3959 Donegal Way' r? a? 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION
`
UJ "? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
70 4?-
.?' 7Hpa
40
New ConsWction Reaui2menis RemadeVReoair Reaui2ments OtAos"?seiOnW
3 registered site surveys showing sq. ft of lot, sq. ft W house; and all roofed areas 2 copies of plan j a Bcsl ?'A???Y+= ',?7
(20% maximum lot coverege albwed) i set of Energy Calculalbns for healed additions ?ec+l'
2 copies of plan showing beam & wir?w saes; poured found design, etc. 1 si0e survey for additions & decks T?Pres it"equaed 1', TN
lsetofEneigyCalculations Addifion-indicefeifon-sifesepticsystem AnstteSeptlc'System ?„?0? _N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist DeUil Options selection sheet (bldgs wifh 3 or less units
Date l!U / 3 / Qq- Construction Cost 0 aw
Site Address ?,i S?I p o h r a I WGL ?I Unit/ste #
Description of Work N`(,V./ d t(' ?L
Multl-Family Bldg _ Y ---?N Fireplace(s) 0 2
Property Owner TlrGi V L K h- n v ICG ? Telephone #((05) )La 8 a --l 8fl b
"
" '
r
'
Contractor t
VD
Y?
h p t, / l47-i L-y-\
Address ? 4-4 6lD RI ,-1 0. 111 P p le ?^^-1 City gu.+- vnSv i I le
State ? F'1?--? Zip??Dlo Telep6one#(qsZ) 4?U-775 ?
COMPLETE TNIS AREA ONLY IF
Energy Code Category
(J submission type)
Have you previously
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Y_ N If so, 25% plan review
Telephone #(
Telephone # (
Telephone # (
I hereby apply for a Residential Building Pennit 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 pemut, but only an application for a pernvt, 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.
vAya, Cl? ? s-lD,? h e? I? - >Q
ApplicanYs Printed Name Applicant's Signature
- alegory 1 Worksheet
ie I tions SubmiBed
in Eag with a similar plan?
?
OFFICE USE ONLY •
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex C? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New
x 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code ?_
SAC Units ?
# of Units -r
# of Bldgs -
Type of Const ?
Footings (new bidg)
# Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Tes[ _ Final
Insulation
Approved By: _
ease Fee U V
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building` 0 43 Reroof ? 46 Windows/Doors
•Demolition (Entlre Bldg) - Give PCA handout W applicant
Occupancy /Z" 3 MCES System
Zoning City Water
Stories ?-' Booster Pump ?
Sq. Ft. - PRV '-'
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
FinaVC.O.
? Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs _ Air/Gas Tesu Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
_, Building Inspector
:2Z -W1-----
.,?5
Cities Di ig tal Qualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
PD: May 30, 200D
ns.
° 915J0
N ?
m which you fiu-nished
10ON5iz
mers of the property.
; on the site (defered till
with your house pfans as you
g of the home aud yard
i. Atso, we are not 25
tlIis community aze. Be sure
isdiction ovet Ihe hOme aud
r canstruction on tLis site,
F at least one othec feature
)235, set, unless otherwise
g eleva[ions are shown
v?
zz
nder my direct supervision
-aws of the State of o
?
GRAPHIC SCALE
m ° ° aa w
?
CoNCRE,E CoURa T
? ?
Siteaddress: J?SC)l ` ?K]pc;pi, 1 Lot I Block 4 Subd.!h?G.v?ARM
I On April 15, 2000 the Minnesota Energy Code, Category I 8uilding Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
? This structure; is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This sVucture: will be coostructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACiURER MODEL BTU'S YENTING TYPE
WaterHeater x FPSNSb 2Cod 41o,Ooo 6.ArUt-u
Furnace
X
L.E?,?p
G2?
I??.o,oo0
4??aSU.as1?
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
ves No
Kitchen kitchen
Bathroom 1 ftNSXTEa
Bathroom 2 PPEtz- biz-v Gfim X
Bathroom3 ZoAk?
Bathroom4
Other
FIREPI,ACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
1 r-w??w X 1? ti 6? ?T T?.C z3 sm X
MAKE-UP AIR MODEL TYPE CFM's
? P" N k M k a,
I hereby acknowledge that the above infortna6on is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
?
CompanyName
?-?g- ? ?
Date
This fortn is the responsi6ility of the General Contractor.
?--------------= - - -
? JobAddress
Name of Tester (? / e 111'1
Date y-M -O D._,
Percent OZ 619/0
Percent C02 7*
Percent CO D w
Stack Temp. ? ef -I `9 r-
4? S/ymouth i
rre??,g?cr?
. . OiMwon o{RymouM Plumting, lnc.
. ; • 2000 BUILDING?RIIA T PLICb4ION?(RESIDENTIAL)
;
" I "tn I---]
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-6814675
New ConahucMon Reaulremnh ?? ????q I
? 3 reglttered tlte wrveys ftwln9 s411. ot bf, sQ. fl. 01 house &- a?o D
and gd rooted areaa <TO% rtwxlmum lot covemae allowetH
D 2 coplas ol plans (show bedm b wintlow slzes; poured Intl. dealgn; etcJ
D t aet W enerpy calculallau
> 3 coplea of hee preservaHon plan if IW plaRed aRer 7/1/93
DAiE: CD'?- U C7
s s, -)o c0. H3
RamodeVReocdrReauir?eMs? ?
s cocie: a wm,
1 aet d energy calculallons lor healed addlflons
1 aite survey br exteAOr addlNOns R tlecks
cowslxucnoN cosr: 4 2H S, 0 Oo
DESCRIPTION OF WORK: NEW
STREET ADDRESS: .31
LOT: ? BLOCK: ? SUBD./P.I.D.#: Muh,`.., t-J?a.nn ZJak?TtA C',-4,.
a,?o? 1 L4 9 5"O
PaoPEan
OWNER
CONiRACTOR
ARCHITECT/
ENGINEER
Name: WER-Kz?,X? HuMAOS Or-MI.??zNG. Phonelt: CoIZ- 8`I$-CoCmW
laat Flrn
Sheet Address: 101 &E?aZ+A 13LV?.1,
Clty ?iaR?.?S.??uE StOt6: Tm?3 Lp: 25?1
e
Company._frtEA?iLAti?? r6Mt'Z o6=MIJ?mk>s- PhoneA: (01,2 10(t-L,4oyy
(area code)
Sheet Address: 101 (:???aevPr license A 2q62$WExp. 3-31-Z6b ?
Cit
ly ??ct?,s??..c State:
Company: Name:
Telephone #: ( )
Sheef Address: Regishatbn M:
City
State:
Zip: !?!? C.,
Zip:
Sewer/water licensed piumber (if installina sewer/water): WLQZr."Z ?4rn?e?n-ti Phone #: ?nl 5l
1 hereby acknowledge ttqt I have read lhis applicatbn, stafe ihat Ihe Inlortnation is cortect, and agree to comply wilh cll app le Sfate
of Minnesota Statute8 and CHy ot Eagan Ordinances. ?
Signaiure of Applicant:
Certificates of Surv y Received ?
Tree Preservation Plan Received _
OFFICE USE ONLY ?
Yes No '
Yes _ No ?Not Required , p
?'?
.
OFFICE USE ONLY ?
BUILDING PERMIT SUBTYPES
? 01 Foundation 0 07 05-plex
? 02 5F Dwelling ? 08 06-piex
? 03 01 of _ plex ? 09 07-plex
0 04 02-plex O 10 OS-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
? 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ? 21 Porch (3-sea.)
? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 18 Deck ? 23 Porch (screened)
? 19 Lower Level O 24 Stortn Damage
Plbg _Y or _ N ? 25 Miscellaneous
? 20 Pooi ? 30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
O 37 Demolish (Bldg)' ? 44 Siding
O 38 Demoiish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition pertnit
? 31 Ent. Att - Multi
? 33 Ext. Aft - SF
? 36 Mutti
GENERALINFORMATIfON
SAC Code
No. of Units
No. of Buildings ?
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories sq. ft.
Length sq.ft.
Width ? Footprint sq. ft.
Basement sq. ft. Census Code
Main level sq. ft. MC/ES System
? sq. ft. -!? City Water
sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS 3PECTiO
? Stucco/Ston
?
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Awt. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
ToWI:
?/ n/
Building Engineering Variance
0
Valuation: $ 7 . 00
i3y3,r /5- =2c?/
?
M &-4:?
d nlo
5---'l () C- ?4 :)
? 3 ?3? y?y = 7s s?
a d
?
SAC Units
% SAC
MNCheck COMPLIANCE REPORT
Minnesota Energy Code
MNCheck Software Version 3.0
Checked by/Date
DATE OF PLANS: 4-13-00
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 6-7-2000
TITLE: Fall Parade 2000
PROJECT INFORMATION:
3959 Donegal Way
Eagan, MN
Lot 4, Block 1, Murphy Farm
COMPANY INFORMATION:
Heartland Homes
Contact: Scott Marshall 612-898-6688
COMPLIANCE: PASSES
Required UA = 601
Your Home = 463
23.09. Better Than Code
Area or
Perimeter
Permit #
Cavity Cont. Glazing/Door
R-Value R-Value U-Value
---------------------------------------------------
CEILINGS 1251 44.0 -----------
0.0 -------------
WALLS: Wood Frame, 16" O.C. 2851 19.0 2.0 1
BSMT: Conc. 9.0' ht/8.0' bg/9.0' insul 1512 10.0 0.0
GLAZING: Windows or poors, Above Grade 481 0.350 1
DOORS 21 0.350
FLOORS: Over Unconditioned Space 92 38.0 0.0
HVAC EQUIPMENT: Furnace, 92.0 AFUE
HVAC EQUIPMENT: Air Conditioner, 11.0 SEER
---------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design -----------
described -------------
here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The propose d building has been
designed to meet the requirementg,-qf the Minnesota En?gy Code .
Builder/Designer Z?? ?L_ y Date [o--7-00?
?v.? ?? To Ca-T 1 S? ec % -ip-, ?1 oa.?S
LOT SURVEY CHECKLIST FOR RESIDENTIAL
? BUILDING PERMIT APPLICATION
?J PROPERN LEGAL:
h DATE OF SURVEY: J-30-60
H
?L LATESTREVISION: ln - J3 -c'?
CY
? I DOCUMENTSTANDARDS
? p
ogy°
/? ? • Registered Land Surveyarsignature and company
?? ? • BuildingPermdApplicant
? • Legaldescription
m? 9-o ? • Address
? ? : North arrow and scale
??. • House type (rambler, walkout, split w/o, split entry, Iookout, etc.)
p- e pirecOOnal drainage arrows with slopelgradient %
2 ? • Proposedlebsting sewer and wafer sernces & invert elevatlon
? ? SVeetname
? ? Driveway
y ? i • lot Square Footage
a?o ? . Lat Coverage
ELEVATIONS
? Ewstina
?' p ? Sewer service (or Proposed)
iyy/? ? : Property corners
? • Top of curb atthe driveway
? ? Elevafions of any existing adjacent homes
? u? ? Adequate footing depN of strucYures due to adjacent utiliry Venches
? Praoased
? : Garagefloor
9- ? Firstfloor
ro/? ? : Lowest exposed elevation (walkouVwindaw)
? Property carners
?? • Front and rear of home atthe foundation
/ PONDING AREA (if aodicaWe)
? m? o • Easement line
? tB"" ? , • NWL
a d/ ? • HLVL
? ?y • Pond # designaGOn
? G? o • Emergency Ovefiow Elevatlon
R' f7 ?
? ?
? ?
ql?o ?
a/o
p'
? D? ?
DIMENSIONS
lot lineslBearings & dimensions
Right-of-way and strcet width (to back of curb)
Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent fooUngs)
Show aA easements of record and any City utiliGes within those easements
Setbacks of proposed sUucture and sideyard setback of adjacent ewsting shuctures
Retaining wall req
Reviewed:
,
?
Maroh 1988
cruYGIsinovnnrr.FM
CITY USE ONLY
PERMIT #: I '+`l
C?
?u??
crrY oF EAeArr
S$SO PILOT KNOB iiD
EA6A16 MN 55122
651-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
Date:
CITY: TOtP'Y?'1
1 rn16r?.
V
(AREA CODE) (AREA CODE)
STATE: ??rr\ ZIP: .?2SO?.
Place a check mark next to the oermit work tvoe
? New residential dwelling unit under constructionand not owner/occupied $ 70.00
_ Add-on, modifcation or alteration to existinq dwelling unit $ 50.00
• furnace replacement
i • air exchanger
• air conditioner
? • other
Natur?: of work:
State Surchar e $ .50
rotal $
JAM
Reminder: Call for inspections.
SITEADDRcSS: 3I?-1 C6viecta Wt'?
OWNERNAME: _?eqd-I ??[X ?t}M?S TELEPHONE#
WIv?, ??UVV?I?c'n RfQi ELEPHONE #
INSTALLER STREETAD I D NAME: RESS: ? 7-CEf.(O3H ?,P
RECEIPT DATE: I - L" U
RESIDENTIAL MECHANICAI. PEiiMIT APPLICAiTION
1By
CLAIA20 1,4114v
SIGNATURE OF PERMITTEE
Updated 1/Ol
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
COMMEftCIAI. MECEANICAI. PFIiMIT APPLICATION
CITY OF ERfii4N
3$30 PILOT KNOB ftD
EAGArt, i?uv 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNERNAME: PHONE#: -
(AREA CODE)
TENANT NAME (IMPROV EMENTS ONLY):
WAS'['HERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE #: -
(ARHA CODE)
CITY: STATE: ZIP:
WORK TI'PE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Specify Nature
When installing/removireg underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing Iinspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract pnce: $ x 1°/a = $
State surchazge
TOTAL
$
(Base Fee)
calculate at $.50 for each $1,000 Base Fee
SIGNATURE OF PERMITTEE
Updated 1/O1
u CITY USE ONLY
L J BL I RECEIPT#:
SUBD. 1V1 A{'ll?t?! ?qYYV'+ RECEIPTDATE:
PERMIT #
8000 PLIJM$INfi PEfiMTT (fiE.SIDENTIAL)
crrYoFF-?sa?iu
5930 Paor aivos Rn
EAetrr, MNS5iQ2
651-681-4675
Please complete for: ? single family dwellings
D townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
cXTL'occ
Fnr.H
TOTAL
Alterations to existing dwelling - minimum fee ?
Describe:
$ 30.00
Bath tub $ 3.00 x 2, _ $ 4.00
Floor drain 3.00 x ! _ $ 3- 00
Gas i in outl2t ' minimum = 1 3.00 x $ 'j• 00
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x $ 3•?
Laund tra 3.00 x = $ -O i
Lavato 3.00 x :f' _ $ 5.00
S@ tiC S StBf1'1 newlrefurbished ' requlres MPC lia 75.00 X = $
S2 tiC S stem abandonment 30.00 X - $ ?
RpZ new insWllaUonlrepaidrebuild
Rou h o enin 30.00
7.50 X
x =
= $ ?
$ •?`-D ?
Shower
Under raund s rinkler if dwellin is under cronsWCtion 100
3.00 x
x I =
= $ •do ?
$ '
Under round s rinkler if exisun dwelling
Watercloset
W ater heater 30.00
3.00
3.00 x
x
x
13 =
= $
$ .DO i
$ .00 I
Water softener if dwelling underconstructfon
W ater softener if exisnn dwenin
Water turnaround
State Surchar e 5.00
30.00
30.00
•50 x
x
x =
=
' $ ?
$
$
$ 'So
Totai --> -? ---> --> $ 53.130
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- -----------?--------•--?----
••------- --•------------------•--------•-------•--
-------------- ----••-------?--
- --
-
-
-
-
-
•
-
-
•
-
-
-
- read• Nis application, slale lhat Me intormation is correct, and agree to comply with all applicable Ciry of Eagan ardmances.
-- that-
- I- -have-
I -hereby- -
-adcnowledge•
It is ihe appliwnPS responsibility to notifij the propeM1y owner Nat the City of Eagan assumes no liability for any damages caused by the City during its nortnal
operaGOnal and maintenance activi6es to the tacilities consWcted under thispermit wilhin City propertylrighFOf-way/easement.
SITE ADDRESS:
OWNER NAME: : 4 nA1alY'IC1 v t'yloz / TELEPHONE #: W 9-? ?q$- (a&$
-?.. (AREA CODE) . . .
INSTALLER NAME: MAW"121N TaYL12lS, I11L? .. TELEPHONE #: 457
" (AREA CO?E) STREETADDRESS: ?O'?7^ nrra?e,j
GITY: Rasemou.vlL STATE: Miq ZiP: 55a1?4
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Ai+n= gctcy Gqe%je.
?co M: ue,: .•, Ntf o q 1 t,"S Mi.«?rF4aMt:.g
J?k,a-%e- G,52- 9S L - 558' 1
?x%rcy ,
7'r??S ?? ad.m?w? ?oc 41ut?t.?`A
?-1,oM25. P?o 4e\,,,S5 CG?a? •s
as long af
be.a.t`:.. 5 al?.ar
?'S54 ?°'?.k -Fr
L? 56wiull u t'??
A-ru.`n Ar&*X%
s C? S cl OOV"e S? I W &?
Provide bearing for the piggyback truss with
2x4 Blccks cut to fit between bottom cnord of
the piggyback truss and tne flat top chord of
the supparting truss. Attach block with 2x4
scab nailed along the side of the block and
the trusses.
2z9 pwlins 2' a.c.
SCALE 1/4" = 1'_C"
rw Jmroin ?? s??m i? F?t-?.ng apt 11920 53,d St.?eet. N.E.
famnL .xemple ; t-II4 is P' - Lt'EU%?u PA. Bax 119
rnsu, re s? tred et N ncnes ..? ?.,U- wi?s ??herLvilie. f"?n 553H l
.+u?.?_d not? Phone (612) 497-332'-
' ? eetnm m he ,ainea N me m?trnclnr
l.u nutelietm IYy deneLiars fram. IJk
?+ui,' Irya:G s Ur ?mu'ectms re?1??mLly
TR U S S
s? me ix?cs wanana? Pmccr rer adae??i MFNUFFICTUR WG COMPFNY
ae>m? ?m?rtmmm mL :Mm an me b?e-
m
CL
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?
CITY USE QNLY
L ? BL ? RECEIPT#;
SUBD. YtCA WT ?'l? d V??. ? ti Ch 7l/? ?? RECEIPT DATE:
PERMIT#
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOS RD
EA6AN, MN 55122
651-681-6675
Please complete for: D single family dwellings
A townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
FIXTURES
EACH k
ToTaL
Alterations to existing dwellin - minimum fee
Describe: - $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gaspipingoutlet "minimum-i 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic SystOm newlrefurbished " requfres MPC Ifc. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new instaliation/repair/rebuild 30.00 X = $
Rough openin 1.50 x = $ '
Shower 3.00 x = $
Underground sprinkler rfdwelling is underconstruction 3.00 x = $
Underground sprinkler if exis6ng dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under construction 5.00 x = $
Water softener if exisdng dwelUng 30.00 X = $
Watertumaround 30.00 x -- = $
State Surcharge .50 -? -> ---> $ 50
Total -> -> --> ---> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-- - ------•-----g-- •-- that -••----------- ----------•--------•-- ----------•-•----------- • -------------•-------•-----------------------------
I her-e6y acknowlede I have read this application, sfate that the infortnatlan is corred, and agree to comply with all applicable City of Eagan ortlinances.
It is the appliwnt's responsibility to notify the property owner that the City of Eagan assumes na liability for any damagas caused by the Ciry tluring its
nortnal operetional and mamtenance activities to the facilities constructed under this pertnk within City propertylright-of-wayleasement.
SITE ADDRESS:
OWNER NAME: : /eG A Sf' T<Ps4 A Y.o-, TELEPHONE #: ?s?l (o ? / -??Cd
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS
CITY: ?
SIGNATURE OF PERMITTEE
*******?**?**?*?***********************
CITY OF EAGAN
i
CASHIER: JS TERMINAL N0: 695
DATE: 08/29/00 TIME: 07:37:20
!
ID :
NAME: W-M ENTERPRISES
3212 9001 4344 DORCHSTR C ?30.00
2155 9001 4344 DORCHSTR C 0.50
Total Receipt Amount: 30.50
CR136577
USER ID: JAN
,
427 7 z
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: '7 ? L - o
t 60. T
Description of Work: ? Construct new fireplace ?-Fas _Masonry _ Alterations to existing
? Install pas inserl onlv _ Instail gas line onlp
Other
Job address: 11 a L1L-k • ?? ? "?+
Lot: 17 Block: V qutaivision/P.I.D.4: flaw thUrhe Wona? IS'r
Applicant (circIe one only): Owner ntraclor Permit Fee: $60.50
Name: Phone
PROPERTY Last First
OWNER
Sueet Address:
City State: Zip:
?A IC? ' Phone #: ?9 5 1 4 4t 0 5 6?b
Company: V 1 6f P•C.{t.. F i(
?- (area code)
FIREPLACE
INSTALLER StreetAddress: I(9 ? r"J ? (?'?a??l ?Tv
City P t 2a c- LA k-c- State: IvvY\ Zip: 5 53??
Company: Phone #:
(area code)
GAS LINE
INSTALLER ? Street
City
State:
Zip:
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
_ signature
SEP I 2 2000
6o-0
OFFICE iJSE ONLY
BUILDING PERMIT TYPE
O 16 Fireplace
WORK TYPE
? 31 New
? 32 Addition
Q 33 Alterations ? 39 Gas Line
? 34 Repa'v ? 40 Gas InseR
GENERAL INFORMATION
Census Code 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
,r*x*****xx*xx*x:t?**********************
CITY OF EAGAN
CASHIER: SS TERMINAL NO: 671
DATE: 09/12/00 TIME: 12:30:41
ID:
I NAME: VIERECH. FIREPLACE SALES
3210 9001 4344 DRCHSTR CT 60.00
2155 9001 4344 DRCHSTR CT 0.50
? Total Receipt Amount: 60.50 CR137235
USER ID: JAN ?
p 41 Wood Stove
Y
2000 BUILDINC PERMIT APPLICATION (RESIDENTlA!)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ? Lo•sv
14 --,)-4 ?4S 851-881-4875
N.W Co,.?ctio, ReWre
v 3 reglatared slte wrveya ahowiny aq. lt. of M. aq. 8. of houae 2 copies W pion
and glj roofetl areas (20% maximum lof coveraoe Wlowedl 1 aet of energy calcWaHOm for heated atlCfHana
: 2 coples of plcma (ahow beam & wintlow sizes: paured fnd. design; etc.) 1 alte wrveY for exTeAa atldiflons & decks
'r 1 eet OI energy CGICUIa110nS
n 3 coplea of tree preservafion plan H lof plattetl alter 7/1198 e(
DA1E: '8 -?TlU79 CONSTRUCTIONCOST: J ??.T?
DESCRIPTION QF WORK: Lc? L?vecr N/.SW
SfREET ADDRESS: #3/ 7 DpIZ?M.S735/L ?' 4E4CoAAJ ?'IN • STI Z.
LOT: --Ci BLOCK: ? SUBD./P.I.D. #: nr\ v\ Wm C'X/? I V-
Name: i5214k$D.?-f .eJ Gk-/9?WEE Phone #: 6a'l- 95-6O
pROpE(ny lcsf Flyd
OWNER
SheetAddress: ?/.3O&Z6065me- (•'?•
ci+r _'e-c-A GA? stare: np: 5T/2 3
company. ,?N3E,?u/v?21c,5 ,6CD.?S _T•?G. pnone #: 6S/ 686-0,01
(araa code)
CONiRACTOR
Sfreet Address: e? TiLD77,,e-& P-/A'sE oE?-d . Licenae # 635`Z ExP• 0
cuy F,4GAJ - Swte:'A? zip: 5Y/23
ARCHITECT/
ENGINEER
Telephone It: (
Sheat
Cly
)
Sewer/waterlicensed plumber (H insptUna sewerlwaterl: Phone #:
I herebY acknowledge lhat I have read Ihis applicatbn, date thaT fhe Mfortnalion is cortecf, and agree to compty with
of Minneaota Stalutes and City of Eagan Ordinances. ?2z?
Signature of ApplicarM:
OFFICE USE ONLY REC IVE
Certificates of Survey Received _ Yes ` No ' AUG 2 2 2IODO
?
Name:
Regishatlon
State: Ep:
appOcabie state
Tree Preservation Plan Received _, Yes , _ No - Not Required
OFFICE USE ONLY
BUILDiNG PERMIT SUBTYPES
? 01 Foundatian ? 07 05-plex
? 02 SF Dwelling ? OB OB-plex
? 03 01 of _ piex p 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex 0 11 70-plex
? 06 04-Plex ? 12 72-plex
WORK TYPE
(W 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ? 21 Porch (3sea.)
? 17 Garege O 22 Porch/Addn. (4-sea.)
? 18 DeCk ? 23 Porch(screened)
0 19 Lower Level ? 24 Storm Damage
Plbg _Yor_N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)" ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
O 42 Demolish (FoundaGon) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code C?
No, of Units /
No, of 8uildings
Const. (Actual)
(Allowable) ?
UBC Occupancy
Zoning R- l
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Lle Engineering
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
? 31 Ext. Ait - Mulfi
p 33 Ext. Alt - SF
? 36 Muttl
Permit Fee
Surcharge
Pian Review
License
MC/ES SAC
ciry s,ac
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
m
Valuation:
/aoo.a??kas= as•??? e C?
SAC Units
% SAC
CASHIER: JS TERMINAL NO: 729
DATE: 09/05/00 TIME: 10:27:31
ID:
NAME: TIMBERWORKS BUILDERS, INC
3210 9001 4344 DRCHSTER C 60.00
2155 9001 4344 DRCHSTER C 0.50
Total Receipt Amount: 60.50
CR136843
USER ID: JAN
7' Clty 0f EaRaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?-------- ? ?? -,
; Per„it#
? Permit Fee: tx) ?
? Date Received: ?
? Staff:? I
i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Z/ O ? 0 Z SiteAddress:
Tenant:
Suite #:
RESIDENT / OWNER I T
Name: ( ?Gri'/, S` g / Phone: Qli ? ??? ?-' :• 7 01 1°
AddresslCity/Zip: 4?
Appiicant is: _ Owner ? Contractor
TYPE OF WORK Description of work ?? d./?.-• n???' '"'
Construction Cost: Multi-Family Building: (Yes_/No2?3
CONTRACTOR Name: Ju ??kr4 C • License#: 7-033'?q3
Address: lL7?> ?S?:f>-/'?C'l-?c /?'l?'?' -
City: State: /' - ` -? ?yJ Zip: f
Phone: 6 Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 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 plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans a"nd supporting documenis that you submit are consiolered ta ti_e public iriformation., Portions of
the information, may be classrtied as non-public 7f'you p{ovide speclfic reasons th'at would permit the Crty;fo
==conctade that the .:are trade?secrefs
I hereby acknowledge that this information is complete antl 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 sfart 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 ?/oCl oln, S• .J. (JC2r /7.?i.? x ??
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
000592 21/27/23 HEARTLAND HOMES ~ ~
.
5300 S. Hwy. No.101 Minnetonka, MN 55345 Pho~e (612) 474 7964 Fax {612) 474 8267
SURVEY FOR: BENCHMARK, TOP NUT HYDRANT
= 915J0
SURVEYED: Ma 2000 Y~ DRAFTED: May 30, 2040
REVISED: June 13, 2000 change proposed elevations and other alterations.
ADDRESS:
3959 Donegal Way
L GAL DESCRIPTION: - ~ - - - - -
Lot 4, Block 1; Murphy Farm, Dakota County, Minnesota. ~
CO~CRETE COURB ~
~ ' PROPOSED ELEVATIONS: ~ ~ ,
Top of Foundation 9163 ' ~ ~
Garage Floor 915.9 i ;
Lowest Flo~r 907.3 ~ ° - ,
Benchmark~ 915.70 ' ~ ~ ,
* Top of hydrant as shown ~ ;
3 ~ i Ct1NCRETE COURB ,
LIMITATIONS: ~
N 89'36'14" E; o I The scope of our services for tlus ~ob is as follows: 911.0 ~
X --101.70-- 30.00 1. Showing the length and direction of boundary lines of the legal descriprion which you furnished. ~
~ 913.6x ~ ~ 2. Showing the location of e~sring improvements we deemed impartant. s~o.s ; Q DRAINF~GE & U1ILITY ~ ° ~
EASEMENT ~
3. Setting new monuments or verifying existing monuments ta mark the comers of the prope . ~ r
4. Showing existing spot elevations necess to show elevation differences on the site defered till ~ 10 ( I
stakingofhouse). o M ~o•o 30----- 1 ~ ~ m m
5, Wtule we show a proposed location f~r this home, we are not as familiar with your house Ians as ou sE ~ VICE INVERT = 901.0 W ~ ~ p y ~ CITY PLANS, FlELD VERIFY ~
and ynur architect and/or builder are. Check our proposed location and siting of the home and ard ~ ~ N ~ ° ° ~ ° I ~M
grades carefully to see that they match your ptans before construction begins. Also, we are not as l ~ ~ ~ ( ~ W W
famihar vv~th local codes as the local building official and zaning official in this communi are. Be sure I~ 5 30 ~ r. ~ ~ _ . _ ~ ~ _ _ _ _ I z ~ _ _ _ _
to sho~r t~is survey to ihese of~icials, or any o~her o~cials that may have 'unsd~ction over the home and ~ ~ W ~ o o . ~ I ~ U
its siting, and obtain their approvals before beginning construction. 1 ( n a -------50-------
6. We have provided a benchmark for your use in determmm g elevations for construction on this site, z 2 3. 3
use that benchmark an ~ 3 w ~ ~ T d n o t h m e l s e f o r t h a t p u r p o s e. C h e c k t h e e l e v a t i o n o f a t l e a s t o n e o t h e r f e a t u r e ~ N I~
i z I ~ ~ ' ~ s h o w n t o v e ri f y y o u r e l e v a t i o n s. a o ~ Q I 1 I F ~ I 30.00 ~
. I N ~ ~ ~ ~ PROPOSED 912.3
r~ . ~ a ~ GARAGE x STANDARD SYMBOLS & CONVENTIONS: 3 / 14.6 DRIVE ~ w ~
i o ~ o~' ~ n n . M ~ Q ~ Denotes l/2" ID pipe with plastic plug bearm State License Number 9235 set unless otherwise st2.e z' ~ N ~ ?
g , , ~ ~ I a ~i 'h• d ~ N ~
noted. Proposed elevat~ons are shown with a box around them, while e~sting elevations are shawn ~ o ,c~ I~; c~ I ~ ~ Z
without a box, Arrows indicate the ro osed flow of storm a~ ' p p water on the site. z ~ ~o
Z z a~ ~ cn~~ 30.00 ~ ~J O~ li~ N `I ~ ~
CERTIFICATION: I hereby certify that this survey was prepared by me or under m d'uect su ervision X N,o ~ ~ _ Y P W~ ~ , ~
and that I am a Professional Engineer and a Professional Surveyor under the Laws of the State of ° °w.~ a.a o~' ! N,~ ~ I :
Mumesota, l ~'O I ~ ° ~ ~ M Q.~Y I ~..r-
x ~ O~~ 1.8 ~ ~ 1 11
- 9~~.9 J o ~a I a ~o i ~
am H. Parker P.E. & P,S. No. 9235,President ~ N, ~ I
~ ~ ~o ~ s~3.o ~
s 2s. 32.Q ~ t~ o ~ r~ ~ ,b~ r ~ P4S"'L 61 p r ~ ~ ,
1;:~ `~.i f~ ~ f~ pIJ.01 ~ ~ c^. , t3° i ~ ~ 3~'i k T~~ ~ i I i r . ~ ;~,x~: ~ 1 ~ ~ aC
~ ~ , ~ . 914J
u~ Q~-~" 3e~- x a ~ 5 , ~
~ ~ 0 . 4 L' Q.~~~ ~ ~ ti ,,10 „
. ~ 59 ~ ~s " ~ 3~ .~~a . ~a.L"ey~'~`'~` ~~.+~.a.~~'P~~ ; i CJ ~ X 15 G
~ sos.ox E~ GRAPHIC SCALE ~ ~ s~a.o
0 za o ~o ~o +o ~
1 inch = 20 tt
LOT At~F~l=12 06~ S' . FT. . ~ Q
P.h'OPOS'~'d~ BUILIIING FDOTPRINT ~1R~'~= 2136 S' . F'T. ~
~UIIJ~IN~' FOOTPRINT ~'DY
~'R,S' 1 ~ 0~' LOT ~1~~4
R~CEIV~~ ~ ~ ~
~ ~ ~
J0~ N0. ' 000~ vO. 00059,2
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA093350
Date Issued: 04/07/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 3959 Donegal Way
Lot: 4 Block: I Addition: Murphy Farm
PID:10-49500-040-01
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 S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Crew2 Inc Ryan D Michels
2650 l\Iinnehaha Ave 3959 Donegal WaN
Minneapolis NIN 55406 Eagan NIN 55122
(612) 276-1680
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
r `
Use BLUE or BLACK Ink
For Office Use
Permit &X0071
I
City of EaRd l,/ 1 Permit Fee: S~ I
3830 Pilot Knob Road I i
Eagan MN 55122" 1 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 ; Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date i l Site Address .3J 5 ` il-)M Unit # ~
Name: IC+,r v, l t t S Phone:) - X17 i
RESIDENT
OWNER Address / City t Zip: :5) Qcna - ~_J t bi f-J :
Applicant is: Owner Contractor
TYPE OF WORK Description of work: X $S(t
Construction Cost: 50;t Multi -Family Building (Yes / No
Company: Contact:
CONTRACTOR ;Address: 1 City:
State: Zip: Phone.-
License 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 XNo If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. _ ,-e .vr=eanecis.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 the approved plan in the case of work which requires a review and approval of plans.
it atienonzea oy a ouiimng permit issued in accordance wim the Minnesota state t5waing Code must be completed within 180
Jays of permit issuance.
Applicant's Printed Name A licant's Signature
Page 1 of 3
r '
73? S1 !b`1Q I
DO NOT WRITE BELOW THINE
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 S , }
Accessory Building b
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 r
Valuation _ Occupancy ` MCES System
Plan Review Code Edition SAC Units
(25%_ 100%\4 ja
) 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 T 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: 17- , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review Pl,
MCES SAC ,
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2of3
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S
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14 - 11 c, 4.03 c~ I -I
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t^ LLLL~~~~ 12.0, cn m
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DRAINAGE & UTILITY EASEMENT 0 ~ i t a, c; - -
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- R=170.00 --76.53-- o
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Use BLUE or BLACK Ink
I For Office Use I
City Of Enu Permit I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION ~ql L11
fi lid n q
Date: 3 Site Address: L
Unit
Name: ( a ' ► I l~ Phone:
Resident/
Owner Address/ City /Zip: Lq 19 L-)~ ~G'(,
Applicant is: Owne/r~ Contractor
Type of Work Description of work:
Construction Cost: U.a Multi-Family Building: (Yes / NoZ--)
Company: T~ Ad Y7 ~ontact:
Contractor Address: Z ~}0 n ri m c City: 4- ~
State: Zip: S3 3o Phone:
License PC- C5 / 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?
f
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
4
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
i L the information may be classified as non-public if you provide specific reasons that would permit the City to i
conclude that they are trade secrets. "I'll "I'll
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.aopherstateonecall.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 issuan e. x 6e~~
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150397
Date Issued:07/06/2018
Permit Category:ePermit
Site Address: 3959 Donegal Way
Lot:4 Block: 1 Addition: Murphy Farm
PID:10-49500-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Ryan Michels
3959 Donegal Way
Eagan MN 55122
(651) 454-3093
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171632
Date Issued:08/24/2021
Permit Category:ePermit
Site Address: 3959 Donegal Way
Lot:4 Block: 1 Addition: Murphy Farm
PID:10-49500-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ryan D Michels
3959 Donegal Way
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature