1582 Murphy Pkwy" nr.. n(?rTt7,
To
Site Address _ IS62 inilPN1f pifYY
Lot Block Sec/Sub. S1-ACKNAiiK POND
Parcel No. W Name PORTHERN CI.A88IC AONBS
? Address _ 3152 al'1TEmT CIx
City PSIOR 1.AKE Phone 440-7150
Name
Name _
Address
City _
I hereby acknowlege that I
informacion is cosrect and
Minnesota Statutes and Cit)
Signature of Permitee
A Buiiding Permit is issued 1
the
3 O1
on the express condiiion that all work shall be done in accordance with all
app{icable State of Minnesota Statutes and City of Eagan Ordinances. .
Building Official i
i'.'.
• 't'? lw
:agan, MN 55121
Receipt #
Oate SEP i i
OFFICE USE ONLY
Occupancy Ro- 3 M-1 FEES
Zoning PD P- l
V? 7
?
(Actual) Const Bldg. Permit 85
•
(Ailowable)
Surcharge a
k ol5tories -
Length ?
Plan Review
Depth ? SAC, City 1og.
S.F. Total - SAC. MCWCC b,?
S.F. Fooiprints -
On Site Sewage _ Watec Cann 660.QD
On Site Well - Water Meter 95.oiD
MWCC System -x
?
City Water it Acct. Deposit 3Q•
PRV Required x S/W Permit 30•00
Baoster Pump - g/N1 Surcharge • ?
?
Trealment Pi 276.
APPROVALS 37
0
00
.
Road Unit
•
Planner
Council - park Ued.
g?dg. Qti. _ Copies
Variance - TOTAL 3s 706• ?
?
' PermN No_ Permk Holder Date Telephone #
WkTEA
SEVVM
PIOMBING
F ?`
' ? ?'
:
H.V.A.C. L.? (?A
ELECTRIC
Inspection Date In Comments
Footings I
Foundation /
Framing O ?/?-y 5
Roofing
Rough Pibg.
Rough Htg. Ag/ AV"
lSUl.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector- Notify Plumber
Const. lNeter
Engr,/Plan
Bldg. Final Z- 3 •-? ?
Dedc Ftg. 92
Dedc Final - .-
Well
Pr. pisp.
t. ?. ,!1'!'' ?•?e. . . .-....• ?a,,, o„?,,,.?,`??.,?, . - ?T' k?w.?'; ? ?.,,,,. ?
.
.y
? ?tr#i#ira#t uf WArruvanry
Citp of (tagan
Erparbttectz of %iiding Jawrtinrc
T Irls Cernftaate issueid pursuan! to the reguirranents of Seclioui 306 oJthe Uniform Building
Code omVOn8 Jha[ a! 1he Ane of issuante lhiss7ructure mcrs in cam,pfiance with !he Pcrrious
ardinanoes ol Me Oty reguladn8 burlding owtsliuaion or usa For rhe jollowing:
c-aw-m-om SB D41G4= / ews. n- ro- 19666
O=Upa-!' TyPe R I?11 Ta.ios Diasia -Tjpe Cnmt VN
owoerare.Ie:,s MFMM,cT.A-S4Tr 1xW5 Am,= 9157 WTI'iMIITI' ?:TR. ? P'_RTaR LAKE
Posr IN a corasMcuous Puce _
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob R:i.
Eagan, MN 55122-1897
DATE SEP 11. 1.991 ?
OFFICE USE ONLY
METER #qd 7 Y9 PERMIT DATE 09t 1 b/'s 1
CHIP ? 4(,F'9 q3 PERMIT # 12271
METER SIZE ? K B.P. RECEIPT #(? ?? ?J' ._
ISSUE DATE B.P. RECEIPT DATE 49 12 1? .i
x PRV - 6005TER PUMP
SITE ADDRESS 1522 piCWY
LOT 2 1 BLOCK i SEC/SUB 'rL.ACK?iAWK U:}:,;'ii
APPLICANT:.
ADDRESS: _
CITY, STATE
PHONE: -
ZIP
I PLUMBER: r IVv. 4TAR PLUMBING Ir:C
? ADDRESS: 8968 JASMINE L;: S
CITY,STATE COTTAGr' GRU'v1 14N ZIP 35016
PHQNE: 459-8180
OWNER: hQRTliERN CLASSIC HC'r[ES ADDRESS: 3152 Bi1TTER?v:".' C? ?
CITY, STATE PRIOR LAKE ZIP 55372
PHQNE: 440-7150 ,-
PLEASE ALLOM 'rW0 WORKING DAYS FOR PROCESSING.
SEWER PERMITS, CONTACT ENGINEERING DEPT.
PERMIT REQUESTED
X SEWER % WATER - TAPS
- COMM/IND ? RESIDENTIAL
h NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Qomestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
,?•?-
! AGREE TO COMPLY WITH CITY OF
EAGAN ORDINQNCES
SIGNATURE WHEN METER ISSU
CALL 454-5220 FOR INSPECTIOMS. FOR STORM
tlEK/
METER # vrrwc uar- vno-r
PERMIT DATE 091lfi/yl
CHIP # PERMIT # 12271
METER SIZE B.P. RECEIPT #
ISSUE DATE B.P. RECEIPT DATE Q9!` 12i 9 1
PRV - BOOSTER PUMP
APPI If:ANT-
GITY, STATE ZIP
PHONE:
PLUMBER: FI L B STAR FLLtii :t N; INC
ADDRESS: 3968 JASMINE L!. S
CITY, STATE UOTTAG}i CP(7VE .tilV ZIP 5501'v
PHONE: 459-81 3" ?
AVUlitS`J: ? -a uvs a.-nva va?
CITY, STATE eQIOR LAKi• MN ZIP 55372
PHONE: 440-715C,
PLEASE ALLOW TWO WORKINt'a DAYS FOR PROCESSING. CALI
SEWER PERMITS, CONTACT ENGINEERING DEPT.
PERMIT REGIUESTED
X SEWER ^ WATER - TAP;
- COMMIIND -X- RESIDENTIAI
NEW - EXISTING
Lawn Sprinkler Meters are to be Installec
Ahead of Domestic Meters on Water Line
Credit WILL NOT be given for Deduci Meters
t , /,
WITH CITY OF
SIGNATURE WHEN MI
454-5220 FOR INSPEC'
BUILDING PERMIT
To be used for SF 1
CITY OF EAGAN Np -19666
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55127
PHONE: 454-8100 -? ?
Receipt#
162,000
Site Address 1582 MURPHY PKWY Lol 21 Block 1 Sec/Sub. BLACKHAWK POND
Parcel No.
? Name NORTHERN CLASSIC HOMES
3 Address 3152 BUTT$RNUT CIR
0 City PRIOR LAKE phone 440-7150
o Name SAME
$? Address
? City Phone
?w Name
Address
gW City Phone
I hereby acknowlege ihatl h`ev read s pplication and stata that the
inlormation is correct and * t m ith all a cable Stale of
Minnesota StaNtes and Ci1 f O ?es.
Signature of Permitee ?
A euilding Permit is issued ta: NORTHERN CLASSIC HOMES
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statules and City of Eagan Ortlinances.
8uilding Official
OFFICE USE ONLV
Qaupancy R-3 M?l FEES
Zoning PD R-1
(AClual) Const V'N Bldg. Permit 857 .00
(Allowable) V=N Sureharge 81.00
# orstories
Lengih 9$! Plan Review 557.00
Depth -42--' SAC, Ciry 100.00
S.P. Total - SAC, MCWCC h-50- 00
S.F. Fppiprints _
On Sile Sewaga _ Waler Conn h60- 00
On Site Well --_- Waler Merer 9 S_ 00
MWGC System _$_
City Water X AcctDeposit 30-00
PRV Required -x SIW PBrmil 30. On
Boosler Pump -
0
S!W Surcharge .5
?
Trealment PI 276.0
APPqOVALS RoadUnit 370-0
Planner - park Oed.
Council
BIdg.Off. _ Copies
Variance - TOTAL 3.706.50
L
2
?
T
- I ; ?
?
Req st Date?/ Fve No. Roughin Inspection
Re iYetl? J''
? Reetly Now - ?n Notiy Inspactor
/ YBS C No Whan Reetly?
ILl licensed contractor xwner hereby request inspection of above electrical work at:
Job Adtlress SVeet aox or R, ?t -?q
A
2
?g
' ? ry
V
ecr
,
o
/
5 c6on No. Townsnip ryame orNO. Rangp No. Counry
Occupam (PRINT) Phone N0.
? (L
Power Supplier Adtlress
ElecIDCal C nV clor OOmpany Name) , ConVacrorY Lipense No.
r--
nneiiing addres C ntraoior or Owrter Mekmg Installetli
Aulhorizatl Slgnelure ICOnI m n n r ng Instaliallon) POOne Number
MINNESOTA STATE BOARD OF ELE RI ITY THIS INSPECTIaN REOUEST WILL NOT
Gilggs-Midwny BIAg. - qoom 5-173 BE ACCEPTEO BY THE STATE BOARD
1821 Unlverefly Ave., SI. Vaul, MN 55104 ' UNLESS PROPER INSPECTION FEE I$
PhaneJ61Y)642-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
See nslruclions for mmpleting this lorm on back oi yellow copy.
?
39882 "X" Below Work Covered by This Request
?EB-00001-OB
??Z/
ew Adtl Rep. TypeofBUiltling AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specity)
Comm./Industrial Pumace
Farm Air Conditioner
Other(specify) GanVazror's R
S
Compute Inspection Fee 8elaw:
# Other Fee # ServiCeEntrance5ize Fee # Circuits/Feadars Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above ?00 _ Amps
Si90S Inspecror5 Use Only: 7pTpL
s' 0
Irriqation Booms ? 1
Special Inspection
Alarm/Communication TH7S INSTALLATION MAY BE OR` CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MOAI'FHS.
I, the Electrical Inspector, hereby Rouyn-m e /,
certify that the above inspection has
been made. :?
OFFICE USE ONLV
ThiS request voitl 18 months 1rom
9/6/5/ /O
p 47352/,X
,
Requesi Date Pire No. Fough-in Inspection
, ReQUIreO? ? Reatly Now ? Will Notify Inspetlor
Sept. 4
1991 = ves =NO whenReady?
,
I I? licensetl contractor ? owner hereby request inspection of above eiectrical work at:
Joe Aatlress Btrea[. ear, or Fome rvo.7 Clry
1582 Mur
Sectk?n No. Township Name or No.
Ranqe No.
Counry
I Dakota
Occupant IPRMT, Phone No.
Northern Classic Homes 440-7150
PAwer Supplier /atlress
Dakota Power 4300 220th St. Farmington55024
Eiectricai Gontraclm (COmpanV Name) Comraclor§ License No.
,Sky Electriq, Inc. 042173 1
Mailiog Aoaress tGOnhactor or Owner Making Inslallation,
11210 Washburn Ave. So. Bloomington, M. 55431
Amnoei gnamr onvact . wner Making Inst lon,
i Phone Number -
? sl 888-1736
MINNESOTA STATE BOAHD OF ELECTRICITV THIS INSPEGTION REQUEST WILL NOT
Griggs-Mitlway 91Ug. - Room 5473 - BE ACCEPTED 8V THE STATE BOARD
1821 University Ave., SG Paul. MN 55104 - UNLESS PROPER INSPEGTION FEE IS
Phone(612)642-0800 ENGLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
? See mslruclions lor comDleling Ihls lorm on back ot yellow copV.
473.92 "X" Below Work Covered by This Request
EB-00001-g8,
ew Add Rep. TypeofBUilding AppliancesWired EquipmentWired
Home e X Temporary Service
Duplex r Heater Electric Heating
Apt. Building r
T O[her (Specify)
Comm./Indusirial aCe
Farm onditioner
Other specdy) Conlractors Remarks:
Compufe Inspection Fee Below:
S Other Fee # ServiceEnhanceSize Fee # Gircuits/Feeders Fee
? Swimming Poal D to 200 Amps 0 to 100 Amps
I Transformers Above 200 _ Amps Above 100 _ Amps
. Signs Inspecror's Use Only: •
? TOTAL
Irrigation 8ooms ?
?
? • ° is. so
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby PO°gh-in Date
certify that the above inspection has
been made.
?e
71T 61,05,
OFFICE USE ONLY '
Tiths reques; vaiC 18 momhs from
II Jo3 5435C
p 47356
Z.0/,I
Request Date Fire No. RougRin InsveCion
15
1991
OCt P?
?' rl Reatly Now XWill Nolity Inspeqor
When Reatly?
.
, Ves
_ N.
I$licensetl contractor ] owner hereby request inspection of above elecirical work at:
Job Aedress ISlreei. Box or Route Na, Ciry
1582 Murphy Pkyy. Eagan
Secuon No. TownsM1ip Name or No.
Ranqe No.
Gounty
' I Dakota
Occupam (?BINT) Plone No.
?lorthern Classic Homes 440-7150
PowerSuppLer A?eress
Dakota Power 4300 220th Farmington
Eigcvicai Gonnacmr (Company Name) Contraaor5 License No.
Sky Electric, Inc. 042173 1
Ma,M1ng Atldress ICOncractor or Owoer Making Instaliationj
11210 Washburn Ave. So. Bloomington, MN. 55431
Autnon[eo SiSnaWre ICunlrado"Owner Making Inslallatio" Pnane Number -
888-1736
MINNESOTA STATE BOARp OF ELECTHIdTV Y 1HIS INSPECTION REOUEST WILL NOT
Gtlggs-Mltlway Bltlg. - Foom 5-173 ^ BE ACGEPTED BY THE STATE BOARD
1821 University Ave_ SL Paul. MN 55104 .. . UNLESS PROPER INSPEGTION FEE IS
Phone(6lf)602-0800 ENCLOSED.
REOUEST FOR ELECTRICAL lNSPECTION
T? ? See instmclions for compleling thrs iorm on back oi yeilow copy.
W"7C" Below Work Covered by This Request
EB-00001-08 I
ew Qdd' Rep. TypeoBUiiding AppliancesWired EquipmentWired
g Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
F Comm./Industrial Furnace
Farm Air Conditioner
Other Isuecdy) Convaclors Remerks:
Compufe Inspection Fee Be7ow:
* Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee
- Swimming Pool 0 to 200 Amps ?U0 (Q 0 to 100Amps 76c0
Transformer5 Above 200 _ Amps a Above0 Amps 1 en
$ign5 - inspecmr5 Use Onry: TOTAL
Inigation Booms /
Special Inspection
Alarm/Communicaiion 7HI5 INSTALLATION MAV BE O IS CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M
I, the Electrical Inspector. hereby Rouqn-in
certiiy that ihe above inspection has
been made. F;,,ai
OFFICE USE ONLV
TM1is requast voitl 18 momhs from
!9ddress: 1582 pqU-RPHy pARKWAy Lot 21 Blk i Sec/Sub BjAaqiAW, ppNp
These itens"wete/were not complete at the time of the final inspection.
? 12/03/91 Yes No
Final grade (6" from siding) . ' o
Permanent steps - garage V?
Permanent steps - main entry ?
Permanent driveway LI/
Permanent gas ?
Sod/seeded grass Z h O
Trail/curb damage 2 ho
Porch ?
Sasement finish
Deck
Please verify with the builder the removal of roo£ tast caps from the plumbing
system andthe shut-off o£ water supply to the outside Lawn faucet before
£reeze potential exists.
necwiEOnnx
White - City copy Yellow - Resident copy Pink - Contractor copy
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstrucUon Reauirements
3 registered site surveys shovring sq. ft. of lot, sq. ft. of house; and an mofed areas
(20%maximum lot coverage allowed)
i Soils Report if proposed building is to be placed on disWrbed soil
2 copies W plan shovrirg beam & mnridow sizes: poured found design, eU.
1 set of Energy Calculations
3 copies ofTree Preservation Pian'rflot pla8ed aftx7lll93
Rim Joist Detaii Options selec6on sheet (6uildings with 3 or less units)
Minneqasco mechanical ventilatim form
RemodeUReoair Reouirementr Office Use Oniv
2copiesoiplanshovringfootings,6eams,joists Cedo(SurveyRecd _Y _N
1 setof Energy Calculafions far heated additlons Soils Report _Y _ N
1 sRe survey for additlons 8 decks Tree Res Han Recd _ Y_ N.
Addttiar • indicate d oo-site septre system Tree Pms RequirpA -_ Y_ N
On-site Septlc System _ Y_ N
Plans are cnncir1erPd nuhlic information unless vou state thev are trade secref and the reason.
..--------------?-
Date j_L_/ ?-7 / 0 7
SiteAddress
L? ?,,, -- --...
? N .. ?c1
Construction Cost
Unit/Ste N
SS1 ??-
DescriptianofWork
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 2
Praperty Owner Naft Ski c,) Uy Telephone # ( 6.Sl ) 5?E3 ? ??0-
rF h?
Cantractor C-r1 vi S?U ?
/
Address V• U ? O?
State
/?'l ?'? c,
?51o-oZ
Zip
?'1liS?1??s
City
Telephone#( q .L 4S?'ID(?
COMPLETE THIS AREA ONLY IF CONSTEtUCT(NG A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Su6mitled
. . Energy Envelope Calculations Submitted
In fhe 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 Bui(ding Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
?C. ,n.A-, -?h^t'4
Appl' ant's Printed Name App cant's Signature
?
DO NOT WRITE BELOW THIS LINE
Su6 Tvpes
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 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 ? 14 08-plex ? 18 Dedc ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex ? 25 Miscellaneous _
Work Tvpes
? 31 New ? 35 Intlmprovement ? 38 Demolishlnterior ? 44 Siding
? 33 Addition ' ? 36 Move Building - ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors
? 34Replacemenf 'Demolftlon(EntlreBldg)-GivePCAhandoattoapplicant
DCSGfIptI0I1: WaterDamage_ Yes
Valuation Occupancy MCES System
Plan Revfew 100Mo or 25%
Census Code Zoning City Water
SAC Units Stories Boaster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIItED INSPECTIONS
_ Footings(new bldg) _ Sheevock
_ Footings (deck) _ Final/C.O.
_ Footings (addition) _ Final/No C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/G as Tests Final
_ Framing _ Siding _ SNCCO Lath - Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows .
_ Insulation _ Retaining Wall
-
•
Approved By:
- ------- , Building Inspector
----?__----
--
Base Fee --
-
---_---------------
----
-----
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
53a?3
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conetructlon Reauiremems
• 3 registered site surveys showing sq. fL o1 bt, sq. R. of house; antl ag rooled areas
(20°/< ma)imum bt coverage albwetl)
. 2 copies o1 plan showing beam & wuMOw sizes; poured lound design, etc.)
• 1SetofEnergyCekulatlon5
• 3 copies of Tree Preservation Plan il bt platled alter 7/1/93
• Rim Joist Detell Optbns SeleGlion sheet (bldgs wAh 3 or less unNS)
DATE T? ? 1 10Z
SITE ADDRESS r P? IA c-
NPE OF WORK T.MfL-W 74Ev
APPLICANT
MULTI-FAMILY BLDG _ Y L' N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS ) S"a 11- y^IN11E i4U E r CITY.
TELEPHONE# 1?•991'XGG CELLPHONE#
L5 STATEM?ZIP Tf/0
FAX# 4'12422.7o0(F
PROPERTYOWNER Ru-?trl 6LP4- TELEPHONE#K/• W' Wgq
--------------- °--------------------------- -----°---°-----------------------------------°--
GOMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) . Residential VernilaUon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhactor:
Mechanicalsystem includes:
Sewer/Water Conhactor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone
Phone #
Fee: $90.00
j?•
JUL 1F6e20W-70
I hereby acknowledge that I have read this application, state that the Info mation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O' ces.
Sfgnalure of Applicanf
OFFICE USE ONLY
?
pemodeNieoair Reauhememe
• 2 copies ot plan
• lsetolEnergyCatulationsforheatedaddilions
. is8esurveyforexlerbraddilions&decks
. Indicate J trome served by septic syslem for additions
VALUATION r ( I t' '7 S?
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? Ot Foundation
? 02 SF Dwelling
? 03 01 of _ plax
? 04 02-plex
O OS 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 20 Pool
? 21 Porch (3-sea.) '
? 22 Poroh/Addn. (4sea.)
? 23 Poroh (screened) ,
?
24 i
Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
O 31 Ext. Alt - Multi
? 33 Ect. Alt - SF
O r 36
I Multi
? 35 Int Improvemant ? 38 Demolish (Interior) IO 44 I i Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof O 46 i Windows/Doors
•Demolition (EMire Bldg only) - Give PCA handout to applicant
Occupancy MC/ES System '
zoning City Water
Stories Booster Pump ,
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS I i
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O. . ....
_ Footings (addidon) Plumbing
-
?
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone ? i
_ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By ?, Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Searoh
Copfes
Other
Total
? 07 06plex ? 13 16plex
? 08 06plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Yor_N
REACTIVATE ' 9&& G
CITY OF EAGAN
1892 BUILDING PERMIT APPLICATION
681-4675
37U L .1 `I REGC
SINGLE 8 MULTI-FMIILV 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typinq 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 1??I?T 1?4_ ?lq9 Valuation of work
Site Address: «S.i M uRGiav ARK ajAY F-'q • AN MN '3 S/d a
STREE7 SUITE A
Tenant Name: (commercial only)
LOT BIACK SUBD, nq.??Qv ?
?Il P.I.D. 1F
Descri tion of work: ?-e/<
The applicant is: 0Owner ? Contractor ? Other (oe.«ibe)
Name Cooc[ 1J;11;arvi r 1VliaRLa-WC Phone ?{Sa=179?!
Property LAST F,RS,.
Owner pddress _ I sa /11u;rP/lv Pdw"I
STREET STE /
City E?A6 Hn/ 5tate InIJ Z i p
5'?71Z
Company Phone
COntI'BCtOf Address License ?M Exp.
City State 2ip
Company Phone
Architect/
Engtneer Name Registratian #
Address
City State Zip
Sewer 8 water licensed plumber. Processing time for
sewer d Mater permits is two days once area has een approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
0 03 SF Addition
O 04 SF Porch
? 05 SF Misc.
WORK TYPE
O 06 Duplex
O 07 4-Plex
0 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
p 31 New ? 33 Alterations
O 32 Addltion ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
S of Stories
length
Depth
APPROVALS
Planning
Engineering
REDUIRED INSPECTIONS
Building
Variance
? Site 0 Footing
O Wallboard ID final
O Framing
O Draintile
? Insulation
? Fireplace
Permft Fee v,i,.t;,,,:
Surcharge
Plan Review
License
MWCC SAC
City SAC
Mater Conn.
Mater Meter .
Acct. Oeposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
O 11 Apt./Lodging
O 12 Multi. Misc.
0 13 Garage/Accessory
? 14 Fireplace
0 15 Deck
? 35 Tenant Finish
O 36 Move
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total.
Footprint Sq. ft.
On-site well
On-site sewage
? 16 Basement Finish
? 17'Swim Pool
O 16 Comm./Ind.
,? 19 Comm./Ind. Misc.
El 20 Public Facility
O 21 Miscellaneous
O 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code "
SAC Code Assessments
SAC X
SAC Units
CITY OF EAGAN
" 3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT it
RECEIPT tF Q.3 5
DATE: W
....
PLEASE COMPLETE IIYPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS ?
: . . . ...,...
T.4WNH014-FS/CONDOS W4IFN PF.RMITS ARE REQUIRED FOR EACH UNIT.
-------------------
WORK DESCRIPTION
NEW CONST _Z
ADD ON _
REPAIR
FEES
OWNER NAME: 1J?r??cra x c.,
SITE ADDRESS: k!;B"1
LOT:cV BLOCK ? SUBD.
INSTALLER: ?--
ADDRESS:
CITY: -Q- ZIp; JY?3?8
PHONE #: g?D
ADD-ON MINIMUM $1
HVAC 0-100 M BTU .00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 00
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE: .50
TOTAL: $ 2n?__S_6
? L, s= .?-`? ?c??
SIGNATURE OF PERM TEE
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING ONIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
(:ONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
CITY OF EAGAN
PERMIT # CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
4 681-4675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specif9cations, 1 copy 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 1s made r lot chan e is re uested once ermit is issued.
Date LALi Z Yaluation of work
Site Address: ?L,` 1?:IC,c?
STREET STE /
T
t N
enan
ame:
LOT ? BLOCK ? SUBD.
IL tif`AU iT9l, 'f' P.I.D. i
Descri tion of work:
The applicant is: Owner ? Contractor ? Other (Deceribe)
Name Phone L15---27qR
Property LAST FIRST
Owner adaress Y`AL?? N_?
STREE7 ' STE Y
City -c. State Zip SS ??-Z-
Company Oi,) "u" Phone
COntf8Ct01' Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State 2ip
Sewer & water licensed plumber . Processing time for
sewer 8 water permits is two dayt once area has been appraved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with al applicable State of Minnesota Statutes and City of
Eagan Ordinances.
5ignature of Applicant: l.J
wrrwe uaC UrvLT
BUILDING PERMIT TYPE
? 01 Foundation ? 05 ApC. Bldg 09 Basement Finish
? 02 Sf Dwg. O 06 Garage/Accessory / ? 10 5wim Pool
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch
? 04 Multi-fam. T.H. ? 08 .Deck ? 12 Comn./Ind.
WORK TYPE
? 31 New ? 34 Repair ? 37 Demolish
O 32 Addition ? 35 Tenant Finish ? 99 Undefined
g 33 Alterations ? 36 Move GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBC Occupancy ? 2nd fl. sq. ft.
Zoning Sq. Ft. total
i of Stories Footprint Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineer9ng Yariance
REGIUIRED INSPECTIONS
? Site 0 Footing
? Wallboard ,E9,-:Sinal
Permi t Fee 225tf° wiuscra,:
Surcharge , S o
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
R
1
? 13i Public?..Fac?.
„CJ"14 `?Agri cu`i'tural
El 15 Miscellaneous
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
04raming
? Draintile
O Insulation
? Fireplace
SAC %
SAC Units
? 1991 BU?????PLICATION
CZTY OF EAGAN
SINGLE FAMILY DWELLINGS
M[TLTIPLE DAELLINGS
COMMERCIAL
2 SETS OF PLANS `? 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCULATIONS `r (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS `
# OF FOR SALE UNITS
PENALTY APPLIES iiHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOHEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: 4,516tr174YL Valuation: 4-94?Date: 9-("-v//
Site Address 1S82 /JAIUrjO1f4
Lot a i siock /
Parcel/Sub 3!_.Af.K 49rv/L (?)UV D
Owner NL)2L2Lr}sS/e /'pMa
Address 3152-City/Zip Code alo2 i44fT. 6-T372
Phone Vl! v -71S()
Contractor cSpcNlL
Address
City/Zip Code
Phone
Arch./Engr. ?'r?/LCiPS ,?f3G•?
Address 4Wc E l/g-Zt'j
City/Zip Code
Phone #
162,00j?
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
OFFICE IISE ONLY
fC-3 M-i
PD R- I
v- N
V-N
fl
H2'
On site sewage_
On site well
MWCC System ?
City water ?
PRV ?
Booster Pump _
APPRO4ALS
Planner
Council
Bldg. Off. 9. LI.4/ nS
Variance ?
FEES
Bldg. Permit e57•aJ
-
-
Surcharge G
K
00
Plan Review 557.00
SAC, City 100,0v
SAC, MWCC 6'D100
Water Conn. rp(00,ero
Water Meter 41S00
Acct. Deposit 3poa
S/w Permit 30,00
S/W Surcharge .5a
Treatment P1. a?7?6 Do
Road Unit 370ib
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL
Licensed Contr. 57AP- F-KMNA'/'l,VG- •' F
(U£
of Contractor)
agrees that all work shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
' . ' V,4 ?u a-ri N If
GRnA?E
90
?3x2zx so?
59? K 15= 8R?l?
85M7,
32
12 x t. /n$
? ZSN X !y= f?97?
? ST ?tuo2
BsrnT?;- i2sy
2 -lc-l
??-
13 aZ ? 53 = ?9?bUCo
'? Na ?'t corL
`!Z x 3?- ?260 ?
I'12 ?lu
iq 8y)
2x ?e_ _31--
r233 x s3 - (o s 3vq
?._--
161,Z'l oj2 /62,ou??
x
,
; ERTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER /V 0/'.'?7?i2?
SITE ADDRESS /Se2 /YLv CONTRACTOR 1?4?t DATE?'sfl PHDNE --71J v
Determine working square footage of each. 1. Total exposed wal l area ...... 285G , l.o$ sq, ft. x
2. Total roof/ceiling area ...... I3 11 sq, ft. x •b21,= .?]?'
7ota1 exposed wall area above floor = ZqqLp
' a. Tota1 wall w-Indow area ..................:....... Z 5 io?
b. Total door area .. ........................... 3 9 '
c. Total sliding glass door area ................... ? p,
d: Tota1 fireplace wall area..........................
e. Total wa11 framing area (average 10%)...:........ 2.Otn, lp „
f. Total net wall area above floor ................. 19 59•04 •
g. Total rim joist area ............................ zloLa
Total exposed foundation area = 9'7,to S h. Total foundation window area.....................
?
i. Toal net foundation area above grade ............ 7, LO?2
Determine "U" vatue of each wa17 segment. •
a._ y_ X " U,, ?^33 ? y. ?I
b X 3,U), 1131
L = S,Z
c. e5 a x "u"
a q 8 X „u„ "34 = 1?,28
e. zot015Cv x "u" , 0910
f. 1859,0q x t i u „ io W 3= 29.93
Zlo lp Xliuit , 0? I = 10,90
h. x "u" "- -
i. ?'f"l,la8 X lfuli ?O Z= $,dt7
3. .... :...........25 59: E.S. ...Total = 2Lo If item 03 is the same as, or less than item #1, you the intent
of SBC 6006(c)2.
>: -
I? Total exposed,roof/ceiling area
Total gross roof/ceiting area = 131I ,
j. Total skylight area . . ...................
k. Total roof/ceiling framing area ........ 1,316 1
1. Tatal net insulated roof/ceiTang area....... 119q,Q
? . Determine "U" value for each roof/ceiling segment.
j: ... ` x. liuil ? . _ •
. . . ,
` k x„U„ 0 2 = 3. i?
1. ri9.9 xPull , ?2Z s Z5.q5
4................... ............ Tota1 ^25 .
If totaT of #4 is the same as, or less than #2, you have met the intent of
, SBC (;006(c)1. `
To utilized the total envelope system method, the values.established 6y the
sum of items #3 and p4 shall not be greater than the sum of itens 01 and #2.
? ??_ . ... + 2 _
+ 4.
MATEHIALS Therm. Easistance "Rf^
Exterior Ai3'
Siding atatarial '45
Sheathing 7,4))L)_
Insulation •in_
Sheetrock 45.
Interior Air ll-O
Studs
Rim -
Conc. Blks.
I
'
?
0
-ivjUt?p
0
M
845.8
846.8
r T___?
123.00BENCH ?RK TOP OF PIPE EIE•L-B48.9
?
EpGE OF WETLAND
PER PLAT ?
-? ?
/
842.8 -
( ?A2.$)
i
/
/
45"W
I
L
8500
.W
?
O
?
t ?
056.6
056 5
O
h
?+0566
`V , 836.1
N
? ?`ghTICN MARK
TOP OFPIPE
ELEV.=05647 '
NOTE: BULDING DIMFNSIONS SHdWN ARE FOR HORIZONTAL
B YEATILAL LOCATION OF STRUCTURE ONLY. S£E
pROiITECTUAL RLAN5 FOR BUILDING 9 FOUNDATION
DIMENSIONS.
NOTE: ON TM?S?L0T581Y5T EvSURVEYOR. 7H{ 5?7pBOMTMETO?D
NOT S SPFCIFIIC
RESPON51011.ITY OFTHEWURVE OROSED IS
.,F--- DENOTES PROPOSED SURFACE URAINAGE
.. _ .... . . ,nt.p q.nFtIT c,FT
n~~{ F+.(I i
~ ~
~
~ F~y
~d g~j
~ ~
4^i
~ ' ~
~ ~
~ ~W ~
~
eas.i r~ ~ 1 _ ~ M ~
Ll~ ~ c ~
o ~ ~ ~ ~ ' ~ ~'r~ ~ , ~ ~
~ ~ ~ ~
845.9 ~ ~ ~ ~e f ~ . . 846.8 _ ~ • ~ ,
!~4~,Z ~23 ~ ~
~ ~ •40 ~ o ~
tq ~ 853.3 ~ y ~ ~ m 856 5 ~ m , ~ ~
~ s , 59, ~ N ~ gg~, ~ ~
~ ~ o ~ ~ R,
39~ a5s.6 ~ ~
TOP OF PI EK ~ Z~8 I S6 , ~t' , ELEV.=848.91--'"" i ~2 p~Op . ~
\ ~~i~, oR~v °Seo 0 856] ~ , , Fwq,. ~ , ~ ~ ~ ~c~~~
N x 85 5 b~ ~ ~~8 ~ \
~s Bs~.S~ ses:s SSg S S,~ 1~,9 cv 33 ~ ~ ~
a N ~ ~26T w' ~ ~g z : 2g5e r~ !s~ ~ ~ 0' ~ G q R 856,4 ~
' N p r ~
M N ~ppSE ~ 844] ~c "2~~ oUSe 0 N ~ \""^BENCH MARK
~2 , M TO P 0 F PIPE j ~ ~N r ~ ELEV.=856.47
85i.7 4~ /6 ` n, ~0 0 0 h
854.9 N'
854.3 , ! p (850, ~ a) ~ `
25s5 ~ o~>,~ _ a, i i
~ ~ ~ ~~o~~ ~m~~n i I ee5. i = ! o~~ta,cwo I ov Z ~ II
W ~w~~'~~'~ a a , < ~ E ~'a,w'~ ~ a~ I
~ UNay6~_6C ( ~ I ~ caa~ ~c-~ 7~ 'I
~ N v,'a C C I ~ 1'_ ~ I . ~ N ~ C C O . I . I / i . ~ C~ 7 N 3.~+ C I: I
~ li , ~_L_ O ~ ~,o `,~~a~ ; o .ca.-p.o~>~ I
~ . ~ a a~ ~ a, ~ a 2 -'ma a oz,~ I M r~°'=E , ~
M _~E~~c_cr ~ u 0
M N
«
856.6
842.8 K
~4Z.8~ ~ ~ ~ ~ i
I~-~ g~ L_\l ~
~y' i Y6
~
~ 850.Oi ~ `7~'~1 ~
~ ~
~
~ (
~ ~ }
h F- ~ -,Q / ~
a ~ ~ ~ ~ > ~
(Y ~ ' ~ `~a ~
wti ~
~ Z zg ~ ~
~ 5 ~ w h' ~
N ow ~ M ~
~ ' ~ ~ ~ ~
~ ~ ~
~ ~
~ ~ ~
s ~ ~
~ ~ ~
, ~
~
~ ~ N ~
M ~
O ~
O r~ O 4f
O ~
~ ~
~
~
~ ~
4~
EDGE OF WETl1aND PER PLAT - ~
~ ~ ~ ~ i /
i " - ~ \ ' ~
~ a ~
N86°48~45"W
~ ~~-i ; ~ ~ I L_ I ~
~ 1 i ~ ~ ~ i ~ I
i
SEp ~ 1991
NOTE: BUILOING DIMEN510NS SHOWN ARE FOR HORIZONTAL 8 VERTICAL LOCATION OF STRUCTURE ONLY. SEE
ARCHITECiUAL PIANS fOR BUILDIN6 6 FOUNDAT1bN Jp~f
DIMENSIONS °"'~S . ~ HI~ l1NG a~Q~~ ~
NOTE NO ~ECFIC SOILS INVEST~ATIQN HAS BEN COMP~ETEC S~fi~l
ON THIS 1.0T BY THE SURVEYOR. TF$ SUITABIUTY OF SOILS TO SUPR`1RT THE SPECIFIC HWSE PROPOSED IS Q~~~
NOT THE RESPaNS191LITY OF THE SURVEYOR
9- 4-9f
DENOTES PROPOSED SURFACE ORAINAGE 'I
0 DENOTES IRON MONUMENT SET SCALE 1 INCH = FEET i Q~~ I 30
DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR =$<g, g FEE7
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR =~S i ~ FEET (000 0) DENOTES PRQPOSED ELEVATION PROPOSED TOP OF B~OCK S9 Z FEET
WE HEREBY CERTIFY TO NORTHERN CLASSIC HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
BOOK ! PAGE LOT21, BLOCK I, BLACKHAWK POND, ACCORDIt~G TO TNE
` RECORDED PLAT 7HEREOF, DAKGTA COUNTY, MINNESOTA. 389f65
IT fll1CC AIl~T [)I IDO(1CIT T/1 CLJl11A1 IEAhII/1lIG1L'AITO !11'1 r~innnnni iurA~Tn rvnrn~r ?n n~ i~~u•~ .n
ii uv~o "vi rvnrvni iv 13nvvv nvirnvv~rncivia vn CIVI,nVnt~rnVICIVIJ, CAI.CYI'NJ 0t1VVViV. AJ PRO~IECT N0.
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 2$TH DAY OF AUGUST ,1991. 91479
SIGNED: J MES R. HILL, INC.
FiLE N4.
PNOPOSED GRADES SHOWN WERE TAKEN ~ I- 91-172
FROM THE DEVELOPMENT PIAN FOR BY
BLACKNAWK POND,PREPARED BY JOHN C. LARSON, LANO SIJRVEYOR SHEET i OF I
PIONEER ENG., LAST DATED I2-9•88 MINNESOTA I.fCENSE NUMBER 19828
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA110372
Date Issued:05/07/2013
Permit Category:ePermit
Site Address: 1582 Murphy Pkwy
Lot:21 Block: 1 Addition: Blackhawk Pond
PID:10-14395-01-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Sean Triplett
1582 Murphy Pkwy
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
City of EaRaPermit #
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9L t 3 Site Address: l~J f aZ k..- Unit
Name: i ~ p Phone: 1 (0 3 3 (Do 5-1 GJ
Resident/
(J ~t ~v #ttt~ic ~Nt `
Owner Address/ City/Zip:
Applicant is: Owner V/ Contractor
Type of Work Description of work:- Ct~
i Construction Cost: 00 r Multi-Family Building: (Yes /No
Company: My App " P-t r Contact: ('`.14IRJP 1`AAKV US
Tl~
pt/- N i Z-- City: C
Address:
Contractor 4
State: MTV Zip: ` fl Phone: -7(o j 1 < < -
i
License (SC.- i Lead Certificate v A--r- 3 7 )OL
a 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:
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 they are trade secrets
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.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 x
Applicants Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129373
Date Issued:02/04/2015
Permit Category:ePermit
Site Address: 1582 Murphy Pkwy
Lot:21 Block: 1 Addition: Blackhawk Pond
PID:10-14395-01-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Applicant: Troy Good
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Sean Triplett
1582 Murphy Pkwy
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131002
Date Issued:05/27/2015
Permit Category:ePermit
Site Address: 1582 Murphy Pkwy
Lot:21 Block: 1 Addition: Blackhawk Pond
PID:10-14395-01-210
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 -
Sean Triplett
1582 Murphy Pkwy
Eagan MN 55122
(763) 360-5169
Wellington Home Improvement
3938 Meadowbrook Rd
St. Louis Park MN 55426
(952) 933-6300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178395
Date Issued:08/15/2022
Permit Category:ePermit
Site Address: 1582 Murphy Pkwy
Lot:21 Block: 1 Addition: Blackhawk Pond
PID:10-14395-01-210
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Abdusattar Salem & Dawn Michelle Khalifa
1582 Murphy Pkwy
Eagan MN 55122
(651) 895-0699
Midwest Building Exteriors Inc
6417 Penn Ave S Suite 8 Unit 270
Richfield MN 55423
(612) 750-6051
Applicant/Permitee: Signature Issued By: Signature