1630 Murphy PkwyCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
S1TE AQDRESS:
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
i oate Issued: APPLICANT:
t-• x rn? ? , , . . . ?
I
? i 1: 1. • ? ? 4 ? l !v_ 1 r i; 1 .
TYPE OF WORK:
ra G.?
MSPECTION r• • DA
? '? ' . . ... ;
RfrtA k x% f V0 vj - , & a rilltit
.
?-?-
t p t
G
permft No. Pormit Holder Date Telephone M
SNV
PLUMBtNG
HVAC Ow
ELECTRI
ELECTRI
Inspectlon Date Insp. Comments
Footings 1
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
lsul. %Q ? ao
Flreplace
Final Htg. '/.l? ?
a
Orsat Tsst ?, J?
?J
Final PIDg.
7 Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
well
Pr. Disp.
?1??'3
+!r a • ?
? r" ? •
(?ertijica#e 4 cccupanc?
Wi? ?? ???
MCOaftwenf ? ??? 3840ecdnx
?This Cenificate isstced pursuant to the requirements of the Uniform Building Code
cerrifying that at the time af issuance this structure was in compliance with the variaus
ordinances of the City regetlating buildireg construction or use. For the fol[owing:
use clsssirxat;oo: - SF DWG ewg. Ptmuc No. 21878
O-UP-Y TS'M R3/'M I Zoaina Disaicx PD/ 4 l Type Consi. VN
Owoerot suileios SIBSET & AS90r: I2C. qd*.s 201 3-M ST E, XFM
? Bwb;g Ad6m, 1630 MIRPFtY PARWAY Local;,y133, B 1, N-AMlAidZ PM
01/27/Q4
8,,;?0? - .
Posr iN a cONsPIcuous PLncE
0 1-4
NewConstruction Reouirements
• 3 registeed site surveys showirg sq. R of b4 sq. fl of house; an0 all rwfed areas
(20% mazimum bt caerege allowed)
. 2 oopies of plan sfawing beam 8 windax sizes, Poured (ountl desyn, etc.)
• 1 set of Energy Caiaa6au
• 3 wpies of Tree Preservafion Poan H lot platted after 711193
• Rim Josl Detaii Oplions selecAOn sheet (Wdgs with 3 or less unifs)
DaTe _ _`f-,a-t)t
jJB SITE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER 3s,-_,D?1c.Un S. Mxv`i
7YPE OP WORK
APPLICANT _
ADDRESS ?
PAGER # _
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
\ N"
FIREPLACE(S) &0 _1 _2 _3
PHONE# 651-q5y q(,l(,--
ZIPCODE SSI?-eL
VALUATION (EXCLUDING LAND) f o?S , I-) C) U _ ?
PHONE # U &SI - 303 -W2 0 FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Cate9ory _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor: _
blechanical S}stem Includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery• System
Phone #
O:d b
Fee: $90.00
Fee: $70.00
Phone #
All above infortnation must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith
ati applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf - ??
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
_ Water Softener _
Water Hea[er
l No. of Baths
RemadeUiieoair Reauirements - -1 -6 (
. 2 copies of pWn
. 1 sel of Energy CalaWtioin for heated additiorts
• 1 stte survey for exlerior addiEom & decks
Phone #:
Lawn Sprinkler
N0. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of_plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
.?33 Altera6on
? 34 Repiacement
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
0 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ent. Alt - SF
E3 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
'Demolition (Entire Bldg only) - Give PCA handout to applieant
Valuation 2,UOG Occupancy
Census Code u 3 y Zoning
SAC Units a t Stories
Nbr. of Units U Sq. Ft.
Nbr. of Bldgs ? Length
Type of Const vnl Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings(addirion)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ A'u Test _ Final
Insulation
Pp
MClES System
City Watei
Booster Pump
PRV
Fire Sprinkiered
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_X Plumbing
_3(' HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved ByC) 6 , Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 OS-plex ? 13 16-plex
? 08 06-plex ? 16 Firepiace
? 09 07-plex ? 77 Garege
? 10 08-plex ? 18 Deck
? 17 10-plex ??9 Lower Levei
? 12 12-plex Plbg?or _ N
io ov Y3
M 13967 !5<98 y-
Request Date Fi?e No. Rough-in Inspection
Pequiretl?
? Yes No NOTICE: You Must Call Electrical Inspector
II A Rougn-In Inspeclion
Is Requirea.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Street, Box or Rwta No.) Ciry
$edian No. Tawns ip Neme or . R e No. Coumy1
\
Occupan[ (PRIM)
v d?,sse« Phone No.
??q-Y/?'
Paver Supplier Atltlress
ElecUkal Conhacbr (Company Name) Con[ractor§ License No.
Mailinq Atldress (Conirector or Owner Making Installation)
= r/Owner Making Installation , be Number
MINNESOTA 5T E BOA OF ELECTpIG?T1? d THIS INSPECTION REQUEST WILL NOT
Gtlggs-Mitlway Bltlg. - Room 6113 / L?d? ryy O? BE ACCEPTED BYTHE STATE BOARD
1821 Unlveralry Ave. SL Paul, MN 55104 (_ /L. UNLE55 PROPER INSPECTION FEE IS
Phona (812) 64241800 ? `? S4, ENCLOSED.
/aS REQUEST FOR ELECTRICAL INSPECTION
? Seeinstmdions lor complating this brm on back of yellow copy.
M 13967 -'X' Below Work Covered by This Request
000y80
? ''3 MX?f lA
e ArJd ReA? Type of Building AppliancesWirad EquipmentWired
Home Range Temporary Service
Duplex Water Heater FJgctric Heating
Apt. Building Dryer Loa?Management
Comm./Indusirial Furnace Other (Specify)
Farm Air Conditioner
Other (speciy) Canbactor$ Remarks:
Compute lnspectian Fee Below:
# Olher Fee # ServiCeEntranCeSize Fee # Cimuits/Feeders Fee
Swimming Pool ? 0 to 200 Amps o ta 100 Amps
Transformers A6ove 200 _ Amps V. 1 0_ Amps
SignS [nspecror5 Use Only: TpTAL
Irrigation Booms
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE OHDERED DISCONNECTED IF NOT
Ofher Fee SuArjA ? 5'0 COMPLETED WITHIN 16 MONTFIS.
I, the Electrical Inspector, hereby pough-in oate ,
certify that the above inspection has
been made. F;,,ei oe?e /
/ ? • ?`
OFFICE USE ONLY -
This requesl void 18 months fmm
M 3655
?
Fequest Date ire No. t NOTICE: Vou Must Call Eleclrical Inspecror
uireG?
R tl A Raugh-In Inspectlon
- Yes ? No Is Required.
I licensed contractor ? owner hereby request inspection of a6ove elecirical work at:
Jab Adtlress (Sireet, Box or RoWe NoJ City
SeIXion o. Township Name or No. Raireje.W . Counry
Occupant (PRINT) Phone No.
1
Power Supplier Atltlress
Eleclrical Con[rector (Company Neme) License No.
n
E -C i
Mailing Adtlress (COnUaclor or Owner Making Installation)
Authorized SignaWre ?C a r/Owner Making Installat
ionf) P umbel
?
? \ A?71 It,_
MINNES STAT 60 HjOF ELECTRICRY v THIS INSPECTION FEOUEST WILL NOT
Griggs-Mltlway Bldg. - Poom 5173 eE ACCEPTED eV THE STATE BOARD
1821 Univeraily Ava., St. Paul, MN 55100 UNLE55 PROPER INSPECTION FEE IS
Phone(61P)642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
4 3655 1`inshucHOns lor mmpleling Ihis form on back oi yellow copy.
X" Below Work Covered by This Request
EB-0000/1?-00
w Aidd itep: - TypeofBuilding AppliancesWired EquipmentWrad
Home Range Temporary Service
Duplex Water Heater Electric Heafing
AptBuilding Oryer LoadManagement
Comm./Industnal Fumace Other (Speciry)
Fartn Air Conditioner
Other (spxiiy) Conirector5 Femarks:
Compute Inspection Fee Below:
# Olher Fee # ServiceEntranceSize Fea # Circuits/Feetlers Fea
Swimming Po01 0 to 200 Amps 0 to 100 Amps
Transformers P.bove 200 _ Amps Above 100 _ Amps
SignS Inspeclor§ Use Onty: TOTAL
Irrigation Booms
??' cT?
V?+
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERE ISCONNECTED IF NOT
Other Fee COMPLETED WITMIN 18 MON
I, the Elecirical Inspector, hereby Rough-in oete
?
Certif that the above ins ection has
Y P
been made. Final oate
OFFICE USE ONLV
This request void 18 months hom
Address 1630 MtvRPHY pA,RKWAy Zip 55122_
L.ot ' 13 Blk 1 Sub Br,AMrAw[c roNro
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 01 27 94 Yes No Inspector:
Final grade (6" from siding) t?
Permanent steps (garage) ?
Permanent steps (main enhy)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish ?
Deck
Please verffy with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn fauce[ before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ?
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION !
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date !!?4 / ZZ_ /
Site Street Address Unit #
Property Owner Telephone #
Contractor _?Q Teph
oe#(9f ?} -
72 4
Address, 3Jf ?n?l.oygf?? /?) ??a Citv ?T / /9cltS /
?fJ2lCStateLAL Zip ?
The Applicant is: _ Owner xContractor _Other
Aiterations to existing dwelling $ 50.00
_ Add plumbing fuctures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_SeptiC System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
? Water ftener Water Heater $ 15.00
new 7? replacement
Lawn Irfigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
6 `
7otal APR 1 3 200 S?
I hereby apply for a Residential Plumbing Permit and acknowle6? n is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work w II be in ccord 'th the approved plan in
the event a plan is required to be reviewed and appro d
Ap IicanYs Printed Name? ApplicanYs Signature
PERMITp J-4 tJ ?`I , RECEIPT DATE: ?? l 3'() J
PXSIDENTIAL PLUMSIRGH PEiMiT APPLICATION
crrY oF FAsLAv
S$SO PILOT KFOB iiD
£AfiAN, biN 55122
651-6$1-4675
Please complete for:
SITE ADDRESS:
? singlefamilydweilings
> townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
1630 vvt\/, w,
OWNER NAME: : 5
INSTALLER NAME:
STREET ADDRESS:
CITY:
yVl
Place a check mark next to the permit work tvpe
ss
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existinp dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes County & Consuiting Inspector fees
• requires MPC license
State Surcharge $ 50
Tota I
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have reatl this applica[ion, state that the informafion is covect, and agree to comply with all applicable Cityof Eagan ordinances. It
is the applicanPS responsi6ility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normai
operalional and maintenance activities to the facilities constructed under Nis permil within Ciry property/righ4of-wayleaserr?nt.
i% ?-
?
SIGNATURE F PE TEE
cx 4cch . WIaJ SS I'.)-"2
TELEPHONE#: `s1 i ?
(AREA CODE)
TELEPHONE #: Ipsr -q5 - Q c1 ! -?-
(AREA CODE)
Updated 1101
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Num6er:
Datelssued:
/3
y?7
BUILDTIPG
021878
09/27/93
SITE ADDRESS:
1630 MURPHY PKWY
LOT: 33 BLOCK: 1
BLACKHAWK POND
P.I.N.: 10-14395-330-01
DESCRIPTION:
REMARKS:
PRV
% .i
Bw'ildni_Permit Type SF pWG
Building Work Type NEW
"?1BC Occupancy,,,, R-3 M-1
; Construction Type V-N
/ Zoning PD R-1
? Building Lengt#i ? 72
% Build:tng Width 38
?
. o
t ?
? ?--
/ ?i??
c1I L",11
??!?u
S & W PLBR -
FEE SUMMARY
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Lic. Search Fee
Subtotal
VALUATION
$856.50
$556.73
$81.@0
$750.00
100
1
$5.@0
$2,249.23
$162,000
MISCELLANEOUS $1.744.50
Total Fee $3,993.73
CONTRACTOR: - Applicant - sT. LIC. OWNER:
SIBBET & ASSOC INC, DUANE 14922646 0006857 SIBBET & ASSOC INC, DUANE
201 THSRD S7 E 201 THIRO ST E
JQROAN MN 55352 JORDAN MN 55352
(612) 492-2646 (612)492-2646
I hereby aaknowLe e Chet I have read this applica€ion and state that the
information is co rect and agree to comply with all applicable 5tate of Mn.
Statu " and Cit Eagan Ordinances.
L _
,
?
APPLICANT RMITEE SIGNATURE ISSUED e: SIG E
_ i
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: LoT: 33 aLocK:
1630 MURPHY PKWY
BLACKHAWK POND
PERMIT SUBTYPE:
SF DWG
PERMITTYPE: suzLorNG
Permit Num6er: 021878
Date Issued: 0 9/ 2 7/ 9 3
1 APPLICANT:
SIBBET & ASSOC INC, DUANE
(612) 492-2646
TYPE OF WORK:
NEW
INSPECTION
FOOTIN6 D. .
FRAMING D,
INSULATION FINAI
FIREPLACE
REMARKS: PRV S& W PLBR -
F
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i , ?.,. , i• ? ,.
,.L Ir'iu??
, )-., ; .:;`r '.a?0 r i
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N
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REACTIVA7E,_ CI7Y OF EAGAN
PERMIT i'.. . allG ? CEIVE 0 993 BUILDING PERMIT APPLICATION
681-4675
3 0 1993
(.? ??? ?-Aq
?.
SINGLE & MULTI-FAMILY se s of plans, 3 registered site surveys, 1 copy of energy
calcs. ,
COMMERCIAL 2 sets of architectural 5 structural plans, l set of
specifications, 1 copy of anergy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
s requested once permit
3) lot change i
d
h
,
ange
or
in which request is made, 2) address is c
is issued.
Date J±O / 2?6 Yaluation of work
Site Address: M30 NU ow??? -
STREEi iUITE 0
Tenant Name: (commercial only)
lAT _Z>a
I BIACK _L_ SUBD. f??/,Q?°,?.j(/??,/?
v,? ?.. ???/J K. rVtirl
I
'
Y.I.D. k
Descri tion of work: q& L
The applicant is: ? Owner Contractor ? Other coeso?ibe>
Name Phone
Property LAST F10.5T
Owner Address
STREET CTE /
City State ZiP
^ Phone
Company
?FS9 Ex
E
C011treCtOf P•
- license
Address -
City e ? State ? ZiP ?
Lompany Phone
Architect/
Name Registration /
Engineer
Address
City State ZiP
Sewer 8 water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
1 hereby acknowledge that I ha read this a a on and state that the information is
e of Minnesota Statutes and Lity of
ll
ll
c
app
correct and agree to comply th a
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUlLDING PERMIT TYPE ? 01 Foundation ? 06 Ouplex ? 11 Apt./Lodging
P?02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 S-Plex ? 13 6arage/Accessory
? 04 SF Porch ? 09 12-Plex O 14 Fireplace
O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Oeck
WORK TYPE
29 31 New ? 33 Alterations ? 35 Tenant Finish
O 32 Addition 0 34 Repair ?,36 Move
GENERAL INFORMATION
v.luacim:
Const. (Actual) V- Basement sq. ft. MWCC System YES
(Allowable) v_0 lst Ft. sq. ft. tity Water YC",s
UBC dccupancy .R 3 M_? 2nd F1. sq. ft. PRY Required
2oning ? R-% Sq. Ft. total Booster Pump
# of 5tories Footprint Sq. ft. Fire Sprinkler
Length _7 -zT On-site well Census Code /oi
Depth ? On-site sewage SAC Code 01
APPROVALS j
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/w Surcharge
Treatment P1.
Rrad Unit
Park Ded.
Trails Ded.
cop;es
Other
Total:
5AC % I oo
SAC Units =
O Footing
0 Final
? Framing
O Draintile
M ° ,. v r ...
G! 16 Basement Finish
O 17 Swim Pool'
O 18 Comn./Ind.
0 19 Comm./Ind. Misc.
0 20 Public Facility
O 21 Miscellaneous
CI 31 Demolish
? Insulation
? Fireplace
GARAGE.i_ `.3Z1C'S^O? r](?d
?-
12X6=
?y x Fs= (!?2)
'&Sn'`f ??
r
-' '1
rT- I 2?! ev
2? ?( LID°?lv .J
ZND ?_L'ao121
2?, 5- ` ?L>
1 X?_? ?? .-?---
??X2.5s I 38
z,/2x1S:.
Vx? 13 = %I%Ag
I/ ?c y - y `!
116? X ?s=
?st ??002;
F??n17 = I 165'
lv.ro? l° _
I? y?5
?b1?3ID
?
128'1 XS4 = ? 69,y9?
?
.^?L .
w` W
m N
a ?
m J ¢
< w
a m
W N
?s?
zr'll ?
0-?'b 11
?
? ?
?o 0
B-- 0 ?
?
? ?
Gr ? ?
90? o 0
ELEVATIONS
Existina
? C3? ? • Sewer service
IY?[.7 ? • Lot corners
??? • Top of curb at the driveway
?? 0 • Elevations of any existing adjacent homes
Provosed
200'700O • Garage floor
? ? • First floor
M'? ? ? • Lowest exposed elevation (walkout/window)
e' ? ? • Property corners
cr ? ? • Front and rear of home at the foundation
PONDING AREAS (if annlicable
? Q"' ? • Easement line
O ? ? • NWL
? d o • xwL
? d ? • Pond # designation
? Pf 0 • Emergency Overflow Elevation
? 0 ? • Lot lines
?? • Right-of-way and street width (to back of curb)
?? ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
?? 0 • Show all easements of record and any City Utilities within
those easements
?? ? • Setbacks of pro ose structure and setback of adjacent
/ existing ho
? p/ 0 • Retaini irements, if any
Reviewed: /J/ /9?
LOT SORVEY CHECRLIST FOR RESIDENTIAL
PROPERTY LEG
Date of Survey: w?
DOCUMENT STANDARD3
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and bar scale
• House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
• Directional drainage arrows with slope/gradient %.
• Proposed%existing sewer and water services
• Street name
• Driveway
October 1992
yr EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
DWNER C) c-
..
.. ?* .
SITE ADDRESS
CONTRACTOR
DATE
Determine working square footage of each:
1. Total exposed wall area sq. ft. R.11 = \j-?q(.91Z
2. Total roof/ceiling area ..... sq, ft. X.026 = 3-3 2 ?
Total, exposed wall area above floor
'a. Total wall window area ................ 3( 3
b. Total door area ,,,,,,,,,,,,,,,;;? ? S
c. 7ota1 sliding glass door area ?
d. Total fireplace wal.l area .. .....
e. Total wall fr?aming area (average 10'6) ..........
y?
f. 7ota1 ne-t wall area above floor .................
g. Total rim joist area ........................... 3 Z?
Total exposed foundation area,=
h. Total foundation window area ................
1. Total net foundation area above grade ..,.,,,,,,
,
0 Determine "U" value of each wall
? segment.
7
. X
t uUn o S1
= a? p. .??
b. S? X ,iu„
C. ? r
X „
u„
?
d. -- X liust - _ ? •
e. ?
X
lluii
f. X „u„
X „ui, q3
n.
X
l,?i, ----
X „u„
3.11-1
"item ?3 is the ..................... .............
_ ? ? ?o• !.S
same-as, or less than item
of•SBC 6006(c )2. #1, you have niet the intent
1 / t 4
?t
?
? . .. ..^ .--? ...' . .Ifi?' . .
y.,? . ' .. . _ I . . . ;. . ?;' ' . . .. . , ' .
(". . . .. .. .., ' ,
Tota'1 exposed,roof/ceiiing area =
. Total gross roof/ceiling area -
J. Total sYy7ight area . ........................ .
k. Total roof/ceiling framing area .................
l. Total net insu]ated roof/ceili-g area ...........
.. i,
J!
Determine "U" value for:each roor/ceiling segment.
J. x Hull :
k: i 2A' X„u„
. T. llsC9 X„LI„
4 . ................l..................... rotal
If total of #4 is the same as, or less than k2, ycu have met the intent
of SBC.6006(c)1.
To utilized the total envelope system method, the vslues established by
the simi of items #3 and N4 shall no be greater than the sum of items K
, . and 2. ;
3.g?r??rZ
,? .
..
i.
+ z. 3 3 - ? _ '-{2S? / O
3. ..A3 .`' r°'9J .+ 4. ??• ?? ?f 2?? `l??
r
r?
V.
'_ ss?,•:l,:l_ --.`?'?° ? Gi";b. fYdf+._x R' _ ' _" "
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
D.4TE November 26, 1993
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 C$3.00 EACH) Furn., cooktop, dryer 9,00
ADD-ON/REMODEL (ExisTING CoNST'aUC77oN) 445:00
STATE SURCHARGE .SO
TOTAL f<39, 50
SITE ADDRESS: 1630 Murphv Parkway
OWNER NAME: sibbet s Associates TELEPHONE #:
INSTALLER: xleve Heating & Air Conditioning Inc.
ADDRE$$' 13075 Pioneer Trail
CtT'Y; Eden Prairie $'j'A'I'E: Minnesota ZjP CQD$• 55347
TELEPHONE #: 941-4211
19jlk"e
SIGNATURE OF PERMITTEE
1993 MECHANICAL PERMIT (RESIDFNT'IAL)
CITY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 6814675
1993 MECHANICAL PERMTT (COMMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL CONAERCIALJINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WEEN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
CONTRACT PRICE: $
FEES
1% OF CONTRt1CT FEE $_
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF fgWg FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CI7'Y:
TELEPHONE #:
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
V'O. FIX'I'LJRgS EACH TOTAL
/ SHOWER 3.00 3. w
WATER CLASET 3•00 ?
? BATH T'UB 3.00 6 . ?
S LAVATORY 3•00 -'o
/ KITCHEN SINK 3•00
/ LALTNDRY TRAY 3.00 3
HOT TUB/SPA 3•00
? WATER I-iEATER 3.00 3 •40
/ FLOOR DRAIN 3•00
? GAS PIPING OLITLET •min+mum • i 3.00 3. ?
13 ROUGH OPENINGS 1.50 Y. av
WATER SOFTENER 5•00
PRIVATE DISP. • nei.cry. uG 15.00
U.G. SPRINKLER • nomo undor oon5i. 3•00
ALTERATIONS • to ads6ng 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: "U
5I'FE ADBRESS: /G 3 v /YJLRAH)'' i?L"y
OWNER NAME: ?04At 6"1 49 9 A %
INSTALLER: 14/e4S -gf ,9•t6L ?rY/6
ADDRESS: d G S ',Nr?-i? /Jdv si-?
CTT'y: STATE: /Yl-? ZIP CODE:
PHONE #: ( 41,;t ) PSS' J! w
?
SIGN RE PERMITTEE
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675 ,
PLEASE COMPLETE FOR ALL COMNfERCLAI?/INDUSTRIAL BUII.DIIVGS. ALSO FOR MULTI-
FAMILY BUILDINGS VVHEN SEPARATE PERMTTS ARE NOT REQUIltED FOR EACH
DWELLING UNIT.
NEW CONSTRUGTION '
ADD ON '
REPAIR
WORK DESCRIPTION:
CONTRAGT PRICE:
FEE: L% OF CONTRACT FEE.
STATE SURCHARGE: 5.50 FOR EACH $1,000 OF p?1tilTl' FEE.
MINIMUM FEE: $ 25.00 " " `"'
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAI, $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STA1'E: ZIP
FOR:
CITY OF EAGAN
Jun OS 06 02:18p Corner5tone 320-234-8919 p.z
`?I3 ? ??6 7d, ?
w% RESIDENTIAL BUILDINC PERMIT APPLICA'I'iON
c.iry orEag.,
3830 Piloi Knob Road, Eagen MN 55122
Telephu? # b,Sy ?fi???g pAX # 6:51.675,S6,9q
NtwCmyme Rem1er".9?
3reA"}erW aYealfwyJSho ,+7 fl ol ? hoyry;6M_rqofudaw5 Hem Ntao RMUVHmonl
(7{796 maxirtwm Wt cwera'De ?9 s9 . allored tl d IM . •.
z tapMS ut PIen Sho.vmy foWinga hcama, tonot. QMGB Um OnH
GM of SW'mY Ratl Y N
tl pkin shn+ang 6e;m & 11, i?ot of Ena9Y CaR:uktiDns kr tweletl OEddioiro 7mrt Res Pkln Rocd _..Y N
1?1al?nBrHYCalukafians DOVedfounOdO&B?.?Yc. IadesvreVbr'eUAlierfi & ?g -
Rea.ed
.
3 "pus of TlBa PrOfiBrvaOai %an dlot P/Y?all?e??d ?ailer 77V'YJ '?&°n ' ^?"'atB r1 on.N' e crpL'csyaY?m On Tree 9 PUYeSs tOlic SV?em v N
Y N
?fM??Bk??M1^uA>?9C?IGIIR? „'?'^^'^lu MlM 3p1BCiUI11ft) ?
?tl?c?q,.ltia<I Wtx:h.?1LCA? VCnlll/IUun fflrm
SitcAddress
M -I- . Unit/3tc #
DescriptinnofWork
MultaFstnily Rldg ` Y? N Nircplatc(s) 0 I
2
TroPcriY Owncr
Contrac[ur
...`.?i]-
_-..:.-
Address ?'??Y ???'Cl"s1nC.C? z
Statc ZiP ?yr'a- Telephonc # ( -ZR'QD) COMPLETr: Tl11S AREp QNL7 IF CdNSTRUC711NG A NEIA/ BIlILDING ?
[ner9Y Code Cafcgory ' Minaewlx .??u1c=7670 ';rtc +<?? MirmcsoCaRulcv 7G72
(J su6missun hoe) • Residsnmi Vt+rnibtion CaWw?7 worlusheee
SYDmitte0 SYbmil[etl Code 1NO/kSheet
? Enerpy Emobpa CalwFypg 5utrrMfted
In Iho losf 12 monihs, hcr the City of [Ugnn issu2d a pem)il fw a similar plqn boseA pn u master plpnG
-. Y N(f ye;, daTe Ond pddress Pf ma5ter plon:
Licensed Plumber
- -? . ? 7elephone
i Mechaiiicai Coniracior
Telephone?4 l----,--
Sewer/Water Conhoctor - - - _` _? TelePhone #( )
t hereby apply 1'or a Residential Binlding Permit and acl:nowledge th;u, the information is complete and accwaue;
that the work will be in conformuvice wiih the ordinar,c;es and code3 of the Ci ty of Eagan and the State of MN
Siatmc,?s; 1 understand this is not a permit, 6ut only an application for a pexmit, and work i$ not to start without a
pcxrnit: thai the work will be in accordvic¢ with the approvcci plan ire the case of wori: which requires a revicw and
approva] ofpians.
Applicant's print? ?;,n,? -,-
ApplicanPs Signature
CERTIFICATE OF SURVEY
nwM ? `
iksa¦ -
LANOSURVEYORS
1'";e e4atiou. X'ua.
8713 DUPONYAVENUE SOUTN
9LOOMtNOTON, MINN. 68420
eee•soea
Survey for:
???p?gDUANE SIBBET & ASSOCIATES
. p?R??P? 0?n?
? ? y9 DESCRIPTION:
3 ?
? gp.0 13-? 24? Eot 33, Block 1,
H??- ?/ 2\ 6' Ir4 3'' BIACKHAWK POND
O =
'? / O ny?\? ?3I? I¢I? 6? / ab ?y
? 8 W
??' ?< / ??; I ? 12•?'13? ???j ?3_ iiy 'o
19 c 1!1d?'-.-,_ ?9 3.? 848=
!
y?,.
? . ?. ?._? •? ,??`??s
'YO
\ s B6? °- \ .99q ,
? x a7i
» ? \
Proposed Grades: \ \ ?
Top of Blocks 6'S8
Garage floor g,, 7 ?
s
Basement floor BSD!-:
?r
NOTE: Circled elevations are proposed, \ \? ??el?! ? •, others are existing.
Arrows denote direction of
drainage. / NA
DKP'q'
poRMo ??QU-211RE1111D)
We hereby certify that this is a true and correct.representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any,
thereon and all visible encroachments, if.any, from or on said land.
Dated this 26th day of August ,19 93,
by t- ?• ?
? inne a icenseo. gulB
292-
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA111329
Date Issued:06/19/2013
Permit Category:ePermit
Site Address: 1630 Murphy Pkwy
Lot:33 Block: 1 Addition: Blackhawk Pond
PID:10-14395-01-330
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Andrea Preusse
4145 Sibley Memorial Hwy
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Stephen J Patnode
1630 Murphy Pkwy
Eagan MN 55122
(651) 485-6747
Wenzel Heating & Air Conditioning
4145 Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116749
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 1630 Murphy Pkwy
Lot:33 Block: 1 Addition: Blackhawk Pond
PID:10-14395-01-330
Use:
Description:
Sub Type:Reroof & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Windows/Doors: If altering the opening size, a framing inspection is required.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Stephen J Patnode
1630 Murphy Pkwy
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r-----------------I
I For OfFce Use �
' �a7 ��� �
�� U� �� �� � ° � P _,. j Permit#: �
4 I '
� Permit Fee:�D�• � �
3830 Pilot Knob Road ' : O�T � 7 2���f ' � Dafe Received: � �l r' � t
Ea gan MN 55122 � ,n „ � �
Phone: (651)675-5675 ���e�s �_ .l�''t�•� � � ��: � i
Fax: (651)675-5694 � �_ �
2014 RESIDENtIAL PLUMBING PERMIT APPLICATION
Date: ��-' `1, I �' Site Address: ��r �� ���/\����) ����,'1.� �- �
Tenant: �- 'Z- � ��� Suite#:
Name: � � Phone: W�� � ��'� ��t��
�+����3��r ./�'
�,� 1. ��.� r
` ; ; ; Address/City!Zip: 1� �—} '`.
� J V � j
� §
�
..(w,e��... . ... .. .. .. ... . �eti . . . . . . . . _ .. . . . . . .
.....aum.aar.+aama a , iss ..,vc�..��
.. . .. . . . . � � (�, � W ` �
� Name: ,n� � � Licer�se#: � 1''�— 1 1 �
� � Address: �) L� U � City: ����u ►�\ �
� ������ / �
� C�P� �
� State: � Zip: _�� � I�0 Phone:� � r l� P '
�
^ Contact: � d ► 1 Email:
������. � _ �.,�..�nr�
� # New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. �
� �`Yj��:Qf i�(�r� — �
Description of work: �
���: . .
� ' RESIDENTIAL � �
�
� Water Heater � �
� �Water Softener �
� �awn frrigatiort(�RPZ/_PU8) �
�
� �������� Add Plumbing Fixtures�Main/_Lower Level) �
; Septic System �
� � _New Water Turnaround �
� ' � Abandonment � �
� .�,�„��.�.-�,� �m— .��, F���.,. , �.�„�. ��f_M�
RESIDENTIAL FEES: `
�
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5:00 State Surcharge) �
� $60.00 Lawn Ir�igation(includes$5.00 minimum State Surcharge) �
� $60.�0�dd Piumbing Fixtures, Septic Svstem,�bandormerit,trVater Tu�raroe�nd�(inc4u�i�s$S.Da State Surcharge) �
*Water Tumaround(add$200.00 if a 5/8"meter is required) �
$115.00 SeqtiC SYStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) /_��
�,�_ _ .� TOTAL FEES $ C_Ci ry�,�Y,�
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours 6efore you intend to dig to receive locates of underground utilities. www.c�opherstateonecall.ar4
I hereby acknowledge that this iriformation is complete and accurate;that the work will be in conformar�e with the ordina�and c�des 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
accordar�ce with the approved plan in the case of work which requires a review and approval of plans.
x�����1- ������ x ,,'
Applicant's Printed Name Applic t ignature
��t��3��#�E�f�f ; ` ; 12+�u�����' -� �t�;
��u����a��� ;, �,,.:�����e��� �,,,,�o�g�r 1� ���'��� �...,,t��'�`�t ` . �'��� '
; ,
�I(�ir�r�t�l�+ec��rin�� `: ���'���� � ��i�r�s����l.,.,,,.,.�:,F_ ��� _
� ; �
_ . . . ,.�. _��.. - ;
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA142689
Date Issued:05/15/2017
Permit Category:ePermit
Site Address: 1630 Murphy Pkwy
Lot:33 Block: 1 Addition: Blackhawk Pond
PID:10-14395-01-330
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Jiqing Zhou
1630 Murphy Pkwy
Eagan MN 55122
(612) 859-4709
Warner Stellian Co Inc
550 Atwater Circle
St Paul MN 55103
(651) 222-0011
Applicant/Permitee: Signature Issued By: Signature