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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: ntrac 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 x d(RY/Y\ 6 6 x Applicant's Printed Name A I cant Signature MAY PP 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 o ` - ty of Eaiall . 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-€. � ... �►P I 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. tl$Iamt 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