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3983 Donegal Way Use BLUE or BLACK Ink r----------------- For Office use ~ City of Ea an Permit#: d ~ I Permit Fee: 46, - 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: l' Site Address: Jnz_~, ec`,~o~r, M '1`1 2Z- Tenant: Suite M RESIDENT/ OWNER Name: 1 ('a I tgn 12-32_S-S(,Z 1 Address / City / Zip: 3 t 440 14 Applicant is: /K-Owner Contractor TYPE OF WORK Description of work: S -2-} w<\` Construction Cost: Multi-Family Building: (Yes / No~ ) CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gogherstateonecall.orcg I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x cf-t_ ~c6'~\10 r,,~ X Applicant's Printed Name Applicant's Si nature Page 1 of 2 q)oq DO NOT RITE BELOW THIS LINE (~V '7 SUB TYPES Foundation _ Fireplace Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level Pool _ Miscellaneous Accessory Building WORK TYPES - New X Interior Improvement _ Siding _ Demolish Building* - Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 500 `o Occupancy C MCES System Plan Review 14a,tjF, Code Edition `2007 MSI3G SAC Units (%---X86°l0~-^} Zoning City Water Census Code Stories Booster Pump # of Units 0 Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) V//Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 Address 3983 Donegal Way Zip 5512? Lot Blk Sub Murphy Farm THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: L6 Final grade (6" from siding) p/ Permanent steps (garage) Permanent steps (main entry) (O Permanent driveway Permanent gas U Sod/Seeded grass Trail/curb damage Porch Basement finish t/ 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 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy ,7 ° ? Z-5- RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Requirements emodegR air Requirements Office Use Onlv 3 registered site surveys showing sq. R of lot sq. R. of house; and L11 roofed areas 2 copies of plan Cart of Survey Recd (200% maximum lot coverage allowed) NIA 1 set of Energy Calculations for heated additions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found desgn, etc. - , l site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations NIA Addffion -indicate if on-site septic system _ On-site Septic; System 3 copies of Tree Preservation Plan ti lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date '3 / aG Site Address -5983 lDnnpnn_\ Wai Construction Cost t Unit/Ste # Description of Work 119?a A6 A,' 131 al'a 1 oey Multi-Family Bldg _ Y X N - Fireplace(s) X 0- 1 - 2 r Property Owner /(Jo-biwo 4 T:??'; e .Merc? Telephone #((?SI) ai9rl-4B7? Contractor ? ? n er U-D't 11 1n a &0" jn n a? ??s ? r on Address State 9 City Zip Telephone # ( ) 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 ? l O? Submitted • Energy Envelope C cwlaUans Submitbad L it Licensed Plumber L I ,?nr, } 7 2003 ?,U Mechanical Contractor Sewer/Water Contractor #f ) 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 Applicant's ki6attire OFFICE USE ONLY Sub Types ? 0 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 02 SF Dwellin ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) Ot of _ plex ?' 09 07-plex 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex 18 Deck ? 23 Porch(screen/gazebo) ?.. 05 03-plex ? 11 10-plex ? 19 Lower Level _ ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or N ? 25 Miscellaneous Work Types ? 31 New ? _ 32 Addition 3 eration ? 34 eplacement r" 4 ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ? t* Q Census Code L?S `C SAC Units Nbr. of Units Nbr. of Bldgs Type of Const _rj Occupancy Zoning Stories Sq. Ft. Length Width MC/ES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. Footings (addition) Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof Ice & Water Air/Gas Tests -Final Final Pool Ftgs _ _ ?C Framing _ _ _ _ Siding _ Stucco _ Stone Fireplace - R.I. -Air Test -Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Z Building Inspector Base Fee Surcharge Plan Review C"mh n-?I?y MC/ES SAC AC ? / ? i? ! -v 9 - 7 L/ ci City ?S Utility Connection Charge S&W Permit & Surcharge ©? Treatment Plant License Search 9 Copies / tf 0 Other Total Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. uRvy Foy ATR N ARCOTTE K.UDQESS ?R '.ATq =3()253 ocsov.cwL VJtW ??? b .,o? ?p /\ f?oT?-', Igo I-1ousF 1?0 ?DDR?SS ?a? ?"?? ???U AorE: SEWEZ•l WATER Pez CVmTzsc?Lssv m k1?..`?Iy1(-7-?ToLp 7b Qtau` Z%L- Az Btz W) ?° 1 AL?? / \ !? \ Q}.w,Q 370-O70D Q) }? ?'? /? \ ? Ww? 1+45 ? bal Y Sw.SU.« 907.0 oe /o?\ Y c ea eoK e ? 3 qq p C P T' Y \ ?9 6 all, / I? y1 Y?. 9 9 ` des i° ???? ?0 99.02 R`?8 S!s uj 1 l or W4- gpI ??u01?1(o RRC.P,o 24 Ab.?, 11.9 °lo 0, ov6R. Bearings are assumed Subject to easements of record if any 068'%?r ,b Acea : 46SKI + ToAvL\A ea siol-ft Denotes set or found iron pipe monuments Oe a4 ?1 rec . Iola arL S?k 15.0 x Coue r $ Denotes set wood hub and tack Proposed garage floor elevation '7 1`7' 4 Proposed top of block elevation 7g4,0 Denotes existing elevation 9p Denotes proposed finish grade elevation Denotes direction of surface drainage vl??? ?v ' Proposed lowest floor elevation I hereby certify that this is a true and correct representation of a survey of the boundaries of Lot Block 1 , m U R PHY FRR m i?DkXOTA County. Minnesota as on file and of record in the Office of the County Recorder in and for said County, also showing the proposed location of a house as staked thereon. That I am a duly,Registered Land Surveyor under the Laws of the State of Minnesota. Dated: kpzt L 2'?, M9 &uJ MocVS",eA: Ncac' 19,2003 9 t 6i Nome Allan R. Hastings Minnesota Registration No. 17009 212 East First Avenue. Suite No. C Shakopee, Minnesota 55379 Phone 612 445 4027 i rv Ci4 rI.IC '1V T., 00 ..:r7 f111 _'•"I ?f](l, .l if•, 14 A. wy (i(1 *r?, ?..I?tild[?" ['i L.' f•i[.F'rt_c,..l 1: fi _?`.i( ., ('.L r, T1E G Ike" 14Y -::2:Ycl v' / 'Fr y0 ,n„Y?Y,;i.<h4*m?F 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 01 651-681-4675 / ?_to New Construction Requirements Remodel/ReoaU Reauiremen s > 3 registered site surveys showing sq. N. of lot, sq. ft. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions > 2 coples of plans (show beam 8 window sizes; poured Ind. design; etc.) 1 site survey for exterior additions 8 decks > 1 set of energy calculations > 3 copies of tree preservation plan R lot platted after 7/1/93 DATE: ()Li - 29 -99 CONSTRUCTION COST: $24o'Cao DESCRIPTION OF WORK: 5incl? Fem; (cl 140"e-, STREET ADDRESS: 3981 D6+ %a\ Wasq LOT: 1 BLOCK: I SUBD./P.I.D. #: r ).ttpbj4 !-arm Name: /?1a.rc?Fke /1/aclha., Phone 651- ?f23-502c-f PROPERTY Last First OWNER Street Addrress:_I Q9,a 61-non, Ps<y City P1C6fFn A. State: Mw Zip: 5S 69' Company:_ Ncb,ts 4- oacl Assoai n Phone #: WO 953- SA99 (area code) CONTRACTOR Street Address: 94?,9 /c•!3 ra S+. c-w. License # 5 00 ExPCG_/31 SZCbo City 1e- Zc l\ e_cr State; MA) Zip: 5S)2y ARCHITECT/ ENGINEER Company: P10061L) Name: 70M 0M key r _ Telephone #: area code (4x$) ) L1,92-67a2H Street Address: 39.35 <aa,h tna-(-rx. Sri Le__ Registration City &0A State: M /V Zip: 5,,5't2 2 Sewer 8 water licensed plumber (required for new conshuctlon onlv): 7e'eN 4Gt T o A'i?? z Peblalty applies when address change and lot change is requested once permit is 1ss 5J. - I hereby acknowledge that I have read this application, state that the Information Is correct, ply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant:/ ? 1 OFFICE USE ONLY V I VJ' 2 9 1999 Certificates of Survey Received Yes No I ? Tree Preservation Plan Received Yes No _X Not Required I OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) Lei 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 & 31 New El 35 Tenant Impr El 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 7Z,!Y_ Basement sq. ft. ri IV Main level sq, ft. / sq. ft. (rcir _ sq. ft. sq. ft. sq. ft. Z Footprint sq. ft. IZ2a Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered 16 APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit SAN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units :2 S 2K Building 40 Engineering _ Valuation: $, i 5'- 177e5 X,? IS- 5r 12?? ?40 ?j es r '?5v X lG Variance ?v 26 ) '-s '7 Zg 90 i % SAC d m a m n n a G z z'-` a ram ? cr b ??a .Q-?? y v m ? ? 13 ? ? 13 LOT SURVEY CHECKLIST FOR RESIDENTIAL I BUILDING PERMIT APPLICAYON . 7 lG/9% Registered Land Surveyor signature and company Building Permit Applicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposedlexisting sewer and water services & invert elevation • Street name • Driveway • Lot Square Footage • Lot Coverage ELEVATIONS Existing a-'? ? Sewer service (or Proposed) c ? Property comers e! Top of curb at the driveway P ? Elevations of any existing adjacent homes Proposed ? ? Garage floor 2-,o ? First floor ? Lowest exposed elevation (walkouMwindow) ? Property comers ? ? Front and rear of home at the foundation PONDING AREA (if applicable) 13 Easement line d ? ? NWL ? HWL 2 ? a Pond # designation ? m' ? Emergency Overflow Elevation rrf?3 ? of ? ? 0 0 ? ra' ? ? d ? DIMENSIONS • Lot lines/Bearings & dimensions • Right-of-way and street width (to back of curb) • 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 • Retaining wall requirements, if , 7 Reviewed: PROPERTYLEGAL: DATE OF LATEST REVISION: DOCUMENTSTANDARDS sz-nzyy March 19M CRAGBLDOMW FM CITY USE ONLY L BL RECEIPTM SUBD. RECEIPT DATE: APPROVED BY: . INSPECTOR MECHANICAL PERMIT #: 1999 MECHANICAL PERMIT (COMMERCIAL) CiTYOF EAfiAN 8830 PILOT KNOB RD EAGAN, MN 551 EE (651) 681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank (Minimum Fee) Processed Piping (Minimum Fee) "NOTE: When installingiremoving underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. CONTRACT PRICE x 1% PERMIT FEE STATE SURCHARGE TOTAL ------------------------------- SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: CITY: PHONE #: (AREA CODE) PHONE #: (AREA CODE) STATE: ZIP: ($.50 per $1,000 of pgm Lt fee due on all permits.) SIGNATURE OF PERMITTEE CITY USE ONLY LOT ? ?j?,/` / RECEIPT #: SUBD? iY 1 / ?/ RECEIPT DATE: 0 MECHANICAL PERMIT # Av ( c I 1999 MECHMICAL PERMIT (USIDI NTIAL) CITY OF EAeAN 3630 PUM KNOB RD EAGAN MN 551 QE ?Q q (651) 661-4675 Date: Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea) State Surcharge Total $ 30.00 6.00 .50 $ 3..3-5 D Complete this section only if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration _ Repair _ Other Reminder: Call 681-4675forinspections. Furnace Air exchanger Air conditioning Other $ 30.00 State Surcharge .50 Minimum Total Due $ 30.50 SITE ADDRESS: c OWNER NAME: -\ INSTALLER NAME: STREET ADDRESS: CITY:? VS PHONE #: (AREA CODE) > PHONE #:__ (oQ ^ r A (^o IR C2 1 (AREA CODE) STATE: I : S SIGNA XOFPE CITY USE ONLY L BL SUED. RECEIPT #: /W 000?.31 RECEIPT DATE: / PERMIT # 1999 PLUM$IN6 PERMIT (RESIDENTIAL) CITY OF EAfim 3$30 PILOT KNOB RD EAEiAN, MN 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 = $ 3 Floor drain 3-00 x = $ Gas piping outlet ' minimum - 1 3.00 x = $ Hot tub/spa taz?A 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished ` requires MPC tic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x I = $ 3 = Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ Water closet 3.00 x 2 = $ Water heater 3.00 x = $ 3 Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30-00 x = $ Water turnaround 30.00 x ---- _ $ State Surcharge .50 > > ----> $ 50 Total --> > > ----> $ Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - ---------------------------------------------------------------------------...---------...--..---------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. it is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-wayleasement. SITE ADDRESS: 3 C7 3 OWNERNAME:: ? -f /YSSGYia. TELEPHONE#: fp/L ?S3- 361:2 (AREA CODE) INSTALLERNAME:?l? a-tip ?I6,A TELEPHONE#: Ls/ V(.0-ZL -7 (AREA CODE) STREET ADDRESS: SYOB 6r) /'Q /-4 Sf CITY: Lam TATE: /2a-?- zip: 1K NATURE OF PERMITTEE ,Jb?? 2007 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) 1 Soils Report if proposed building is to be placed on disturbed soil 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 Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel/Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate tort-site Septic system Office Use On Cert of Survey Recd _Y _N Soils Report _Y _N Tree Pres Plan Rem -Y N Tree Pres Required +Y _N On-site Septic:System _Y _N Plans are considered nublic information unless you state they are trade secret and the reason. Date tl 1 l l Construction Cost C7? Site Address 3 ?3 t/ s ^ "t) . I,- L,- Unit/Ste # Description of Work T?{k/L? O E IZed? Multi-Family Bldg _ Y Z N Fireplace(s) - 0 - 1 - 2 Property Owner .A / r A_r13 Telephone # (?Pt2 ) 3 2 Sto 3 ( ? "1 1s ( ? ? t/ Contractor tc ? jf (fi? L?Ln G7 t?- Address 2b ?/( 94 ?y Gn? /V? City /?? Gr.ci State &AZ Zip 33 4?_ Lt/ t Telephone # C? / Z) ZZ ? ?O ?? ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING. - Minnesota Rules 7670 Category I _ 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 #( 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 pe)=ut the work wi Tief in accordance with the approve n in e case of work which requires a review and al)proval f pl I A licant's Printed Name Applicant's Signature 7; ((k S, M((?O DO NOT WRITE BELOW THIS LINE 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 EM. 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 (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 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 Description: Water Damage_Yes Valuation Occupancy MCES System Plan Review 100% or 25% Code Edition Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const 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 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 i Y FOR NATR w n RcoT'T R RDDR65S pap- '?" =3983 Doae?Rt wkti I I ?"'° . ?` ?'. IvO tFOUSF !JO ?DORkSS ? ??"r \ U 3°???0 ?jQ 9R?`6 Q i(aQ ,14 I?or? : SEwEert- t,Jq•?e ?? Cn4 ?c,?ues? ro ?Dc• ?O?`;,\ \ Its Bu«.TLTo?p 'Ia CA•-? 8?? AT TRW) ?yl( A/ Nftq 370 -o-roD Sau .SU. \P 9o't.0 /02 , °j M'7 i $01 Q \ / qNt O. `'PQtii ? 9n? flRW?I Ay PO P \ ?[ 'o 4k. Y9 90 V *0 9101 OP ,? Q o eo . Ali git.go g6$ 51 - - M,1?, b EERUJ .z tUE Buy W iwl(s Me%- 24 11.q% COvek. 919Jd Proposed garage floor elevation C) 19.4 Proposed top of block elevation /ID' I Proposed lowest floor elevation Bearings are assumed Subject to easements of record if any O Denotes set or found iron pipe monuments $ Denotes set wood hub and tack -re4b Denotes existing elevation Denotes proposed finish grade elevation Denotes direction of surface drainage ?c I hereby, certify that this is a true and correct representation of a survey of the boundaries of Lot 1, Block 1 IY?URPAY FARM,T)PtKO-MCounty, Minnesota as on file and of record in the Office of the County Recorder in and for said County, also showing the proposed location of a house as staked thereon. That I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. Dated: kKtL_ 21>,1999 4ti ? Allan R. Hastings Minnesota Registration No. 17009 212 East First Avenue, suite No. C y r. 7f Shakopee, Minnesota 55379 Phone 612 445 4027 } PERMIT City of Eagan Permit Type:Building Permit Number:EA125649 Date Issued:07/30/2014 Permit Category:ePermit Site Address: 3983 Donegal Way Lot:1 Block: 1 Addition: Murphy Farm PID:10-49500-01-010 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 - Christopher M Russo 3983 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132598 Date Issued:08/24/2015 Permit Category:ePermit Site Address: 3983 Donegal Way Lot:1 Block: 1 Addition: Murphy Farm PID:10-49500-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christopher M Russo 3983 Donegal Way Eagan MN 55122 (651) 336-1716 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink .- For For Office Use I ^�' Permit#: i!''�I � � City of Eaaall / D Permit Fee: l 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651) 675-5694 Staff: 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 2- `si7 / 7 Site Address: 39r--r /LiD,7d9 A/a' Tenant: Suite#: Name: Phone:,a .� ...��,.n�. _...,�..m.w. �... Resident/Owner I Address/City/Zip: $ 'f3' tori ei c_/Grimm i fr : Name r?z2fzrL" s/ Cq^ �e-rv,ce s' GLC,_^ License Pc 7 ! F& Z,�J.. Address: /Z,.S egim 4-4,- 14 ve _571.1 City: 6r,L0-1tj Contractor F • State: /WO Zip: 5'5—3 Z/ Phone: (77Z-' 4/6Z-4-TO' 7 t 1 Contact ! /rte c k/ Email: ' 5/14 eA-, t Z03/i.ia.,l l o--, Type of Work • —New —Replacement —Repair —Rebuild —Modify Space _Work in R.O.W. f. Description of work: le /ae r- _5X ✓a-tie ,0-4=7./Z--/Z4,/,6,..4......ee'/, 1 RESIDENTIAL { ! Water Heater Lawn Irrigation ( RPZ/_PVB) Water Softener Permit Type I • Septic System Add Plumbing Fixtures( Main/—Lower Level) i Water Turnaround _New i i l Abandonment RESIDENTIAL FEES: j $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) I $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) `Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to 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 % l i� e ' x --,.. '-410111° / _, Ap•licant's Printed Name , =•Iicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-in Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: y Use BLUE or BLACK Ink For Office Use4ill / /� 6° 9 City UI Ea�an Permit#: /Permit Fee: LAO• u 3830 Pilot Knob Road Eagan MN 55122 Date Received: 5'(s"'fl Phone: (651) 675-5675 Staff: Fax: (651 - 94 2017 SIDENTIAL PLUMBING PERMIT APPLICATION Date: 5 II-Site Address: 3' -J N 11�V,1IY'1' III/aid NALPDX . I ����i/ � Tenant: ' , ,1t.,_. A 4 _1.,�.�.� Suite#: • 34 j '. r ,-4 r J ®=;' e. ` Name: �I► , 44) Phone: (5I -33( �7 (`i' g,. 1. :m q.,�, t,' ,} A Address/City/Zip: ct�� h'�YY� � .f/A j t �ik yd` (� In ,,_ ,' t f Name: Y (1 1�\1aV�V� Al l,(�l License#: �C� I trail . m Address: , Cit r ?fi � o s �/� /� r I ( � I t f-# Y 1 p XJ�� l S1` ��I-'DL -14 1 Fk,,, • � T,, .'i di State: Zi Phone: ta\ M F 4*�wiiiv k, Contact. 1REmail: 6V. GtJ 4441 � B � fir "",`New _Replacement Repair _Rebuild _Modify Space Work in R.O.W. , ,I , Description of work: , y 3j 1."4.4101A,104... 1s• r. - ,, • e, RESIDENTIAL , t '04-• 1,,r-h,t �4�, ok � Water Heater ` / it P #•Pio' ) Water Softener '{" qr+:31- Lawn Irrigation(^RPZ/_PVB) yA At_r �a- ', `{ , £x'lSeptic System Add Plumbing Fixtures( Main/_Lower Level) ;, `{ ',``r rve `, Water Turnaround 3• 3 � ,d _New 'f'74 7) • ` Oris . ';' V;r t,Crri. ,.k _Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60,00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with theeaappprrovved an in the ca e of work which requires a review and approval of plans. z x 1A-A- ff\ , kl x IL4Ak- ifAll -----/ Applicant's Printed Name Applicant's Signature siv:.s'y' $�e}� �i 1 4 a3£?`i, .. J 3 i ,. 'x '♦a?, ,+ (:.41;'' }f* '♦ j�,',, .c4v } '` , x L' i { ' - � /;4Ysge �-� y 4, ,.d f V" ik ',. 4 -. t�iCy'h #.£` - fid '. ,,x 3.:%,,-,,,,,,,,,,,. } :, 1FO t.0 t S „ 5 '{,• ° 44 i,'1 `', y e'�'By' V"`f ... r)-tr 4 N 'f- ® ..4 ;4,r Y 7 .l�Y @* i.y, �` t CfY.iY�'w" 25 fi;d°'T"„:RR1xt P ice• `3 ,t"'F } ., J, t� :,;.;. 14-13 ' 's st^ 7-`+` 'P �' y '� ¢'i o,3�- `)11-',.4..:1, iS x71.:t t C7:,#" { , s i ntit rV t` .. � � x ,« �'�^,,� '� �. ,� `4T{Y k''� {tt s`.s.� fi•^ �,. }q}y�{ 7 �. rt 'i`'j ;.�o, � r ;3 Re• rpt lnsee I"n niF U der Ground h : ou,g 14 ArZL t ori `. , k� , s,,..,z� x h h f �,t a t� � {�f{, -£.STM' � t 'a3 a*ah �+- s»� }"���. g� � r {,� it 'i a £# �& e �� .#'1,.t . • ,.; >3; s,:',,,�> i'..d 5�+ # { S x $- s d{1- -x' £ rrr 11 t f,3 .t s + _t � ! ;s ,S, i` fg#'�gv t� "�5 .P{'�f���`z{�� ��{t' i ��`� k3* � � �' r' d -Me a Related t@l S (yiQte Slze w" ,',�tad)otRead i t >,Manomet rtt ' ,.& - . `�' --''': ,� ,v > r p <<R } r For Office Use 1l 4 r � Permit#: E AA N qt;:_� � �"' Permit Fee: r� 5 -e-Art' NEC, E 't:.'" Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 ! I�� Staff: .._'� - buildinginspections(a�cityo eagan.com I I 0 2 0 1 2018 RESIDENTIAL BUILDING PERMIT APPLICATION 04/25/2018 Date: Site Address: Unit#: Kelly and Chris Russo Name: Phone: Resident/ 3983 Donegal Way Eagan, MN Owner Address/City/Zip: X Applicant is: Owner Contractor 4-season porch and deck Type of Work Description of work: 20000 X Construction Cost: Multi-Family Building:(Yes /No ) South Metro Custom Remodeling Inc Adam P Warpeha Company: Contact: 1813 Wyndam Dr Shakopee Contractor Address: City: MN 55379 612-916-6916 southmetroremodel@gmail.corr State: Zip: Phone: Email: BC#628112 License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: House was built after 1978 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: 1 Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to sta wit t a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Adam P Warpeha x x Applicant's Printed Name Applicant's Sig re 1 l:s Derl,cctql Glc .y ,�� � DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION 3k____,,,, Valuation 05 01 Occupancy C1 MCES System Plan Review Code Edition Oire SAC Units (25% 100%% ) Zoning 111V City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: A. Footings(Deck) Final/C.O. Required Footings(Addition) y Final/No C.O.Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: „Ice&Water Final Pool:_Footings _Air/Gas Tests _Final Framing X30 Minutes—1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding:_Stucco Lath Stone Lath _Brick_EFIS )( Insulation x Windows ) Sheathing / Retaining Wall:—Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan �{ Other: Reviewed By: Ito ,Building Inspector RESIDENTIAL FEES Base Fee �` Surcharge �_✓lF Plan Review 10044.4.4- I 7‘? ---- MCES SAC l 9 /c i City SAC Utility Connection Charge 0 6.‘011C S&W Permit&Surcharge I r+ Treatment Plant V D X 6/ I/0 Copies ,/ TOTAL rp--0 its 3 q y�� - 7/ ?-o-,.I' , n0(1,001 , g�I,\/ '�^ ) C ' Or .i7V" V ry CC Z / t0IPY . . . -3'4) g--1.3 • 'boii6r)igi - "/ / Yq- -D- - R Dews Pere C`it .39B. to.0 E GAt` UJA rcoe >`O b'• ''o T` 0 . • gam.. 140- 1•4ouusE v.16 A DD R SS .\c, , �' � 4 • C. ` off i \ qr) ..sZ' ‘J/Li . . JlorE: SEwee.+,- U)Ant "Pez C. v-i cAarsT6o tx• ,i,/ y�ut4..T(To� "Tr) CaA� emtier @RW} 9,- � � Pie 310-a-roo � ti� � t &q MI' �� ;ii<0.)ctit • �\ � .� ���ga• 144%..t% z.o ‘Vb CM: - cuzs%ac ea--_ .o e<cQ t, ' ,11' h :3* 0 ' \ 4/ iCkAy ` o� 'Q ,tip t. �-- o //) ,, Li - 0? , c2:, • rtiv ,rte ��,'�`� . Q�( \ � 'L. ` -4---- _,.. 1,. kto. • '''i \\ .11-4`. ts \ ,fir-------4. ...---77.43V1,0 'N- z tr.!' ( Q 1' S'i, . • :.\ '''•7 . � �.•_''" _t, ,yob' -• 4 ----- ....,) i . `b 4k .°°,00,..t1,, ),....-- it.cl:20 ., ,,i'/ C)<_:? 11 --- , do �- f 56 99' A., F 64.. . . 2 �_ 30•$5 . 6. Lv1- 0 C. _ li �8 :.s E ;,. . k2Ett: /do1C r� Al* Bearings are assumed . t X1(0 •Nita, 2,4-N. 446.14-. ` �OtSubject to easements of record if any . �l,q °IQ �'ouFR . 0 Denotes set or found iron pipe monuments • c419.0 $ Denotes set wood hub and tack Proposed garage floor elevation lako Denotes existing elevation q19.4 Proposed top of block elevation 4* ,-... p Denotes proposed finish grade elevation { 10. 1 ti Denotes direction of surface drainage Proposed lowest floor eleva on SC() \reev 1 a14tneh - DI), Q.,..„--‘ A . I hereby certify that this is a true and correct representation of a survey of the boundaries of Lot 1, , Block L, N1 U RPNY FAR.II RSO County, Minnesota as on file and of record I . in the Office of the County Recorder in and for said County, also showing the proposed location of a house as staked thereon. . That I am a duly Registered Land Surveyor under the Laws of the State ofofittRio Minnesota. . Dated: FSP\L �1 / j 7 l • ' . a . 7.) :, _. v, . -•„�� -.��.V�; r'r -_• ice. . cktivv. ,_., 11 K Allan R Hastings 7 \, ; . u w J i Minnesota Registration No. 17009 • • _� �� - 212 Bast First Avenue • :•--------- •—•r __7__.:7.7. .9___F_...._,...•____ 7 . Suite No. C Shakopee, Minnesota 55379 phone 612 445 4027 i • . S .'�:.... A. _'tll'.9:f 1w:Y.i .. .- .. . e • -.ne. ..... .... ti..e..- ._ a. - . '-- ----- ,4,... - Eri,,. 1 -4- o w = ‘"•••• 0 et —a •....o en ce 1 tr- 5 .......", ID ,..,.., — -, c.,./-) ......... ."... ... ) k•r) -3 -I — \ •D- 4 ...„ %.- .... ......., ... 1 0 ‘3, -..... ,,../\ „. „„„,„........ 7, :) <z), -r...),.. t : Pc) c7---- 1 , i Jr-- / /i cs--- NI I . ,, ._ ..• - , \ 1 a't t \ 1 er* •..) \\\ i N. i I'Cr C;,... C) ) J e-- \. 1/4...., es • PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149811 Date Issued:06/11/2018 Permit Category:ePermit Site Address: 3983 Donegal Way Lot:1 Block: 1 Addition: Murphy Farm PID:10-49500-01-010 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christopher M Russo 3983 Donegal Way Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166759 Date Issued:02/02/2021 Permit Category:ePermit Site Address: 3983 Donegal Way Lot:1 Block: 1 Addition: Murphy Farm PID:10-49500-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christopher M & Kelly L Russo 3983 Donegal Way Eagan MN 55122 (651) 336-1716 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature