3940 Donegal WayWertif cote of ccc"ancv
Witig of Cf agan
Mou rtratnt of 8xitbing 3x0ection
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 cunifixMiann_ SF DWG Bidg. Permit No. 31733
O-P-cy Type R3 U 1 Zoning Dit+tr R 1 Type ConsI.N
OW= of Bviwwng R A KOT fCHES Address 7644 1281H ST W, AME G&UEYC
Buiwing Address 3440 DONEGAL WAY locality L21 B2 FAM % Date:
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: t t. n `ret;
3830 Pilot Knob Road Permit Number: ?
Eagan, Minnesota 55122-1897 Date Issue
(612) 681-4675
SITE ADDRESS:
iJA v
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WOR
INSPECTION TYPE DATE INSPTR INSPECTION TYPE
.
WENARKSs 5 1? W PI III, WFN7rt
PLAN Rr-Vit1AV1) P'; NItF RAPC
s
Permit No. Permit Holder Date Tialephone M
ELECTRIC
PLUMBI
HVAC C oZ -??S
Inspection Date Inap.
-j Comments
u
FOOTINGS Y/` /1195,
l
FOUND
FRAMING q1j' /4g
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST K lC C9 - - G?vl
ROUGH
HEATING
GAS SVC
TEST O I? e, ?ya?rLZt} o??,?J
V ^/
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PL.BG
FINAL HTG /2 JQ
1
ORSAT
TEST
BLDG FINAL
w??
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
r
__ I
Addfe,4'* .
Zip 55123_
Lot 21 Blk 2 Sub MURPHY FAR 4
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 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 V
Deck t/ I
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE: BUILDING
Permit Number: 031733
Date Issued: 04/16/98
3940 DONEGAL WAY
LOT: 21 BLOCK: 2
MURPHY FARM
P.I.N.: 10-49500-210-02
DESCRIPTION:
Bu' 11 h#U Permit Type
=Building'Wprk Type
USC Occupano
Construction Type
Zoning *1
Building Length
Building Width
:.
8uiiding,°Storie5
Square Y9 Fe`t
SF DWG
NEW
R-3 U-1
V-N
R-1
63
50.
2
2,106
101 1 - FAM. DETACH
E:
4 nw
Ac
f
I -?F;f } 17}E?'1 I} y?
REMARKS:
S & W PLBR - WENZEL
PLAN REVIEWED BY MIKE BARCK
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
Il SAC Units
Subtotal
$1,272.25
$826.96
$88.50
$1,000.00
100
1
$3,187.71
$177,000
MISCELLANEOUS $1,592.50
Total Fee $4,780.21
CONTRACTOR:
KOT HOMES, R A
7694 128TH
APPLE VALLEY
(612) 687-9513
- Applicant - ST. LI
16879513 000150
ST W
MN 55124
L_
R A KOT HOMES INC
7694 128TH ST W
APPLE VALLEY MN 55124
(612)687-9513
I hereby acknowledge that I have read this application and state that the
information is correct and agree tojcp[4plygwi_" all app1i;cablp state,of .M In
Statutes and City of Eagan 'Ordihan6es.
APPLICANT/PERMITE-E 5 ATUR
N a RJ1? Ill
ISSUE Y:S NA RE
.. i i tl I
i
9 Y
r
i)I,i - ,•, I , d , , it
'. in rl. ? ! ? I •.
?i??PMINW NQ Y38
i` S 04/17/90 TMEn 005M,
?draPRiir a ri I:C)7 HOMI S !NC;
t
0256 AM AWO DONERAL WA 4,780.21,
I: lI 81 ice.! I.
.[=1' JPV
L I i
,. .p J
it
.• I., Ili :I• ? •n•I..,
g0a6T
2005 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
Remodel/Repair Requirements
2 copies of plan ........................
.. nl
Cerf oFSurueyRecd
'
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres P(a Recd Y _N,
_
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Requued
in
tid
st
O
d
S
S ,,.; Y -PN
_Y
N
I set of Energy Calculations Addition - indicate if on-site septic system s
rts
e
ep
:
y ,_
;
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date (V /
Site Address / 0 -7
L? U Con e a w Construction Cost 1go
? Unit/Ste #
r 10?
Description of Work T r ?aC7,-
_
_ Y
N
Multi-Family Bldg Fireplace(s) 0 - 1 _ 2
Property Owner p
n
,n
rCCG?4! IJr?1'1Chett
- p
Telephone #(6.51 (0/ ?L1
Contractor ((?? ?? ?1 to t
I?f71e( %CCI/?1 N ??f?Yl
C0h' 1 CY Cf (j), S .
.
34)c_
Address
State 5 ag?) ? IL 010 (-( 0i R(:C
M Al - * 100
Zip 55-3 5 7 City ?[ f YI?VI f?i°
Telephone # (ice) 70;7, Egs9
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I _ 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 fast 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
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 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_Yor_ N ? 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 ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump ;
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding _ Stucco -Stone -Brick
_ Fireplace - R.I. _ Air Test _ Final _ Windows
Insulation _ 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
3998 BUILDING
New Construction Requirements
PERMIT APPLICATION (RESIDENTIAL) Ll
CITY OF EAGAN /
3830 PD.OT KNOB RD - 55122 @ ?-?
681-4675
Remodel/Repair Requirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured find. design; eta) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan N lot platted after 711/93
required: _Yes _ No
DATE: 44 1 IT7 n CONSTRUCTION COST; 2 S; a 0 0
DESCRIPTION OF WORK: 2es ide" aJ
STREET ADDRESS:
3 9 `}-0- - 'j)o vt e? wa
LOT: BLOCK: y SUBD./P.I.D. #: vMv h.? FaN
Name: ?< p? ?C • / ] , Phone #: L g 7 9 ?? 3
PROPERTY Last First
OWNER ST-
Street Address: ? `' Z W F1 1 . l
City reQ !/JIJ) , V a State: M N Zip: .-s/ Z
Company: c- Phone #: 9 7- 9 J-?3
CONTRACTOR
Street Address: y ) Z ?'^ S / KJ - ,License
City 1jh (,- t/A ? State: A) Zip: S,-rl
ARCHITECT(
ENGINEER Company: ?)_. • L- S tq t.? Phone #: 6.87 .-g 5/ 3
Registration #:
Street
City State: Zip:
I,v?t sitI Ae-??
Sewer & water licensed plumber (new construction only): malty
and lot change is requested once permit is issued.
applies when address chang
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE
Certificates of Survey Received Yes No
Tree Preservation Plan Received - Yes - No
? Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
1:(-02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
k31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Mufti Repair/Rem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
? 15 Deck
? 36 Move
? 37 Demolition
\/;,j Basement sq. ft. 13 3i MC/INS System i
Jd Main level sq. ft. i 338 City Water
2 3 U-1 2 .a sq. ft. c l 3d Fire Sprinklered
T CU,.e r sq. ft. '+e•5 PRV
Z ?L sq. ft. Booster Pump
L Z ' 8' sq. ft. Census Code. r e - !
Footprint sq. ft. '2,1 0G SAC Code +
Census Bldg +
Census Unit
Building --? Engineering
Permit Fee Valuation
Surcharge ,
Plan Review -`"
License ?8 Y 32. 2. s
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit +
S/W Permit
= z, .u
S/W Surcharge
Treatment Pl.
Park Ded. ?-
Trails Ded. - ti, a
Other
S 1
kC Units
33 u'z2
Variance
$ 1-7,7 e)c)CQ. -
12- 7 S . S-
+ T2,-
S?7.S r$ 2d cbe.S
+ 1?7. sq = -720 225,
I -S -/, 5 rt A 5'/ r
-77(-
y2-
7 (? a rh 9 +lo
7?, z ? S,
x
l74 + Scav, ;
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: (
? Lazy®? _
T
DATE OF SURVEY:
/?c1 _
LATEST REVISION:
DOCUMENT STANDARDS
°z
t? ? ? • Registered Land Surveyor signature and company
a-'? ? • Building Permit Applicant
M
' ? • Legal description
/
a ? ? • Address
o ? North arrow and scale
0 0 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
r?? ? Directional drainage arrows with slope/gradient %
? [-' ? • Proposed/existing sewer and water services & invert elevation
ca-? ? ? • Street name
q-- ? ? • Driveway
ELEVATIONS
Existina
? 0?' ? • Sewer service (or Proposed)
0/ ? ?
? ?
• Property corners
f
i
T
b
t th
d
c cur
op o
a
e
r
veway
[?? ? Elevations of any existing adjacent homes
Proposed
El' ? ? Garage floor
Er' ? ? First floor
? ? • Lowest exposed elevation (walkouttyAndow)
? ? Property corners
? ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
? 12 ? Easement line
? i1T, ? • NWL
? Q/ ? • HWL
? ? ? • Pond # designation
? ??'? • Emergency Overflow Elevation
DIMENSIONS
? ? • Lot lines/Bearings & dimensions
>0-'? ? • Right-of-way and street width (to back of curb)
0'0 ? • Proposed home dimensions including any proposed decks, overhangs greater than 7,
porches, etc. (.e. all structures requiring permanent footings)
Z'o ? Show all easements of record and any City utilities within those easements
P?-- • Setbacks of proposed structure and sideyard setback of adjacent existing structures
13 ? Retaining wall requirements, if any
Reviewed:
Names /Da
January 1996
CRAIG79adUMPRMr. FM
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER MIKE $ PATTY I3LANCIIETTE PLAN NO. 9-0908-7
SITE ADDRESS LOT 21, RLK. 2, MURPHY FARM
CONTRAC'T'OR: R.A. KOT HOMES,TNC DATE 03/24/98 PHONE 687-9513
DETERMIME WORKING SQUARE FOOTAGE
3620.24
1. Total- exposed wall area 3665.8 sq.ft. x .11 403.238
2. Total. roof./ceiling area 1258 sq.ft x .025 32.708
3. Total floor cant. area 0 sq.ft. x 0.05 0
(over, unheated enclosed areas)
4. 'T'otal floor cant. area 2 sq.ft. x 0.025 0.05
(over unheated exposed areas)
5. Total. exposed wall area above the floor.. 3300.24
a. 'T`otal wall. window area...........`......... 355.88
b. Total door_ area ........................... 55.6278
c. Total sliding glass door area ............. 80.04
d. Total fireplace area ...................... 0
e. 'T'otal wall framing area (ave. 10%)........ 330.024
f. 'Dotal net wall area above the floor....... 2478.668
g. Total. rim joist area ...................... 320
TOTAL EXPOSED FOUNDATION AREA ................ 45.56
h. Total foundation window area .............. 0
i.. Total net foundation area ................. 45.56
Deter.mi.ne "U" value of each wall segment.
a. 355.88 x "U" 0.41 145.9108
b. 55.6278 x "U" 0.06 = 3.337668
c. 80.04 x "U" 0.33 26.4132
d. 0 x "U" 0 = 0
e. 330.024 x "U" 0.097752 = 32.26041
f. 24'78.668 x "U" 0.044843 111.151
g. 320 x "U" 0.042123 = 13.47936
h. 0 x "U" 0.41 = 0
i. 45.56 x "U" 0.076161 = 3.469916
6 .....................................Total 336.0224
If item #6 is the same as or less than item #1 you have met the current
energy codes. 2 MCAR 1.16008 A AND O.
TOTAT, EXPOSED ROOF/CEILING AREA
j. Total skyl_ighL area .......................
k. Total flat roof./ceiLing framing area......
1.. Total neL flat. roof /ceiLing ar.ea..........
Determine "U" value for each roof/clg
j. 0 x "till 0 =
k. 125.8 x "0" 0.025549
1. 1132.2 x "U" 0.021801 =
1258
0
125.8
1132.2
segment
0
3.214103
24.6828
7 ...................................Total 27.8969
If item #7 is the same as or less than item #2 you have met the
energy code. 2 MCAR 1.16008 A AND 0.
TOTAL FLOOR CANT. AREA (enclosed). 0
o. Total floor cant. framing area (ave. 10%). 0
p. Total net insulated floor/cant. area...... 0
Dete.rmi.ne "U" value for each floor/cant. segment.
o. 0 x "U" 0.047192 = 0
P. 0 x "U" 0.021622 = 0
8 ...................................Total 0
If item #8 is the same as or less than item #3 you have met the
energy code. 2 MCAR 1.16008 A AND O.
TOTAL FLOOR/CANT. AREA (exposed)
2
q. Total floor/cant. framing area (ave. 10%). 0.2
r. Total net insulated floor./cant. area...... 1.8
Determine "U" value for each floor/cant. segment.
q. 0.2 x "U" 0.039793 = 0.007959
r. 1.8 x "U" 0.019924 = 0.035864
9 .............:.....................Total 0.043822
If item #9 is the same as or less than item #4 you have met the
energy code. 2 MCAR 1.16008 A AND O.
I HERESY CERTIFY THAT I HAVE CALCULATED THE "U" FACTORS AND "R"
VALUES HEREIN AND THAT THE BU (DING HERDESCRIBED MEETS OR 1lCEEDS
THE STATE OF MINNESOTA ENERG CONSER A I N ACT.
/ (signature)
/9 99A
7da-°??
DETERMINE "U" VALUES"
THRU STUD WITH SIDING & S.R.
Interior Air...... 0.68
Sheet Rock........ 0.45
Thermo-Break...... 0
Stud .............. 6.93
Shthng(Bracerite). 1.22
Siding............ 0.78
Exterior Air...... 0.17
Total "R" Value... ......... 10.23
1/R = ''U'' Value ... ......... 0.097752
THRU INSULATION WITH SIDING & S.R.
Interior Air...... 0.68
Sheet Rock........ 0.45
Thermo-Break...... 0
Insulation........ 19
Shthng(Bracerite). 1.22
Siding............ 0.78
Exterior Air...... 0.17
Total "R" Value............ 22.3
1/R = "U" Value ............ 0.044843
THRU CEILING MEMBER
Interior Air...... 0.68
Sheet Rock........ 0.56
Ceiling Member.... 4.35
Insulation........ 32.92
Still Air......... 0.61
Total "R" Value............ 39.14
1/R = "U" Value ............ 0.025549
THRU CEILING INSULATION
Interior Air...... 0.68
Sheet Rock........ 0.58
Insulation........ 44
Still Air......... 0.61
Total "R" Value............ 45.87
1/R = "U" Value ............ 0.021801
i
THRU CONCRETE BLOCK
Interior Ai.r......
conc. Blk.........
Insulation........
Sheet Rk. (opt.).
Exterior Air......
0.68
1.28
11
0 (Add 0.45
0.17
Total "R" Value............ 13.13
1/R = "U" ..................0.076161
THRU RIM JOIST
Interior Air......
Insulation........
Rim Joist.........
Shthng(Bracerite).
Siding............
Exterior Air......
0.68
19
1.89
1.22
0.78
0.17
Total "R" Value............ 23.74
1/R = "U" ................ 0.042123
U" value for wi.ndow........
U" value for doors.........
U" value for Patio Drs.....
THRU CANT. @ MEMBER (enclosed)
Interior air...... 0.68
Finish Flooring... 1.23
Shthng(Bracerite). 1.22
Plywood........... 0.93
Joist(W/2x4 Furr). 15.94
Sheet Rock........ 0.58
Still Air......... 0.61
0.41
0.06
0.33
't'otal "R" Value............ 21.19
1/R =
"U"
..0.047192
THRU CANT. @ INSULATION (enclosed)
Interior Air......
Finish Flooring...
Shthng(Bracerite).
Plywood...........
Insulation........
Sheet Rock........
Still Air.........
0.68
1.23
1.22
0.93
41
0.58
0.61
Total "R" Value............ 46.25
1/R = "U" ..................0.021622
THRU CANT. @ MEMBER (exposed)
(Assumes 2x10 Joists)
Interior Air...... 0.68
Finish Flooring... 1.23
Underlayment...... 0
Plywood........... 0.93
Joist(W/2x4 Furr). 15.94
Shthng(3/4" RMAX). 5.4
Soffit............ 0.78
Exterior Air...... 0.17
Total "R" Value...... ...... 25.13
1/R = "U" ............ ......0.039793
THRU CANT. @ INSULATION (exposed)
(Assumes 200 Joists)
Interior Air...... 0.68
Finish Flooring... 1.23
Underlayment...... 0
Plywood........... 0.93
Insulation........ 41
Shthng(3/4" RMAX). 5.4
Soffit............ 0.78
Exterior Ai.r...... 0.17
Total "R" Value............ 50.19
1/R = "U" ..................0.019924
ANSWER THESE QUESTIONS ABOUT THE STRUCTURE.
(in the case of windows and doors, round up to next foot.)
1. WHAT IS THE TOTAL LIN. FT. OF SECOND FLOOR RIM JOIST?...... 156
2. WHAT IS T HE TOTAL LIN. FT. OF FIRST FLOOR RIM JOIST?........ 164
3. HOW MANY LIN. FT. OF 1ST. FL. RIM HAS PARTIAL W/O BELOW?... 56
4. HOW MANY LIN. FT. OF 1ST. FL. RIM HAS FULL W/O BELOW?...... 40
5. WHAT IS THE TOTAL INSULATED CEILING SQ. FOOTAGE?........... 1258
6. HOW MANY PANES OF WINDOW GLASS ARE THERE? .................. 39
6A. HOW MANY 2' HIGH? ..............INCL'S TRANSOMS... 5
6B. HOW MANY 3' HIGH? ................................ 0
6C. HOW MANY 4' HIGH? ................................ 17
6D. HOW MANY 5' HIGH? ................................ 16
6E. HOW MANY 6'OR MORE HIGH? ......................... 1
7. HOW MANY 3FT. EXTERIOR DOORS ARE THERE? .................... 1
8. HOW MANY 218" EXTERIOR DOORS ARE THERE? .................... 2
9. HOW MANY SL. GLASS DRS. OR ATRIUM DRS. ARE THERE AT: 2
9A. 5'0" ............................................. 0
9B. 6'0" ............................................. 2
9C. 7'0" ............................................. 0
9D. 8'0" ............................................. 0
9E. 9'0" ............................................. 0
10. WHAT IS THE SQ. FOOTAGE OF SKYLIGHTS? ...................... 0
11. WHAT IS THE 1ST FL. SQ. FOOTAGE? .......................... 1256
12. WHAT IS THE SECOND FLOOR SQ. FOOTAGE? ...................... 1181
13. WHAT IS THE 1ST FLOOR CEILING HGT.? ........................ 8.17
14. WHAT IS THE 2ND FLOOR CEILING HGT.? ........................ 8.17
15. WHAT IS THE TOTAL ENCLOSED CANT. SQ.FT ..................... 0
16. WHAT IS THE TOTAL EXPOSED CANT. SQ.FT ...................... 2
17. WHAT IS THE TOTAL FOUNDATION WINDOW AREA ................... 0
? CITY USE ONLY p p
L c7V BL -I- RECEIPT #:
S QJ' y RECEIPT DATE:
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, III 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 .3.00
Water Closet 3.00 x .3 = w
Bath Tub 3.00 x 12.? = 6.00
Lavatory 3.00 x .S' _ 16-.04
Kitchen Sink 3.00 x 30D
Laundry Tray 3.00 x 3 cb
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x -L = 3-60
Floor Drain 3.00 x 3.00
Gas Piping Outlet * minimum - t 3.00 x = 3-016
Rough Openings 1.50 x 3 =
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 5&-Q(_
- - ----------- ----reatl ------- ------------ - - ------ --- ----- - ------ -----------------------------
I hereby acknowledge at -I have this application, stale that the informatioc is - correct, - and - agree - to - compy - with all applicable City of Eagan ordinances.
th
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:
) v r
OWNER NAME:
INSTALLER NAME: iftd.,? [u' r»3d/ ???. TELEPHONE#: 5?3-3i,,q0
STREET ADDRESS:
CITY: Jy .. of r STATEN ZIP: 33-01F
SIGNATURE OF
JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
CITY USE ONLY
LOT C-V BL RECEIPT #:
SU RECEIPT DATE:
1998 MECHANICAL, PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN NN 55122
p (612) 681-4675
a / / o
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 $ 24.00
ADDITIONAL 50 M BTU 6.00 i
• Gas outlets (minimum of one required @ $3.00 ea.) 600
• State Surcharge: .50
• TOTAL: '?P<-1521)
Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install furnace
Install air exchanger, i.e. Vanee system, etc.
Minimum fee applies to all remodel or add-ons of existing residences
State Surcharge
SITE ADDRESS:
Install air conditioning
Other
$ 20.00
.50
Total: $ 20.50
OWNER NAME: 9 Itr e9 / PHONE #: lPS ry- 9513.
INSTALLER NAME:
STREET ADDRESS:
CITY:
PHONE #: D 9 V-496&1!
ISIFORMS BLDIMECH PERMIT (RES) - 1998
S ST :
1 NATURE OFPERMITTEE
CITY USE ONLY
L BL
SUED.
RECEIPT #:
RECEIPT DATE:
1998 MECHANICAL PERMIT (COB
CITY OF EAGAN
3830 PILOT XNOB 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 - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
---------------------------
SITE ADDRESS:
($.50 per $1,000 of permit fee due on all permits.)
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
PHONE #:
ADDRESS: PHONE #:
CITY:
SIGNATURE OF PERMITTEE
STATE:
ZIP:
CITY INSPECTOR
_ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
.a CITY OF EAGAN
3830 PILOT KNOB RD - 55122 `-?
651-681-4675 pp??')}? .(? ?,V 2
New _l enh erher -?J a J C`
Construction Reauhem Remodel/Reoair Rea
D 3 registered she surveys showing sq. ff. of lot, sq. ff. of house
and all roofed areas (20% maximum lot coverage allowed)
2 copies of plans (show beam a window sizes: poured fnd. design: etc.)
D 1 set of energy calculations
D 9 copies of tree preservation plan ti M platted offer 7/1/93
DATE: r- !f!'1- e9 I
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions a decks
CONSTRUCTION COST: 9 ago Ga
DESCRIPTION OF WORK: bti.GSC A iii// r 1ox-1
/JDM/' G a Ids y
STREET ADDRESS: 39,(o
LOT: BLOCK: SUED./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
tf
?S?- 60 ??yZ-
Name: ?SLRNG//,NTfii Vf Pn7rY Phone #:
Last First
Street Address:. 39yO 12011l146:4L W-4/
City l??l GA t4 Stale: Zip: SSA/Z y-
e???
Companytil/iz J- T? oa?L Cm t Phone #: dry!-
(area code)
3
Street Address: 1r6 3 L ?9 A,4 on/ ,gvrl y' License # Exp.
city 1AM-4 ?i2odfs ?i?`/G rS State: Zip:
Company Name:
Telephone #: area code ( )
Street Address: Registration #:
City State:
Sewer a water licensed plumber (required for new construction only :
Penalty applies when address change and lot change Is requested once permit is Issued.
Zip:
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.
Signature of Applicant: ??--?
OFFICE USE ONLY A4y 9?tMs+'fu?.?y
Certificates of Survey Received
Tree Preservation Plan Received
Yes No
Yes No Not Required
V
OFFICE USE ONLY
BUILDING PERMIT TYPE
w + J.
? 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 kg? 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
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Repair ? 38
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Permit Fee &0
Surcharge .5a
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SAN Permit
S1W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: o'0
SAC Units
% SAC
Census Code
SAC Code
No. of Units O
No. of Bldgs a
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinkiered
Engineering Variance
Valuation: $
a
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
y p 9y 3830 PILOT KNOB RD - 55122
851.8814875
Now Construction Realremerds a,& i
Cv 1&-OU
W-GO
CQlle? ??13?0?
n 3 registered site surveys showing sq. iL of lot, sq. ff. Of house 2 copies of plan
and gp roofed areas (=maximum lot coveraae aliowetll 1 set of energy calculations for heated additions
D 2 copies of plans (show beam & window sizes; poured Ind design; etc.) 1 site survey for exterior additions & decks
1 set of energy calculations
D 3 copies of tree preservation plan If lot platted after 7/1 /93
DATE: 7 ?Z l e9--ern CONSTRUCTION COST: t Yy. co
DESCRIPTION OF WORK:
STREET ADDRESS: g
LOT: BLOCK: SUBD./P.I.D. is 1 U
Name: 0 &,11 Z,2? P 77 ti Phone
PROPERTY Lost First
OWNER
Street Address,
City C? /?1I State: Zip:
Company: 2 soil l O F? Phone 2
(area code)
CONTRACTOR 7&L
Street License Address:????rl? >?
City State: ZIP:
ARCHITECT/
ENGINEER Company Name:
Telephone ft: ( )
Street Address: Registration:
city State: Zip:
Sewerfwater licensed plumber (if Installing sewerhrateA: Phone tk
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comp C/ ail applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _)Yes No ) .)Um T
Tree Preservation Plan Received Yes No Not Required 'A6
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-ptex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-piex
? 05 03-pfex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
.'Zr 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ?
? 17 Garage ?
,)<J 18 Deck ?
? 19 Lower Level ?
Plbg _Y or_ N ?
? 20 Pool ?
21 Porch (3-sea.)
22 Porch/Addn. (4-sea.)
23 Porch (screened)
24 Storm Damage
25 Miscellaneous
30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)* ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 01
No. of Units 0
No. of Buildings _ I
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering
sq. ft.
sq, ft.
Footprint sq. ft.
Census Code
MC/ES System
City W ater
Booster Pump
PRV
Fire Sprinklered
Variance
r-.
? 31 Ext. Alt - Multi
? 33 Ext. Aft - SF
? 36 Mufti
Permit Fee I4a . s a
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Other
Copies
Total: -, 60.50
Valuation: $
SAC Units
% SAC
CITY OF EAGAN PERMIT
3830 PILOT KNOB RD
EABAN, NN 55122
651-621-4617
WCH: 825
S-4 tX-s m4f-T
7?575m
80952340$21
REF: C " 14
5
lD Pe?E: VISA
TR PPE: PIJWASE
ii J: 37431
DATE: M 24, 99 14:17:31
TOTAL $60,59
ICCT: 4152 431W9U EXP: 6143
AF: T10?
Kl: RA'y-hC;m O REhvw?
CAQii E1`EP, NY'$HiVIRSES RECEIPT OF M
ET?AC-ES iH 11E MTV If THE
TUN 011:1 r-1 ArTEE TO DqO%l
T"E icSli ; `cT F;. TH cY T11
r ;ut _iT it ,,H T E IS%U.
T R-R :u'iR5 VISA
IT „
n;r'}ai': '':•';Vil{',ihd la !.I ?i....?.1;..? i'r
.:,.. ..?..1 .`i).:1(.. i. ..:,f:3^i.0 NINE
.f;flt.. •.r..
;1:1 z0 D ' :.d... alA
Ed1 .f,i{)
u °i(7
'r1:> .
,...._.3:1.171:
1
*
* AIONI
*e on
Certificate of Survey for:
NOTE: CONTRACTOR TO VERIFY SEWER
SERVICE INVERT ELEV. PRIOR
TO CONST.
INV. NOT AVAIL. FROM CITY
SER VICE.
BppEpNpCH MARK
ELEV? 909 26.E
v/ Qf
TA b
?' ry M
JI Q
1908,1
I
•
I 10 ? ?
10 '- -
0 7 u
909.0 39
2$ 100' 3)
48'w
21
$F/ 9+ M
/ o
?a I
Mal
tV
i?
w
W
1
2.670'
d1a
Wr
go 7.1 904 6dw
13, 3 -
I
I .
Z21
? N
I
?
?
I
)
I
910_4^-?+,,.-.- 1
i?1...1 10
BENCH MARK
TOP OF PIPE 22
ELEV.=911.67 f
NO'E: PROPOSED GRAPES SHOWN I'ER 0RF.044O PLAN BY: BRW
NOTE: BUILDING OIMENSICNS SMOVM ARE FOR MORQON'fAL AND VERTICAL LOCATION
EIF STRUCTURES ONLY, SEE ARCHIIEOTUAL FLA45 FOR BULDiNO AND
FOUNDATION DIMENSIONS.
401E. NO SPECIFIC SOILS 'NVESTICATION HAS BFEN C?MPLETED ON THIS LOT BY THE
SURVEYOR. THE SUITMU1Y OF SOILS 10 SUPP'IRT THE SPECIFIC HOUSE
PROPOSED IS NOT THE RESPONSINRITY 01 THC SOR`/EYOR.
907.0 R99.5 ?
129.80 ; o)
PROPOSEO HOUSE ELEVATION,
LOMST FLOOR ELEVATION: 123•y
TOP OF BLOCK CLEVATION:
113-3
GARAGE SLAB ELEVATION: g111W
401!. 'HIS CERTInCATE DOES NOT PURPORT TO SHOW EASEVENTS OTHER IMAM A DOD 00 DENOTES EIISTMC ELEV„ION
TIIOSE SHOWM ON THE RECORDED PLAT.
( MO N 1 DF.NO?ES FROPOSCO ELEvANUn
ROTE CONTRACTOR MUST V[R'FY DRIVEWAY DESIGN. PEN07CS ORANAOE AND UTILITY EAS_MENI
DENOTES ORAINACE FLOW UINECfiON
NO/E DEARINOS MOWN ARE RASED ON AN ASSUMED DATUM -0- DENOTES EION'J¢F.NI
--g- DENOTES OFFSET HVe
WE HEREBY CERTIFY TU R.A. KOT THAT THIS IS A TRUE AND CORRECT REPRESE?i;, 1019•. Q.??
SURVEY OF 1HE BOUNOARIES OF: ii'a?700A
LOT 21, BLOCK 2, MURPHY FARM b. '...,4EWED
DAKOTA COUNTY. MINNESOTA 77; %
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACFItAENT" gROEYED-BY ME OR
UNDER MY DIRECT SUPERVISION THIS RO DAY OF PA CH, 1991,:-I. - .?
"CALE : T INCH - 30 FEET UILD
fi 97500.02 SINK John C. LDrson, L. $, Reg. NO. 1982,5-
1 0 , d
FIANWITS•
R.A. KOT
3940 DONEGAL WAY
/ 904.'
i
2422 Enterp•;se Drive
Mendota Heights, MN 55120
(812) 881-1914 FAX:881-9488
625 Highway 10 N.E.?x
Bovine. MN 55434
(812) 783-1880 FAX:783-1883
fall F.E.G. INV.a89i1.0 •?
19
--- Q1
S
/vi
/ l--1 f
/ I 2.0
I
I
9097
o>
off, •9
n_
Y`
am Q•
? \ O
\ 1
898.8
7.9 s 110
I
3,
7,? 55 q ?? I
I
E4
908.2
I
909.7 j? 9:15.0 i
0/30, 3
cT l 908 7 x
1
// IN I
* * **
* PIONamp
en _ -_ _ IAHp wA?(.ntc . nIAL EMN(EPt _
1 nQer ng LANG 4.NrxPS. [AID}f,AP[ PPCNII[C4
or * * *
2422 Enterp,;Se Dnve
Mendoto heights, MN 55170
(612) 681-1914 FAX:681-9488
675 Highway 10 N.E.
Blaine, MN 55,134
(612) 783-1880 FAX: 783-1883
C;ertifiCote of survey for: R.A. KOT
3940 DONEGAL WAY
NOTE: CONTRACTOR TO VERIFY SEWER
SERVICE INVERT ELEV. PRIOR
TO CONST.
INV. NOT AVAIL. FROM CITY
SER VICE
BENCH MARK
TOP OF Pip[
FLEV 909.26
C? Q ?~
/909.1
J
r fJ
T X
10
f L
904.9
?r
fab F.E.S. INV.=899.0-/'
1905.6
If
19
/ 2.00
I
JO 9097
18.C'QQQ
o> 'a /
Wd 1n
3
na 2,00 5
an `.1 6/?
0
909.0
39.3 q.3-
2
rA"") S89432A49"W
BENCH MARK
TOP OF PIPE
ELEV.=911.67-'.-2- 2
017 f-ROPOSeD GRADES SHORN PEA .Rr.O';JD PLAN eY: EIRW
TO'E' RU^_OINC OIMENSICNS SHOWN ARE roe HORcoN'FAL AND VERTICAL
OVNOATCON DR!ENSIONS. E ARCHITE-rTL L FLA45 FOR SUko,NO AN UCA 11014
O,F. NO SPECIFIC 50x5 NYFSIICA DON HAS eF(N
SURVEYOR THE SUIV,e1in CWPLETED ON THIS toy By THE
Y
PROF OF SOILS 10 SUPP-Al THE SPECIFIC H
OSEO IS Nct ME FESPrNSMITY O. T`+E S;)RbEYOR. OUSE
D„•+ ,WS CERTRCATE
n105L sN DOES NOT PURPORT TO SHOW FASEMENTS THAN
OMN oN THE RECOROrO PLAr OTHER
898.8
W
N
899.5
A a
PROPO 0 HO S F FVA*I,;,
LOWEST FLOOR ELEVATION- !72-Lo-
TOP OF BLOCK LLEVATION; Iti ---
GARAGE SLAB ELEVATION:
ITf CONTRAC 70R MUST x 000.00 DENOTES EEISD110 E:EW 9pN
VCR," pR1y(WAr DESIGN. (DOD OO) OFNOTES PROPOSED ELEVAPON
"E O[AIRNCS GOWH AR( eA SfO ON AN ASSUMED LA1VN _ DENOTES D.MAINAOE 4140 UTI ITY K
""-+•- DEN,JTES ORAINACE FLOW DIRECTION, A'EN,
C HEREBY CER 11?Y fU R A K --?- RENO'ES NO.v7,1EnT
IQVc/ OF 7H DT 'HA7 ?HIS IS A TRU - - OENorES OFFSET HU9
E BOUNDARIES OF: E ANp CORRECT REPRESEIIfigA'IOfP pp?,g
)T 21, BLOCK 2, MURPHY FARM C" N61"P9?Etl? rank
KOTA COUNTY, MINNESOTA a 6 Ill lp?y
DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACF?AENT ??EE Y
)Er7 My DIRECT SuPER14SP?N THIS
RO DAY OF M CH, Y ME OR
ALE 1 INCH L` I i
---
30 FFET /2';P- el"a LIJILD Wit EGOrW0 4NC;JEc INr,.1 p.A
D7500.02 SWK
To ._[ John C. Lmson, L.S..Reg. ICI 8;R
r \
>azl?,/ Ito
5604 J4l',
908.2
8 I
909.7 i? 9;13.01
I
e? Y d
$a° /30.33 ??m $ AEI I i 1908 ?.,7 /&l,/
21 gal
/ x b FCL
zO&I
12.00 W?I
14.6Zy?l
! W 1 ?al
m I t"I
910.4 I h
to
907.0
129.60
* * * 41
* picklo12R UND WRV4YORf . nvL [NGINI
* I?n? nCer ng LAND -uH.cRA• unrscAPE AAc
Certificate of Survey for: _R.A. KOT
3940 DONE GAI. WAY
NOTE: CONTRACTOR TO VERIFY SEWER /
SERVICE INVERT ELEV. PRIOR /
TO CONST. j 0049
i
i
2422 EnterpT se Drive
Merdata Heights, MN 55120
(812) 881-1914 FAX:881-9488
625 Highway 10 N.E.
Blaine, MN 55434
(812) 783-1880 FAX:783-1883
?QU F.E.S, INV.=898.0•
INV. NOT AVAIL. FROM CITY
SERVICE. ' \\
BENCH MARK
TOP OF PIPE
ELEV =909.26 ' / / I 10
007
/? 735s43gT'^
908.2
909.7 _ Il.n 905 z .0
hry 1908 7
C0/ I ?1
/-. ' Y ^' I I
c
2.1111 21 > e?
0. / ? nn ?a
Q 30 909 7 ?i o N ?r<
r o 18 CO
11 .00 wl
'908.1 wa ,n/? 1907.1904,64=L
rf a? 9 iv ,?? 13.3 Ri i aLGy{?
o- 2.00 f2I
10 1 `.,,_ao l I ??? iTW
i I p I
I ! ? so nn/" 9104
909.0
_
10 Dnn 7? _In_
r "I'l? S8932'48"W
BENCH MARK
70P OF PIP=
ELEV.=91T,g7--
_
IIa v7
5-' 907-0
129.60
22
r;01E: CIROPOSEO GRADES SHOWN PEN GRAO'NG PLAN BY: BRIN
NOTE: SUILOINC DIMENSICNS SHOWN ARE FOR HORVON'TAL ANC VERTICAL LOCATION
OF STRUCTURES ONLY. SEC ARCHITE'?TUAL PLANS FOR BU'-IDINO AND
FOUNDATION NwENSIONS.
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN C IVPLETEO ON THIS LOT BY THE
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE
j. PROPOSED IS NCT ME FESPCNSIBRJTY O` THE SURVEYOR.
898.8 `
got.°J
2
A7A
W
N
in
10
P)
PROPOSED HOUSE FLFVATIQ
LOWEST FLOOR ELEVATION! 125
TOP OF BLOCK ELEVA7ION:1
GARAGE SLAB ELEVATION: 1T
4171: THIS CERTINCATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN x 000,00 DENOTES EzIST"IG ELEVATION
THOSE SHO" 0"1 THE RECORDED PLAT. ( 00000 ) DENOTES PROPOSED ELEVATION
NO1F CONTRACTOR MUST VERIFY DRIVEWAY OESIGN. - - - DENOTES ORA'NAGE AHD UTILITY EASSNENT
DENOTES DRAINAGE FLOW DIRECTION
NCIi BEARINGS SHOWN ARE RASED ON AN ASSUMED DATUN -1- DENOTES MONUNENT
-$- DENOTES OFFSET HUD
?
WE HEREBY CERTIFY TO R.A. KOT THAI THIS IS A TRUE AND CORRECT REPRESEN ? Fr,TI ? A
SURVEY OF THE BOUNDARIES OF: tt rLrsvU
LOT 21, BLOCK 2, MURPHY FARM 1 d D U U
OAKOTA COUNTY, MINNESOTA
,T DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACOiNT-&-E-%6 / Y ME OR
UNDER MY DIRECT SUPERVISION TWS RO DAY OF M CH, 199&jC C 1E???c
/,Y f BUILD 5?`1 ?- E ICr9I?HLAtl HtNG.1 P. A.
SCALE 1 INCH 30 FEET 72r
7l 97S00.07 SWV John C. Larson, L5. Reg. DIO. 1982A
10 *li
41!lb°
City of Eaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
11
ccl
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: J (C ?:113 Site Address:
Name: ' `
Ocn(eOte i/kc Unit#:
L
vire CZNIC) 2Cl e Phone:
Address / City / Zip: 3C/ VC) d e---3 c€L "
Applicant is: Owner X Contractor
Description of work: f - rd5 One— cooed 5(J1 Le &)
Construction Cost: P/)0010 Multi -Family Building: (Yes / Nox )
Company:
Ceace( C u siorn 8G1 (10.6,6- �en�fy "ss/ / ZhC
Contact: „cy rg P_G�S
City: agetn'`-s1,1' le
Address: 1 JO ` )i -&-`L k- Y q
State: 'v Zip: 5-52D6
Phone: 7501-'d-6
d -✓`S
License #: /66. % / � ' 3 Lead Certificate #:
If the project is exempt from lead certification,tiplease 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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public` information P.orttons of
the information "may be classified as non-public if you provide specific reasons that would permit the City,i
conclude that they are trade Secrets.
``"` _a. .
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.
drge 7adzYte
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176649
Date Issued:05/25/2022
Permit Category:ePermit
Site Address: 3940 Donegal Way
Lot:21 Block: 2 Addition: Murphy Farm
PID:10-49500-02-210
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Michael D & Patricia Blanchette
3940 Donegal Way
Eagan MN 55122--470
Applicant/Permitee: Signature Issued By: Signature