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1570 Murphy PkwyCIT'Sf OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: I " rIr Al k i+nwr. POND-A PERMIT SUBTYPE: ? -1.. INSPECTI4N RECURD PERMIT TYPE: Permit Number: Date Issued: i 1111 1 tN ?;1 0 1' 1 p F tJ'r lai.itll)iNls a.'acsa0 0 1 /01 i'i4 ? APPLICANT: ?1 I?? i • I:,? 1? 1 1;{ i? i I11 ?, . (alr.1 Q*,t,-NI.'h .?+r TYPE OF WORK: It 1-, INSPECTION ,,. .. . , -,.,,l,, ; I ,W .. t IIV/1I i;t- N A i'r.?.: V i:v !HR p1AC1Nk W tiAN4E1 . ,.F _. ?,? ? ? L Pam,n rb. Permn Hokle. oate Thiopnone x s/w PLUMBING ftif' HVAC ELECTRI -7//9q A'?;/5 v ELECTRIC Inspection Date Insp. Commerts Footings I '171ftt/ ? Foundation Framing ax- Roofing Roug, Plbg. A Rough Htg. ? 0 li ,sul. s? Fireplace ( Flnal Htg- Orsflt Test Flnat Pbg. _ GJ',q / Plbg. Inspector - Notity Plumber Const. AAeter Engr./Plan Bldg. Final 7 Deck Ftg. W deCk Fin21 weu Pr. Disp. S;v _ S? ? ? a • A ? .. r rA ?--? Wertifica#e of cccupanc4 WU4 of Waga-n mcoartscar of 13mohig aadocctiou This Certificate issued pursuant to the nequirements of the Uniform Building Code certifying that at tke time of issuance this stnrcture was in compliance with the various ordinances of the City regulating building construclinn or use. For the fvllowing: use ctamrwu;at: SF DWG - awg. vpm,il No. 24040 0-wpancy TYae R3M1 z,.tioe nistrK, Rl rype con5t. 1VN o,,« or auming MITIIILSTAFDT BRlS. nem? 785 MM D& FACAN ? e,,;w;ng aaa= 1570 MEPEIY PAlM1AY ?4L 18, B l, ELAM&K PCNIIl6 D.: y?r • "+'?`?? `' 7 P0.ST IN A CONSPICUOl1S PLACE RESIDENTIAL BUILDING PERMIT APPLICATION ? ? ??bb5 CITY OF EAGAN S 3830 PILOT KNOB RD - 55122 651-681-4675 New Canstruction Reauirements • 3 registered sRe surveys showing sq. ft of bL sq. R af twuse; an?ll roofed areas (20%maximum bl ave2ge albwed) . 2 copies o1 plan sAowing beam & windax sizes; poured touM design, etc.) • taetolEnergyCalalations . 3 copies of Tree Preservatlon Ptan H bt pWtOed afler 71153 • Rim Joist Detail Options selectlon sheet (bidgs wilh 3 or less unils) DATE ? I I -? I _o I JOB SITE a MU r RemodellReoairReauhements . 2 copies of plan . 1 set of Energy CaktiWtians (or Aealed additions . 1 site survey for aMrior additbns & decks • Indkale 0 harie smved Dy seDtlc system for additions VALUNION ? 2 i d?16 WU J IF MULTI-FAMILY BUILDING, HOW MANY UNITS? " PROPERTY OWNER p 0 u? '+ 6 ( od ;q ,O r -[ v> Po ur TYPE OF WORK 4-ear o f-?- y-e rcof- FIREPLACE(S) _ 0 1_ 2 APPLICANT Sc 'o ? Oo E PHONE# ?SZ? ?S?Sg yM ADDRESS 1`jd W96ttn S464 4-P ? 31oom109H?ZIPCODE 5?`(2v PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Su6mitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Conhactor: _ Plumbing System Includes: Mechanical Contractor. _ Mechanical System Includes: _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Fee: $90.00 Phone # Fee: $70.00 I Sewer/Water Conhactor. Phone # All above iMormation must be submitted prior to processing of application. 1Certificates of Survey Received _ I hereby acknowledge that I have read this application, siate ihat the information is correct, and agree to comply with all opplicable State of Minnesota Statutes and City of Eagan Ordinances. Signafure of ApplicaM Tree PreservaGon Plan Received _ Not Required _ Updated 1J01 Phone #: Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex [3 16 Fireplace O 21 Porch (3-sea.) O 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex O 18 Deck O 23 Porch (screened) ? 36 Multi 0 05 03-plex O 11 10-plex 0 19 Lower Level O 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg Y or_ N ? 25 Miscellaneous O 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additlon ? 36 , Nbve Bldg. O 42 Demolish (FOUndation) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors 0 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to appllcant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV ' Nbr. of Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) FinallC.O. Footings(deck) Footings (addirion) FoundaHon Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insularion _ Windows (newlreplacement) Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total . _ FinallNo C.O. _ Plumbing HVAC ? 7 c5 v 71199 Requesl Date Fire No. Rough-in Inspeciion ired? NOTICE: You Must Call ElecVical Inspector II A Rough-In Inspection ?/! ? -I Ves ? No Is FequirBtl. I licensed contraaor ? owner here6y request inspection of above electrical work at: P ?? ?????? ? Job Atltlress (5? t. Bax ?viar?utR CitY 6w1v Seciion N0. Township Name or No. Penge No. Couny Occupa9t(FRI n?????? /,! PhoneNo. r ? Power Supplier pr?T? rklc- Atltlress a FW071V6 Eledriral ConVflctor (Company Name) v£N oN 14EcTk'7 e- Z.U C CAntraaor8 Licerwe No. ?,1?00 ?2-9 Mailing Adtlress (COnVactor o•r' O.wner Making Installation) n /// n e /,!• ? ?KY'll g Authorize gnaWre (CO rac t pOwner Making Installation) Phone Number o ? ? G MINNESOTA STATE BOAFD OF ELECTpICITY THIS INSPECTION FEQUEST WILL NOT Grlggs-MlEway Bltlg. - Hoom 8-173 BE ACCEPTED BYTHE STATE BOARD 1821 Universtty Ava., SY. Paul, MN 55106 UNLE55 PROPER INSPECTION FEE IS Phone(612)6420000 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION T ? See instmdions br completing this tarm an Oack of yellow copy M r7119 9 •'X" Below Work Covered by This Request R ee-ooooi-oa ?asyzcp- ew Add Rep. TypeofBUilding AppliancesWiretl EquipmeniWired Home Range Temporary Service Duplez Water Heater Electric Heating Ap[. Building Dryer Load Management Comm./Indusirial Fumace Other (Speciry) Farm Air Conditioner Olher (specily) ConVaclorS RemaBS: Compute Inspection Fee Below: # Oiher Pee # Service EmranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ? , o to 100 Amps Trensformers Above 200 _ Amps A6ove 100 _ Amps SignS Inspector6 Use Only: TOTAL IrrigationBooms h ,C ? Special Inspection 7 ? Alarm/Communication D CONNECTED IF NOT E4 THIS INSTALLATI AY B E Other Fee COMPLETED W 6 I, the Electrical Inspector, hereby pougRin oace 7 7 r? _? , f? certiry that the above inspection has been made. Foei oaze OFFICE USE ONLY / This request vaid 18 monihs Imm' Address 1570 MURPHY PARHIdAY Zip 5512 2 I.ot '1a Blk I Sub _ srnCKHnta[z rorIDs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON. Date: Yes No Inspector: Final grade (6" from siding) V/ Permanent steps (garage) Permanent steps (main entry) ? Permanentdriveway Permanent gas Sod/Seeded grass ,Y TraiUcurb damage Porch Basement finish ? Deck ? Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to the outside lawn fauce[ before freeze.potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ? White - City Copy Yellow - ResiJent Copy Pink - Contractor Copy CiTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 024040 07/01/94 SITE ADDRESS: 1570 MURPHY PKWY LOT: 18 61.OCK: 1 BLACKHAWK PONDS P.I.N.: 10-14395-180-01 DESCRIPTION: B"wilding Permit Type 5F DWG Building Wor-k Type NEW f UBC Occupancy`. R-3 M-1 Constructiqn Type V-N Zoning ?- ? R-1 ! z,Building Length ? 62 ? ?;Building Width J 46 ; ? Building stories 2 ? V,,/ ?-C REMARKS: PRV S S W PIBR - MATTHEW DANIEIS FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC 3AC ? SAC Units Subtotal $856.50 $556.73 $81.00 $800.00 10@ 1 $2,294.23 $162,000 MISCELLANEOUS $1t828.50 Total Fee $4,122.73 CONTRACTOR: - MITTEISTAEDT BROTHERS 785 SUNSET DR EAGAN MN (612) 456-9125 Applicant - ST. LIC 14569125 0003443 55123 OWNER: MITTEL5TAEDT BR05 785 SUNSET OR EA6AN MN (612)456-9125 55123 I I hereby acknowledge that Z have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City ofi Eagan Ordinances. AP LIC NT/P RMITEE %PWRE haua R?lj.1 rll ISSUED :51 ATUR I CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 04 0 681-4675 ? ? SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered te surveys, 1 co of energy calcs. JUN 2 9 1994 COMMERCIAL 2 sets of architectural & stru tLLr_a]_.plaasrl_se of specifications, 1 copy of ener . Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ?? / a? / ? Valua ion of work Site Address:?.?i STREET SUITE df Tenant Name: (commercial only) LOT 1f BIACK _L SUBD. P.I.D. # Descri tion of work: The applicant is: ? Owner 2?_Contractor ? Other (Describe) Name Phone Property LAST fIRST Own@r pddress SiREET STE # City State Zip Company Phone 41Slif2-S COntt'aCt01' Address 2K5 /VLddE License # 3*V'?S Exp.9!5_ City State Zip Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this aPplication and state that the information is correct and agree to comply w' 11 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE --- . ?, ., ?, ....? ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 15 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool [1 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. El 04 SF Porch ? 09 12-Plex ? 14 fireplace ? 19 Comm./Ind. Misc. ? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facility ? 21 Miscellaneous WORK TYPE p 31 New ? 33 Atterations ? 35 Tenant finis h ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATIO N Const. (Actual ?q} 3 Basement sq. ft. 13 !S MWCC System (Allowable s/U lst F1. sq. ft. City Water UBC Occupancy R nkr 2nd F1. sq. ft. PRY Required Ac_ Zoning f-i Sq. Ft. total Booster Pum p # of Stories ? Footprint Sq. ft. Fire Sprink ler Length ? On-site well Census Cade, oi Depth H S? On-site sewa ge SAC Code Census Bldg APPROVALS Census Unit i Planning Building Assessment5 Engineering Variance REQUIRED INSPECTI ONS ? .Site ID Footing ? Framing 03 Insulation ? Wallboard P fi nal' ? Draintile )M !Fireplace Permit Fee v8tmesm: $ -2 De> Surcharge Pl an Review License MWCC SAC /?kyG = 7?? City SAC dqkI? Water Conn. iyXri? = 77 Water Meter V1,66 , .2` Acct. Deposit % I f p? I S/W Permit S/W 5urcharge ,.?5)(?9-?1'O Treatment P1. Road UM t a?/,/Jl?,v,.? • ?<a? J' ?-`F `???'"d ? Park Ded. Trails Ded. Copies Other ? b?? yr` ?9560 } Total: ? = aax SAC % SAC Units ? ? ? . o ? ? ? m pr N Z ? E'o o ? 1] 0 : 0 CY, C[a' ? 0 • 0 • E1?0 CC--?D 0-? ? 6---0 0 • ? - o • a • LOT BIIRVEY CHECRLIBT FOR RESIDENTIAL SDILDINCi J?ERMIT APPLICATION PROPERTY LEGAL• Date of 8urvey: DOCUMENT BTANDARDS Registered Land Surveyor signature and company Building Permit Applicant Legal description Address North arrow and bar scale House type (rambler, walkout, split w/o, split entry, lookout, etc.) Directional drainage arrows with slope/gradient $. Proposed/existing sewer and water services Street name Driveway Existina 0' 0 0 • Sewer service 0? 0 0 • Lot corners 0 ? • Top of curb at the driveway ?b 0 • Elevations of any existing adjacent homes ProDOSed Gi?O ? • Garage floor F!?? 0 • First floor [?0 ? • Lowest exposed elevation (walkout/window) [Y ? 0 • Property corners CK10 0 • Front and rear of home at the foundation PONDING AREAS (if aflvlicable) 0 C'?-O • Easement line 0 C' ? • NWL ? D'? 0 • HwL D [?3l?0 • Pond # designation D B" ? • Emergency Overflow Elevation AIMENSIONB CY 0 0 • Lot lines M" ] 0 • Right-of-way and street width (to back of curb) b- 0 0 ' • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all struatures requiring permanent footings) 8?0 [3 • Show all easements of record and any City utilities within those easements Q?? 0 • Setbacks of proposed structure and setback of adjacent existing homes ? ?? • Retaining wal6pequirements, if any October 1992 4" ??qH qSTA. 16+50 PROPOSED FORCEAAAW - 6' DEEp • (BY ?„1TY) # 3 5? LT. 539 4V / ? 4u / Sl+pp" ??._. ,. , • . ? ? ! (_. .FIC`'.'"; STA. ic 2 ( F i 7 STA-?18+40 2 1 F,?' !f 4e H ?STA. Ig+QS, )1' S I + 75 <I? , ._-28.3 / 10 BEND?/ ? •? ? ? r ? ?'V?N STA. 21+OC ----------------------- ? D.---? x 6" TEE 637 ?v 0. EL. 864.8 q A O+g? , "III/40 BEND < - ? ? r ; .\ ?? ? ? %? 45. ; 506 1 45.0 42. 3 ; •,? ? , ' ?, ? g Q? , ? ? 11I/4° BENG 19 k ?? ??• 1 ? ? i V I? \ b6.? ? ?? ?? ,? ,, j 1 ' •',? A : 30.0 37 s?o 632 r SC+20 Z86 ?Q... ?2 li?° 9E^JD-j Si+2 ` I? 22 i/209EAJD'?? SC-;-4° ?e ? `, ? 0) ! _ t UJ (rl ( 1 ?J ? iv our-s54.35 853.47 _ - - --- - ? _ -- --- av iN -854:43- - ? ,- ? I ? cn n , VV...OUT_ ?85687-_.855.18 - ---- , __ ___ _ - ;._ _--- - --- ? ??9?O'.._.._. _- ?f $ - - --U W . 85I.67 F? r.? o . ? . ? ' . . . ? '.. d ? ? ? , / } ? . . . . . _. . . I? • '..'±' \ ? ? ? . ? . . . r ? 5 ^ p1 C?l I ? ' l l 1 G{?7 /? '[ UT, 1 . 1 y ` _ ) D \ NV._ IN -85158-__851,20_.: : - -- -- - _ _ -- ----A-. - ? --- . .. ... NV. OUT 85-0 ... ,. _ ??i_ C _. , ,>?: ?"v (w ? l T7c cu IT i ? _ ... . . __i . co c>rn ?? ? r cn o\o i : ; , 845.68 INV iN_84,r?p:98 ' ._ _ _ : INV OUT-$9?9A- _ ._.. _ .... ._ . ___........ ..._ _ __ ._ ..__. _ . . .. __._ . . ... . .: ... __ _. ... / i 2 _ .. Q7 , :?1 r,} (? • ± ` _ . . z._^_... 'U V'? .. d?. . _... ? '`? ' 1. I _ _ . ': = ? cbco . _ ? (sr6 i NS&L This form is only applicable to detached one-and-two family dwellings. The requirements herein are based on amended Section 502.2.1.7 in lieu of the crlteria speciPied in Sections 502.2.1.1, .2 and .3. Building Address: 'Contractor or Owner: "Rn Vgluoa Ceilings walls+ (exterior) Design.BAequired 38 Area isQ ft1 - g of Ext.Walls Design2; Required 2_Q Floors* (overheated spaces) Windows** '2 15 « (without founclation) Design_Required 20 Desig42_17Required ? 325s 11.6%- I Foundation Walls Designl3 Required 5 , (when insulating full depth of foundation wall) Desiqn_Required 10 (when insulating only to frost depth & footings extenO bQlow) Slab-on-grade Design9.5 Required 8.83 f loors Doors Designi4 Required 3 Footnotes: * For the insulated cavity of dpaque walls, floors, and rim joists. ** Maximum vindow area must not exceed 12 percent of the area of exterior walls, not including fotndation walls. 2ERTZFICATTON I hereby certify that I have completed the above information and that it complies with t Minnesota State Energy Code. Siqnature Date: ga?_ L•DT- -/BLOCK ? SUBU. ?-_ RECEIPT # ?37/7 & UA'I'E 1944 CITX OF EAGAN IRRIGATION FERI1i1T (FOR BACKFLOW PREVENTER) COA9A'IERCIAL [NSTALLATIONS- FORA1 11fUST BE C0N1PLETEll BY LICENSEU PLU111BER Date: to 13+144 ? Commercial GFM Residential (boulevards) GFhi _ Existing residential Area/address to be irrigated: 152 o M uR Pr+v Pk-w? Installer: rlYtis Owner ? Plumber ? Street add:ess: fr?n BQx .2?a-' , City, state & zip code: OfP?f An, ?SL6 Phone N: ?oZ y 3•??? Owner Name: Street address: M' / ? City, state & zip code: ?a G• Fhone JJ; Irrigation contractor, ii diffecent than installer: f r4 Telephone ?ZO-Pyr Z I hereby acknowledge that 1 have read this application, state that the inforniation is correct, and agree to comply with all applicable Ciry of Eagan ordinances. L A ?a?-- i na re 1 IRt?P.r ou n4 Title If construction activity occurs in public easement or City right-of-way, signature of property owner is required. T'he property owner agrees to hold hannless tRie City of Eagan for any damages caused by ihe Ciry during its normal operational and maintenance activities to the facilities constructed under this pemiit within City property/right-of-way/easement. Property Owner Approved by: E'RV O Yes ? No New service O Yes fJ No ,l0 Fees due: ? ?/-7-5 f cti7;L K? H s ?2a- IJnEe Mefer Size Calculated by: laj?- Date: & Cost ?`?'/?'/ PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE /'.Z ! l & HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OLITLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExISTING coxsTauGT?oN) STATESURCHARGE TOTAL STTE OWNER ?- CITY: TELEPHONE FEES $ 24.00 6.00 6•ev $ 20.00 .50 #: <?(n - 9 12 5 STATE: ?\kn ZIP CODE: ff-?Q 1994 MECHANICAL PERMTT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALLi COMMERCIALJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WI-iEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. I DATE: NEW BUII,DING INTERIOR IMPROVEMENT WORK DESCRIPT'ION: CONTRACT PRICE: FEES 1% OF t?FEE $ ? :.:.:.:..:....?......?..>..F,.._ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF PfAtFEE. TOTAL $ STI'E ADDRESS: ; j OWNER NAME: TELEPHONE #: ? I TENANT NAME: (IMPROVEMENTS ONL1) ? I WSTALLER: I ADDRESS: CITI': STATE: ZIP CODE: , TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1 1994 MECHANICAL PERMIT (COMMERCIAL) , I CITY OF EAGAN 3830 PII,OT KNOB RD EAGAN MN 55122 (612) 6814675 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD` EAGAN 14IN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISQ, FOR'TOWNFiOMES AND ; CONDOS WHEN PERMiTS ARE REQUIRED FOR EACH LTNIT. - -- - - -------------- - - - ---------- - - - NO• E E ? ? 3 SITE CW'NER EACH T01'ALt , SHOWER 3.00 WATER C'I.ASET 3.00 BATH TUB 3.00' . LAVATORY 3.00 KTTCHEN SINK 3.00 LAiJNDRi' TRAY' 3.00 HOT TUB/SPA 3.00 WATEFi HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET •?m , i 3.00 RQUGH OPENINGS 1.50 WATER SOFI'ENER 5.00 PRIVATE DISP. • nek.ccy. iic. 20.00; U.G. SPRINKLER • n? unaa COWu. 3100 ALTERATIONS • w ausung 20.00 WATER TURN AROUND 20.00 STATE SURCfiARGE TOTAL: :50 ? 63. o0 INSTALLER:_VYA44l2I,U -?)zni2kS - ADDRESS: IS ?W CO..V'll'A-5e1 (.1ulAl4 CITY: 2b5e w. .?t, STATE: `?'?'?? ., ZIP CODE: SSUCo ..,; : PHONE #: ( (, t Z ) 913 - 3r1317 SIG TURE 0F PERM E PLEASE COMPLETE FOR t1LL FAMILY BUILDINGS WHEIv DWELLING UNTT. _ NEW CONSTRUGTiON ADD ON REPAIIt > w woRK nESCiuPTTorr: FOR MLI-LTI- FOR EACH CONTRACT PRICE: _$ FEE: i% oF coNTRAcr FEE. STATE SURCHARGE $.50 FOR EACH $1,000 OF ., . FEE, MIMMUM FEE: $ 25.00 CONTRACT PRICE X l% $ STATESURCHARGE TOTAL SITE ADDRESSc $ $ TENANT NAME: STE. # OR'NER NAME: INSTALLER: ADDRESS: CITY: PHONE STATE: ZIl'' CODEe FOR: CITY OF EAGAN APPLICANT 1994 PLUMBING PERMIT (COMIIMERCTAI.) CITY OF FAGAIV 3834'PILOT BNOB RD EAGAN MN 55122 (612) 6814675 o? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX 4 651-675-5694 New Construclion Reauirements 3 reg'stered sile surveys showing sq. ft of lot, sq. ft. of house; and all rooted amas (20% maximum lot coverege allowed) 2 copies of plan showing beam & window sizes; poured found design, elc. 1 setof Energy Calculations 3 copies of Tree Preservation Plan Nlot platted after717/93 Rim Jolst Detail Options seleGion sheef (buildingswilh 3 or less uniGS) RemodellReoair Reauirements 2 wpies of plan 1 set of Energy Calculations krheated a( 1 site survey for add'Aions 8 decks Additton - indicete ilon-site septk system I?" OCr O2 4 {?ICC USB?O IY Ceil of Survey Recd { v Tree Pres Plan Recd ? Y _N N, =N _Y _N Date l ! 66/ d 5- Constructioo Cost "' J?_ ^ q L l Site Address ? 53- o mv r?hu?a? kc&T- ? ? ' UniUSte # DescripHon of Work ? ??T r Q`1 u hi r! i( Gl.,? ? ?2 pn," n?a1'f (s w/ f h Multi-Family Sldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 oeelly, ;? Property Owner - lC7'?? mC Telephane#?I) ?istI • COK?_ RENEWAL BY ANDERSEN Contractor _ 1920 COiJNTY RD "C" WEST Address ROSEVILLE, MN 55113 City State 651-264-4777 Telephooe # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventitation Category 1 Worksheel • New Energy Code WoAcsheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a simildY plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #f Telephone #( Telephone #( I hereby appiy 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 wark will be in accordance with the approved pl i e case of work which requires a review and approval of plans. ApplicanYs Printed Name App(' t's Signature ' -(3FFICE USE ONLY Sub Types ' ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36, Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? OB 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding' ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •DemolWon (Entire Bldg) - Gfve PCA handout to appliwnt Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUTAED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC ' Drain Tile Other Roof ____ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector ??,?'•`'?••'` ??`u t6•JV rna roo a11 ?4t50 tCC1vlStIAL ?g°3mUtsi[,7ti[Y ?? .?.?. . ?.?? sIme t 2001 - , . - C* af Eam . 3836 PiIcrt Sao1i Itoac} Esgan, MN7 5S322 . T° Whom It May C.oncem: . IIder Tones is atzthbriza.d to ptg $uiLft8 Permits forRcnetival {?Y,? Ptease alIow Eidor lones to piovide this servicc for ns in Hagan. ?in euth.orizati6ndisz4svaen_iid for ary . date boyond 616101- until a?`onewa! by Andersen manaM aRnesiq revokas it tn wiicing to the City ??est this autfiorizafion be acce?ed-?pedldausly. ac to noE delay in thes p?? uf ??S Pctmits any furthci: E'Iceac caIl mc If thcrc aec nny quesrlona.. I can 60 , cvntactai at 763-502-4706_ . Your immj;diato sttmtion to this maUcr is arinrrstrlt. 9 '. stnoeialy,ond?R, Ra? cist a[lation Managcr I2enowat bY Atzdmen CoiPoration C:c: Kam_?de,r 7nnee . ?k n arltau Received Ti?e Jun. )- 1'01PM `73059 2006 RESIDENTIAL SUILDING rExMiT nrrLicnTiorr City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 7o,eg Z) NewConsWcfionReouirements RemodellReoairReauirements - 3 registered site suneys showing sq. ft. of loi, sq. ft. of house; and all rooFed areas 2 copies of plan showing footings, 6eams, joists (20%maximum lot cwerage allowed) 1 set of Energy Calculations ta heated addibons 2 copies of plan showing 6eam & vnndow sizes; poured found design, etc. 1 site survey foradditlons & decks 1 set of Energy Calculatlons Addi6'on- indicafe 'rf on-site sep6"c system 3 copies MTree Preserva6on Plan if IM platted aiter711l93 Rim JoistDetail OpUons selection sheet (buildingswith 3 orless units) Minnegasco mechanical ventilalion form W 14, Date14($ / 06 ConstructionCost 1014000.- SiteAddress IS-T U Rb*a IAUi2Pla? 191a6tGWM Unit/Ste# Description of Work (2CPCAC,E `5 1rf 1 rY00 W$ I r'( l-Ipm E, W 11a41rJ eXS 1 S ru-{G dAt-rvir(6 i Multi-Family Bldg _ Y ? N N7replace(s) _ 0 _ 1 _ 2 Property Owner I O M1^ S0E m C.c-EpYL'( . Telephone #( 651 )454 -4A0g3 RENEWAL BY ANDERSEN Contractor 1920 COiINTY RD. "C" WEST naaress ROSEVILLE, MN 5511$ -- c'ty ?- State 651-264-4777 _ Telephone # ( ) LICENSE #20130983 (_J COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 . Residential VeMilation Category 1 Worksheet (J submission rype) Submitted • Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Su6mitted In ihe last 12 monihs, has The City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the 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 plan in the case of work which requires a review and approval ofplans. ? Tim ScKavk.. ? ApplicanYs Printed Name ApplicanYs Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex Work Tvaes ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 LowerLevel ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF - ? 36 Multi Misc. ? 35 Int Improvement ? 38Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building" ? 43 Reroof - ? 46 Windows/Doors 'Demolltion (Entire Bldg) - Give PCA handout to applicant DBSCrIpYIOn: Water Damage _ Yes . Valuatton Plan Review 100% or 25% Census Code SAC Units # of Units # of Bldgs Type of Const Occupancy MCES System Zoning Gity Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width _ Foorings (new bldg) _ Footings (deck) . _ Footings (addition) _ Foundation _ Drain Tile Roof _ Ioe & Water Final _ Framing _ Fireplace _ R.I. _ Air Test Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 08 O6-plex ? 09 07-plex ? 10 OS-plex ? 11 10-plex ? 12 12-plex REQiJII2ED INSPECTION5 _ Sheefrock FinaUC.O. . Final/No C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lattt _Brick Windows _ Retaining Wall Building Inspector . Esfoblished k+..1962 LOT SURVEYS COMPANY, .iNCr FINV . B?NO. NO. ..592?77 ? r.A1vD svicYEYORS .. scnce T,.. _: . 30 --- - o Oeratee Iron. Moriument N REGI8TE1tED UNDER I.AW9 OF STA1B OF MINNE'BQTA . o p?otes Wood Hub Set 7801 • TSrd Aveaue North 6803093 For Exewotlon' OMy Mlnnmpolir, Mlanewu 65428 x000.0 Oenotes Ezietlnq Elevatlon ?.° Denotas PropRssQ Eievatkn Daootes Sur.faes Drolnaqe + rH4t. • Proposed Top of Biock ? 11ITTELSTEADT BROTHERS CONSTRUCTION ' D,o proposed Gora e Floor ?., t: F..4GAIY EIV^xIN1;EF:2: G D6YT: o a ?. IA ? x , Lot 18, Block 1. BLACKHAIIX POND .. .' ProQos¢d bx'Bdlnq Mormollon muat be checked wilh approved buHdfng • plan belors excwatlon and comWctla? . .. ZIM ONy NawtIM1ft s110W1{ Yr 1!Ol11 pWb OI mWd Of kl(WI1W1011 Dmvkied bY CdM11. YIw IiNebY qAtN tlwt th4 4 a Uw and oand ispresmqHon of a eurvsy of tM - baridarlW W Ifw aDow dMalbsd Iand and Ilw locatlon o( all AWidlnps and vir ma «iaoadr,wntk a.rrA !bm «a,,.a lrna. " ,.8uiwy+obywwr_1?nd.dqol June tp _94 a.' 1 l - , \. J? 8?? 6 ggnea ? ,- R ymond A. Prascb Mim. Req. Na 6743 0 &ZS Propoeed Lovrsst Floor Property located in Section 21, Ta+nship 27, Range 23. 7ype of 8uildirq - Dakota County. Nionesota '/?U??/,l?SGMc..°4 ? Property llddress: 1570 Niurphy Parkway alk'11. \ ? ?Y S?/ ??j? L • ' ,y? ?Q I ? ? Q ?., 4Y,' ,et!"a lw . ? 8(sl.$ 'i aa, ? ? /? 86-I.¢ ? `a d/ ? ? ?0 ?. -rt Btt..o, a /?' / \?E ;ecas? '•. / •061 + h` . &.33 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA076986 Eagan, MN 55122 . Date Issued: 03/16/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1570 Murphy Pkwy Lot: 18 Block: 1 Addition: Blackhawk Pond PID 10-14395-180-01 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When w all studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. s heetrock) has to be removed to install a smoke detector. Kara Benson 9 533 367th Street North Branch, MN 55113 651-674-1766 wsandd@peoplepo.co m Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen Anthony D Mcgeary 1920 County Road C West 1570 Murphy Pkwy Roseville MN 55113 Eagan MN 55122 (651) 264-4777 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA088781 Eagan, MN 55122 . Date Issued: 04/20/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1570 Murphy Pkwy Lot: 18 Block: 1 Addition: Blackhawk Pond PID 10-14395-180-01 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Permit closed without required inspection(s). Letter sent to applicant on 2/9/10. (pf) Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Gem Ryan Plumbing & Heating Anthony D McGeary 2200 West Highway 13 1570 Murphy Pkwy Bumsvil e MN 55337 Eagan MN 55122--179 (952) 767-1000 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature s Use BLUE or BLACK Ink For Office Use City of llajaA I Permit j I I Permit Fee: 3830 Pilot Knob Road I I ~SjSs €8Q&n MN 661 l ? C Date Received: " a 1- I j n~ Phone: (651) 675-5675 1 staff: Fax: (651) 675-5694 1 I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 94-` Date: ell J Site Address: /S 70 /'P74gor ,e w.v Unit Name: o rrr~cN.z Phone: 4osl y,9S RESIDENT OWNER Address/City/Zip: 1,5'70 Applicant is: Owner Contractor TYPE OF WORK Description of work: L~/~?o~F$ EXi~~✓~/~i✓y~•L'Q~.7~i~f~ V Construction Cost: 75: 00y Multi-Family Building: (Yes / No 2CJ Company: Contact: Cr .~lliS C.[1s.6.~d=~ CONTRACTOR, ` Address: 50 3 3G~c*100~ / City: Stater Zip: - S" -113 4 Phone: Qa © s S$ License Z-Oell :3'/ 9 Q6 Lead Certificate /-//5L f0 3 Z " If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) X`g 78 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Fagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTES Pla acrd stippprrting,-;1d UMents t(iaf yqu.submit'ara c'o'nsidered to bo;public 1 fQrniat pn f?ortla»s of the9nforritativn may be cjas~fiesl. 41X4 t you prov>de peCific, reaSOn~ #haikruo~lfd pi~r~f ttl# C Gy fry . ,ierihat are frade secret CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org i hereby acknowledge that this information is complete and accurate; that the work will be in conformance with rdinances 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 a permit; that the work will be in accordance with the approved pla in the case of work which requires a review and approval of Ian p Applilaint's Printed-Name p S. ature Page 1 of 3 DO NOT WRITE BELOW THI NE Zjj~o SUBTYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building -give PCA handout to applicant DESCRIPTION Valuation 0) 1? aao Occupancy 2-C MCE8 System Plan Review Code Edition 2,4~>? SAC Units (25%_ 100%~ Zoning City Water Census Code ~L 3y _ Stories / Booster Pump # of Units Square Feet yp PRV # of Buildings Length- Fire Sprinklers Type of Construction Width _ T REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC - Gas Service Test Gas Line Air Test Drain Tile Other. • Roof:Cce & Water Final Pool: Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: Rough In Air Test Final Windows Insulation Retaining Wall: _ Footings _ Backfiil Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector - i 6>-_ktiV-\"i RESIDENTIAL 99 13 3,F Base Fee Surcharge -!P- Plan Review gG aZ~ /y r MCES SAC 3 Llac' City SAC 141 //V,00 W f Utility Connection Charge 79 S&W Permit & Surcharge roc ~J Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink t f or O(fi~ ~ Usc I Permit City of Eap I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: t - Phone: (651) 675-5675 t t Fax: (651) 675-5694 Staff: j 2011 MECHANICAL PERMIT APPLICATION Date: gft7o, 12 j 2d// Site Address: 1JF74 /194//~/ Tenant: Suite RESIDENT / OWNER Name: ~a►TNo~vyf501E r'>f ~GE~91ey Phone: Q2 'Sos I793 f"t *"100923 Address / City / Zip: /5'70 4 4/ Fie=k5&AJ -to45uG . 11 r_ License CONTRACTOR Name: djX Address: &/7 Ef is r. Aj. City: RMME W*Zaw State: Zip: S$/Z y -Phone: W • ysy 2,V4 el, Contact: AIX Email:/!?, 3,CQCSC ' a~_CN/I.L~7EC_ill~`1'' TYPE OF WORK New Replacement Additional ✓Alteration Demolition Description of work: --CN57A LL MEW K=TeA N Wmr "vo NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement - Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other VE/V7aMl' Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge i.e. a $10,01T$1 1 1,010 Permit Fee requires a 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to 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 x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In _Air Test Gas Service Test -in-floor Heat Final Exterior HVAC Screening Inspection Use BLUE or BLACK Ink For Office Use, Ir' i (I l/ 1 Z©1/_lq y~ City of Evan Permit ~I 1 ~ I I Permit Fee: V I 3830 Pilot Knob Road I 1 Eagan MN 55122 1 Date Received: I I Phone: (651) 675-5675 I Staff: 1 Fax: (651) 675-5694 1 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT / OWNER Name: ~y Phone: Address/ City/ Zip: C/5-? 0 G~i,G✓' h CONTRACTOR Name: Ldr11I License fG, Address: ~~9P l City: State: /0 /1 Zip: /5Z{ Phone: ContactG,` EmaiL TYPE OF WORK - New _ Replacement 4-4u/1 Repair Rebuild _ Modify Space Work in R.O.W. Description of work: 1V tJ' R OB PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ / - PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X_ l_D'"e V r I_ I'!", S9 x ~V Applicant' Printed Name App is is Signa r FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-in _Air Test Gas Test Final Use BLUE or BLACK Ink r-----------------I i For Office Use I t4 City of E*1~ ; Permit I Permit Fee: 3830 Pilot Knob Road I 1 Eagan MN 55122 i t I Date Received: I Phone: (651) 675.5675 I I Fax: (651) 675.5694 I Staff: I L----------------J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date / 3 - Site eAAddress:^ Q Unit Name: % a.~ H 011 r~ / 7G Gcc~-.~`~t Phone: _l~6 Sl~ 1;rel 7 kesident OTNGt+Bi' Address / City I Zip: 1/ <<"'~~~"~ Q~~✓,y~ /~j/t/ s"s'~aa. Applicant is: Owner contractor Types of Work Description of work: -7e.,,Wr Construction Cost: 7 Multi-Family Building: (Yes / No Company: Contact: rt, Address: 40 City: ,Pt.~1~On ,Ccrttr;ctr State:L Zip: s,'1fJ7 a- Phone: License BG 17a6a6 _ Lead Certificate /Ud17"- qQ - f If the project is exempt from lead certification, please explain why; (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber. Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone. ~M1u01'E: Pfa sands pper-_+lfblg d©.cum.eWs that you strbt~Ft errs cr~crstd~red:to be p.~tbfic. infi~~idn l~car~iorrs cry tfte information may be :cfass fled as non~pubtic ff you proWde:specific reasons that Would pewit the CHii:to ~~.F _~.,.M. N~ c_oncl~rde that •the~. ° are :trade secrefs, CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x L Aw-a ZZ, 54- Applicant's Printed Name x ' Ap ,ptc-ant's Si ture Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA119705 Date Issued:12/13/2013 Permit Category:ePermit Site Address: 1570 Murphy Pkwy Lot:18 Block: 1 Addition: Blackhawk Pond PID:10-14395-01-180 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Anthony D Mcgeary 1570 Murphy Pkwy Eagan MN 55122--179 Mastercraft Exteriors Inc 330 E Main St Suite 600 Rockton IL 61072 (815) 624-6840 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA129072 Date Issued:01/06/2015 Permit Category:ePermit Site Address: 1570 Murphy Pkwy Lot:18 Block: 1 Addition: Blackhawk Pond PID:10-14395-01-180 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Anthony D Mcgeary 1570 Murphy Pkwy Eagan MN 55122--179 Renewal Andersen 1920 County Road C West Roseville MN 55113 (130) 651-2644 X777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166043 Date Issued:12/08/2020 Permit Category:ePermit Site Address: 1570 Murphy Pkwy Lot:18 Block: 1 Addition: Blackhawk Pond PID:10-14395-01-180 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 - Anthony D & Susan L Mcgeary 1570 Murphy Pkwy Eagan MN 55122--179 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166962 Date Issued:02/16/2021 Permit Category:ePermit Site Address: 1570 Murphy Pkwy Lot:18 Block: 1 Addition: Blackhawk Pond PID:10-14395-01-180 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Anthony D & Susan L Mcgeary 1570 Murphy Pkwy Eagan MN 55122--179 Rock Solid Plumbing 544 218th Ave NE Cedar MN 55011 (763) 477-2193 Applicant/Permitee: Signature Issued By: Signature