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3956 Donegal Way Use BLUE or BLACK Ink r i I FQF e I City of Eap ~ Permit I Permit Fee: 3830 Pilot Knob Road I I Date Received: i Eagan MN 55122 i Phone: (651) 675-5675 ! j Fax: (651) 675-5694 1 Staff: I------------------I 2011 MECHANICAL PERMIT APPLICATION 7 I q5 L2=aj Date: J << Site Address: Tenant .JAyr'p' C C~~ Suite M RESIDENT I OWNER Name: U~ 0 V(_ o e Phone: Address / City I Zip: CONTRACTOR Name: G License#:1 f Address: el City: State: Zip:U 1 Phone: - 7 ` i Contact: ~ [ Email TYPE OF WORK New Replacement Additional Aeration Demolition Description of work: ' NOTE:; Roof mounted and around mounted mechanical eq ment is required to be screened by. City 'Code..Pleose contact the Mechanical Inspector for Information on permitted screening method. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace New Construction Interior Improvement Air Conditioner - Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / ^ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ 55 CriD TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Pe i Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. Mn.aoo#lg_rstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will a 'n con ance 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 wor is to s a w permit; that the work will be in accordance with the pproved plan i case of work which requires a review and approval of plans x x Applicant's Printel a App 's Signat re FOROFFICE . USE Reviewed Ey: Date: Required Inspections: ,,,,_Under Ground w Rough In _Air Test _Gas Service Test -In-floor Heat -f=inal ZOOID 1V3INVH*DN1,LVHH-02JHW 66LLV6ZT59 XVd 9060 TT0Z/6Z/R0 Wertificatc of Cccupauc? WO) of Wagan Teoiniment of ZKOW9 3*60tetion This Certificate issued pursuant to the requirements of the Uniform Building-'to de certifying that at the time of issuance this structure was in compliance wilhA various ordinances of the City regulating building construction or use. For the following: n._ r?..«:a._..:...._ SF DWG Bide. Permit No. 322 1.0 Occupancy Type R-3 u-1 Zoning District R-1 Type Const. Vn OwncrotBuilding TJB HOMES 1N:: Address 13455 HWY 65, HAM LAKE MN 55304 Building Address 3956 DONEGAL WAY amity L23, B2 MURP Y FARM ' Due: Owldiog Official i' POST IN A CONSPICUOUS PLACE it\IJ1 iJl? i1Vl\ 1\l:?VVl\L ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ?i ' •' i' Eagan, Minnesota 55122-1897 Date Issued: 0 t / (1 •) H (612) 681-4675 SITE ADDRESS: APPLICANT: I ,I I . Icl „? ,litHFEIAI WAY I !: + r 1 rdF,t I , f, ,ttl MtJVPHY f A14M PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. 1 RUMARK'.i f PLAN VI' V1 WFD BY AOF VOI- 1. 1ZLII VI IIMM L; :1'14111 TT!- ti LEI Permit Holder Date Telephone M PLUMBIN -?7 HVAC 7 - 000 Inspection Lute Insp. Comments FOOTINGS 'X, ?I Ai FOUND Y? lb FRAMING 7 ROOFING ROUGH PLUMBING qr` (l PLBG AIR TEST - 72 -- - - ROUGH HEATING GAS SVC TEST _ INSUL Sc?? < yam- '^ l/ nQ. `i 410 GYPBOARD FIREPLACE 7G?? FIREPLACE AIR TEST FINAL PLBG (v /? ?! FINAL HTG /!•J ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CrNDUCTIVITY ,EST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Address 39'46 30NFGAL WAY Zip 5512_2 Lot 23 Blk 2 Sub MURPHY FARM THESE ITEMS WFFtE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ? Cj Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas x Sod/Seeded grass Trail/curb damage Porch Basement finish Deck I I X Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in right-of-way, or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 032210 (612) 681-4675 Date Issued: 06/09/98 SITE ADDRESS: P.I.N.: 10-49500-230-02 3956 DONEGAL WAY LOT: 23 BLOCK: 2 MURPHY FARM DESCRIPTION: Build 'nQ,lPermit Type wilding Work Type -'UBC Occupancy, Construction Type Zoning Building Length Building Width Building,-stories ,Square Feet SF DWG NEW R-3, U-1 VN R-1 70 41 2 2,211 101 1 - FAM. DETACH ia !7, REMARKS: PLAN REVEWED BY JOE VOELS S&W PLUMBER: SCHULTIES PLBG 786-4007 FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC $ SAC Units Subtotal $1,292.25 $839.96 $90.50 $1,000.00 100 1 $3,222.71 $181,000 MISC FEES $1,592.50 Total Fee $4,815.21 CONTRACTOR: - Applicant - ST. LIC.OWNER: ?T J 8 SUPER ENGERY HOMES 17802944 1845 TJB HOMES INC 13455 CENTRAL AVE N 13455 HWY 65 HAM LAKE MN 55304 HAM LAKE ;(612) 780-2944 (612)780-2944 I hereby acknowledge that I have information is correct and grefi Statutes and City of Ea rdin MN 55304 read' this application and state that the o comply with all applicable State of Mn. nces- (16A1 bj6AA&\ ISUED BY'. SIGNATURE J >k??#7k? <X< ? F>}???>N?7K.?:+af!!*???X?XCX(>X?XY,(?X( r. CT re 01::' I ASAN 1' v CASHIER: aq TERMTNI?d NO -1108 DATEN 06/09/98 TIME; 1504;42 10 2256 900i .39.`.6 DONEGAL WA 4,007.(7(7 .a s Total Receipt Amotntn 4.000.00 CRO9 374 USER 1% JAN ?v;,#1t;4:?Fi;;:K?i&:7?>kM>kk?>kY?>k?X#.??:i?:Rk??(9??;Kk??k>K%kXt>kAY? CITY OF-- EAGAN CAS)HI@? i, jS T'EF;:MI:NAI... N0; 08 DATE; 06/09/98 TIME. 0:6052 10. NAMB T_ B HOMES INC 2256 9001 3956 DONEGA,!... ''WA I31i.r i. Total Receipt AMountg CR':`9327<3 !USER IV: JAN K??vN,:Yakt??k%t?':M?Ky(iK7KW?t?;7k?k?cik?;?k*?t1K7K7KX?>ICyFX??Xit?C?k?k f ` 998 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3 CITY OF EAGAS 3830 PILOT KNOB RD 55122 681.4675 New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window saes; poured fnd. design; etc..) ? 1 energy calculations ? 3 copies of tree preservation plan Ir lot platted after 7/5193 required: _Yes _ No?^ DATE: 7 7` DESCRIPTION OF WORK Remodel/Repair Requirements ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; 9 Q90 STREET ADDRESS: ? e DD?/Eto`y2 w/,y / Llv_ZL BLOCK: SUBD./P.I.D. Name: % `-yam /`?6C°j ^ Phone #: PROPERTY First OWNER Street Address: City State: Zip': Company: Phone #: -2 90 r 0 CONTRACTOR /G5- Street Addr''es//s: f / ?5156 ly1w License # / T City plll?i1(?+?c State: YOV- Zip: ARCHITECT/ ENGINEER Company: DC-9? J? Cjl? it ` Phone #: 6 S O / Name: I)e::VVRegistration #: Street Address: City aee? State: AW Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree State of Minnesota Statutes and City of Eagan Ordinances. ?n /f /J Signature of Applicant FFICE USE ONL Certificates of Survey Received Yes Tree Preservation Plan Received Yes _ No Z No OFFICE USE ONLY BUILDING PERMIT TYPE 4P ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ,-,JEY? 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 ,M431 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) ?'y Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy K•3 / 1 sq. ft. 121(0 Fire Sprinklered Zoning 6Z • / sq. ft. PRV # of Stories 6A4 sq. ft. 7z a Booster Pump -Apr--- Length -7,0 sq. ft. Census Code. 1 on Depth `/D• S Footprint sq. ft. Z, Z/! SAC Code 0/ Census Bldg / Census Unit i APPROVALS Planning Building 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 %,SAC SAG Units Engineering Variance Valuation: $ 85-- ice) ?,?• Z 2 ? Z Lc/ ?c 30 = 7xo Iz. ss x Y(o z s ° 5.93 x YY Z7t 11,83 °/o = y73 7 ? 67 i 4 C/. 69,E e.G ? - i3sX Zx 5'.?? - 19 /, SD2 XS-Y' ?? FRUI PHONE W. : 627 0808 Comm . NO . Pj.9nAOR Doelf,) Inc. 4 ? hway ,F'Irz Arden Hills, m"' 612-636-6889 tlinnenotn State Energy Code CaloulatiopS Masco on Chapter 5 of the Medol Energ9 lide 1809 EDITION P02 COMM. NG: ... -,... _. Owner: Site Addte99: ,, 6 Phone: Contractor; Dldg. Claus: Al At for S?ngle Family/Duplex A2, resident 'at ( 3 sLorics Ovur 3 st.orif-s Other GENERAI, INFORMATION Noto: Che oso!)on dnnignatlone ("Cent.lnn A" "Seollnn rl" et(;.) are for convt(vir.nce in cnlrulatlons only, and are out. relel!d rrom one act of ralculationN bcluw to tho next. 1. Dl'jd' WMAIA Yerimnt.nr x Wall lltflllllte. Area d ! eavr• Sectinn A : Snctivu M . Section C Svutivu D group to 132 19.3 2551.58 0 = n O 0 = 0 0 0 o U Orono Wall Aroa 2. Building dimensions Section A Sectinn 8 : Section C : Length V Width 40 26 0 G 0 0 2551.56 Floor or Ceiling : Area (non O 0 n Section D 0 0 - Total flou r ur uolling arcs 1040 3 Rim Joist Pet•I(nAter = 1,12 . Fluor joint 2 by (a", ID", 12" f11• t0")): t0 11(1 Rim Joict Area - 4. Dor>rn 40.8 Thi0)(t'00k, (invlhoa): 0 Artie: Per imnter (feet) n 'type or construction: 5• Total dvor's pvrlmdtarl o fi. Wlndnwe Manuf ac tU 1•vr1 St.11KNEn DMpS V Cautu: 0.40 FROM RME NO. : 627 0808 P03 State approved: YF.S 11e1 111 x Length x Number = Total Type (innhes) (Tncheg) of glass SQFt units CASFMF.N'1' 38 20 3 15 8 CASEMENT 38 74 1 2 18 CASEMENT 48 60 24 24 15 15n CASEMENT " 36 26 1 6.5 r CASEKEN 0 0 0 0 0 0 0 U 0 0 0 0 0 0 a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 a 0 n Type 8. Patio boor: 8. Atrium: 1U. Ftrealace area Nidth: 7'ot.nl Sq Ft = 11. Exposed Foundation Height area A: Sq Ft arcs A Exposed Foundation Height area B: Sq rt area B 12. Uross wall area minua Window area Patio door area Atrium area Rim Joist area Dour area Firoplacc arou Exposed Found. • Fr Amine ArRA uquale Totsln for n.Al veil, 7. Window glass area (SgFt) a Height r I.ength x Numbcr (feet) (feet) unity 8.89 3 2 0 0 0 5 Height: 25 0.67 Perimeter area A: 88.44 0 Perimel.ur arua B: 0 3gFt U faotor 2951.56 193.5 0.49 41.1 0.47 0 0 110 U.U4l 49.8 0.14 25 0.17 88.44 0.14 266.166 0.096 17AR.56d 0.043 18;1.5 ¦ Total Sqf 1. 41.1 n 5 132 0 U x A 94.82 18.32 U 4.51 6.07 4.75 12.38 24.24 76 , 511 ,FR011 PwgF N0. : 627 0608 P04 243,4 Totals for gruas wall aroa: * Framl,19 area in 10% of gross wall area 13. Gross wait area x fautor below = U X A per r.nde Factur In .11 for A-1 eingla family A duplex .23 for A-2 and other residential .23 for other buildings .28 for over 3 atories Factor to: BTUH . 0.11 280.6710 MUST OE / OR - 243.d (Ca1C111at.P.d above) 1040 14. Gross coiling are a = ea (10% of ceiling area) 104 15. CsI ling framing a r 104 16. Joist Area (109 o f ceiling area) = 938 IT. Not veiling area (Gronn nail, area - Joist area) = = 668 10 18. U coiling: 0.021 x Not noel. aroa = . 496 2 18. U framing: 0.024 x Joist. arnn. . 152 22 20, Total of item 18 x Item 19 - . 21. Grose ceiling are a x rautor below = U x A liar code factor is .026 fo r n-1 einglA family 4- dUOICx .033 for A-'L and other reRl dentlal .06 fur other buildings Factor ia: 0.026 9TUH - 2'1.04 MUST BE ) OR - 22.152 (oaloulated above) FROM zx?/e1n WALL SUCTION GrUD swTION HIM JOIST t , rM. PI PONE NO. : 627 0808 11 VALUK CALLI7LA, T.1"! it VALOR inside air Ellen As .45 Interior wall 19.00 I.,nulatinn 2.06 Sheathing 67 Siding outside air film 17 - R IarrAt 7.3y113- UU VALUE (Wall) U s R e 043 .60 . Inside air film interior wall .45 0 (i'camlrp) U " Stud - 6 , 6.5 Sheathing Z.05 67 5 Suing Outalde air film .17 it TOM 10.51 Interior air film ,60 Insulation 19.00 1 eoYt woe' i l l.On (Rf,u Joint) U .. R , oc 1 h Sheathing 2.06 6xtecior wall covering .67 .041 Exterior air film •17 R IVTA1. 24.46 P03 Interior air fiLu .60 Insulation S.UO E.Or tiu„ (12 ' Mock) 1-2a (roundatton) U - ?1 - Exterior air tilm •17 .14 R IMAL 7.13 = ' FROII PHOJE N0. : 627 0808 ' it VALUE I!lmltiG r 1.61 &*w 4.38 .56 0.61 P06 R VALUE CE1t.INC Air Film 0.61 Insulation Joiat coiling .56 Air Film 0.61 41.55 Total R 4? 5.78 024 U = 1 K .021 CA7m Dim. CEILIM VALUE R R VAW 'R VALUR r WLING 0.61 Illside air film 0.61 ,56 Ceiling 56 14.375 Joiet(Cpaoor) Insulation 33.65 Air 3pOee _50 .67 pnmf. docking .67 ,06 Felt -L2L _44 Shingle .44 0,17 Cutaido air film 0.17 6I& Total R 36.86 .059 R . U .027 winrlnw infiltration .5 cfm/11"041 5 rlltration 0 i o foot Of crack rfm/ware loot 0C doOd' mnl minima" dodo reyuiremrrrt . or n Reside"LIal d tlon-residential dmc Infiltration 11.0 clue/lineal foot of crack Ob 12' concrete block no insulation = .781 R 1.28 doubles glass s •52 triple y)less .31 A11 extarlor walla allLI cellingo mural. have o vapor W+rrior (0.10) tw`rm max. ). Vapor to ILIWC 1,wt ae on Ll,u lns0a (heol'r`r1 01rla) of will .- rlers or the polyetholerle th1" film have no it vnl.ue. t a Vapor L Ot BL CITY USE ONLY RECEIPT #: SIX JQ?LIa l? RECEIPT DATE: 212 9/9 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, NN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit D backfiow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = 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 ' 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 ----- -- --- --- ------- ----- -- ----- 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/rightof-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: Yf?rrlr 2? TELEPHONE #. STREET ADDRESS: V-Cao Gp-?I , tiL.t . rw CITY:1 J , ?r STAVE: mA/ - ZIP: J5q 16 JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 CITY USE ONLY BL RECEIPT #: ?r? p S RECEIPT DATE: ?? 7 0 vll? 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-6675 Please complete for: ? single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system --------- FIXTURES -------- EACH ----- --------------- # ---------------- TOTAL Shower 3.00 x I Water Closet 3.00 x 3 = L? Bath Tub 3.00 x _ Lavatory 3.00 x z Kitchen Sink 3.00 x - , Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x - ?7 Floor Drain 3.00 x = 3.da Gas Piping Outlet 'minimum - 1 3.00 x 3 = 9. C) Rough Openings 1.50 x _ _ X1.50 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 'forexisting dwelling 20.00 = Alterations 'toexisting residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC tic. 75.00 = (new and refurbished systems) Private Disposal Systems "Abandonment 20.00 = STATE SURCHARGE .50 TOTAL 1# j:V,_Do - ------ -- ----- - ----•- --- - --- -------- - ----- --- ------ I hereby acknowledge that I have read this application, state that fhe 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-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: _ C?L.Ltcll? TELEPHONE #: JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 l r/ CITY USE ONLY LOT -Ji BL n r>Z RECEIPT / 7Y,10 0 y SU6// RECEIPT DATE: 199$ MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN UN 55122 ^ L9 cp (612) 661-4675 Date: 12-1 _ I j Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied * HVAC: 0-100 MB T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) 3, bQ • State Surcharge: .50 • TOTAL: 33-150 Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: OWNERNAME: T U PHONE#: lK - 401-C, ? /4INSTALLER NAME: ?a p _ PHONE #: ) `(- ? STREET ADDRESS: a38-7- I L L T ?? ?J?A-D CITY; TTY 1 C U V {?X STATE: ZIP: 1SNORMS BLD/MECH PERMIT (RES) • 1998 A 1 L BL SUBD. APPROVED BY: Please co lete DATE: WORK TYPE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 661-4675 for: all commerciallindustrial buildings multi-family buildings when separate permits are not requ ZGI 1 Lq 6 CONTRACT PRICE: (/ NEW CONSTRUCTION DESCRIPTION OF 7pric FEES: I % of contraProcessed piping -I CONTRACT PRICE x I% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL -------------------------------------r--------- ------- SITE ADDRESS: 3q 5? OWNERNAME: Tj_ TENANT NAME (IMPRO MENTS ONLY): INSTALLER: CeQX ADDRESS:, ? IJ? e CITY: I U 4? _r CITY USE ONLY RECEIPT #: RECEIPT DATE: $25.00 minimum fee, whichWer is greater. for each dwelling unit IMPROVEMENT ($.50 per $1,000 of permit fee due on all permits.) #/ 78D-Z9 4 AJ PHONE #: r J 'I STATE:" Ij zip: 553Q41 SIGNATURE OF PERMITTEE 5 a ?, 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) (p p CITY OF EAGAN 3830 PILOT KNOB RD - 55122 lr' 1? 651-681-4675 New Construction Reauirements ? 3 registered site surveys showing sq. ff. of trrt. IL?. `s- oP house and gZ roofed areas (20% maximum lot covernae allow d) ? 2 copies of plans (show beam 3 window sizes; poured Ind. design; etc.) ? 1 set of energy calculations ? 3 copies of tree preservation plan R lot platted after 7/1/93 DATE: ?- Z /- G% -? - )-G Remodel/Repair Requirements 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions b decks CONSTRUCTION COST: / G:au DESCRIPTION OF WORK: !7f<G6: !?/IJ/Tiy?/ STREET ADDRESS: 9 `,?;% aA/ /z'F!F L /i°`' Y LOT: 01 BLOCK: SUBD./P.I.D. -7? Name: STUG/? )? l c I+A4v t IKIzZe-v Phone #: ?S /- eta ?- PROPERTY Last First OWNER Sheet Address: IA,;'Ii i/ city State: f ?sl/ Zip: ?SI L _ C°lxL? ?? ? 2_. Company: /& 1,)I=eIC y(-Dose / h/ r- Phone #: (area code) CONTRACTOR Street Address: &4 3 L /Wd /_' Ucense # ?Exp 3/s/ o Z, City /Al(J1 04 /y/t0uIi h`/c/d??TS State: `lni Zip: Sy75 ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( Street Address: Registration #: City State: Sewer 8 water licensed plumber (required for new construction anlv): 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 Stole of Minnesota Statutes and City of Eagan Ordinances. f Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No JUL 2 Tree Preservation Plan Received - Yes - No - Not Required 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 9 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 [I? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/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 demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Basement sq. ft. Census Code l _ Main level sq. ft. SAC Code ?L sq. ft. No. of Units sq. ft. No. of Bldgs _ sq. ft. MC/ES System _ sq. ft. City Water _ Footprint sq. ft. Booster Pump PRV Fire Sprinklered BuildingL Engineering Variance 7---_- - .--? Valuati CASHIER- JS T'ERMINAI_ NC). 711,58 DATE: 07/26/99 TIME.: 10:39gM I ID;; NAME;! f?.PI. HI:::NNEBRY I 34.30 9001 956 TIONEGAL_ NIA 321.0 900:1. 3KE, DONEGAL IAA 21.55 9001 3956, DONEGAL PIA I 2 To+,;;,:1. Receir.;t Airo nt: CRii4233 USER II?: JAN o.,!es 60. t:)U I 0.50 60.75 SAC Units krF k k? * k? k x ?x?r k? kA K? X KX k kr? % SAC 5 I 1V t gig v 9o In. Z HY-LAND SURVEYING, P.A. LAND SURVEYORS INVOICE N0. 14.522-96 (:y0P)0f Block F.B. NO. Proposed Garage Floor 8700 Jefferson Highway SCALE 1"= 20' 0 seo Minnesota 55369 Proposed Lowest Floor z I 0 n -ot- Denotes Surface Drainage 1912,2.. _ 70P IR04- i 9/3.59 E Type of Building - ?>u>r»p>yD>r8 (Qp>c?tftra? 1 Qct.Sewpg ?- "/ 1!x,1 ILoJ"- N S Sanitary Sewer Service invert - 904.0 feet "?- 0 Tr- I//.7y T'c 9/3.07 W ? z i O s C Tz? 913, 60 I S o? O rri ? rn o I o I -y 7 /3. s 913.6- j 89°32'4-811LO 6 --130.00 -- I g, s PROPORE q SIDE? N I o 1 _ 2'-0" to °-2'-0" 0 O Denotes Iron Monument p Denotes Wood Hub Set For Excavation Only x000.0 Denotes Existing Elevation t?:D Denotes Proposed Elevation v9os9 t I 10 z w w to 9/3.7- 9r2. to _• -30.5- 40.83-- _? . cn } F- J w a z a Ir 0 - T 10 944,3 yy,? 7aP /KaIJ- ?l? 9/a.3f --130.00-- ' 4`k L.J 5 $9 032 t. EAGAN RE R I W E C BY POO DA By -4-4 D UILDING INSPECTIONS DEPT. Date tp - S ? g EAGAN ENGINEERING DEP'i' LOT 23. BLOCK 2, MURPHY FARM 3956 Donegal Way The only easements shown are from plats of record of information provided by client. "?? I hereby certify that this survey was prepared by me or under my direct supervision, and that I am a duly Registered Land L 7 Surveyor under the laws of the State of Minnesota. Signed Surveyed by us this 24TH day of MAY r 19 98 Milton E. Hyland nn. Reg. No. 20262 s, 493-5761 30.5-- --40_83-_ _tn r _ 9/3.7 24'-8" 0 913.6 DRIVE I N ? N O - C- 0 torn 110 I 0 HY-LAND SURVEYING, P.A. os ? op of Block LAND SURVEYORS INVOICE NO. 14.522-96 91 F.B. NO. - Proposed Garage Floor 8700 Jefferson Highway SCALE I"= 20' 909 Proposed Lowest Floor Type of Building - F?11 1)a5etMPiq I- N E S Osseo, Minnesota 55369 493-5761 burveyurs (arrtifirvtr Sanitary Sewer Service invert - 904.0 feet O Denotes Iron Monument ? Denotes Wood Hub Set For Excavation Only xOOO.O Denotes Existing Elevation (?:D Denotes Proposed Elevation E- Denotes Surface Drainage /? . f 1 S 89° 32r??11? ?cg 9,zzr _ yi3 Rs9 --130.00 yoa.b -- 09os9 TL n 01 9ii.7y -30.5 - -- in - 9/3.7 24'-8" 0 9?s,e 10 I Z w 9a8.s n I DRIVE w o 16'- 2 cn 913.07 g %a 4 PROPOSED w - RESIDENCE I o V N o 0 -j S, 9 3.5 N I N ? q ° I o o?I I I O v O Cn S i 2'-o11 VIM W w I ?2 ? o Q I 21-011 z Of- I O T 11_0 Q ? - Ilo I I 30'-4 to 9i3.7- 9iz.6 5o-R??E a--- jf I- wry -30.5- - 40.83-- 113. T-G 60 iRolJ 9if _ y,3,3, --130.00-? 9T S $9 032' 44 CA-) C AGANI IMP R BY By DA UIL H'V 1 SK TIOiRS SEPT. Date " ?` ?? FAGAN ENGINEERING DEPT LOT 23, BLOCK 2, MURPHY FARM 3956 Donegal Way The only easements shown are from plats of record of information provided by client. I hereby certify that this survey was prepared by me or under 7 my direct supervision, and that I am o duly Registered Land Surveyor under the laws of the State of Minnesota. Signed Surveyed by us this 20tH day of MAY 19 98 Milton E. Hyland nn. Reg. No. 20262 r For Office Use Permit City of EaEdfl 1 1 Permit Fee: b I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 I Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION C)el Date: f Site Address: Tenant: Suite RESIDENT/OWNER Name: Phone:l Address/ City /Zip:_ :3~116 Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: say Multi-Family Building: (Yes / N) CONTRACTOR Name: f:~,%c L License C 7 71 Address: Gtf~'- City: r=01V C M V\- State:. AILA-) Zip:.. S c~ Phone: -6(2 Z-- Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • 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? _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 the are trade secrets. 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 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 D Applic p(his Signature Page 1 of 3 t'ir~+ DO NOT WRITE BELOW THIS LINE SUB TYPES ❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool ❑ Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. - Multi ❑ 01 of - Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alt. - SF ❑ 02-Plex ❑ 08-plex ❑ Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc. ❑ 03-Plex ❑ 10-plex 1 Lower Level ❑ Storm Damage ❑ 04-Plex ❑ 12-plex ❑ Miscellaneous WORK TYPES ❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building` ❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation Replacement ❑ Egress Window ❑ Water Damage Demolition (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 Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Other Drain Tile Roof: Ice & Water Final Pool: Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:-R.I. -Air Test -Final Windows Insulation Retaining Wall Reviewed By: Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA089083 Eagan, MN 55122 . Date Issued: 05/08/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3956 Donegal Way Lot: 23 Block: 2 Addition: Murphy Farm PID 10-49500-230-02 Use Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes. 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: Automatic Garage Door Fireplaces Richard Stock 8900 109th Ave N #100 3956 Donegal Way Champlin MN 55316 Eagan MN 55122 (763) 571-2525 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 -----1 For Office Use I i Cty of Ea~d11 j Permit I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 i Date Received: Phone: (651) 675-5675 I G7a i Fax: (651) 675-5694 I Staff: L-----------------I 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 5' Site Address: If ;fin 2q~1 LIJA!/ Tenant: Suite RESIDENT / OWNER Name: f~ tC "(A S~ uJL Phone: toy -'s is's Z Address/ City/Zip: `31i S4' br.,ne3A k !..».y CONTRACTOR Name: G p(~ m~ n (nL License C,~aq 7 O?m Address: t I (ocd ,Avc. S£- City: ` lk~(~, State: a4A vX Zip: ss'3 13 Phone: ( e)~ Z5? - S7b '7 f Contact Person: zZr_,~ TYPE OF WORK New _ Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W. Description of work: ASe.m f -t % ti PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) L- Main X Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 wit t 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 1'6A J~ffn%s~✓ x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Air Test -Gas Test Final Use BLUE or BLACK Ink For Office U~~~ I City of Eatfl3~ ; Permit#: I Permit Fee: $569.76 3830 Pilot Knob Road Eagan MN 55122 Date Received: 1 - 0_/f j Phone: (651) 675-5675' a I Fax: (651) 675-5694 ;Staff: - - - - - - _ _ - _ ; 11 2011 RESIDENTIAL BUILDING PERMIT APPLICATIO L` T Site Address: 3015 (_e b o Date: e A w o, ct n Unit # ~ Name: Phone: RESIDENT / OWNER Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: C it Construction Cost: Multi-Family Building: (Yes / No ) Company: oyneOnns r 2uc kw. ty c_ Contact: l KX CONTRACTOR Address: 5 C> 35 S VJ City: \,\1e- L < / State: M e4 Zip: S 5Ole 8 Phone: (n l o2 ^ 3 i~)a -03 a 3 License o2D 133 -7 1 q Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) A,4er VV76 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 the 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. x IY\\~~~~Q~S~G x Applicant's Printed Name Applicant's Signature Page 1 of 3 DO 2~kIZOIOVaT EL HIS LINV~- SUB TYPES Foundation _ Fireplace - Porch (3-Season) - Storm Damage Single Family - Garage - Porch (4-Season) _ Exterior Alteration (Single Family) Multi - Deck - Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi) 01 of Plex Lower Level _ Pool _ Miscellaneous 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 -20,00d Occupancy MCES System Plan Review Code Edition a07 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 ^ Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge `Y Plan Review ,t MCES SAC City SAC . V~ "OF / Utility Connection Charge 4►J S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA126328 Date Issued:08/21/2014 Permit Category:ePermit Site Address: 3956 Donegal Way Lot:23 Block: 2 Addition: Murphy Farm PID:10-49500-02-230 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Joan Ciesler Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Richard Stock 3956 Donegal Way Eagan MN 55122 Craftsmen Home Improvements Inc 7455 France Avenue, #194 Edina MN 55435 (651) 430-1388 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink --------- � For Office Use I I � • �y}��i.��!_� 1 Permit#: � ��q/� � Clt� of �a�a� �a �s( � �a� ' ��<�� 2 L�ik j Pertnit Fee: a �� I 3830 Pilot Knob Road t �o �'1� j � Eagan MN 55122 � Date Received: 8� / � Phone:(651)675-5675 � I Fax:(651)675-5694 � Staff: � r �-------- -------- � 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � '� _ ` ,� �� l Date: � Z� � � Site Address: Umt#: ° � 5 _ _ __ __ _ _ _ _ _ _ _ � _ � � " /�- 2 / -z �� s ` Name: ��C�c�v—� � ��.�,i�� (�i Phone: b� "��b� � � = Resident/ � �- � � Owner� � i address�c�ty i z�p:� 5 � � �c� � S S ,,�,� : � �, t Applicant is: Owner �Contractor . �.,�,,....,,.�.�„�.�,,�,,.�v�� _�,. .�_,,.a,�..,.r.�,.x.._w.�..;�_��.��.��,�.,��..n�.rm.�:�.y..a�..��...�,w�.Y�..��x,..,�,�,H..�.....,. �.,�.. • , �._°�.�°.� 3 T @ Of WOCk � Description of work: �Tit.� � �L"etYi�s✓� �pl`t� � Yp � � Construction Cost: �C�, F�t�C� Multi-Family Building:(Yes /No�) � � ,�^ i � Company:_�+ �.��Otr.� ��l�S��'i'1�'O��A('�ontact: �� ,�e�_ � ' Contractor = Address:�� c� 1,�.� �.,� City: N ��1 ��`�� (� ,� � � State��Zip: S S f.��1 Phone: ��'�S�—�'t�Email: Y��i�1 ,a uM"C�Dr�.��, �, /� �� ; License#:�., (�?7 ��7�� Lead Certificate#: / � � � : If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ; r , a ��-r �a.�— ��,� j�� ( � . � 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 planl ' � � Yes _No If yes,date and address of master plan: ` # ' Licensed Plumber: Phone: � � F ' Mechanical Contractor: Phone: � � � Sewer�Water Contractor. Phone: � ��NOTE:Plans and supporting documents that yau su6mit are considered to be public information. Portions of � � the information may be ctassi�ed as non pub/ic if you provide specifrc reasans that would permit the Ci#y to $ ' conclude that fhey 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. uvv�w�c��tierstatec�necaii.or� 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 S te Buildi g Code must be completed within 180 days of permtt issuance. x�CL�,� ('CV��.�"�� x _ ApplicanYs Printed Name Appl ca t's ignature Page 1 of 3 �� / � �7 � �� /�� DO NOT WRITE BELOW THIS LINE � SUB TYPES Foundation _ Fireplace � Porch{3-Season) _ Exterior Alteration(Single Family) � Singie Family Garage _ Porch(4-Season) _ E�cterior Alteration(Multi) _ Multi � Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous _ 01 of_Piex , 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 Wlndow _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION � Valuation �1 ,�G Q. Occupancy �� MCES System Plan Review Code Edition °L�v"� �S 4C, SAC Units (25%_100°/a�l ) Zoning �� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buiidings Length Fire Sprinklers Type of Construction �� Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: � Footings (Deck) Final/C.O. Required � Footings(Addition)X D{'�k � Final/No C.O. Required Foundation HVAC Gas Service Test Gas�ine Air Test Roof: Ice&Water Finai Pool: Footings _Air/Gas Tests Final � Framing�.�tt�� 1 R tv ldd�c � thse�j� Drain Tile l � Fireplace:�C Rough In �C Air Test �CFinal Siding:rStucco Lath _Stone lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings^Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By:_� (J. , Building Inspector RESIDENTIAL FEES �p r�,(r. Base Fee � � / Surcharge ��-1 X� 4 � 2-2-� '� �p d � � �r�y�- Plan Review MCES SAC V "�� c�ty sAC dyy ` � 12 % 2 �� t S_ _ L'32� . Utility Connection Charge S8�W Permit$Surcharge , Treatment Plant `�° ��1 • �� Copies �"L TOTAL Page 2 of 3 � � Y I�"7 ��` q1�y HY-LAND SURVEYING, P.A. -� 0 op of 81ock �� sURYEYORS �NV�� µ522-96 �'�°� F.B. NQ � Praposed Garage Fioo� 87�Q Jefferson Highwvy �.�E �s_ Zp� Osseo, Minnesoln 55369 9b�'Z Proposed Lowest Floor 493-5761 O Denotes tran Monumeni q'67.Z Fype of Building - �}•}'' p Denotes Wood Hub Set �J�� AS¢W,¢� t- �u��a� �;++t+ �� For Excavation Oniy t li�a.� �Lau"�� xD00.0 Denotes Existfng Elevation N � Denotes Proposed ElevaEio� E— Qenotes Surface Drainage W �� E T_.LB_ tXIN5TRl3CTIbN ��° ��D s �� Sanitary Sewer Service Invert - 90d.�fy�� •+avr � �ti,� ` .�..L..r,■�..�� __��u.�r�r Eagan Buitding�i�s ;o�$pivts(on �, �� C r--� , � '� -r',� 89°32'd-�'�� z.Z`_ -,ov ,rtonl- --13Q.00-- �'�a -,t, 9�3.59 4o8.b - 9�59 9ri.�y -- -30.5-- - -- --40.83-- -- cn � — _._�_.+n- — — — -a?— — — — — + -}— - - ' 1 + ( `913.7 24'-S" 0 9/3.6 : � 10 � I ~ �, I - �t W I � � � ¢, rc ( DRIVE � - . is'-2" v�i -��- 9�3.Q7 � ��° � PR�POSED � � � � i� � _ io'-s° RESIDENCE >- ' � `� f o _ � � N o s, � � 9l3.S N � � Q � r� 9 � �� : � o � i M N wO � S � I : �2�-Q" � � �� 4 � � � � v' : , `y a f � � ��- s , a� .Cl � s � : _ 2-o" ° a Q C� {�� i10 � ; � �� o � � � ` ' � 30'-4�� 10 `____?�-c3i@ • 9�2.b 9�.�1 � � `�o Rw(�F o� ' fl I.— � �._.`�9rs.2 — —�-�- — — — — — w�.y � ! � -- 30.5- -_ - --_ -�40.83-- ' -= cn 9/3.b0 9/'� 7ov�Ratd- 9a6.3. __ 9W 7 �--. 9�3.3� -=�30.OQ-- 0 9�¢ S $9°3�'¢��u' .�.��,` �,��, E14�iAN �� BY D �, . By ° ��l UlLD1AlG INSPECTIONS DEPT. Date�F:� FAGAN ENCINEERTNG I�EP�f ' tOT 23, HLOGC Z, Ml�2PHY FARM 3956 6onegal Way The�aMy eusemvits showm�ae frwn p�n3s of recard of'v�formatbn pravldM by dtm�t. �� 1 hereby certify that this survey wos prepored by me or under my d'rcect suparvision, and thot I nm o duly Registered La�d Surveyvr under the lows of the Slate ot Mi�nesotc. gj9�� Surveya! by ua th� 20TN �y of MAY � � 98 MAtoft E. FIylQlld nn. ROg. NO. 2Q282 Use BLUE or BLACK Ink r----------------i I For Office Use �/ � � �� l� I City of E�� ; Permit#: � � � �� 3830 Pilot Knob Road I Permit Fee: � I Eagan MN 55122 � I Phone: (651)675-5675 � Date Received: � Fax: (651)675-5694 I � � Staff: � �-----------------I 2014 MECHANIGAL PERMIT APPLICATION ❑ Please submit (2)sets of plans with all commercial applications. �. /C Date: � � ! Site Address: � . Tenant: � Suite#: ' ReSfd�Il��Wfl�C i Name: Phone: �� ` o U✓ L�(� ' Address/City Zip: i Name: G'� License#: S ; �4I1�;1"1G'�01' ��, Address: � �� City: ��'� ' State: �''� Zip: � �L Phone: �(�� _��9 Contact: EmaiL New Replacement � Additional Alteration Demolition T�fipe,of W4t`k Description of work: 4t1 � �I � `' '�N�TE:R+�Qf r�QUn#ed�and°�rc�u'nd miiun�ed mecliani��i equip�rren�)s r�q , red#ca E�e�cre�ned by City ' � :�od� �"Pi��e c�n#�c�th�Mecttar�ical In��ctor fo,'r.inform��i�n cc�nn per�mift.�d s�re�ning mettrods. � ; ��. .�. RES/DENTIAL COMMERC/AL Furnace New Construction Interior Improvement Pe1'111'It Typ� ; —Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _Heat Pump Under/Above ground Tank �Install/_Remove) Other RES/DENT/AL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 =� Surcharge" ""If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 '`""'If the project valuation is over$1 million, please call for Surcharge =$ 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 � C /! � X 1 �Z�a App icanYs Printed Name Applicant's Signat e �C31217��tCE U�E Requir�d tnspections: ��:. '< Rev��nr�d'��By; I�ate: Undergrc�und Rau�h In ` �ir Test' :;;;�„_Gas�ervi��Tes#. '�.In fla�r.kiea�� ;,,�,,,F�nal. . `I�t1AC Screening . PERMIT City of Eagan Permit Type:Building Permit Number:EA129805 Date Issued:03/16/2015 Permit Category:ePermit Site Address: 3956 Donegal Way Lot:23 Block: 2 Addition: Murphy Farm PID:10-49500-02-230 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Richard Stock 3956 Donegal Way Eagan MN 55122 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature I- For Office Use I ; RECEIVED Permit#: '6 6353 d-L. E AGA FEB 2 4 2020 Permit Fee: ($3 2 ? Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildindinspections ancitvofeagan.com J 3 C 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Z 174-Ilan Site Address: 510 P 1 LJvt_.( Unit#: Name: �` J R'ol ,�tocK Phone: CoS 1 Z\(o• 3Gt Resident! Owner Address/City/Zip: 3`75(0 O \ �i�°�� 1 u 0,v. Applicant is: Owner eContractor Type of Wet* Description of work: 2-- t7rti �w. YVr1 �o�-✓�-1 Construction Cost: 5M--- 00`-D Multi-Family Building: (Yes /Nom ) Company: 1� ��u Contact: 1`k'k+`%��'t Address: 1.7 k C4-Y Kat. Let .1 evlJt. ce City: ' Contractor ' State: Nit) Zip: 56-55 I Phone: Co IZ 24 5°2- Email: 1 c-46-k.@ `'ec iLL v -1p.-'Qts.Covv\ License#: - Col 41 1 a' Lead Certificate#: If the project is exempt from lead certification, please explain why: O` 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeanan.com/subscribe. 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. 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.qopherstateonecall.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 tart 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 PCA-4t cir-e (�e(A x / A' Applicant's Printed Name Applica, 'Signature I - l DO NOT WRITE BELOW THIS LINE 39'S lo1 .AI 0 3Y3 6n� 1 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 p Valuation D(.(i ‘ Occupancy . ' MCES System Plan ReviewCode Edition c ' , SAC Units (25% ° _ 100% ) Zoning I I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction it) Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) _ Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Foundation Before Backfill �`ye; HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final II Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick EFTS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control sfs Shower Pan -AL_ Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee �VI Y� ol Surcharge , (5130 S Plan Review MCES SAC 6"1 3 City SAC5'1i tf, 1 fr, i..9 0 Utility Connection Charge .,,/, \OD . 1 ( i S&W Permit& Surcharge i Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160506 Date Issued:03/13/2020 Permit Category:ePermit Site Address: 3956 Donegal Way Lot:23 Block: 2 Addition: Murphy Farm PID:10-49500-02-230 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Richard Stock 3956 Donegal Way Eagan MN 55122 (651) 755-1077 Carlson Plumbing 16440 7th Street Lane South Lakeland MN 55043 (651) 291-7788 Applicant/Permitee: Signature Issued By: Signature