1618 Murphy PkwyINSPECTION REC4RD Control No.
GIYY OF EAGAN PERMIT TYPE: «u 1t f1Y wAl
3830 Pilot Knob Road Permit Number: 001141.1
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
l#.A ti illikl°!iY 1°k'WY I.APIKRRF CUST HqM45i
k! Ar:l!:NAWt- PONn (612) 454--9389
PERMIT SUBTYPE:
•0 i,taii
TYPE OF WORK:
NEu
0
kt MH?:K`. F'FtV SA IJ t,pNiRAC7[tR MiAI lilt=4f [?ANICI ti pI.86
Parmh No. Parmk Holder Dste Telephone N
S/W
PLUMBING 4 03 L
HVAC
ILA-
/ y?•
II
WT-
ELECTRI
C
ELECTRtC
Inspectlon DEes Insp. Commrnh
Footirgs I /y/ ?
Foundation /1J G . ? ?
Framing • ?- a,Z ?S ?- ?? Z
Roofing .
Rough Plbg. /?
Rou9h Ht9- ?-Z, - ?-
Iaul. 9i p
Rmplam
Rnal Hig' a
?TQ ?
/D "7 ?C1s't ?
, ?, ;?„c?;.y "
? 7' •
Orsat Test ?.g
Flnal Plbp. * Plbg. Inspector - Notity Plumber
Corret. Me1er
ErgrJPian Q ?
Bldfl. Final /t ?
Deck Fig. ^ Z
DeCk Rn81
Wetl
Pr. Disp.
?' ?_• ? •
(?? e?.??icate of Cccuoanc?
? ?? ???
?? ? ?? ??P"Id"
This Certiftcate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuarece this smicture was in compliance with the various
ordinances of the City regu/ating building construction or use. For the following:
1183
??ficaaon: SF UC swg. rcnnit rro.
-Y 'Ym ? a?sn? °?"" 1i4
or suiia? na? ?
. ?
g Addmu ?ry
10/06/92
? 1 ?,l? n?e:
Ba-imns officiu
P06T IN A CONSPICUOUS PLACE
??
REOUEST FOR ELECTRICAL INSPECTION es?ooom-os
0 ?$ee Insyuctions for completing t??s form on hack ot yellow wpy
"X" Below Work Covered by Thrs Request
.00967
ew Rdd Rep.' - 7ypeolBuilding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater lectric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Other(syeaNl Contracmr's RemaMS:
Compute lnspectian Fee Below:
d Other Fee # Serv iceEnlranceSize Fee # CircuRS/Feetlers Fee
Swimming Pool O to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 - Amps
Sigf1S Inspeclor's Use Only: TOTAL sb
' Irrigation Booms
Special Inspeciion
Alarm/Communication THIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Elecirical Inspector, hereby
cerlify that the above inspeciion has
been made. Rouqn-m oaW
F;nai ( oare
lQ `y
OFFICE USE ONLV
This request voitl 18 months from
?
a 0
0 9 6 7- 3v ;8/
Request 0 le
3 ? Fire No. Rough?in Inspedion
Repuiretl?
J Reatly Now ? Will Notily Inspector
'd'M1
R
tl
?
G Ves o en
ee
y
1?4censed coniractor D owner hereby request inspeciion of above electrical work at:
Job /AOOress1 ((S?ireet. Box or Rouie? .) ??' I A
I ?l 7> Wif ? City?
Section No. Townsnip ame or No. Range No. County
O?cupant(PRINT? Phone No.
Power Suppber
N kbTR naaress
Ele Incal Canlraclor ICompany Name)
cECCrL+.
caL
?DS -
T?c. Contraclor$ License No.
b`F?af
Melll Aadress (Conhactor or Owoe? Making I
nstalla?ion
Ss7?--
Awh nze0 S,gnat e i ntract uOwner Making Inslallaiion Phone NumDe
c,
MINNESOTA STATE BOAND OF ELECTRICITV THIS INSPECTION FEOUEST WILL NOT
Gtlgga-Midway 61tlg. - Room 5-113 BE ACCEPTEO BV THE STATE BOARD
1821 UnlversNy Ava.. 51. Paul. MN SS10C UNLE55 PROPEF INSGECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee.ooao,ae
li, See insimctions lor campleting Ihis lorm on back ol yellow copy,
?
ne t ?
Y9 Q Q 9 7 3 "X" Be/ow Work Covered by This Request
lilew Adtl Rep. Typeof,guilding ? AppliancesWired EquipmeniWired
Ho
me Range Temporary Service
ple
Dux Water Heater s ElectriC Heating
Apt. Building ' Dryer Other (Specity)
Comm./Industrial FumaCe
Farm Air Conditioner
Otner(s{recity) trac?or's Remarks. ??
Campute Inspecfion Fee Below: x
0 Other Fee # ServiceEnlranceSize .e # Circuits/Feetlers Fee
. Swimming Pool 0 to 200 Amps a to 10o Amps
Transformers Above 200 _ Amp ve 100 _ Amps
t Signs inspedor'sUSeOnry: `G TOTAy?.? '-n
J"
Irrigation Booms fb?' Vul `
?
Special Inspection C
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO TH .
I, the Eleclrical Inspector, here6y Ao.gn-,o
certify that the above inspection has
been made. F;,,ai oere?? ?
OFFICE USE ONLY
This requast voi0 18 monlM1S Imm
f o
W
?
0973 ?
K 0
Fequesl Date
??_ 7. Fire No. Rough-in Inspeclion
R uireE?
? ReaOy Now W II Nolity Insp„ector
en Reed
Y
es C No y
11.S?licensed contracror !] owner hereby request inspection of above electdcal wot ?" ?
V -
Job A tlress Btreet. o or Foule No.) Ciry
Sedion No. TownshiD Nam or No. Range No. Coun /f? '
Occu?RlNT
r Ph?5 ?_ - C? 3
Power Sopplier Atlaress
. {Kor?ar- oC
Eiecmcal ConVactor ICompany Name)
?-? S 1 ? cr,ir c. ConVeclor§ Li ense N0.
Mailing AtltlRSS ( Convactor or Owner Making Inslallalion)
p S? (3LEYl???tA(., ?NIJ ? La?
PNO izetl SignaNre ICOn clovOwn Making Insla tipn) Phon Num?er
iM ?1t1Y?-y 93 " `?/V71_1a,
MINNESOTA STATE 90AIfdOF ELECTqICITV • ? THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bltlg. - Poom 5-173 0E ACCEPTEO BY THE $TATE BOr1R0
1821 Universily Ave., 51. Paul. MN 55104 UNLESS PFOPER INSPECTION FEE IS
Plwne(812) 642-0800 ENCLOSED-
A44ress: 1618 MUgpHy pA%UH Lot 30 Blk 1 Sec/Sub BLAGTAWK P01`ID
These items were/were not complate at the time of tha final inspection.
Date: 10 O8 92 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent drivaway
Petmanent gas
Sod/seeded grass ?
Trail/curb damage
Porch
Sasement finish
Deck
Please verify wlth tha buildar the removal of roof test caps from the plumbing
system and the shut-off of vater supply to the outside lawn faucet before
freeze potential exists. lqix
necmmnrtn
White - City copy Yellow - Resident copy Pink - Contractor copy
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
`?? 3830 PILOT KNOB RD - 55122
651-681-4675 0C-"
Reauirements
D 2 coples ol plan
DATE:
-L- -)- '-S?
-Q V
?
c* CoNS,RUCTIoN CoST:
DESCRIP710N OF WORK; nu Dla,e o. S hAa:? roc ? If multi-(amiry btdg., how many units9 l?c
b,zlo,.o eRcxJF?-ce?..G o?,.?\e?f-S d' /r?o?
INDICATE THE FOLLOWIMG EQUIPPAEWT TO BE REPLACED APID BY WHOM: ?
_ Plumbing -2?- Homeowner Q Contractor Name
_ Mechanical _ Homeowner Qr Contractor Name
'•NOte: If somebody other than the homeowner is pertorming plumbing or mechanical work, they musT apply forappropriaTe
permit. Only Iicensed plumbing confractor or homeowner may complete plumbing work.
STREET ADDRESS:
LOT: ?) C' BLOCK: 1 SUBD./P.I.D. #:
PROPERTY
OWNER
Name: )-, } e r9 a-a C U ?-F? 1, c,a- Phone #: Ca 51 1,3
Lost First
Street
City State:
?
