3975 Donegal WayAddress 1475 n?npgai way Zip 5512?`
Lot 2 Blk 1 Sub P4urnhv Farm
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: I pp() Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUwrb daznage
Porch
Basement finish
Deck zl?
Please verify with t6e builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potenGal exists.
Contact engineering divisioa at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
OFFICE USE ONLY
,
01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
04 02-plex ? 10 08-plex # 18 Deck ? 23 Porch (screened) ? 36 Multi
05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
?031 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
34 Replacement *Demolition (Entire 61dg only) - Give PCA handout to applicant
duation ?
?!J D?J `?'
Occupancy .n
?C -3 MC/ES System
:nsus Code Zoning City Water
kC Units Stories Booster Pump
)r. of Units ? Sq. Ft. PRV
rc. of Bldgs ( Length Fire Sprinklered
pe of Const Iv W idth
REQUIRED INSPECTIONS
Footings (new bldg) FinallC.O.
)p Footings (deck) :?' Fina]/No C.O.
_ Footings (addirion) 7
_ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By /.CZ , Building Inspector
ise Fee
ircharge
an Review
:/ES SAC
ly SAC
ater Supply & Storage
',W Permit & Surcharge
eatment Plant
imbing Permit
:chanical Permit
:ense Search
)pies
her
,
ital
a RESIDENTIAL
` tt BUILDING PERMITAPPLICATION J'X,Qp
CITY OF EAGAN
?? 3830 PILOT KNOB RD - 55122
651-681-4675
v Construction Reouirements RemodeVReoair ReauiremeMs
3 registered sile surveys showing sq. ft. of lot, sq. ft. of house; and all rooted areas • 2 copies of plan
(20%mazimum lol coverage allowed) . 1 sel of Energy Calculations for heated additions
2 copies of plan showing beam 8 window saes; poured fouM design, etc.) . 1 site survey tor exterioradditions 8 decks
1 set of Emrgy CalcWations . Indicate if home served hy uptic system foraddi6ons
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selec6on sheet (bldgs wilh 3 or less units)
4TE 5 - /S • ai
)B SITE ADDRESS 377.5_ 1jvWGAL
MULTI-FAMILY BUILDING, HOW MANY ?UNITS?
;OPERTY OWNER o>d ? (-? /ZAPE OF WORK 4Eck -
'PLICANT ? 424 '/E-S
-? n
)DRESS 3S?S 11a,vtG?v 1n-/.
1GER # CELL PHONE #
VALUATION !l0on•
FIREPLACE(S) ,'0 _1 _2 _3
PHONE# b91- Sd5• 361C
? ZIPCODE 5S1LZ
Co?Z • 84b•cD34/o FAX# 6s1• So5 •3641
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLET D?
2nergy Code Category MINNESOTA RULES 7670 CATEGORY 1 ?' ? Q??
(check one) - Residential Ventilation Category 1 Worksheet Submitte D
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672 8y
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanieal Contractor.
Mechanical Sys[em Includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery SysCem
Phone #
Phone #
Fee: $90.00
Fee: $70.00
above information must be submitted prior to processing of application.
ereby acknowledge that I have read this application, state
applicable State of Minnesota Statutes and City of Eagax
Signature of Applic
:rtificates of Survey Received _ Tree Preservation
_ Water Soflener
_ Water Heater
No. of BaChs
Phone #:
_ Lawn Sprinkler
No. of R.I. Baths
the info i is correct, and agree to comply with
_ Not Required _
Updaled 1101
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
. ' CITY OF EAGAN
-? 3830 PILOT KNOB RD - 55122 1-1 C? 9 . (0??)
651-681-4675
. -? ... C, (
New ConshucNan ReauhemeMs flemodel/Reoah Reauh ?e? ? t
? 3 regisfered siFe surveys showing sq. k. of lot, sq. R. of house 2 copies of plan
and gd roofed areas f20% mmclmum bt coveraae allowed) 1 se1 of energy cakulallons for heafed addHtons
> 2copief of plans (show beam i window stres; poured ind. deatgn; Mc.) 1sMe wney tor exleMor addlNons a decks
? t set of energy calculaHOna
D S coples of hee preservaNon pian 8 lot plaHed aHer 7/1 /93 DATE: CONSTRUCTION COST: ?ZroS ?
DESCRIPTION OF WORK: N?l,? C.a,-?S?GfcT7o.,/
STREETADDRESS: 3975 7L"!^/-0;;'da.4-G L1/.¢.e
LOT: 2- BLOCK: _z_ SUBD./P.I.D. #: /17'GfiQAf,l? _.4t?ev
Name: ?Wj 71?07 ???s?'? Phone #: (?i/2 -4? ° 51338
PROPERTY tan First
OWNER
Sheet Addreu:
CNy State: Zip:
Company: •?oc•e ??K 40?s LLC Phone#: 412 `Zt5fo -2- 3s?
(area code)
CONTRACTOR
Sheet Address: 3c?0z/ leZs77ZE Z- ST :5'? License # 2o4 2302 Exp, ?oo
Cify ??D2 Z444- State: P*f-? Zip: t55 -3 7'Z
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (4?/2 ) 76' 3'/?a
StreeR Address: RegishaNon #• IV14-
city 3???? State: ry/? Zip:
Sewer 3 water Ileenaed plumber (reauired for new conslrucNon onlvl: ?G"'' "??r? ????'/?1'"??
Penaky appltes when address change and lot ehange is requested once permM sl Issued.
I hereby acknowiedge fhaf 1 have read fhis applicaNOn, state thot fhe
Stafe of Minnesota Stafutes and CIFy of Eagan Ordlnances.
Slgnature of Applitant:
OFFICE USE ONLY
Certificates of Survey Received ?Yes _ No
Tree Preservation Plan Received _ Yes - No ,?lot Required
and agree tg,55?mpty wHh all applicabl
OFFICE USE ONLY
BUILDING PERMIT TYPE
:
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
1% 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex 0 13 1&plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex O 10 8-plex O 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
10 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
O 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.• ? 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) S-411 Basement sq. ft. Census Code ?[L
(Allowabie) 4-,f) Main level sq. ft. ? 9a Y SAC Code O?
UBC Occupancy R-r A!Lv? sq. ft. No. of Units
Zoning 121), T6 ar4 sq. ft. No. of Bidgs
# of Stories C2 sq. ft. MC/ES 5ystem
Length Y7 Y sq. ft. City Water
Width ? Footprint sq. ft. o't?0 Booster Pump
PRV
Fire Sprinklered
APPROVALS
?
Planning Building Engineering Variance
Permft Fee Valuation: $ Gd?
Surcharge
Plan Review ??
D u
-?•
- ?
License p
z 3k s ?(- ?.?9zV"
MC/E5 SAC
CitySAC ? 0,e 3q' ?q_ y(?- o v
, Zz?v.? ':
K !6 ;7 3
5
J
.
(
8z?
Water Conn.
WaterMeter
e a88, -? ?
Acct. Deposit 3a x,Z,`?
S/W Permit
S/W Surcharge
Treatment Pi
7 6 6 a Y-?
?
C
1
. 1
56
? -
Park Ded.
Trails Ded. a?(Y S'-- '2 7z ? ao
zk- lY = J, 9?
Other
Copies
rotal: 54 q.(403
SAC Units
% sac ???'? ?? Os? 6 8G o 0
, 'a??l?•ri???'
?.. ..
CSTY :t:i1=, [:iaC;A?ds
f`Aiit14:l'ERc :it, i'i3:f;Ma:NFti.. N".7a ;e;,i.
D^?rE::: 09?20?99 'rT.Ma:-: ;.:t07W
II7 :;
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:ii:s::y?? ?i.Lf..1 ...
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I( 1 I' t.n ?.?•.?Y..oF9?.
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30. i'l
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32`0 :+(lfi:l. 3975 1)f}NF-i::Yil.. N'•l qw,`.:?`y
3866 937:7 :7975 Gf;h'1iC(:1F91_ IA'Y` i.UO.LJq
3422 ('D )nI 1):':! t!' Ji:.I.;Fri... I4? ; q0:31 .78
P05 92120 3975 C!i.it;;;:c;fiJ.. NV i `03`?.5n
1146 900.a :.905 L{`./ 1.I.i,50
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343 91_ 3975 V1r'I l:N.. N`d 50-.(.iC!
2';`"'.,
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. i. I. r•r??^?=_f?i'I
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ifP/1T_ . i.i.i'1Q 1.:1.9<i =
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rJAM!;=c Iii7f:;!i l;G:filii:4: !-?tlNiE-'S I_.!_C
3716 9'c+:0 2975 I'fNEs;Ftl._ IdV :1.14.00
Wt? 9'r.ri'f,i 397E i?J?
'JE
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roi:,i Re,: e:ti;t nr.,ow,i: 51401:i.,63
r,R:i.:i.7225
USEP: :f.iia „rN
EXTERIOR ENVELOPE AVERAGE "U" VALUE COMPUTATION
OWNER ROCK CREEK HOMES L.L.C. 990606R
LEGAL DESCRIPTION
ADDRESS
PREPARED BY STEVEN R NOLLET
DATE g/22/g9
TO MEET THE REQUIREMENTS OF SBC 6006 (C) 1 THE SUM OF PARTS 3 AND 4
MUST EQUAL LESS THAN THE SUM OF PARTS 1 AND 2
1) 489.72 PLUS 2) 50.96 E UALS 540.68
3) 488.50 PLUS 4) 43.04 EQUALS 531.54
EXTERIOR ENVELOPE U COMPUTATION
AP RT 1
TOTAL EXPOSED WALL AREA 4452.00 SQ. FT. X'S 0.11 489.72
PART 2
TOTAL ROOF/CEILING AREA 1960.00 SQ. FT.X'S 0.026 50.96
PART 3
AREA FROM WORKSHEET
A) TOTAL NON-FOUNDATION WINDOW WALL AREA 372.00
B) TOTAL DOOR AREA 38.00
C) TOTAL PATIO DOOR AREA 80.00
D) TOTAL FIREPLACE WALL AREA 0.00
E) TOTAL WALL FRAMING AREA (10%) 290.96
F) TOTAL RIM JOIST AREA 588.00
G) NET WALL AREA ABOVE fLOOR 2186.18
H) FRAME WALL AREA AT FOUNDATION 432.45
I) TOTAL FOUNDATION WINDOW AREA 131.50
J) TOTAL NET FOUNDATION AREA ABOVE GRADE 90.00
DETERMINE U VALUE OF EACH PORTION
A) 372.00 X'S 'U' 0.500 186.00
B) 38.00 X'S 'U" 0.310 11.78
C) • 80.00 X'S "U" 0.510 40.80
D) 0.00 X'S °U' 0.046 0.00
E) 290.96 X'S "U" 0.104 30.12
F) 588.00 X'S 'U' 0.046 26.98
G) 2186.18 X'S °U' 0.046 100.33
H) 432.45 X'S "U" 0.046 19.85
I) 131.50 X'S 'U' 0.500 65.75
J) 90.00 X'S "U" 0.077 6.89
TOTAL 488.50 488.50
PART 4
TOTAL EXPOSED ROOF AREA
K) TOTAL SKYLIGHT AREA 0.00
L) TOTAL ROOF FRAMING AREA 196.00
M) TOTAL NET INSULATED ROOF AREA 1764.00
OETERMINE' U" VALUE FOR EACH PORT ION
K) 0 X'S 'U' 0.400 0.00
L) 196 X'S 'U" 0.026 5.00
M) 1764 X'S "U' 0.022 38.03
TOTAL 43.04
CALCULATION WORK SHEET
LI NEAL FEET OF EXPOSED WALL
BLOCK 54 54 34 34 4 180.00
LOOK OUT 12 32 44.00
WALK OUT 54 54.00
FULL 1 9' 56 56 34 34 10 190.00
FULL 2 8' 34 34 46 46 160.00
9 I/2' RIM 0.00
18' RIM 190 160 350.00
S OUARE FEET OF EXPOSED WALL
BLOCK 180 X'S 0.5 90.00
KNEE 44 X'S 5 220.00
BSMNT W.O. 54 X'S 8 432.00
FULL 1 9' 190 X'S 9 132 1842.00
0.00
FULL 2 8' 160 X'S 8 1280.00
9 1/2' RIM 0 X'S 0.98 0.00
18' RIM 350 X'S 1.68 588.00
TOTAL 4452.00
SQ UARE FEET OF EX POSED CEILING 1960.00
SQ UARE FEET OF EX TERIOR OPENING S
WINDOWS
BSMNT 60 17.5 27 27 total 131.50
FULL 1 27 96 21 15
15 25 35 24
FULL 2 27 16 4 27
40 totat 372.00
DOORS 38 total 38.00
PATIO DOORS 40 total 80.00
L.L.patio doors 40
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
ANTICIPATED "R" VALUES PER CONSTRUCTION TYPE
IROOF ?
EXERIOR AIR FILM R= 0.61
BLOWN INSULATION R= 44
2 SHEETS OF 5/8" GYPS UM BOARD R= 1.16
INTERIOR AIR FILM R= 0.61
TOTAL R VALUE 46.38
TOTAL U VALUE 1/11 0.022
ROOFFRAMING
EXTERIOR AIR FILM R= 0.61
BLOWN INSULATION R= 33
3.5' SOFT WOOD R= 4.37
5/8' GYPSUM BOARD R= 0.58
INTERIOR AIFt FILM R= 0.61
TOTAL R VALUE 39.17
TOTAL U VALUE 1/R 0.026
INSULATED WALL
EXTERIOR AIR FILM R= 0.17
VINYL SIDING R= 0.62
3/4" OXBOARD SHEATHI NG R= 0.94
BATTINSULATION R= 19
1/2" GYPSUM BOARD R= 0.45
INTERIOR AIR FILM R= 0.61
TOTAL R VALUE 21.79
TOTAL U VALlIE 0.046
FRAME WALL
EXTERIOR AIR FILM R= 0.17
VINYL SIDING R= 0.62
3/4" OXBOARD SHEATHI NG R= 0.94
5.5' SOFT WOOD R= 6.87
1/2' GYPSUM BOARD R= 0.45
INTERIOR AIR FILM R= 0.61
TOTAL R VALUE 9.66
TOTAL U VALUE 1/R 0.104
RIM
SAME AS INSULATED WALL
TOTAL R VALUE 21.79
TOTAL U VALUE 1/11 0.046
FOUNDATION
EXTERIOR AIR FILM
12' CONCRETE BLOCK
BATT INSULATION
INTERIOR AIR fILM
TOTAL R VALl1E
TOTAL U VALUE 1/11
R= 0.17
R= 1.28
R= 11
R= 0.61
13.06
0.077
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUIIDING PERMIT APPLICATION
, PROPERTYLEGAL L,'` 2 Rav't / App//y Aom
DATE OF SURVEY: ?- 20 ` 9 T
LATEST REVISION: 9 ^ $ -
DOCUMENTSTANDARDS
o ? • Registered Land Surveyor signature and company
V ? ? • Building Permit Applicant
q;'- ? ? • Legal descriptian
r,Y ? ? • Address
rra'?o ? • North arrow and scale
rV' ? ?. • House type (rembler, walkout, split wlo, split entry, lookout, etc.)
m/o ? • Directional drainage arrows with slopelgracrient %
Z-?o ? • Proposed/existing sewer and water services 8 invert elevatian
ca?o ? • Street name
?? ? . Driveway
r5? ?
? ? • Lot Square Footage
? o • Lot Coverage
ELEVATIONS
Existina
DZ? ? • Sewer service (or Proposed)
ue"o ? . Praperty comers
&?'? ? • Top of curb at the driveway
EF' ?? • Elevations of any existing adjacent homes
a vo Adequate footing depth of structures due to adjacent utilily trenches
Prooosed
r/ ? ? . Garagefloor
El, ? ? • Firstfloor
co/ ? ? • Lowest exposed eVeva4on (walkoutiwindow)
? ? ? • Property corners
?o ? • Front and rear of home at the foundation
PONDING AREA (if aodicahle)
d? 0#4 a • Easement line
ya' ? ? . NWL
r? ? ? . HWL
? ? p • Pond # designation
? a/? • Emergency Overflow Elevation
DIMENSIONS
? ? ? • Lot IinesBearings & dimensions
e? ?? • Right-of-way and strcet width (to back of curb)
v? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footlngs)
m/ ?? • Show all easements of record and any City utilibes within those easements
M/ ??'/4 • Setbacks of proQosed strudure aod sideyard setback a?jacent ` g structures
? 6 ? • Retaining wall requirements, if any
Reviewed:
March 1999
GpqIG/gLpGPRMT.FM
,
?
,
'
CITY USE ONLY
LOT BL ?
SUaD. t-t? V n-,
??°rc7
RECEIPT #.
RECEIPT DATE:
1999 MECHAIVICAL PEgMIT (lRESIDENTIAL)
ciz,Y oF EAsttx
3$30,1PILOT KNOB {iD
£A6RN RiN 55122
\\ ?
Date: S^C? G\ (65 1 1)6$1-4675
.
Complete this section onlv if you are installing HVAC in single family, townhomes or condos under
constniction and not owner /occupied
e HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU: 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surchazge: .50
• TOTAL:
Complete this section oixl if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
New _ Replaceme4!, _ Repair _ Other
- ?
Fumace Air conditionin-,
-
_ Air exchanger, i.e. Vanee system, etc'. _ Other
Reminder: CaC! 681-4675 for inspections. $ 30.00
State Surcharge: .50
? Total: $30.50
SITE ADDRESS:
O WNER NAME:
1NSTALLER NAME:
STREET.4DDRESS:
C1TY:
PHONE #:
PHONE #:
STATE:
SIGNATURE OF PERMITTEE
15/FORNIS BLD/MECH PERMIT (RES) - 1999 ? /,
L BL
SUBD.
APPROVEO BY:
CITY USE ONLY
INSPECTOR
1999 MECHANICAL PERMIT (CO1HMEitCir\L)
C11'Y Of F-AEiAN
3$30 f'ILOT KNO$ $D
EAsAv, Mrr 55122
(651)6$]-4675
Please complete for: all commercial/industrial huildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRTCE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR 530.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1 %
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
RECEIPT #:
RECEIPT DATE:
($.50 per $1,000 oFnemvt fee due on all permitsJ
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CITY:
#:
STATE:
ZIP:
SIGNATUkE OF PEAMITTEE
PHONE #:
,
CITY USE ONLY
L ? nBL ? RECEIPT #: I i ?
1 a? I
SUBD. `? `???-A.'( P?k.,`rFG r VY--, RECEIPTDATE:
PERMIT #
1999 PLU11BINfi PEtMIT (iiESIDENTtAL)
crrYoF EneAx
3930 Paor icNoa Rn
EnsAu, Mr? 55122
(651)6$1-4675
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
Bath tub $ 3.00 x = $ ?
Floor drain 3.00 x = $
G25 i if1 Outlet ` minimum - 1 3.00 X = $ 3
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x $
Lavato 3.00 x 5 = $
Minimum fee alterations to existin dwellin 30.00 z = $
Private Dis osal S stem newlrefurbished " re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x 3 = $ • SU
Shower 3.00 x Y = $ 3. 0-b
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water doset 3.00 x = $
Water heater 3.00 x 1 = $
Water softener if dwellin under construction 5.00 x - $
Water softener if existin dwellin 30.00 x = $
fi
Water turnaround 30.00 x ---- _ $
State Surchar e
SD
----?
---->
$
n
Total ----? ----? ,?
S Reminder: Call for inspections of alterations, i.e, water heaters, water softeners, etc.
------?- ------------------------------------- ------------------ ---------------
I hereby a(knowledge that I have read this application• , sfate ?at Ne infortnation Is corred, and agree to comply with all applicable City of Eagan ordinances-.
It is the applicanYS responsibility to notify the property owner that the City of Eagan assumes no liabiliry tor any damages caused by the City during iLs
normal operaGonal and maintenance activities to the facilities constructed under this permit within Ciry properly/right-of-wayfeasemenf.
SITEADDRESS: 3175 4???1P? IC? l,?>.I?
OWNER NAME: :-:)`[?[`t C 6c--e7? 4Vc>L-?---:TELEPHONE #: /?' '3 S60
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE #: ,P/ x ??
(AREA? (O DE)
CITY--;:?, ST E: ?- ZIP: -sS 3-S
SIGN RE OF PERMlTTEE
L ? gL ' CITY USE ONLY RECEIPT #: 13J 7S &
SUBD. MtAy?w r RECEIPT DATE: vS' G V
, PERMIT # / I' I D
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IQIOH RD
EAGAN, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH III
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet • minimum - t 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newirefurbisnea • requires MPC lio. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installationlrepairlrebuild 30.00 x = $
Rou h openin 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under tonstruction 3.00 x = $
Underground sprinkler rf existing dwelling 30.00 x = $ 30.OC)
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under eonstruction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 --> --> --> $ .50
Total --> -> ---> -> O.SZ
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- -- ---------- ----------------- • ----- ----- ---- ------ --------------------------------------------------------•------------------------- -
I hereby acknowledga that I have read this applipdon, state that the information is cortect, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanYs responsibility to notiy the property owner that the City of Eagan assumes no liability for any damages ceused 6y the Ciry during ds
normal operational and maintenance activities to the faciliGes wnstructed under this permit wdhin Ciry property/right•of-way/easement.
SITE ADDRESS: ?51?15 Da neaal t„-)n q
OWNER NAME: :
TELEPHONE #:
(AREA CODE)
INSTALLER NAME:{(IHmm (T1zcFr?n`?cc? 1 ('u)if?rS2,UELEPHONE#: S90-4%0
STREETADDRESS: Ia4OQ Cji nJ-t,, RCt it- I( (4REACODE)
CITY: ?ti ?nS Y ? l ?Q r STATE: IIdIU ziP: 5533"1
SIGNATURE OF PERMITTEE
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We hereb certify that this is a true aald correct surve of the above ~ Y Y
des~ribed ro ert and that it was erl'ormed b me or under ~ P P Y p Y mY
direct su ervision and that I am a dul Licensed Surve or un p y y der the . ~ ~
laws of the State of Minnesota. That tliis surve does not ur ort to ~ Y P P ~ C~ Z ~ W
show all improvements, easements or encroachments, to the property Z~
excA t as shown thereon. p V~
Si ned this 20th do of Au ust ~ggg g y , Ja a R. Hil~ Inc,, ~
F TH T= , ' TOTAL SQUARE FOOTAGE 0 E LO 235929 ~ g" ~i
, t ~ TOTAL SQUARE FOOTAGE OF THE HOUSE AND ALL ROOFED AREAS=2740,9
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Naroid C, Peterson, Mi~nesota LS. No. 12294
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1, Building dimensions sho~n ore for
horizontal dt vertical placement of structure ~ Denotes set spike I
oni . See architecturol lans for buildin o Denotes set iron monument
y P 9 ~ Oenotes found iron monument & foundation dimensions. xp27.6 Denotes existin elevotion ~j;i4
a 9 2, No specific soils investigofion hos been (~30.0) Denotes proposed elevation
com leted on this lot b James R. Hill Inc. Denotes proposed droinoge
P Y ~ p The suitabilit of soils to su ort the s ecific ; fi
5 Y PP P 2 `1 I (1 h • 908,45 -TNH-N Y A A p house proposed s ot t e responsib~l~ty of 8ench Mark, . QU D DONEC l
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`'ti r" ' 0 - 909,6 , o,~ of this survey. Oniy easement~ per the recorded Proposed Lowest Floor-
ANITARY W R INVERT ELEV,=903.0 ~ I r~ shown. NOTE: S SE E ~ s,~ ~ p ot C
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UL_l_ \YYVVV V \IV~_ ' PBQEOZD ELEYABON
PRO. - 9~ ~ PR CT NO. 990213
` F1U FlLE NO.
1-99 1-99-171
SNEET SHEET 1 OF i
~~'CEiU~ _ _ , p S~~ ~ 3 . r T
'd ~I.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124401
Date Issued:07/01/2014
Permit Category:ePermit
Site Address: 3975 Donegal Way
Lot:2 Block: 1 Addition: Murphy Farm
PID:10-49500-01-020
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Timothy J Graves
3975 Donegal Way
Eagan MN 55122
Cedar Custom Builders & Remodelers
1501 Keller Lake Rd
Burnsville MN 55306
(952) 215-5141
Applicant/Permitee: Signature Issued By: Signature