??- 3830 PILOT KNOB RD - 55122
¢81-4675
NI& Construction Requirements
3 registered site surveys 111
? 2 copies of plans (include beam & window saes; poured fnd. design; etc.)
? 1 energy calculations
3 copies of tree preservation plan if lot platted after 7/1/93
required: _Yes X No'Tp?
DATE: 0-11- 9
DESCRIPTION OF WORK:
STREET ADDRESS: 3
Remodel/Repair Requirements
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? t energy calculations for heated additions
CONSTRUCTION COST; aya,000
LOT: C9 BLOCK: SUED./P.I.D. #: M1 HK TAR,,
Name: SV?,mc NS 0-O0-k?XCTT),*- Phone #:
PROPERTY Last First
OWNER
Street Address: p
City State: Zip:
Company: -V)7F-r \ yY S„OC m?ll?X.Phone#: c???-70?? 1t1-235?>
CONTRACTOR k
Street Address: IN (9gN(ti ? -;?)LV t? License # JnO5 ,227-1?
City ?Sy? t State: mIJ Zip: S?2O(9
ARCHITECT/
ENGINEER
Name:
I
Street Address:
City
State:
Phone #:
Registration #:
Zip:
Sewer & water licensed plumber (new construction only): 1 Rdrn'i., s tnVk?aw(o4 (rrT?6 Penalty applies when address chang
and lot change is requested once permit is issued. ?I t.3- 7 $z y
i hereby acknowledge that I have read this application and state) that the information is correct and agree to comp) II applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applican
I
OFFICE USE ONLY U D IS l`=? L_
Certificates of Survey Received Yes No I 113 i
Tree Preservation Plan Received Yes No 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
9 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) V)) Basement sq. ft. 21 z-/ MC/WS System
(Allowable) VN Main level sq. ft. z i zd City Water
UBC Occupancy 2-3, tJ - r 2 -J sq, ft. *7 19 Fire Sprinklered
Zoning I sq. ft. 113G PRV
# of Stories z sq. ft. Booster Pump _
Length 7 € ' sq. ft. Census Code. l o t
Depth so Footprint sq. ft. 30 r,o SAC Code or
Census Bldg r
Census Unit
APPROVALS
Planning Bu ilding M3 Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
,Valuation: $ 2,01 r urc. ,y
2K+v 2b
+z it rs iv4
zt 2-4 it
r5?
'Total:
% SAC
SAC Units
i
z we
3q, s u r5. -rs
C=J ?. s x `. s
7 4-04aE
37 ,e s d
2-se zy
21240is-f= irq +(,g4,-
Gz2
71 y• ,D454 38i853.-
s88
Y8 ,
4? ri ? ? -
r
zoo, 3gs • -
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 2.0
Minnesota Department of Public Service
1-612-296-5175 1-800-657-3710
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE:
DATE: 6-11-1998
DATE OF PLANS:
Single Family
TITLE:
PROJECT INFORMATION:
Murphy Farm Lot 6 Block 2
Eagan, Minnesota
COMPANY INFORMATION:
Heartland Homes
101 Geneva Blvd
Burnsville, Mn 55306
Phone: 919-2355
COMPLIANCE: PASSES
Required UA = 679
Your Home = 532
Permit #
Checked by/Date
Area or Insul' Sheath Glazing/Door
Perimeter R-Value R-Value U-Value UA
CEILINGS
WALLS: Wood Frame, 16" O.C.
GLAZING: Windows or Doors
DOORS
BSMT: 9.0' ht/8.5' bg/9.0' insul.
HVAC EFFICIENCY: Furnace, 90.0 AFUE
2086 38.0 0.0 63
3300 19.0 2.0 170
475 0.310 147
42 0.350 15
1854 5.0 137
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed to meet the requirements of the Minsota Energy Code.
Builder/Designer
Date 6 -1 0
NEW HOME FIELD,INSPECTION
ENERGY CHECKLIST
(CATEGORY 2)
(CATEGORY 1)
FOUNDATION:
[ ] Exterior foundation wall
insulation installed:
R-
[ ] Slab-on-grade insulation
installed: R-
[ ] Ducts in slabs have R-5
insulation bottom and sides
PENETRATIONS:
[ ] Window and door frames sealed
[ ] Framed wall openings into attic
sealed
[ ] Other joints in wall sealed
[ ] Dropped ceiling air-blocked
[ ] Foundation rim joist sealed
airtight
( ] Upper story band joists
sealed airtight
[ ] Ceiling poly sealed to top
of interior partition walls
[ ] Plumbing penetrations sealed
[ ] Exterior walls behind tub
and shower sealed
[ J Plumbing vent stack sealed
[ ] Chimney flues sealed at ceiling
[ j Perimeters of all grills and
registers sealed to vapor
barrier
[ ] Electrical service sealed
[ ] Recessed light fixtures sealed
[ ] Wire penetrations into attic
sealed
[ ] Telephone, cable TV
penetrations sealed
[ ] Fans sealed where vapor barrier
penetrated
[ ] Electrical boxes sealed to
vapor barrier
[ ] Fan housings air sealed
NEW HOME FIELD INSPECTION
ENERGY CHECKLIST
PAGE 2
MINIMUM REQUIREN
(CATEGORY 2)
INSULATION:
[ ] Vapor barrier installed
[ ] Interior foundation wall:
( ) Vapor barrier installed
( ) Insulation installed: R-
( j Moisture barrier installed
[ ] Attic insulation installed:
R-
[ ] Attic card posted with proof of
bags installed
[ ] Floor insulation installed:
R-
[ ] Wall insulation installed:
( )R-19 ( )R-21 ( ) R-
WIND WASH BARRIERS:
[ ] Wind wash barrier installed at
attic edge
[ ] Overhangs (cantilevered floors
and bay windows)have wind wash
barriers
(CATEGORY 1)
[ j All exterior joints in
building envelope sealed
MECHANICAL:
[ ] Ducts running outside conditioned
space sealed and insulated
with minimum of R-8
[ ] Returns in same space as furnace
sealed
[ ] Ducts in unheated spaces
[ ] Water heater has pipe insulation
or heat traps installed
[ ] Furnace AFUE:
[ ] Central Air SEER:
[ ] Residential mechanical
ventilation system
installed (Mandatory if one
or more item in this column
is checked)
---NOTES TO FIELD (Building Department Use Only)
612 890 6244
'JUN-22-1998 15:26 JAMES R. HILL, INC. 612 890 6244 P.02i03
CERTIFICATE OF SURVEY
For. HEARTLAND HOMES
9922 DONEGAL WAY
PROPERTY DESCRIPTION: Lot 6 Block 2 MURPHY FARM
Dakota County Minnesota EAGA\ i
We hereby certify that this is a true and correct survey tf the _ t it
eyor
was performed by me or under my direct supervision ?dnd-that-t-ars>-'1?du`1 n
hWS Rip-khow all
under the laws of the State of Minnesota. That this s "urvey ?I ?M?tEt^p
improvements, easements or encroachments, to the property except as shown thereon.
Signed this 17th day of November ,1997 lam R Hill, Inc.,
By_Harold C. Peterson, Minnesota L.S. No. 12294
C` - -
Notes:
1. Building dimensions shown are for O
horizontal & vertical of structure only. x927,68
See architectural plans for building & (930.00)
foundation dimensions.
2. No specific soils investigation has been
completed an this lot by James R. Hill, Inc.
The suitability of soils to support the specific
house proposed is not the responsibility of
James R. Hill, Inc. or the surveyor.
3. No specific title search for existence or non-
existence of recorded or unrecorded easements
has been conducted by the surveyor as a part of
this survey. Only easements per the recorded plat
are shown.
4. Proposed grades shown were taken from
the grading &/or development plan prepared by
BRW. Inc.
f0 A
O ? m ?
?0 xi
A
V ` 5 ?
Denotes set iron monument
Denotes found iron monument
Denotes existing elevation
Denotes proposed elevation
Denotes proposed drainage
Bench Mark:
921.01-SE. cor transformer pad pe&vood Dr.
Z Zlumh? Pkw .
Proposed Garage Floor=
Proposed Garage Top Block= 9-_5
Proposed House Top Block= 896.8
Proposed Lowest Floor=
Bearings are on assumed datum
Scale: 1°=30'
Page 1 of 2
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 w. Cm RD. 4Z SLM 120. Mmsa . UN 55337
612/890-6044 FAxW6244
612 890 6244
• ^JUN-22-1998 15:27 JAMES R. HILL, INC.
\ \
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N:1,-
h
CERTIFICATE OF SURVEY
CERTIFICATE
For. HEARTLAND HOMES
3922 DONEGAL WAY
f 1
PO
1`8yy T •S ??
(es? j / ? ?a? C.q
5
12
EXISTING 1
41
Oust
is
N
e
F- z
0
-J
pq
141
?D
EXISTING STORM 5
SEWER PER CITY --
OF EAGAN
612 890 6244 P.03i03
BENCH MARK
TOP OF SPIKE
ELEV=902.91
FRVICE INVERT
10 NO
v? \ x`00
p F LD
/,JQ"
Q P \1-
2
$.T - ? 0? cP`?py \?c
DLO T 6 'zi
mc' -2.5
---*?a 12.8
g 1t?
147.66
N81057'4W as.ss
m
0
ess.1 I .
Scale: 1"=30'
I n T
L
2 of 2
t0 ?
James R.
o
1
N
O
OD
BENCH MARK
TOP 6F SPIKE
ELE"903.18
Inc.
TOTAL P.0J
PERMIT #c lyG
c:;-l ? S
8008 RSIDENTIAL PLUJ
CITY
8850 PI
RECEIPT DATE:
PMIT !APPLICATION
$A&AN
r KNOB RD
IN 557 £E
657
Please complete for:
single family dwellings, townhomes and
backflow preventer for irrigation system
when permits are required for each unit,
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CITY:
TELEPHONE #:
(AREA CODE)
TELEPHONE #: 9,s a- f 9-/- 7
/f , ? , (AREA CODE)
STATE: 4= ZIP: _%%?
SEPTIC SYSTEM
new/refurbished (requires two sets if plans and MPC license)
_
,
includes $40.00 County fee $ 100.00
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELL ING UNIT, INCLUDING:
- Adding fixtures to lower levels or room additions, exclud I hg water softeners and water heaters. $ 50.00
- Abandonment of septic system.
- Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118)
_ Other:
- RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
Replacementladditional: X water softener I ! P -n
water heater , j
$ 15.00
I l= -
State Surcharge .50
TOtal
I, $
I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable Cityof Eagan ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any dams caused by the City during its normal
operational and maintenance activities to the facilities constructed enderthis permit within i perylri t-of- ay/ a ment.
NATURE OF PEJi, ITTEE 1/02
k CITY USE ONLY Q
BL RECEIPT #: I S?
SUB RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, HN 55122
(612) 681-6675
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 -j r-, = t
Water Closet 3.00 x i = ?( _
Bath Tub 3.00 x .11_ _ to
Lavatory 3.00 x _L4_ _
Kitchen Sink 3.00 x
Laundry Tray 3.00 x 3
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x -L = 3
Floor Drain 3.00 x _3_
Gas Piping Outlet * minimum -1 3.00 x 1 = 3
Rough Openings 1.50 x -3 = 1-1.50
Water Softener `for dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 X =
U.G. Sprinkler ' for dwelling 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 SQ, 00
t --- he--by ackno - ------wle --d e re-g-e ---- that - 1 ---- hav----- -ad this--a - -- pli-cetion, stat --e -that ---the -- i-nfo -- rmati ---- - is- a--nd-a ------to co with al--mp
-- y-•--•-l -a-ppli -- cab --le ---- City ---ofaga-E-- --n- o -- rd--------inances.
rep mrred, gree t.
It is the applicants 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: N•QQ r+ tai i& N ones ?
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE* t b,-1 791y
CITY: ra n n STATE: 121fl k? ZIP: SSO
SIGNATURE OF PERMITTEE
JS/FORMS BLDGIPLBG PERMIT (RESIDENTIAL) 1998
CNz- CITY USE ONLY
a? ` LOT BL o2 P RECEIPT #:
SUB .
R?1(o-7
RECEIPT DATE:
-9i 8'
1998 MECHANICAL',PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
Date: I
Complete this section only if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied 11
• HVAC: 0-100 MB T U $ 24.00
ADDITIONAL 50 M BTU' 6.00
• Gas outlets ( minimum of one required @ $3.00 ea.) 3C) .00
• State Surcharge: .50
• TOTAL: 30, 56
Complete this section on(v 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:
K Install furnace p %\? Install air conditioning
Install air exchanger, i.e. Vanee system, etc.
Minimum fee applies to all remodel or add-ons of existing residences
State Surcharge
Other
Total:
20.00
.50
$ 20.50
SITE ADDRESS:
OWNER NAME: N cct r} a v? I-4o w. E PHONE #:
INSTALLER NAME:
STREET ADDRESS:
CITY:
#: LI0--7ga4
JS/FORMS BLDIMECH PERMIT (RES) - 1998
l STATE:Mo, ZIP: Q ns d a
SIGNATURE OF PERMITTEE
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: I % of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x I%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
($.50 per $1,000 of Qermit fee due on all permits.)
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CITY:
SIGNATURE OF PERMITTEE
PHONE #:
PHONE #:
STATE:
ZIP:
CITY INSPECTOR
r
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA086327
Eagan, MN 55122 . Date Issued: 09/24/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 3929 Donegal Way
Lot: 6 Block: 2 Addition: Murphy Farm
PID 10-49500-060-02
Use
Description:
Sub Type: e-Siding Construction Type:
Work Type: Siding
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: When installing ventilated soffit material, remove existing soffit material (i.e. debris that could block vent openings) and
take steps to ensure maximum ventilation into attic space.
Permit expired without required inspections. 4/7/2009 CE
Fee Summary- BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Midwest Roofing Siding Windows Michael R Binzak
6451 Sycamore CtN 3929 Donegal Way
Maple Grove MN 55369 Eagan MN 55123
(763) 427-9696
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Plumbing
Eagan. Permit Number: EA095117
Date Issued: 07/27/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 3929 Donegal Way
Lot: 6 Block: 2 Addition: Murphy Farm
PID: 10-49500-060-02
Use:
Description:
Sub Type: e - Water Heater & Water Softener
Work Type: New
Description: Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
deb larson
8815 209th st
Lakeville, mn 55044
Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Drain Pro Plumbing Michael R Binzak
881 - 209th Street W 3929 Donegal WaN
Lakeville NIN 55044 Eagan NIN 55123
(952) 469-6999
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
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA103491
Date Issued: 03/28/2012
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 3929 Donegal Way
Lot: 6 Block: 2 Addition: Murphy Farm
PID: 10-49500-02-060
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy:
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S4K $103.25 0801.4085
Valuation: 4.000.00 Surcharge - Based on Valuation S4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Home Depot At Home Services Paul 1\1 Rankin
656 Nlendelssolm Ave. N 3929 Donegal WaN
Golden Valley NIN 55427 Eagan MN 55122
(763) 42-8826
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
Use BLUE or BLACK Ink
For Office Use
City of Eakan ~ Permit
I fj i
; Permit Fee: (G 0 I
3830 Pilot Knob Road RECEIVED I I
Eagan MN 55122 ( Date Received: I
Phone: (651) 675-5675 JUN 18 2012
Fax: (651) 675-5694 Staff. I
-----------------J
2012 MECHANICAL PERMIT APPLICATION
Date: SiteAddress:19L1C)61:°~Yas WCu.t.-
Tenant: P -L Q r.r c J~A_Jt_(, Suite M
RESIDENT / OWNER Name: -prQ k -L-D P-C k u__, A A-111 Phone: ~_j fit-~ ~ d --loo
Address/ City /Zip: . c1 C{ _ SS)
Name: SVILL 1 E TING & AIC INC~ License ~ ((35 0)f p-71 1:
CONTRACTOR Address: 3451 W. Burnsville Parkway City:
Suite 12 _
State: Zip Phone:
lffisvi "A
Contact: Irick Email:
New Replacement Additional Alteration Demolition
TYPE OF WORK Description of work: ~QQ -t
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace _ New Construction _ Interior Improvement
PERMIT TYPE Air Conditioner Install Piping - Processed
- Air Exchanger Gas Exterior HVAC Unit
Heat Pump _ Under / Above ground Tank Install Remove)
Other ~cA
REST` ENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) tt
$100,00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
$60.00 Minimum (includes State Surcharge) = $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee - $ Surcharge
(i.e. a $10,010411,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cal 48 hours before
you Intend to dig to receive locates of underground utilities. www.aouherstateonecall.ora
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 t`he approved( plan in the case of work which requires a review and approval of plans.
x / l N), pl t l C\ e'-
1 I( 'k l x \ l~ i~ ~ l
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test 1n-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA110830
Date Issued:05/30/2013
Permit Category:ePermit
Site Address: 3929 Donegal Way
Lot:6 Block: 2 Addition: Murphy Farm
PID:10-49500-02-060
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.
Craig Angell
12253 Nicollet Ave. S.
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 -
Paul M Rankin
3929 Donegal Way
Eagan MN 55122
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
F-----------------
I For Office Use I
i Cty of Ealan I Permit
Permit Fee: 1
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT
Date: ~ ~ (33'SiteAddress: g,
1)0-n,-PQ CL(2 /gLO ( Unit
Name: Phone: ;L6a- oa- 03 is
Resident/ pr
Owner Address /City /Zip: ~ Ow ~ 57s r a~
Applicant is: Owner Contractor
Type of Work Description of work: kqf ` ✓ QdZ_
cr>
Construction Cost: ~j d d Multi-Family Building: (Yes /No
eZdU
Company: E
L`t C7 '9KlrlbcS Contact: deO!2~!£ OGU'1g!-~C
Contractor Address: IS& fftya'-c Lh- City: Qu~YtSliGrll~%
State: _Ir r [ ,O Zip: -55 0 G Phone: 255 ~(15_5/y/
License SC 6 `x`78 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 underjo6nd utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
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. &dfg8 x
Applicant's 'Printed Name Applicant's S gnature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154179
Date Issued:02/26/2019
Permit Category:ePermit
Site Address: 3929 Donegal Way
Lot:6 Block: 2 Addition: Murphy Farm
PID:10-49500-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Darek Long
3929 Donegal Way
Eagan MN 55122
(612) 964-7207
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164941
Date Issued:10/12/2020
Permit Category:ePermit
Site Address: 3929 Donegal Way
Lot:6 Block: 2 Addition: Murphy Farm
PID:10-49500-02-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Darek Long
3929 Donegal Way
Eagan MN 55122
Archer Exteriors
324 Concord Exchange South
South St. Paul MN 55075
(651) 775-7017
Applicant/Permitee: Signature Issued By: Signature