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1578 Murphy Pkwy INSPECTION RECURD Control No. 11 6D 5 CITY OF EAGAN PERMIT TYPE: B «i I t'j144 3830 Pilot Knob Road PeRnit Number: 0616916 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: Lof 1 2e iRt oc rc i i APPLICANT: 14•iss MURPHY PKtJY NORTHERl1 Cl.AS3IC HOMES HLA(:kHAbt? pt1Nf1 ' (612) 440•-7150 PERMIT S,y'BTYPE: TYPE OF WORK: m INSPECTION r-0nrI t,:. .• . r i,A MI M'i rN",111 a? 1iiN FtMAl. F TnC pt Ar.F ' Rf MAR103! PttV S& W C(lNT#tAC TOR -- K IflNM Mfeii Psnnn r+a Per,nlt Moider o.a Tole,none R S/1N PLUMBING HVAC ELECTRIC EIECTfi1C hwpect{ort DaM Imp. Commenta Footings I Faundation ??y/rs? cJ,B Fra,,,ng pmfiN Bough P1bg. Rwo ft. isul. . 2?Z S FreplaCe 11 ? r ? Finai Htg. orsat Test firtal P9bg. Plbg. lnspector - Notity Plumber Const. Meter F-WAna^ BId9• Fkml Deck Ftg. a,?3 -92 Qs oeck Fnel weu Pr. Diap. ?S a?! 3 INSPECTI4N RECaRD CITY OF EAGAN PERMIT TYPE: i;0 I I t? 11440 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 10 SITE ADDRESS: „ f APPLICANT: ' Ihll}tl? }1'r f? ?l•!Y 1., i. ?9', !'. I 1 I til rt? Y Il?t!-.It t ??MU ? (t.l. 1 E.'?. r?•:q,' PERMIT SUBTYPE: TYPE OF WORK: I IFItA t itlN INSPECTION •• • D• i?1?;?,!! ??? i f l;?? I rrr•,I Permk No. Psrmit Holder Date Telephone M ELECTRIC g Q ? PLUMBtNG HVAC Inspectlon Date Insp. Commenta FOOTINGS FOUND FHAMINC3 ROOFING ROUGH PLUMBING 'j•• J PLBG AIR TEST ROUGH HEATING U U n? 7. y ? GAS SVC TEST INSUL t• GYP BOARD FlREPLACE AIR TEST FIREPLACE ZS _3,:?? S , FINAL PLBG FINAL HTG -- ORSAT TEST eLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Wertificate vf CccupancV W44 of Cfagan 2coartmcnt of tmtbing 3460cctivn This Certificate issued pursuant to the requiremeRts of the Unifornt Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construcrion or use. For the following: ` SE DWG 1596 QJse ctassiscatio,L 91dg_ Rennil Mo. 0ccnpanc11Y ,rype mpmmw lmm? m_n,g District PD e?' _ VN 3152 i?rr?its ? LAKE Owner of Building ?y Address f f Buildin ddress -'----7 p?Y ??ity - 1578 ? 12/18/q2 ?-? - Date: Bnilding Official POST IN A CONSPICUOUS PLACE 50 52 ,v?? Request Date Fire No. Rough?in Inspection OCt. 2.1 1992 , Required9 ?ReadyNOw rJ}yillNOtifylnspector 1 G 1'es n N. Nlhen Reatly? I ?13 Iicensetl contractor ? owner hereby request inspection of above electrical work at: Job Atlaress (Street Bax or Route i Ciy 1578 Murphy Pkwy. Ea an Seciion No. TownsM1ip Name or No. Range No. Counry Dakota OccuOam (PRINT) PM1One No. Northern Classic Homes 440-7150 Power SupOfier Atlaress Dakota Power 4300 220th Farmington 55024 Eieancal Comractor ICOmpany Name) ConVactor5 License No. Sk Electric, Inc. CAP 1982 Mailing AOtlress (COnVacmr or pwner Mekinq Installa9on) 11210 Washburn Ave, So, Bloomington MN. 55431 AvlM1Or Sgnalu IConVactor,'0 Ma bg Ins ion) Phone Number 888-1736 MINNESOTA STATE BOAHO OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grlggs-Mitlway Bldg. - Room S-173 6E ACCEPTEI) BY THE STATE BOARD 1821 University Ave., SL Peul. MN 55104 UNLESS PFOPEP INSPECTION FEE I$ Vpone (612) 64E-0800 ENGLOSED. REOUEST FOR ELECTRICAL INSPECTION E13-0000 -OB 0, w tSee insL•yEtions for completing this lorm on back of yellow ropy. ??Qg?(?p 0 6 "X" Be/ow Work Covered by This Request ew Frtid Rep. ? TypeofBuilding ApplianteSWired EquipmentWired X Home g Range Temporary Service Ouplex Water Heater Electric Healing Apt. Building Dryer Olher (Specify) Comm./Industrial Furnace Farm Air Conditioner Omer (syeciry) ConVaclor5 qemarks: Compute Inspection Fee Below: # Other Pee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool X O to 200 Amps 1$ 2 0 to 100 Amps $$ Transformers Above 200 _ Amps Amps SignS Inspector5 Use Ony? TOTAL trrigation Booms 106.50 Speciallnspection Aiarm/Communication TMIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITMIN 18 MONTHS. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in ? r F;nai r Date GV y ? d e OFFICE USE ONLY n , This request witl 18 months irom 61U J_C,3g1REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os ? Sea instmctions far completing this tartn on back ot yellow copy. y / /?/9'rJ " "X" Below Work Covered by Thrs Request Ne Ad ?4e . "Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heatar Electric Heatin Apt. Building Dryer Load Mana ement I Comm./Industrial Furnace Other (Specify) Farm Air Contlitioner Olhar (specify) ConVeclor s Remarks: Compute Inspection Fee Befow: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Amps to 100 Amps Transformers Above 200-Amps Above 100,_Amps $I 115 Inspector's Use Only: QTAL sO Irrigalion Booms . / ?? S ecial Inspection ZV Alarm/Communication THIS INS7ALLATION MAY BE ORD ONNECTED IF NOT Other Fae COMPLETED WITMIN 18 MONTHS. I, the Electricai Inspector, hereby certify that the above inspection has been made. Rou9n-in Fmei o e ? J OFFICE USE ONLV This request void 18 monlhs from 0- 1 0 0 3 8 ? ? 5 49 Req est Date Fire Na. Rough.ln Inspaction ReqNretl Ins edion Other Than Roughdn - ustV ll inspector ? whan reatly) (YOU m a Peady Now ? Wiil Notify Inspecroi ? e N. ?ete ReflG I? licensed contractor owner hereby request inspection of above electrical work at: Job Atltlress (Strcet, Box ar Route No.) Ciry ? Section No. Township Neme or No, Renge No. County ? ,7') Occupant(PRINT) Phone No. sa-as? Power SuppllBr tlGress Elactrical Contrecmr (Company Name) ? CoNra<tofs License No. Malling Addrass (ConVactor ar Owner Meking Inslellation) Aulhonzetl Sre (COnlrect Owner Mekinq Ins allation) Phone Nu r ~ ? - ?• ,?02 IdTV O I I OT I 4 9 I 6 ? B II I I I II I I I ? I I ( I I I II? E Unlv e1Ty MN S70C Ph A ee. S P u 7 OP ER INSPECTIONF EE ? z Ep, EN C OS .Address: 1578 NIIP_2RiY pARKWAY I.ot 20 Blk ] Sec/SubgLAgai,qW ppND ZIP• 55122 These items were/weze not complate at the time of the final inspection. Date: 12 18 92 Yes No Finalgrade (6" from siding) V Permanent steps - garage ? Permanent ateps - main entry Permanent driveway ? Permanent gas ? Sod/seaded grass Trail/curb damage Porch Basament finiah Deck Please verify with the builder the removal of roof test oaps from the plumbing system and the shut-off of vater supply to tha outaida lavn faucat before freeze potential exists. ? Kcnm.iu Wttite - City copy Yellow - Reaident copy Pink - Contractor copy 2004 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 Site Street Address 7": !Gl //?`?'?- ' Unit # . , ? L Property Owner C/ Telephone # Contractor Telephone # ( ) Address City State Zip The Applicant is 4-10wner _ Contrector _Other I Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener /iWater Heater $ 15.00 I/ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild i $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not.a1permit, but only an application for a permit, work is not to start without a permit and work will be irvaccordance with the approved plan in the?evant a plan is required to be reviewed and approved. //?,/ ? ? / ?-<?- , ApplicanYs Printed Name Applicant's 5ignature ? ----- ,, ? ?l i5 ?J' ?I NOV 1 ' 21304 -. - .?1 ? C!T-Y OF EAGAN PERMIT 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 Control No. 1165 PERMITTYPE: suxLozNe Permit Number: 0 015 9 5 Date Issued: 10 / 0 9/ 9 2 SITE ADDRESS: 1578 MURPHY PKWY LOT: 20 BLOCK: 1 BLACKHAWK POND DESCRIPTION: jBui].d%h.g Permit Type SF DWG ' 6uilding''Work Type NEW UBC OccupanGy ft-3 M-1 Constructioni"fype V-N ' Zoning PD R-1 Building Length 70 ? Building Width 36 -- , ? r- ( ? L; _i REMARKS: C O aI aaq PRV S & W CONTRACTOR - KLAMM MECH FEE SUMMARY: Base Fee Plan Review Surcharge 5AC SAC ? SAC Units Subtotal $2,225.80 $167,0410 MISCEILANEOUS $1,610.50 COPIES $1.00 Total Fee $3q837.10 CONTRACTOR: - Fl p p 1 i c a n t- OWNER: NORTHERN CLA55IC HOMES 14407150 NORTMERN CLASSIC HOMES 3152 BUTTERNUT CIR 3152 BUTTERNUT CT PRIOR LAKE MN 55372 PRIOR LAKE MN 55372 (612) 440-7150 (612)440-7150 I hereby acknowlecJge ihat I'have read thss applicatian and state tihat the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan prdinances. ? l !? 11 %i ?IC-C4 .2 / c?? '"'a I APPLICANT/PERMITEE SIGNATURE -- -- ISSUE Y: SIGNATURE VAI.UATION $874.00 $568.10 $83.50 $700.00 100 1 PERMIT # REACTIYATE ,_ CITY OF EAGAN $3,??J??. i" 1992 BUILDING PERMIT APPLICATION 681-4675 OC7 Q S RECD Cl AG( I'O-i SINGLE & MULTI-FAMILY 2 sets of plans,. 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 capy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date /e ?2- Valuation of work Site Address:_ i_5"7? STREET ? SUITE / Tenant Name: (commerclal only) IAT ?20 I BIACK SUBD. P.I.D. 1F K Descri tion of work: SfuGt g FAni/i _C,1:34 ? The applicant is: Owner O(Contractor ? Other coe8«iee> Name _NO.o.I? cwstz k4py( Phorie OVO --71 5'o Property , u5T ?IR:T Owner Address &5-LZ9Wyvr ??: ? STREET STE N City &149r ,L40 State M'V Zip 5r3__)2- Company s4MJ gS A-&vvi- Phone Contractor Address License # Exp. City State Zip Company /_gtf-2s2 Phone S3i -a7yL Architect/ Engineer Name Registration # Address 3fDS &pa14 AvP N. City (}t/?5??? State N41tl Zip Sewer 3 water licensed plumber "/yM Processing time for sewer & water permits,is two days once area has een approved. • 1 hereby acknowledge that Iifiave r atl this application and state that the information is correct and agree to comply wit pplicable State of Minnesota Statutes and City of Eagan Ordinances. ! E Signature of Applicant: J ? OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 Uuplex ? 11 Apt./Lodging 002 SF Dwg. ? 07 4-Plex 11 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'7. ? 15 Deck WORK TYPE ?31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair El 36 Move GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. SAllowable) h lst F1. sq. ft. UBC ccupancy 2nd F1. sq. ft. Zoning Pa iZ-i Sq. Ft. total f of Stories Footprint Sq. ft. Length y/z' On-site well Depth ,g r,.' On-site sewage APPROVALS Planning Building Engineering Yariance REQUIRED INSPECTIONS O site ? Wallboard ? Footing ? Final ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Mater Conn. Nater Meter Acct. Deposit S/M Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Tatal: SaC as , jvo SAC Units I v.ti.c:a,: GARA6t ? C3.StYlT; I I,6r ? Framing 13 Draintile s 16"1 oao 30 X 3LI /t,3S 6,1`/) r?nly'lZ = Cf7LI) 07 2. .30 xz?` 106c? 1,14x/?'?z= Izxiv,/z =l"74 ? r3<?r+? i= I 2-h o r ? ¢ = .-?- l?c-s n?3=?.'?ZV?a ZivO }z_•oh : a x1 v - 171-f 7T? x 5^3 ? ?7,c?9b? +N+:• ? Y • y ?.. ? ?? 16 Ba`sement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. O 20 Public Facility O 21 Miscellaneous ? 37 Demolish MWCC System Yts City Water TEs PRV Required y CE,5 Booster Pump Fire 5prinkler Census Code ? SAC Code Assessments /t- ?-, =z??i - EXTERIOR ENVELOPE AVERAGE "U" LOMPUTATION 04!FI E R : 7E AOORESS: CONTRACTOR: DATE: PHONE: DETERMINE YIORKING SOUARE FOOTAGE OF EACH:. l. TOTAL EXPOSED 4tALl AREA, ,,,,,,, sq f t x"U" 2. TOTAL ROOF/CEILING AREA,,,,,,,. sq ft x"U" ? 02-Co .. a?3 3• TOTAL EXPOSEO NALL AREA CALCULATIONS: Total exposed wall , area above floor,,,,,,,, " _2kna(n sq ft a) Total wall wtndow area: --(t) ?+b1? 9lazed...... 3a.0 sq ft x"Un •`-1? • 13`1•Co? 9lazed...... sq ft x "U" . 6) Total door area ,,,,,,,,. 3Y?. sq ft x"U" AT(??rxN? c) Total s-i-i4}ny glass door area: glazed...... y0 sq ft x"U" • 1? -L- 9lazed...... sq ft x "U" . d) Total fireplace wall area L1 cg sq ft x"U!' e) Tota) wall framing area (Average 15X)........... 14 C?? sq ft x??U" f) Total net wall area above floor (Insulated)...... sq ft x"U" s9? g) Total rlm Joist area...... \? v sq ft x"U" Total foundatlon area (Exposed).......... t? Z`?-- sq ft h) Total faundatfon ' wtndow area............. sq ft x "U" I} To[al net foundatlon area above qrade........ 3co sq ft x"U" ? DL1:? 3' TOTAL a) thru I) If (tem 93 fs the same as, or less than item F1, you have met the In[ent of 2 rtcAR 1.16008 p and o. Page 1 4. TOTAI EXPOSED NQOF/CEILINf, CALCULATIONS: Total exposed roof/celling area........ k sq ft J) 7ota1 skyltaht area....... sq ft x"U" k) Total roof/ce(llnq framing aroa (Averace lOR),,,,,, sq ft x"U" °d?g 1) 'Total net insulated roof/cet 1 ing area....... sq ft x"U" 4. TOTAL J) thru 1`)?1F- 2 If total of 14 fs the same as, or less than A2, you have met the tntenL of MCAIt 1.16008 A and 0. ? , ALTERNATE BUILDIi1G ENVELOPE DESIfN To utilTze the total envelape system method, the values established by tha sum of items P3 and A shall not be greater than the sum of items dl and #2. i . + 2. m 3. + 4. C E R T I F I C A T I 0 N I hereby certify that I have calculated the "U" factors and "R" values hereln and that the hutldinq here described meets or exceeds the Sta[e of Nlnnesota Enercy Conservatfon Act. Siqnature (Date) Page 2 -. , ? . ;. . _ NSTRUCTION R VAIUE AHING SECTION: Intcrlor aIr fflm 0,68 ?d ti /'?inches soft waod ?.? -,? -, ?-k_ _ . %, J % c? k ?j - . 1-ilJ Exterior air ' f-pim n.t7 IUTAL K = U = 1/R = . 1? • 14ALL SECTION (INSULATED) 1 Interlor air fllm % 2 !?2 ?? Shqo?R< 4 _.. ... terlor air''f'llm n IUIHL K.a v U = .1/R ? _ .. .. ...- - p A 14 ?.r A. • d • 4. A --a, RIM JOIST SECTIqtI: --(1 Interior air film n.(,R ------------------ {?i wu? \ 5 6 Exterior air film 0,17 FOUNDATION INSULATIO P! REQUIRED: 70TAL • Min. R-5 on entire wall OR ' U=)/R =O Min. R-10 down to frost d epth fOUNDATIO !! SECTIOtd: 1 Interior air film 2 ? !?.' ?. ? • ?SV . 1 3 - %-? ,? ' 4 . ?,z?,- E ??5? P,,?n,•? f • '7 xterior air film p 17 TOTAL R = .y ? U = 1/R = .QY] SLAR ON GRADE ? • ?6' a , U ,.a a. >1 4 'i.r .•;.?°? a,', . '?, ?ti ?•?o' '' ? , ? A . ? Heated Slabs: '?'.?? ,.•?' Minimum R = 8.5 v , , ?1; ;•-4. Unheated Slabs: . Minimum R = 6.2 Q• .q ,• ? : ?4? , a,,o,4 a ?• q ? ? ?'•r , ; ° ' ?' ? a ' ? "4'?. ? ?•••?4 • I 4.= • f . . ,, ? t . , ; ? •- ? .?• ; a: ???. ' 4 ? , a ?6 4 L ' - Pa zP ?L .. ? . CONS7RUL71oN R VnLUC • F G ? AIR LOW . . VENTED CEILINf. SECTION (INSULATED): 1 Intr.rlor ilr fllro (l,f.l 2 ?, . ; \ ?1 ?W0 4vL '-77 4 Exterlor alr fllm• still) 0.f, 1 TOTAL R = y ? ? U = IIR = ?0 CEILING FRAMINf, SECTION: . 1 Intertor atr film • 0.61 2 3 S 4 Interior air film stil rY. 0.61 5 ly.inches soft wood TOTAL R U = i/R CEILRIG SEf,TION (IFlSULATED): 1' Interior air film 0.61 2 3 4 F.xterior air film still 0771 TOTAL R = U= 1/R= CEILItJr, FRAMIHG SECTIOH: . 1• Interior air film 0.61 3 4 Exterior air film still 0.61 5 inches soft o-iood TOTAL R = . U= 1/R= 1 Instde air film O.FI 2 3 •. 4 5 Outside alr film n,17 TOTAL R = U a 1/R = Pann G VENTED ? CITY OF EAGAN 3830 Piiot Kno6 Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: G2t) Ak571el -, BUILDING 026032 07/19/95 SITE ADDRESS: P.I.N.: 10-14395-209-01 1578 MURPHY PKWY LOT: 20 BLOCK: 1 BLACKHAWK POND DESCRIPTION: BASEMENT FINISH ALTERATION '.. ; '? BL(ilding`.Permzt Type 9uilding Wo'r.,,k Type t( REMARKS: FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - npplicant - LARAMY BILL 1578 MURPHY PKWY EAGAN MN (612)557-4847 I hereby acknowledge that S have read this ih'Formation is correct and agree ta comply Statutes and City of Eagan Ordinances. L A ICANT/PERMITEE SIGN/jLtl E ? application and state that the withal.l applicebEe Stateof-Mn. tin .9),ry ISSUED BISIG UR -- CITY OF EAGAN a\0 ? 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Name: G-4RA-/11 V 3 / Phone IAbi iW6T Street Address I S 7? IM u 2.gLw h' k..caxe ? 3 regfsterod aite surveys ? 2 copiea of plan ? 2 copies at plerre (indude beam 8 winEOw sizes; pouied fid. design; etc.) ? 2 site surveys (axterior atlditions & decks) ? 7 snsrgy cakulations ? 7 energy calwtations for heated addkions ? 3 wpbs of 4ea proeervation plan if lot platted eRer 711/93 required: _ Yes No DATE: I -8? 4?5?: CONSTRUCTION COST: fW-ft -7'73/cb= DESCRIPTION OF WORK: 3?4SE;uS.? T F'w iSk STRE DRESS: 15 76 I1^uR LOT 2- 0 BLOCK ? SUBD./P.I.D. PROPERTY awNeR CONTRACTOR License #• City: E?.4i.? State: N? Zip: ?S?zZ Company: 4_. Phone #: Street Address: City: ? S ?s o 5 t/f - ???? y Zip. State: ARCHITECT/ Company: 1s'14-r4AAr- ' ENGINEER Name: Phone #• Registration #• Street Address- City: State: Zip: Sewer & water licensed plumber: Penaity applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is ct and gree to comply with ali applicable State of Minnesota STatutes and City of Eagan Ordinanoes. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Yes _ No _ Yes _ No -------? __- = 6664 £ t i I i I' OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex 0 02 SF Dwelling o 07 4-plex 0 03 SF Addition o 08 8-plex 0 04 SF Porch o 09 12-plex n 05 SF Misc. 0 10 = plex WORK TYPE 0 11 Apt./Lodging ,[? 161 Basement Finish 0 12 Multi RepaiNRem. 0 17 Swim Pool ? 13 Garage/Accessory o 20' Public Facility 0 14 Fireplace o 21 Miscellaneous 0 15 Deck ? 31 New /6 33 Alterations o 38 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy . sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit CJ APPROVALS Planning Building Engineering Variance Pertnit Fee Valuation: $ Surcharge Pian Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit 5!W Permk S/W Surcharge ? Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: • % SAC SAC Units r.,rr,f, n!- rr-?rr-,ra :is rt:.hrtzNai._ na;; 891_3 nnrt::r 08i:3099 rIMr:;; 00706 ZLi o 'iilAPiEe hiGRS7.01! EX'ii":RTOItSy I...1_C; 32i.0 9001 078 14Ufif-'11Y PRIA! !.r'.25 ? 2155 90(:)1 078 Pf!..1';iF'HY F'2W 4,50 I Tot;]:I. F;:(?cei.pt, Amoun'.:a 171.75 CFiiL237 l:Sl'-R 7:Lir, JAN l? 1.'15 New Construction Reaulrements CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 ?3?•?`? Remodel/Reoair ReaulremeMs 3 regisfered sMe surveys showing sq. fl. of lot, sq. R. of house and all rooted areas (20% maximum lot coveraae allowed) 4 copies of plans (show beam 3 window sizes; poured fnd. design; etc.) 1 aef of energy calculatlons 3 copfes of hee,preservaTion plan ff lof plaMed affer 7/1 /93 DATE: DESCRIPTION OF WORK: 11111X 04-L C f.fL.' STREET ADDRE55: LOi: 'D'0 BLOCK: SUBD./P.I.D. #: PROPERTY OWNER 2 copies of plan 1 sef of energy wlculafions for heated addNions 1 sNe funey for exterior addNlons 3 decks CONSTRUCTION COST: -1 (?v SlJ • ?5 'T Name: Ir-.Ol U.1 i lU ?1 11 Last Firsf Street City Phone#:&a +44f5Z rZ5?0 Compan)r - Phone #: i Horizon Exteriors ' (areo code) `a? o1 1333 Larc Industrial Bivd. CONTRACTOR ? Burnsville, MN 55337 I License #? Exp. Street Address: ? (612) 890-3900 , City ARCHITECT/ ENGINEER Teiephone #: area code ( Sheet Cffy Sewer 8 water Iicensed plumber (reauired for new conshucNon oniv): State: Zip: Name: °egiStia':On N: State: PenoNy applles when address change and lof change Is requeafed once permM Is issued. Zip: I hereby acknowledge that I have read this appllcaHon, state }hat Me infor aHon Is conect, and agree To comply wRh all applicabi State of Minnesota Statutes and CHy of Eagan Ordinances. , Signature of Appllcant OFFICE USE ONLY REi CEIV ED Certificates of Survey Received _ Yes _ No AUG 3 1 1999 Tree Preservation Plan Received - Yes - No _ Not Required BY: BUILDINC PERMIT APPLICATION (RE51DENTIAL) OFFICE USE 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 ? 17 Garage ? 22 PorchlAddn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ?'25, Miscellaneous woRK nrPe , p ? 31 New ? 35 Tenant Impr, ?'39 Gas Line On ly -? 43 Siding/Soffits/Fascia O 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 4$ ? Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demol ition permit GENERAL INFORMATION ? r • a Const. (Actual) Basement sq. ft . Census Code (Allowable) Main level sq. ft . ' SAC Code UBC Occupancy sq. ft. No. of Unifs' Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES Sy'sfem Length sq. ft. City Water Width Footprint sq. ft . Booster Pump PRV Fire 5prinklered APPROVALS Planning Building Engineering Variance c `° ` - Permit Fee ?' -. Valuation: $Y ?8 ? Surcharge '-l SZ) i? I Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit r SNN Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies . Total: I ]I .- i_5 SAC Units % SAC t CITY USE ONLY LOT ? v BL RECEIPT #: ?6 SUBD. RECEIPT DATE: o/9 ? , ?1996 MECHAN1CAL P£gMIT (iiESID£NTIAL) crrY oF EAsAN /y/. ?? S$SO PILOT KNOB iiD EkfiAN MN 55122 .? p Date• (sta) 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 $ 24.00 ADDITIONAL 50 M BTU 6.00 . Gas outlets (minimum of one required @$3.00 ea.) • State Surchazge: .50 • TOTAL: Complete this section onfv if you aze remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: _ Install fumace _ ? Install air exchanger, i.e. Vanee system, etc. _ Minimum fee applies to all remodel or add-ons of existing residences 5tate Surcharge SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: Install air conditioning Other $ 20.00 Total: $ 20.50 PHONE#: -r59'2S?pJ PHONE #: i7 J "[eQlni 5 _ STAT ? ZIP:!6_20 C J G ATUAE OF PERMITTEE 1S/FORMS BLD/MECH PERMIT (RES) - 1998 CITY USE ONLY L BL . RECEIPT#: SUBD. RECEIPT DATE: _ APPROVED BY: ,INSPECTOR 199$ M£CH1R1V[CAL P£RMIT (COMM£ftCIRL) CITY Of £14fiAN S$SO PILOT KNO$ RD ERfii4N, MN 551E8 (61E)6$1-4675 Please complete for: all commercial/industrial buildings , multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: ' WORKTYPE: NEW CONSTRUCTION INTERIORIMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1 % PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLI): INSTALLER: ADDRESS: PHONE #: CITY: STATE: ZIP: SIGNATURE OF PERMITTEE ($.50 per $1,000 of peRnit fee due on all permiu.) PHONE #: C1TY OF EAGAN L ?O B MECHANICAL PERMIT SUBD. (612) 681-4675 RESIDENTIAL RECEIPT # ?Z%J ( V? g DATE 1 ?? PLEASE COMPLEfE UPPER PORTION DNLY FOR SWGLE FAMIIY DWF.Li.IIdG3. ALSO, COMPLElE FOR TOR'NHOMES/CONDOS R'HEN SEPARATE PERAIITS ARE REQUIRID FOR FACH DWELI.WG iTNPf. OR'NER: p FEFS STTE ADDRESS: n ADD ON/REMODEL (E7C[STING CONSTRUCl'ION ONM $ 13.00 INSTALLER: HVAC: 0-100 M BTU 24•00 PHONE #: p p ADDITIONAL 50 M BTU 6.00 ADDRESS: r1 l GAS OUTLEfS •?IINIIKUM 1@ $3 EA. oQ) CI1Y: ZIP: SURCHARGE: $ .50 , SIGNA TOTAL: $ a'-l •? COMMERCLAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIIINDUSTRIAL BUII.DINGS. ALSO COMPLEfE FOR APARTMENT BIIILDINGS OR OTAER MULTI-FAMILY BUILDINGS R'HEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR FACH DVYELLING UNTT. R'ORK DFSCRIP170N: CONTRACf PRICE: f FEES 196 OF CONTRACf FEE. ? STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMTf FEE. $ PROCFSSED PIPING •, $23.00 Fs MINIMUM FEE • 525.00 OWNER: SI1'E ADDRFSS: 7'ENANT: SUiTE #: INSTALLER: ADDRFSS: C11T: PHONE #: SIGNATURE: TOTAL: 7,IP: CITY SIGNATURE. L--?90 Bl ? CITY OF EAGAN PLUMBING PERMIT /? SUBD. (612) 681-4675 REBIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? ADD ON REPAIR CITY USE ONLY RECEIPT # O DATE O Ff ALSO, FOR TOWNfiOMES AND CONDOS COMPLETE THE FOLIAWING: OWNER NAME : &-e' '44xe? SITE ADDRESS: 1-57f /?? ??t-.Eiv4GrsS a INSTALLER: ADDRESS: /aS?09 -? CITY: ?G¢ur./,LG ZIP: PHONE #: 1? 90-?fA; S' SIGNATURE OF PERMITTEE N0. FIXTURES EA. TOTAL REPAIR/ADD ON 15,00 / SHOWER 3.00 3.0e) ? WATER CIASET 3.00 •oo / BATH TUB 3.00 3.00 ? IAVATORY 3.00 /Soo 1 KITCHEN SINK 3.00 3.00 L IAUNDRY TRAY 3.00 3.00 / HOT TUB/SPA 3.00 .3•06 WATER HEATER 3.00 3-ao / FLOOR DRAIN 3.00 3.dv GAS PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 /-rv _ OTHER _ WATER SOFfENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE .50 So TOTAL: $ ' COI+MERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDDSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: _ TENANT NAME: _ SUITE #: INSTALLER: ADDRESS: CITY: PHONE FOR: _ CITY OF EAGAN CONTRACT PRICE: 1% OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: (SIGNATURE) k'.? ? r, " ? r ?' ly '?, r y. _ . ?. . : ." '> t . `+.? ?,.. , . . d ? r ? ? e . ! ? ,. . ??.. ?? .?. ° i ItP?? . ?:6. ? . a. ±3, 1 A x+ ? p 5 y, a?+ ? a?.i ? ? -7k?.*.. ?. s ? .^?_.: , ...ti::?., s. . ?.._,?d,i..?????.. ?t.:?'.d`=.i? . _kr:?al.s?<+:Mi CITY USE ONLY . SUBD [yClCQC.JQY1G.wiP 96L-rd 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 687-4675 Please complete for: ? single family dwellings V? ? townhomes and condos when permits are required - ,: ?e?.,.,> '., 9g? ? 5 QZ?? .r FIXTURES EACH NO. TOTAL Shower 3.00 x Water Closet 1 x Bath Tub 3.00 = Lavatory 3.00 x = Kitchen Sink 3.00 x ? - Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x,;:. -- . ..,Floor D'a"in' . 3:00:. x - , w , ... , , . ,. Ga5 Plping Outlet `•:minimum =-1 vi' , •'`" ? :' °` ' 3.00 Rough Openings 1. x Water Softener .00 x = Private Disposal ' Dakota Cty. license 0.00 = U.G. Sprinkler * home under const. 3.00 = t,,Alterations'?to?existing? ,. ,. • . ;,-; . . 206,00- . ??fr?? Water Turn Around 20.00 ; ? STATE SURCHARGE .60J TOTAL 740-? ae SITE ADDRESS: 1578 MURPHY PARKWAY OWNER NAME: RrLt T ARAMY - r. - STREET A[ rnn: ? ?• _" 4? _L'.,?" ,_.. .. ._. . . ..?A??, ?q CITY: RIiRNSVTT.T.F. STATE. MTNNF.Cl1TA ZIP: §333; PHONE #: ( 612 ? 890-4868 ? SIGNATURE F P RECEIPT #: 41170-14- L BL SUBD. CITY USE ONLY RECEIPT #: DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are = required for each dweiling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON ' REPAIR DESCRIPTION OF WORK: FEE: $25.00 minimum fee or 1% of contrect price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS:. CITY: PHONE #: STATE ZIP: SIGNATURE: APPLICANT CITY OF EAGAN 'OCT-07-192 4ED 08:18 ID:JAMES R HILL INC TEL N0:612 890-6244 tY715 P02 wi fs , SURVEYQR'3 CERTIFICATE NORTHERN CLA$$IC HOMES J , i )?7 c AIEERIAIG DEPT H07E+ BWLDiNO pMEN4i0N$ SHpWN ME FOti F?Po20HfAl 9 VENTKAL LOC- A710N OP .1TRUGTtq16 ONLY. SCC ARCHITHCTUAL PI,ANS tCR 9UIlDINO 6 FWNDATION DIMENS10N9. NOTEj NO SPECIFlC 90tl9 IyVE9TqAT10H HA8 9MN CDNq.E1'Ep ON TNq wT mr THE sunvHroa nre 9UITABILITY OF 400.,3 1b SUPPOqr THE 4'ECnC FIOt18[ PRp ? IS NOT TFE RF9PONSIB?IT ,? OW? 91 TMP 9UNYEYpR. ??-?" •+ DENOTES pROPp&ED 5URFACE DRAINACiE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FpUND X000.0 DENOTES ExISTING ELEVATION (OOO.U) DENOTES PRbPOSED ELEVATION SCALE:IINCH - 30 FEET PROPOSED OAHAQE FLOOR -<fG G- 4 FEET PROPOSED LQWEBT FLOOFI -$S''9- Cn FEET PROPOSED TOP OF BLOCK -ac r• 7 FEET WE HEREBY CEATIFY TO NOR1'HERN ClA3SIC HOMES THAT THIB IS A TRUE AND CORRECT REPRESENTA71bN OF A SURVEY OF THE BOUNDARIES OF: Lut2D, Block 1, BLACKHEANK POND, occarcling to the recorded plat Ihereoi, Dokato County, Mnnesota. IT DpES NOT PURPOqt TO SHOW IMPqOVEMEN7S OR ENCROACHMENTS, EXCEpT AS SHOWN. AS SURVEVED BY ME OR UNDER MY DlqECT SyyEMSION THIS 24TH QAY OF SEPT , iggp, PqOP09ED OflADHB $?tpWN yygqE TAIf[N fADY 714E DEVmAPMD1T PLaM Foe eLAcautwK pao PnirAR[b Br PIDNIMR 5/9., LABT DMlD I8-9-E8. ? e L--.-? JOHN C. LARSON, LAN SU RVEYt?R MINNESOTA LICEN3r: NUMBEp /9828 James R. Hill, inc. PLANNERS / ENGINEFRS / SURVEYORS 2800 W. CTY. Rp. 42 a 6UpWSVILLE, MN. G6987 0 612-890-8044 R-95% ]AMES R HILL INC 10-07-92 08:20AM P002 #06 HILL, INC. ? OCT-07-192 4ED 08:18 ID:JfMES R HILL INC TEL N0:612 890-6244 #715 P03 S U R V E YO R' S G E R NORTHERN CLA931C 140ME9 •? MURPH pqRkWAy 0,.g eess &.-? O (S 5?'gl 1 BEnCH MARN , Eu F-6'AP.L- E YZ,OB :t z ? 882.iR W 4 ? Mx .?ae ?? in ?, ? •? ' ?B, 3 es.z z ? ? . ?. N ? 0 n N 8647 ? F ? ?) f $` - 22Ag f r- -HENCM bfMK low 70P qF PiPE ? ELEK-880.? cyvr J egD,? 1 ?j l A ? ' ' 6642 ! zo / 1 1 ?l ? bl rB ? M E# 0 r\ 1 ^ i 1^ ? ? I1N H=30 FEET James R. Hill, inc. PIJANNERS ! ENGiNEER5 ! SURVEYORS 2600 W. CTY. RD. 42 • BURNSVILLE, MN. 66337 • 812-890-69q4 1 r f85?.q) ' ? LoT 1 1 Ty ` ` A-95% 3AM6S R HILL INC IO-0'i-92 08:20A?f f003 906 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108173 Date Issued:11/20/2012 Permit Category:ePermit Site Address: 1578 Murphy Pkwy Lot:20 Block: 1 Addition: Blackhawk Pond PID:10-14395-01-200 Use: Description: Sub Type:e - Furnace & Air Conditioner Work Type:Replace 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)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William G Laramy 1578 Murphy Pkwy Eagan MN 55122 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r------------------� I For Office Use � � � Permit#: i �V� � Clty of �a��� ; . �,�� ; Permit Fee: � 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 � � Fax: (651)675-5694 I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: b�3'�Y SiteAddress: �J �� ��� � Unit#: :� ( , � ��� n� �. �` �,��� � � p �/— �` .r� Name: �7/�� L�rG{ Phone: a�s ��027 Resr,d�rit/ � �� � �? K �1 Q,� �,Qy����f �.=� Address/City/Zip: �y �"�" `' Applicant is: Owner �Contractor Description of work: �^� �������q�'e- ���Q� I �/'�1i(�Q 3 s f c�ef Type �f W�rk � : Construction Cost:��i�D� Multi-Family Building: (Yes /No K� ��i� � Company: ��l� I.��'�� �+'►'L�- Contact: /���� �1��� �� ��4 ilh�" : �� ���, ��,���� ��u��«��� ��6g �odd /�d �1.�,d� � r� Address: Cit � G�,�#�a�f�#r � Y' ��'ih��?°',` � '��iu - Statei �/N Zip: S���$ Phone: '�'��^3��1�9y��mail: '"'��I`e �T� �• ��� License#: B C�O b SZ� Lead Certificate#: � 2� �y�" —� If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �'�C�,rv�� �A�/t 6�r' 1� t��t �.G� a-�e.� f �'�`a 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: Nl)TE;Pl�r�s and supporting dc��c�m+er�ts��h��yau s���S`rr'trf are�,��rsf�t�red t��b��pu'btic irr��rma.tiart, Por#ir�rr�c�f the�nfarm�frc�,.n r�ray�e�1a�;s�fie�C��,���t�p ��ii���'ya����r�aV`i'i���p����f�c r����n�that,Mrc�UCd p!�rm�t t��C�t,�ta _��''��;, 4 �� i °�-' Gi�f?� i'�i�@��'Ic'i��`ffi,mP�". c�f�'�1'�C��.��Cl��. : 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.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of � Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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 r�C.Q 1`��P'� ��C X Applicant's Printed Name ApplicanYs Signature Page 1 of 3 Use BLUE or BLACK Ink r----------------� I For Office Use o� � � ! I � � Permit#: ��� I �lty 0� ����Il ' i G� i � Permit Fee: � I � 3830 Pilot Knob Road � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 I � Fax: (651) 675-5694 I Staff: I �-----------------� 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: (� " 1 1 � �� Site Address: } ��� /"\t,'� �w \ } � _ ) Tenant: � ` l�c�,�(1�✓� ` � Suite#: , j � f Resident/�wner Name: � ,1 l�L�f'tJ�v�,�, Phone: (��� - �� -L��� Address/City/Zip: � �v��'' � Name:__ `;� j� � � �w.�,,�c� � l. C License#: �L �(����i � Contractor Address: ��L� (,�. �����h � rr�.��ity: 00��` �ll _ : State: M [V Zip: j S -( �� Phone: �'(�� - �`�(`_�-- SO b v� �' ° Contact: `� � EmaiL Type Of WOt'k —New _Replacement _Repair _Rebuild �Modify Space _Work in R.O W Description of work: f - �U`S`1��� ���f`��r"�, 'r 4-1��C��` RESIDENTIAL Water Heater Water Softener Lawn Irrigation�RPZ/_PVB) Permit Type Septic System Add Plumbing Fixtures �Main/_Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Ir�igation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Turnaround*(includes$5.00 State Surcharge) '`Water Turnaround (add$200.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as built) (includes County fee and$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.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to 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 o ns. x �� G.w�� ` �CTPn��r�l x ApplicanYs Printed Name App ' anYs ure FOR OFFICE USE Reviewed By: Date: Required Inspections: . Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer :Staff: Use BLUE or BLACK Ink r For Office Use I ::: #: 6 % / CC 011. City of Eagans--Fee: �� 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING i/BUILDING PERMIT APPLICATION Date: <� 1-'( Site Address: i S7 p cf hr f k-wy Unit#: Name: l.)i i l ...Ltk _. Phone: f 4_ S 2S� 1 t Resident/ ��L.i' e'—' 1 owner Address/City/Zip: f �� J / I Applicant is: Owner X- Contractor Description of work: �C,e 0- ` Type of Work Construction Cost: Multi-Family Building: (Yes /No ) f Company �' ��;AA• �i�. .. �M. Contact: ,r ( i e �/ 1 Address: nbE 170cid Rd City: /VIeint � 1-fi ' Contractor s ( I State: N Zip: �S�r 3 Phone: 3,`t—('l`'(0 Email: A )C1 t-t-t C g }0/16" i License#: P C. L- ) I Lead Certificate#: (✓ �' If the project is exempt from leadertifi p cation, please explain why: I _ � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING � ���� ._�N�� � 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: I Sewer&Water Contractor: Phone: t i Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of I the information may be classified as non-public if you provide specific reasons that would permit the City to wbF. conclude that they are trade secrets. �A.. . I CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with 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. (e Gy" Kit----x !AN x Applicant's Printed Name Applicant's Signature Page 1 of 3