1573 Murphy PkwyPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128484
Date Issued:11/17/2014
Permit Category:ePermit
Site Address: 1573 Murphy Pkwy
Lot:7 Block: 1 Addition: Blackhawk Pond
PID:10-14395-01-070
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 -
Garth O Thoresen
1573 Murphy Pkwy
Eagan MN 55122
(651) 848-9123
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Mechanical
Eagan. Permit Number: EA096859
Date Issued: 11/05/2010
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 1573 Murphy Pkwy
Lot: 7 Block: I Addition: Blackhawk Pond
PID:10-14395-070-01
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Angell Aire Garth O Thoresen
12253 Nicollet Ave S 1573 Murphy Plavy
Burnsville NIN 55337 Eagan NIN 55122
(952) 746-200
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
*7•.' ?. .:?M?... . . .
. CASH RECEIPT "
CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ?
DATE 19
?
1144 ILJ? t; ? ,; ? G ?? ?1/ n ? lrt„ , / I
AMOUNT I S 31 f)-"I 5D?
& DOLLARS
'oo
? CASH ?(CHECK
FUNO I OBJECT I I I AMOUNT
Thank You
BY
C 8503 Ymellow,-Posurg Copy
Pink-Fde Copy
JUNE 26, 1990
DATE:
RE: 1 Ja. MURPHY P[CWY (NORIHERN CI.ASSIC H4?tZS)
x
Your Se44er & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFQRE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
•?? ??*=a- CITY OF EAGAN 18043
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?
BUILDING PERfN17'r Receipt #
3
To be used for ?? ?/CAR Est. Value $Zia9000 . Date 3UM 22 tgft
ess `.0 ' -V """="i r"" i
Site Ad
i
Lot BIoCk 1
SeC/Sub
?? ?OD FF
O
iE
USE ONLY
?
. ?3
%•
Parcel No. occwancy PD -111W3 FE ES
W Name ??T? CL.ASSIC 1?$ ?p? ?) Const ? BkJg. Permit 1,053'00 i
o Address 3152 ? ?g$IM CIR (Albweble) - 5
h i?'?
City PRIOR L AKE Phone 440-7150 # ot sc«ies urc
arge ?.oo i
Plan Review
gl' Name S? Length
?m ? snc
city 100000 j
o ,
?? Address S.F.Total - 600.00 ;
SAC
, MCwcC
? City Phone S.F. Foolprinls _ 62g.00 ?
Water Conn
?¢ On Site Sewage _ ?
?
W W Name 0n sae weii -
- Wetef Met@f •
'
? I
z
?-
Address
hAWCC System
30 QQ
'
e?
City
Phone
City Water
- Acct. Deposit
?
?
? mit
? P ?
, PRV Required er
I hereby acknowiege that I have read this application and state that the Booster Pump - gllry Surcharge .50
inlnrmation is correcl and agree to comQl with all applicable State of
? Z32,?
Minnesota Statutes and City of Ea gan Ordin
nces. Trealmant PI
355
0
?
Signature of Permitee APPROVALS Road Unit .
0
IIORTRERR CLABSIC U01lES Pienrver ?
A Building Permit is issued to: - Park Ded. i
on the express condition that all work shall be done in accordance with all Council
applicable State ol Minnesota Stat utes and City of Eagan Ordinances. gldg. ptf. _ CoPies 3o 'I
3
92a
Building Oflicial Var'a"ce - TOTAL ,
.
i
a-' permk No. Perm Nolder Daie Telephone k
WATER
•
SEAER-
PLUMBING
r?? 30/3 ? 90
H.V A.C. 492
b ?? !?!?
EIECTRIC
Inapectlon Dale Insp. Comments
r-oatngs i oi,?rs v11t,V- Wi
Z
Framing
Alo
Roo(ing cYV
R.0 Prg.
Rongn ?ny. ? i D l1?G .
S?LP
FKeplaoe A; e, G,4 f?..
Final Ht9. ?? ?CJ?` /- o • ?? ?, ?.,., ?
Final Plbg. 17G1 /r7
Const. Meter Pibg. Inspector - Notiy Plumber
ErgrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
N. Disp.
. . ? M
. .
k; ,3830 PILOT 1
F' DATE
:?' I
, MN 55122
#
Only
WORK DESCRIPTIC
New Const?
Add-on
Repair
f 1-4 67N rv Phone
City
ed Air I y0 ?? M BTU
)r .. ,.,,.r, M BTU
Heater M BTU
?ond. S[y.?c M BTU
CFM
Piping Outlets # I_
C2 X1%$
PERMIT FEE:
S/C:
') f FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
r (RES. HVAC INCLUDES A/C ON NEW
,?So CONSTRUCTION)
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
IAINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS (INCLUDES GAS PIPING) - 12.00
GAS OUTLETS (MINIMUM - 1 PER PERMIT-
NEW CONST.) - 1.50 EA.
COMMAND FEE -196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES °
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
s (ADD $.50 S!C PER EACH $1000.00 OF PERMIT FEE)
So
. !o FOR: CITY F A A
Y
CONTRACT
PRICE
Site Address
Lot
? Name 4
? Address
c Cityra
? Name-,
? Address
? Cfty -/6
PLUMBING PERMIT
. CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
FEES
COMMJIND. FEE -196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND.lFEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD A.50 S/C PER EACH $1,000 OF PERMIT FEE)
FOR:
For Office Use Only
PERMIT #
RECEIPT #
DATE: c
BLDG. TYPE WORK
Res. ?- New,
,
Muft. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES
Water Closet - $3.00 TOTAL
$ ?
? Bath Tubs - $3.00
=4_ Lavatory - $3.00
Shower - $3.00 M-00_
? ..?_
? Kitchen Sink - $3.00 _
UrinaUBidet - $3.00
? Laundry Tray - $3.00
-1
Floor Drains - $1.50
Water Heater - $1.50 .,?
? Whirlpool - $3.00
? Gas Piping Outlets - $1.50 t..o_
(MINIMUM -1 PER PERMII)
Sohener - $5.00
Well - $10.00
Private Disp. - $10.00
u
nin
- $1
50
R
h O
_?
pe
gs
.
o
g
PERMIT FEE:
STATES S/C: ?-
GRAND TOTAL: C-) 0
`r
6 + ?'
/'.
Ter#itira#t uf Mrru?aury
titp of Cagatt
ap#tarbliPltY of Wltth)ttt9 itt6vP1'ttDtt
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Burlding
Code ce?7ifying that ar the time of rssuance this structure was rn campliance with the Yarious
ordinances af the City regulating building rnrrstructian or use. For the followittg.•
Usc Clani6cwon SF DWGlr& Bldg. ltrmit No. 18043
0-PBncY TYPe MlM- Zoaing [hstrict pd& I - Type Canst. VN
own« or euikuo8 w"iRnM r! AMC HOMS nan.. 3192 R[TI'PF.'RrA]T i'tTN317., TCR AKf?
aWia;ng naa? Loc ,,;?. L7 p B 1, S[.P,?IU? P(J[?
o.te: 3128191
POST IN A CONSPICUOUS PLACE
SEiNER &-WATER PERMIT OP'FICE USE ONLY
CITY QF EAGAN - METER # PERMIT DATE ?F,?
3830 Pilot Knob R$,?,-? .,
CHIP # 11466
PERMIT #
Eagan, MN 55122-?1 897 ?
METER SIZE B.P. RECEIPT #
-
DATE
4<i? ISSUE DATE B.P. RECEIPT DATE
X PRV - BOOSTER PUMP
SITE ADDRESS 1 ,57> '-tG RPt•. PiM PERMIT REQUESTED
LOT % BLOCK i SEC/SUB BT?A?U?WK POND
- SEWER WATER - TAPS
ADDRESS:_
CITY, STATE
ZIP
IBER: 1 rvs ", 3r Li
IESS: 896F IAS1kIN . .N 5
STATE COTTAt;E GAOYE. Vy ZIP 55016
ADDRESS:_
CITY, STATE
PHONE: -
Ok LAKE. KN' ZIP 55372
SIGNATURE WHEN METER ISSUED
WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTiONS. FOR STORM
4TACT ENGINEERING DEPT.
SEWER b WATER PERAAIT
CITY OF EAGAN
3830 Pilot Knob Rd.. Eagan, MN 55122-1897
DATE iirNr. 96, 199n
METER #
CHIP # _
ISSUE DATE
COMM/IND - RESIDENTIAL
Y NEW _ EXISTING ,
lawn Sprinkler Meters are to be Installed '
Ahead of Domestic Meters on Water Line. `
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
(.3- PERMITDATE o6/26/9
I C
Z Z PERMIT # 11466
B.P. RECEIPT # ? t 'Sr?I 3
? B.P. RECEIPT DATE 0 6 t 2 2 1fl
}C PRV - BOOSTER PUMP
SITE ADDRESS 1573 "UftPH PKWY
LOT 7 BLOCK 3 SEC/SUB BLICKHAWK POND
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
PERMIT REOUESTED
f
n SEWER' X WATER -TAPS?
-COMMtIND ?.RESIDENTIAL?
ZIP Y NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: F i vs? ?7???. n?+.°, Ahead of Domestic Meters on Water Line.
ADDRESS: ?'?b4 TASMT t3F i N S Credit WILL NOT be given for Deduct Meters.
CITY,STATE COTTA!:F. GRUVL..MN Zlp 55416 /?:' ': : ,=' ?•--r'"
PHONE: 5Fo? 5-rt ? Q 42
I A6FtEE TO COMPLY WITH CITY OF
OWNER: NORTHERti CLASSIC 'i41,;FS _ EAGAN ORDINANCES
? / 2
ADDRESS: 3152 BU'iTBRNUT GIR 4??
CITY, STATE P3tI0K LAKL, MN ZIP 5537?
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORICtNG DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
i 1
r-. ?.
CITY OF EAGAN NO 18043
• 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
??i rrT 2
BUILDING PERMIT ' PHONE: 454-8100 Receipt u b J V J
Tobeusedfor SF DWG/GAR Est.Value $218,000 Date JIINE 22 , 199Q-
Site Address 1573 MURPHY PKWY
Lot 7 Block 1 Sec/Sub. BLACKHAWK POND
Parcel No.
w IName NORTHERN CLASSIC HOMES
o Address 3152 BUTTERNUT CIR
City PRIOR LAKE Phone 440-7150
o Name SAMR
,
g? Address
? City Phone
mw Name
t? Address
iW City Phone
I hereby acknowlege thatdh?ve re is application and slate thatihe
inlormation is correct an&?grer?ply wi
Minnesota th all applicable State ol
StaWtes and ?i Af_ ?garv9hlvFances.
SignaWre of Permit e -f
ABuildingPermitisissuetlto: NORTHERN CLASSIC ROMES
on the ezpress condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Cily of Eagan Ordinances.
Building OHicial
OFFICE USE ONLY
Oaupancy R-3 M=1
Zoninq PD R=1
(ACluap Const V=N Bldg. Permit
(Allowable) V=N
Surcharge
# ofSlories
Lenglh
Depih
S.F. Total
S.F. Foolprinls
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
Booster Pump
APPHOVALS
Planner
Council
Bld9. Off.
Variance
74'
55'
XX
X7L
%7L
Plan Review
FEES
1.053.00
]o9.n0
694.00
snc. cay jnn _ np
SAC, MCWCC 600.00
WalerConn 625.00
Water Meler 90. 00
Acct. Depasit 3D.00
SnN Permil 30.00
S/W Surcharge - 50
Treatment PI 252.00
RoadUnit 355.00
Park Ded.
Copies
TOTAL 3,92$.50
?
C?
013 7,C ? %i ? ,?( $iao
Requesl Oate Fire No. Rough-in Inspection
.TlllY 2,1 , 1990 RequiretlP
Vas Li No ? Reaqy Now ? Will Natify Inspector
X When Reatly4
I [R licensed coniractor J owner hereby request inspection of above electrical work at:
Job Atldress (Streel, Box or Roule NoJ CM1y
1573 Murphy Pkwy. Ea an
Section No. TownsniD Name or No.
Range No.
Counry
I Dakota
Occupanl(PRINT) phone No:'
Northern Classic Homes 440-7150
Power Suppliar qatlress
Dakota Power 4300 220th St. Farmington
Elecmcal Conlraclor ICampany Naml Contractor5 License No.
Sky Electric, Inc. 042173 1
Mailing Atlaress (COmzactor or Owner Making Installation)
11210 Washburn Ave. So. Bloomingunn, MN. 55431
Au
cmuOwner Maklnq Installation) Pbone Number
?
? 888-1736
MINNESOTA STATE BOARO OF ELECTRICITV ' THIS INSPECTION REOUEST WLLL NOT
C.rlgga-MlEway BIOg. - Hoom 5-173 BE ACCEPTED BV THE STATE BOARD
18I1 Univernity Ave., SL Peul. MN 55104 UNLESS PROPER MSPECTION FEE IS
Phane (611) 15,112-0800 ENCLOSEO.
7Wgo
@ 30`_3 7
REQUEST FOR ELECTRICAL INSPECTION
I? See icSVUCtions lor com0leting ihrs form on Oack o( yelbw copy
"X" Below Work Covered by This Request
y? ??.'.,. EB0p001-0''
pa?
?; 9d?ir r
?'..4.'?ree....
e Adtl Rep. TypeafBUiltling AppliancesWired EquipmentWired
X Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt 8uilding Dryer Other (Specify)
Comm./Indusfrial Furnace
Farm Air Conditioner
Olher (specily) ttactor§ Remarks:
Compufe Inspectian Fee Belaw:
# Other Fee # Service EMrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps $' 0 ta +6e?Amps
Transformers Above 200 _ Amps eAmps
SignS Mspector§UseONy: aC) TOTAL
Irrigation Booms
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspecror, hereby Rough-in oate 7..,2?,q0
certify that the above inspection has
been made. Final oa?
OFFICE USE ONLY
This request void 18 monlhs imm
??$ S J REQUEST FOR ELECTRICAL INSPECTION Zil" ea-aoom-o7
/ ? See inslruchons Im wmplet?ng ihls (orm on back of yellow copy sa,
??q 4,
C? 30135 ??X" 8elow Work Covered by This Request ?"
e Atld Rep. Typeof8uiiding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
Other (specily) CamrectorS Remarks:
Compute Mspection Fee Belaw:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Pee
Swimming Pool 0 to 200 Amps 0 ro 100 Amps
Transbrmers Above 200 _ Amps Abo 700 _ Amps
SignS Inspector5 Use Only: TOTAL
Irrigationeooms 15.50
Special Inspaction
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouqmin oare
certify that the above inspection has
been made. Finai ( oa?e ???
OFFICE USE ONLY
This request voitl 18 months irom
&/O ?
3 013 5 '
0 ? s?,CS °°
Feqvest DatB Fire No. Roughin Inspaction
June 26 1990 Require04 ? Reetly Now L' Will Natily Inspec1or
Wh
R
?
e ?Yes GNo en
eatly
IEMcensed contractor ? owner hereby request inspection of above electrical work at:
Job AtlEress (SVeei. S. or Route No.) Ciry
1573 Murphy Pkwy. Eagan
Section No. Towns?ip Name or No. qarge No. Counry
Dakota
Occupant(PRINT) Phone No.
Norh§ern Classic Homes 440-7150
Power SuOPber Adtlress
Dakota Power 4300 220th St. Farmington 55024
Eleclrical GonVactor COmpany Name) . Contrector5 Llcanse No.
Sky Electric, Inc. 042173 1
Mailing Mtlrass /GOnvactor or Pxner Making Installation)
11210 Washburn Ave. So. Bloomington, MN. 55431
P.utM1On igna k ?COmrar,Owner M ng fn allation?
^^ Phone Nomber
C
"' .,yc V` 888-1736
MINNESOTp STATE BOFRD OF ELECTHICITY THIS INSPECTION REQUEST W ILL NOT
Gtlggn-MlCway BIOg. - Room Sl]S BE ACCEPTEO BV THE STATE BOARO
1821 Unlverslty Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
PMne (812) 662-01100 ENCLOSEO.
Address: 1573 MUBPHY PARKWAY Lot 7 Blk I Sec/SUb SLAC[d1AWK POfID
These items were/wexe not complete at the time of the final inspection.
y Yes No 'Of Tnqppctnr,
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway
Permaaent gas
Sod/seeded grass
Trail/curb damage
Porch IX
Basement finish ?
Deck ?
Please varify vith the builder the removal of roof test caps from the plumbing
system and the shut-off oE water supply to the outside lawn faucet befora
freeze potential exists.
e?U
MLTIlOAMP
White - City copy Yellow - Resident copy Pink.- Contractor copy
j?l 11 ? RESIDENTIAL ?? ?
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILpT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsVUCtion Reauirements
• 3 registered site surveys showing sp. k. of IQI, sq. Y. of house; and all roofed areas
(20% mazimum lol coverage allowed)
• 2 copies ol plan showing 6eam 8 window ;izes; poured found tlesgn, etc.)
• t set of Eneryy Calculations
• 3 copies of Tree PreservaGon Plan if bt platted after 71L53
• Rim Joisl Oetail ODUons selection sheel (CICgs with 3 or less uniLS)
DATE L/'%?(/- GY(/?6g?i
SITE ADDRESS
TYPE OF WORK
APPLICANT
/ S;23
ire c-f U 2vi
RamodelfReoair Reauiremenri
. 2 copies of plan
• 1 set ol Energy Calculations for heated additions
• t site survey for ezterioraddifians & decks
• Indicate it home sarved Gy se0dc system for atltlitiora
VALUATION 'AOC10(')-
MULTI-fAMILY BLDG _ Y _ N
't'h Lc I"`rc ??rc
_ ak v uh a ?cYS i?? e
'orti pt- /.9l1???4
_ FIREPLACE(S) _ 0 )? 1 _ 2
.4 ExiSfeNy
STREETADDRESS S9'S`C?J 10, /jGt,'U J3 CITY UIys? STATEG'ZIP SS-?.32
TELEPHONE #q5L"? -073-YCELL PHONE # FAX #
PROPERTY OWNERQ-T r TELEPHONE# 95?7- 'L)-a
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ X[INNF.50'C:1 RC'I.L•'S 7670 C:\"CEG012Y 1 MI\ VESO'I'.\ RCLLS 7872
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope CalcWations Submitted
Piumbing Contraetor: __ Phone #
Pfuinbing systcm includes: _ Wa[er Soltener _ Iawn Sprinkler Fee: 590.00
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechan(cal CoMractor. Phone # 93'v -/J l[/???5?g
Mcch:uiic;il ,} slciti iiicluclrs: Air Condilioning Pcr. 570.00
-- Hcal Rccovcry Systcm
Sewer/Water Contractor:
`Phone #"1 ?I
?
? I hereby acknowledge that I have read this application, state tha? inormation icor e !t, and agree to comply
with all applicable State of Minnesota Statutes and City o( Eaga rdinance?
Signafure of Applicant
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- updated 4102
OFFICE USE ONLY
,.
? 01 FoundaUon D 07 OSplex 0 13 18-plex ? 20 Paol O 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl
O OS 03-plex ? 11 10.piex ? 19 Lower Levei ? 24 Storm Damage
? 06 04-plex ? 12 12.plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteratlon ? 37 Demolish (Bldg)• ? 43 Reroof 4 46 Windows/0oors
? 34 ReplacemeM 'Demolltion (Entire Bldg only) - Give PCA handout to applicant
Vaiuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addirion) _ Plumbing ,
Foundation FIVAC
Drain Tile Other
Roof _ Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Smcco Srone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ [nsulation _
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Buiiding Inspector
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
Ir ` J,
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PI.ANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIDNS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. JUM 18 RECD
To Be Used For
Site Address
?
?-Q?d Date: l,-/7 9U
SNbLE kMiL? Valuation: I
fs73/?c " wy I 21$000` OFFICE USE ONLY
Lot ? Block
Parcel/Sub ,l?j?iv,E? v Q
Owner 1{/tl/Ll?h/L? e6+3S/e l?Mm
Address 3/52 ?o??'•v,?i nr.
City/Zip Code PI'lQ/L L,AYL S53-7z
Phone wvo - C)
Contractor '5'w
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone # y?f/)
.--?,
Occupancy R 3 M-1
FEES
Zoning PD R-1
Actual Const v-r`I Bldg. Permit 1053,00
Allowable V-!J Surcharge 9, 00
# of stories Plan Review Ej$y,ov
Length '74 SAC, City / ,00
Depth 54Y2 SAC, MWCC 600,00
S.F. Total Water Conn 600
Footprint S.F. Water Meter 10,00
Acct. Deposit 30,00
On site sewage_ S/W Permit
t?
-30,0
On site well S/W Surcharg e ?$O
MWCC System ? Treatment P1 .2,$
City water ? Road Unit 355,00
PRV ? Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner _ TOTAL
Council
Bldg. Off.
Variance
•` . ` VALIdAT.,VIOIJ ,. .
??,G_ ?AG e'
au x3y = 8 I ?
2, Go
?80 X 15'= I1,7op
Bsm-r"
?f Q X 3 6= lyyo
Is xl? = a88
? X1Z= 7Z
axa:,
63'
-
1755 X !4 ? ?US-f? 0
? ST fiLOOR
'? s rnT = 1 fl,55
?X7 c !Ll
?
I'l??i x51= 9aziq
Zr? O F?oprZ
IL1 X12? 168
? x 1S= 14`(
?x 2?= z44
32 x 36 -- /isZ
lz x (e= ?2,
z 1'` Z = ( y)
19 ri?XSi= dsr?
-
? I ?106 S
.
Y.. . • .
•. ? •? ' ... .?
EXTERIOR ENVELOPE AYERAGE "U" COMPUTA7ION ,., •
: ? ... .. , ,
' SITE ADDRE5S yS'?3 /1ZzrWlZ 1??-wX
? r? C?isric'
CONTRAC70R 1,in-? DATE 6 - "1& PHONE 1??0? ?/rv
•-
Determine working square footage of each. -
1. Tota1 exposed wa11 area ..... ?jZZ$,??rsq. ft. x
2. Total roof/ceiling area ..... sq, ft." x , •026° '1 I
7ota1 exposed wall area above floor = Z.9 Ci
a. Total wall wtndow area .......... ..................
?? . b. Total door area .. ..........
? .................
c. Tatal door area ..
sliding glass ..................
'.d: Totai fireplace.wall area.... ... ..................
e. Total wall framinq area (average 1o%)............ .
f. Total net wall area above floor .................
,... g. Total rim joist area ........... ....
Total exposed foundation area = L, Z
h. Total foundation window area.... .................
9, Toal net foundation area abpve grade ............
Determine ''U' value of ea ch wall segment.
a_ ?0 X liu,i -2-_ _ I U'1?52
b 58 X ?lull
c. ZZO X ltuli 3Z
d. 14 X ituit l.o = 3`l5(p
• 8 X??U"
e
705 6 le = q',7
._
, ,
X °Uii
f
7
I85L ,
.
_
,
' g. `LZS X ?lull ,d`?)
h. -- X flu,l
z ????? 1 ovZ..
3 . ......:............??.z ZS.t..l.Z.Total
If item #3 is the same as, or less than item #1, you have met the intent
of SBC 6006(c)2.
Totat exposed roof/ceiling area = I 8 I Z
, . :£? . . ?... . . .
„ Tofal gross roof/ceiling area
- .. ?.... •.
:. J. Tota1 skylight area ........................ -
' k. Total roof/ceiling framing area ..
1. 7ota1 net insulated roof/ceiling area....... lip
Determine "U" value for each roof/ceiling segment.
. . . , . . . ,
.... . . .
..?--:-
j. X nuo
k. 1P?1?2 X „ust
?. 1 to'So, ? x„u,i , o z
a .................. 1?.1........... rotal
, .
If total of #4 is the same as, or less than #2, you have met the intent of
SBC G006(01.
To utilized the total envelope system method, the values.established by the
sum of items #3 and B4 shall not be greater than the sum of itens 01 and #2.
? _ '. . .. + 2. _
3. + 4.
MATEAIALS • Therm, Resistance "R"'
EYterior AiT
Siding Xaterial ?._
Sheathing , p lo
Insulation 1 q
Sheetrock
Interior Air
Studs
Rim
Conc. Blka.
?
q a2 ?q _?_ 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction ReauiremenLs
3 regisfered sAe suneys showing sq. ft. of l04 sq. f[. of house; and all roofed areas
(20%a maximum lol coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Pian i( lot platted afler 7l1193
Rim Joist Delail Options seledion sheet (buildings witlh 3 or less un"ds)
Minnegasco mechanical ven[ilation fortn
RemodeNieoair Reouiremanls
2 copies ot plan showing footings, beams, joists
1 set of Energy Calcula6ons for heated additians
t site survey for add'Aions 8 decks
AddAion - indicate if onsde seplic system
? ?-0
fd . (k.?. (o?aNZ
Offce Use Onlv
CertofSurveyRecd _Y _N
Tree Pres Plan Recd _ Y_ N,
Tree Pres Requi2d Y_ N
On-siteSepticSyslem , _Y _N
Date l /_L(?_ / 0v Construction Cast ?9,1
SiteAddress V'wR-O&1 p?,(?'W" Unit/Ste #
Description of Work 7 - (.Jq 5 j-• / ' A'&D N•y/ '-4.41t G?a
Multi-Family Bldg _ Y KN
Fireplace(s) _ 0 2
ProPertY Owner 3 J Telephooe k ( , ), ' ?i ?• ' ; ? ?
Contractor Fireside Hearth & Home
14399 Huntington Avenue
naaress Savage, MN 55378 ciri.
State _ 952.736.7761 _ Telephone # (
License#20512060
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
• Residential Venfilation Category 1 Worksheet . New Energy Code Worksheet
(q submissiontype) Submitted
Submitted • Energy Envelope Calculations Submitted
In fhe last 12 months, has the City of Eagan issued a permif for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and wark is not to start without a
permit; that the work will be in accordance with the approved plan in the cas?pf work which requires a review and
approval of plans. A A //
_ Joll 0 V,11`&,k)J_ ? ljwzz_?L_
Applicant's Printed Name Ap icanYs Signatu
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 DS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 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 ? 22 Porch/Addn. (4-sea.) ? 33 Ext. 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 ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demoiish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Oemolition (Entire Bldg) - Give PCA handout to applieant
DBSCrIpflOfl: WaterDamage_Yes
Valuation Occupancy MCES System
Pian 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
_ Footings (new bldg)
_ Footings(deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Sheeuock
FinaVC.O.
Final/No C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Building Inspector
73 42--g 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
New Constmction Reauirements
3 registered site surveys showing sq. fl. of lot, sq. fl. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes, poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted afler 71153
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical vrntilation fornt
RemodeVReoair Reauiremenis
2 copies of plan showing footings, beams, joisls
1 set of Energy Calculations tor heated additions
1 site survey for additions 8 decks
Addifion - indicafe if onsite septic systam
C ?Ld
?0
6f(i OPil+1
C¢?(oFSuNBYRecd -- Y N
Tree Pres FjB? Etecd :Y_ Y?_
Tree P?es freqoued Y .?,N
C3n-sile9epticS?stem ?Y ?N.
(,L ' o. ?
Date U? l I'Z
SiteAddress _
I?
1573 y?7v('?.Pff`,
i A-ilI # /' `I
Construction Cost 04 CG7 - y0 A?-'? leST.)
P({w? UniUSte #
S ? / Z2
Description of Work '',m P1- FY/0r.f 6-,7-- VnlF) n((S) 4 r.7 8 o45Gm7z NT oF IS-FIS'n'NG 1':Dk" Fc-
Multi-Faroily Bldg _ Y_-LQ N Fireplace(s) _ 0?O 1 _ 2
PropertyOwner 1 7m??N I PpgeS c-ti Telephone#(6::?-() 9q1{ T"{49
Contractor Z-0 !34 o W 14 E4Z
Address
State
Zip City
Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesola Rules 7670 Calegorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted • Energy Envelope Calculations Submitted
In the last 12 months, has ihe 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 Telephone #(
Mechanical Contractor Telephon ( ?p6 ? O
MP ??
Sewer/Water Confractor Telephone L-? , 2
I hereby apply for a Residential Building Permit and acknowledge that the information is complihe.Ad accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
3tatutes; 1 understand this is not a permit, but only an application for a
permit; that the work will be in accordance with the approved planAnAthe
approval of plans.
G?r?+ N 2,??.s ?i?r
Applicant's Printed Name
it, and work is not to start without a
of work which requires a review and
ignature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea) ? 31 Ezt. Alt - Multi
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext.Alt-SF
? 04 02-plex ? 10 08-plex ? 16 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex 9/19 Lower Level ? 24 Storm Damage
? D6 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New 0 35 Int Improvement ? 38 Demolish Interior 0. 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair
v/33 Alteretion ? 37 Demoiish Building` ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement 'Demolitlon (Entire Bldg) • Give PCA handout to applicant
D05CrIptiOO: WaterDamage_ Yes
Valuatiom ? D o ti Occupancy MCES System
Plan Review _ 100% or _ 25%
Census Code 4-3`/- Zoning City Water
SAC Units •? Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const S? Width '
REQiTIRED INSPECTIONS
Footings(new bldg) _ Sheetrock
_ Footings(deck) FinallC.O.
Footings (addition) ? FinaUNo C.O.
Foundation ? HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
? Fireplace R.I. Air Test Final ? Windows
[nsulation Retaining Wall
Approved By: Gf Building Inspector
Base Fee
Surcharge Plan Review
MC1ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
73& a9 0.?'
2006 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 0 5 l l Z / uC
Site Street Address ?7 7 3 MV2FyY rKw y 0 1=A6 flhJ YY'A( y5122 Unit#
Property Owner ?)-Fo1?caS `i?.l Telephone #(6y-() 94 y- 9N4J
Contractor C? i.Jnf ff- Telephone #( )
Address City State Zip
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
)0 Add plumbing fudures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are insfalling onlv a water softener and/or water
heafer, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _,RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby appty for a Residential Plumbing Permit and acknowledge that the i foRnation is complete and accurate; that the
work will be in conformance with the ordinances and codes of th Cit ? of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, o k is ? t to start without a permit and work will be in
accorciance with the approved plan in the event a plan is required o, r i wed and approved.
GA(-,'-tg `?\NMt2_&SiVA,( '
ApplicanYs Printed Name Ap ica Ps Signature
SURVEYOR'S CERTIFICATE NORTHERN CLASSIC HOMES
?..?:?-----
EAGAN ENG, NEERIN DEPT
--*-- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR ° gG(63 FEET
XOD0.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 8s8.fr+ FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = ?•? FEET
WE HEREBY CERTIFY TO NORTHERN CLASSIC HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 7, Block I, BLACKHAWK POND, according to tte reoorded plat ihereof,
Dakota Courrty, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS I ITH DAY OF JUNE , 1990.
PROPOSED GRADES SHOWN WERE SIGNED: ES R. HILL, INC. - ?? ??? ?
TAKEN FROM THE DEVEIDPMENT ?a?_
PLAN FOR BLACKHAWK POND - ? ?
PRFPARED BY PIONEER ENG., °
LAST OATED iz-e-ea. BY?
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 79828
cn
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James R. Hi, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINCaTON, MN. 55431 • 612-884-3029
S lJ R V E Y O R' S C E R T I F I C A T E NoRrH E RN CLASSIC HOMES
j%
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yp / ? ?9
_ (651,0),.?ao.oo - ssi°oo?7"E--??i \5
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? 5 I
( [--,,DRAINAGE 9 UTILITY
EASEMENT PEF2 RAT1
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ii
856.6
858.4
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? LOT 7 ?
M
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I r o0
? a861.4
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(858.6)
32.37 - ? x 36.5
_ /
PROPOSED'
p HOUSE
tD
860.1 • _ O/ I.C
m.5 - ?
1
I PROPOSED 9 a
i QRIVE? .9 M G A R.'
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BENCN MARK
TOP OF RPE
ELEy,+860.93` ;
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CpSR•7?
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1
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861.1
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L01 iCl
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L_O i L!
BENCH MARK
/ TOP OF flPE
ELEYa 863.64
?'90.00 L1=I?° - , i
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860.3 ? t R`451. gg? , =2
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86 3.8
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jamies R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S.,• BLOOMINGTON, MN. 55431 • 612-884-3029
SCALE I INCH=30 FEET
X
I For Office Use
' ` Q I
1 `~lE 7' ! I
77 cit of DEB j Permit#:
I 9~0
I Permit Fee:
3830 Pilot Knob Road
1
Eagan MN 55122 Date Received:
I I
Phone: (651) 675-5675 Staff:
Fax: (651) 675-5694
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 12J2401-SiteAddress:
Tenant: Suite
RESIDENT I OWNER Phone: J ~ w
'Address / City / Zip: I ~ / 5 M w.YMq
Applicant is: Owner _k Contractor
TYPE OF WORK Description of work: ar'i 1 S
e
Construction Cost: Z Multi-Family Building: (Yes ! No
CONTRACTOR Name: , 1 A' I~t► ~azicense # ~~5p
Address: K~ YU at
city: State: ip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances an es of the City of
'Eagan; that I understand this is not a permit, but only an application for a permit, and work i it to start ' out a perm' the work will be in
accordance with the approved plan in the case of work which requires a review and approva plan
-
X X
Applicant's Prfnfed Name A s S' n re
Page 1' of 3
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA080457
Eagan, MN 55122 . Date Issued: 10/15/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1573 Murphy Pkwy
Lot: 7 Block: 1 Addition: Blackhawk Pond
PID 10-14395-070-01
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: 4130/08 Notification letter sent regarding expired permit pf
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
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:
Royalty Remodelers Garth O Thoresen
4411 Slater Rd 1573 Murphy Pkwy
Eagan MN 55122 Eagan MN 55122
(612) 414-8199
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: Building
Eagan. Permit Number: EA100412
Date Issued: 08/02/2011
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 1573 Murphy Pkwy
Lot: 7 Block: 1 Addition: Blackhawk Pond
PID: 10-14395-01-070
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Pella Windows & Doors Turnkey Sales Garth O Thoresen
1 300 25th Ave N =100 1573 Murphy PkNv
Plymouth SIN 55447 Eagan SIN 55122
(763) 74-1400
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112050
Date Issued:07/25/2013
Permit Category:ePermit
Site Address: 1573 Murphy Pkwy
Lot:7 Block: 1 Addition: Blackhawk Pond
PID:10-14395-01-070
Use:
Description:
Sub Type:Fireplace
Work Type:New
Description:Wood burning fieplace
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Kathy Renstrom
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Garth O Thoresen
1573 Murphy Pkwy
Eagan MN 55122
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PROTECTED Tf�OUS�
s --co? fit -GE." ,yAPOR BA R REQS' HERE.
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SMOXE DETECTORS
ARE REQUIRED ON ALL LEVELS OF THE HOUSE
ANO IN ALL SLEEPING ROOMS. ON LEVEL S.
CONTAINING SLEEPING AREAS. CENTRALLY
LOCATE SMOIO CORS IN HALLWAYS.
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,VENTVAION REQUIRED
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1
1
ENCLOSED USAELE SPACE
UNDER STAIRS MUST C`
ENTIRLY FINISHED WITH
GYPSUM BOND
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LLP \
11
-ffeRESS WINDOWS REoUIRES NI
ALL SLEEPING AREAS.
-MIN. 5.7 SQ. Ft NET CLEAR
OPENABLE AREA
-MIN. a' NET CLEAR
q,E WIDTH
41IN. Si'' Int CLEAR
OPENAIIILE HEIGHT
4/1/4X OF 44' FROM FLOOR TO
HIGHEST PORTION OF SILL
NOTE: HEIGHT OR WIDTH (OR BOTH)
WILL BE GREATER TO
OBTAIN 5.7 SO. FT.
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2
I A VAPOR BARRIER MUST BE
INSTALLED ON THE WARM SIDE OF
1 ALL WALLS AND ATTIC CEILING.
FIRE STOP SOFFITS AND ALL
OTHER DEAD SPACES.
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A FOUNDATION WALL MOIST uNt
BARRIER IS REQUIRED BETWEEN
INSULATION AND FOUNDATION WALE
FROM FLOOR TO GRADE
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EAGAN
RE IEWED
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DATE w --Z --0
BUILDING INSPECTIO L
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142429
Date Issued:05/02/2017
Permit Category:ePermit
Site Address: 1573 Murphy Pkwy
Lot:7 Block: 1 Addition: Blackhawk Pond
PID:10-14395-01-070
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Garth O Thoresen
1573 Murphy Pkwy
Eagan MN 55122
(651) 955-3128
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature