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1642 Murphy Pkwy + Use BLUE or BLACK Ink For Office Use I j Permit City of Eatla Permit Fee: vj 3830 Pilot Knob Road RECEIVED Eagan MN 55122 I Date Received: Phone: (651) 675-5675 J(!Q17 I Staff: Fax: (651) 675-5694 2011 MECHANICAL PERMIT APPLICATION Date: L ~V~bftn via Site Address: 1 U IL! V U Tenant' '"Vt "elF--- r CA() Suite M Name.T` ` ~`'l \ t1wJY I ~ l Phone: RESIDENT / OWNER \ n Address /City/ Zip: 1 l.l~ Name: License b I i Address: 1y (O City: J/ v ~yYL'/ Pfa) 3 CONTRACTOR State Zip: Phone'^ : / (0'-'/ 2-9" 1,X2 ~VzU vtp~L dPf~(d j'h C Contact: ` mail G( New Replacement Additional Alteration Demolition I TYPE OF WORK Description of work: I NOTE: Roof mounted and ground mounted mechanical equipment is re uired to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement PERMIT TYPE KAir Conditioner _ Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank L_ Install Remove) Other RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ 519, 0"'D TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE 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.goeherstatoonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start withou a permit; that the rk will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x X Appl'icant's Printed Name -Aoijlica~rs Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Neat Final HVAC Screening ?? Resrii?T i 6P5a 9 y-1 BUILDINC PERMIT APPLICATION CITY OF EAGAN M`P 50795d 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ?10 5z9 fj + 5y85, 31 -7p,5o I a. Sa New Construction Raauirements RemodellRaoair Reuuirementa ? 1 • 3 registered sRe surveys showing sq. k. of lot, sq. ft. of house; and all roofed areas • 2 wpies of plan ??p ??,Q , J (20°h mazimum lot coverage allowed) . 1 set of Eneyy Calculations kr heated additions • 2 wpies of plan showing beam 8 window s¢es; poured found design, etc.) . 1 site survey far eacfenor adEiUons & decks • 1 sel of Energy Calcula6ons . Indicale if hame served 6y septic system (or addiqons • 3 copies of Tree Preservation Plan if lol platted aRer 711193 ? • Rim Joist Detail Options selection sheet (Wdgs with 3 or less unifs) ? DATE SITE ADC TYPE OF ULTI-FAMILY BLDG Y l/ < fIREPLACE(S) c% _ 1 _ 2 APPLICANT I c?1.3q Pc76AvL-rFll t STREETADDRESS 102? L,J/14N? CITY f P ? Wn-> STATEf?/JZIP 5512 TELEPHONE#G?V 334, U6b CELLPHONE# 'S-AN'te- FAX# GS/ qSm? 2iaS? PROPERTY OWNER f l I I?su-L:,( I),? L1-JC. TELEPHONE #G`2 ---------------------------------------- ------------------------------------------------------- COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNES07'A RULI:S 7670 CATCGORY 1 MINNESO"1'A RULFS 7672 (J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submiried Plumbing Contractor: Phone # 6739' Plumbing system includes: Water Softenef _ Lawn Sprinkler Fec: $90.00 _ Water Heater _ No. of R.I. Baths No. of Aaths - , Mechanical Confractor. P, Phone # !blechanical sys[cm includes: _ Air Con(litioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: 73e-Ac1` "- Phone #-f5?) "' /)Y7 6 ?>3V --------------------°----------°----------°---------------------------------------------°-------------------°-------- I hereby acknowledge that I have read this application, state ihat th in ormation is correct, and agree to comply with all applicable StaTe of Minnesota Statutes and City of Eaga ces. Signature of Applicanf ._---__......---------°---------'-------------°------ ____»__».___-_.---_?_-___._------•----__------- ------- ------------ OFFICE USE ONLY 3113 Y VALUATION Z5 ae?- CZ-)O 0 7.;z3 7l37 Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required ! Updated 4102 OFFICE USE ONLY . ;.. ? ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg X 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous , X 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant ? ? Valuation Occupancy MC/ES System Census Code I D 1 Zoning ? City Water SAC Units 01 Stories Booster Pump Nbr. of Units Sq. Ft. ? PRV Nbr. of Bld gs ? Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS ? Footings (new bldg) FinaUC.O. _ Footings (deck) _ FinaUNo C.O. Footings (addition) _ Plumbing Foundarion _ HVAC Drain Tile Other Roof _ Ice & Water _ Finai _ Pooi _ F[gs _ AirlGas Tes[s _ Final ? Framing Siding _ Stucco _ Stone = Fireplace -? R.I. -\,,Air Test ?e Final Windows (new/replacement) ? Insulation _ Retaining Wall Approved By T L , Building Inspector ? Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ?,f! q?y Ce X ? ? 3 n F4a. G' Zyj C. r 7?' 5-' d 71 Glock t 'Fa v v" a Ks RESIDENTIAL BUILDING PERMIT APPLICATION CITY OP EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 New Construction ReouiremaMs • 3 registered sRe surveys showing sq, ft. of lot, sq. ft. of house; and all roofed areas (20°k mazimum lot coverage allowed) • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) • 7 set of Energy Calculatlons • 3 copies of T2e Preservation Plan if lot platted aNer 711193 • Rim Joist Oelail Options selection sheet (bldgs wilh 3 or less units) DATE t, I27lnZ SITE ADDRESS IM TYPE OF WORK Ue-,-14 (:Of) APPLICANT ?? ?`?\11 &.. STREET ADDRESS 15(f0 ?k TELEPHONE #(??Z\) ??Ii?J'7I ? RemodallRaoair Rauuiremenh • 2 copies of plan • 1 sel of Eneryy CalcWations for heated additions • lsilesurveyforextenoradditions&decks • Inditate if home served by septic syslem for addifions VALUATION _ ?3ZS, OOO MULTI-FAMILY BLDG Y ?N _ FIREPLACE(S) _ 0 ?1 _ 2 1 Z C_9_tl,4__Q- PROPERTYOWNER GJ2??'12? TELEPHONE# ------------------- ------------------------------------ ------------°----------------------°-- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIVNESOTA RULCS 7670 CA71'I?GORY 1 MINVFSOTA RULFS 7672 (J submission type) . Residential VentiiaUon Category 7 Worksheet Submitted • New Energy Code Worksheel Submitted • Energy Envelope Calculatlons Submitted Plumbing Contractor: `_wC Phonc # (,::;,7? Plumbine system includes: _ Water Softener ? Iawn 5prinkler Fec: $90.00 Wa[er Heater No. of R.I. Baths No, of Baths Mechanical Contractor: !"'-c-1 Y-2- Mechanic:il system includes: Air Condiuoning Heat Recovery System Sewer/Water Confractor. J -------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the i foi with all applicable State of Minnesota Statutes and City of Eagan Orar Signature of Applicanf OFFICE USE ONLY Certificates of Survey Received ?. Tree Preservation Plan Received _ Not Phone # Fee: $70.00 Phone # \?SZ) `"r`T7'?7 .?" is correct, and agree to comply Updated 4l02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Stortn Damage ? 25 Miscellaneous / ? 30 Accessory Bldg ? 31 Ext. Alt -" Multi ? 33 EM. Alt ' SF ? 36 Multi r i ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? O 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors `Demolitlon (Entire Bldg only) - Give PCA handout to applicant Occupancy MC/ES System i Zoning City Water Stories Booster Pump ; Sq. Ft. PRV i Length Fire Sprinklered W idth REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. Footings (deck) Final/No C.O. Foorings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding Stucco Stone Fireplace _ R.I. _ A'u Test _ Final _ Windows (new/replacement) InsulaHon Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 0 07 OS-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex O 17 Garage ? 10 OS-plex ? 18 Deck ? 11 10-plex ? 19 LowerLevel ? 12 12-plex Plbg_Y or_ N Building Inspector - K-? (?IZ ? .._ _....., ? city oF eclcj 1N5T2CCTi0`;:: Tyi> aicernanv: may be usad ;or ona- and rha-hmilv d.?eilin;s buil[ Ea maet tha C3:<,orv 1 rtquirenltau'o`- - )iinnesata Rulrs. CSaptar ?o'D. Compiec: ?i;s A. 9, ar.u C. C:es:i•; ?! ,s :csc;a;:r, 2-;a:•_rs: •.vnduw md sic:!i;: c C- •.?icts: S,__ ., _a =Y^uicr..t;:! :?r.[:ois: ar.(! .ttZ.icr, oi :: d •.cis?.c? : ?? .e:s. ,L!ore . .. ? -•. CL':' ._ F. ??C.?.+(tnndtO:a Crtery? CJCtl i::f^,d:1^/ iGt'.G 1';1ILCi? ::CfIl ?`.: MJ:,x,tj.^,(3 Part A. BliILDIING EWELOPE C:e:k;rFCxC er.vetcce;'oint sealing opuoa -) ? ?cacacr,v: (caclcaz. 3?;kes.::=.! --- - ZI-?:r.c .r.i.c= .,:es:;r. "5"O.CA"r sc'-v.'.C.) ?:-eck _?:mna1 cr.<;y^,i a:?.2adca -qnen ased 4 Z) "CoeichecX' ('cer..eir.a wcrs,b.r_:';eia.v) ] NL-:C::r.i.r.e'=cd la:.xi ?;er.) - .? Per.'o=r C-?ai?x _alc.:!acee?sl ] Svs;.as AnaiYsis .r.e•WcC (a:?iS acais) "CATEGORN' 1" ALTER`ATE FOR O-NE & TNti'O FAAIILYDWELLINGS "Cookbook" `ti'orksheet NILtiI?RI, I REQCM_V.Nff.NTS (.`ar'CoakSoak" o tlon ool.) Ceiiirg 2-:3 Xi::: er >(i.ia:cm 2-?m: xi_h Io•.v rs, hr_i: ar ti!ir.ir.:c.^ 3-:3 zi:S 2-? scea??i.? z :c :.^.o ir.ic. ?: •• 'A';,'} iCC^ Dccn: Mi:. ai 2_1) x t. solid HCCC - Fe,:ir.. icu: 3-!9 : ieca oce: r.ear.c::er.ed scacao: p, u.u-:un ^?^ 2 u?) .,..•. ? ro?:^.c:dcn a?:,cc•xs: ? ' irscla:e.d Z:a.;.;. wccd or •rtnvt ?72.;.e LNST7:;COVS . r TaRi.B FOR DETERNfIrTG NlAYTR?S R2tiUOW .-%-a-D DOOR ARE.a - C::tC.C::GI':?i1?3[?tSlS:...T.2.6on.lfinim:un.4rqv:iemrnt;!i>: .'.36[. M':i:':":11! t:t[P.5 :0 CSL'.CCOCbCCK- C^CC?.^.. :::diza:e ?rcecs.? x?i ,.-z un 3cL- Ldcw. Cics:z SJir.dcw r-:i•_e u:d >c;a:a. . 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R•t9 insu(auon. <R-5 shcuhin OS2 0.45 0 39 0.35 0.31 0.23 0.26 024 0.?1' ? O 2x6. R-I9 vuulatioa R-5 sheathin O.SS 0.50 0.31 0.39 035 0.J2 029 017 0.25 = O W. R-21 insularioa <R•5 sheaLhin 0.55 0.37 0.31 0.76 0.33 0.30 0?7 025 0?3 . C) 2r6, R-2I insuiadoa R•5 shearhin 0.60 0.52 0.46 0.41 0.36 033 0a0 0.28 016 W'indow U-value: r'? Soutce: O NFRC O,LiFffi.AZ 1993 HandEook 100 x' (a(z. -? _ `3,P00 = Ilo. °? ! < ? I-1. wir.Cow&Coor uea goscuposedwall 3rea DES[GN ALCOW'A3Lc (toms6leahove) M/NNESOTA ENERGY CODE - WHIcH Rutes MaY l UsE ? TYYE OF RESTDEYTi.>L BUILDING APPLiCABLE RCLES Denched R•J occupaacy 1• and I-family dwe0lnQs C63pm; 7672: er .. E.c.unolas: air..•!e ta.^vlv. ?win 4omes. dueles?, Chac[er 7670 "la:ezcr. !.. wc4 s:?:.:cn 'ecrcs=^:udan v:u vcaniaucn r^cuire:r.eoc, Attxhed R-3 occupancy dwelGnEf I Chspter 7674; zr - E.ear. vles: r.ielet !awnha? md row hauses Chaeter 7670 •.vich erthc: "G::scrv I" Of -Cl::QOC/ 2" =VI$:CO$ R-l oc.upancy buildingf of 3 smrlta of lest I C:upmr 7671; ar . E.cameles: condcminiums or aoaztnenu C!ucmr 1670 .viL5 ei?-.r. er, f" cr "Ca:e erv ?" ?;ovisiuns R-I uccupancy buildiagi over 3 emrfa hiqh Chapmr 7676 . c(at.^.cIti: hiqh rx:or.dct )r icar:+r.eats Mi r,.i..?hnnCYUabC' tiEW CONSTRliC`TiON ONLY" Part B. DEPRESSURIZATIO-N PROTECTIO` CS?_k ocr."n uszdl, ? c•.:e! bumir.g'-"i.ment j,:umcie!a [N 57 2: _T.S? i Car..Cltee 3:rc1_::.'.Lie-»p A:r sc.4ttUir an cht r.;nt ii 2r venmd or solid 3:oi ae,^osphar.t ven[ spaca hastin; _, ieren: seit..td. E'(i?.-kCS T .' NLa.°•LP .11R SCH--DULE' .::7 :i.U ::.',1 I ;'?Q•q , i c;m i CONIBtiSTION EQLIP.r(ENT SCHEDC'LE fchack 3I! :vves croeasedi Scar_ heaciag - aarsoiid :Le! I:1 Sza:ef -ar..busdon Y ;icar_h - nerse!:C ivei I'? Se?::d ror..h:ucon I Y ? Direc: or pcwet vented I Y' I? Dicect or ?owu ven[.d Y Atmosohedcall vented N I As:osnher.caLi vented N Vv'a[_r 4ea[ing- aorsolid :i:n: ? Sta:ed com.buscon ; { Y Space Seadng - solid :i:e[ i'.7 a?ospcer.caily veac;d Y. ? Dir:c: or cawer veated Y W'scec hear:nv - solid tLel IEl A z'csocescallv ven4d Y Aarosoher,ca0 vrnced N H;ar.h - solid ive! I' A:masocer.ca:lv v:nted ? Y tt smospherically veneed ;olid tuei or dirett or power vented eoasoiid a:e1 >cace hzs: ng is instaifzd, then eia;co-up air ro eutch flow is :e uired for each individual e:chaust deric: whic6 zzcceds 3C0 cehic ieet ozr mincte. Part Ci. VEtiTILATION VEr'I'ILA1'IOY QL:k`iTITY (Mzcha.^.icat venalaEon must be provided re: •.St iar3a quaar.ry :aic; latcd'ez!ow) ? cubic feet z 0.00583 rminu[e =F-i cfm i (, j s li efaubedroom) + 15 cfm = I i tfm I volume ot" habi[able rooms nt:mber of bzCrcocu Chzck r.iethod(s) ptoeosad 4; 4'EN7IL4TI0N' Fa.N SCHEDLZ.E 'Z] Exhace: on(v ? Baianc_d (has! recovery •:_a.^:!aror. ac =s.aar.ee:, etc.) i Fan dzscn ron or locaaon 4 TO?AiS VcV'iILATION Inrake cfm c3n I c? cIIa cfm AS DESIG`fED Ezhaust cfat c5:i I cfrn cfm c*n Statement of Compllance: The proposed building design represented in these documents is consistent with the building plans, specifications, and other estculadons submitted with the pe:mit application. The proposad building hu 6een designed to meet the requirements af the Minnesota Energy Code. Appiicant (print name) Signature Date Telephone oumber Part C2. VENTILATION (Submit P3rt C= upon complerion of system verifcationfi) x --------------------------------------------------------------------- foo Site Addresr Permit Yumoer Fan descri tion or location ? 1 TOTALS `(_?.SLRcD [ntake cim c.`n c.`r.. I cin ctm ?c.;LFpRMAVCEt c.?haus? cfm cnm . c:m cfrn cfrn t Venti!ation nte muse 6e m.easuced and ver.i?ed wFen the p<rocr.?anr. opr.on s:ucd in fie3 of the prescr.pdve option for the seatin ot joinGS in the buildin conditioned enveloce (from Part A). Compliance Statamenr. Installcd vencilar.un ;yscem is in ;ompliar.ce wich N!`f °_r.crgy Ccdc ind is sizcd :o provida ehe design air do'N, A„plicant (princ name) Signiurc Daee T:le?hana number Address: 1642 Murphy Pkwy Zip: 55122 Lot: 5 Block: 1 Subdivision: Murphy Fann 2"a Addition T[IE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON I ? it/'n Yes No Comments Final grade - 6" from siding Permanent steps - gara e Perxnanent steps - main entry Permanent driveway Permanent as Sod/Seeded lawn Trail/curb dama e 4 1- Porch Lower level finish Deck Fireplace • Verify with your builder that roof test caps from the plumbing system have been removed. • Tum off water supply to the outside lawn faucets before freeze potential exists. • Call the City's Engineering Depactment at 651-675-5646 prior to working in right-of-way or installing irrigation system. ./ J BUILDING INSPECfOR: CONTRACTOR: Pontrelli Construction, Tony 1023 Walnut Ridge Dr Eagan, MN 55123 RESIDENTIAL BUILDING 5/? -I ??* Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 4i13-?5' alt,v"`" _ 1,11,/03 New Canstruclion Reauirements RemodeVFieoair Reauiremenis Office Use Onlv 3 registered site surveys showing sq, ft. of IoL sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Recd (20% mauimum lot coverage allaxed) 1 set of Energy Calculations for heated additions Tree Pres Plan Reod 2 copies o( plan showing beam & window sires; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Energy Cakulations Addition - iMkate if onsde sepfk system _ Onsite Septlc System 3 copies oi Tree Preservation Plan if lot plaHed atter 71153 Rim Joist Defail Options selection sheet (bldgs with 3 or less units Date LO / ) /0_3 ConstrucGOn Cost I ?= Site Address 1(0 ? 2- ?k?^-r" Unit/Ste # Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner 6?aA.??i??'c.?(,?_ - T[`VSt__ M?1 ? Telephone#(Cp? Contractor r-? '?""? ???'?Z' ?1?5?-VtuJ?/ ?. Address ??q.? City Uv 1u State M? Zi -5-ba,-?.-Telephone COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet (4 submission type) Submitted • Energy Envelope Calculafions Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor .'TING A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #( ) Telephone # ( ) Telephone # ( ) 111;1 J.uN o v V93 lUlI I hereby apply for a Residential Building Permit and acknowledge that the informahdn is complet daccurate; ti, that the work will be in conformance with the ordinances and codes of the City of Eagan and f MN njE)e Statutes; I understand this is not a permit, but only an application for a pernut, anc??vork. is-not So ?out a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. ?t ApplicanYs Printed Name Applicant's "gnature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi ? 03 01 of _ plex ? 09 07-plex W 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundadon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation DO O Occupancy 2- 3 MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length ? Z ?, 6 Fire Sprinklered Type of Const V v? Width ? 2- _ Footings (new bldg) Footings (deck) >Q Footings (addition) ?A - Foundation Drain Tile Roof Ice & Water Final ? Framing _ Fireplace _ RI. _ Air Test _ Final Insulation REQUIRED INSPECTIONS FinaUC.O. ?d FinaUNo C.O. _ Plumbing _ HVAC Other _ Pool _ Ftgs _ AidGas Tests _ Final Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ToWI •?„ k Z S8 s??T x 1 I x Z? & Z LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL: DATE OF SURVEY: '--2, LATEST REVISION: m rn c m U DOCUMENTSTANDARDS Y < o z p a V [t ? • Registered Land Surveyor sgnature and company ? F ? • Building PertnitApplicant ? ? • Legaldescriptlon V ? ? ? • Address ? ? . North arcow and scale fp/ ? ? • House type (ram6ler, walkout, spld w/o, spld entry, lookout, etc.) t? ? ? • Directional drainage arcows wdh srope/gradient °h ?? f? ? ? 0 • ProposedlexisGng sewer and water services 8 invert elevaUOn S V/ ? ? • • treet name Driveway q/a ? • Lot Square Footage W ? ? ? • Lot Coverage ? ? • Benchmark ELEVATIONS Existina / 7 1 ? ? • Sewer service (or Proposed) G l? ? ? • Property corners _ / y! ? ? • Top of curb at the driveway and property fine eMensions r,v ? 0 • Elevations of any existing adjacent homes ?u/ / ? • Adequate footing depth of structures due to adjacent utility trenches ? [? ? . Waterways (pond, stream, etcJ Proposed / ? ? • Garage floor wf/ CJ 0 • First floor ? ? . Lowest exposed elevation (walkouUwindow) ? ? • Property comers V? Li • Front and rear of home at the foundation PONDING AREA ('rf apolicable) / ? tR'/ ? • Easement line ? f?' ? • NWL ? iw ? ? • HWL ? ? • Pond # desgnation u L ? • Emergency Overflow Elevation ?47'/ ? ? • L?/ ? ? • ?if ? ? • cr n n • r? ? ? • Iy0 0 . DIMENSIONS Lot IinesBearings & dimensions Right-of-way and street width (to 6ack of cutb) Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring pertnanent footings) Show all easements of record and any City utllities within those easements Setbacks of proposed structure and sideyard selback of adjacent existlng structures Retaining wall requirements, K Reviewed: Surv e y o r's Certif2cate SURVEY FOR : Millerville Inc DESCRIBED AS : Lot 5, Block 1, MURPHY FARM 2ND ADDITION, City of Eagan, Dakota County, Minnesota and reserving easements of record. 3:9 MettCmum Suva i WoM Wig Be Required qoZ., ? 1LIU??pIly _ ?'ARI?1y?q Y ---_., 37 n I M O 33 ?-? p aeq5 ?? 1 9oq 90b.9 • ?- ? o N90 TOB=t.913.2 Home 25 3 1{ 9oq. 10:0? ? g m P?? q ?_l ? 27.33 oGota e 9 ut0y?a9o`. ?- r-?? o ? o ProPoaed $ , 4,0 0 q_SZOrY ?. 9?3 ?0?00 9,PcW 21.33 / l 1 ? 0 31.33 N ? 1 23.67 0- yoe rn ? 1 qqs 1 9? O 1 ? 909.7\ / ?i 9ao.l i? 1 l-?? 9oq.8 ? l /9oq.5 ?i S 1 ?? ..{ LOT SQ. FOOTAGE = 16,443 HSE SQ. FOOTAGE = 1, 853 LOT COVERAGE = 1170 PROPOSED ELEVATIONS Top of Foundation = qo7,y Garage Floor = 90-7.0 Basement Floor = a98.q Aprox. Sewer Service = Proposed Elev. = 0 Existing Eiev. _ Drainoge Directions = Denotes Offset Stake = . SCALE: 1 ineh - 30 feat h• ?`6 6?? y ? BENCHMARK, 'INH@ 985?1 Eleo • q45.31 MIN. SETBACK REQUIREMENTS Front - 3o House Side -to Rear - 30 Garage Side -e I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTAl10N JOB N0: HEDLUND OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED OZR-338 BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO SHOW IMPROVEMENiS OR ENCROACHMENTS, EXCEPT AS SHOWN. aooK: anGE: PLANNJNC BNCJNh'BRINC SURVEYING , ' 2005 Pfn Ook Driva ? Eagan, MN 55122 DATE ' CAD FlLE: Phone: (651) 405-6600 D. LINDGREN, LA6b SURVEYOR Fax :(651) 405-6606 MINNESOTA UCENSE NUMBER 14376 Miac-01 SY ????? ?AT-D D? r_^:.--N,---; R x" zDEP"%'. I ? xaozz ° _ L=200•C) _ - i -- - 1------- ?? Surv e y o r's Cert2f2c a te SURVEY FOR : Miuerville Inc DESCRIBED AS : Lac s, 81ock 1, MURPHY FARM 2ND ADDITION, City of Eagan, Dakota County, Minnesota and reserving easements of record. IYIURpHY 0 _ 1642 P`4RKIYAY ??? ??VU-j ?---__ ? _ ----_ m 3 1 1 0 `-1-_? ? O 0 O M 32°OS' 43„ ExisL Home i ? r'»A 1 5a-- - -U----' ? porch - _ R_356.48 r 6 ? ??_-"Z7.33 J ` -- ?=200.00 ? Z 1 e ra9 CiU ___-- ___ II ?? ' ___ ______ ?_-_r? E1. -0 1 % 00 2 0 0 Z?Sto?Y/o ? N ? / / cr . --? LOT SQ. FOOTAGE = 16,443 HSE SQ. FOOTAGE = 2,106 LOT COVERAGE = 13% PROPOSED ELEVATIONS Top of Foundation = Garage Floor = Basement Floor = Aprox. Sewer Service = Proposed Elev. - ? Existing Elev. - Drainoge Directions = Denotes Offset Stake = . HEDLUND PLANNING ENGINEERlNG SURVEYING 2005 Pin Ook Drive Eagan, MN 55122 Phone: (651) 405-6600 Fax : (651) 405-6606 BENCHMARK, MIN. SETBACK REQUIREMENTS Front - 30 House Side -to scnLE: i inch = 30 feet ,???u??•? Rear - 30 Garoge Side -s ..u?! . ., `??..?a?,,... I HEREBY CERTIFY THAT THIS IS A TRQkPAND CORREGf.REPRESENTATION JOB N0: OF THE BOUNDARIES OF THE ABOV?' DESCEFf8E0TPROPERTY?AS SURVEYED O7R-338 BY ME OR UNDER MY DIRECT SUP?kVISION ANDnDOES NOT?PURPORT TO SHOW IMPROVEMENTS DR ENCROACHMENTS?(EXCEPT)as sNnwti BOOK: PAGE: DATE _? / S 103 ? 0:•.., .: • ; ?-?'-'`. CAD FILE: F ?<0F ?:W?GREN, L SURVEYOR A"°? Misc-01 INN SOTA LICENSE""NU BER 14376 PERMIT City of Eagan Permit Type:Building Permit Number:EA117141 Date Issued:10/15/2013 Permit Category:ePermit Site Address: 1642 Murphy Pkwy Lot:5 Block: 1 Addition: Murphy Farm 2nd PID:10-49501-01-050 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. Valuation: 8,000.00 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 - Tristan J Kusnierek 1642 Murphy Pkwy Eagan MN 55122 Cedar Custom Builders & Remodelers 1501 Keller Lake Rd Burnsville MN 55306 (952) 215-5141 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA129839 Date Issued:03/18/2015 Permit Category:ePermit Site Address: 1642 Murphy Pkwy Lot:5 Block: 1 Addition: Murphy Farm 2nd PID:10-49501-01-050 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 by law in ALL single family homes . 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 - Tristan J Kusnierek 1642 Murphy Pkwy Eagan MN 55122 (612) 817-9460 Cedar Custom Builders & Remodelers 1501 Keller Lake Rd Burnsville MN 55306 (952) 215-5141 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153754 Date Issued:01/22/2019 Permit Category:ePermit Site Address: 1642 Murphy Pkwy Lot:5 Block: 1 Addition: Murphy Farm 2nd PID:10-49501-01-050 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Tristan J Kusnierek 1642 Murphy Pkwy Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature