1626 Murphy Pkwy. - . ? . INSPECTI4N REC4RD
CI`TY OF EAGAN PERMIT TYPE: 3830'Pilot Knob Road Permit Number: i
Eagan, Minnesota 55123 Date Issued: i.,
(612) 681-4675
SITE ADDRESS: APPLICANT:
•' ?141 {,1{; 111 J' 4)Ht! 1
1 A.'c, piiRPllY F'h l!Y
Iq t t1 i t. FI A I•!!: F' I) N I]
PERMIT SUBTYPE:
DUMf ST IC t1EVf i?3#'Mt F! f t N?
( ii 1. ' ? 4`'?l• N:; j f? - .
TYPE OF WORK:
INSPECTION .• . ..
I
.
?f? M+11t h•. k?.1: t; I F' ? 1i .
b' Ft V s 4 W I' [ 1111"
F
L
PsrmR No. Pertnlt Holder Deie Telephone t
S/W
,rLUMBING ,?-
HVAC
ELEcrRic
ELECTRIC
Inspaetlon daie Inap. Comments
Footinfls I /??
F«,ndation f C 3
Framing
Roofis
Roug', Pfbg_ , s4o4 oL
Rough Htg.
lsul. S
Freplace Z
Finai Htg. 4 k43'
Orsat Tesl i/ ? I
Fnal Plbg. ? Pibg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Dedc Flnal
Well
Pr. Disp.
?.?
3
?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
t• .- n?11„ 11 ? VKWY f 1; . ?{ti ,,;?.
1ll 1 A1 t f1AF-iI, PI) Wf) 1? 1?? t,'4.3- 1 0 4 1
,
F r
s
L
ftu f I it I Nill,
H: 4 { ilI
pI 114 I1tA
7
I
PERAAIT SUBTYPE: TYPE OF WORK:
Niu
.
i?4 .? ,. < < ? ? ???? ? 11W: )
Parmit No. Pem?It Holder Date Telephone i!
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Inap. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isui.
Fireplace 1/7- O^ 9 (/ - `
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspeclor - Notify Plumber
Consl. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
• -+r ?
Cferfificate vf Cccuvan.cv
cfit? of c???
?wext nf ???s 3V*-*tdi"
? ?.
?? ? ??
This Certi, ficate issued pursuant to the requirgments of the Uniform Building Code
certifying that at the time of issuance this structure was in compliawe with the various
ordinances of the City regulating 6uilding constructian or use. For t/te fotlowing:
use caanification: SF M sW pmlfil mm 1957
1R3 I PD t _ - _ VN
Buikhng AAdrm 1626 MlftPfiX_ PAiMW Locwm, I32, B1,
oate: 04/29/43
eaiwing offic;al ? -
P05T IN A CONSPlCUOUS PLACE
/?
a16
ReQuest Fire No, Rou9nlns78cfon ?
l qe e0? ? ReeCy Now ill Notitylnepecjoj
?
:? Yes ? No W?Bp FeBtlyi:??
I -icensed contractor ? owner hereby request inspection of above electrica ork
Job tl ress ( eet, BOx or Ro .? Cly
...
_
: G.-
` ' '
?/ ?.i
Section No. Township Name or No. ange No. Cou
an1iPRINTi • Ph n N
POwBf u MtlfB%
M1 ?
J ?
EI t ai Comrac r ?COmpany e)
• cMOr Lic N.
Ma ?? Ore i on aMO ner Making InslallaY n?
t ?
Aul rize0 Si aWre iC n ac r wner M in I sallabo P u ?er ?
MINNESOTA STA E BOAqp OF ELECTRICITY THIS INSPECTION PEOUEST WIIL NOT
Grigge-MlEway Bltlg. - Noom 5-113 8E ACCEPTED 8V THE $TATE BOARD
1821 University Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
'O'?? 642-OB00 ENCLOSED.
REOl1EST FOR ELECTRICAL INSPECTION Ee,ooom-oe
p / ?? See insimc[ions for com0leting this Porm on back oF yellow copy. ?75
69 `-?`['9 3"X° Below Work Covered by This Request '7(„5 oZ,
0
(d d. tFep. Type of Bu ilding AppliancesWired EpuipmentWiretl
Home afige Temporery Service
Duplez Water Heater Electric Heating
Apt Building Dr OtheF(Specity)
Comm./Induslrial urnace
Farm Air Con itioner
O[her (sVe00 Contrador5 RemaBs
Compute Inspection Fee Belaw: r
# Other Fee # ServicaEntrance5ize Fee # Circud5/Feetler5 Fee
Swimming Pool 0 to 200 Amps 0 to 700 Am)s
Transformers Above 200 _ Amps A6nve1p0 - Amps
Si9n5 Inspeda's Use Onty: 'roT Lif c^
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY B DISCO IF NO$ o
Other Fee COMPLETED WITHIN 18 S.
I, the Elecirical Inspector, here6y
certitythattheaboveinspectionhas
been made. Rouqn-;n
F;nai p
OFFICE USE ONLV '
Thls request void 18 mamhs trom '
Address 1626 M[iBPHY PARKL,TAY Zip 5512 2
Lot Blk 1 Sub sLA.KHAWx PLxID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: 04/29/93 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry) f
Permanent driveway ?
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch V/
Basement finish
Deck ? 00+ (?44-, c
Please verify with the builder the removal of roof test caps from the ¢lumbing system and the shut-off of watet supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
?C CITY OP EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
cRZ9339
PERMITTYPE: BuILnING
Permit Number: 024134
Date Issued: g 7/1 q/g q
1626 MURPHY PKWY
LOT: 32 BLOCK: 1
BLACKNAWK POND
P.I.N.: 10-14395-320-01
DESCRIPTION:
(GAS)
Building-Permit Type FIREPLACE
),Building Work Type NEW
?
/i .
?
.,
??????? (:Ur?1 C?f?;?Cli!;
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: -
FIRE3IDE CORNER INC
2700 N FAIRVIEW
RpSEVILLE MN
(612) 633-1042
APPiicar,t - sT. Lxc. OWNER:
16331092 0001068 DOMESTIC DEVEI.OPMENT
14244 GARDEN VIEW OR
55113 APPLE VALLEY MN 55124
(612)432-9316
L-
I hereby acknowled9e that I have read this application and state that the
inFormation is carrect and agree to comply with all applicable State afi Mn.
5tatutes and City of Eagan Ordinances.
APPLIC ERMIT SI ATU
,n Rsl?. I rnd
-MMED 6YISIG TUR°?E IT-
-j
1.4,134
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
?.5-'S?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 capy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work 94 S ?'7S
kZ
Site Address: J_
?
STREET SUtTE #
Tenant Name: (commercial only)
LOT _j I F?LOCK SUBD ? /?„??? v'??M ? P , i . D . #
Descri tion of work: &,0 T' Qlt
The applicant is: ? Owner EyContractor ? Other ( escribe)
Name Phone
Property _
LAST F,R
Owner ?
qddress U,til
STREET SiE M
City State Zip S?z
Company Phone S2q01)1S?>
Contractor Address 2??(I ??I License Exp.
City State /N ?/ Zip 5511 3
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . 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 all applicable State of Minnesota 5tatutes and City of
Eagan Ordinances.
Signature of Applicant:
R OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 foundation ? 06 Duplex p 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? .Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Yariance
11 Footing
? Final
w
._. ? ? ? • p' + ?
r 'EI 16 Basement Finish
? 17 Swim Pool
0 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
fire 5prinkler
Census Cade
SAC Code
Census Bldg
Census Unit
Assessments
? framing ? Insulation
? Oraintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Capies
Other
Total:
valuec;m: $
SAC %
SAC Units
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
SITE
NO. FIX1'[JRES EACH TOT?
? SHOWER 3,00
? WA1'ER CLASET 3,00
BAT'H TUB 3.00
? LAVATORY 3•00 ? ? • ? °
KITCHEN SINK 3.00
o ?
3-
L LAUNDRY TRAY 3.00 3. o°
_ HOT TUB/SPA 3•00
WATER HEATER 3.00 3- o 0
-
FLOOR DRAIN 3•00 37
' ?
? GAS PIPING OUTLET • minimum - t 3.00 V•?`?
I ROUGH OPENINGS u a+ Bo.,n 1.50 ?S v
WATER SOFTENER 5.00
PRIVATE DISP. • DakCry.lic. 15.00
U.G. SPRINKI,ER ' home under conat. 3.00
ALTERATIONS • w adating 15.00
WATER TURN AROUND 15.00
STATE SURCNARGE .50
(,'?. . o 0
TOTAL:
nnuFSS? I l? ?L i`y.v..???Gu
- lz5 \ n-c-w. hu? K- 'e sti n1
OWNER NAME: ?Or?•.,aA;c-
INSTALLER: ?ANn H_6\.s
ADDRESS: F;Ws: C0.M/o?S.e..l l.5 a-N-
CITY
STATE: r'p-- ZIP CODE: SS (S '"'
PHONE#:(?t Z) V1-3- 3-)30
TURE
1993 PLUMBING PERMIT (RESIDENTfAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMIvERCIALdINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIItED FOR EACH
DWELLING UNTT.
_ NEW CONSTRUGTION
.4,7D ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE SSO FOR EACIi S1,000 OF "M FEE.
MINIMUM FEE $ 25.00
CONT'RAGT PRICE X 1% $
STATE SURCHARGE
TOTAL
SITE ADDRESS:
$
$
TENANT NAME: STE. #
OWNER NAHiE:
WSTALLER:
ADDRESS:
CITY:
PHONE #:
CITY OF EAGAN
STATE:
ZIP CODE:'
APPLICANT
1993 PLUMBING PIILMIT (CONIlVIIItCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
CITY OF EAGAN
L 3a?3???? ?? ? ?? MECHAHICAL PERMIT RECEIPT #/05(0
SUBD. ?1Z1?? (612) 651-4675 DATE 1 -,kS'-93
RESIDENTWL
PLFdSE COMPLEfE UPPER PORTION ONLY FOR SIINGLE FAMIIY DWF.Li.IIdGS. AISO, COMPLEfE FOR
TOR'NHOMFS/CONDOS R'HEN SEPARATE PIItMITS ARE REQUIRED FOA EACH DWELLING iTNIT.
OWNER: DOMESTIC DEVELOPMENT FEE,g
SI1'E ADDRFSS:
1626 Murphy Pkwy ADD ON/REMODEL (EXISTIIVG
CONSTRUC170N ONLl) $ 15.00
INSTALLER: Fredrickson Heating & A.C., Inc. HVAC: 0-100MBTU 125,000 BTU 24.00
°::3R'E N: 452-2775 :3?D?1'iONA?. S!! M R'!U &.90
pDDgFSS; 3650 Kennebec Dr.,#101 GAS OU1ZEfS • MIINIMUM 1@$3 EA. 3.00
CI7Ys Ea an ZIP: 55122 SURCHARGE $ .50
SIGNATURE: TOTAL: $ 33.50
U "
COMMERCIAL
PLEASE COMPLEfE THIS PORTION FOR ALL COMMERCW/INDUSTRLIL BUII.DINGS. ALSO COMPLETE FOR
APARTME[VT BUILDINGS OR OTHER MLTLTI-FA.*iILY 9UII.DINGS S'VHEN SEPARATE PERMII'S ARE NOT REQUIRED FOR
EACH DR'ELLING UNTf.
WORK DFSCRIPTION:
OR'NER:
SI1'E ADDRESS:
T'ENAIVI':
SUIT'E #:
IIVSTALIER:
ADDRFSS:
CI1'P:
PHONE #:
SIGNATURE:
CONTRACI' PRICE I FEES
1% OF CONTRACf FEE. I
STATE SURCAARGE IS $-" FOR EACH r
$1,000 OF PIItMIT FEE. ?$
P:LOC:wSEL'•
?$
MINIMUM FF,E - 525.00
TOTAL:
S
CITY SIGNATURE
ZIP:
/s, P
/
LOT ? ?LACK ? SUBD. ? y?2a?l
RECEIPT #
CITY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PERMTT
1993
Date: '5-- .2- / - 9 3
_ Commercial project
_?( Residential pmject
Existing residence
Area/address to be sprinklered:
Installer: ??n ,
Street address:
City, state & zi
Telephone #:
Owner name:
Street address
City, state & ;
Phone #:
.
Fraigatloa cen*_r?ctor, ef da"fferent:
Phone #: i'S / -9 q ! /
I hereby acknowledge that I have read this application a.
to comply with all applicable City of Eagan ordinances.
ns
7 Zo-l?
New service required 1,2 /?
Fee due: $ Calculated by:
that the information is wrrect and agree
CITY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PROCEDURE
1993
1. Plans must be submitted to the City's engineering department for approval before
installing a lawn sprinkler system. ff digging in the boulevard, a right-of-way permit
may be requ'ued.
2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing
of the meter.
3. Jerry Wobschall, Finance Department, wil] calculate permit fees as follows:
a. Commercial proiect: $ 25.50 plumbing permit.
$ 50.50 water permit fee only if new service is installed.
$100.00 per tap if installed by City. Please consult with
engineering department regarding feasibility of City
installation (Ciry will only install taps up to 1").
b. Residential project:
if new service is installed.
WAC.
$324.00 per connection - water treatment plant.
$ 15.50 plumbing permit.
$ 50.50 water permit fee
$695.00 per connection -
c. ExistinQ residence: $15.50 plumbing permit -(not required if 'backflow
preventor previously installed) however plan must still be
presented for apprrnal and an application must be filled
out.
4. Once meter size is determined, b»ilding inspections clerk typist vrill contact utility
biliing clerk for cost and notify installer of all costs associated with project. Tf new
service ]ines are not required, one check may be written for meter and permit costs.
No meter will be sold before all sewer and water inspections sre rnmplete on a new
service--(engineering department will advise utility billing clerk when meter can be
sold). Receipt will be coded to 20.3716 (meter portion only) with pink copy
fonvarded to utility billing clerk.
5. The installer is to contact building inspections division at 681-4675 for inspection of
the inside water line and backflow preventor. T'he public works department may be
reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are
8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should
be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon that day.
i
LOT UL BLOCK ? SUBD.
RECEIPT # CR O OAM '#? 9 0311?
CITY OF EAGAN
SEWER/WATER REPAIIt PERMTT
1993
Date: i/s?%3
?
Sewer X_ Water
Description: R4P /9s/o L6,-1- ft Ic G
Fee: $50.50
Gv.4rfG S,E.???Cf_
Area/address to be repaired: _?? 9 -6 _YYti!1ttiR_oO l-4 / pi4RKW4 -_/__^,
Installer: 0A6fN Fvc 4!c t. CrWlp %H€w o.r?wEc
Street address: 1 oS 3 QAi o wr,r C/t•
City, state & zip: A- U• /0 ti - 'ff /-? -/
Telephone #: 43 9"17)-T
Owner name:
Street address: SA^^' k-'
Ciry, state & zip:
Phone #: SA^^.e
Signature bf Permittee
PERMIT
CITY OF EAGAN
. 3830 Pilot Knob Road PERMIT TYPE: e uTLIDr Ns
Eagan, Minnesota 55123 Permit Number: ?, ? y g? ?
(612) 681-4675 Date Issued: 12 / Z 4 / 9 z
SITE ADDRESS:
162e rquRaHv Pnwv
Lnr: e03'2 BLOr,K: 0ee1
BIflCKMAWK POND
P.T. M. : 10--14395-320--0 1
DESCRIPTION:
Building Permit Type
, NuildxnG-.1-Jcirk 'lypd
U8C Occupancy
Construction 1'?upe
Zoning
BuiLding Length
8ui1cl3,ng Wa.dCh '
SF OWG
IVE4.!
R-3 M--1
V-- N
PC1 R-1
70
42
-7
2%
REMARKS:
12ECi:IPT # ? ''C ;? I &
FEE SUMMARY:
t:,r,,u,? Fe e
Pl.an Revisw
Surchargp
SAf:
sFC o
SaC I,Ini_t.s
Lic. Search Fae
Suhtntal
PRV
vA L U rnTrnN
$:8£36 .58
$574.93
$85.00
7e??oo
100
1
$2,249.13
S & W PL3R -
1170,000
Mrsr.Ei_LAniEOus 50
ToLal f"ce $3,859.93
CONTRACTOR: - Applicanti -- sT. LzCOWNER:
DOMESTIC DEVELOPMENT INC 14329316 0003263 OOMESTIC DEVFLOPMENT 7NC
5421'1 6ARDEYJ VTEW pIR 14244 GARUEN V.T.EW C11i
FlPPLF VALLEY MN 551.24 HPPLE VALL[Y MN 55124
(61.2) 432-931E (67.2)432-931.6
I hereby acknowledge that T have read thi.s applicatican and stiate that the
informaCion is corract arid agi•ee to comply aiY.h al1 applicabSe 5tate ot Mn.
5tatute an Cit of Eayan qrdinaricas.
I(1 1?y11-
APPIICANT/PERMITEE SIGNATURE ISSUED V: IGNATVJRE ?
#
{.? ?fIYR7E
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675 10C 2 n RM
SINGLE b MULTI-FAMILY 2 sets af 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 ?vhich re uest is made or lot chan e is.re uested once ermit is issued.
Date December / 22 ? 1992 yaluation of work $192,000.00
$iLE AdfIPESS: 1626 Murphy Parkway
STREET SUITE O?
Tenant Name: (commercial only)
ypT 32 BIACK 1 SUBD. Blackhawk Pond p•I•D• 0 10-14395-320-01
Descri tion af work:
The applicant is: p Owner I@ Contractor O Other coeB«rbe>
Property Name Gramowski, Robert M. and Sandra L. PhOiie. (612) 431-6932
usT F,RST
Owner
Address 13832 Pennock Court
STREET STE I
City Apple Valley State Minnesota_ ZjP 55124
Company Domestic Development, Inc. Phone (612) 432-9316
Contractor Ccc?r; ? zQ-??„R?
Address 14244 Garden View Drive License # 3263 EXp. 3-94
City Apple Va11ey Stdte Minnesota jjP 55124
Company Phone
Architect/
Engtneer Name Registration #
Address
City State Zip
Sewer 3 water licensed plumber . Processing time for
sewer 8 water permits is two days once area as een approved.
I hereby acknowledge that I have rea this a lication and state that the information is
correct and agree to comply with pli e State of Minnesota 5tatutes 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.
? 06 Duplex
? 07 4-Plex
?,08 8-Plex
O 09 l2-Plex
? 10 Multi. Add'1
? 11 Apt./Lodging
O 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
WORK TYPE
X 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL iNFORMATION
O 35 Tenant Finish
, O 36 Move
Am
?. -
.? ..
[5 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actuat) v-N Basement sq. ft.
(Allowa6le) V- lst F1. sq. ft.
UBC Occupancy -? 2nd F1. sq. ft.
Zoning _??_1 Sq. Ft. total
# of Stories Footprint Sq. ft.
length ? On-site well
Depth y On-site sewage
APPROVALS
Planning Building
Engineering _ Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
13 Footing
? Final
MWCC System ` ES
City Water Y?h
PRV Required ?C
Booster Pump
Fire Sprinkler
Census Code )01
SAC Code 01
Assessments
0 Framing ? Insulation
O Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/Y Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % 100
SAC Units
Yalustion: f I7OOG?D? ZHFL**R?
CiARA,6Et 30%34??2= ?V3$ 3G'4ZB?/oog
Z x 18= 3.
lOX 10? 1617) I0 X14=140
2 X 12 I? Igy x53=
3ox35%Z= / 065 911 ? IG= !4 5'76 Gz ?5?-
`7'?x x 27 (iS) '
!oXly? fyb
3K?Zr }?6 .
?x?' ?? 3K I5c
FbRt.d;- 14X1?=/68
3K3= (9)
6yzx3= (Ro)
I Sr ??.cwt ; I q5° 6,255
re3x3h- j2S3 .. G6? 9 39
r f 69, 3 i?1
/$117 9'S
I+OT BIIROEY CSECKLIBT FOR REBIDENTIAL
BOILDIN3 PSRlIIT 7?FPLICl1TION
? pROpFRTY LBQAL=? /? /
L
l ?"
?
? ?
?
-
• ?
? Date of Survep:
D9CIIKE
/ NT ST A g
P ?
? -
• Registered Land Surveyor siqnature an8 company
Building Permit Applicant
[] • Leqal description
0
w, 0 0
0 •
• Address
4??
0
• North arrow and bar scale
House type (rambler, walkout, eplit w/o, split entry
?. ,
lookout, etc.)
?
? O Directional
dient !.
as
r
s
8
,, O Q ? Proposed/existing
ewer
and wa er
services
?0 Street name
0 , Driveway
ELBVATIONB
0 ff? ?
Er
• Eslst3na
Sewer service
0
?o D
0 •
• Lot corners
? O
0
• Top of curb at the driveway
Elevations of any existinq adjacent homes
Proooaea
0?0
2? 0 0 • Garaqe floor
V 0 0
D • First floor
Er 0
0
• Lowest exposed elevation (walkout/window)
C' 13
0
• Property corners
Front and rear of home at the foundation
Y4NDINO AREAS (if aonlieabl.l
0 ly 0 • Easement line
O c' ? • NwL
O B' ? • HwL
0?
0 0 • Pond N desiqnation
0 • Emerqency Overflow Elevation
DIMENBIONB •
p Lot lines
? O O ,
? Riqht-of-way and street width (to beck of curb)
Proposed home dimensions including any proposed decks
,
overhangs greater than 21, porches, etc. (i.e, all
L? 0
0 Btructures requiring permanent footings)
• Show all easements of record and any City utilities within
thoee
?' ?
0
• easements
Setbacks of pro osed structur and setback oP adjacent
? existing ho
D 0
Retainin a re m
en, f a ny
- 4
Reviewed
:. 1:?2 ,eZJ --C?
Octobe
r 1992 .
N e ate
/
,
. ?s• ...
- EXTERIOR ENVELOPE T.iERNrAL 1RANSMITTANCE
STANDARD WORKSHEET
Site Address_Ib?i? s?1???9'1? ?/?R?C?t/??? owmer 0.?::?
Contractor j?,,.,?, r?rf.r..?` ?/r./?'?i? ,? s.i./ Phone
Building Type "Al" Residantlal S_L "Ay" <3 atocies, ?L "8".0ther
As'sembly (Describe type from Table 3 or Area (A1' U-Value +' . U-x A:
show calculztions on Page 2) (Sq Ft) -? , -
Insulated Area
o Framin Area
? Sk li hts e`-
H Other (describe)
u
U n ,
•
1 ToCals /? &00
2 Avera e U-Value, (UxA)/(A) from Line 1 *???*? ? •.-f+?***?
3 Fe uired U-Value (Trom table).
Insulated Area
Framin Area
Windows TvPe
?
"
.
Doors, T• e ` /? ?a^a .i° ,?.?.r::•,?,r,a?%Y.rr. °,? O ?riL??r -
Rim Joist Area
-?4 a e7 r
FSreplace V1a11xFi
?;?:!},?c?
.
.
3 Foundation {r'all (above rade )
% Foundation Windows
Type
2 g - '
,
_
oA-
? Other (deseribe)
r , . .f ._?,; •.... . .
4 Totals
,
5 Avera e U-Value, (UxA)/(A) from Line'4 `?*+?+?*• . ? '' ? :;+*_a+?r.er?e.^
6 Re uired U-Value (from table) ?***** r*r??r*
IF line 2 is greatez.than Line 3, or Line 5 greater than Line 6, complete
$ the following to determipe reduation of llxA needed to meet code'c °
? 7 Area (Line 1) + Area (Line 4)
,..
+
,
_
? 8 U x A(Line 1) + UxA (Liae 4)
+ e • rr?r?*• '
,
o ? Area (Line 1) x U-Value(Line 3) x = '?rr*x•
? 10 Area (Line 4) x U-VaIue(Line 6) x --
,.
W
? 1 Budget, Line q+ Line 10 ri4eir+rr'f?:
0 12 Actual (Line 8) - Budget(Line 11) - _. ?+?*?ra¦
-
.
?
If line 72 is greater than 0, adjust assemblies'.to reduce Line 'E to be 'less
than or equal to Liae 11
?? .
?. ;,
?..
Assenbl
Materi escr e xc aes
u Assembl
Haterial? eser e: c ness
,R-Value
..? z2
? ? ?
?
?e"',. ?,r:'.`••;,;^
+
.
tf
.
iy u-vaiue kcncer on rg. 11 I ,07Y' ? l Assembly WValue (Enter on•Pg. 1) 1 ?nWrp
..4#ci0'it.q Assembl ??..'. .,../..?,.. u .
l?
a1 escr e yc ess R- lue ateri e ra e. T c ess R-V Ue
C.?J ??S.S
r `?. ? c J% ?? tl f•' G _..
or f-Value • - ? , ? [Interior f-Value ° or P-Value r f-Value= Assambly Thezmal Rsse 1 Thermal Res staace
y V-V?Ue Enter OA ¢. 1) IO?Valura Entnr. nn iPo.7 .h n
ASSeAnbl cF`??fJt Sf? "?.?n..?.c?t/. c4li11w9"YI A?SCmbl .r,r?Sf?G /`? e( .-c?;t.?'.// ?..??L??
Mater a cr e T ness R- alue Mater al O escr e Thic ness R- alue
!Jlw?•9? .!A..IIa? ?; f,,°j . ? a .. $/ 'c? .
t? y ? [t.? /? -'?/. . i,,/r..?o-,?.c/Yl( .d'f.?r At IrAf. .,???/ d_ .' ?/'?f
?. . _.
Iaterior f-Value , Interior F-Yalue ?
Exterior f-Valuc xterior f-Value
.
Total Assembl Thermal Resistance otal Asse ThetKnal Resistance
Assembl U-Value Enter on P, 1 Assembl U-Value Entcr on
Assembl Assembl -
Material escri e ic ness R-Value Material escr e - Th ckness R-Value
q , .
' . . ' .. ' . .:' :! ..
, j1'J
/r^'l? A t?j • /
/ U
Int r or f-Vo ue , Interior f-Va1ue'-
xterior f- alue . Exterior f-Value.
Total Assembl Thesmal Resistance ,•r Total Assembl Thermal Resistance
ssambly U-Value Eater on Pg. 1 ? Assembly U-Value Enter on.Pg.7i
EXfERIOR EN:VELOPE NORKSHEET. `.".
HOk 2;
;.
: ? -
?
Site pddress,
ConLractor <?z
Building Type
EXTERIOA ENVELpPE T'rIERMAL TRANSMITTANCE
STANDARD WORKSHEET
Owner Fs.r_?1,Iu,raoo..?yE.?0
c. ?? /s• ? x•i -Phone 67- A/ Date.,l?
"Al" Residential ,_{ > "Ap"< 3 stociea -( } "B"Other
Ashem6ly.(Describa type fran Table 3 or Area (A)' U-Value < U x A
show calculations on Page 2) (Sq Ft) •-• ,
Tnsulated Area
o Framin Area .2 .d . ..00?
m Sk li ht -?--
-
s, T e r-
-
? Other (describe)
U
1 Totals /? ?rr?r?¦ , 6 '
2
1 Avera e U-Value. (UxA)/(A) from Line 1
1. F.e uired U-Va2ue (from table) .. ?+?+?** .0 .6 ' ?+rn*a¦
Insulated Area
Framin Area
Windvas, Tv e
?
Doors._ TyPe
Rim Joist Area '"?:= .?,,P• ? w.,5,/'?fi• :'%?4".,,, ' ?j
? Fireplzee Y7211 ??L0 4L? -..?? -.
:1 Foundation Wall (above rade)
? Foundation WindoMS, Type o-_ ' •
Other (describe)
X
a' ?? , ,. rc.?e•. : , ....
n . . . ..,..
G Totals , :3fa4:" .. ??rraxr • .? . ,;
5 Average U-Value (UxA)/(A) from Line 4 +++???+?* ,``??;Q„S"?.:Y;•° .. •er.erx
6 Required U-Value (from table)
IE line 2 is gceater.than Line 3?,?or Line 5 qzeater than Line 6, complete '
.8 the following to determine reductfon of UXA,needed to meet,code.
5- 7 Area (Line 1) + Area (Line A), ' + _ --? .
2: 8 U x A(Line 1) + UxA (Line 4), +` e ?; r?r?rs
f
0 ?
9 Area (Line Wx U-V31ue (Line 3) r. _ "+?+???*f ••?= ."
` `'.
,
•
G 10 Area (Ltne 4) x U-VaIue(Line 6)?x = ,'w?**?r*;,1;, `'
•` "
? t Budget, Line 9+ Line 10 - :: f*rr?r..?; - '?= 5,•.
0 12 Actual (Line 8) - Budget(Line 11). - ?:•+?*+???? '
F If line 12 is greater than 0, adjust assemblies .to`reduce Lioe 8 to be'less
thzn or equal to Line 11
? ? ? •? ? sl' ? ? ??S.l s.???e.?_ ? ? ,, ? .
G"C' t 1 ??? 6' ; 'I^'"/ IY'7?IC+ F?. ?? ... '
0
? •? „ ?'VI? iv?
/?N/ „•
4
y/
.
.
U nte ior -Va
ue___ ,/ xterior -Value, ,
nssemoiy u-vaiue %Lnter on rg, i) 1,0//J
Assemblvitp..,,.?.,,«• ,/,.., 1!_ .
hSaterial escri e Tc ess R-l?Alue
1..? . /C ? :..1
(
'.::?.,. . .. .. .
Interior -Value
xter or -Va ue
Tot AsseWbl Thermal
Reszstance ,
Asse U-Valua Enter on' g. 1
..r.acx v X?
( Hater a r
. ?? -i,S.Cs1_le ....-
.?
,! u
P?
?
As
, .en.n.. ..?,?-.,..
?L
,
e cr e ? h c? ess R-i
- ' • _ _ . '??_ iI ^ . ??
. . .. , _ . _. 'a ?
... ;;.?
, ii .?,} ...... .. .... ... .'
. . , ,
. ..
E=Value,_ . G
.:VALtlR ? "?:. ..?.p . y.. ? . . . /
h." Q
Y ?. ? ? •, 1?/
nMt? ? o
Interior f=Yalue , ?. •:cs.?.??,:;.,:•.;, • ,, r:.
on rg. 11 I.d°J lAss
Asseinblyi.
?4 <<.
A.^.sembl . .
Mater al escri e Th c ness R-Value Haterial escr e,-.. Th ckness R-Value ?
rl.. Z
?,.? • ?„. ., ?
r
?
t I/
:. .
.
.
..?i .. ?.-..-._ .. .,?
Int ior f-V ue interior: f-Value~J- :( f i??? • ,
xterior f- alue- Exterior f-Value,: :`.
Total Assembl Thetmal Res stance Tota1 Assembl Thetsnal-Resistance ?- •
ssembly U-Value Eater on Pg. 1 ? sse ly U-Value;.? Enter.ontPg.i
EXTERIOR ENVELOPE NORKSHEET ;`.i,'1
. .. .?..
"
Certifi.cate of flouse Location For: ?Damestic •Development Inc. 167/5
DELMAR H. SCHWANZ
LOJO .UWA.OFM IPIC.
n.v4w.e u-dw "w. a nr s.e. ar M4?wa? .
' 11750 SOUTM pOBERT TMIL qOSEMOUNT, MINNESOTA 55056 612/123-1789
SURVEYOR'S CERTIFICATE
Scale: 1 inch = 40 feet
O = Iron pipe monument
o= Set hub.: at buildinq offset
x42b " _ &xistinq spot elevation
/
30 = Proposed elevation
BM: Top of sanitary sever manhole opposite westerly.lot line = 847.84
PropoBed qazaqe flooz elev. = B4?i, S
,,?9 ' 8 rpQ?: ?af? Proposed'top of block elev. = BQ?,
y?' Proposed lovest level elev. o ?
• ? _X3?
? q /ti
D
1
844?
.0p /Vg "
g40 yI
? k h,'J v 6
/ ?tl1J
TdP'?u,? ?e „ q44.6
= 8a9.7 c , ti''' /?
7Z)P
?
`- h \ x\Q \6c
y
y ?\
' \ \
l M y `\ \
'a\
. . ' ?. ? 9s •,?
?_ • \
?? J °?iy \ I • \\
m ,
Description:
/ S
Lot 32, Block 1, BLA,CKIIAF7R POND, accordinq /
to the recorded plat thereof, Dakota County,
Minnesota.
Also showing the location of a proposed
house staked thereon.
$Y ?--? ?
?TDIZP?T
,
Fo-)o Fc-)) 0 1:J o r-Qum V ll Il -?: L:`l --?.
10\\?;1; ll; i I!: Nt! ? !y\???????E?.?^? :s.?
1 heroby cMiTy Ihat tAla survay. plan. or report wes i.?
propered by me or un0er my Airact auperviaion end
? • DELNii4li
Ihal I em a Cuy RepistsraA Lsnd Sunayor unMr
tne lews ol 1M State ol Minnesota. SCiiVV;?fVZ
" - 862a -
o.tea 12-21-92 M„m?«a: ?o irnron No. ee2s
?'.,°6?;+a•...._ ....:?."...
*City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: I (L+900
Permit Fee: 105_
0 /- DS
Date Received:
Staff:
IIf
gAle
2013 RESIDENTIAL
IA-�L BUILDING PERMIT APPLICATION
Date:9 —/b----/3 Site Address: / N c Ho- - e 11 c A.4I4 l0` Unit #:
Resident/
Owner
Name: A - ,u) Tike- `Q. ui Phone:
Address / City / Zip:
Applicant is: Owner Contractor
Type of Work
Description of work: ' k -+Q, i' 0
Construction Cost: eg6 C7Q 00 Multi -Family Building: (Yes / No )
Contractor
o.
Company: CCJM (VIVA,/ CIJ/1.4cC lntact: Kii, r
Address: It $ 0 ! EA-bL-v gift S' City: b.�Let- Kr)
State: i Zip: ;J &39_,.% Phone: 95—c3 ine7D0 - -3-7 g6
License #: bf3'73q 1/ Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
_Yes _No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _. .
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and
the information
supporting documents that you submit are considered to be public information. Portions of
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.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 Buil g Code must be corn -ted within 180
days of permit issuance.
1 L
x ?\ t
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167981
Date Issued:04/05/2021
Permit Category:ePermit
Site Address: 1626 Murphy Pkwy
Lot:32 Block: 1 Addition: Blackhawk Pond
PID:10-14395-01-320
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Autrey O & Sarita J Ivy
1626 Murphy Pkwy
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature