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.
. V_. ?: :cci +:-.dcw , L^c!cdiag area u(ii rocr.da:icn x^eCw;i
s.c dcer ses .., .,u:.i .r !ess :t^.y1 al!cwaeie pe^er.3; .
.iilcwabie Taul Wir..:cw and Dcar:?,nca ?
•?:CCt.^.32°J[=;=CSed'.?'31? -?-. I
13°.0 ?
14'11 , I
I 16 '.0 i .
? I$°.?> I
?p°.o
I 2=% '
I?i%
tb%
2$% .
Msriti,la Are.^__e R'-1.cw !axcev! .`c?W.d::icn zicCcws): .. .
? -s=. 3-(: i: - a:ic.^.. 2-'si:=_:.•r. ? 0.:: I 0.17 I 0.1i ^..:b I 0.13 i 2:0 ! 0." ( 0?: I 013
7 s=. 3-!? ia>u:a:icr.. t-i s,:ntl.in I 0.:2 O.a: I i; I:7.3? ? p.3t ? 0.?3 t 0._6 ? 0.?i I 032
'_s5. 2-19 :r.sciidar.. < R-5 scea?4in¢ I O.JS I O.+I I O.:o I 0 0.39 I 0.?5 I 0.31 ? 0.22 I 0.21
:I ?so. 2-t9 inscla:iCn. 2•i s: exhir. OSo ? 0.»3 I 0.:- I 0.31 1 0?3 0.26 1 0'4
:1 3s5. R-'_ I irsuiatior_ <R-5 ;;:ta:Sin I OS t 0.1} I 0.33 I 0.?1 1 -0 ? 0?3 I 0.25 01i 0.??
? ?s6. B-? I If.5a13[10t1. R-: >:iq[1iR 0.53 O.iO ? 0.4-t ? 0.39 0.35 ? a3? 1 029 0.27 0?5
W'all Tre (ACvu:c:d r'camin¢ : hfazimum Avua¢e W`mdow (J-value ezc:c[ ;owCaticn wicCowsl:
? 2c6. R•t9 insu(auon. <R-5 shcuhin OS2 0.45 0
39 0.35 0.31 0.23 0.26 024 0.?1' ?
O 2x6. R-I9 vuulatioa R-5 sheathin O.SS 0.50 0.31 0.39 035 0.J2 029 017 0.25 =
O W. R-21 insularioa <R•5 sheaLhin 0.55 0.37 0.31 0.76 0.33 0.30 0?7 025 0?3 .
C) 2r6, R-2I insuiadoa R•5 shearhin 0.60 0.52 0.46 0.41 0.36 033 0a0 0.28 016
W'indow U-value: r'? Soutce: O NFRC O,LiFffi.AZ 1993 HandEook 100 x' (a(z. -? _ `3,P00 = Ilo. °? ! < ? I-1.
wir.Cow&Coor uea goscuposedwall 3rea DES[GN ALCOW'A3Lc (toms6leahove)
M/NNESOTA ENERGY CODE - WHIcH Rutes MaY l UsE ?
TYYE OF RESTDEYTi.>L BUILDING APPLiCABLE RCLES
Denched R•J occupaacy 1• and I-family dwe0lnQs C63pm; 7672: er ..
E.c.unolas: air..•!e ta.^vlv. ?win 4omes. dueles?, Chac[er 7670 "la:ezcr. !.. wc4 s:?:.:cn 'ecrcs=^:udan v:u vcaniaucn r^cuire:r.eoc,
Attxhed R-3 occupancy dwelGnEf I Chspter 7674; zr -
E.ear. vles: r.ielet !awnha? md row hauses Chaeter 7670 •.vich erthc: "G::scrv I" Of -Cl::QOC/ 2" =VI$: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