1602 Murphy Pkwy. . . ? . ..T:..? . . ..... . . ' . '
??7it BASII? FINISH OS/14/91CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 "9 18300
PHONE: 454-8100
BUILDING PERMIT
To be used for Sf DWG/GAR Est. Value ;lbsri
Site Address 1602 MURPHY PM
Lot 26 Block 1 Sec!Sub. POND
Parcel No.
W Name
o Addre
Receipt # • ?` ? ?
Date AUG 27 , 1990
Phone
=o Name ??
OU a Address
? City Phone
Name _
Address
I hereby acknowlege that I have
information is correct and agree
Minnesota Statutes and City of Ea
on
Building Official
Phone
application and state Ihat the
y with all applicable State of
be done in accordance with all
City ot Eagan Ordinances.
OFFICE USE ONLY
Occupancy ? ? FEFS
i
2oning
Y? 867.00
(Actuai) Const
? Bldg. Permit
(Allowable) Surcharge 82• ?
# of Slories
?i
Plan Review s???
Lenglh ?f 100000
DePih SAC, Cily
S.F. Totai - SAC, MCWCC WO'oo
S.F. Footprints - 625.00
On Site Sewage _ Water Conn
On Si1e Well
? Waler Meter 80000
MwCC System
-?
?t. Deposit 30.?
City Water Y ?'?
PRV Required S/W Permit
Booster Pump - StW Surcharge • 50
252.00
Treatment PI
APPROVALS 355•00
qpad Unit
Planner
Council - park Ded.
BIdg.Olf. _ Copies
3 ? ????
Variance - TOTAI
Permit No. Permit Holder Date Telephone #
WATER ?40
PLUMBING ? ,e44-
wq•
H.V.A.C.
N
ELECTRIC
Inspection Date ...p. Comments
Footings I
Foundalion
Framing
Roofing
Rough Plbg. ?
Rou9hHt9_ a? ?/
/??fC?e'L?/Y??C
Isul.
Faeplace r
- ?
Final Htg. -.
e-R?w (
•
Fnal Plbg. ? ?
?
Const. Meter Plbg. Inspecl - Notify Plumber
Engc/Plan
Bk1g.Final /)/<f1
Deck Ftg.
OeCk Final g?G «iO
weu
Pr. Disp.
v- '
?r a .,?•?
M • ?. w ?
-0f
(gtr#tf't.ra#ie jof (Orr??attry
Citp of Cagatt
Eqmtnptd u# Bw[.d'atg JtWrtinac
1 '
?j
/
Thfs Cenditcale issued pursuant to !he rcqubaements ojSection 306 of llre Unijorrn Building
C4de cmfJ'nS thvl at !he 1Lne of issuance this slrudune was in compliance wiih 1he Yariores
ordiRmrcGS ol Ae Cig' regulalin8 buadin8 cbnstruadioR or use For the foUowing:
use clanybolem SF DWG/GAIt ?ft N06 18300
O-UP-CY Type R-3 M-1 ZoduwDkkia PD R-1 r V-N
??? LEGACY HOMES ?= 13815 RI?GEDALE DR 200
BoUing AM= 1602 MURPHY PKWY [-Mk L26, B1, BLACKHAWK POND
JiJNE 26, 1991
Buadins Offi,?W
POST IN A CONSPICUOUS PIACE
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE C
3830 Pilot Knob Rd. CH?P #C? ? 591a 3 z PERMIT # 1160"L
Eagan, MN 55122-1897
METER SIZF -jVg?i6GIC B.P. RECEIPT # G 4664
U
;IJ
T ISSUE DATE - ? B.P. RECEIPT DATE 'V!27!-
l
S
DATE
- PRV - BOOSTER PUMP
SITE ADDRESS 1'-'? ? 'j?='I Y P`-w Y PERMIT REQUESTED
lOT =LBLOCK 1 SEC/SUB i'L/:C tCti.l;?dK YOV±
, X SEWER ? WATER _ TAPS
APPLICANT:
ADDRESS: - COMM/IND - RESIDENTIAL
CITY, STATE ZIP NEW - EXISTING ?
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: ? ?%`? `??? ?1?`•? ? Credit WILL NOT be given for Deduct Meters.
CITY, STATE [.AGA; N ZIP
PHONE: 452-1565
1 AGREE TO H CITY OF
OWNER: Lr.GACY EA O NC
ADDRESS: 1-:315 R11iG:.:
CITY, STATE `I Nt;f ^,.'Gt.';Cr:, MN ZIP 5531,_;
PHONE: `- SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS F OR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. ?
.. .- ? CITY OF EAGAN NO 18300
3830 Pilot Knob Road, P.O. Box 27-799, Eagan, MN 55121
? /
' PHONE:454-8100 n ???'-'t
BUIL?i71NG PERMIT Receipt x L i
Toteusedfor SF DWG/GAR Est.Value $165,000 Date AlI[: 97 , 7g4.p_
Site Address 1602 M[IRrHY PKWY
Lot 26_ Black _1- SeGSub. nT.A .KHnWK POND
Parcel No.
w I Name LEGACY HOMES
o Address 13815 RIDGEDALE DR. #200°
City MINNETONKA Phone 591-039?
o Name SAME I
?¢ Address
? City Phone
?
ww Name
tx-' E'5 Address
aw City Phane
I hereby acknowlege that I have read this application and state
infortnation is correcl antl agree to comply wjth anonlica6le.
OFFICE USE ONLY
Occupancy R-3 M=1 FEES
Zoning PD R=1
(AClual) Const v-X Bldg. Permil 867.00
(Aliowable) V-N
Surcharge
89.50
# ol Stories
Lenglh 67' Plan Review 564.00
Deplh 3-7' SAC, Cily 100•00
S.F.Total - SAC,MCWCC 600.00
S.F. Foolprinis _
On Site Sewage _ Waler Conn 625.00
On Sita Well Waler Meter 90 _ 00
MWCCSystem X
X
Acct. Deposit
30.00
City Water
PRV Required S/W Permit 30•00
Booster Pump - S/VJ Surcharge - Sn
Trealment PI 9 57 _ O(1
APPROVALS RoadUnit 355_00
A Buildi Permit is iss to: L G[KGY HOME Planner _
?9 Park Ded.
on the express con " n ihat all work shall be done in accordance with all Council
applicable State ol Minn{e?so-ta Stawtes and C{yity , of Eagan Ordinances. gld9. pff_ _ Copies
0
BuiWing Oflicial 14 _fi,$J f'L I I I+-?' Variance - TOTAL 3,596.0
1
Address: 1602 M[7RPHY PKWY Lot 26 Blk 1 Sac/Sub BLACKHAWK POND
These items were/were not complete at the time o£ the final inspection.
te: .lUNE 26 1991 Yes No
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main antry ?
Permanent driveway LI/
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch
Basement finish LI/
Deck V/
Pleasa verify vith the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lanm faucet before
freeze potential exists. . ?
cFMINXRR
White - City copy Yellow - Resident copy Pink - Contractor copy
-- ----------i
i Fm0ffi4eUse '
Pertnit
City of EakaIl j # U G?? ?? I
I 1
I Pertnit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 ? Date Received: o5'
Phone: (657) 675-5675
Fax: (651) 6755694 I Statf: I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION ??F I
Date:T7_ /Off SiteAddress: /bOL ilfu"/{xr /,/Lulr &¢(dn/ [N.?
7enant: Avw4?'.9 Suite #:
RESIDENT/OWNER Name: 42wAc-O 4ue=61--+'L Phone: G5%-G?Yj-?s73
AddresslCity/Zip: /EDL h7U/zio& Aea? C-,-?-6I9n/ .41/J ??'lLL
Applicant is: _?L Owner _ CoMractor
TYPE OF WORK Description of work: 5Z*50n1 A)/'tr{/
Construdion Cost: Multi-Family Building: (Yes No
CONTRACTOR Name: 1- C•.QA &7 (!;),ti S- License 7-v 3 56 L
Address: ? /li ?c
City: /y nW'? Cl5 r' State: Zip: ?C 7
Phone: 6 2' 8 - jo 6' ontact Perso iq citl f
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 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 pertnit for a similar plan based on a master plan7
_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 su6mit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons ihat would permit the City to
conclude that ihe are trade seciets.
I hereby acknowledge tha[ this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; thaYl understand this is not a permit, but onty an application for a permit, and work is not to start without a perm@; that the work will be in
accordance with the approved plan in the case of worfc which requires a review and approval of plans.
x 1tUW4gd Ko-trdr.eil-
ApplicanYs Printed Name
x
ApplicanYs Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage X Porch (4-season) ? Ext Alt. - SF
? 02-Plex ? 08-plex ? Deck , ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Stortn Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building' .
X Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
0 Replacement ? Egress Window ? Water Damage
' Demolkion (entire building) - give PCA handout to applicant
DESCRIPTION:
?V
l
ti
I n
1•
J ?
a
ua
on
,
7 Z Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%? Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. ? Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings(deck) FinallC.O.
? Footings (addition)
Y Foundation Final/No C.O.
? HVAC
T Drain Tile Other:
Roof: Ice & Water _Final Pool:
Footings AidGas Tests _Final
? Framing _
Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I.
Ai rTest
Final _
Windows
_
? Insulation _ Retaining Wall
Reviewed By:
? Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
city sac
Utility Connection Charge
S&W Pertnit 8 Surcharge
Treatment Plant
Copies
Total
&141`7 `;N
Page 2 of 3
Permit #
Permit Date
REScheck Software Version 3.7.3
Compliance Certificate
Project Titte: WOODY and JOANNE KUEBLER
Report Date: 04/30ro8
Dat2 filename: C:1Program Files\ChecklREScheck2lWCkuebler.rck
Energy Code: 2000 Minnesota Energy Code
Location: Hennepin County, Minnesota
Construcdon 7ype: Single Famity
Glaang Area Percentage: 19%
Construction Site: Owner/Agent: Designer/Contractor.
1602 Murphy Parkway
Eagan, MN
Ceiling 1: Raised or Energy Truss: 1552 36.0 2.0 37
Ceiling 2: Raised or Errergy Tnus: 232 44.0 2.0 5
Wa11 1: Wood Frame, 19' o.c.: 3654 19.0 2.0 163
Window 1: A6ove-Grade:Wood Frame:Double Pane wHh Low-E: 395 0.360 142
Wintlow 2: Above-Grade:Waod Frame:Double Pane with Low-E: 65 0290 25
ooor i: soiw: se 0.085 s
Door 2: Glass: 40 0.360 14
Door 3: Glass: 160 0.310 50
Basement Wall 1: Solid Conaete or Masonry; 1044 10.0 2.0 58
Floor 1: fUl-WOOtl Joisf/Truss:Over Outside Air. 72 30.0 2.0 2
Floor 2: PJFWood Joist/Tfuss:Over OuLSide Air. 232 30.0 2.0 7
Fumace 1: Forced Hot Air: 76 AFUE
Air Conditioner 7: EleGric Central Air. 13 SEER
Compliance Sfatement. The proposed building dasign described here is consistent with the building plans, specifications, and other
piculations submit[ed with the pevnit applicedon. The praposed build'mg has been designed to meet tha 2000 Minnesota Energy
Code requirements in RESchedc Version 3.7.3 and to compy wiTh the mandatory requirertients tisted in the REScfreck Inspection
Checklist. _ , .
l C? ??S ICoN A --!(g -L e)
BuildedDesigner Company Name Date
Project Notes:
Design #tco28031
VwyN,^J"??
WOODY and JOANNE KUEBLER Page 1 of 3
REScheck Software Version 3.7.3
REScheck Inspection Checklist
Date: 04/30/08
Plan Review and Inspection Issues
This list ot items may be helpful for Plan Reviewers and Builtling Inspectors W use as a guide Tor erttordng the Minnesota Energy
Code. The dems apply to Group R, Division 3 Occupandes, w»e- and two-family residential dwellirgs. The items marked with "
apply onty to detached ane- and two-family residential dwellings.
Plan Review Issues
Foundatlonlnspection:
? Faundation wall iruulation R-5 minimum.
? Foundalion insula6on exlends /rom top of wall down to top of the footing.
? Exterior faunda[ion insulation is covered 6y a protective coatirg finish.
Concrete Slab or UnderSlab InspecUon:
? Slab on grade perimeter insulation R-5 minimum.
? Slab insulation extends from top of slab to design frost Gne or top oF foWing.
? Floors over unheated space R-30 mirdmum.
vrndoweI ooorsI sryngnts:
? Average U-value is 0.37 maximum forwindows and glass doors (exdudes foundation wintlows).
? Window U-values consistent wNh huAdirig plan and REScheck CertiFcate.
? Window and door areas consisterrt with buiiding plan and REScheck Certificate.
Mechanical VenUlation Issues:
? ResideMial mechanical ventilation system provides adequate ventilafion per code requirements'.
(a Fumace e(fidency is consistent w0h REScheck Certificate or building plan.
? Protection against excessive depressur'vation is instailed per code requiremenfs'.
Envelope Insulation tor Plan Review:
? Interior basement insulatim R-5 minimum (iF rw eMerior insulation).
? Ceilings with adics R-38 minimum or mnsistent with building plan and REScheck Cerfificate.
? Wall treming and insulation level is cansistent wifh build'ug design and REScheck Certificate.
Inspection Issues
Concealed Insulation
Framing and Sheathing:
? Wind wash berrier installed at altic edge.
? Fxterior wall cwners framed so that insulation pn be installed after exterior sheafhirg is installed.
? Inteisections of interia partition walis and eMerior walls Tramed so Mat irsulation can be installed between tlie partition arM
eMerior sheatlang after exterior sheathing is installad.
? Gaps between framing less ihan one-haH inch are eliminated by securing framing together or are insWated at tlie time of
assembly •.
? AII penetratiau between conditioned mW unoorWilioned spaces made Prior to framing inspedion aie sealed'.
IMerlor Air Bartier.
? All fire stops are air sealed.
WOODY and JOANNE KUEBLER Page 2 of 3
-?
? Pipes, ducts, wires, equipment and flues and chimneys thrwgh the interiw air bartier are sealed.
? A sealed continuous interior air bartier is installed on the warm side of the buitding errvebpe at ceilings, walk, and Boor rim jast
areas'.
? Air bartier behind tub and shower is sealed and protected.
? Recessed IigM fixtures are sealed.
Envelope InsulaNon:
0 8asement insulaGon R5 minimum.
• Wind wash bartier on wall separatirg house and garage is sealetl.
? Loose fill insulation is prevented from entering the eaves.
? Insulatian an slcyligM shaRs and watls exposed in attics is supported on the unconditioned side.
Attic Insulatlon:
? Ariic access panel insulated W R-38 for ceiling panel and R-79 fa wall pariel.
? Atdc card attached to framing near access opening.
? NoHfication M attic R-value arM date of inshallation posted near buildirg permk inspection Card.
This is a summary onry. Other requiremeMS may apply. See the Minrresota Energy Code. Que5lions? Call the Depertrnerd of Public
Service Information Center at 657-296-5175 w 1480"57-3710.
WOODY and JOANNE KUEBLER
Page 3 of 3
1472 Enfeiprise C7rive '
?
PIOO/??iC{?Ep?p PB LANO SURVEYOFl - 'CIViI, [NGINEEH! Mrndola fleighls, MN 5517U
..
?(????? -'a !n ?? lBNOtLANNfR9, lAN?II?PCARCHITCCiS f f1?) I)p(J(?1 1:l/?14
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Certl({cate oi Survey for. $A? r _....._._-
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"900,o Oerrofes exrslr'nb Ffevaficx) F'pc?Pas(a_ 11OU5F EcFVnrluNs
?ot4
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsVUCtlon Reauirements
3 re9istered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas
(20°k maximum lot wverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan shaxing beam 8 window sizes; poured found design, etc.
1 set of Energy Calculalions
3 copies of Tree Preservation Plan if lot platted aker 7/1193
Rim Jdst Detail Opfions selec6on sheet (buildings with 3 or less units)
Minnegasco mechanical venfilation fortn
4 ?o. CDd
1??cl?_
RemodellReoair Reauirements Office lJse OnIV
2 copies of plan showing foofings, beams, jasts Cert of Survey Recd _ Y_ N
1 set of Eneyy Calculations kr heated addilions Soils Report . _Y.;_ N
1 sitesurveyforadditions8decks 7reePresPlanRecd Y>_N.
Add'dion - indicate ilon-sife sep6c system 7ree Pre$s¢ Required Y _N
? 0 Ci 1 52007
Plans are considered public information unless you state they are trade secret and the reason.
Date /v / Construction Cost 7? d C?>
SiteAddress UniUSte#
DescripNon of Work 60j=? Y'qC.-, !'av?O>? 061V_j11c.+ fcP_;
Multi-Family Bldg _ Y!N- Fireplace(s) _ 0 _ 1 _ 2
Praperty Owner ?J d CZ_.X,` Telephone #(? qJr 173
Contractor I,-e S ?J 07t.-Z..S___ ;Gb?rYU?
Address City
State OUl?vl `? Zip 4J Telephone#(?'j?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catesorv I Minnesota Rules 7672
Ene?gy COdB CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. 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$
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Coniractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that tbe 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.
-y? 1:?R& -C, ?&,,,
Applicant's Printed Na Applicant's Signature
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
• City Of Eagan
''-1
3830 Pilot Knob Road, Eagan MN 55122 ?
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshudion Reauiremenfs RemodeVReoair ReouiremenGS OfAce Use dnlv
3 registered site surveys shawing sq. ft. af l04 sq. ft of house; and all roofed areas 2 wpies of plan Cert af SuW,Recd .,:_•?'?_ N,
(20°?mapmumbtcoveregeallowed) isetofEnergyCalculationsforheatedadditions TreEPresPlan;f'(ectl ,•
2 wpies of plan showing beam & window s¢es; poured found design, etc. i sde survey for addNons & decks TreePres Retjilired =YL,N,
lsatofEne?gyCalculations Add'rtion - indketeifon-sitesepficsysfem
3 copies o( Tree Pmservation Plan N lot platted after 711/93
RimJoistDetailOp6onsselectionsheet(bldgswith3orlessunirs
Date ?/ 2? /? c
?
Construction Cost )5,1000
Site Address jLrp2- uRPH w KwA*J UniUSte #
Description of Work 20y'y0in Q S-r?M') Q:t::,t_
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner -.?".s1 .4- [6.%AQh WvmL['-R Telephone # VL61 ) (oF5"c3 ? 9 ?7 ?
Contractor
Address City I.??o?[iui2T_
State M1J Ziu?i?2 _c:3 Telep6one #(?5"
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calwlations Su6mitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone
Telephone
N If so, 25% plan review
I hereby apply for a Residential Building Permit and aclmowledge that the inforn{,?1jon is com?e? and ccurate;
that the work will be in conformance with the ordinances and codes of the City?o?' ?- of MN
Statutes; I understand this is not a pemut, but only an appiication for a permit, and work is not to start without a
permit; that the work will be in accordance with the approNffld plan in the case of work which requires a review and
approval of plans.
1? n?_ WL?IzC?
pplicant's Printed Name
OFFICE USE ONLY .
Sub Types ?
? Ot Foundation ? 07 05-plex ? 13 16-plex 133 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Ga2ge ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Yor_ N ? 25 Miscellaneous
Work Types
[9 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg) • Give PCA handout to applicant
Valuation 1 S?°. ^ Occupancy MCES System
Census Code Z q 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)
Foundarion
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
_ Fina]/C.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
22 Pool ? Ftgs _p Air/Gas Tesu ?L Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
P.pproved By: Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?c9a? /s;010a
r '
IWUre$5.
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
v
Applicar?tName: I-??N»nrznc-4- r?ol F ?
?
GENERAL INFORMATiON
U
d ?
o 'z
,Of ? ? Applicant - name, address, phone & fax numbers, signature
5] ? ? Property owner nazne
? ? I,ega1 description and address of property
?3 ? ? North arrow, scale (1" = 30' or 40) and date
C? ? ? Location and name of a11 streets adjacent to property
5]' ? ? Site Plan drawn to scale showing location of house, pool and other existing or proposed structures
f? 0 ? Directional drainage arrows (existing and proposed)
ELEVATIONS
Euistina
? ? ? House comers
? ? Property corners
??? On property lines at point of ineasured dimension to pooi (see below)
?? ? If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Proaosed
? ? ? Finished pool deck corners
?? O Top of retaining wa11s (if any) and at each different elevation (if it changes)
L? ?? Pool bottom (or maar. depth)
/
DIMENSIONS
Eyu•stina
Z?l ? ? All property/!ot lines
Proaosed
? ? ? Pool
? ? Pool plus integrated deck/patio
??? Shortest distance from outside edge of pool deck to tot ]ines and house
%
Reviewed:
Name Date
c:FOaMs/eool ramit cnecxuV06-02-04
Il? A.e4H„ °kw.,
?
' " 16'
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SEPAR9YE PE6iPAIPS ARE ?
WEQl1l6dEU F06d AA1Y ELCO'inW?
aR PLUA491P1G bV?Fi.
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I Pe rniance Pool & Spa
890 Wooddale Drive
f oodbury, MN 55125
! 651-731-3440
651-731-8372 Fax
f Attn: Brett MacNally
I +
1 ?Y
! 1n= Z0,
i
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7422 Ente'prise otive '
M?ulota Fleights, MN 55120
1612) 681 1914
Co.«flesto of Survey fo.: L?A?`r I-?oMCS _
G MA?
? - ? /-Allp?
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Ob
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`\ P:R.V. REQUIREO
orec/in.6 0011011'cxl PROPOSED NUUSE ELEVqTIVNS_
. 11300
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 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 CALCULATIONS 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 AilDRESS 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 SHOFT A LICENSED PLUMBER.
To Be Used For: 5FD/GAR Valuation:
1? 02 MIARPHyrQARKw
Site Address 61(.
Lot ? Block ?
?
Parcel/Sub BLAUCNAwK POND
Ocaner
Address
City/Zip Code
Phone
Contractor Ac ? k'S
Address ?g/S ?)tpGCLLbyG= ,?????r'
City/Zip Code / /IUA4eRX?e,p
0 1
Phone ?'/,?, JO}IN fl(TrT
Arch./Engr. Q/Zvr t AEHc2 '4?eN/Tect
Address 13?Og GtzkG /Y? clvl-1Ctx1Ti?
1451 000 ^ Date: ,Q-?(o-90
?
OFFICE USE ONLY
Occupancy R3 M-?
Zoning pC R-1
Actual Const V-ly
Allowable ????y
# of stories
Length (s? ?
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV
Booster Pump _
APPROVALS
Planner
Council i
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
86`7, 00
82, ?O
r0
O ,
([!47 1 W
60,100
a
30,0
150
3LiL
I
City/Zip Code C/tYST/tf-- 11?'14-
Phone # S 3 v- '2 I1(6
. • VALUA OIJ .. .
?
- , . - .
` G A R AG E ,?eR ??'har? y
12X? ? ZYo
'20 K 22 = L(o
6$? k 15= ?DZou (35??? T
3y?1i y,,3'? ? 1276
x ?q = CIS)
I 1?ti K I? C? Z,
c
)(14= 11444
I ST
mT=
56
ZySs
I3?32 ? sl? n4I
Zrvo
3 (.' /z Y "34V2-
= I??
3''t
1-60s Xsi= G?s3o
1. 6y 65? ?
1991 UiN 1 2991TZON
CITY OF EAGAN
SINGLE FAMILY DWELLINGS M[JLTIPLE DSJELLINCS CO?MRCIAL
2 SETS OF PLANS 2 SETS OF PL9NS 2 SETS OF ARCHITECTIIRAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCUlATI0N5 (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 iJHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MU5T SHOW A LICENSED PLUMBER.
To Be Used For: -?y7(.Valuation:
Site Address Itp 02 P)uAPN 1' ?VWy
Lotc:9-6 Block ?
Parcel/Sub
Owner
Address
City/Zip Code
Phone
Contractor /, ?(„AL S? ??o! ts-6
Address J3 915 Ap4d'D,4tr Pz-
City/Zip Code Mt UNGToti,kJ+ Mu 553t1J
Phone S V- 6 -???'j2-
Arch./Engr.
Address
City/Zip Code
Phone #
Contr.
of Contractor)
Date: ql
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site aewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
IISE ONLY
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL
af?E
agrees that all vork ahall be done in accordance with
1 applicable State of Minnesota Statutes and City of Eagan Ordinances.
UNDERGROUND SPRINIQ.ER SYSTEM
PLUMBING PERMTT
Date: /' -a?U- 9 /
Permit #";1W
Date
Receipt #
_ Commercial: $25.50 + water tap if r•-.quired. (City installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
? Existing residential: $15.50 (Plumbing permit not required if backtlow preventor was
previously installed).
RCSIdenuni uCVEloliiilciitS: FGe t0 UC i1ut6IID1Il0d by bUlldlIlg IILSPCCL1011S dCPflt[II1CIlt.
May require payment of water permit, plumbing permit, WAC, and water treatment
plant fees.
? D _?
(Addre s to e sprinklered)
Homeowner/Plumber: //) i2Z,,,-'- 1?
Phone #: 1 S'G 9 y4,pr
Street Address: ? O 8` .pso
City, State, Zip: ?c1tn 9,-,1!,!!0? /?yt? SZ7 ?fY
Owner Name: ?u 0
Street Address:
Phone #:
Irrigation Contractor.
Phone #: 6 9 ?-,
I re ac owledge that I have read this application and state that the information is
co?ect and g%QtQ comVy with alI applicable City of Eagan Ordinances
cc: Engineering Department
i ? o
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION #?, City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permics are required for each unit
Date
Site Address Unit #
Property Owner Telephone #! ( S'?; - 957 3
Contractor
Street Address /o City 497 v-?
State Zip S ZTelephone #((os 1) 7-7 5-- 7?( 0
Bond #: ?. r L ?( / / ! ? Expires: 3 6 Lzo,,
The Applicant is _ Owner __XContractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional Y_Replacement _ New
? air exchanger
? air conditioner
heat pump
other
State Surcharge $ .50
Tota1 $ 30.
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to staR wittiout 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 plan--- s.
Applicant's Printed Name Applicant's Signature
2006 COMMERCIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustriai buildings
multi•family buiidings when sepazate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (ifapplicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove *"see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
**When installing/removing underground tank, cafl for inspection by Fire Marshal and Plumbing /nspector
P¢I'IDIt FeeS: 570.50 Underground tank ins[allation/mmoval
550.50 Mittimum (indudes State Surcharge) .
or
ConvactValue $ x 1% _ $ PermitFee
$ State Surcharge
[f permit fee is less than $1,000, add $.50
If ep rmit fee is more than $1,000, surcharge
is $.50 for every $1,000 owed.
$ Total Fee
[ hereby apply for a Commercial Mechanica] 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 with the Mechanical Codes; 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.
AppticanYs Printed Name Applicant's Signature
Approved By: , Inspecror Date:
Required Inspections: - U.G. _ R.I. - Air Test - Gas Service Test - Infloor Heat _ Final
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 Reauire
ments
3 registered s'de surveys showing sq. R of IoL sq. ft of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam 8 window sizes; poured found design, etc.
1 set of Energy Cakulations
3 copies of Tree Preserva6on Plan'rf bt platted aker 711193
Rim Joist Detail Options selection sheet (buildings wAh 3 or less units)
Minnegasco mechanical ventilation form
7'D. 00
__..
RemodeVReoair Reaulremenis Office Use'OnN
2copiesofplanshowingfootings,beams,joisfs CertofSurveyRecd TY _N
iseto(EneqyCalculatioreforheatedadditions TreeP2sPlanReW Y41
7 site survey for additions 8 dedcc Tree Pres Required. _ Y_ N
. ... . ..._ _ . .. ..._. . _. :
Addifion - indiceteifonsReseptlcsysfem OmsiteSeptic,System .. _Y _N
Date ?/ 3 / 06"
SiteAddress /{?Da- itfc4/zp6?Z & Construction Cost D• ?
(,l? 6f(i?g„l UniUSte #
Descrip[ionofWork 66C.t.?l U`Cfe'rS 1 P0 G/.9e C.
Multi-Family Bldg _ Y? N Fireplace(s) _ 0_ 1 _ 2
Property Owner W}}y? ?ct?/3 ?? 2. Telephone #( 6!W) 6?3 '`li7Ez,3
Contractor
Address
State
Zip City
Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventiiation Category 1 Worksheet
(4 submission type) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In the last 12 months, 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 #f
Telephone #(
ielephone #(
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 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??2_??GtE?3cHt?
Applicant's Printed Name
App icant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvoes
R
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plax ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex I&I 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
?Q 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bidg) • Gi ve PCA handout to applicant DeSCfIDtiOn: Water Damage _ Yes
Valuation Occupancy R-7 MCES System
Plan Review 100% or 25%
Census Code 4 3 y 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)
_ Foorings(addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
_r Fireplace _)p R.I. ?oAirTest Kl 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
_ Sheehock
FinaUC.O.
?0 FinaUNo C.O.
HVAC
Other
_ Pool Ftgs A'u/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Wiudows
_ Retaining Wall
Building inspector
?
1--
o/7i5r0E wf?LL??r?S.1s
ZXf? w??C ?O,
_._ .............? _
l Ay !
i
?,a 5
FIRE STOP SOFFITS AND ALL
OTHER DEAD SPACES.
,
?
a.
?
.
OiVspEnowS ?3v'fi 39cR1
r= ?
SMpKE DMCpOPIS -
RFQUIRED OIU , , -
?. D IN ? Sl.EEPIN OO?IS. Oftf LEVEOUSE
CUNTAIflIIMCa SU?MqQ qREAS CE?TRALLY
LOCATg St?06m
DETMM N MUWAYS.
r77S(v5
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW c6on Reouiremenis .
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20 k mazimum lot coverege allowed)
1 Soils Repod if proposed buiiding is to he placed on disNrbetl soil
2 copies of plan shaxing beam 8 window s¢es; poured found desiqn, etc.
1 set of Energy Calcula6ons
3 copies of Tree Preservation Plan rf bt platled after 7/1/93
Rim Joist DeWil Options seleclion sheel (buildings with 3 or less units)
RemodeVReoair Reouirements
2-copies M plan shaving footlngs, beams, joists
1 set o! Energy Calwlations for healed addiGons
-i site survey for addilions & decks
Addfion - indicate i/on-sife sepfic system
J -? ,;20
Olfice UseOnN
CertofSurveyReM _Y _N
SoilsReport _Y _N
7ree Pres Plan Recd _ Y_ N.
TreePresRequlred _Y _N
On-sAeSepticSystem _Y-_N
Minnegasco mechanval ven61a6on fortn (?'/
??G? ?/?
Plans are considered nublic information unless vou state thev are trade secret and the reason.
Date__?_/?
Z/_Q 2 ConstructionCost -$ 3w156n Q"0-4//v2ch
_
Site Address UniUSte #
Description of Work
Mul[i-Family Bldg _ Y? N Fireplace(s) 0 _ 1 _ 2
Property Owner f40[,(J,051RA ? U P o /'Ple. Telephone # (&SI ) [p p 3 - /S7 3
Contractor
naaress e;ty
State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Cotle Worksheet
(J submission rype) - Submittetl Submitted
• 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 plan8
_ v -A N If yes, date and address of master plan:
Licensed Plumber Telephone #(
Mechanical Contractor /IV A p D Telephone #(
Sewer/waterContractor APR 2 7 2007 Telephone #(
n ..
I herebv applv for a Residential BuildinQ Permit and 'acknowledge that the inform
complete and accurat
e;
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 onty an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
Applicant's Printed Name
App icant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
Work Tvnes
\Q
31 New
? 32 Addition
? 33 Alferation
? 34 Replacement
? 13 16-plex
? 16 Fireplace
L4 17 Garage
? 18 Dedc
? 19 Lower Level
? 20 Pool ? 30 Accessory Bldg
? 21 Porch (3-sea.) ? 31 EM. Alt- Multi
? 22 PorcNAddn.(4-sea.) ? 33 Ext.Alt - SF
? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
'OemoliUon (Entire Bldg) • Giva PCA bandout to applicant
D05CripfiOn: WaterDamage_Yes
Valuation -5? ??? •? ?' Occupancy J MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length l 2- Fire Sprinklered
Type of Const Width 1?{
_ Footings (new bldg)
Footings (deck) ? Footiogs (addition)
Foundation
Drain Tile
Roof Ice & Wa[er Final
Framing
_ Fireplace R.I. _ Air Test _ Final
_ Insulation // /1„ „
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 05-plex
? OS O6-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
REQUIRED INSPECTIONS
_ Sheetrock
Fina]/C.O.
?o Final/No C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall .
Inspector
1 2 ?/-/X Z!;"• oo : q zoo.ce)
?x?RNIJ? Y.+]nf' ? ?EPr.riZ
r,
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r
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I
Peronnance Pool & Spa ?
I ? 1890 Wooddale Drive
?oodbury, MN 55125
651-731-3440
651-731-8372 Fax
Attn: Brett MacNally
i .
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Gara?e Slab Elevalion>? 8
Sub.iect fo tasemen{s of record
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ROAFRT R, S?roCr? ?_ 5. FEr,. N.. 146_-
2422 Enterprise Drive
Mendota Heights, MN 55120
(812) 681-1914
Certiticate of Survey for; LC'CAC 7 90MC-5
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3830 Pilot Knob Road
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Eagan MN 55122 Date Recei :12_-;;1
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 22 j Site Address: 7 tu ~.t d ~~1 l
Tenant: f I 6~ Ae * ('e A Suite
RESIDENT/ OWNER Name: 4q P ne:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No )
CONTRACTOR Name: w6_5 ( License 2 O 2 8 ) G
Address: 72 0
v Zip:
City: State:
Phone: 26,3 Z CS 5 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
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 they are trade secrets.
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 t a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordan th the approved pl in the case of work which requires a review and approval of plans.
x x
pplicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE ~tf l
SUB TYPES
Foundation Fireplace _ Porch (3-Season) Storm Damage
Single Family Garage Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of Plex Lower Level Pool Miscellaneous
_ Accessory Building
RK TYPES
,ew Interior Improvement Siding Demolish Building*
7 Addition Move Building _ Reroof Demolish Interior
Alteration Fire Repair _ Windows _ Demolish Foundation
Replace Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 3000 Occupancy , RC MCES System
Plan Review --f Code Edition L 7 SAC Units
(25%_ 100%--) Zoning PD City Water
Census Code 3W Stories Booster Pump -
# of Units Square Feet 351 PRV -
# of Buildings Length Fire Sprinklers
Type of Construction Width
-:V A
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: Ice & Water _Final Pool: Footings Air/Gas Tests _Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: _Rough In Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: za rF /I , Building Inspector
- lof If 'A
RESIDENTIAL FEE
Base Fee / 30
Surcharge
Plan Review AVA
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
2422 Enterprise Drive
PIONEER Mendota Heights, MN 55120
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a' 59-
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116134
Date Issued:10/03/2013
Permit Category:ePermit
Site Address: 1602 Murphy Pkwy
Lot:26 Block: 1 Addition: Blackhawk Pond
PID:10-14395-01-260
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jeff Greenlun
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 -
Howard C Kuebler
1602 Murphy Pkwy
Eagan MN 55122
Perfect Exteriors Of Mn Inc
321 1/2 Walnut St, POB 297
Monticello MN 55362
(763) 271-8700
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155626
Date Issued:05/24/2019
Permit Category:ePermit
Site Address: 1602 Murphy Pkwy
Lot:26 Block: 1 Addition: Blackhawk Pond
PID:10-14395-01-260
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Tashi Chomphel
1602 Murphy Pkwy
Eagan MN 55122
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature