1625 Murphy Pkwyfi• ;,.-aiT?f,..::-,?'.,. . , ... ... .,.. .?, . ._ . .. ._ . . .. ., _. . . ..._,t?r.T•?-v.?r???.waw.?r.a-.?r?A
CITY OF EAGAN
3830 Pi4ot Knob Road, P.O. Sox 21-199, Eagan, MI? 55121 ???} ?
i
PHONE: 681-4675
BUILDING-PERMIT Receipl # ' '-
To be used for SF DidC/CJ11t Est. Value $162.000 Date FER 25
Sile Address 1625 MURI'NY PfC.3dY
Lot I I Block 2 Sec/Sub. 8LACIQ3AWK PdND
Parcel No.
Name _
? Addres,s
o Cfty -
? Name 5EYER30ti HOMSS 'ING
? ?YeSS 25? Q Ci? RQ?-?F2
C? BUWdSYILi.E AiN Zp 55337
? Phone 890-4744
° ucense # 00013M
1 hereby acknowlege that I have read this application and state that the
information is correct and agree to compiy with all applicable State of
Minnesota Statutes and City of Eagan Ordi'riances.
Signature of Permitee
y •'u
all
Building Olficial
OFFIC E U5E ONLY
Occupancy R-3 l7-1 Fe es
Zoning pD R-1 Bldg. Permit 857.00
(Actual) Const V___N Surcharge 81 • 00
(AJlowable) : m Pfan Review 557.OQ
,Y or stories
Le?,h s. 04
oePm 3' sAC, ccy 100.00
S.F. Tolal - SAC, MCWCC ?- ??ft
S.F. Fooiprirds - 675•00
On Site Sewage _ Water Conn
On Site Well water Meler 95000
MWCGSystem X ???
City Water x A?. ??5;t
PRV Requirad
x
SM! Pennit 30.?
Booster Pump - SNY Surcharge • 50
Treatment PI 300oOO
APPROVALS Road Unit 380,00
Planner -
C
il park DeC.
ounc
Htdg. O1F. ?
_
Copies
Variance - TOTpL 3,810.
?
Permit No. Permk Holder Date Telephoae #
S/VV y ?. - y .
PLUA71BiNG
HVAC 1 ';Z ? ,c' .i • ? l ' x.. ? 7?'?- .'I _l? - ?/?
eLEcTRic ?!c u,? - . 3 ?3- . Sv
ELECTRIC
Inspect4on Date Insp. Comrnents
Footings I '?/? 7
Foundation -?1p/ .2-- z
Framing ? 34t 2 S
Roofing
Rough P(bg. ?1L17 qZ ?
Rough Htg. 3
Isul.
}Z
.?
?
tN 0? ?' ?rS/i
Fireplace
Final Ntg.
Orsat Test
Final Plbg_ Pibg. Inspector - Notily Plumber
Const. Meter 27
Engr./Plan
BJdg. F'rr+a!
Deck Ftg.
DeCk Final
Well
Pr. Disp.
3 ?.?'-Q 3 o PS - .
INSPECTIDN RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: "? ??`• ?
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
? ???' ? 't (??4Ji ? , ? I , , . ? , 11 {'lir???!
PERMIT SUBTYPE: TYPE OF WORK:
t?t ? i? ! f' 1 1 ?iry ( i??•a? li+.lt(.t?i?hl ?
Pertnit No. Permit Holder Data Talephone •
ELECTRIC p?39rf J41
/ 7
0°D
?-
.
515157
PLUMBING
sia Q
HVAC
InspecNon Dete Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PIBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST ?
INSUL
GYP BOARD
FIREPLACE l ?
FIREPIACE
AIR TEST ?
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
• .. 40
0
. • -.?,?::. :
? t.
3
1
' (ger#i#irate of (Orrupanry
Citp of (tagart
iotpwrhnm of Twbmg jwprtioti
This Cemtfuate Issreed pursuant to the rrquirvnents of Secltor 306 of the Unifonn BrrIlding
Code amijying that ar lJre tinre ojtuuana tlus slructun ww In complianoe wilh the wrious
ordixanoes ojlhe City negulaft building con.stnrctiai or use For tlie jollowtng:
un a.mmcmao. SF DWG/C?AR awi. ?c r?. 20152
?r ? R3/M 1 Z=iagDbftiCt PD/R 1 Tm car VN
oWEN or eum meritar devel. co. Addmn 605 GIEb'f IRAVEfEEtS IR., B'V=
B.Ift Add. 1625 M3RPHY PARKTAY L-ak L I!, B2, BLAaQiAWK PCNID
.
POST IN A CONSPICUOUS PU1CE
.?
SEWER & WATER PEF
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
USE ONLY
METER # -
CHIP # -
METER SIZE
FEB 26, 1992 I ISSUE DATE
DATE _ , SITE ADDRESS 1625 MURPHY PKWY
LOT i l BLOCK Z SEC/SUB B1.p?CKtil?UilC POND
APPIICANT:
CITY, STATE ZIP
PHONE:
PLUMBER: STAR P _A(:
ADDRESS: 1018 !lOUND SPItINGS TERR
CITY, STATE BLOONNIINGTON MN ZIp 55420
PHONE: 884-4149 -
OWNER: SEVERSON HOMES INC
ADDRESS: 2500 W COUNTY ROAU 42
CITY, STATE BLRNSVI . MN ZIP 5.5137
PHONE: 890-4744
PERMITDATE `11/28/92
PERMIT # 12573
B.P. RECEIPT # C 017544
B.P. RECEIPT DATE 02 26 92
x PRV _ BOOST[R PUMP
PERM!T REQUESTED
R SEWER X WATER -T,
_ COMMrIND X RESIDEN'
x NEW - EXISTING
Lawn Sprinkler M?ers are to be Inst;
Ahead of Do esti ?dleters on Water I
Credit WIL OT be`t]iven for Deduct Me
EAGAN
CITY OF
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STO
SEWER PERMITS, CONTACT ENGINEERING DEPT.
., . -.- • ?,,. ., ..,. ...e
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # 7f? S? PERMITDATE 02/28/92
3830 Pilot Knob Rd. ?
CHIP # D 3 50 PERMIT # 12573
Eagan, MN 55122-1897 - C 017544
METER SIZE B.P. RECEIPT #
FF.B 26, 1992 ISSUE DATE B.P. RECEIPT DATE 0 92
DATE - }C PRV _ BOOSTER PUMP
I SITE ADDRESS 1625 MURPitY PICWY
LOT 11 BLOCK 2 SEC/SUB BLACKHAWK POND
APPUCANT:
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
PERMIT RE(aUESTED
X SEWER ?L. WATER - T,
_ COMM/IND ` -X- RESIDEN-
X NEW - EXISTING
i Lawn Sprinkler M are to be Installed
; PLUMBER: STp,R pi Ar Ahead of Do esti ejers on VVater Line.
ADDRESS: 1018 MOUND SP&iNCS TEI?R Credit WIL OT b'vqn for Deduct Meters.
?
? CITY, STATE BLOOMINGTON MN ZIP 55420 ?'
' PHONE: 884-4149
I AG E T CO PL WITH CITY OF
OWNER: SEVERSON HOtiES ING EAGAN DINANCES
i ADDRESS: 2500 W COLtNTY RoAD 42 ,/ , p? ?
; CITY, STATE . RIIRN$VTi.T.F MN ZIP ?7 ?? -?
? PHONE: 890-4744 SIGNATURE WHEN METER ISSUED
1L
? Pt?b'SE",aLLOW TWO WORKING DAYS FOR PRDCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING OEPT. v i
CITY OF EAGAN N201 5 2
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:681-4675
BUILDING ?ERMIT Feceipt # C 0173-V61
Tobeusedfor SF DWG/GAR Est.Value $162,000 Date FFR 96 , 1992-
i
Site Atldress 1625 MURPHY PKWY
Lot 11 Block _2 Sec/Sub. BLACKHAWK POND
Parcel No.
Nazpg MERETOR DEVELOPMENT CORP
? Address 605 W TRAVELERS TR
? Cjhr BURNSVILLE MN Zp 55337
Phone 894-1900
cc Name SEVERSON HOMES INC
? Address 2500 W COUNTY ROAD 42
? CRY BURNSVILLE MN ZjP 55337
Phate 890-4744
? License q 0001306
I hareby acknowlege that I have atl Ihis a I lion nd state that the
intormation is correcl and agr to compl h I plica6le State of
Minnesola StaWtes and City agan Or ? s.
Signature af Per itee ?
A Building Permit is issued to: EVERSON HOMES INC
on ihe express condilion that all ork shall be done in accordance with all
applicable State oi Minnesota Statutes and Ci'ry/ of Eagan Ordinances.
BuildinqOflicial
OFFICE USE ONLV
FE ES
Occupancy R-3 M-1
Zoning PD R-1 Bk1g. Pemirt 857.00
(nctuap Const V-N Surcheige 81.00
(Allowable) V-N
0
557.0
M of Stories -
length 64' ? 5 _ nn
DeOth 36 ' SAQ Ciry
0
100.0
S.F.7otal - SAC,MCWCC 700.00
S.F. Footprinis -
675
00
On Site Sewage - Water Conn .
On Si1a Well - Walar Meler 95.00
MWCC Syslem X 30
00
Ciry Water -X- Acct. oeposit .
PRVRequired X S/WPermit 30•00
Booster Pump , - S/W Surcharga .5
?
Treatment PI
0
300.0
APPROVALS RoadUnit 190-0
n
Planner - park Dad.
Council
BIdg.IN1. _ Copies
Variance - TOTAL 3.810.50
OFFICE IISE ONLV This requesf wid 18 meMhs hom wlidation dota printed in this 6oz.
* 0 4 L Ia L 9 7 2* pLEpSE PRINT OR TYPE
R?"?? ? Roughin inspec?on requ'vedR ?`es ? N. Inxpeclion Oiher Thon RougMn: ? Reody Now i0 Cvll
L?? /' -g7 ?`/w musi mll ?he inspecror when raody) Doie Reody
i, ? licensed conhaclor M-Wner hereby request inspedion of the above elechicol work aF.
1.6 Address (9 jBo.?„or R? No J ? Gy ZcpC t?.
r ,
Seclron No. Township Name r No. Rorge No. Firc No. Couny
D
?-i',?1 ?lt?Zi% ,h noadP f- ?G`?? - G?%d? - GvsD
4FAVVN
c, No.
pG?'"_
yjr7/?7
416°197
REQUEST FOR ELECTRICAL INSPECTION Z•°:
? Minnesota Siffie Board ot Elec[riciry
1821 University Ave., Rm. S-128, St. Paul, MN 55104
P.hone (61Y) 642-0800
Home Duplez Apt Bldg. Other: New Addn
Commerciol Indushial Farm Remod Re air
Air Cond. Hfg. Equi . Wafer Hfr. Lood Mgmf. Other.
Dryer Ronge Elec. Heat Tem . Service
"X" above ifre work covered by Ifiis r uesf. Enfer remorks in this spoce ond on fhe back oF fhe white copy only.
?GtStrnen? ?
Cokulafe lnspection Fee - ihis Inspecfion Requesf will noi be accepfed withoul the correcF fee:
Other Fee # Service Entrance Size Fee N Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sheet Ltg./Traffic Sig. Above 200-Am s Above 100 Am s
Tmnsformer/Genarator INSPECTOR'S USE ONLY TOL
?
Sign/Oudine Lfg. X(mr. Ex ?(/D'1?t°•e 1 0 ' ?
Alarm/Remote Conhol
Swimming Pool /
I herecerii t I' eledriml' Ilmio dexri6ed herein m ?he doms sm
Irrigation Boom Rwghln Dote
?
$peciallnspection
kz
- '
Investigative Fee Flnal Date' Z Q
"j ?
THIS INSTALLATION MAY BE ORDERED DIS ONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
'
J 5686
Reqoest Daie ' .• . ? Fire No. Rough,n Inspection .
Paquiretl? '
? Reatly Now PS'Jill Notity Inspector
,26? Yes LNO '. (? . Whe Re Y '1
I?,Ylicensed contrector p owner hereby request inspection of adove ele(c'' I wprk a?t L2.
Job Aaaress (sneet, Box or Pome Na.) "
&r cr Wc ? ? ?'/7_
Seclion No. TownsOip Name or ange N0. n
?
Ocwpant (PRINT) Phone pNo/. ? /
p
- /
714?
GVSo?I M G
/(r?
7
Power pplier
? Atl!tlre/sa
v
Elettncal C nvacmr (COmpany Nema) ContracWr9 License No.
Mailing qtltlress ICOnirector or Owner Making InstallaLOn,
?i' ? L? m4 LA/ . ?, rh s'/Je ov
Avthon gn re (COnVaclorlOwner M Instailalion) Phone Number
MINNESOTA STATE BOAHO OF ELECTflICITV THIS INSPECTION REOUEST WILL NOT
Griggs-MiOway Bltlg. - Paom $-173 8E AGCEPTEO BY THE STATE BOARO
1821 University Ave., SL Paul. MN 55104 UNLESS PFOPER INSPECTION FEE IS
Plqne1612)662-0800 ENCLOSED.
- REOUEST FOR ELECTRICAL INSPECTION ??? °ee-0oom oe
??% `l?- ??__:__......:_"""'_"_.:__..:'""""'._..._?,_.___.. .?°?.?- ?I,,.i,Nn
,. .,? .?.??..,X.,.e/ow....,....?,,........??...,......?..,,.
9 Work Covered by This Request »:
e ?.
d .p_ TypeofBUilding AppliancesWired EquipmentWired
r Home Range Temporary Service
Duplex Water Heater Electric Heatinq
Apt Building Dryer Other (Specity)
Comm.llndustrial Furnace
Farm Air Conditioner
Other Ispecity; Comrector§ Remarks:
Compute Inspection Fee Below.' ?
# Other Fee # ServiceEntranceSize Fee # Circuks/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps .
Transformers A6ove 200 _ Amps Abo 00 _ Amps
SigOS InspecmrS Use Only: TOTAL
c
Irri ation 8ooms ?-D
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN NTN ..
I, ihe Electrical Inspector, hereby
certit that the above ins ection has
y P
beenmade. Rough-in ?
Finel f Date zt ?? ?
Date
„;
OFFICE USE ONLY
TM1is request voitl 16 months from
Address: 1625 pAFN?AY Lot I I Blk Z Sec/Sub gLACKRpWK ppNp
These items were/were not complete at the time of the final i spection.
Date 5/21/92 Yes No
'Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/saeded grass ?
Trail/curb damage
Porch
Basement finish
Deck
Ylease verify vith the buildar the removal of roof tast capa from the plumbing
system and the shut-off of water supply to the outside lavn faucet before
freeze potential exists. ?
acram..w.
White - City copy Yellow - Resident copy Pink.- Contractor copy
CITY OF EAGAN
to111 1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, i 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 r lot chan e is re uested once ermit is issued.
Date 7(_tzg? Valuation of work ooO o'0 ?j
5ite Location: JQ_f? MvIZPu ppkjLl,v(???
STREET STE M
Tenant Name: 1?J l l?
LOT ?J_ BLOCK c SUBD. P01 P.I.D. #
Descri tion of work: ? j?-4 G
The applicant is: ? Owner Contractor ? Otll@P (Oescribe)
Name 0? Phone Fq4' /qOb
Property LAST FIRST
Owner Address (0o5 tA)- ?)62qUE?? i2?)L,
STREET STE #
City State 1YI? Zip 7
Company ??1J??? ? ?t?'Y1C? ?NC • Phone LLI
Contractor Address ?-s? ?.)• CoVnTyj Q_0Fv--) '4a License #(=)30? 7
City State T-? Zip
Company Phone
Architect/ t
Engineer Registration #
Name
Address
City State Zip
Sewer & water licensed plumber 5"`PAz> PL0rV1.QInKs . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with 1 appli State of Min esota Statutes and City of
Eagan Ordinances. '
Signature of Applicant:
Y
OFFICE
USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch ? 16 Agricultural
X 02 5ingle Family ? 07 Fireplace ? 12 Comm./Ind. New 0 17 Building Move
? 03 Two-family ? 08 Deck ? 13 Comm./Ind. Add ? 18 Demolition
? 04 Multi-fam. T.H. 0 09 Basement Finish ? 14 Comm./Ind. Rem. ? 20 Miscellaneous
? 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac.
WORK TYPE
'o 90 New ? 93 Remodel ? 96 Move
? 91 Addition ? ? 94 Repair ? 97 Demolish
? 92 Alteratians 0 95 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy R-3 M-I Basement sq. ft. MWCC System ?
Zoning PD Q I lst F1. sq. ft. City Water v
-
Canst. (Actual) V-N 2nd F1. sq. ft. PRY Required ?i
(Allowable) y_N Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ?y On-site well Census C.ode lpi
Depth 3 6 On-site sewage SAC Code ?
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
O Site ? Footing ? Framing ? Insulation
0 Wallboard ? Final ? Draintile ? Fireplace
MYCC SAC Fees: Yaluatim: E 16ip L7OC7 ?. s
Permit Fee 80-00 Gj°`RqGE
zzxzz=4YyX+s 72?0
snc x Surcharge 81.00
Plan Review 517.00 ???•
x License 5100 y2XZg= 11,74
City SAC 1po,oo I x e= g
sac un;cg Water Conn. 6rK,03 z x 6- 12-
Water Meter RS,oo 19 xIo= 140
Road Unit 390,on 13}(,xiy= 187ow
Treatment Pl. 300,00 3-SEA£ON Poptk
R93d-UR7'tNWCC,skc '7 DO.pO ?2X/L7Q !44 X 4a - 5'J6o
Park Ded.sfwvaa?„ 30,00
sle •yo
Copies a? lsr F_«?z
r
Other ° r°`,t 30.0o g,B,xYr= 133G
1'h?c n = i 1,
Total : VIzn C. = 9
13r4X 53 = 71, /$$
Zt+a FiooR,
'hyUf32 LOLuYY1E
2$Xtf2- 117(^ ek'c47 200»
»), isr.= lss rvxiy= 3v?J
47k? 5ns;?.5= Uz)
c ? ib
U
/
,
L'
?
??X0
? ivL= 10
1384x53= ?3 3sz 1E2 c?x-
-
tA,? aa? °a ?
,
,
&XTSRIOR SNVELOP& AVfiRAGE "U" COMPUTATION
OWNER:
S ITE ADDRE S S:
CONTRACTOR : DATE : -PHONE :
Determine working square £ootage of each.
1. Total exposed wall area: 'hJ1Co sq.ft.x .11 =[ ]
2. Total roof/ceiling area: J:!f- DO sq.ft.x.026 =[ 7?-? - 4Q_1
Total exposed wall area above floor = 15('5??
a. Total wall window area ....................... '314.or?i
b. Total door area ............................. 3'%, 7f7
c. Total sliding glass door area ................ ??7-,4Q_
d. Total fireplace wall area ....................
e. Total wall framing area (average 100)........
f. Total net wall area above floor .............. ZG3l.?g??'JS
g. Total rim joist area......................... E?rs G;" o0
Total exposed foundation area =
224
h. Total foundation window area .................
i. Total net foundation area above qrade........ -XZ+2
Determine "u" value of each wall segment.
a. 4-, ?i x " u?? , ?Z = l?='?-?CoI
b. ?'7?')7 X ,?U,? , ?i??- - l'1i-,ZI
c. ??Z,? x ??U?? ; 4Z = l?l'rCrv
d. x "U" -' -
e. lox"U" , U`J = / ¢;?
"u" , o = 60l ,GI?
g. C)oX " U- D4_- 14-4r,7
h. x "U" -
3 ..................................TOta1
If item #3 is the same as , or less than #1 ,
you have met the intent of SBC 6006(c)2.
Total exposed roof/ceiling area = I,4-,vD
J. Total skylight area..........................
k. Total roof/ceiling framing area (average 10%) IL{-v? 00
1. Total net insulated roof/ceiling area........_12(ct9?On
Determine "U" value for each roof/ceiling segment.
j . X 11Ul, _
k. ? Qto, b''o x?, v ?7, G90
1. ? Zl_2O, EO x"U" 20
4 ...................................Tota1 =[ ?Z? 20 ]
If total of #4 is the same as, or less than #2, you have met the
intent of SBC 6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by
the sum of items #3 and #4 shall not be greater than the sum of items
#1 and #2.
i . -7i4,v +z . -?710 1 d-o = CB ,
3. +4. ?7Z, 2o zir?fo, ( ?
PERMIT
-'? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuiLozNs
Permit Number: g 2 9 5 6 5
Date Issued: m 3/ 0 7/ 9 7
SITE ADDRESS:
1625 MURPHY PKWY
LOT: 11 BLOCK: 2
-BLACKHAWK PQND
P.I.N.: 10-14395-110-02
DESCRIPTION:
P`?:k- (ONE BEDROOM)
Builtling-,Permit Type BASEMENT FINISN
i I Building Wor_k Type ALTERATSON
Gensus Ead& 434 ALT. RESIDENTIAL
?
,
rt
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTftICAL OR PLUMBING WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: - Applicant -
SCWNETDER STEPHAN
1625 MURPHY PKWY
EAGRN MN 55122
(612)688-6950
I hereby ackrzowledge that Ihave read.this applicttinn and stata that the
informatian i:s corract an,o sgree' to coiti7ply with aI3 applaaatrle- Stete of Mn;
L Statute5 and City ofi Eagan Ordinances:, -
.
A
APPLICAN7/PERMITEE SIGNATURE 61 ISSUED 8Y: SIGNATU
??§L61997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3630 PILOT KNOB RD - 55122
6814675
New Construetion ReouiremeMs
? 3 registered site surveys ? 2 copies of plan • 2 copies oi Dlans (include beem & window saes; poured fid. deaign; etc.) ? 2 aMe surveys (exterior addkions 8 dedcs)
? 1 energy wlalations ? 1 energy alwlations for heated addklons
? 3 copiea of tree preservation plan N tot plaried efter 717/93
requfred: _Yes _ No '
DATE: .9-a 1- ?I ? CONSTRUCTION COST: ? ?? ? v ? ?y?
DESCRIPTION OF WORK: FI'`? jfe4
STREET ADDRESS:
LOT BLOCK
I SUBD./P.I.D.#: -b)&f.RY1iU;Jl4-7'lm.,L
BemodeVReoeir Reauirements
PROPERTY
OWNER
Name: Jch-?c, cl,?y SkQhq„ Phone#: 40cP-,p45?S'-c2
Street
w..
ma I
AL aL.i ?/Lw
City: /---4?,A .V State: -/"/ '/
CONTRACTOR Company:
Street Address:
City: State:
Zip: -5'S / Z?? - ^
Phone #:
License #:
1.?0-010
CGjQed 3-4
Zip:
ARCHITECTI Company:
ENGINEER
Name:
Phone #:
Registration #:
Street Address:
City:
State:
Zip:
Sewer 8 water licensed plumber (new construction only): . Penatty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: A
OFFICE USE ONLY REC.?i+ IWD
Certificates af Survey Received _ Yes _ No E° 'D $ 197
Tree Preservation Plan Received _ Yes _ No _ Not Requir
BUILDING PERMIT TYPE
OFFiCE U5E ONLY
4; ?`?.? •??,, .i.?
8 4''r?
'1W!,
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0`? 16 Basement Finish
? 02 SF Dweiling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 5F Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 5F Misc. 0 10 _-piex o 15 Deck
WORK TYPE
0 31 New p'33 Alterations o 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
CaENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ?
(Allowable) Main level sq. ft. City Water .-?
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 4? 4
Depth Footprint sq. ft. SAC Code ?
Census Bldg i
Census Unit ?
APPROVALS
Planning
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Building M-S Engineering
Valuation: $
% SAC
SAC Units
LOT // BLOCK ? STJBD. K "44-J 9(,e?
RECEIPT # a°0 / & & DATE `5110h?/
1994 CTTY OF EAGAN
IRRIGATION PERMIT (FOR BACBFLOW PREVENTER)
CONIMERCIAL INSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLLJMBER
Date: /d - /4 ap r?'?
Commercial GPM
Residential (boulevards) GPM
Y, Existing residential
Area/address to be irrigated: /U?? U' IG W u
Installer: 6evC'!"' `- If J,41 ,//t/ ° Owner ?
Plumber V?-
Street address:
City, state & zip code: Pe%a.,>o n4.,j Phone #: q? n7 - 3Y? ?
Owner Name:
Street address:
City, state & zip code:
Irrigation contractor, if different than installer:
Telephone #:
Phone #:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances.
Signatur Title
If construction activity occurs in public easement or City right-of-way, signature of property owner is required.
The property owner agrees to hold harmless the City of Eagan for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City
property/right-of-way/easement.
Property Owner Date
Approved by•
PRV Yes ? No
New service ? Yes ? No Meter Size
& Cost
Fees due: a?2 Calculated
Date:
ry , ,/1 s
72c;-Iq lpya .90
PROCEDURE FOR IRRIGATION SYSTEMS
1. A site plan must be submitted to the Engineering Department for review before installing an irrigation
system. A permit to work within City property/public easemenUright-of-way may be required.
2. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial project: $ 25.50 irrigation system permit to cover installation of baclf'low preventer.
$ 50.50 water permit fee onlv if new service is installed.
$100.00 per tap if installed by City.
b. Residential project: $ 20.50 irrigation system sprinkler pernut to cover installation of backflow
preventer.
$ 50.50 water permit fee if new service is installed.
$725.00 per connection - WAC.
$348.00 per connection - water treatment facility.
c. Existiniz residence: $ 20.50 irrigation system permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed), however, plan and
application must still be presented for approval.
d. Meter charQe: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$165.00. If gallons per minute are more than 25, a 2" turbo with strainer will be
required at a cost of $775.00. This information is to be supplied by the designer
of the system.
4. No meter will be sold before all sewer and water inspections are complete on a new service. If new
service lines are not reauired, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility BIIling Clerk.
5. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set
and seal of the meter. Inspection hours aze 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
CZTY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454 8100
H1EoAmxC js,'?:; ?m
FOR CITY USE ONLY
PERMIT #
RECEIPT # /D `
DATE: 3 ?
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
wGFri ^vESC I?TION
NEW CONST
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS: ?`a.-Y
LOT:? BIACK ? SUBD. ??,Q-Ci'?2t?? (? (
INSTALLER:
ADDRESS: ?lt? W \1Co?4-l.. St
CITY: ZIP:
PHONE #:
FEES
ADD-ON MINIMUM $15 00
HVAC 0-100 M BTU 4•00)
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00 y,4
OF 1 PER PERMIT
SUBTOTAL: $ 3(,). O O
STATE SURCHARGE: .50
TOTAL: $3c?,?
D 34 _ )
SIGNATURE OF PERMI TEE
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
------------
CONTRACT PRICE
O1dNER NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTAT.T.F,R.?
ADDRESS:
EITY: ZIP: _
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE g $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING e $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN
L? BL z", CITY OF EAGAN CITY USE ONLY
PLUMBING PERMIT
SUBD. nn V? r? (612) 681-4675 RECEIPT (.? 0?? '
DATE .3 9 y
RBSIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. AL50, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT,
WORK DESCAIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST X REPAIR/ADD ON 15.00
ADD ON SHOWER 3.00
REPAIR
WATER C7ASET
3.00 ?
1 SATH TUB 3.00
Cpa
5 ? IAVATORY 3.00 ra-
,
OWNER NAME: f I (A ria12.- KITCHEN SINK 3.00
?
N
Y 3.00
?
SITE ADDRESS:? S-c ?l-ei S? r7 5 3 TUB/SPA
pT 3.00
I WATER HEATER 3.00 -77
? FLOOR DRAIN 3.00 ? -
GAS PIPING OUT.
S? '
INSTALLEA: ?J (MININRJM - 1) 3.00 ?
? ROUGH OPENINGS 1.50
ADDRESS: OTHER
WATER SOETENER 5.00
CITY: ZIP: 55 S -) a _ PRIVATE DISP. 15.00
G R
L 3.00
PHONE ?? : Cp'J W. TURNAROUN
D 15 . 00
STATE SURCHARG
TOTAL:
E .50
4' ? , ?'CJ
$
PLEASE COMPLETE THIS PORTION FOR ALL COP44ERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MITLTI-FAMILY
SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE
INSTALLER:_
ADDRES S :
CITY:
PHONE
FOR?
CITY OF EAGAN
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
$
CITY USE ONLY
L ? BL ? RECEIPT#:
SUBD. REGEIPT DATE: 5 S ° f
1997 PLUMBING PERMIT (RESIpENTIAL)>
GITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for. . single famiiy dwellings
. townhomes and cantlos when permRs ate required for each' unit
. backflow preventer for underground sprinkler system
FDCTURES F.A.CH ? TOTAL
Shower 3.00 x =
Water Closet 3:00 x f =
Bath Tub 3.00 x
Lavatory 3.00 x
Kitchen Sink 3:00 x f =Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x
WaterHeater 3.00 x
Ffoor Drain 3.00 x
Gas Piping Outlet " minimum - t? ?1 ` • 3.00 x
Rough Dpenings 1.50 x
Water Softener ' for dweuingsurroer construaion 5.00 x =
Water Softener " for existing dwelling 20A0 7E _
U.G. Sprinkler ' for dwelling untler const. 3:00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
AltefatloOS " to exieting residence 20.00
Water Turn Around 20.00 =
Private Disposal System " oak cry iia 75:00 =
(new and refurbisbed systems)
=
Private Disposal Systems "AtiandonmenG 20.00
STATE SURCHARGE .55 ?
TOTAL ?0 r
I hereby aeknowledgethat I heve read this-appliption; state thet the infoqnstion iscorrect, and agree to comply:withall applic861e•:City
of Eagan ordinances. kis the applicant's responsibiliryto noCrfy the:property owner that the City of Eagan as4umes no lie6iliry for any
damages pused by the City during its nortnal operetional:and.maintenanca adivifies-to the faeilitiesconstruGeduntler this p"ertnk wi[hin
City property/right-of-way/easement . .
SITE ADDRESS: z r-kLL?Lr-x-
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
cirr:?n.c
SIGNATURE OF PERMITTEE
1 -0 897346
ROAD CONSTROCTION 6 CONSERVATION BASEMBNT
THIS INSTRUMENT is made this 00 day of -mp rc h .
198a, by and between MERITOR DEVEIAPMENT CORPORATION, a Minnesota
corpoxaeion ("Grantor"), and the CITY O£ EAGAN, a Minnesota
municipal corporation ("Grantee•).
The Grantor, f8r good and valuable consideration paid by the
Gcantee, the receipt and sufficiency of which i6 hereby
acknowledged, grants to the Grantee a permanent road construction
ar.d conservation easement, as tha*_ term is defined in this
instrument, over, under and across the premfses described in the
attached Exhibit "A" ("Subject Pcoperty").
1. Grantor, for itself, its heirs, successors and assigns,
agrees that the following are prohibited, without prior wcitten
consdent of the Grantee, on the Subject Property:
A. Constructing, installing, storing oc maintaining
anything made by man, including but not limited to
buildings, structures, fences, walkways, clothesline
poles, and playground equipment.
B. Parking of recreational vehicles.
C. Vegetable gardens.
D. Storage of firewood.
E. Clear-cutting or removal of native vegetation.
2. Grantor, its heirs, successors and assigns, may establish
and maintain a lawn in the conservation easement area, as well as
other plant material which is approved in a8vance in rriting by the
Director of the Eagan Park Department.
1
3. Grantor, for ftself, its heits, successors and assigns,
further grants the Grantee the right, after giving the owner or
occupant reasonable notice, to enter upon the Subject Property at
any time to enforce compliance With the terms of this instrument.
4. Grantee shall construct and maintain the slopes and fills
necessary for the construction of a road to Blackhawk Park adjacent
to subject property in addition to any rztaining walls necessary for
said roa9 as described in the construction plan attached hereto as
Exhibit "B". Further, grantee shall provide and maintain existing,
as well as proposed, plant materials as described in the lan8scape
plan ettached hereto as Exhibit 'C". Grantee shall be responsible
for erosion control within the easement area.
5. This Easement is supplementacy to the platted dcainage an9
utility easement and does not supersede or replace it.
MERI 0 £VELOPMENT CORPORATION CITY OF EAGAN
BY: By:/ c?,*?
I S I s Mayor
By:
s City Clerk
GRANTOR GRANTEE
STATE OF MINNESOTA )
) ss:
COUNTY OF DAROTA )
T e foregoing was acknowledged before me this day of
? . 1989 , bY C?C24 z . the Q. ?
of Meritor Development Cor- pratioMa?n, aMin;,eset corporatioo, on
behalf of the corporation. '?enns..?lva?ta,
J: 4 Mq ¦
't FpY FLIcSON
n ? nr PI!PLIC N?iNNESOTA
iU<r PiN Munrti
<_,. ? c u?? ,sr,r Fs,,i 'B.?y 26 1993
1 WVVWVWVYV W VtiVVT?YYJJV VVVVVVJNK rt
Notar Public
2
Ex ti, b,f A
OR
Schelen
A1dyCfOI1 &
Associates, Inc.
LoCation: Lot 9, Block 2
Blackhawk Pond
DESGRIPTION OF EASEMEqT:
2021 East Hemiepin Avenue
Minncapolis, MN 55913 Engineers
612131-11660 Survcyurs
FAX 331-3806 Planners
Easement
NO. 89-3
A permanent easement for• roadway slopes, cuts and fiils and a permanent
conservation easement over, under and across that part of Lot 9, Block 2,
according to the plat of BLACKHAWK POND, on file in the office of the County
Recorder, pakota County, Minnesota, which lies westerly of the followSng
described line:
Commencing at the northwest corner of said Lot 9; Lhence South 72 degrees
12 minutes 47 seconds East, record bearing, along the northerly line
thereof 20.00 feet to the point of beginning of the line to be described;
thence 5outh 29 degrees 56 minutes 31 seconds East 77.98 feet to a point on
the southwesterly line of said Lot 9 distant 70.00 feet southeast of the
southwest corner thereof and said line there terminating.
Subject ta Dralnage and Utility easemenYS deditated on said BLRCKHAWK FOND.
Said permanent easement contains 1,552 square feet more or less.
NOTE: No boundary wrvey work was performed as to the prccise
locauon of[hi5 trac[.
1 HEREBY CERTIFY 7HAT THIS SURVEY, PLAN, OR REPORT WAS PREPARED
BYMEORUNDERMYDIRECTSUP VISIONAND7HATIAMADULYREGIS-
LAND RVEYORl1N H.LAWSOFTMESTATEOFMINNESOTA.
D. E?WARD AMES REG. NO. 11399 / DATE '
DANtEL R. McGlBBON REG. NO.
UATE
I CERTZFICATE .f SURV$Y ?
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oft ?otiriM r?s wsesct wn?n? mr ? 4 way onmm u+o anns
ur? w tt rtAn w
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ExA;b,t A
aI
OAMSNi $ChCk11
Mayeron&
assonates, trx.
2021 East Hennepin Avenue
Minnrapolis, MN 55413 Engineers
612-331-8660 Surveyurs
FAX331-3606 planners
Easement
NO. 89-4
Location: Lot 10, Btock 2
Blackhawk Pond
DESCRIPTlON OF EASEMENT:
A permanent easement for roadway slopes, cuts and fills and a permanent
conservation easement over, under and atross that part of Lot 10. Block 2.
according to the plat of BIACKHAWK PONO, on file in the office of the County
Recorder, Dakota County, Minnesota, which lies westerly of the following
descriDed line:
Comnencing at the most northerly corner of said Lot 10; thence South 56
degrees 26 minutes 01 seconds East, recard bearing, alon9 the northeasterly
line thereof 70.00 feet to the point af beqinning of the line to be
described; thence South 04 degrees 06 minutes 06 seconds East 88.05 feet to
a point on the southwesterly line of said Lot 10 distant 100.00 feet
southeast of the southwest corner thereof and said line there terminating.
Subject to Drainage and Utility easemen2s dedicated on said dLACiiHAWK POND.
Said permanent easement contalns 4,110 square feet more or less.
NOTE No boundary survey work was performed as io the precise
locaiion ofthis tract.
INEREBYCERTIFVTHATTHISSURVEY,PLAN,ONREVORT WASPREPARED
B ME OR UNDER MY DIRECT SUPVISIONANDTMATIAMADULYREGIS-
DLAND 54RVEYOR E M LAWSOF7HESTA7EOFMINNESOTA.
D. EDWARD AMES REG. NO. 11394 , DATE
UANIELR.MCGIBBON REG.N0.1888] DATE
CERTIFICATE .f SURV$Y ?
Orr t NIor mmrr m?r wn umn. wr, OwK w rwwmunlc m
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3830 P,4cfr 404
E?Ald, MN .
r
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OR
QSX Schelen
Mayeron &
nswnates, lnc.
2021 Easi Hennepm Avenue
Minncapuhs, MN 55413 Fngineers
612-331-8660 Surveyors
FAX 331-3606 Planners
Easement
NO. 89-5
Location: Lot 11, Block 2
Blackhawk Pond
DESCRIPTION OF EASEMENT:
A permanent easement for' roadway slopes, cuts and fills and a permanent
conservation easement over, under and across Lhat part of Lot 11. Blotk 2.
according to the plat of BLACKHAWK POND, on file in the office of the County
Recorder, Dakota County, Minnesota, which lies westerly of the following
described line:
Comnencing at the most northerly corner of said Lat 11; thence South 40
degrees 39 minutes 16 seconds East, record bearing, along the northeasterly
tine thereof 100.00 feet to the point of beginning of the line to be
described; thence South 22 degrees 36 minutes 26 seconds West 96.26 feet
to a point on the southwesterly line of said Lot 11 distant 70.00 feet
southeast of the southwest corner thereof and said line there terminating.
Subject to Dreinage and Utility easements dedicated on said BLACKHAWK POND.
Said permanent easement contains 5,807 square feet more or less.
NOTE: No boundary survey work was performed as to the precise
lo[abon u( thi5 lraCt.
1 HEREBY CERTIFY TNATTHISSURVEY, PLAN, OR REPORT WAS PREPARED
E OR UNDER MY DIRECT SUPERVISION AND THAT 1 AM A DULY REGIS-
E LAN=VEYORUN THESTATEOFMINNESOTA.
. ?1Z16/?.y
D. EDWARD AMES REG. NO. 11394 1 DATE
DANIEL R.MCGIBBON REG.N0.168B3 DATE
CERTIFICATE .f SURVBY
Ore I SURVE. amn vrr Mu SOnar. wr. ai iwn w r? w a 0
wa w waer wuvtswi rs nmt i r rar r? un msm
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STATE OF MINNESOTA
) ss: t"
COUNTY OF DAROTA
The foregoing was acknowledged before? me ?this S T? day of
r # !.jan
198J, by ?je E/li3on , ayo d
.iF ,Tra., uerbe,c'e . City Clerk, of the Ci?y.bf?Eagan, a M nsota
municipal corporation, on behalf of tt?e cor oratign and pnrsuant to
the authority of the City Council. EC . ZABETH A. WITT YPUBUC-M]NNESOTA Nota Public
KOTA COUNTY
laslen F?pitp Hb.14 1Yi1
THIS SNSTRUMENT WAS JRAFTFD 3Y:
HAUGE, EIDE 6 RELLER, P.A.
1260 Yankee Doodle Roa9, #200
Town Centre Professional Bldg.
Eagan, MN 55123
(612)456-9000
6 ljo3
RESIDENTIAL BUII.DING
Permit Application
City Of Eagaa
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
(4-,zg.2s
New Construction ReauiremenLa RemodeVReoair ReauiremenLS OKce Use Oniv
3 registered site surveys showing sq. ft. of lot sq. R of house; and all roofed areas 2 copies of pWn Cert of Survey ReW Y _ N
(ZO% mazimum bt mverage allaved) t set of Energy Calculations for healed additions Trea Pres Plan Recd _ Y _ N
2 copies of pWn showifg beam 8 window sizes; poured tound design, eh. 7 site survey for additions 8 decks Tree Pres Reqd _ Y _ N
isetofEnergyCalculations AddRion-irMkatei/arsifesepficsystem On-siteSeptlcSystem _Y _N
3 copies of Tree Preservation Plan H lot Dlatted after 711/93
Rim Joist Detail Options selecUon sheet (bldgs with 3 or less units
Date p U
Construction Cost ? D ?
Site Address li14?/ A/?
?- ,i,L?br.¢-? UniUSte #
'
Description of Work 8e-?D-(?
Multi-Family Bldg _ Yk- N F7replace(s) _ 0_ 1 _ 2
Property Owner Telephone !? ( )
Contractor 1Q.i5 S ?Qr /J ?2 CItJr?c ?i' !??c.t??°•'i 7t'
Address ?Ta City /V29n'a, b.*? i4/f5
State ?-I/ Zip SS//B Telephone#( 651) 6d( ?7???
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category , Residential Ventilafion Category 1 Worksheet • New Energy Code Worksheet
(J submission lype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a buiiding in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies. -
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
v?•', I?? ?? I
S,_
?h
I Telephone #(
Telephone #(
Telephone # (
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 pians.
,Qu s s ?< ?J72
ApplicanYs Printed Name
Appli ant's Signature
OFFICE U5E ONLY
Sub Types
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous
Work Types
? 30 Accessory Bldg
? 31 6ct. Att - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alterafion ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement •Demolitlon (Entire Bldg) - Give PCA handout to applicaM
Valuation Occupancy MCIES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ plumbing
_ Foundation HVpC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool
Ftgs Air/Gas Tests Final
_ Framing _
_ _
Siding Stucco Stone
_ Fireptace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _ Retaining Wall
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
Building Inspector
SURVEYOR'S CERTIFICATE
SEVERSON HOMES
NOTE: BUILDING qMENSIONS SHOWN ARE FOR FIORIZONfAL fi VERTICAI. LOC- •?
ATION OF STRULTURE ONLY. SEE '
ARCHITECTUAL, PLANS FOR BUILDING .
• d FOUNDATI4N DIMENSIONS. -
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NOTE! NO SPECFIC SOILS INVESTIGATION HAS BEEN
ON TMIS LOT 8Y THE SURVEYOR. TFE.SUtTp OF ?L
SOILS TO SUPWRT THE SPECIFIC HOUSE F. SEO
NOT THE RESPONSIBIUTY OF THE SU
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?- DENOTES PROPOSED SURFACE DRAINAGE GA? ENG1N RING
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - SS8•3 FEEr
X000.0 DENOTES EXISTING ELEVATION PROPOSED IOWEST FLOOR - FEEf
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - SSS•7 FEET
WE HEREBY CERTIFY TO SEVERSON HOMES T?1ATrT? RUE A D¶CORRECT ?
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Loi II , Block 2, BLACKHAWK PONQ, according to ihe reoorded plaf ihereoi,
D?ko!o Ceur.,'Y, nnjrnesCfc.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS IBTH DAY OF FEB. , 1992.
PROPOSED GRAD6 SHOWN WERE
TAKEN FROM THE DEVELOPMENT
PLAN FOR BL/fCKHAWK POND
PREPARm BY PIONEER ENG.
LIST DATED 8-4-88.
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JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
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James R. Hi, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 o BURNSVILLE, MN. 55337 9 612-890-6044
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SURVEYOR'S CERTIFICATE SEVERSON HOMES
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Use BLUE or BLACK Ink �
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I For Office Use � I
� � Permit#: ��� �
clty of ����� � � �� �
� Permit Fee: � �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: � � / I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: � I
I -------� I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
, a Name: �1���,,..GC Jd� ��� Phone: (���� 1�� '��
Residentl „ . �
Owner � "'' Address/City/Zip:
`�4
>';" Applicant is: Owner �antractor
' Description of work: '�a� .�.��r�'
Type of Work
�.� �
"'� Construction Cost: c.�. �.
Muiti-Family Building: (Yes /No_)
.:�. .. >..
�� ���°�9-I Company: �� J�Y'1����„L-�,�j'��Contacfi ���. 1�R,(�L�.�
C'ontractor `�� Address: �l � �7 City: ��
� � State�l�'' Zip: Phone:'"l(v� '�1llEmail:
�,
x License#:_ ����� �\L--� 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?
s _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE::Plans and'supporfing documents'that you submit are,considereal-to be;public informafion: Portions of '
�,the.info�matcon may be cl"ass�fied as non public if you provide spec�fic reasons that would perrr�it the City to
�..... - , � :,.
°� ° � �� �;, conclude,that.�theyare.fcadesecrets. � � �
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.oro
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 lans.
Exterior work authorized by a building permit issued in accordance with the Minneso Stat Building Code must be completed within 180
days of permit issuance.
x VVL X
App anYs Pr�nted me Appli Ys �gnature ,
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130418
Date Issued:04/23/2015
Permit Category:ePermit
Site Address: 1625 Murphy Pkwy
Lot:11 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-110
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Arshad Ahsan
1625 Murphy Pkwy
Eagan MN 55122--175
(651) 797-3395
Advanced Exteriors
7000 57th Ave
Ste 122
Crystal MN 55428-0000
(763) 537-5117
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132565
Date Issued:08/21/2015
Permit Category:ePermit
Site Address: 1625 Murphy Pkwy
Lot:11 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Arshad Ahsan
1625 Murphy Pkwy
Eagan MN 55122--175
Apex Energy Solutions
1509 Southcross Drive West
Burnsville MN 55306
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158803
Date Issued:11/01/2019
Permit Category:ePermit
Site Address: 1625 Murphy Pkwy
Lot:11 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Arshad Ahsan
1625 Murphy Pkwy
Eagan MN 55122--175
(651) 797-3395
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165837
Date Issued:11/23/2020
Permit Category:ePermit
Site Address: 1625 Murphy Pkwy
Lot:11 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Arshad Ahsan
1625 Murphy Pkwy
Eagan MN 55122--175
(507) 202-2602
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature