1685 Galway LaneW-ertificate of cccupanc?
gitV of Cfagan
ZOa?rtmeut of ZKilbacg Zalapeetioa
Tlus Certificate issued pursuant to the requiremeats of the URrform Building Code
certifying that at tht tirrre of issuartce this structure was in compliance with the various
ordinances of the City regulating building construction or use. For tke following:
SF T1W 31405
urc ClasciGcation: Bleg. Permic No.
pccup.y Type E?"3 U- I 7euing Distriu R' I Type ComtVN
owneroreu;laing HFAR1i.AM HCMS ,,&I,., 101 (MAVA, _ , IYN
ARMS
'
BuiWing Address 1?5 @W ` ??q I? (,?iry Ui,B2? _
?M?? ?
?
POST IN A CONSPICl10US PLACE
. M ? , . INSPECTION REC4RD
CITY OF EAGAN PERWIIT TYPE:
, y 3830 Pilot Knob Road Permit Number:
;• Eagan, Minnesota 55122-1897 Date Issued:
? (612) 681-4675
! SITE ADDRESS: APPLICANT:
. ., .
? 10111 ?tv r AI;A
? PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .. . .A
, .. . . ? ,
? RE MARKr. s,`?M-A Pl aM11t1 I: f AkN! 1 Nl; t 014 1yf IlpEs t I'I+a r;Nlf tff fi 1 f Nt, F31 AN RF V7 FWf Cl RY M fYF RAkCf i
I ?
L
?
Perm(t No. Permk Molder Date Telephone #
ELECTRIC
PLUMBING
HVAC
10
Inspection Date thdp. Co mmenta
FOOTINGS? 71,(
?
?
FQUND
?
•dY
FRAMING
!
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIFEPIACE 30 ? 9
FIREPLACE
AIR TEST ?
FiNAL pLBG
FINAL HTG
ORSAT
TEST ?
?
BLDG FINAL
BSMT R.I.
BSNT FINAL
DECK FTG
DECK FINAL
e
Adaress 1685 G,AisaAY IANE EACM, Mer
L.ot 4 Blk 2 Sub
Zip 5512e;r-
MUR.pHY FAFM
THESE ITEMS W fFI2E / WERE NOT COMPLET'E AT TI-IE TIME OF THE FINAL INSPECTION.
Date: (p n Yes No lnspector:
Final grade (6" from siding) t/
Permanent steps (garage)
Permanent steps (main entry) V"
Permanent driveway
Permanent gas V-1,
Sod/Seeded grass
TraiUcurb damage ?
Porch
Basement finis6 b?
Deck ?
Please verifv with the builder the removal of mof test caps from the plumbing system and ihe shut-off of water supply ro
the outside Iawn faucet before freeze potential exisu.
Contad engineering division at 681-4645 before working in rightof•way or instelling underground sprinkler system. ?
Whik - City Copy Yellow - Resident Copy Pink - Contrador Copy
l,Q 2,tp OS RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
\\
?t?0 di.
New Construd'an Reouiremen5 RemadeVFieoair Reauirements Olfice Use OnM
3 registered site surveys showing sq. ft of lot sq. R ot house; and II roofed areas ° 2 copies of plan Cert of Survey Reoi _ Y_ N
(20% maximum bt ooverage allowed) 1 set of Eneyy Calculations for heated additions Tree Pres Plan ReW _ Y_ N
2 copies of plan strowing 6eam & window s¢es; poured found design, etc. 1 sBe survey far add'Nons & decks Tree Pres Reqd Y_ N
1 set of Energy Calalations Add6on - indicete i/an-site sep6c system On3ite Septic System _ Y_ N
3 copies oF Tree Preservatbn Plan d lot platted aRer 7/153
Rim Joist Oerail Options seled'an sheet (bldgswith 3 orlass unBs
Date / I/ 0,3
Site Address / dilS [ Q?.va? Construction Cost 600000
? N G ci,;aN WI N SS/ 2 2 UniUSte #
Description of Work
Multi-FamilyBldg Y_ N Ftireplace(s) _ 0_/Y 1 _ Z
PropertyOwner 14 gple.4 t iNnryF//cn 6avba1J4 Telephone#(df/) 6Y8-oZ65
Contractor
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category . Residential Vendlation Category t Worksheet • New Energy Code Worksheet
(J submission type) SubmiBed Submitted
• Energy Envelope CalculaHOns Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
N If so, 25% plan review
Telephone # (
Telephn? #(
DEC 0 5 49;hlll I #(
I hereby apply for a Residential Building Permit and a'ct?n- owledge thaf 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.
ApplicanYs Printed Name
??? ,
Applicant's Signature
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 Ot of_plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? 05 03-plex ? 11 10-plex `f?
? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex / Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
? 33 Alteration ? 37 Demoiish (Bldg)" ? 43 Reroof ? 46
? 34 Replacement ^Demolition (Entire Bidg) - Give PCA handout to applieant
Valuation Occupancy MC/ESSystem _
Census Code ?
?T Zoning City Water _
SAC Units Stories Booster Pump _
Nbr. of Units Sq. Ft. PRV _
Nbr. of Bldgs Length Fire Sprinklered _
Type of Const Width
_ Footings (new hldg)
_ Footings(deck)
_ Footings (addirion)
_ Foundation
Drain Tile
Roof Ice & Water Final
Framing
1C Fireplace -?- R.I. -KAir Test ;l( Final
A Insulation
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
REQUIRED INSPECTIONS
FinaUC.O.
'K FinaUNo C.O.
Plumbing
? HVAC
Ot6er
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (newheplacement)
_ Retaining Wall
Approved By_ l 7?, Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
P'
?? ?
? ;UQ 7 _ PLUMBING (RESIDENTIAL) vl ??
r
Permit ApplicaNon 'ID
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
Date ?_ / ? / u3
SiteAddress _ I1a85 (-C-,,-- Unit#
c
PropertyOwner Ltc,((.,__?OAC-111 f,j??-ATvbP.l ? V., Telephone #( 651 ) (o 618- Da-(os
Contractar 1iP
Address City
State Zip Telephone # ( )
The Applicant is ?Owner _ Conuactor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes Counry fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50
00
? Adding fxtures to lower levels or room additions, excluding water softener and water heater .
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00) .
Other: l
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawo irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
State Surchar
e D ' $ 50
g
DEC 0 5 2003
Totei ? $ ? so
I hereby apply for a Residential Plumbing Permit and acknowledge that q information-is_rmm??ier,? nd accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan an?Ti`the Plumbing Codes, that 1 understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans. ?
9,?,? /?o u Le /. /l ? `
Applicant's Printed Name 'Applic Sisan gnature
RESIDENTIAL BUII,DING
Permit Application
City Of Eagan
3530 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reoui2menls RemodeNteoair ReauiremenLs Ofice Use Onlv
3 registered sile surveys showirg sq. R of lot sq. fl, of house; and all roofed areas 2 copies o( plan Cert of Survey Recd _ Y_ N
(20% mazimum bt coveraga allowed) 1 set of Energy Calculations for heated addifions Tree Pres Plan Recd _ Y_N
2 copies of plan showing beam & window sizes; poured tound design, etc. 1 sile survey tor addNons 8 decks Tree Pres Reqd _ Y_ N
isetofEnergyCalculations AddiUon-indicetei(on-sifesepticsystem On-siteSep6c5ystem _Y _N
3 copies of Trce Preservation Plan H bt plaHed afler 7/1/93
Rim Joist Defail Oplions selection sheet (bldgs with 3 or leu units
Date /o C73 ConstructionCost
Site Address
?j /?? ?"?
/I t.,VV
?y
LA/
IIniUSte ti
Description of Work _ l/`'ST/?U? 6A 5
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_G_ 2
Property Owner uL CI ? j jL??- Telephone #(?I Z)6CJ8'c 40?.
Contractor
Address (/J. /{LJ`9 /J' City ?
State Zip 65'337 Telephone # (jSZ ) 87d -a7SFf
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy CAde Category , Residential Ventilation Category 1 Waksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope CalculaUons Submitted
R-70 1?0-
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
? Nlephone #(
Mechanical Contractor
Sewer/Water Contractor
#( )
hone #(
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 pemiA and work is not to start without a
permit; that the work will be in accordance with the approved plan ip\the case oNyork which requires a review and
approval of pl
Applicant's Printed Name
C.T.TV OF Et1GFtN
CAEiN7f_ftr 5 'f[:fiMTNFJ... NOs 759
IIATE:: 02/09/78 7'INr: l`ie%'c .9.2
T.D r
NFiMF " hIFARTLAND 1°II7ME.S
2256 9001 1685 GAL..WftY I_AN 4y`?;'c."r'I.
Tn'1:a1. h:rCi?:I.pt Amount o 4y'9i c.'i'1
CFiC18610i
UEii-F: TD: N(-tNCV
?Xk? ?W?k %?k???:?k"k•??CX??X? ?Y?? kc?kk? ?k%t %? %? ?k%?X?WM?HCNt? Xc??K?
PERMIT
CITY OF EAGAN
-? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
1685 GALWAY LANE
LOT: 4 BLOCK: 2
MURPHY FARM
Bu'iLding_ Permit Type
Building Glork Type
,^UBG,Occupano,
;l? Construction T`yp
,/. ZonS ng ?
euallding Leri#t.h
' Building Width
I` Bui?dinqF-stories
?,, `' ? .'D?';Id;B:YG F8$"?`,`,gt"u. T•r
C`e:n's;us. Gade-= "
,q a f
e
PERMIT TYPE:
Permit Number:
Date Issued:
SF DWG
NEW
R-3 U-1
VN
R-1
73
34
2
2,204
101 1 - FAM. DETACH
r?
BUILDING
031485
02/09/98
REMARKS:
S&W PLUMBER - FARMTNGTON PLLJMBING AND HEATING PLAN REVIEWED 8Y MIKE BARCK
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUA7ION
$1,382.25
$898.46
$99.50
$1,000.00
100
$3,380.21
$199,000
MISCELLANEOUS $1,592.50
Total Fee $4,972.71
CONTRACTOR: - Applicant - sr. Lzc (??/??p
HEARTLAND HpMES 17014663 2005287 ?IEAIFfL?AND HOMES
1!01 GENEVA BLVD 101 GENEVA
EAGAN MN 55306 BURNSVILLE MN 55306
J612) 701-4663
I
I kererby ack?n4wlecfge that 1,haveg. read
information 3.s correct and agree to c
Statutes a Gity ofi Eagan 4rdin,an?
? . _ ... . . , _. . , .m
th,isro a:PP1jcatts?n .4Rd state tk?at the . ?
mply ai.tti a11q=aPpabSta?E o a3' Mn. `
i?
r
_ ._ ?., ... _._, s ?z . ....._ .,.
EO eY: SIGNATURE
• ` 1998 BUILDING PERMIT APPLICATION (RE3IDENTIAL) ?
crrsr oF Enaax -
3830 PILOT KNOB RD - 56122 ?
681-4675 /
New Construdion Reauirements RemodeVReoafr Reauiremerrts
? 3 registered sile surveys
? 2 copies of plens (inGude beam 8 wfrMow saea: poure0 tnd, tlesign: etc.)
? t energy raleulatlons
? 3 copies of tree preservstion p if IM platted aRer 7NI93
required: _ Yes _ No ?
DATE: 2+ I?f I oi $
? 1 eopies of plan
? 2 cite surveys (ex[erior addkions & decks)
? 1 energy nlculaUons for heffied atldRions
e?O,,ZD W ?T? Oui
CONSTRUCTION COST; p ? dQU
DESCRIPTION OF WORK: 00ixS2?tcT'MJ ?-c??lJ??i?PcL
STREET ADDRESS:
LOT: BLOCK: ? SUBD./P.I.D.
Name: IA-(a(L1lkt-jZ?? lTmf $ c F P(- Phone #:
PROPERTY Lag F'ust
OWNER
Street Address:
City - State: ' yip: . r
Company: IPhoneNC701 - L{
CONTRACTOR
Street Address: I O 1 ?LIJ'c-ll!? t,?-V 1?? License tt c2 D0S'D'P-5
City State: (rkK) Zip: 5`J 3C7 (9
ARCHIT'ECT/
ENGINEER Company: Phone #:
Registration #:
Street Address:
City
State:
Zip:
Sewer 8 water licensed plumber (new construaion ony): penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this appiication and state that the information is correct a a ree to comply with
State af Minnesota Statutes and City of Eagan Ordinances. Z' ?
Signature of Applicant
OFFICE USE ONLY U
Certificates of Survey Received i% Yes _ No ?/ 4
Tree Preservation Plan Received _ Yes ^ No 6 Not RequireW,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 1 Foundation ? 06 Duplex
02 SF Dwelling 13 07 4plex
? 03 SF Addition ? 08 S-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
12r 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Ailowable)
UBC Occupancy
2oning
# of Stories
Length
Depth
JN
v r
Q,_ I
2
?-
34'
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
?w3L MC/WSSystem ?
?u34 City Water
, (, i 4 Fire Sprinklered
7 PRV
Booster Pump
Census Code.
0,1 z z SAC Code o?
Census Bldg ?
Census Unit ?
APPROVALS
Planning
Permit Fee
Surcharge
Ptan Review
License
MCNVS SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
- t sf
2 NJ
?
s?.sXzg
?? 2 N Z
7ac?
3Z u zc?
?37 z
«l3te ffi ? 5 </ =
?.<
5.q _
z I, sLtv, -
?77,
3-7 z. -
12, z fla', --
) G?/ -7 4I?/•
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
2 "d SQ. ft.
czaj?4L sq. ft.
sq. ft.
? sq. ft.
Footprint sq. ft.
Building MS Engineering Variance
Valuation: $ iCi C+,0(-WD. r
Pox x?-4- ?
' 4GK 2
'? z v z
CERTIFICATE OF SURVEY
For. HEARTLAND HOMES,? m
,A o
IP. ??N [E In
g`!
LOt 4, B10C?Arfia??? I ITTTTAn1rn-r
PROPERTY DESCRIPTION:
Dakota County Minnesota
We hereby certify that this is a true and correct survey of the abave described property and that it
was performed by me ar under my direct supervision and thdt ! am a duly Licensed Surveyor
under the laws of the State of Minnesota. That this survey does not purport to show all
improvements, easements or encroachments, to the property except as shown thereon.
Signed this 21St day of January ,1998. For: mes R. Hill, Inc.,
-:,.
•?
B y.
° 7 /- OfHarold C. Peterson, Minnesota L.S. No. 12294
Notes:
1. Building dimensions shawn are for
horizontal & vertical of structure only.
See architectural plans for building &
foundation dimensions.
2. No specific soils investigation has been
completed on this lot by James R. Hill, Inc.
The suitability of soils to support the specific
house proposed is nat the responsibility of
James R. Hill, Inc. or the surveyor.
3. No specific title search for existence or non-
existence of recorded or unrecorded easements
has 6een conducted by the surveyor as a part of
this survey. Only easements per the recorded plat
are shown.
4. Proposed grades shown were token from
the grading &/or development plan prepared by
BRW, Inc.
p ? » W
D
O O .?
7
?Z ?
M
0
* Denotes set nail
O Denotes set iron monument
• Denotes found iron monument
x927.68 Denotes existing elevation
(930.00) Denotes proposed elevation
-? Denotes proposed drainage
Bench Mark:
921.01 -NE cor transformer pad - Deerwood Dr. &
Murohv Pkwv
Proposed Garage Floor= 909•2
Proposed Garage Top Block= 909.6
Proposed House Top Block= 910•6
Proposed Lowest Floor= 901•9
Bearings are on assumed datum
Scale: 1"=30'
Page 1 of 2
James R. Hi(I, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. Crr. Ro. 42, Suih 120, BuansvuLF, MN 55337
612/890-6044 Fuc890-6244
Fr --1
CERTIFICATE OF SURVEY ?
For: HEARTLAND HOMES I
1685 GALWAY LANE
?
c?
BENCH MARK
TOP OF SPIKE
ELEV=908.47 ?
/
i
n
N
? i`
oC3
/
1? ? <
O' ? '
? ?
i 7jho-
?
L r
i
\?049 js
/ 4 0;
?
!/ \ 320
(904
o `\ s46)???y? fqsE'ufNCf& ? h ??l'
ar / '? ? T p U
g? \ ? / % ? `??aJ?, •ti`°' / i
I ?
. ?O?0 /O/ C!? -w.4i
? V;enm
\/o ? ?/`? g?•?? /? Q?+
q ?.J
'qNE ? ozi?
0 0
SAN. M.H.
PROP. INV. ELEV=BBI.J
PER CITY OF EAGAN
/
?
BENCH MARK
TOP OF SPIKE
ELEV=906.95
/
0
0
0
m
m
5cale: 1"=30' Page 2 of 2____ James R. Hill, Inc.
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDtNG PERMIT APPLfCATION
? 52
? ? ?
?? ?
?o ?
eY' ? ?
? ?
? ?
r?a ?
C? ? ?
? ? ?
? ? ?
? 0 ?
[r'o 0
er ? ?
[ff"? o
ELEVATIONS
Existina
• Sewer service (or Proposed)
• Property comers
• Top of curb at the driveway
• Elevations of any ebsting adjacent homes
Prooosed
o/f7 ?
P-- ? ?
Z'--? ?
r3` ? ?
[7? ? ?
• Garage floor
• First floor
• Lowest exposed elevation (walkouUwindow)
• Property corners
• Front and rear of home at the foundation
ONDING AREA (if aoDlicable
? a?O
? g? ?
? ? ?
? ??
? Er? ?
0-?-o ?
[n" ? ?
C], ? ?
la' ? ?
fa? ? ?
? R-' ?
PROPERTY LEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Building PermitApplicant
• Legaldescription
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Direclional drainage arrows with slope/gradient %
• Praposed/ebsting sewer and water services &inverteieva6b'n
• Streetname
• Driveway
• Easement line
• NWL
• HWL
• Pond # designation
• Emergency Overtlow Elevation
• Lot Iines/Bearings 8 dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
• Show all easements of record and any City utiIibes within those easements
• Setbacks of proposed structure and sideyard setback of adjacent existing structures
• Retaining wall requirements, if any
Reviewed: ? z/ ,S-
Na e ? -- / ate
January 1996
CRAIGi BBBf6L?PRMT.FM
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 2.0
Minnesota Department of Public Service
1-612-296-5175 1-800-657-3710
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 2-4-1998
DATE OF PLANS: 1-28-98
TITLE:
PROJECT INFORMATION:
Soubelik Family Home
Lot 4, Block 2, Murphy Farm
Dakota County
COMPANY INFORMATION:
Heartland Homes
101 Geneva Blvd
Surnsville, Mn 55306
COMPLIANCE: PASSES
Required UA = 542
Your Home = 505
Permit
Checked by/Date
Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Va1ue U-Value UA
-------------------------------------
CEILINGS: Raised Truss 1632
WALLS: Wood Frame, 16" O.C. 2956
GLAZING: Windows or poors 597
DOORS 42
BSMT: 9.0' ht/8.5' bg/9.0' insul. 1674
HVAC EFFICIENCY: Furnace, 80.0 AFUE
HVAC EFFICIENCY: Air Conditioner, 10.0 SEER
-------------------------------------------
------------------------------
38.0 0.0 41
19.0 2.0 152
0.350 209
0.350 15
10.0 88
------------------------------
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the ermit application. The proposed building
has been designed to Teet the?°e?uirements of the Ni' nesota Energy Code.
Builder/Designer
Date 7?- q ' 910
NEW HOME FIELD INSPECTION
ENERGY CHECKLIST
(CATEGORY 2)
FOUNDATION:
UY'1'1UNHL
(CATEGORY 1)
[ ] Exterior foundation wall
insulation installed:
R-
[ J Slab-on-grade insulation
installed: R-
[] Ducts in slabs have R-5
insulation bottom and sides
PENETRATIONS:
[] Window and door frames sealed
[] Framed wall openings into attic
sealed
[] Other joints in wall sealed
( ] Dropped ceiling air-blocked
[ ] Plumbing penetrations sealed
[ ] Exterior walls behind tub
and shower sealed
[ ] Plumbing vent stack sealed
f] Chimney flues sealed at ceiling
[] Perimeters of all grills and
registers sealed to vapor
barrier
[ ] Electrical service sealed
[ ) Recessed light fixtures sealed
[ ] wire penetrations into attic
sealed
[ ] Telephone, cable TV
penetrations sealed
[] Fans sealed where vapor barrier
penetrated
[ ] Foundation rim joist sealed
airtight
[ ] Upper story band joists
sealed airtight
[] Ceiling poly sealed to top
of interior partition walls
[ ] Electrical boxes sealed to
vapor barrier
[ ] Fan housings air sealed
.
NEW HOME FIELD INSPECTION
ENERGY CHECKLIST
PAGE 2
(CATEGORY 2)
INSULATION:
(CATEGORY 1)
[ ] vapor barrier installed
[ ] Interior foundation wall:
( ) Vapor barrier installed
( ) Insulation installed: R-
( ) Moisture barrier installed
[ ] Attic insulation installed:
R-
[] Attic card posted with proof of
bags installed
[ ] Floor insulation installed:
R-
[ ] Wall insulation installed:
( )R-19 ( ) R-21 ( ) R-
WIND WASIi BARRIERS
[] Wind wash barrier installed at
attic edge
[ ] Overhangs (cantilevered floors
and bay windows)have wind wash
barriers
MECHANICAL:
[ ] Ducts running outside conditioned
space sealed and insulated
with minimum of R-8
[] Returns in same space as furnace
sealed
[ ] Ducts in unheated spaces
[] Water heater has pipe insulation
or heat traps installed
[ ] Furnace AFUE:
[ ] Central Air SEER:
[ ] Al1 exterior joints in
building envelope sealed
[ ] Residential mechanical
ventilation system
installed (Mandatory if one
or more item in this column
is checked)
----NOTES TO FIELD (Building Department Use Only)
'? Y7k??k*Y,SNt%?Ac#7k?uA''';my(•?k 5??:?S+,Y3;%4?if:?t a;k?' y n4::?:7K;x
CT7Y -05 F;`tGAh C:A?t;:T,EF': :'S 1'F_i;M.'..%L Nr12 7i8
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2155 9101 :685. GAI_WAY Li4
? .
4.
60. ClC+
U,Ct?
To?.i;al RerOi;-,': A.=Mni:9 ? 60.50
?•?.???:4 r.;? .:?r? ?
'KY?7k1KyC?;[W.?C???$W'k'?kB=kY,t:Y?kX?::i.:iokig?c:::7K#'X??;*h.7k?'MV'?1c:K .
1999 BUILDINC PERMiR7 APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122 ?(o o. lj U
651-681-4675
New Conshuctlon ReaulremeMs Remotlel/Reoair Reauiremenh ?
? 9 registered ske surveys showing sq. ry, of bt, sq. lf. of houae 2 copies ol pian
and gU roofed areas (26% maxfmum lot coveraae allowed) i sef W energy calculoNons for heofed addiHons
? 2 copies of plans (show 6eam a window sizes; poured Ind. design; Mc.) 7 sBe survey tor entedor addfflons 6 decks
D 1 sef of energy calculaflona
? 3 copies W hee preservaHon plan R bt plolted after 7/7/93
DATE: IQ- /L - C/y
?
CONSTRUCTION COST: ?q 3 ov
DESCRIPTION OF WORK: /.J/sEfc K ? D?/T7JN
STREET ADDRESS;
LOT: -11-
PROPERTY
owNeR
CONTRACTOR
ARCNITECT/
ENGINEER
/ 6?'-?? C.AG wdy LArJ?
BLOCK: 24_ SUBD./P.I.D. #:
Name:.19o ?J 9!z G//,- Phone #:?S/- ?.Y?- O LG V
LasT Flrst
SheetAddress: Z(6P 15?44u-,9 y Z ,GJ.ViE
Ci1y 6:/a Gfl iv/ StaFe: Zip: ?s11?2-
cgce- 6/ a - 7,q -
Company: ?f/?' /7lz" Cii' ttDo?R ?s? /i,rG Phone 2r-
(area eode)
StreetAddress: //63 Z 4 &,'j2o N -iiC/1,i5 )f. License#?
City Sfate: 4ii'.r? Zip: . ?g°-7.r-
Company: Name:
Telephone #: area code (
Stree7 Address: RegishaHon #:
City State: Zip:
Sewer 3 water Iicensed plumher [reauired for new consirucHon onlv):
Penalty applfes when address change and lof change Is requested once permff Is (ssued.
I Frereby acknowledge fhat 1 have read fhis applicaNon, atate thaf fhe Informalion Is conecf, and agree to comply wtth all applicabl
Stale ot Minnesofa Statutes and City of Eagan Ordfnances.
Signafure of AppllcpM:
OFFICE USE ONLY
CeRificates of Survey Received ? Yes _ No
Tree Preservation Plan Received _ Yes _ No - >!L-? Not Required OC7 12
J v`
OFFICE U5E ONLY
BUILDING PERMIT TYPE
_. ,
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex 7 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 [3 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
0 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
,ff' 32 Addition 0 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demoiish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length
VVidth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building -E (? -
Census Code K34
SAC Code v ?
No. of Units i
No. of Bidgs 0
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee a, 5 U
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Pertnit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: ? 60 ,S U
Valuation: $ 400_
SAC Units
°k SAC
- - - CERTIFICATE OF SURVEY ?
For. HEARTLAND HOMES I
1685 GALWAY LANE
I
0
? ?.
!!? JL
?
497 ?
C? ? J cv /? O T\ 6 lY
? J C O^ Q• 4
BENCH MARK N 903,
TOP OF SPIKE
, ELEV=908.47
?
L ?
i
>q1H \ \
'-
?
?
O . `9os HpPp ? yo 2' o,
1 o`Oy /70,- ?,.
??- /18g5_ ?7 SFFD 0
O ? 0
/2-? o ? ? ? ?85 ?? ? •+ ??
i 1 e? 5? i9 20 O? Cij"??'Q]
9p251 099)9n;e 240 qOI QIq??p ? o• ?
7 _\
966I
? a\OD \ \ ? `IQ k,
"9
BENCH MARK
TOP OF SPIKE
L ,? ? 60,40 0 ELEv=sas.ss
go
?
G?ry?Ob??
SANH. O
PROP. 10.1 V=8B1.3
PER CITY OP EAGAN
Scale: Page 2 oi 2 James R. Hill, Inc.
------
?
CITY USE ONLY
LOT _?/_ BL 0;?1_ RECEIPT !k:
SUBD. RECEIPT DATE: LP/?•1!/c/ ?
1997 MECHANICAL PERNIIT (RESIDENTIAL>
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
Date• (p'SMv (612) 681-4675
-?y3o?F
Complete this section onlv if vou are installine I3VAC in sinPle familv townhome or condos thst are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets ( minimum of one required @$3.00 ea.)
• State Surchazge: „50
• TOTAL:
Complete this section only if vou are remodeline addin¢ to or repairing eaisring sinQle familv
dwellines, town6omes, or condos.
_ Add-on fumace ? Add on air conditioning
_ Add-on air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of eacisting residences $ 20.00
STate Surcharge .50
Total: $ 20.50
SITE ADDRESS: 6Rl OQC3 UA_?
OWNER NAIvIE: PHONE #:
f1-i l i an,t
INSTALLERNAME: Pr2Ar, c.k- Gl1 PHONE#:
STREET ADDRESS: 3?S? t?RG?a?l.?'?(.C D? ? I
crnr: ECt4U-,O STATE: /AA zIP:
ALf? /'41- / /w
SIGNATUItt OF PERMIT7'EE
cK I a?gsc0
CITY USE ONLY
?L ? BL ? RECEIPT#: 0 1?
SUB . RECEIPT DATE: `? 7/ ? p
1998 PLiJMBING PERMIT (RESIDENTTAL)
CITY OF EAGAN
3830 PILOT HIN0B RD
EAGAN, tIId 55122
(612) 681-4675
Please complete for: ? single family dwellings
D tawnhomes and condos when pertnits are required for each unit
D backflow preventer for underground sprinkler system
---- - -'-' ____------------
FIXTURES ----- -------'
EACH ------ ---------- --------
# ------- -------- --
TOTAL
Shower 3.00 x
Water Closet 3.00 x = 9_
Bath Tub 3.00 x I = 3
Lavatory 3.00 x ?- _ _
11,
Kitchen Sink 3.00 x 3
Laundry Tray 3.00 x 3
Hot Tub/5pa 3.00 x _3
Water Heater 3.00 x I
FloorDrain 3.00 x 1 = .3
Gas Piping Outlet ' minimum - t 3.00 x
Rough Openings 1.50 x 445
Water Softener ' for dweliings under construction 5.00 X =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. SprinklEf 'forexistingdwelling 20.00 =
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new antl returbished systems)
Private Disposal Systems " Abandonment 20.00 =
STATE SURCHARGE 50
TOTAL _6?
------ -•--------------- ---°------------------------ -•-°--------------
I hereby adcnowletlge that I have resd this epplicstion, stste thst the infortnstion is corted, and agree to wmpty wifh all appliceble Cily of Eagan ordinances.
it is the applicanPS responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its
normal operational and maintenance aclivities to the tacilities constructed under this permB within City property/right-of-weyleasement.
SITE ADDRESS:
W
OWNER NAME: ti ea r7' I A v4L 4-o VY, e?
INSTALLER NAME: F-Q Y` v'A t ne, t v,, P (JC I'? TELEPHONE #:
STREET ADDRESS: C4L ? 62 Y) e viAa (? ? u r?
CITY: ?Af vN`\ I Ina "I0h STATE: }T?? ZIP: .S.] 0;144
? ? .
SIGNATURE OF PERMITTEE
JSIFORMS BLDGIPLBG PERMIT (RESIDENTIAL) 1998
? CITY USE ONLY
LOT BL o< RECEIPT #: ? 707 9?5
SUSD. ??y` RECEIPT DATE:
1998 NECHANICAL PERMZT (RESIDENTIAL)
cxxY os sa+cArr
3830 PIIAT lRiOB RD
EAGAN L4i 55122
Date• 414 qz (612) 681-4675
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos 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;
.50
Sd
Complete this section on/v if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical pemut is not reauired for alteradon/add-on to ductwork in
existing residential units; but is required for the following:
^ Install fumace ? Install air conditioning
_ Install air exchanger, i.e. Vanee system, eta _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS:
OWNERNAME: }4eUY?- ?av,A. 4-y,-," PHONE#:
INSTALLER NAME: O i^ rvt i na F-IMn q' I Ic we h i /l4 br C? ? PHONE #: `t ta-3 -?? a'f
STREET ADDRESS: a lD3L{' C:. k; n! )?e ,, C Qa jP_ ? u?
I
CITY:
$ 24.CL'
!4!9?
?100
STATE:Inv. ZIP: .5SUa `+
?L)a4.,=?
SIGNATURE OF PERMITI'EE
75/FORMS 6LD/MEC}I PERMI]' (RES) - 1998
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112803
Date Issued:08/23/2013
Permit Category:ePermit
Site Address: 1685 Galway Lane
Lot:4 Block: 2 Addition: Murphy Farm
PID:10-49500-02-040
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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 -
Henry F Boubelik Iii
1685 Galway Lane
Eagan MN 55122
(612) 501-2477
Minnesota Remodeling Solutions
5781 Queens Ave. NE
Otsego MN 55330
(763) 428-4888
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174055
Date Issued:12/21/2021
Permit Category:ePermit
Site Address: 1685 Galway Lane
Lot:4 Block: 2 Addition: Murphy Farm
PID:10-49500-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Andrew & Michelle Reinink
1685 Galway Ln
Eagan MN 55122
(314) 614-2543
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature
