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792 Golden Meadow RdCITY OF EAGAN Remarks Owner 0 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREETRESTOR. f?7 1986 10680.77 1068.07 1 GRAOING 7 SAN SEW TRUNK 1981 11 351.10 67.56 20 O 3 1- 2 SEWER LATERAL 1044 1986 40; 25 40 2 ? SERVICES 1046 1986 1326. WATERMA W p? WATER LATERAL 1045 1986 308 . 8 3t,c, 49 LO WATER AREA 1981 .10 6'?. rJ6 20 STORM SEW TRK 03 5 1706.40 113.76 15 STORM SEW LAT ' CURB & GUTTE SIDEWAL STR LIGHT WATER CONN. ? 13UIl01NG PER. SAC PARK ??/LPCI'? ?.E?'.l?li?J c..t^ t? ?24?"--+%? ?L?G/ ? ?<??`? o?.j l?` au? ??? ? ?d-n?. • ,`???? ? ?a ?,Zasa.??i-t.?. CITY OF EAGAN 7 - Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK S SEWER LATERAL WATERMAIN WATER LATERAL S , WATER AREA S STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. ( s,ac 2 5. 0 4-18-75 PARK INSPECTION RECORD CITY QF EAGAN PERMIT TYPE: ?(1 '11 H (i , 3830 Pilot Knob Road Permit Number: ?j F' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 - SITE ADDRESS: APPUCANT: 11 PERMIT SUBTYPE: i6r."1 4M.-'-41 TYPE OF WORK: N CW ( Fl!'fllf2! F'OftC'N) CIi-',i N i f' 1 i flpF I I I f Nlo') k 1 MAI n3? , ?. . . ? . ? . . ? . . ?. . ?? - ? ? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - Parmit No. Permfl Holder Oate Telephona #f ELECTRIC PLUMBIIVG HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGFI PLUMBIN(3 PL.BG AIR TEST RpUGH HeATING GAS SVC • TEST INSUL GYP 80ARD FlREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL / 4 A CiTY OF EAGAN SEWER SERVICE PERMtT 3795 Pilot Knob Road PERMIT NQ.: Eogan, MN 55122 DATE: Zoni ng: No. of Units: Owner: Address: Site Address: P;umber: _ 1 a9ree to aomply with the City oF Eagnn Connection Charge: ;Ordinancea, Account De posit: _ Permit Fee: B y $urcharge: Dote of Insp.; Misc. Charges: _ Insp.: Totnl: Date Poid; CITY OF EAGAN 3795 Pilot Knob Road r? Eagan, MN 55122 " Zoning: Owner; Address: Site Address: Plumber: Meter No.; Size: Reader No.: 1 a9'ee to eomplr with the City of Eagon Ordinanees. 8y Date of Insp.: Cvnnection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Chorges: Total: Date Paid: Insp.: ? CITY OF EAGAN sEryyR gEWICE PERMR 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoninp: No. of Units: f Owner, ? Addrcss: _ ')Site 2 ` ` /lddress: r-??Ldea r`e?&ut:?t? ??17 - l.u +:'4 Plumbe?: F. ?..?._..-.?. t?Lr•: ?, ,, ? . - 1099" h easoly wh6 eM Clhr of Foo'em Conneetlon Clhetrpe: --? ?, •{`,-'?<` "Mwas. /lccount Deposit: - - F: Permlt Fee: Surthcrpe: By Misc. Choroes; Date of Inap.: Totof: Irsp.: DoM Pbid: . o 2! ?, • ?.? l -T--f-j_ WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: ? - - CITY of EAGAN BUILDING PERMIT oWOa: `?° j .............. ? .... ...........?' - ." . ....... .. .............._.._. Addsese (presen!) 1' - ?°. ?""? ....................... ..................................... ............. Huilder .......... ............................ ":'..`... ................................. l0 9a % '7lU ?' '%-C't .:....--- Addreu ...........y..?...?.....°-.........---.............---............. ? ??"'?"""1?G"'? DESCAIPTION . ;. N0- 3550 3795 PiloY Knob Road Eagan, Minnesota 55122 954•8100 Dats ......... .-/ .................. 6foriea To Be Uca Fos Fron! Deplh Hsigh! Esl. Co?! Pasmi! Faa Remukm n? ?f91Py 2 z- ?-L ,?! io ?/ ?39,37p J I //.3`3"o ?y vv or ,- This permi! does not aulhoriae the use of siree2s, roads, alleys or sidewelks aor dooe it give the ownsr os hb sgan! !he righf io eseale anp siluffiion which is a nuisance or which pzesanls a hazard !o fhe heallh, safelp, eoavsnSeaes aad genezal welfare !o anpone in the eommunily. THIS PEAMIT MUST BE KEPT ON >T,HE PREMISE WHILE THE WORK IS IN PROGRESS. This is !o ceslifp, t6ai....?..:._.?.n"..:...?:?.v.?:?!x:??:.' .. ...................has permiss3on !o arset a...bc?:-_;...?`:.... ?...?'..'.?. ......... upoa the above desexibed premise subject fo the provisions of all applicable Ordinanees fos !he Olip of Eagan. " -7? ?wQ_?? ...................1='-:.........----.... .??:...""'.':'.....---............................ Per .......................................................... ........................................... . rYe or ? Huild[ng Impaclor ?? ?/ ..n ? ? Apr 06 07 11:40a Rpr 02 07 01225p 651 905 8987 TOM MURR 651-905-8997 p.1 p.2 Lmson Spccintry Structures 1nc. 599 t Fime lane WNlc Bear Lako. MN 561/0 7667 L 651 659 7674 Fax: 651653 L L Larson a o ? I ? c? ? ?-??CF! ?CsA?' I?l ? ?i S ! Z3 A>)-A.MJW2. , ,.?-- . :avi ? i Nu. rn^l _. CO.MLI.NO.?- _. ?r1D?Opa ? ?'f1ZoSS 5.??ler+ ?[[ ?p.,i G - 2- ? ? O • 4_ t"d `? ?r1?,fJ4efL ? ? ? • . 3-Zx 4 Qo It- 3- 2- x4 ?esr 'rb r6"'"'ve.fzo,a, Ta gcxpj v'hvaeU 0 ;c. `l y?. ` x ? n zs ?. 1 nereby oertlfy mat mis p1an, speGMCeuw+. pr report wds prtip0retl by mN Ot urtder my Oirccl 5up0rvisi0n arW lF.at 1+on T duiy LioensCC PtOfe55Mxfal rzng'tAx¢r ufdBfth9 laws of tAe stete ot MinnCSOW. PriM Nemw nC. Ls on Signatur0' ?L? .v oaie &7 Co-a7, ueenso s 7e31 EAGAN ,w? REV) Me ? DaM ?/'D ?° -1 BUILDIPfG IPISPECTIOfiIS D0VOSBON ? Jabsd0450291 Wz}t ta7 Quaatit : 1• nODt 8op D?t 8agau - Y 7P Typei SP epaa? 160000 D1-83a 7 Left R,S - 7813 0• 0 F OMe 7- 9,At Olde 9- 0- 0 D m O N C • 3 a ti ? e u 3 I rr i"sor ? a*1- ? l-ia ? siof am e i o ?WO ? " f MY n7 Reaala yq o a so m ?o 2 !. 1-30 4. ]- a4.00 i 1 00 wR 90 ?. 3 a.so ?i 0.33 ?e i?t 1 j.?j Y•! 3 0 ]I roew iff?C u( n/aTi.a 1. . 1 31. p- 0 9•33-14 f.00 t 30.90 LOQ 70 1.10 2.10 CRl i.a OA? ?S?1C b]- f A?t . l.S9 N?0! ?oeta a CLaN i r »- ?- o 4- e- a s.oo :4.6e zocY aa ].t0 ..re oao J- : ° :i ? uee i- i 3e i '? ? 7?1C n*4n.v ]. 0 08.00 a 9.90 iOQ 30 r 2.30 1 N • s Y s .i ? ;s ei: i eic w. as i w `• w_ 6- o 0 9.00 a 14.00 =a?t 30 e . aa? e.ea - ¦ c 0.1] »yC 1- $- o a-a o.u sex na u4 .q nAe i • ?• e i- s-se ae.oa . u.oo ra? ?o wa ae r.oo ? eo . a o.aa asax ?- ° i ?_a 0.43 uor Wn 21 4 r .? m ossNW s?lvH m?s?1.1 aL?aSO.f . .. e.as ufu ?- - e 5 0•14 a?alx w 3s 4 .aAe ?. L ¦,c s.K ?Of ?. ?. • O!-w9? 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Ca?anr q ?eNbWmwelw r,Mtl4ne??x ?.r..+? w.?a r.?va =i- L TS Live 4 Nz CWaker. N?. . TC DauA ? 9a! A?viwxf WYY14?mYf ? ? C 1a?j7M a a•a? 1 w?inW ?rl w muObwY MW 1?14?4?1y' OeeMMYw M HC Daed LG q?i lwlbt ? ?Haw Y4 WYS1???i?YMkYM?b?eM? 4??4 29?i1 9'! Di? RN Diie, z is t•, ue w s 5 m.m,awcah,quiod o,y?s?ru.?ourarv*asa6?xnv6? os eD+eL . ? ? l? ? oaii ffi 74.0 t.. arawfay, L? ??.{w2 i0140Yi. we ?W?.1.9YIb] b n qy ] 1].! 4.o .??.?a?.?.. ??«....? u. .. aw ..?gal un.,. m a..r s+o. S4Wsd LcM6mm fa6w1 AA?iye tetCs Tl1nt LnW4 l3L.7 !C 4314.00 t6 ? 1114,qy py 11• S• 1 BG 392l.10 L1, . 143.10 pyy 1a. 0.12 CC 101e.9p LL • 442.10 pw SI• 0•il mO 1019.14 g, e iu.aa p{M 14 0-12 LC NbJb LL. 441.9E YGI 1s-0-1i U 1019.3b 4L . HLao pW ia- 0.12 K 101Llb yy r ftl.70 DW ]]- C•lt k 1DIfdL LL ? N1.70 Obe 24• 0-1i w ioar.ao LL ? 441.iD DM i{- 0•1] wuM Or ?qyis! i{6 IM?L U ?w1 ]q?s l? yy?1M. 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reauiremenis RemodeUReoairRaouirements 3 regisfered site surveys showing sq. 2 of IaL sq. ft M house; and aN rookd areas 2 copies of plan (20% manimum lot coverege allowed) 1 set of Energy Calculatbns for heated additions 2 wpies of plan shovring beam & window sizes; poured found design, etc. i site survey for adtlifioms & decks 1 set of Energy Calculafions AddRion - indicate 'rf on-siYe septic system 3 copies of Tree P2servation Plan'rf lot platted aNer 7/1/93 Rim Joist Detail Opdons seleclion sheet (bldgs witlh 3 orless units , (f Oifice Use Oniv ' CeAOfSurveyRe[xi _Y _N Tree Pms PIanRecd _Y' _N. Tree Pres Required _Y-_N On-siteSeptic:5ysfem _Y? _N Date J Q l)7L ? ?I l? y i ?/ l ConstrucHon C f O'-?j OOD J/ s U ?0?11) Site Address Unit/Ste # Description of Work G<s1?7/?q}/?j2J Mu1N-Family Bldg _ Y Fireplace(s) _ 0 -01 _ 2 Property Owner Telephone # (b v Contractor Address City ? State Zip Telephone # ( ) C,K)? COMPLETE THIS AREA ONLY IF Energy Code Category -' Minnesota Rules 7670 Cateeorv 1 . Residential Ventliation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculatlons Su6mitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted Have you previousiy constructed a building in Eagan with a similar plan? _ Y fee applies. ? D ? ? ?o?? ? LicensedPlumber 7?/ ? _ IIIleleohon Mechanical Contractor Sewer/Water Contractor * If so, 25% plan review #( #( I hereby apply for a Residential Building Pernut and acknowledge that the informarion 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 pIan in the case gf work wty}'ch requires a review and approval of S. pplicant's Printed Name Applicant's Signature T?,o Yy?aS .?- OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 OS-plex ? 13 16-plex ' ? 20 Pool p 02 SF Owelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex b 17 Garage :? 22 PorchlAddn. (4-sea.) ? 04 02-plex ? 10 OS-plex ? 78 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_v or _ N ? 25 Miscellaneous Work Types -0 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 ? 33 Alteration ? 37 Demolish 8uilding" ? 43 Reroof ? 46 ? 34 ReplaCement 'Demolition (Entire Bldg) - G ive PCA handout to applicant Valuation a00 - Occupancy R-3 MCESSystem _ Census Code q39 -y38 Zoning ?-1 City Water _ SAC Units Stories Booster Pump _ # of Units Sq. Ft. PRV _ # of Bldgs Length Fire Sprinklered _ Type of Const ? N- U Width _ Footings (new bldg) Footings (deck) Footings (addirion) Foundarion ? Drain Tile Roof Ice & Water ? Fina] Fr Fueplace ? R.I. LCAir Test ?Q Fina1 ? Insulation ' Approved By: ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS FinallC.O. elp FinaUNo C.O. Plumbing HVAC ! Other Pool Ftgs Air/Gas Tests ? Siding _ Stucco _ Stone _ Brick Windows J Retaining Wall Building Inspector 8ase Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total gs s Roorr. 341' X3Z' xS?,ao '-t 3. sU trF Tac„y .Stoe-e 7 2'xu'XzS Q& =iz o; 8 ?°-7- v?- ?d1RYiGT 3 Y' X 32'x?b.90 A?7; t;on t'?nn?ci iDr? ?3RSCrrwot y? Z ?? °v -?nn ? o f l?a R y4 N cv : 2 3?.. UppeRFb°? 9y7 ?o??e1? s?oaP 1eX5 ' =!2?'x 30,'61_- / Y6?z.86,oo .? Pemiit Number REScheck Compliance Certificate 2000 IECC REScheckSoftware Version 3.6 Release 1 Data filename: Untitled.rck Checked By/Date CITY: Eagan STATE: Minnesota HDD:7981 ` CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.11 DATE: 09/30/04 DESIGNER/CONTRACTOR: tom murr 792 Golden Meadow Rd COMPLIANCfi: Passes Maxunum UA = 240 Your Home UA = 163 32.1% Better Than Code (UA) Ceiling 1: Raised or Energy Truss Wall 1: Wood Frame, 16" o.c. Window 1: Vinyl Frame:Double Pane with Low-E Wa112: Wood Frame, 16" o.c. Window 2: Vinyl Frame:Double Pane with Low-E Basement Wall I: Masonry Block with Empty Cells Wall height: 83' Depth below grade: 7.7' Insulauon depth: 83' Door 1: Solid Furnace 1: Forced Hot Air, 78 AFUE ? S? . Gross Glazing Area or Cavity Cont. or poor Perimeter -Value R-Value U-Factor UA 1547 44.0 40.0 19 548 19A 6.0 24 40 0.280 11 1128 19.0 6.0 47 152 0280 43 248 11.0 2.0 12 20 0.350 7 COMPLIANCE STATEMENT: The proposed building design descrihed here is consistent with the building plans, specifcations, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirement RES checkV sion 3.6 Release 1(formerly MECchec4 and to comply with the mandatory requirements lis the RES c nspection Checklist. Build er Date ? ? ?O? MECcheck Inspection Checklist 2000 Minnesota Energy Code MECcheck Software Version 3.3 Release lb DATE: 12/04/02 TITLE: Tom & Gretchen Mucr PLAN REVIEW AND INSPECTION ISSIIES This list of items may be helpful for Plan Reviewers and Building Inspectors to use as a guide for enforcing the Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and two-family residential dwellinga The items mazked with * apply only to detached one- and two-family residential dwellings. PLAN REVIEW ISSUES FOUNDATION INSPECTION [] foundation wall insulation R-5 minimum [] foundation insulation extends from top of wall down to top of the fooring [] exterior foundation insulation is covered by a protective coating finish CONCRETE SLAB OR UNDER-SLAB INSPECTION [] slab on grade perimeter insulation R-5 minimum [] slab insulation extends from top of slab to design frost line or top of footing [] floors over unheated space R-30 minimum WINDOWS / DOORS / SKYLIGHTS [] average U-value is 0.37 maximum for windows and glass doors (excludes foundation windows) [] window U-values consistent with building plan and MECcheck Report [] window and door areas consistent with building plan and MECcheck Report MECHANICAL VENTILATION ISSUES [] residential mechanical ventilation system provides adequate ventilation per code requirements* [] furnace efficiency is consistent with MECcheck Report or building plan [] protection against excessive depressurization is installed per code requirements* ENVELOPE INSULATION FOR PLAN REVIEW [] interior basement insulation R-5 minimum (if no exterior insulation) [] ceilings with attics R-38 minimum or consistent with building plan and MECcheck Report [] wall framing and insulation level is consistent with building design and MECcheck Report INSPECTION ISSUES CONCEALEDINSULATION Framing and Sheathing [] wind wash barrier installed at attic edge [] exterior wall corners framed so that insulation can be installed after exterior sheathing is installed [] intersections of interior partition walls and exterior walls framed so that insulation can be installed between the partition and exterior sheathing after exterior sheathing is installed [] gaps between framing less than one-half inch are eliminated by securing framing together or are insulated at the time of assembly * [] all penetrations hetween conditioned and unconditioned spaces made prior to framing inspection are .' . ? sealed * Interior Air Barrier [] all fire stops are air sealed [] pipes, ducts, wires, equipment and flues and chimneys through the interior air barrier are sealed [] a sealed continuous interior air banier is installed on the warm side of the building envelopc at ceiIings, walls, and floor rim joist areas * [] air barrier behind tub and shower is sealed and protected [ J recessed light fixtures aze sealed Envelope Insulation [ ] basement insulation R-5 minimum [] wind wash barrier on wall separating house and garage is sealed [] loose fill fnsulation is prevented from entering the eaves [] insulation on skylight shafts and walls exposed in attics is supported on the unconditioned side Attic Insulation [] attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel [] attic card attached to framing near access opening [] notificafion of attic R-value and date of installation posted neac building permit inspecrion card This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the Department of Public Service Informarion Center at 651-296-5175 or 1-800-657-3710. , I ? - - - • / . Q.. -1q. . . .• 1 - 0F? ( ' ' ? ' ? / •' i? VA.A / \ Oti , t? ? ?' `M,•,', o?,?, ? \\ ,,e; ? 1 ?' I 1 .? . 25 j? te...•• ? d ? a •-=-J P, ' w 1 ? ?O I.Ii? !` ? ? 9A y ? N , a? ? , a - 2 ? WOooEO SLOPE N ' .J--- Atp ? ? 20 ? - snorei;ne ?- ? - - - - 1 ZD 1 1 fcs ffev.=B80.75 I I ( MaY 19861 N? I L I ?PSE?` L 0 -? a o. ? - Z P-9 6E r,.' rcu °RP\ap RM ? s> 13767 13768 ?- N 390 24'20" W 275.35 0 o n` ? °I / P RESIDENTIAL ? BUILDING PERMIT APPLICATION " GTY OF EAGAN U 3830 PILOT KNOB RD, EACAN MN 55122 5F? ? 1.l ? 851-681-4675 NewCoeakuMba Reuuiremenla • 3 registered site surveys showirg sq. ft. of lot sq. ft of house; and all raofed areas (20% maximum lot coverage allowed) • 2 copies of plan showirg beam & window sizes; poured found design, elc.) • 7 set of Energy Cakulalions • 3 copies ol Tree Preserva6on Plan il lof platted a%er 711193 • Rim Joist DetaJ Options selection sheel (bldgs wifh 3 or less unAS) DATE Z? SITE ADDRESS TYPE OF APPLICANT STREET ADDRESS %7d TELEPHONE # G;75 1 u U? ??YH%NE # PROPERTY OWNER. &__oz Energy Code Category (J submission rype) COMPLETE FOR _ VIINNESOTA • Residendal Vei • Energy E;/elol MULTI-FAMILY BLDG Y N FIREPLACE(S) _ 0 _ 1 _ 2 FAX # TEIEPHONE#?s/ _ ??Z0 KNEW" RESIDENTIAL BUILDINGS ONLY ?u ULES 7670 CATLGORY 1 MINNCSO"fA RIJLES 7672 aGon Category 1 Worksheet Submitted • New Energy??Code Worksheet Submitted Calculations Submitted Y?,. Q}?,? v' I/-e J "eyJ / Plumbing Contractor. _ ?= Phone # Plumbing system includcs: _ Wa[er Softencr Lawn Sprinkler Fee: $90.00 Waler Heatcr No. of R.I. Baths No. oF Baths Mechanical Contractor. ? Phone # .-. .., _ -? Meclkviical system in udes: ? Air Conditioning Tce: 1 .?70.00 FIcat Recovery SysCei7i Sewer/Water Contractor. Phone # `" ? B? .?--- -? I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signafure of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ RemodeVReoair Renuirements C) -,Y-, • 2 copies o( plan • 1 set of Eneqy Calculations for heated additbns • 1 sAe survey (ar exterior additians & decks • Indicate it home served by septic system for additions Updaled 4/02 OFFICE USE ONLY , !AOr J - 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 2 SF Dwelling ' ? 08 06-plex F3 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ??O 03 01 of _ plex ? 09 07-plex EJ 17 Garage ?O 22 Porch/Addn. (4-seaJ ? 33 Ext. Alt - SF ? 04 02-plex ? 70 OS-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 PI6g_Y or _ N ? 25 Miscellaneous Rn,? ?3: .,n? ? i???.:•, #F 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair (??33 Alteration, i ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant caov Valuation Occupancy 12 -? ? MGES System Census Code Y-? Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const v Iy Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. Footings (deck) ?O FinaUNo C.O. ? Footings (addirion) _ Plumbing ? Foundation _ HVAC Drain Tile Other Roof 4-- Ice & Water I" Final _ Pool _ Ftgs _ Air/Gas Tests _ Final ? Framing _ Siding ?v Stucco _ Stone Fireplace ? R.I. G? A'u Test ? Final Windows (new/replacement) f Insulation _ . _ Retauung Wall Approved By - /`? , Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ?y p ,\ Rxrv? 34 x3 z (V -???(rt ?u L:??:.ty sp.t- e zix7zn 4t% ..._-..??? ?gp (a'393. ? ?3zX 9 1 e17??0I `---4?tlAl+i?n !'..?A?-cY'c.1 w?{? S%ftX S?-?'v?= ?7/^? 6044 510 ?vL ? ? 1 3`S ?(aK Total . 4 /? ? • O / Q'? p / ' ? ` ?• ? \ ? \ ? /? ? ? / ?? / / • ? ? Q`.???0 s? / / / ? 1 ?{• ? ? / ? 1 ?!• p:2Tg.31 ad..,.? i -d , ' Ik. Lv v ?n ? y0. mo ?Q/ power 1 \ .-o-"? ? \ I? \ ? ? ? ` ? \ 1.. Q,• /? ?p4 ? A'° ? f / ? / / w?°°sE`???/ ?• ? i ? ? , ???' _??? ??I ??? ,? / Q / N h tz / y ? ? ?? . ?•?? ? ` _ ? / ? i0 q,tib W ? \ w ? \\\ W ? ` ? ? \ L? Za WpODEO q?0 SLOpF? - ?- ti 1 J ti. \ ` N -. V : I zo I - snorerne 3 I 20 1 I Ice Elee' BB0.75 .- ? MOY Il, 1986) ? L --?--? W EP .o ? Q 0 ? Q Z UE O¢P\?P ? KE ?A 73 76 7 '`- N39°24'2o"w 275.35 l376B , W ? Q 46. .K Q I / p Permit Numbez MECcheck Compliance Report 2000 Minnesota Energy Code MECcheck Softwaze Version 33 Release lb Data filename: C:\Program Files\Check\IviECcheck\Tom Murr2nd.cck TITLE: Tom & Gretchen Murr COLJNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 12/04/02 DATE OF PLANS: December 6th 2002 PROJECT INFORMATION: Garage Addirion COMPANY INFORMATION: Tom & Gretchen Mua Plans done by Home Building Services COMPLIANCE: Passes Maximum UA = 240 Your Home = 201 16.2% $etter Than Code Ceiling 1: Raised or Eneigy Truss Wall 1: Wood Frame, 16" o.c. Window 1: Above Grade, Vinyl Frame, Double Pane with Low-E Door 1: Solid Wa112: Wood Frame, 16" o.c. Window 2: Above Grade, Vinyl Frame, Double Pane with Low-E Crawl 1: Solid Concrete or Masonry, 4.0' hd4.0' bg/0.2' insul Fumace 1: Forced Hot Air, 78 AFUE Proposed and Maximum U-Factor Averages Checked By/Date Gross Glazing Area or Cavity Cont. or poor Perimeter R-Value R-Value U-Factor UA 1547 44.0 40.0 19 548 19.0 6.0 23 40 0280 11 20 0.350 7 1128 19.0 6.0 46 152 0.280 43 248 10,0 2.0 52 Proposed Average U-Factor Maxanum Allowed U-Factor Above-Grade Windows and Glass Doors 0.280 0.370 Includes Foundation Windows > 5.6 ft2 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the pemut application. The proposed building has been designed to meet the 2000 Minnesota Energ Code requirements in MECcheck Version 33 Release lb and to comply with the mandatory requirementsed in tly MP,Ccheck Inspection Checklist. Builder/Designer? ' L Date ? ? ? MECcheck Inspection Checklist 2000 Minnesota Energy Code MECcheck Software Version 3.3 Release Ib DATE: 12/04/02 TITLE: Tom & Gretchen Murr PLAN REVIEW AND INSPECTION ISSUES This list of items may be helpful for Plan Reviewers and Building Inspectors to use as a guide for enforcing the Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and two-family residential dwellings. The items marked with * apply only to detached one- and two-family residential dwellings. PLAN REVIEW ISSUES FOUNDATION INSPECTION [] foundation wall insulation R-5 minimum [] foundation insulation extends from top of wall down to top of the footing [] exterior foundation insulation is covered by a protective coating finish CONCRETE SLAB OR UNDER-SLAB INSPECTION [] slab on grade perimeter insularion R-5 minimum [] slab insulation extends from top of slab to design frost line or top of footing [] floors over unheated space R-30 minimum WINDOWS / DOORS / SKYLIGHTS [] average U-value is 037 maximum for windows and glass doors (excludes foundation windows) [] window U-values consistent with building plan and MECcheck Report [] window and door areas consistent with building plan and MECcheck Report MECHANICAL VENTILATION ISSUES [] residential mechanical ventilation system provides adequate venrilation per code requirements* [] furnace efficiency is consistent with MECcheck Report or building plan [] protection against excessive depressurization is installed per code requirements* ENVELOPE INSULATION FOR PLAN REVIEW [] interior basement insulation R-5 minimum (if no exterior insulation) ceilings with attics R-38 minimum or consistent with building plan and MECcheck Report [] wall framing and insulation level is consistent with building design and MECcheck Report INSPECTION ISSUES CONCEALED INSULATION Framing and Shealhing [] wind wash barrier installed at attic edge [] exterior wall corners framed so that insulation can be installed after exterior sheathing is installed [] intersections of interior partition walls and extenor walls framed so that insulation can be installed between the partition and exterior sheathing after exterior sheathing is installed [] gaps between framing less than one-half inch aze eliminated by securing framing together or are insulated at the time of assembly * [] all penetrations between conditioned and unconditioned spaces made prior to framing inspection aze sealed * Interior Air Barrier [] all fire stops are air sealed [] pipes, ducts, wires, equipment and flues and chimneys through the interior air barrier are sealed [] a sealed continuous interior air barrier is installed on the warm side of the building envelope at ceilings, walls, and floor rim joist areas * [] air barrier behind tub and shower is sealed and protected [] recessed light fixtures are sealed Envelope Insufation [ ] basement insulation R-5 minimum [] wind wash barrier on wall separating house and garage is sealed [] loose fill insulation is prevented from entering the eaves [] insulation on skylight shafrs and walls exposed in attics is supported on the unconditioned side Attic Insulation [] attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel [] attic card attached to framing neaz access opening [] notification of attic R-value and date of installation posted near building permit inspection card This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the Department of Public Service Informarion Center at 651-296-5175 or 1-800-657-3710. ., ;;. , . ;..?...a .. . ; _.. EXHIBIT "A" All that part of a,perpetual easement 40.00 feet in width for utility purposes located in the South Half (S?) of the Northwest quarter (NW'4) of Section 25, Township 27, Range 23, Dakota County, Mn., the centerline of which is described as follows: Commencing at the Southwest corner of said Sou[h Half (S?) of the Northwest Ouarter (NWti); thence North 89°44'36" East (assumed'bearing) along the South line [hereof a distance of 110.00 feet; thence North 50°25'15" East a dis- tance of 811.95 feet to the point of beginninp of centerllna to be dearribrdi thence South 50°25'15" West a distance of 150.00 feeC; thence 5outh 20°25'15" West adistance of 67.43 feet; tlience South 50°25'15" West a distance of 100.00 feet and there terminating, which iies wittiin the toundar+_es of that part o_' the *icrt;:;:?sL 0u::tE-^r (D!`74) af Sec[icn Ttaenty-five (25), Townshin Twenty-seven North (27N), Range 1t.renty-three West (2311), descrihed as follows: Commencing at the Southeast corner of said NW1/4; thence South 89°44'36" tJest (assumed bearing) along the South line of said Nidl/4, 639.5 feet to the center- line of the Dodd Road as now laid out and travelled; thence North 1°12'S3" F.asc along said centerline 226.8 feet; thence North 7°24'S3" East along said center- line 265.97 feet to a point to be known as point "A"; tlience South 89°44'36" West, 895.0 feet to the beginning of the property to be described; thence Sou[h 89°44'36" West, 329.0 feet; thence Northwesterly on a tangent curve concave to the Northeast, radius 148.31 feet, central angle 32°50'15", arc distance 85.0 feet; thence South 50°32'02" Idest, 812.61 feet to noiqt on the South line oE said N141/4 a distance of 110.0 feet Easterly of the Southwest corner of said N`,I1/4; thence North 89°44'3fi" East, along the South line of eaid NW1/4 435.75 feet to a point cahich is 2096.5 feet Westerly of the Southeaet corner of said NW1/4; thence North 50°39'39" East, 777.24 feet to the point bf beginning, containing 5 acres more or less according to the survey thereof, toRether with and subject to a 60 foot easement for roadway purnoses, the centerline of which is descrihed as follows: Beginning at the aforementioned point "A"; thence South 89°44'36^ [•lest, 1224.0 fee*_; ther.ce Northwesteriy on a tangent curve coneave to the NortheasC, radiu5 148.31 feet, central angle 32°50'15", arc distance 85.0 £eet and there termina[e. THIS INSTRUMENT between , y - . UTILITY LINE EASEMENT ! 6 C r made this t? day of tiy ancr RR and GRETCREN M. MURR, husband and wife as Grantor(s), and the Ci[y of Eagan, Dakota County, Minnesota, a`s?? G2?n e; a + y r NITNF.SSETH, that the said Grantor(s), in consideratlon of On, D 1 °and ? r: c other good and valuable consideration, to them in hand paid ,y he:said .y I ? i ? ? •i w t Grantee, the receipt whereof is hereby acknowledged, do_ hereby Grant, Bargain, Convey and 4Jarraat to said Grantee, ita euccessors and assigns, the uCility easements situate in Dakota County, Minneso[a, as follows: (See Exhibit "A" attached) The said Grancee shall have the right to do whatever may be necessaLy ..,. the enjayment of the rights herein granted, including the right of clearing said right of way and of ingress and egress to and from said tract of land over and across said easement only for the purpose of laying, maintaining, operating, and reQairing said utility lines: By the acceptance of these easements, the Grantee agrees that it shall replace any shrubs or sod removed by it in the exercise of its rights hereunder to as near the condition which existed immediately before sueh rights were exerciaed as is reasonably possible. The State ?eed Tax due hereunder is $ NONH. IN TESTIMONY WNEREOF, the said Grantor(s) have caused these presents to be duly executed as of the day and year first above written. IN PRESENCE OF: STATE OF MINNESOTA) ) ss. COUNTY Ofi DAKOTA ) On this - A-3 day of_ within and for said County, pe husband and wife and vho executed the foregoing the eame as their free 19??, 6efore me a Notary Public -sonally appeared THOMAS E. NNRR and GRETCHEN M. MURR, [o me known to be the persons described in, instrument, and acknowledged that t he_y_ executed acr and deed. This Instrument Drafted By: ?/ ? Coun[y PAl1L H. HAUCE, AC[orney at Law ° 3908 Slbley Memorial Nighway ,; - in@at• !Qo mis ion expires /D- 7V Eagan, Minnesota 55122 ?TAx? ?NMESO?A DAKOU COUNTY , (612) 454-4224 M9 <ommissien e,pires Oct. 7.1987 /D o?soo 403o A9 &--- MASTER CARD OWNER STRUCTl1RE AND t LAND USED AS 49# c{/rQ? " Permit No. Issued Issued To Coniractor Owner 6UILDING ? T PLUM8ING e7 ?^O sf- T<+?hY /y<y CESSPOOL - SEPTIC TANK WELL ? 44,46=; ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER I OTHER I Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION ? ? ? ?'? CESSPOOL FRAMING ? • ? • ' •' TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK 7 -7? CESSPOOL DRAINFIEID PLUMBING weu SANITARY SEWER Violations Noted on Back COMMENTS: -WJ6, S?q cirr use oNLr L ? BL ? RECEIPT #: SUBD. ? ?? DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction V/ Add-on air conditioning Date: Add-on furnace Add-on air exchanger, i.e. Vanee system, etc. FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL '70 SITE ADDRESS: Vr_? G{MP y, MPaojOlC) kCx . OWNER NAME: I?ym oZf.E_/"1" PHONE #: SIL-12-V/0 INSTALLER NAMEnLZ?6M/el I7LLV?/'?)c? ?I? STREET ADDRESS:-??? -L?7J--tvl Ore CITY: STATE: 1/J ZIP: PHONE #: (?Q Q) - 000 5 a? 'V ? •Lot ? Blk ? PIO# 10-74esn-020-01 Plat 77zm Sewerlwater permit # 27034 Date Z/?CZ/ Receipt # &W.T? CITY OF EAGAN 1996 SEWER 8 WATER CONNECTION CHARGES EXISTING RESIDENTIAL PROPERTY Sewer connection Sewer av ability Date previ sly Receipt # Account deposit Sewer permit and Subtotal Tap / Total charge (SAC) paid Tap Total l Sewer & water connection Sew 'Iabiiity charge (SAC) Date previo aid Water availability c (WAC) Date previously paid Account deposit Sewer & water permit and s Water meter Treatment plant Subtotal Total Receipt #. # $1,000.00 760.00 30.00 100.50 107.00 396.00 393.50 A plumbing permif is also required. lt will be issued only to a plumber licensed with the City or to the homeowner if he is actually doing the work • Property owner Address Phone no. Plumber e Water connection charges ? 1,000.00 Water availabiliry charge (VNAC) $ 760.00 Date previously paid Receipt # 15.00 Account deposit 15.00 50 50 . . Water meter 107.00 $ 1,065.50 Treatment plant 396.00 ` Subtotal -? fi32S:5G- OFFICE USE ONLY PRV 4"JtJ u? No. of taps Assessments Waiver . .... SPECIAL ASSESSMENT SEARCH SUMMpRY AS OF: 02/07/1 996 PROPERTY ID: 10•74950-020-01 SEE COMMENTS S/Ak ASSESSMENT UESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. 100575 SEMER TRK 7980 20 8.0000 450.37 0.00 100576 NATER AREA 1980 20 8.0000 450.37 0.00 100903 SSTRK383 1984 15 10.5000 568.80 0.00 101044 SAN LAT478 1985 10 10.0000 7347.42 0.00 107045 WAT LAT418 7985 10 70.0000 1028.29 0.00 101046 S/WSER 478 1985 10 10.0000 442.18 0.00 107047 STREET 478 7985 70 70.0000 3560.26 0.00 701222 STORM SEW TRK 7986 75 9.0000 971.32 0.00 -•---- SUldARY OF LEVIED 0.00 0.00 •**"*i 1996 P81 CERTIFIED ------ SUMMRRY OF DEFERRED 0.00 ------ SUMMARY OF CLOSED 8753.07 ------ PENOING ESTIMATE 0.00 PAYOFF CD 0.00 PP 0.00 PP 0.00 PP 0.00 PP 0.00 PP 0.00 PP 0.00 PP 0.00 PP 0.00 Press ENTER; or F1, F4, F5, F7, F8 Nain Prev 2 72 Next S/A Go To Exit Menu Vage CN Page COMMENTS Legend 09:51 CAPS CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION Txxxxxxxxxxxxxxxz:z:::x...R.-FRxxxxz . y*. *iOTR: PAYMETTS OF EE.? AT TIME OF * ? ArrLSCAazoN DOEs Nom CCNSTzTUTE * ? APrxovAt oF PERMIT. * INSPF)LTION OF Sf.SM AfID/C2 NR,'lM TTICTA77ATTQj,$ ynL NOj' $F,' $(',FED- [LED otara, rERMIT HAs BEEN APPxovID. P ease Print 1) PROPERTY ADDRESS: ? J? •_ "`- LEGAL DESCRIPTION: . Lot Block Subdivision or Tax Parce I`) ?V /0 oys ao 030 -2-`J „ IE' ElQSTING STRC''iL1RE, DATE OF ORIGINAL BC?ILDING PEFtMZT ZSSL'ANCE: . ? ? . (Nbn Year PRFSENT 20NING/PROPQSID LSE: q corMEaczat,/xMAIr,/or-FrcE Q IPIDC'STRIAL M INSTI2L"PIONAL/GOVERIag,TPP ? R-1 5ZNGLE FAMILY ? R-2 DCPLEX (1wo Onits) ? R-3 TOWN[IOUSE (Three + Units) ( Unitsj p R-4 APARTMENT/COAIDUMINILRM ( Units) . Z) ff?? NANIE: ADDRFSS: , CITY, STATE; ZZP: . PHONE: 3) NAME: ADDRF55: / CITY, STATE, ZIP: PHONE: MASTER LICENSE# 4) •• • i?- NAME: . ADDRESS: CITY, STATE, 2IP: PHONE: a Active H Ekpired Not recorded Sta f -Initial -4/ 5) n a. ,?. :a •o? - ?? - - ? CON["TION TO CITY SE6JfI2 Q CpNNECpION TO CITY WATER 0 prHER Ej--PLEASE MAIL APPROVID PERMIT ZU 1, 2?, 3. 4. AHfJVE (Circle one) 6) ?? M PLF.ASE HOLD APPROVID PERMLT FOR PICK-UP BY ONE OF ABOVE '- -- FOR :CITY USE ONLY PERMITaISSUED 3 Pd w/Bldg. Permit FEES: $ /O . 5 U $ $ $ c e SEWER PERMIT (INCLUDE SORCHARGE) WATER PERMIT (INCLLDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ ?S(9 o $ ACCOLNT DEPOSIT - SEWER $ $ ACCOC'NT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRCNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL ?zVJPs RECEIPT RECEIPT DOES LTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? a YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLZC ROADWAY" MUST BE ISSUED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SL BJECT TO THE FOL LOWING CONDITIONS: APPROVED BY: I TITLE: DATE: L BL CITY USE ONLY RECEIPT#: ii2????p ? -G?'? SUBD. / M DATE: 1996 PLUMBING PERMIT (RE5IDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos whon permits are required for each unit FIXTURES EACH tLQ TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 :c = Hot Tub/Spa 3.00 ;c = Water Heater 3.00 n = Floor Drain 3.00 :c = Gas Piping Outlet " minimum - t 3.00 :c = Rough Openings 1.50 :< _ Water Softener 5.00 :c = Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler ' nome unaer const. 3.00 = Alterations ' to existiny 20.00 = Water Tum Around 20.00 b U STATE SURCHARGE .50 TOTAL STREET ADDRESS: CIN: STATE: ZIP: PHONE #: (YO/p ) 5- OWNER NAME: 4pi/ INSTALLER NAME: ? ???- CT.r....' (.li.r I_.F'd:;; N C„iN I'Cf( t .. TL=:ttil::tJAI_. NO: 33 lif-t'7EG :iC)i'f):3/9b Ti.Mc, 1:i;c:36;!!.1'i, Ir ;; tJAt9Ee 11-i0P'iPi`i M111';I;: 3810 9001 79e 45.00 05:; ':i;)Cl:t 79R GOLiil:h! i FI117 Oa50 .... .. . Fn:+i.:if'1?? . ?. _, _. ' rr,?'le. ; -il'On?.;Y.,:". r..ie..?.l 006536; r USEPi 1)l;i NANI:;Y PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-74950-020-01 DESCRIPTION: ensus God'e ;" ? ; 4 !? ? * PERMIT TYPE: Permit Num6er. Date Issued: 792 GOLDEN MEADOW RD I.OT: 2 BLOCK: 1 T E M (FUTURE B,u31'diny`;i_P4ermit Type Building Wb,rk Type PORCN) DECK NEW 434 ALT. RESIDENTIAL BUILDING 028936 10j@3/96 .b ? ?- E y 4°st LC? ? I f C€??iF ??i! 31 ?>_ REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee $45.00 $.50 $45.50 OWNER: - Applicant - MURR THOMAS 792 GOLqEN MEADOW RD EAGAN MN 55123 (612)452-4192 ? I hereby acknowledge that I fiabe read this application and state that the information is correct and egrc=e td comply with all appla4?ble State of Mn. 5tatutes an' City ofj?Eagan Ordinances: - firuia bul.! APPLICANTlPERMITEE SIGNA ISSUED BI SIG ATUR - -i ,. ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ?996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? 681-4675 New Gonatmdion R??uirements RemodeUReoair Reauirements ? 3 registered a8e aurveys ? 2 cropies of plans (inclutle beam S window sizes; poured fnd. desfgn; etc.) ? 1 energy calculations ? 9 copies of tree preservation plan H lot platted after 711/93 requfred: _ Ves _ No DATE: --- C--2 V -?(a License #: DESCRIPTION OF WORK: STREET AOD ESS: ? ? E,?r( LOT -74 Z BLOCK SUBD./P.I.D. #: --J ? ? PROPERTY Name: mu?m I P M A5 Phone #: OWNER ?? G?? Street Address:? City: State: v? Zip:_. -? /a? coN7RacTOg Company: ?22 M? Phone #: Street Address: City; Name: Street Address: City: cosr: ?? ? ? . ' State: ARCHITECT/ Company: ENGINEER State: Zip: Sewer & water licensed plumber: . PenaHy applies when address change and lot change are requested once permit is issued. I hereby acknowledge that t have read this application and state that the information is cct and agree omply with ail applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY .?L Z-?????D Certificates of Survey Received _ Yes _ No :ir.,-' 2? 9gg6 Tree Preservation Plan Received _ Yes _ No /? ? 2 copies of plan ? 2 site surveys (exterfor additions 6 tlecks) ? 1 energy calculatlons tor heated edditions 44ff.?0 M,Uldlo-i Zip: Phone #: Registration OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Dupiex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. 0 10 = plex WORK TYPE Td'31 New a 32 Addition 0 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? 0 14 Fireplace o Er 15 Deck y !? '/l R?.. 1 s?' ? ?j ? 4 a y 16 Basement Finish 17 5wim Pool 20 Public Facility 21 Miscellaneous ? 33 Alterations ? 36 Move ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS Planning Building M5 Engineering Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNU Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: MCMlS System ' City Water ? Fire Sprinkiered PRV Boaster Pump Census Code. 434 SAC Code oL Census Bidg I Census Unit Z Variance % SAC SAC Units ?.? V 1' Q r?? / ? } f0 ? 2 I I ? 0 1 N-o Ib o ? O o- ? 1 ? , \ ? ' ?? Q1 ? } m / 0 1 ? " 1?? o.?`'• ? ?\ 16; ? ? O 69 6?, •° ? \ I I .2 3 V µ a 20? \ I A96 Z o . ? ? / Pow?? ' . ? E*V?u°b5E Cm O It) qti0 \ \ w ? 20 ? ZO wppOf D -A - m SLOP f =-- ? ?- ? i ` ? N \ V ? 1 20 ` - snorei;ne _ ?- -- ?-- '_' - y - p f 20 ? I I ? !ta Elev.'BBO.75 a ? I ? ? MOY Lf1986 J ; ? L I ?PSEt?? L -- - -? W 0 .^ a 0 b 0 2 4 oRP\?PG .?' I'AKE . ? . , / 13767 '- 1376B N39024'20"W 275.35 W a PI / ? L ., ._ __ . ? /o-0asoo-o,30-29 A pontiing and drainage eaaement over that part of the Northwest Quartsr of Section 25, Townah]p 27, Range 23,.Dakota County, Minneoota, dmsaribee aa followa: Beginning at the eouthweet corner of said Nortkurest ,. Quartert• thence North 0 degrees 00 minutes 54 seconds Wo4t (asewead bearing7 along the west line thereof a diatance of 348.98 tset; thenoe North 29 degrees 13 minutee 36 seconds East a dietance of 224.55 Peet; thence North 57 degrees 11 minutes 10 seconds Eaat a dietanc• of 237.03 Peet; thence South 39 degreee 17 minutes 52 seconds Bast a distance of 392.00 feet; thence South 32 degrees 16 u.f.nutes 38 _ seconds East a distanee of 278.85 feet; thence 3outh 59 dogreee 42 minutes 19 seconds East a diatance of 257.94 feet to tho aouth line of said Northwest Quarter; thence South 89 degrees 44 aiesutes 36 seconds Weat along eaid eouth line a diatance of 928.67 femt to the point oP beginning. Ae containld xithin the following deseribed traCt. •(Insert existing deecriptions at this p01nt) , _ ._ .. >. bciating description -That part oP the Northweat Quarter o£ Section 25, Toxneht-p 27, Range ,._ 23, deacribed as followa: Commencing at the southeast corner of said Northweat Quarter; thence South 89 degrees 44 minutea 36 seconds West (assumed bearing) along the aouth line of eaid Northweat Quarter, 639.5 Peet to the centerline of Dodd Road as now laid out and traveled; thence North 1 degree 12 minutes 53 seconds East along said centerline 226.8 feet; thence North 7 degreea 24 minutes 53 seconds Eaat along said centerline 265.97 Peet to a point to be lrnown as point A; thence South 89 degreea 44 minutes 36 seconds West 895,0 feet to the begituting of the property to be described; thence South 89 degreea 44 minutes 36 seconds Weat 329,0 Peet; thence northweaterly on a tangent curve concave to the northeaat, radius 148.31 !'eet, eentral anglo 32 degrese 50 minutee 15 seconda, arc diatance 85.0 feet; thence South 50 degrees 32 minutes 02 seconds 41eat 812.61 feet to a polnt on the aouth line. oP said Northwest Quarter a distance of 110.0 feet easterly oP the southweat corner of said Northwest Quarter; thence North 89 degrees 44 minutea 36 seconds East along the eouth line of eaid Northweet Quarter 435.75 feet to a point which ia 2096.5 feet westerly of the aoutheast corner oP said Northweat Quarter; thence North 50 degrese 39 minutea 39 seconds East 777,24 feet to the point of beginning. , PONDING EASEMENT IF`p- CI:7GF ? ? N a N . ?i N y 3 0 ? 3 3 F ? ? < wF 00 P =a ? o VI Y I k:ereby ce^tii`g t:^:at thic is a true and correc ir t'r:c ?'ort:iaest cuarter of Sectlon e5, Pcwr.s.it '•.ote: Se= attac!:ed parcel deecrlF?lcns, Dated: Deaember 5, 1960 . \\ :ry`\ ` ` , ' . \ ? Aa2so \ . . F'ARCEL q 339j2p S3a9 \ JqCK H. & ELqINE K. ? •"? . +?,. GERMAINE 110.2 A ; .? \\ . ? / nm \ y Q ,QC? \ r Nao 23? ? ear?nri\ /L s oei ECEVqTbN J\ 9`.rFq rv 41 eA) ?Q ?F ? m /y ,I ,9 \ '4 _3z \a J' \SOOojy....?_'i. 32900 ?4oi ryN ? O\ ? 1 / PARCEL C THOMAS E. & GRETCHEN' M. , EIEVPTION 8886 ELEVAi10H ee7 . ?? MURR ? p? N ? s' \ 1.^.. ?n° d^a_'._:?e;e ease:r,=_r?t\- ARMAND \ r i 110.00 _, SOUTN LiNE ol NW 1i4, SEC 25,T.29, R. ELEVATIOH ?7/ \\ / \ ?{ EIEVATION 'BB 1? . . " ? • . ? . , ? ? ? . ? FOAIDINC ANn UTIl.i7'Y RASCPII?NT ; TNIS 1Ni)F.NTUIiF., made nnd entered into this 2.?:J_day of N10 (A7 ym 1919r, by and between Thomas E. & Gretchen Murr, husband & wife ae Grantor , nnd the City of Eagan, Uakota County, Minnesota, as Cran[ee, ; . f' . WITNESSiiT}I WIII;RF.AS, said Crantors is/are the owners of the [rncts of land 4. .' in the City of Eagan, Uako[a County, Ptinneso[a leF;ally descri6ed as follows: See attached "EXHIBIT A" ' NOW THERF.PORR, the said C,rantors , in consideration of One Dollar ($1.00) and other good and valuable consideration to t hem paid Uy Crantee, receipt whereof is hereby acknowledFed, hereby gcants an easement ro the ahove premises to said Crantee, its heirs and assigns, for permanent lake nnd ponding purposes, including the normal practice oE filling with uater the above descri5ed premisas from storm `sewer runoff, and for utility line purposes. ?>:: " The Crantee shall have the right to do whatever is necessary for the enjoy- '`' ment of the ri hts herein S granted, including the riRht of clearinp, the easement area [o nllow [or the use of the land as stated herein and for ingress and egreas ; to and from said tract of land and over and across said easement only for the ? purpose of laying, maintaining, operating and repairing said u[ility lines. And the said Crantor s, for theigelves , their heirs, executors, administrators and assigns do hereby release the said Cicy of Eagan, its successora and assigns, from all claims for any and all damages resulting to eaid land by reason _ ;. of the loca[ion of said lake, ponding area or utility lines. By accep[ance of these easemencs, the r.rantee agrees that i[ sliall restore 'rf, the prnperty located outside the antictpa[ed perlme[er of standing water to as '•..` near the exis[in -- g grade as is reasonably possihle and further agrees to replace ?{. existing cultivated shrubs or sod and to seed all other areas not covered wi[h standing water. _ IC is expressly understood that the Crantee, i[s successors or assigns shall waiver and relense said lands or that portlon thereof used for permanent lake or --ponding purposes from any specia] assessment levied on an area basis on account ? of any improvement in [he City oE FagTn for such time as said lands are used for ; Permanent lake or ponding purposes, bvt at such time as such uses or purposes are abandoned then said lands may a};ain be subject ta such special assessments, as have been levled or may hereaf[er be levied. " IN WITNF.SS WIIERGOr, the parties hereto have hereunto set Cheir.hands and seals the day and year first above wri[ten: In presence of ,. _ ? - y., s? CITY COUNCIL ' CITY OF EACAN - . . . c+.a,,: -.'n • -- --- I t s •.' %CCrai °ux e e --- - -.??._ . 1 ,. Exe pt from Siate Deed Tax tw Oakota Counry Tieasurer Attest•? . _ __ .... ? ' r. / ? E7{Et4'T FRpM'STATF. DEF.D,TAX STAMp . ?.........,..-?...?..•.?...w ... ........?....... ??A..1 izu erk . , •???:??;,.. } ?/ A a r ? • } , ? •?. ? y . STATF. OP AtINNI•S0?TA j COUNTY OF UAKOTA _ On this V( day of NQk@M /19 0?y before mea ? vithin ury¢ for sald Count , pcrsonally appeared -?"k . i?1?,? • f +? ;. ,44, / ? me knawn to be the1Lf?? and ? .. oF the Ci[y oF Tiagan, and who exer.ute the foregoing instzuroent; and ncknowledged that they executed tlie same as t}ieir free act and deed. _!. ? Iq'? . .. PMM.?WJM v\J ?Afil3 lp: ? ' . MY Comm.,.?_.: C.7u25 ftarth. IZ. 15i"o ? : ' %WW`?VW?v\+vJVVVWVWV?IWVvVWWVY . STATE OF M'QNNLSOTA COUNTY OF DAKOTA 84? ? ? . On this ?i y day of 19?, before me a within a d for said County personally appeared v??.s? to me known to be the person S duscribed in, and wlio executed Che foregoin?; ins[rumen[, and acknowledged that ?he V `. executed [he same as ree act and deed. rt Z 'x . - •'?- ;. '. . - . ..._,. . _ . _'. .. ? . . . . ? .......... ... ?.?._ .__. .. .. . . _ . _..._?.........___'_.r..... ,_.-. . . YAiNA1hhW?MlW'MNMAMhWNMFMA JUDI7H CHAFFEE 'S ... ?... . . ... . . ?i`''? k4J4 4Qi R+ 416LIC MIM1NESOiA ? a<. DfK^Ta ( ?U dTY . . . ? . , . • ? MYCemmi?.wai c?ni1esMa?ch.l@,1936 ?"V?????"? ?;?;.. L:?(/ •-?`j??! ` ... : ?; . ? ? . . N » O ? f ? ..,. ????qqlnnn'??, _ ? a ---, a 3 p?n ?S N 7 S .., ` r= v `? Q (? -? N (A o30 ^ea .•m?0 e . CO CD ! a v'?' , ? 4 -71 z d? t) -. 3 - ?K (O , ?. .g 70 0 ? a • i c d 2 ? C?c ?m?.?om ? ^ T1 O O ?.h 0. S rv t? .. D' v} ? : N o o J.? 0.??? o a ., ? aaa o ? . ;: . H a o? m b ? x G1 ?r. ? i . ...... - ..._ _?...._. ...... . . . , . _? ... ...._.. .. .,. . .. _ .... ' .. . . . ? . ...... . ""." " 6EA BLOMWISi MnIOR THpMAS EGnN MARN G4RRANTp JAME$ A SMIiM TNEODOHE WnCnTEF COONO:MEMBEAS CITY OF'EAGAN 3796 PILOT KNOB HOAD EAGAN, MINNESOTA 55122 ?MOME 404-l10p T110Mn5 HEDGES GiY A6MiNI5lP9IpR ALYCE BOLKE C1TV CLEFK / `?a? September 8, 1980 N[r. & Mrs. Thomas E. Murr 4379 Dodd Rd. Eagan, Mn. 55123 Dear Mr, & Mrs. Murr: Your new address is and should be changed as soon as possible to: 792 Golden Meadow Rd. Eagan, Mn. 55123 Sincere]y, c? Dale Peterson Building Of£icial DP/jac ec - Assessment Clerk Dakota Electric Association NW Bell Telephone Co. Eagan Post Offi¢e ?i 28 3 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reaulremenk 3 registe2d site surveys showing sq. R of IoL sq. 8. of house; and all roafed areas (20% man'vnum lot coverage allowed) 2 copies of plan showing beam 8 windax sizes; poured found design, elc. 1 set of Eneyy Calculations 3 copies of Tree PreservaUon PWn H lot platled after 7/1193 Rim Joist Detail Options selection sheet (buildings wkh 3 or less unils) RemodeUReoair Reauiremenls 2 copies oF plan 1 set of Energy Calculations for heated additions 1 ske survey for adddions 8 decks Add'rGOn - indicafe Hon-site sepGC sysfem Minnesota Rules 7672 • New Energy Code Worksheet Submitted ) Date S' Const uct' n Cost s??Q Site Address UniVSte N Description of Work Multi-Family Bldg _ Y_ N? Fireplace(s) 1 _ 2 Property Owner _A L?41S- Telephone # k/) v S ll Contractor Address City fA&?1/'? State Zip S S I?' S Telephone #( ) -, - s / COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Categorv 1 • Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submittatl In the last 12 months, has the City of Eagan issued a permii for a similar pian based on a master planZ _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( 13. ?? . 6as? .,? Office Use Onh CeR of Survey Recd _ Y_ N Tree Pres Plan ReW _ Y_ N. T2e Pres Required . _ Y_ N OnstteSepficSystem _Y _N 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 permit; that the work will be in accordance with the approved plan in th? case of w which requires a review and approval of plans. „ n ? Dcrz5 7TA Applicanes rmted Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Poal ? 30 Accessory Bldg 1 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Poroh/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 Plbg_Y or_ N 0 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 b) 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolitlon (Entire 81dg) - G ive PCA handout to applicant Valuation ^ 9?? Plan Review 100% or 25% Census Code SAC Units # of Units # of Bldgs Type of Const ?l /3 Occupancy ?_ MCES System Zoning ?- ? City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinkiered Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final Framing 'X3 _ Fireplace _ R.I. _ Air Test _ Final ?o Insulation Approved By: REQUIRD INSPECTIONS Inspector FinaUC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 1 jp 7jz?3 2einfl?ei 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 vv-4 651-675-5675 Please complete for modifications to existing residential dwellings. `?IQLDL-? Date ) I I _? I P 5 W ?A Site Street Address / V! "y Unit # Property Owner?Q? Telephone #?? J) rGS / 6 S/ Contrector Telephone# ( ) Address ? City State&,,_ 2ips ? The Applicant is: Owner _ Contractor _ Other Septic System _ New Refurbished Submit 2 sets of plans and MPC license Includes County fee _ $ 100.00 , Per as-built $ 10.00 Alter ions 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 ?Lou are installinp onlv a water softener and/or water heater, do not compiete 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 re uired) Other: _ Water Softener ?Water Heater $ 15.00 new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $5D I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but oniy an application for a permit, work is no start without a permit and work will be in accordance with the approved plan in the event a plan is required to be re e and approved. T?.??Vin? CPS (? M IA f S ApplicanYs Printed Name Ap IicanYs S $ 3D,F-,o 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eag$n MN 55122 Telephone # 651-675-5675 ? Please complete for: single family dwellings & iownhomes/condos when peanits are required for each unit Date / / ? 7„/- ; 0 Site Address -Unit # Property Owner ?a!? Telephone # ((9 ?l ) 7`? ? / ?V D Contractor / Street Address lJI City State &L Zip :13 Telephoue# (65/ Bond #: /61 Ez ires: p ? The AppGcant is ? Owner _ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace ?Additional _ReplacemeM X_ New air exchanger ? air conditioner heat pump other State Surcharge $ 50 Total $ I hereby apply for a Residen[ial Mectianical Pemut and aclmowledge that the information is complete and accurate; tttat the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pernut, but only an application for a pemut, 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-?61mcgs F m lA 6 ? Applicant's Pnnted Name Appli nt's Signature 13F 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. Date ! ? / S Site 5treet Address Unit # Property Owner7j:tj?)jQ'?(? Telephone # (? ? ) 7lJs ?3 b4 /' Contractor {? 6 s/ Telephone# ( / Address City State f 2ip 5 yl?" The Applicant is: Owner _ Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 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 insta!lina onlv a water sokener 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" met r is required) Other: Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ r ?9 I hereby apply for a Residential Plumbing 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 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 ac ordance with the approved plan in the event a plan is required to be reviewed and approved. 7om g-5 c M k r ?" ?A ApplicanYs Printed Name '--- WicanY ' nature 303- 366 ? OFFICE USE ONLY Thiz request void 18 manths from validafion dare pnnkd in Ihis bax. 71 y (o PLEASE PRINT OR TYPE p? I ReQUesf pok / Rough-in inspeclion reqoind2 ? Yes o Inspection Other Than Rough,lm F]i eody Now Q WII Call ' ^ t,y (You mos! wll ?he inspedorwhm ready? Dare Reody: I, licensed mnhador 0 owner hereby request inspedion of the a6ove electrical work at: Job d(Strtel, Boe, r RoNe No.? m s I ? fj? meadoj ` if? Zip Code , SeMan No. Township Nama or No. Rarge Na. Fire Na. Counry y? Occ upant ? 0) Phone Na. Po?sr5upp6ar Address Electnml Canhomr (Compon Name) ?y V A - Co cmr bmrue No./j ?" /? Maskrlic No. JPlom Eled. Only) i OL2 T ll Y n lv? I i ?' W; /) Maili g Pddress ( ntmclor orr, er Perfor ming Insmnli", ? ? ? I U f / 1U (.?7 ? AuMonud Si z Conimcloror Ovmer Pe - ing InaMllanon ?? ne No. d5-0(ro-DlA-10 6/95 ? ?IliGT?9oANUWVY•SEE INSTPUCTONSONBACKOFYELLOWCOPY H?II II ? II I? MEQUota Stat?e eoa dEofTEl?ectr?city 'J?/ Q(? 04 * 0 3 0 !33 6 6 9 s 1?lUniversity Ave., Rm. S-128, St. Pabl, M Phora-(?1-,__.2-0800 -:ff 9 ""`. Home Duplex Apt. Bldg. Other: New ilddn Commertial Indushial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgm}. Othec D er Ran e Elec. Heat Tem . Service "X" above fhe work covered 6y this request. Enter remarks in this space and on fhe back of fhe white mpy only. Calculafe Inspecfion Fee - 7his Inspectian Requesf will nor be accepfed wiMoui the correcf fee: Olher Fee al Service EMrance Size Fee # Circuils/Feeders Fee Mobile Home Park Sfall 0 fo 200 Amps o 100 Amps Streef L}g./Traffic $ig. Above 200 Amps 100 Amps Above Tronsformer/Generofor g INSPECTOHBUSEONLY TOTAL Sign/Oufline Lig. Xfmr. Alarm/Remofe Conhol Swimming Pool I henb cent ?hat I ins ed Ihe dech?ml insmllonon desuibed herein on the dares sbrod Irrigation Boom Rough-ln Dok Speciallnspedion / D Imesiigative Fee / - /!!? aie THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT COMPLETED WITHIN 1 MONTHS. Use BLUE or BLACK Ink r----------------� . I For Office Use I ' � �) i City of�a�a� � Permit#: � i �� i � 3830 Pilot Knob Road I Permit Fee: � Eagan MN 55122 � I Phone: (651)675-5675 � Date Received: � Fax: (651)675-5694 I � I Staff: � �-----------------� 2015 MECHANICAL PERMIT APPLICATIO ❑ Please submit two(2)sets of plans with all commerci I applications. , Date: ��-?' � �Gti��J Site Address: � �� '�-- � �r �� Tenant: Suite#: � Name: �, �J� " � � Phone: � �� "�� ,� ��SIC��Ci�I�WCi�f' �`k `�� I Address/City/Zip: � � ,�� ' Name: License#: �� G-wa �� :� � Address: City: V�� -C1t��t' '� State: Zi Phone: P� ��" r ,"'�,�� ," Contact: Email: �� o�� F , New Replacement Additional Alteration Demolition � �1. � �'� p� p��/��, �� Description of work: r/f�iv�Q!�1..�� ' t�i' U-i/U � � ' ��.v �CYTE R�c�f�c��e�l�nd'gr�ur�d mciunted�n�c�n�ca�=equipmen��re��red tcs E��scre+��+�c�k�y C�t�r 3��F .Code �� ` oc;�ntactthe Mechan3c�1 Ins ��n��nf€�rrrratioi�on t�d��re�in�r�' �`��r�1s: ��.. , � ��'� �� ..: -, �..=-r ,>.�.z... `�� . . , \Ga � RES/DENTIAL COMMERC/AL � ;; �Fumace New Construction Interior Improvement �� — ��,��,�T�� Air Conditioner Install Piping Processed � Air Exchanger Gas Exterior HVAC Unit ��a \� ' Heat Pump Under/Above ground Tank �Install/_Remove) i� — — ��.: �i��:' Other RES/DENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum, includes State Surcharge $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 -� Surcharge'` If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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 � � � � �' � -� �� r'` i-�-.. Applicant's Printe Name Applicant's Signature ��F�t��IC �� .r Requir�d Ms��#�cans'� �� , Rev�ewed By � ��t �"��.. ` �� ,� . .. ; „ ��}�d�rgrc�ura�! 1�t�ugtt In��: .' Air 7e�t '� ...V �as��nr��'��e�...•:. . Irs flc�r�r N�at �in�I H�}��c��ni�c�.. ;;..< ,