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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 " v U . 908,7 WREST MOON; ELEVATN7N: . . 04 r s Rn ?`iv TOP Or 91DGK EIEVATION:.9/.klk- MOT AO mm saw Y,rrYYM MM Wo cimmm am us LOT N iRf fYrISTAA TW WTAOUTT W UK% TOMPp I TT! YrOnR uRm M RES ON BUTY a ME MuVDM GARAGE SLA9. ELEVA'nON: ,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 ` , ?gT.T.7 I iI 913.5 ? Wl ?1'{I • I I 912 2 41 23 E1115TI _G I 915.3 N0U5E S88P3Zr"W -d( 81 907.5 130-00 9037 t, ., .? 91t 8 4 to I n 17 g _ } i W I ; dog I & E , A r 4,00 >\ IJ19TJ4I I Z 11 ?\Z\ Z }333 t0 n, 3.5 (41LT5? "9032T4eW T T r /w ` 46 I) l 08.5 t.5 a p TI IL 24gg lC N ? CIA 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 i ? ?' Are naa?Mn..w.lww?rnaaaswo?aaar? Y PIONEMR is n®n® ai it **** 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 ' 2 U .A7? I ? l \ 9D'.5 13Q.00 i• U? d 1y13.7 3G.C0 34.33 51 T.6 --- ' 903.7 914 .1 uT ?I In _ _ _ 71 _ - - ?_-"I 4.0 91S.S_ I ` ??` 10 10 I 'a+ ?21.17o A®y ?? O ?? I U-) r M I p3 2.00 9:1.5 90A..3 ?{ M 11 . ¢ x O 1 ? Qw 3 913.5 sI:] 4` Gal r? a a400 \ ? I N Sa I 13: I >?913 a 1 4) " 24 (r< I \ o° o? -:30- I fy 4J N Z I \?I n t Ud? I ?I r p0 ' N l? I 1 O I a" \ ow I 2 0-1 Z I "? F '130.33 91^ .907.7 11 I 10 inI 913.5 IM1 0 _ 913.3 Lo 912.2 30.00 34.33 906.6 912.7 2 (H1z15) S89'32'48"W 130.00 U 25 (VACAN T) 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 10 ? I ` 1 913.7 } 'x 1913.5 J ?I WI Z nI ? I I I912 2 1 I I 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 (- ^, 914.0 91.3 10 21.17 °} ^ I M r of " oW o s , a 5?1.?1I ,0 I ;911.5 908.3 ?„ 3 a.00.,, 24 N P ' r• T a7 I ` Z '?+ -. I 30.33 10 I L- h F - 9'.3.5 ,__---- a71 1 Ir1 = I I ?krt15? S89'32'48"W r ? i ??tK L9.:Z Lnteynsc Ul rvn M e.,doto Heigt0s. MN 55110 (612) 681-1914 FAX:681-9488 x T ?? t? r I ?H- ?a I - J I< ]? 24, Fa I a, , a I i, I ow 91 / n x 907,7 J 10 -? ? 7 25 (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 RP,9. No. ?•S. a lOhn :CL r6 96421.00 S r N 0 L n4/L :31VVS NV1d NOO1U 1NSW3S'9 aaINVAY9X3Nn 7 O_ to 1 O N m ▪ 2-6 n ciao Nagno 2-6 w .n o 8' 0" • z m 3 rn A O> O W00NC13fl RE -USE EXISTING KITCHEN CABINETS WHERE POSSIBLE T-3" ZD 5.1 grw r r-vo 'T1 ▪ Z 0 r d - Z® 0mm mcnr- 1 -> m SFW -<m 11'-0" ENTERTAINMENT GENTER 0UILT-IN5 • J B v 91 U-0 D E I S Z ��i� �� D � N O N T 3 E _a d = L- .3, n m o oEr s c agg 5 1" n. to , 3 s0 S=_��n N N 3 O d N 11' 5" ADDITION AND KO Al RE 3962 DONEGAL WAY r r 0 i-- !`- u Z0EAGAN, MN 55122 < m n py y p 0® As' p) r> hi ,,. '3 � zx ' 13-' 0rt'g • c O ig 33=3 Vj d M - I 3 CI 1 Q m .. -ii 0 33 Q'= m Q - M C >rnc ►r - rn t. r - p0 z �V 5/16" r ; w :o�ZSNCoa nj rP PI •CAj NO lit E 9 'n" 41 1111 � A 421 __HERITAGE BUILDERS Professional Design & Remodeling INNETONKA BOULEVARD • ST. LOUIS PARK, MN 55'