3962 Donegal Way
-: ? Kerb f irate of CCCupanc?
?it?j o? pagan
te*artlaeut of 19uitbiug 3u#pecdon
This Certificate issued pursuafit to the requirements of the Uniform Building Code
--w) certifying that at the lie of issuhnce this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use cumifiation: y SF i1 Bldg. Pem it No. 33135
Oocvpawy Type RI . , g Disnia 1R I Type Const.
owner of Building .1 S MES Add.= T4'371 FM 11? T ANE , ?_
Building Add.. 3%2 PQMM4L WAY Locaity iL
i ./ Dept.
+ it \1Ji Lt/ 11V1 \ 1w A-.F .w
CITY OF EAGAN PERMIT TYPE: ° 1 1'' Nfv
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
WAY
;rlc{'il i + fs1+F4 1 ri 1 .' 1 P, }.1t? '1(??li_' rye., " ?.
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION TYPE DDATE INSPTPI. INSPECTION TYPE DATE INSPTR.
I I AN kEAIJUWEit PY f:RAT6 NOVACZYI.
b W Tt: 11 & H WAif ); AND ":I:WF1; F•N4411- #-IS3-4'483
J
Permit Holder Date Telephone #
PLUMBING (? 'Y???Q3t3
HVAC ?? S- 90v
Inspection Date Insp. Comments
FOOTINGS ?/Xf
FOUND
FRAMING
ROOFING
ii
ROUGH
PLUMBING ?7-
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
nl 4 O
? l ,L?p
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST 69
S'
FINAL PLBG
JU
FINAL HTG ?/
d
ORSAT
TEST
BLDG FINAL $
55
?-
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Addtess - , 3962 DONEGAL WAY Zip 5512 3
Lot 24 Blk 2 Sub mmm FAwa
THESE ITEMS WERE WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: lwwnr Yes No Inspector:
Final grade (6" from siding) R
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test, caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
i
#.##W.M#:$;i;;y#:#7Y8?$::4'.:#M*# $?k:St'.;?::a`;+YM?k'?.:NW%i?t)Xi?:iku<:wtr?C
CITY OF EA AN
CASHIER: "I:C MINAI_ NO: 795')
DATE: 0909!98 TIME: i4:58:06
1D:
NAME;. J ES HOMES 7NC;
22 36 9001 3962 DON[i:GAL. NA 47648.96
Total Receipt Amounts 4764S.96
USER TV NANCY
\<;t'x:?(##Y(,YR# *#Y,iiXY(.Y4:##h'#'*'. #?X7.<#:M)n###>'F ?'. ##YF#m?%?X#
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 11711 22 Porch/Addn. (4-sea.) ? 33 EM. 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 Pibg_Y or_ N ? 25 Miscellaneous
Work Types 60IT-1 ???1 ??fE au?® y7.?TTro2?7?-d?°?at?t?G
? 31 New ? 35 Int Improvement 0 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 20VC70i Occupancy -aL MCES System
Plan Review 100% or _ 25%
Census Code N
SAC Units
# of Units
# of Bldgs
Type of Const 1/13
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length ..Fire Sprinklered
Width
- Footings (new bldg)
- Footings (deck)
Footings (addition)
Foundation
_ Drain Tile
Roof _N Ice&Water - Final
Framing
_ Fireplace _ R.I. - Air Test - Final
Insulation
REQUIRED INSPECTIONS
_ Final/C.O.
Final/No C.O.
Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco - Stone - Brick
Windows
Retaining Wall
Approved By-, Building Inspector
Base Fee /
Surcharge 2 v
? i l 1? q5' 2,
Plan Review /MC/ES SAC ? S /? q;"-
SAC
City
Utility Connection Charge .?? 1 7? Ql o
S&W Permit & Surcharge
Treatment Plant
License Search
Copies (y,ntzm,
Other
Total /
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
? 1,3ag-la
,Oilo_ CILW-d--
New Construction Requirements RemodetReoair Requirements Office Use Ord
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Reod _Y _N
(20% maximum lot coverage allowed) 1 set or Energy Calculations for heated additions Tree Pres Plan Recd _Y -N.
2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _N
I set of Energy Calculations AddiCron - Indicate if orr-site septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date _q / p,?- /
Site Address 51(o>- CS-
l700E 6C AL- Construction Cost 1 ssr 000. 00
W" EAOrA?) y ML) SSIa? Unit/Ste #
I
Description of Work AOD ITi ,,A-) ^r -DO ?OUG1 e(,
Multi-Family Bldg _ Y X N Fireplace(s) - 0 X 1 _ 2 (6rA5.)
Property Owner PAT 'DE l5Z Telephone # ( )
Contractor ?{t ILI'Ip 60IW69 -5
Address 155b29
State (?llJ MIJfJI:TbrTILA T,0,)LF_1(AAP
Zip 55qki City F..,0015 fAKL
Telephone#(`ZS? 9a?-6595
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #( J
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
F? IT
Applicant's Signature 11111 'HP 7, 2
e9/20i20D5 09:06 EAM44 EN3+CGH DEL) ? 919629270407
IT
H0.9W
IMI••
AVI YJ190
114 M4061-94815
FAX X13-1893
CertIfIcate of Survey for: J& HOMES
not DONEOAL WAY
BY
mm AWOR0 pan INONI va D1A/M KM on W
WO NUM RUIPOWS VM NM VW rpo OOL AM MMA, IWTIDI
71=4 curs Flat so
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v
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.
.
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MOT AO mm saw Y,rrYYM MM Wo cimmm am us LOT N iRf
fYrISTAA TW WTAOUTT W UK% TOMPp I TT! YrOnR uRm
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,RO"M a NOT
tMrD no WIrNAtt "a AOr puffm. m ow EAR mum Rmq TOM Ins" wam umm "9MI M1
1 sPPw l "W" pmpm CUMIM
"K TAB Or T9 WO MW MT
mg, COPWErtlr VAT AOp-W&MY030n. .. ." ._..- T -ODOM ORAWOE 09 41" IA*KNt
.. mm qwjmwqW .Wftq ° .
RPTC REma I19IN 4% M Or MI AfPAMO DATW --R? OOIOrm YMr.MEAT j
ONO" ONIRT MR
WE NEKOY c"y TO 4S. NOYES THAT THIS 15 A TRUE AND GGRREGT gaMSENTATIGN DP A
AMKY (W THE BOUNDARIES Or:
T
LOT 241 BLOCK 2,. MURPHY FARM
MINNESOTA
TV
..
DAKOTA COW
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS On ENCHROAOWS"r5. SxC y AS SHOWN. AS SURKTEO BY, NE OR '
UNDER Yr OtRECT SUPERVIlIOrI 1WS DTST DAY Of AUOUBT, /PBO• AMR C?• kA.
-SCALE : I INCH w 39 FEET
)I 0S/
Permit Number
MECcheck Compliance Report
1999 Minnesota Energy Code
MECcheck Software Version 3.2 Release I
COUNTY: Hennepin
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 09/22/05
DATE OF PLANS: 9/22/05
PROJECT INFORMATION:
Deisz Residence
COMPANY INFORMATION:
Heritage Builders, Inc.
COMPLIANCE: Passes
Maximum UA = 249
Your Home = 247
0.8% Better Than Code
Checked By/Date
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Raised or Energy Truss 453 38.0 0.0 11
Wall 2: Wood Frame, 16" o.c. 1566 19.0 0.0 83
Window 1: Above Grade, Wood Frame, Double Pane with Low-E 146 0.370 54
Door 1: Glass 14 0.370 5
Slab 1: Unheated, 0.2' insul. 93 10.0 94
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Fa ctor Allowed U -Factor
Above-Grade Windows and Glass Doors 0.370 0.370
Includes Foundation Windows> 5.6112
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been
designed to meet the 1999 Minnesota Energy Code requirements in MECcheck Version 3.2 Release 1.
Builder/Designer. Date ' g /b5
TI" 1 ? E R-FI"?C,
AnJ2nie udi Oo""n Cl jetnnulrl.'g4
September 22, 2005
City of Eagan
Community Development Department
3830 Pilot Knob Road
Eagan, MN 55122
Re: Scope of Heritage Builders Building Permit Application; 3962 Donegal Way
The permit that Heritage Builders is applying for is limited to the scope of our
contract with the homeowners, Pat & Holly Deisz, which includes the following:
• Excavation and foundation work
• Framing and structural work
• Exterior finishes (windows & door, roofing, soffit, fascia, gutter & siding
installations)
• Interior drywall.
• Hardwood flooring, tile flooring and cabinetry installations.
The following items will be done by the homeowners or others under additional
building permits as required:
• All HVAC, plumbing and electrical work.
• All insulation and interior vapor barriers.
• All interior trim and millwork other than cabinetry.
• Exterior painting, retaining walls and landscaping.
• Interior painting, staining, etc.
• Appliance and fixture installations.
• Deck construction.
The valuation for the work included in the scope of our contract with the
homeowners is $155,000.00.
Heritage Builders, Inc.
Mark Benz 7ll
5020 Minnetonka Boulevard • St. Louis Park, Minnesota • 55416
PHONE: 952-927-6595 FAX: 952-927-0407
www.heritagebldrs.com
.qoXgS ..
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
,#> So - So
Date f I -?D I 0
i e l? G? oPii Unit #
Site Street Address
(?
Property Owner fciL 32. Telephone # (?51 ) L - 67d-s
( )
Contractor N A Telephone #
Address City State Zip
The Applicant is: jZ/Owner - Contractor -Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. If you are installing only a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment
-Water Turnaround (add $125.00 if a 5/8" meter is required)
Other: lay4e -y 14,XA?eo?
-
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Pl SEP ? 0 ?'
I
Total ul? I
N $ Se).SO
I hereby apply for a Residential Plumbing ermit 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
App Ica nt's Printed Name Applicant's Signature
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minne- ;ota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-49500-240-02
DESCRIPTION:
3962 DONEGAL WAY
LOT: 24 BLOCK: 2
MURPHY FARM
Bui.ldin'g-,Permit Type
Building Work Type
,-UBC Occupancy`..
Construction Type
Zoning
Building Length
Building Width
Bu,iiding Stories
S,qutare' Feet ;-_..
C e n_s"Os C o, e
- '
PERMIT TYPE: BUILDING
Permit Number: 0 3 3 3 3 5
Date Issued: 09/28/98
SF DWG
NEW
R-3
V-N
R-1
70
30
2
2,100
101 1 - FAM. DETACH
1 s?
REMOr'AS'REVIEWED BY CRAIG NOVACZYK.
S & W IS M & W WATER AND SEWER PHONE #:753-4383
FEE SUMMARY:
VALUATION $162,000
Base Fee
Plan Review
Surcharge
SAC
SAC &
SAC Units
Subtotal
$1,197.25 MISC. FEES
$778.21 Total Fee
$81.00
$1,000.00
100
$3,056.46
PONTRACTOR: - Applicant - ST. LIC
S HOMES 16869092 0004849
`.4371 BENT TREE LN
EAGAN MN 55123
'(612) 686-9092
1.592.50_
$4,648.96
OWNER:
J.S. HOMES
4371 BENT TREE LONE
EAGAN MN 55123
(651)686-9092
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
A LICANT/PERMITEE SIGNATURE
application and state that the
with all applicable State of Mr.
SUED BY. SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
' -? ?? 3830 PE LOT I1-"7RD - 55122 Q) /
loG? .
New Construction Requirements Remodel/Repair Requirements Ck .3
# 3 registered site surveys # 2 copies of plan
# 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) # 2 site surveys (exterior additions & decks)
# 1 energy calculations # 1 energy calculations for heated additions
# 3 copies of tree preservation plan if lot platted after 711193
required: _Yes _ No 7
DATE: CONSTRUCTION COST;y
DESCRIPTIO OF WORK:
STREET DRESS:
LOT: BLOCK: SUBD./P.I.D.
Name: Phone #:
PROPERTY Last First
OWNER
Street Address:
City
State: Zip:
O?
Company: ?? / ' U/•!r t j ???? Phone #: ( L? y
CONTRACTOR -? 7 a X1'7
Street Address: ? 43 1 5Ci` T 1 --t''r License # f?J ?1 f 4 y
City /? x.61 N Stater Zip: S 2
ARCHITECT/
ENGINEER
Phone #:
Registration #:
Street
City
State:
Zip:
tiI- /.
Sewer & water licensed plumber (new construction only): •S "('.Penalty applies when address chant
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 to comply with all applicat
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received ?ONYes
Tree Preservation Plan Received Yes
No
' No
OFFICE USE ONLY
BUILDING PERMIT TYPE
R
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
Lx] 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
f7, 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. 2 90 ?' MC/WS System
(Allowable) Main level sq. ft. LL 9o 0 City Water
UBC Occupancy R "z ` °u/lsq. ft. I Ye 6 Fire Sprinklered
Zoning V - r i7jawAe r, sq. ft. (0 9 fy PRV
# of Stories 2-- sq. ft. Booster Pump
Length 76' sq. ft. Census Code. le /
Depth 3rn ° Footprint sq. ft. SAC Code 01
Census Bldg /
Census Unit
APPROVALS ,
?l
Planning Building Engineering Variance
d
l f
Permit Fee Valuation: $
`
Surcharge
Plan Review
License )7-9 e us4
MC/WS SAC -2. 1
City SAC V4 4 t st e
Water Conn. a y=
Water Meter
Acct. Deposit ' cr;?1
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total
a#A t
% SAC
SAC Units
t
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
+
PROPE RTY LEGAL:
DATE OF SURVEY:)
> LATEST REVISION:
y DOCUMENT STANDARDS
0 o
s z
M-' ? ? • Registered Land Surveyor signature and company
o? ? • Building Permit Applicant
?/ o
? •
• Legal description
Add
? ress
a-,? ? • North arrow and scale
0-,? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
c '? ? • Directional drainage arrows with slope/gradient %
?? ? • Proposed/existing sewer and water services & invert elevation
?? ? • Street name
la-,? ? • Driveway
ELEVATIONS
Existina
? ?K ? • Sewer service (or Proposed)
[;1-- ? ? • Property comers
Q? ? ? • Top of curb at the driveway
u-, ? ? • Elevations of any existing adjacent homes
Proposed
P-'? ? • Garage floor
CP/? ? • First floor
iT'*? ? ? • Lowest exposed elevation (walkouttwindow)
ff, ? ? • Property corners
13?' ? ? Front and rear of home at the foundation
PONDING AREA (if applicable)
? CK, ? • Easement line
? t' ? • NWL
? [??p HWL
? ? 0 Pond # designation
? ?? ? • Emergency Overflow Elevation
DIMENSIONS
03' ? ? • Lot lines/Bearings & dimensions
CI? ? • Right-of-way and street width (to back of curb)
d ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (i.e. all structures requiring permanent footings)
?? ? • Show all easements of record and any City utilities within those easements
?'? ? Setbacks of proposed structure and sideyard setback of adjacent existing structures
? c? • Retaining wall requirements, icy
Reviewed:
January 19M
CRAJG19W1E LDGPRMr.FM
EXTERIOR ENVELOP
MINNESOTA STATE BUit DING CODE EXTERIOR ENVELOP AVERAGE " U CALCULATION
DATE
OWNERS PHONE
SITE ADDRESS
CONTRACTOR
CONTRACTOR PHONE
PROJECT
8/22/98
Pat & Hollis Deisz
729-7720
3962 Donegal Way
J S Homes Inc.
686-9092
Lot24, Block2, Murphy Farm.
DETERMINE WORKING SQUARE FOOTAGE OF EACH: (code requirement)
DETERMINE GENERAL SUBJECT AREAS FROM PLANS:
1. TOTAL EXPOSED WALL AREA: 3465 SR X 0.11 381.15
2. TOTAL EXPOSED ROOF/ CEILING AREA: 1317 SO. X 0.026 34.242
3. TOTAL VALUE ALLOWED 415.392
WALLS
DETERMINE SPECIFIC AREAS FROM PLANS:
A. TOTAL WINDOW AREA/GLASS 315 SF X "U"
B. TOTAL SWING DOOR AREAIGLASS go SF X "U"
C. TOTAL SLIDING DOOR AREAIGLASS 42 SF X "U"
D. TOTAL FIREPLACE AREA 0 SF X "U"
E. TOTAL WALL FRAMING AREA@109% 332 SF X "U"
F. TOTAL RIM JOIST AREA 305 SF X "U"
TOTAL 1084
G. TOTAL NET WALL ABOVE FLOOR 2381 SF X "U"
TOTAL EXPOSED FOUNDATION AREA
H. TOTAL FOUNDATION WINDOW AREA 0 SF X "U"
1. TOTAL NET FOUNDATION WALL SF X "U"
3. TOTAL VALUE
ITEM #1 FROM ABOVE
0.24 75.6
0.13 11.7
0.24 10.08
0.082 27.224
0.039 11.895
0.041 97.621
0.24 0
234.1
381.2
IF ITEM #3 IS THE SAME AS, OR LESS THAN ITEM#1, THE INTENT OF SBC 6006(C)2 HAS BEEN MET.
" Indicates manufacture's values Scherer low E-northern climet, argon gas filled windows and doors
Page 1
EXTERIOR ENVELOP 2
ENERGY CALC. CONTINUED
CIELINGS/ROOF
DETERMINE SPECIFIC AREAS FROM PLAN: SF
TOTAL EXPOSED ROOF/CEILING AREA(SAME AS #2 ABV 1317.00
J. TOTAL SKYLIGHT AREA 0.00 X "U" 0.00 0.00
K. TOTAL ROOF FRAMING AREA @ 10% 131.7 X "U" 0.025 3.2925
L. TOTAL NET INSUL. ROOF/CLG. @ R44 1185.30 X "U" 0.021 24.8913
4. TOTAL VALUE ROOF/CEILING = 28.18
ITEM #2 FROM ABOVE = 44.2
IF TOTAL OF #4 IS THE SAME AS, OR LESS THAN #2, THE INTENT OF SBC 6006(C)1 HAS BEEN MET.
ALTERNATE BUILDING ENVELOPE DESIGN
TO UTILIZE THE TOTAL ENVELOPE SYSTEM METHOD, THE VALUES ESTABLISHED BY THE
SUM OF ITEMS #3 AND #4 SHALL NOT BE GREATER THAN THE SUM OF ITEMS #1 AND #2.
#1. 361 + #2 44.2 = 405.20
#3. 300.1 +' #4 28.18 = 328.28
Variance from statute: + 76.92
(+ Value Acceptable)
( - Value Unacceptable)
Page 1
/ CITY USE ONLY /? # 84
LOT c?A BL RECEIPT '7 9/
SUBD. MWCp?? ?((? RECEIPT DATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
\\- Oy - q? (612) 681-0675
Date:
Complete this section only if you are installing HVAC in single family. townhome, or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets ( minimum of one required @ $3.00 ea.) 9, OD
• State Surcharge: .50
• TOTAL: ?A .?_D
Complete this section only if you are remodeling, adding to, or repairing existing single family
dwellings, townhomes, or condos.
Add-on furnace
Add-on air exchanger, i.e. Vance system, etc.
Minimum fee applies to all remodel or add-ons of existing residences
State Surcharge
Add on air conditioning
Other
$ 20.00
.50
Total: $ 20.50
SITE ADDRESS: ?G? ('0 DoV1'_ 9\ Vv ?
OWNER NAME: J % x41?'c \ S PHONE #: OS(O _ ROq`a'
INSTALLER NAME: ?o?? `c PHONE #: LVA S - \O\CO
STREET ADDRESS: cc'-, ,? _ ?1( Y F ? V??? `\
CITY: ?i -Cf_xQ STATE: W ZIP: ?q
SIG TURE OF ITTEE
CITY USE ONLY
L _ BL
SUBD.
RECEIPT#:
RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681.4675
Please complete for.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: $25.00 minimum fee gr 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE *
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS: _
CITY:
PHONE #:
SIGNATURE:
STATE: ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR
? all commerciaUndustrial buildings.
? multi--family buildings when separate permits are= required for each dwelling
unit
/ a'71 27 CITY USE ONLY
%09 / d
(// ?`?,? BL nom RECEIPT*
SUBD' 2T ?Q/YNVt? RECEIPT DATE: ?? 30 9
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 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 _ '3.0 0
Water Closet 3.00 x 7.06
Bath Tub 3.00 x a = !r-0 0
Lavatory 3.00 x = 7.00
Kitchen Sink 3.00 x I =
Laundry Tray 3.00 x -1-00
Hot Tub/Spa 3.00 x = 13-0 6
Water Heater 3.00 x
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x = 15-
Water Softener ' for dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler "fordwelling under const. 3.00 = 3,06
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 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
00
TOTAL 50
-----------------------t --tate - --that ----the --information ---------- is - -- ------fEagan ord ----------inan--- --.
ces-
I hereby acknowledge tha I have read this application, s correct, and agree to comply with all applicable City o
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: A • >/. i- amt,,<
INSTALLER NAME: SIerjur4 Aueu i n U TELEPHONE #:
STREET ADDRESS: L/0,5-67-
CITY: ?5s1 e?S
STATE: /1W, ZIP: sS3
SIGNATURE OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?U
651-681.4675
New Construction Reaulrements Remodel/Repair Reaulremerds
3 registered site surveys showing sq. fl. of lot sq. ff. of house
and all roofed areas (20% maximum lot coverage allowed)
i 2 copies of plans (show beam a window sizes; poured fnd. design; etc.)
? 1 set of energy calculations
D 3 copies of tree preservation plan R lot platted after 7/1/93
DATE: SI Z/T9
DESCRIPTION OF WORK: J-)e(-L
STREET ADDRESS: 3?LZ DUhe
LOT: ? 41
BLOCK: 7 SUBD./P.I.D. #:
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions b decks
CONSTRUCTION COST: '596 0 U, 6 D
Name: 1 i S Z 1?a dr' k Phone #: / 5! S 9 ?/ 07o5-
PROPERTY Last First
OWNER
Street Address: 4 2- V o^ et4, l (j C -y
r
city Ell- State: A ell Zip: s?-/ 2- Z
Company: i / AT Phone #:
(area code)
CONTRACTOR tv ( A- License #
Street Address:
city
State:
ARCHITECT/
ENGINEER Company: 1V A Name:
Telephone #: area code ( )
Street Address: Registration #:
City State:
Sewer & water licensed plumber (required for new construction only):
Penalty applies when address change and lot change is requested once permit is Issued.
Zip:
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
Certificates of Survey Received _.J? Yes
OFFICE USE ONLY
No
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 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
gH 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 21-1
Main level sq. ft. SAC Code C}%
_ 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
Building Engineering Variance -41 Valuation: $ 4,211i r
SAC Units
% SAC
PERMIT
City of Eagan Permit Type: Building
3830 PILOT KNOB RD Permit Number: EA035942
EAGAN, MN 55122 Date Issued: 06/01/1999
(651) 681-4675
Site Address:
3962 Donegal Way
Lot: 24 Block: 2 Addition: Murphy Farm
10-49500-240-02
Remarks: Plan reviewed by Bill Adams.
Petmit Fee - Fixed 60.00
Fee Summary: State Smharve - Fixed 0.50
S60.50
Contractor: ( Owner:
St. Lic.: Patrick Deisz
3962 Donegal Way
i
- Applicant -
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
...... ... ....
I
952 927 0407
0018 10,P5 10:32a Heritage Builders (952) 927-0407 P.1
N
T.
TiT,HERITAGE
BUILDEKS
74o/e r+onalLMin+1i Rrmw4[i.!r
FAX TRANSMITTAL
Number of Pages (Including Cover):
To: Terry Date: 10/5/2005
Prom: Rob Aldecocea Project Name: Deisz
Fax fl: 651-675-5694 Project Number: 200535
Re: Structural engineering information for 3962 Donegal Way. Eagan. 55122
Notes:
Tent',
I lerc arc the beam sizings and load calculations for the Deisz residence. The house
foundation is indeed solid poured concrete with steel rehar reinforcement. The structural
engineer indicated that the existing foundation will be sufficient for the loading.
Please note, due to a minor design change, the 7'-6" span in the basement addition will not
be a beam - it has been changed to a solid 2x4 load bearing wall.
Also, I spoke to the homeowner, and they do not have a storage shed on their property. Ile
indicated that there used to be a farm adjacent to their back yard that had a small building
near his property, but that has since been demolished for the rest ot'the developmenl..l le
also said that the neighborhood covenants do not allow a storage shed on the properties.
I hope this is all the information you will need. Please give me a call if you have arty other
questions.
Thank you,
Rob Aldecocca OFFICE
BINDER COPY
5020 Minneimika Boulevard - Sc. Louis Park, Mhn)C Qut • 55416
PHONE: 952-927-6595 FAX: 952 927-0407
viunu. heritagebUrr. com
Oct 10 05 10:32a Heritage Builders (952) 927-0407 P.2
S '
M W.T. (Mao) McCanv, P.E.
660075%Avsrala MOM,. &00" Park MN 55626
(7631560.7446
September 26, 2005
Mr. Mark Be izell
Dcsigntucs
Heritage Builders, Inc.
5020 Minnetonka Boulevard
St. Louis Pack. MN 55416
Re: Beam Design
Addition & Kitchen Remodel
Deisz Residence
3%2 Aoaegal Way
Fagan, Minnesota
WTM Job No. 2618.
Dear Mr. Benzell:
This is to certify that 1 Lave deeigned beams for the above as follows: 1. upper floor- 18'-8'/4^ Use W 12x26 or W8x35 Steel
Use 2 I-/,x7'/4 LVl s
10'-3". Use W8x13 Steel
2. lower floor- 14'-3" Use W 12x26 or Wgx35 Steel R? = 3 ¢? l te4
W %t.t- eE sav b U;PAA-' 7'-6- Use WSM O Steel R 9p 3, gA-
13-11" Use WM26 or W8x3kLel K jjQQLL ?? M
Alf steel beams are to be Grade 50. You may substituftL- i 4f'tleQsfred because of
availability. All beams should have amino umof 3 2x4 or 2x6 shlda for support.
¢/oaf /*
In my opinion, the above will be structurally adequate. Please feel free to 40nlact me should you
have say questions.
Very fly yam.
J//?j/? ( /?^ J
VY W?
W. T. McCalis, Stnneaaal Engineer
?aacq aptayaaa ab per??roeeoeaa at CPO"
wre yrglwO by seem nod& OW&Mxtp&v kn
ad ppplaaa Ady Li6taa6Q rlvtofsfOnd r
un" 6e km orlbe Mao fiLKf 4
W. a
Maghaaiba No. 10500
Shvcdpal COMMUNN"t
t-d 941+4-099-E9L UTIOnoW DQW dEZ:EO SO V0 %Do
Oct 10 05 12:03p Heritage Builders
(952) 927-0407 p.2
0 W.T. (Mae) Mocaaa. P.C.
6600 TSh Avenue North. SMokyn PWk. MN 55728
(763) 560-7446
October 10, 2005
Mr. Mark Benzell
Design/sales
Heritage Builders, Inc.
5020 Minnetonka Boulevard
St. Louis Park. MN 55416
Re: Beam Design
Addition & Kitchen Remodel
Deisz Residence
3962 Donegal Way
Eagan, Minnesota
WTM Job No. 2618.
Deer Mr. Benzell:
This is to certify that l have reviewed the footings and cast in place wall for the above project.
You have informed me that it is a cast in place wall with horizontal reinforcing founded on an
8x20 footing with 2 No. 4 longitudinal bars This will be adequate for the 32,200 pound beam
load l had Faxed you earlier on a marked copy *tiny letter of September 26, 2005.
In my opinion, the above will be structurally adequate. Please feel freo to contact me should you
have any questions.
very truly yours,
u k mby mtiry" a[+ phw spmrmwwa of MW
. Vrcp+maky rrreormdu my4koct.wPorwuim
and *9 1 w &Ooy Hamad PwLk i rrW Srtgi
ur4w*41vw7 art7w S7 ofMinncpAa.
W. T. McCalla, Structural Engineer
Sbwctore7CarmumbMt
&Wgos - Snuck of Cwrvete - f. kp TeswrMny
t>?m?p?f?(!?_Reg?ua6ar w. ios.o
I'd 3"L-099-E96 91193ow avu a1S=1r SO 01 1400
6126678092
APR-18-2006 09:24 From:LF215M 6126678092 To:651 675 5694 P.1'1
1?0
2006 RESIDENTIAL MECHANICAL PERm IT APPLICATION
City Of Eagan
3830 Pilot Knob.Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single Family dwellings & hiwnhurnes/condos when pcrmitc are required for each unit
l V
Da[c?l
/t
_
tT
Site Address r?I
?o
L pd(ncm rt ?.?Ltv unit#
?
]
Property Owner P De; j z_ Telephone # (&IPS( ) /nTy- a,7,%-5'
Contractor
Street Address City
State Zip Telephone #
(
)
Bond #• Expires:
The Applicant Is Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace -Additional -Replacement _ New
air exchanger
air conditioner
_ heat pump
..)L_ other tpe rc Qo ?4-il'A"w- A0 4-ae? 7ttr ?? oQr?e i
State Surcharge $ .50
Taal $
1 hereby apply for it Residential Mechanical Permit and acknowledge that the information is complete and accurate; that die work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that 1 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.
t CA- I _ II t:,_ r S 7- ?. __..... -..
Applicant's Printed Name Applicant's Signature
?3to23
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Jost Detail Options selection sheet (buildings with 3 or less units)
Minnegasoo mechanical ventilation form
RemodellReoair Requirements
2 copies of plan showing footings, beams, joists
1 set of Energy calculations for heated additions
1 site survey for additions & decks
Addion - indicate Hon-site septic system
* .1a 00
-M Use IN.,
Ced 61 9"66i6y, Rend ?" ? ' '?-
"y 'N
7r?ePresf{?la'5?Recd„ ??X P);
7reePrgS,Regulred'(-¢ _.,;:?Y ,.N
Onsde SSptie System_,,=?.YY IJ
(0r
Date sr I l Construction Cost o- t'c?
Site Address 3Fz /?1:?. ?5< ??w Unit/Ste #
Description of Work 7ta 12X L' e / n n f c c [ a ? ) cY(• "
Multi-Family Bldg _ Y LAN Fireplace(s) _ 0 A 1 _ 2
Property Owner e? r
> 'L Telephone # (ZS1 5 $ Z- 7e ?i
Contractor ) /-,/" ( 4
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Cateeorv 1
Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
_ Minnesota Rules 7672
New Energy Code Worksheet
Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #( )
Mechanical Contractor Telephone #( S? IE 0 d[ D
Sewer/Water Contractor Telephone # ( ) MAX 3 ft 2006
L
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.
t?•?f ?1a<sz -ms's=???:?,
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
,. Work Types
? 31 New
? 32 Addition
? 33 Alteration
* 34 Replacement
? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 10 08-plex ?< 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex ? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - G ive PCA handout to applicant
Description: Water Damage_Yes
Valuation ?
Plan Review /3? 100% or
Census Code
SAC Units
# of Units
# of Bldgs -
Type of Const 7
?[7
.Occupancy k-3 MCES System
25%
Zoning A - City Water `
Stories '- Booster Pump
Sq. Ft. PRV
Length / 02 Fire Sprinklered
Width
Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace - R.I. -Air Test -Final
Insulation
Approved By: _
Base Fee 61/
r
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Sheetrock
Final/C.O.
Final/No C.O.
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco Lath _ Stone Lath- -Brick
Windows
Retaining Wall
Building Inspector
µ61d H1-19, pals.
(61Z) ) 661-19t4 4 FAX:Ol1/-640d
LAM RNKAIh • OW DATARrAS
j4jo
NpY 10 t1.E.
E L~-Aft MCN+u" cZy
Blaine, MNSS43A
t (612) 763-18W FAX-783-1563
a
Certificate of Survey for: J.S. HOME5
3982 DONEGAL WAY
TTOPCG MARK
ELEV.=915 00
,
,
I
I
50 `
?
t `
,
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913.5 ?
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912 2
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23
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907.5 130-00 9037
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4 . 907 7 iT, I ,0
912.7
25
(VACANT)
DATE
BUILDING INoPf.:!'l IAS DEPT.
Non. ?Ro?o= CRAMS SMOM 10 0 tIRADPtO PLAM 111: MR
NOTE: PAGING ORAE" WS SMORN ARE roll NOIREWtAL AND VERMAL LOCATION
OF $TT*VCTU g$ Ok Y. E MONTECTUK Kull rag SAtpMO AND
WITT -. NO %"CWK SOBS INK7TIOATA7N NAS WIN 1:MWLETEO ON THIS LOT sY ME
RP OPOKO INC NOT TTHE'LRESPOOSM.% TO LITV OF INC Sk ?"VOR MOUSE
NOTE. THOSE 1 ON KOMS MNOT Y 0A TO SHOW EA?ENn OTICR MMI
NOTE' roNMACTOR MUST VETarI QMVEWAY OEVVm
NOTE KA MCS SMORN ARS flat W AN ASSUKO DA"
906.0
130.00 •'t CAP- )
PRgeas2 Nousc L EVATION_
LOWEST FLOOR ELEVATION: J04---
TOP OF BLOCK ELEVATION: ylk
GARAGE SLAB ELEVATION -M of 4r
A 000•00 pmns LMTING 96SVASON
( ppp.00 1 OSNOTEs PRWMO ANOVUTIT'UT, [AS[vE N.
- - _, DENOTES C*AWAOC
....?-r 06NOrc6 COMMAGC FLOW ONECNON
_ O og" NAT
-.g-- KNOWS arut WA
????_ 0W1 R
NOV 0 7 2008
- -----------
For?ci3ytlse
j permit #:
Permit Fee:
Date Received: j
I I
I Staff:
I--------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Tenant:
Suite #:
C-PI
RESIDENT / OWNER Name: Phone: % S/- y% %' G 7d S
Address / City / Zip: 2 J!' C Es 14 6 51 366"-
Applicant is: Owner _ Contractor
TYPE OF WORK Description of work: &jz vw e, -/ ' ^ -C /A i/t c ( L,i er° /c eC
Construction Cost: Multi-Family Building: (Yes _/ No
CONTRACTOR Name: SICI// License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
Minnesota Rules 7670 Category 1
_
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(J 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 yrou submit are considered to tie public information. Portions of -
i
unit the City to
the information may be classified as non-public. if you provide specific reasons that would per
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 start without a permit; that the work will be in
accordance with the approved plan in the rase of work which requires a review and approval of plans.
x F04 bei S Z- x le
Site Address:
Q 17
Applicant's Printed Name Applicant's Signature
/
Page t of 3
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 (screentgazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building'
? Addition ? Move Building ? Reroof ? Demolish Interior
A Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
V
l
ti
00
tL
O
MCES S
t
m
on
a
ua ccupancy ys
e
Plan Review Code Edition &A aiv7 SAC Units
(25% 100% Zoning City Water
Census Code W--?? Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
Footings (new bldg) Sheetrock
_
_ Footings (deck) Final/C.O.
Footings (addition) Final/No C.O.
Foundation y. HVAC
Drain Tile Other:
Roof: -Ice&Water -Final Pool:-Footings -Air/Gas Tests -Final
Framing Siding:-Stucco Lath -Stone Lath -Brick
Fireplace: __y. 1. `Air Test ?f Final Windows
Insulation Retaining Wall
?
Reviewed By:
--------------------------------------------------------- Building Inspector
-----------------------------------------------------------------------------------.
RESIDENTIAL FEES:
Base Fee
Surcharge 2 o o o
Plan Review 7l
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
I For Q„Tfi?e Us'e I
I Q
#: 8O
Permit
I Permit Fee:
? Date Received: V
I I
I Staff: i
L-----------------1
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: J Z 6 0 5? Z 6' ' s' Site Address: "/Z?eA e?c/--
Tenant:
Suite #:
RESIDENT I OWNER Name: ????eJQ i s z- Phone: 7a 5-
Address/ City/Zip: 3 ?l n s li/ - / Z z
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
TYPE OF WORK X New _Replacement _Repair _Rebuild _ Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater _ Water Softener
- Lawn Irrigation Add Plumbing Fixtures
RPZ / _ PVB) (_ Main ?I Lower Level)
_ Septic System _ W ater Tumaround
_ 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 $14700 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 i5 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 I???ISZ
Applicant's Printed Name
x????
Applicant's Signature
FOR OFFICE-USEevlewed?By Date
Required Inspections _Under Grourid Rough In l+' 41r Test Gas Test "_Final
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Certificate of Survey for
2422 Enterprise Drive
Men,JQta Heights, MN 55120
(612) 681-1914 FAX: 681-9488
LAND
LANDSCAPE ARCMMCTS 1625 Highway 10 N.E.
Blaine, MN 55434
!(612) 783-1880 FAX: 783-1883
J.S. HOMES_
3962 DONEGAL WAY
BENCH MARK
TOP OF PIPE
ELEV.=515.00 .
23
t0 915.3 HOUSE USF EXISTING S89*32048"W
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1y13.7 3G.C0 34.33 51 T.6 --- ' 903.7
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ENGH MARK ' 11 DD
TOP OF PIPE ---
BY ELEV."912.89-' C ?'/j'e-
DATE ?
BUILDING INSPECI]ONS DEPT.
NOTE: PROPOSED GRACES SHOWN PER GRADING PLAN BY:' BRW _ PROPOSED HOUV__fj,VATI N
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION L
OF STRUCTURES ONLY. SEE ARCHITEGTUAS PLANS FOR BUILDING AND LOWEST FLOOR ELEVATION: ?LD ?l7
rOUNDATION DIMENSIONS. TOP OF BLOCK, ELEVATION: °? -
NOTF: NO 5PFCIFIC 5011.5 INVESTIGATION HAS BEEN COMPLETED ON TMI5 LOT BY THE ii _ .?
SURVEYOR. THE SUITABILITY OF SOILS TO 5VPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION: _ 1&1 `-'
PROPOSEO IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN x 000.00 DENOTES EXISTING ELEVATION
THOSE SHOWN ON THE RECORDED PLAT. ( OOD.DD ) DENOTES PROPOSED ELEVANON
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. - - - DENOTES DRAINAGE AND UTILITY EASEMENT
,$I ---e DENOTES DRAINAGE FLOW DIRECTION
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM -T- OENOTES MONUMENT
1 -.$- DENOTES OFFSET HUD
1
WE HEREBY CERTIFY TO 4S• HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
_UHVY OF THE BOUNDARIES OF.
LOT 24, BLOCK 2, MURPHY FARM
DAKOTA COUNTY, MINNE$OTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT A$ SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 31ST DAY OF AUGUST, 1990. ,
51 E0 PIONEER ENOIINEER C, P.A.
SCALE ; 1 INCH 30 FEET 7
.
Jnhn C. Lcrsan. LS. ReD. No. 196
T L.
Certificate of Survey for
BENCH MARK
TOP OF' PIPE
ELEV.=915.00
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LAND
LANDSCAPE
J.S. HOMES_
3962 DONEGAL WAY
23
625 Highwo 10 N.E.
Blaine. MN 55434
(612) 783-1880 FAX: 783-1883
EXISTING
915.3 HOUSE S89*32F48"W
an7.5 130.00
911.6 903.7
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M e.,doto Heigt0s. MN 55110
(612) 681-1914 FAX:681-9488
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(VACANT)
TOP OF PIPE
BY --ELEV. - 912.89- ,
DATE "l " til•_?.?_
BUILDING IN0'Pr=!;11vNS DEPT.
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: BRW
NOTE: OF DVILOINU STRUCTURES DIMENSIONS ONLY. SEE SHOWN ARCARE HITEGTUAL PLAN4OR BU4DNGAA DOCATIOFt HORIZOTAL AND FOLNDATION DIMENSIONS.
NOTF: NO 5PFCIFIC SOILS INVESTIGATION HA% BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE
Off
h17
N
O
906.0
130.00 '/wcoN)
I
9.
PROPOSE H UO?L-ELEVATI N
LOWEST FLOOR ELEVATION: `k tll
TOP OF BLOCK ELEVATION: r
GARAGE SLAB ELEVATION:
NOT THE RESPONSIBILITY OF THE SURVETOR.
PROPOSED IS
X 000.00 DENOTES EXISTING ELEVATION
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN ( OW 00 t DENOTES PROPOSED ELEVATION
TH05E SHOWN ON THE RECORDED PLAT
OEI/DIES DRAINAGE AND uNUTr EnSEA'CN'
NOTE' CONTRACTOR MUST VERIFY DRIVEWAY DEVON. .---?-- DENOTES DRAINAGE FLOW DIRECTION
1 DENOTES MONUMENT
NOTE' BFARINCS SHOWN ARE BA 7E0 ON AN ASSUMED DATUM DENOTES OFFSET HIJB
11
WE. HEREBY CERTIFY TO .IjS. HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION 0 A
SURV"'r OF THE BOUNDARIES Or:
LOT 24, BLOCK 2, MURPHY FARM
DAKOTA COUNTY. MINNE50TA
/,SHOWN. AS SURVEYED ME OR
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHP.OACHMENTS, EXCEPT AS
UNDER MY DIRECT SUPERVISION THIS 31ST DAY OF AUGUST, 1996. CI / t`/ PIONEER ENfNEER
_?dG. P.A
SCALE : 1 INCH + 30 FEET
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Professional Design & Remodeling
INNETONKA BOULEVARD • ST. LOUIS PARK, MN 55'