3827 Danbury TrCITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
• ? } 11 PHON E: 454-8100
6UILDING PIEAMIT Receipt?
To be used for , a Est Value Date ?,19
Site Address s'
Lot " Block ' Sec/Sub.
Parcel No.
? ' . ? ,.• N; ?. 1 1: ..
s Name
= Address
° City Phone • ' ? •= G 1
o¢ Name
.
o` Address
? City Phone
?
yvj W Name
F W
_ z. Address
i W City Phone
I hereby acknowledge that I have read this application and state that the
information Is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee _
A Building Permit is issued to:_
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
OFFIC E USE ONLY
On S(tB Sewege OcCUpancy
MWCC Syatem ' Zoning
On Site Well (Actual) Const
City Water ? (Allowable) V
PRV Required # of Stories
Booster Pump Length ,
Depth "
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASaess. Permit '
Plenner Surcharge
'
Council Plan Review
Bldg. Off. SAC, City
c
'
Variance SAC. MWCC
'
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks I
?
TOTAL
Building Official ?
,. Psrmit No. Permlt Holder Date Telephone s
Plumbin
9
c -
H.V.A.C.
.
Electric
Softener
Inapsctlon Date Inap. Comment8
Footings I s/ •?
Footings II
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul. 2 - -9?
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ. - ^ -,
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT #
• . • , MECHANICAL PERMIT
• ' . CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PR CE PHQ,NE: 454-8100
Site Addre9s BLDG. TYPE WORK DESCRIPTION
Lot Block ; Se JSu p Res. •`? New -"
T ? ,
• N r"
f ?
74
7? Mult Add-on
? . r
:
Name . v
?o Address 2 `0 Z c r f c. ,,_,e- Comm. Repair
c City'-%7LrO 6117-1-1 Phone ' j-.i 7' Other
?
Name FEES
RES
HVAC 0-100 M BTU -$24
00
. .
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PEF
MIT 50 EA
1
) -
-
(
i .
.
. TYPE OF WORK COMM/IND FEE - 19'o OF CONTRACT FEE
?
? Forced Air '• M BTU 2 Y. 00 APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
?
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU g. MINiMUM COMMERCIAL FEE -
STATE S
RC 20.00
U
HARGE PER PERMIT - .50
? Vent CFM ? PERMIT PRICE GOES
/
Gas Piping Outlets # V 000)
BEYOND $1
Other FEE:
- S/C: ? ?SIGNATURE OF PERMITTEE
,
TOTAL• i ?
? ? • ? ?
?- FOR: CITY OF EAGAN
? . . . , . .
PERMIT # "`-
?
• PLUM8ING PERMIT RECEIPT tl ??<--L
?
• CITY OF EAGAN
3530 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ??!?_
CONTRACT PRICE: PHONE: 454-8100
I Site Addffss BLDG. TYPE, WORK DESC?i1PT10N
Lot ?- ^,Block
SeclSub Res. _1/1%- New
_
~' ' Mult. Add-On
? Name T4uM I tL C Comm. Repair
' Other
c Ciry??^',?? Phone ? RES.PLBG.ONLY-COMPLETETHEFOLLOWING:
- ' FIXTURES TOTAL
? Name ?K V r '?'` ' ?"( ?
Water Closet - $3.00 ?• ?
Bath Tubs - $3.00 ? 7
T-
3 Address
- $3
00 ?•
Lavator
- `
y
.
; - p Ciry Phone Shower ? $3.00
?Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
i COMM/IND FEE - 1'96 OF CONTRACT FEE ,
Laundry Tray -$3.00
APT. BLQGS - COMM RATE APPUES
' TOWNHOUSE S CONDO - RES. RATE APPUES Floor Drains -$1.50 1• ? ?
Water Heater -$1 50 !•'
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
1
-T-
" '
MINIMUM - COMM/IND FEE - $20.00 •
Gas Piping Outlets - $1.50
?
i STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
?(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - g10.00
' ?_Private Disp. - $10.00
50 q•
enin
1 Ro
h O
s -$1
?.-, •.?-<=.., .c,.!..?,
; g
p
.
ug
FEE '
SIGNATURE 0(c PERMITTEE /
'
i STATE S/C:
FOR: CITY OF EAGAN .• ; ,; --
GRAND TOTAL• ?' ' '`
cW qM/or?
ZZ -__ .- - -
j CITY OF EAGAN N2 14962
3830 Pilot Knob Rosd, P.O. Box 21-199, Esgan, MN 58121
Z?o 1 -•--• ----- -----•- PHONE:454-8100 ^ . .. 2 ?
?' housF;
2G?
,
1 ,
I y?
Z'
Citp of tfagan
IDP#t81'YltlFttY Df suIbt" jwPtttDri
771is Certefrcate issued pursuanr to the requirements of Seetion 306 ajthe Uniform Burlding
Code certifying that at the time of issuance thrs strucurre was in co?nplrance with tJre various
ordinances of the City regulating building consirucdon or use. For the following.•
POST IN A CONSPICUOU5 PLACE
• ti,
;
?
-??
. ?
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
. -?f I4 G
SINGLE FAMILY DWELLINGS '
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTORlHOMEOWNER MUST DESIGNATE WHICH ADDRESS I
IS.DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. '
i
MULTIPLE DWELLINGS RENTAL IINIT3 FOR SALE UNITS $ OF iJNIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL FLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- ?' AM APR 18 ?98?
To Be Used For: Ringi P Fnmi j., Yaluation: Date:
?--?
Site Address 3827 Danbury Trail
Lot 3 Block 1_
- Pareel/Sub LexinSton
.
Owner Marvin o g,P R,,; teio", !Re?
Address g 0 Rnsr L98
City/Zip Code PrinCer,pn,rMN 5537r-
Phone (612) 389-3201
Contraetor Same as owmer
Address
City/Zip Code
Phone
Areh./Engr• Cflm??ei?e?
Address
City/Zip Code
Phone #
? -
T7 l, 000
On site sewage Oecupaney -3 Ikl-)
MWCC system Zoning
On site well Aetual Const V-N
City water Allowable v-N
PRV required # of stories
Booster Pump Length 4 2'
Depth y 8'
S.F. Total
Footprint S.F.
APPR._ OVAI"S
Engr/Assess
Planner
Council
IZ
Hldg. Off. g075
Varianee
FEES
Permit
Surcharge `IJZ3 I (.I?
35, 50
Plan Review Z29, bo
SAC, City
DO
100,
SAC, MWCC 00
Water Conn 55_ D? Db
Water Meter G1 00
Road Unit 325 .DO
Treatment Pl 204, ?
Parks
Copies
TOTAL
V
CIT'Sf OF EAGAN
3$'30 Pllot Knob Road
P.O. Sox 21199
Eagan, MN 55121
Permit No: ?'•?'' ;!
B/PNo:
By
SEWER SERVICE PERMIT
Zoning: _
No. of Units;
CITY OF EAGAN Permit Na
3830 Pilct Knob Road Meter Na:'?0 .3 d
Date: Size: - ?o c
P.O. 19ox 21199 Reader No: A 741 Date, q, y- g S
Eagan, MN 55121
Owner. ':arvixt GPOZP(? Bvilders
SiteAddress: 227 D nbury Tr. L' 'i 1P;;in •ron Sq it':
Plumber plymouth PLutabin?
Conn. Chg: »O.OOad
cct. Dep: 15 OOp d
ermit Fee: 1.?.OOo d
urcharge: .50 d
. Plant
lr ? ?4 . 1??p d
eter. ,?
isc.:
WATER SERVI
?
R1
I agree to compfy wtth tfie City of Eagan
Ordinances. ..
By
CE PERMI
MWCC: 550'0qPd Zaning,
Ciiy Chg: 1m"0 ~d No. of Units:
Acct. Dep: 15.Wne'
.? .. ... ?:,_ I agree b comply wilh the City ol Eagan
Permit Fee:
-
Surcharge: Ordinances.
4?,?.,? _ 5? Q? ? 3 RESIDENTIAL
? l BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
681-681-4675
New Conetructlon ReautremeMe
• 3 regiSlered 51te surveys Showing Sq. fl. of b}, Sq. tt ot house; and $p roOiBd areas
(20% mexdnum bt coverflge albwed)
. 2 coples of plan showing beam & wintlaw sizes; poured fountl design, etc.)
• lsetafEnergyCalculatbns
• 3 copies M Tree Preservatbn Pien if bt platletl a8er 7/1/93
• Rim Jolst Deteil Options seledion sheet (bkigs wtlh 3 or less unils)
DATE (l!A-0Z
SITE ADC
TYPE OF
IULTI-FAMILY BLDG _ Y ? N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT •a Iw?F ?c..p-'?-S E?u t ?.i? y t.?? ?.??TR.F?G'T't? 2 S
STREET ADDRESS \-L 2.
fiemotleVpeoeh ReaulremeMS f "??( ??
. 2coDiesofP?n I oC U ?
. lsetofEnergyCalCUlatbnsforh9atedatl0itbns ?
• 1 stlesurreytorerztefwraddftons&tlecks
• IntlicateNtwmeservedby8eptksystemforeAtltlions
VALUATION ?? ??" I U? • ?b
;-t?
TELEPHONE #°r 52-7 07 -(o95°J CEIL PHONE #_ FAX ti
PROPERTYOWNER ?AJ?- 7 A?i-A TELEPHONE# 651-ql?- kiZ3
------------------------------------------- -------------- ---------- °--------°----
COMPLETE THIS SECTION FOR ^NEWN RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J su6mission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Piumbing system includes:
Mechankal Contractor. _
Mechanical system includes:
Sewer/Water Conhactor:
Phone #
Phone
-------------° °--------------°--------------------°------°------°-°------------°
I hereby acknowledge that I have read this application, state mat the information
with all applicable State of Minnesota Statutes and City of Eagan Ordincces.
Signafure of Applicanf
ZIP
Fee: $90.00
Fee: $
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
APFLICATION FOR PERMIT
SEWER AND/QR WATER CONNECTION
? . ....................x........... _;
?NOTE: PAMAEI7f OF FEE AT TIME OF }*
; AreLxcraIoN noESS Nar coN- ;
? SllN18 APPR(TJAL OF PERhIIT. ,'.
: e
; iNSeBMoot ot' seHM arn/ox i,mTER
; iNsrntaAxioKS wna. Nar ? SCEUJLm ;
? UNPiL PFFFIIT HAS BE@] AppR(}VID. ?
•:*++++tt??:ta?x?kk?w+?,e::?ii+kw?+r»+x
oF ecigcan
(PLEASE P INT
1) PROPERTY ADDRESS' k-
7 FY;AT. DFSCRIPTION;
or
IF EXISTING STRLCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESF2PP ZODIING/PROPOSID USE:
Q CONAEE2CIAL/RETAIL/OFFICE
Q ZNDOS2RIAL
Q INSTITOTIONAL/GOVERNMENT
Nbnt Year
1=,'R-1 SINGI,E FAMILY
E:l R-2 DUPLEX (3uv Cnits)
? R-3 TOWNHOT-ISE (Three + Cnits) ( Units)
Q R-4 APARTMENT/CONDOMINIL'M ( Cnits)
2) NAME: 444
iv??
ADDRF55:
CITY, STATE. 2IP:
PHONE: ??j?^363?
3) •i NAME:
ADDRESS:
CITY, STATE, ZIP: /Y/4, (c G cv,,L `ry?
PHONE: MASTII2 LICENSE
?
Active
Expired
Not recorded
St Inztia
4)
NAME: S!¢!k c fjS (?7
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) EE921- t0e
UICOfNECTION TO CITY SEWER E?rNNECTION TO CITY WATII2 0 QTfM
6)
*?**********??******?****?**.*****??****?**,?*???****,?**??,?.?**?**?*********?,?***??***,?***?*****????
* THE GOID COPY OF 4HE PII2NIIT WILL BE SENT DIRECIS,Y 'PD PUSLIC WORKS 4U FACILITATE METER PICK-UP. *
* PLE',ASE ALLOW '1W0 FARKING DAYS F'OR PROCESSING. SOMEOPIE FROM TM CITY WILL CONTACP YOU IF 14IERE *
* ARE 21NY PROSLEM.
?*??***r?******??*,r***r?*+?*??****,r*«*,t,t*,?**?*******vr******+***,e?,t**?********++e**??+??*+*?***,t**?**?
FOR CITY USE ONLY
PERMIT # ISSUED
?
Pd w/Bldg. Permit
$
e
$ - ???LrZ?
$
FEES:
$ / [? • }'Zi
$ /E'7 ^ s7l
S
C
$ $ SEWER TAP
$ $ e) ACCOL'NT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ ?.?L? -CrZJ
$ WAC
$ $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRL'NIt SEWER ASSESSMENT
$ $ LATERAL BE[VEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ nG n`7`a? $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ o-? $ cv-Z? TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQLIRE EXCA VATION IN PC'BLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MT-IST BE
DIVISION
S ISSI-IED BY THE ENGINEERING
. LI
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLDDE 5L'RCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
TITLE:
DATE : ??Z ? ? ?
EXTEAIOR ENVEI.OPE TFIAR,MAL TRANSHITTANCE
STANDARD WORKSHEET
gc9 MHI '
Site Address ' !' YjMIT Ormer
?
Contractor ,/JlLi?F?Phone Date
Building Type ( X ) •A1° Residential ( ) "AZ" < 3 stories y_) "H" Other
Assembly (Describe type from Table 3 or Mea (A) U-Value U x A
show calculations on Page 2) (Sq Ft)
Insulated Mea /OZ ?!•Z? , z2,5324
o Framin Area O Z 8 3, b 5 Q, 9y
6 S 1 ts e ? - ?
?
Other (describe)
?
-
-
.?
? R
U
t Totals 113 ? tf+ •*+?+?*• % 5.59/ 3
2 Aver e U-Value, (Ux9)/(A) from Line 1 *?'??*• , O 7 Z 4s ;????*
3 F.e uired U-Va2ue (from ta51e)
InsuSated Area ?598 ? D'f3 7
Framins Area 117 09237b' -/O
Windowsr Pe ?AS 1ytE/.1 377r v .3 5'/.3/N/
Doors. T- Pe ::1?/, ??/D
Rim Joist Area J{JN,G/i? , p 7 /
? Fireplace Wa11 - - -
a Foundation Wall (above rade) , 02 = 7. /yz
o Foundation Windrn:s Ty e - - -
% Other (deseribe)
?
?
-
? n
n
4 Tobals ? 7 L0,2? , ?
5 Avera e U-Value (UxA)/(A) from Line 4
6 Re uired U-Value (from table) **+?*• ?? *'?****
If line 2 io greater than Line 3, or Line 5 greatec than Line 6, complete
.o the followinq to determine reduction of UXA needed to meet code.
O
?
7 yZ
Area (Line 1) +Area (Line 4),?+zZ' 5 J ?
?
2? O.
? 8 U x A (Line 1 ) + UxA (Line 4),? r+12Z,?- _ ?+?++?+• z^
d
o
?
Area (Line 1) x U-Value(Line 3) 113 x (_=
¦?*;?+
?'?-? .?
N
?
10
Area (Line 4) x U-Value(Line 61-?
7 Hudget, Line 9+ Line 10 rq ?,,F, j r
?
0
2
Actual (Line 8).- Bud et(Line 117_':?P `=';:.-?=
+?+??*+
_24G,(o7
F" If 2ine 12 is greater than 0, adjust asseablies to redvice Line 8 to be less
n or equal to Line 11
33
'o9
pof
Asserrbl 1 U5. A L CA\fIT
teri escr e ic ness - u
V Asse 1 u LL (kqtT\J
aterial escr e ic ness R-Value
i /32L? 2,0 l?7 pl i -'?? 7,bCo
(;4T-r<
?Ir?? (,YP5U1-n
yz.)
?5
/z° ?aYO.SUFI R?
%" ? . ,
?Lr
on
?.rQiRH-
G'i LJ P17-
„ ,.
an
ii it- ? CiI iil/. /A\ rIYV
Material scr e ic ness R- alue
CaLdS` 4`f
Inter or f-Value .i /
xterior f-Value
Total Assembl Thirmal Resistance
ss 1 U-Value Enter oa P. 1 ,ni"Lo
„
? (ZU55 741110,( 5•b ?/,Z6
Cl_?.s5 l,us 9"
Assemb
lAssambly tT-Value (Enter on Pg. 1) essemDly U-value (Enter on Fg. 1)
EXTERIOR ENVELOPE WORKSHEET H04-2
Phones
Princetan
612389-3201
Minneapolis
612332-3034
A?a4
LDERS, INC.
"EAST CENTRAL MINNESOTA'S LARGEST BUILDER"
April 29, 1988
City of.Eagan
3795 Pi1ot Knob Road
Eagan, MN 55122
Dear Building Inspector,
On April 12, 1988, I mailed a print for a LH
Summit on Lot 3, Block 1, Lexington Square, Sth Add.,,
3827 Danbury Trail, Eagan.
Since the Summit is a new house, we did not have
heat computations done when I mailed them. And I am
sorry it has taken so long to have them done. It is
that time of year when everything is happening quickly.
Please give me a ca11 when the permit is ready so
I can have a check ready for the Construction Manager.
Thank you,
? l!`i ; `----?-
Catherine Wong
Marvin George Huilders, Inc.
RGE
1 Mile
South of
pnnceton
Minn.55371
on Hwy. 169
RTD MAY 2 1"
LOT SURVEYS COMPANY INC No'
q?8
, . 04
;
F S.
LAND SURVEYOR4 SCALE I" Za'
0- DENOTES IRON
REG[$TERED UNDER LAW3 OF STATE OF MINNESOTA
7601 • 73rd Avenue North 660.309$
MARVIN GEORGE BUILDERS Minneapolis, Minnwota 65428
-- - - Job No. 88-43
Property Address:
0 Denotes Wood Hub Set gurutyure (Se?ftib 3827 Danburg Trail
For F.xcavation Only
- Denotes Surface Drainage
ODenotes Proposed Elevation
x ooo.p Denotes bcisting Elevation
I
I
895_3 \/
8?s ; A C A NT
---131.03---
-
? +
`'-
--?
I -? -----LC
? ' 0G3.Z $93.0'
1 4e,v„
? a - PRopoSCD ?
Q ?
C, RGStOr,1.lC? N
? 0 d d. O . 18b"
? `??v ?
N e9az
II
? ?D t
y i
{' ?
i
LO ?
.
? .
?
I I
V
r?CA?T
Top of Block
e9 4-,9
Garage Eloor
6 c)d:4
Lot 3, Block 1, LIXINGTON SQUARE 5TH ADDITION
J ?P??
13
llate
EAGAIV Ei.?};;T_•._. D PE T
The only eaeemente ahown are from plate of record a informatlon provided by
elienl.
I
S
?
?
1
1
Lowest Most Floor
g0)i.4
J
a.
?
CQ
<L
?
VYe hereby certly that thle Is s tnre and conect repreaentation of a survey of the
boundarles oT tM above deacribed IarW and fha locatbn o( dl bulldlnpa arM vis-
Ible encroechmente, if any, from a on sald land.
8urveyedbyuslhls I1r1+ deyof Anril ig_gg 3igned ?
R nd A. Presch, Minn. Reg. No. 6743 M
Tep2.P, a?ilA
?' -- 30.5-- -
?
Proposed? -
ed
--?
?
? 10
- -f --
-- 30.5----_
rz.F` 89Z.8 I
z8
Use BLUE or BLACK Ink
-
For Office Use
r ~
City of Ea Qo n ; Permit
1 I
6 ; Permit Fee: v '
3830 Pilot Knob Road
Eagan MN 55122 j Date Rece'ved:
Phone: (651) 675-5675 I '
Fax: (651) 675-5694 1 Staff.
2011 RESIDENTIAL BUILDING PERMIT APPUCA ON
Date: Site Address: 3k~ / Nil, Vi ~t.:✓~.l T r Unit
Name: Phone:
RESIDENT /
OWNER Address/City /Zip: D9,2/ ,)kA C
~l•~- C.k-4i,lf'1
Applicant is: Owner Contractor J
Description of work: 'r (,t l u S VtQ _ c~ L' ZrtJl l1 f S (~'f-
-TYPE OF WORK J
Construction Cost: 4 Multi-Family Building: (Yes _ / No
Company:_ Kline Corp. ;ontact:
DBA: Practical Systems
CONTRACTOR Address:-4342B Shady Oak Road City: Hopkins, MN 55343
952-933-1868
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents.that you.submit are considered to be public information, Portions of.
the information may be classified as non-public:if you provide pecitic reasons that would permit.the.City.to
conclude that the 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.gooherstateonecall.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 1 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 Building Code must be completed within 180
days of permit Iss`uannc/e~.
X. x rJ
Applicant's Printed Name J Applica Sig a re
Page 1 of 3
Z/ Z L LOZ-£ 1.-01. 9£ L€ 8 L s09
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA121439
Date Issued:04/01/2014
Permit Category:ePermit
Site Address: 3827 Danbury Tr
Lot:3 Block: 1 Addition: Lexington Square 5th
PID:10-45079-01-030
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.
St Paul Plumbing Heating Air St Paul Plumbing Heating Air
640 Grand Avenue
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 -
Michael R Davern
3827 Danbury Tr
Eagan MN 55123--154
(651) 214-9032
St Paul Plumbing & Heating
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Plumbing
Permit Number: EA135480
Date Issued: 03/18/2016
of ER 1n Permit Category: ePermit
Site Address: 3827 Danbury Tr
Lot: 3 Block: 1 Addition: Lexington Square 5th
PID: 10-45079-01-030
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
Total: $60.00
Contractor: - Applicant - Owner:
Norblom Plumbing Michael R Davern
1465 Selby Ave 3827 Danbury Tr
St Paul MN 55104 Eagan MN 55123--154
(612)827-4033 (612)961-3213
1 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.
Applicant/Permitee:Signature Issued By:Signature