Cx r
tii Zip: j .S 12 --?
Phone #:
(area code)
CONTRACTOR
Sheet
Clty
State:
Zlp:
? D
?YSEF 2 ?? 2000
: --__
I hereby acknowtedge that I have read this application, state that the information is cortect, and agree to compty wilh all applicable State
of Minnesota Sfatufgs and City of Eagan Ordinances.
License #
Signature of Applicant: T+ ?- ? K n^
? CITY,.OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT ?
RtRMIT TYPE:
Permit Number:
Datelssued:
BUILDING
001163
08/04/92
SITE ADDRESS:
1618 MURPHY PKWY
LOT: 30 BIOCK: 1
BLACKHAWK POND
DESCRIPTION:
%Buildi'ng Permit Type SF DWG
Building'Work Type NEW
UBC Occupan?cy R-3 M-1
Construction"7ype V-N
Zoning R-1
8uilding Length ? 75
Building Width 34
' Building storiesj 2
,>..
r--; C-'?
REMARKS: G (--) 2 (--) 1 ? i
PRV S& W CONTRACTOR - MATTHEW DANIEL3 PLBG
FEE SUMMARY:
VALUATION
8ase Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
;867.00
$563.55
$82.50
$700.00
100
$2,213.05
$165,000
MISCELLANEOUS $1.610.50
Total Fee $9,823.55
CONTRACTOR: - Applicant - sT. LICOWNER:
LAPIERRE CUST HOMES 19549383 0002647 LAPIERRE CUSTOM HOMES
P 0 BOX 1049 P 0 BOX 1049
BURNSVIILE MN 55337 BURIVSVZLLE MN 55337
(612) 454-9383 (612)454-9383
I hereby acknow].edge that I have read this appl3caYion and state that the
information is correct and agree to comply with all applicable State of Mn.
L Statutes and City ofi Eagan Qrdinances.
-
. t
- ? &l.f h o.e ? 171.1?
LICAN ERMITE IGNATURE ? ISSUE BV: SIGNAT RE
Control No. O80 7
J
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
Control No. 0897
BUILDING
001183
08/04/92
51TEADDRESS: Lor: se
1618 MURPHY PKWY
BLACKHAWK POND
PERMIT SUBTYPE:
SF OWG
BLOCK: 1 APPLICANT:
LAPIERRE CUST HOMES
(612) 459-9383
TYPE OF WORK:
NEW
INSPECTION
FOOTIN6 .. .
FRAMING ,.
INSULATION FINAL
FIREPLACE
...REMARKS: PRV
F
L
S& W CONTRACTOR - MATTHEW DANIELS PLBG
. ., ,
?. .
? , .
Lot 10 Block /
Snbd. ?,.,Ua.J S??
UNDERGROUND SI'RINIMER SYS°PEM
PLUMBINfG PERMIT
Date
Receipt # LLIVY2L
_ Commercial: $25.50 + water tap if mquired. (City installs al] taps up to 1"). If
adding new service, a water permit wiil be required, as well.
? - E)dstine residential: $15.50 (Plumbing permit not required if backt7ow preventor was
I previously installed).
_ Residential developments: Fee to be d -.termined by building inspections department.
May require payment of water permit, plumbing permit, WAC, and water treatment
plant fees.
f? lL?
(Address to te sprinkler d)
Homeowner/Plumber:
Phone #:
Street Address: r'?eq ? - / 7
City, State, Zip:
Owner Name:
Street Address:
Phone #:
Irrigation Contractor: ? ?7 _-
Phone #:
I hereby owledge that I have read this application and state that the information is
correct agree te?com ly with all applicahle City of Eagan Ordinances
cc: Engineering Department
CTTY OF EAGAN
L SO B / p ? ?f?j ? MECHANICAL PIItMIT
SUBD. ???=?2?a.crrl2 ?-i2o( (612) 681-4675
RESIDENTIAL
RECEIPT # D 7?
DATE
PLEASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAhIIIY DWELI,IIVGS. AISO, COMPLEfE FOR
TOR'NHOMES/CONDOS WHEN SEPARATE PERhIITS ARE REQUIRED FOR EACH DWELLING UNTl'.
OWNER: F EES
SITE ADDRFSS:
/ ADD ON/REMODEL (F.MSTING
CONSTRUCIYON ONLl) $ 15.00
INSTALLE HVAC: 9-100 M BTU 24.00
PHONE #: 4-C2
? 3-S'TS`7
ADDITIONAL SO M BTU
6.00
ADDRESS:I I SS W GAS OUTLEIS - MIIdIMITM 1@ $3 EA. - 00
CITY: 6S' ZIP: S? DI/ SURCHARGE $ .50
SIGNA ? % TOTAL: $ ? . St)
? ' U U
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCWlINDUSTRW. BUILDINGS. ALSO COMPLEI'E FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII,DINGS R'HEN SEPARATE PERMTl'S ARE NOT REQUIRID FOR
EACH DK'ELI.ING UNTf.
WORK DESCRIPl'ION:
CONTRACf PRIC& I FEES
1% OF CONTRACf FEE
STATE SURCAARGE IS $.50 FOR EACH
$1,000 OF PERMTT FEE $
P?IOCFSSEII PTpIlVG - $25A0 I $
MIIHIMiTM FEE • $25.00
OR'NER:
STfE ADDRFSS:
TENANT:
SUITE #:
INS7'AI,I.ER:
ADDRESS:
CTfY:
PHONE #:
SIGNATURE
TOTAL: I $
ZIP:
CT11' SIGNATURE.
L-210 BL CITY OF EAGAN
SUBD.
P(612) N681-E4675
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIYTION
NEW CONST xx
ADD ON _
REPAIR _
CITY USE ONLY
RECEIPT #
DATE
ALSO, FOR TOWNHOMES AND CONDOS
OWNER NAME: L°- Pt p- rr c
SITE ADDRESS: I (°I a M?'`vV?? R`-k'ca0.`1r
INSTALLER
ADDRESS
MA117M DANIELS, INC.
15185 CAIaOIISEL WP,Y
CITY: F40SEMOUNT ZIP; 55068
STATE 5URCHARG
TOTAL:
E .50
$ COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COr4tERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE. .
STATE SURCHARGE - $.SO FOR
TENANT NAME: EACH $1,000 OF PERMIT.FEE.
SUITE #: i $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
gpR; (SIGNATURE)
CITY OF EAGAN
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
? REPAIR/ADD ON 15.00
SHOWER 3.00 .o 0
? WATER CLOSET 3.00 1•0r'
BATH TUB 3.00 V--e7o
? IAVATORY 3.00 y. 00
? KITCHEN SINK 3.00
T IAUNDRY TRAY 3.00 a, o°
HOT TUB/SPA 3.00
? WATER HEATER 3.00 70 ? FIAOR DRAIN 3.00 3•°"
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 3• ° °
? ROUGH OPENINGS 1.50 ? ??
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
PHONE #: 423-3730 ',.
PEwMIT a CITY OF EAGAN
RfacrtvaTE. 1992 BUILDING PERMIT APPLICATION
14-A 681-4675 ?
:IbL 29 RECO
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 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 is made ar lot chan e is re uested ance ermit is issued.
Date ` / _Z1 / -/M-2, Valuation of work
Site Addres :_ ??? ?f A G{ ,l%f'/ t/ Gt ?Li/lx V
STREET SUITE M
Tenant Name: (commercial only).
IAT BIACR ! SIIBD. r, ? P.I.D. #
Descri tion of work:
The applicant is: Owner J?Contractor ? Otfier (Uesoribe)
Name eleg c- 70 14'J 9 Phone
Property LAST FIRST
owner ??
Address I
, ?? ?q
STREET STE. N
City State y/ Zi
5?33
p
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
AfChiteCt/
Engtneer Name Registration #
Address
City State Zip
Sewer & water licensed plumber LOlfl - i1 l . Processing time for
sewer 8 water permiCs is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the informatlon is
correct and agree to comply.with al pplicable S ate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
0 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
0 31 New
? 32 Addition
? 06 Duplex
11 07 4-Plex
? OS 8-Plex
? 09 12-Flex
? 10 Multi. Add'1
O 33 Alterations
? 34 Repair .
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
B kA%ettent Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Const. (Actual) A
(Allowable) UBC Occupancy Zoning R-
# of Stories
Length -is
Depth 3y
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
0 Nallboard
Basement sq. ft.
lst F1. sq. ft.
2nd Fl. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
12 Footing
0 Final
MWCC System X
City Water
PRV Required ?
Booster Pump
Fire Sprinkler
Census Cade /oi
SAC Code C?L
Assessments
0 Framing 13 Insulation
? Draintile ? Fireplace
Permit Fee v.imcip,: g/(?S Ooo
Surcharge ?-
Plan Review
LiC@115@
y3,1- zE' _ 1-2,1y .
MWCC SAC /oB
City SAC
Mater Conn.
Nater Meter .
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit 24
Park Ded.
Trails Ded. _
y3kZP ks3 ?
CoPtes
Other
Total:
C'? r
/:?4',D2?7_ S
AC 9G
SAC Units
CONSUlTlp6 ENOINEE05
RO?}E PLpNNE(i5 ond IANU S?UIIVEYOIIS _
ENGINEEfiING ` L
CONiPA6dlP, IA9C.
1000 EAST 146tb STREET, BURNSVILLE, IAINNESOTA 55337 PMI 432'3000
CUENT Zq lpl
'erXR& CU,s'TO/?
PROJECT NO. 5I4970
BK. 179 PG. 73
.
CEIRTIFICATE QF SURVEY
LEGAL DESCRIPTION: Z07-
i
%K
?
6CALE:1'-4N
(gf^5 ) UENOTES EX{S71NG ELEVATION
( 83z ,5) UENO7ES PROPOSE1,7 ElEVA710N
,....---- INUICATES DIRECTION OF SURFACE DRAINAGE
8 az83 = FINISHED GaARAGE FLOOFi F-LEVAl'ION
8z5. I Z flBASEMEN7 FLOOR ELEVA710N
83? _ 'fUP OF FOUNUAf10N [1.GVA1'IUN '
90f7 FWNT BU1401N6
S??Gr"N L/NE
?i 6)e < `
2i.
d?B >L ? ???
i.• ? y
rv??
?ti? " ?
i2°' 33
61 044
o %, ? • l?.c ? .?, ? ?'?L s? ?J
r p
I FIEREBY CERTIFY THAI' THIS IS A TRUE ANU CORRECT REPRESENTATION OF A TRACT OF LAND
AS SHOWN ANU UESCRIBEU HEREON. AS PREPAREV BY ME THIS Z9 ?OAY OF L,/?LY
19 qq _L= . 11- . ?..
, -
- -,
`. i . ,
MINN. REG. NO. I6000
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1618 Murphy Pkwy
Lot: 30 Block: 1 Addition: Blackhawk Pond
PID:10- 14395- 300 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Seta Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Mark R Ostergaard
1618 Murphy Pkwy
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA080905
11/06/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
I For Office Use I
I 1~~ I
I Permit t J
City of Evan s
I Permit Fee: )o5,2)
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~v 116 ZU /?Site Address: lO/ 1 (J r 4 1 k & Unit
Name: /V1 lJ 7 C~ AAA Phone:
Resident/
Owner Address /City lZip: 44 l~" c~;y
Applicant is: Owner AContractor
Type of Work Description of work: (1--A/- ~i- ke ('C.)6T C-*-
Construction Cost: C coo Multi-Family Building: (Yes / No
Company: s AJ t y S ""L 1~ Contact: e-OLo r T PIS 1 w,c,~
Address: Z 1 L v~r It 1 „5 C-✓
Contractor A n /
State: / G~ Zip: Phone: 6 (Z - 3
License J3 C (6 1 ce) 73 Lead Certificate
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.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days ofof 6 c, / T A permit issuance.
x wLC' ✓ x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
PR 1 1 2016
Use BLUE or BLACK Ink
For Office Use
Permit*: / 9U 2
Permit Fee:
Date Received:
Staff:
2015 RESIDENTIALPLUMBING PERMIT A PLICATION
3�� h (� 1a—�
Date: L37-3
rSite Address: 161 �'�'n���`
Tenant:
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Address / City / Zip:
S #:
Phone: (01
Name: Milbert ConTpany Inc Oa CulliganOF V
ater. License #: WC • 413 76
Address: X1.8.01 50th St East City: Inver Grove Hgts..
State: Zip; 55077 Phone: .651-451-2241 .
_ New Replacement Repair _ Rebuild _ Modify Space _Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures (__ Main / _ Lower Level)
Water Tumaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Tumaround (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) t O O
TOTAL FEES $ (DO
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.vooherstateonecall.orq
1 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 1 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
ac ordance with the appro ed plan inthe case of work which requires a review and approv I of plans
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Applicant's Printed Name A I cant Signature
MAY
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From:Jennifer Winke Fax:(866)697-0768 To: Fax: (651)675-5694 Page 2 of 1001/1612017 2:43 PM
Use BLUE or BLACK Ink CC.
For Office Use4 `.
• permit#: Ai
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Permit Fee: g�`v.'
3830 Pilot Knob Road '
Eagan MN 55122 RECEIVED Date Received: /_ 7_ 7
Phone:.(651)675.5675
Fax:(651)675-5694 • JAN 1 7 2017 staff:
1
[ 2014RESIDENTIALBUILDING PERMIT APPLICATION
l3.ate:. i 1(i,!( l-7 Site Address: I le.(k u r.-Et. 1--"4-061-.1„ Unit :
Name: Te._\4 C. it/N. 0 --e t-e cx e-444.. Phone: _'.R` .3 ',S_
Resident/
4 Iwner ,Address d City I Zip: fr an r-ek f csA, t�t�
'tr fpetio f.--cia4_,
' `,. Applicant is: Owner )6 Contractor
Description of work: `x�-°��t'Q._PTr<'ti'\ �f'��'�"'cat-€.
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Construction Cost: t t�C 3 Multi-Family Building:(Yes iNo�)
Company: . t-r.r-•S :4 - `:0'.cjro .inAL-1 Contact: ek+ Af :._
Address: » -' F(c ' c - - Q.c ..r -cavity: L *IxceA.
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State: 1' t Zip: - 6Phone:d ' S- 1''(ii 3- Email:SC 1At'n-°+"4 iefo"f1"''1+P 4
License#x: e 0 t o G'�' i l Lead Certificate#: Al— " q ---.3,...
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:
T':Plans and supporting docu 'lents that you su r `bonsitr.itie'77ed't`o bie public iritform~ ` r'ortions.of
the int tsrma tion rimy be classified as noxa:pubiic if irrott provides act reasons that -,ould'permit the city t<o
c 1 iib �. Ore o is m
CALL BEFORE You DIG. Call Gopher State one Call at(651)45.4.0002 for protection against underground utility damage, Call 48.hours
before you intend to dig to receive locates of underground utilities. www.uopherstateonecall.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.
i
Applicant's Printed Name tJ Applica s Signature
Page lof3
From:Jennifer Winke Fax:(866)697-0768 To: Fax: (651)675-5694 Page 3 of 1001/16/2017 2:43 PM
/ lb )11 (L f0Y` )O NOT FTE BELOW THIS LINE J7i -
SUB
TYPES
_ Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
),'Single Family ... Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi `'Deck — Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of Piex Lower Level Pool Accessory Building
WORK TYPES
— New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
N4 Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION 2.4 , /(Valuation (7 ccupancy IlY MCES System
Plan Review -- Code Edition 4k,)) ) S-- SAC Units
(25% 140%y ) Zoning ° City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction Ve,_..,__._ Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
—
Footings(Deck) Final/C.O.Required
Footings(Addition) X Final/No C.O.Required
Foundation HVAC—Gas Service Test Gas Line Air Test
Roof:_Ice&Water Final Pool:_Footings Air/Gas Tests _Final
Framing Drain Tile
Fireplace:___Rough In Air Test _Final Siding: _^Stucco Lath Stone Lath Brick
X Insulation Windows
Sheathing Retaining Wall: Footings—Backfill—Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other
Reviewed By: ' ,Building inspector
RESIDENTIAL FEES
Base Fee
Surcharge 6 po-
Plan Review (t
MCES SACg.4/1/4
City SAC
Utility Connection Charge —
S&W Permit&Surcharge
Treatment Plant 4 2, 00 0Copies !
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152001
Date Issued:09/24/2018
Permit Category:ePermit
Site Address: 1618 Murphy Pkwy
Lot:30 Block: 1 Addition: Blackhawk Pond
PID:10-14395-01-300
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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 -
Mark R Ostergaard
1618 Murphy Pkwy
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature