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3651 Denmark AveCONTRACT PRICE: Site Address Lot Block. 4/ Sec/Sub Name m Address - I --?- c ' City Phone Name l c Address a p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # - RECEIPT # - `? DATE: />?/? 4rl'7 WORK DESCRIPTION New Mult. Add-on _ COMM. ?- Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - 53.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - 51.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ++ jj FEE: STATE S/C: GRAND TOTAL- PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 BLDG. TYPE Res. 0 f CITY OF EAGAN PERMIT TYPE: 11 It 111' I 3830 Pilot Knob Road Permit Number: «2 tilt 'tN Eagan, Minnesota 55122-1897 Date Issued: c> (612) 681-4675 SITE ADDRESS: 1 11 1 , Fs1 1, h, ^ APPLICANT: 11FNNARr, AV1t H11110100 CE) ?.- I lhllil h' .11111A.I 1r,1.') A i.'- 7426 PERMIT SUBTYPE: I;: : I 1'1)0 T 1 Ho '. Rf b1AfiK. 1 NC l UUI'S : 3661 G1= NMRRK AVI LA TYPE OF WORK: frrPAIR 111 .' 1' 11, 1 11114 (PI7IVACY t.IAI 1. I I NAI L Z -------- ---- Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FT0 _?/ U/I 1???f } DECK FINA!_ ??19& ( DL) _ CITY OF EAGAN PERMIT TYPE: r I ?? r r4r? 3830 Pilot Knob Road Permit Number: " , iy q rr rt Eagan, Minnesota 55122-1897 Date Issued: , . ; (612) 681-4675 SITE ADDRESS:' i " 1 v' I ""1 H c? `I ?' `?'? APPLICANT: 1111• ill 1:1 I < <. ,k ? Ill HMARk AVE [If kyl 1 r wll:r I; ,If??l, r ? ?. ? r e. a .• ? 1;rr? 1.+;?,.:, PERMIT SUBTYPE: :,, 0t) T i NIi`. TYPE OF WORK: I INAI T!Nt J Permit No. Permit Holder Date Telephone S ELECTRIC PLUMBING HVAC Inspection Data Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG tr, DECK FINAL CITY OF EAGAN Remarks (1 11- Additi,?n Timbershor - 1 Lot 3 Rik 4 Parcel 10 76500 030 04 Owner Al ? ? ?1 ?l', , -Street 3651 Denmark AV _ - State Eagan,MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. A 51 1974 21,0 624.20 Paid STREET RESTOR. GRADING SAN SEW TRUNK .?. SEWER LATERAL Ill 1973 24.48 41.4 15 Paid WATERMAIN WATER LATERAL 1973 15 WATER AREA jjje STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. ? 110.00 5718 5-15-72 BUILDING PER. SAC 240.00 57113 5-39-72 PARK CITY OF EAGAN Remarks 1j' f1d ti Additipn Timbershore 1 Lot 2 Rik 4 Parcel 10 76500 020 Q4 Owner )i'6 'I ? , ? I Street 3653 Denmark AV F-• State Eagan,NN 55123 Improvement Da Amount Annual Years Payment Receipt Date STREET SURF. 21.0 6 •20 P aid STREET RESTOR. GRADING ] SAN SEW TRUNK YE SEWER LATERAL 24.8 1. 15 Paid WATERMAIN WATER LATERAL 973 15 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. f) f)() 571 A BUILDING PER. SAC 240.00 5718 _ PARK CITY OF EAGAN Remarks 1 l' • I Addltipn Timbershorel Lot 1 Blk 4 Parcel 10 76500 010 04 Owner _ b 1 10 1- '. ! Street 3655 Venmark 14+J F. , State Eagan,MN 55123 Improvement Amount Annual Years Payment Receipt Date STREET SURF. 321•Q 6 •2Q Paid STREET RESTOR. GRADING P SAN SEW TRUNK SEWER LTERAL 24.8 41.4 15 Paid WATERMAI N * WATER LATERAL 97 j WATER AREA , STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 110-00 BUILDING PER. SAC 240 - 00 571 A 5-15-72 PARK CITY OF EAGAN Remarks' Addition Timbershore 1 Lot 4 Blk 4 Parcel 10 76500 040 04 Owner )i Cl4`,At. i x .'Street ^3657 Denmark Aq E- ` State Eagan,NN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 1 WATERMAIN * WATER LATERAL 1973 1 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 110.00 5718 5-15-72 BUILDING PER. SAC 240.00 5718 5-15-72 PARK 76,5 66' loo -?4 7-•'??bFrsd`?C/? /SJi TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO. 192 The Board of Supervisors hereby grants to Thompson Plumbing Co. of 12201 Minnetonka Blvd., Minnetonka MN-55AX61 a PLMMING Permit for: (Owner) New Horizon Homes at 3651P Ift i &-365T Denmark , pursuant to application dated 1/7/72 Fee Paid: $W?nn Dated this _11th day of p=i3. 197,2. 2.00 s/c Building Inspector V TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO. 198 The Board of Supervisors hereby grants to Geo Sedmdck Heating & Air aonditimAng of 1001 Xenia Ave So Mnls 55416 a HFAMNO Permit for: (Owner) New Horiz on Hanes at 6 _ 3_5 57 Denmark , pursuant to application dated 1110/72 Fee Paid: 180.00 Dated this 4th day of May 197_. 2.00 a/c Building Inspector ,3 TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO. 198 The Board of Supervisors hereby grants to Geo. S drwick Heat ne & Air can i•ignin$ of 1001 Ionia 7g, So Macp KY 'R?+w.... "r- i' •."'+.`"'t'i'!ila a HRA4R1?? ,. Permit for: ;(Owner) : E gamis et?., pig y , pursuant to appl t 15/10/72 Fee Paid: $8C.00 Dated this 4th day of May 91 7?• 2.00 s/c Building Inspector TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO. 192 The Board of Supervisors hereby grants to Thompson Plumbing Co. of 12201 Minnetonka Blvd., Minnetonka MN 553k361 a PLUMBING Permit for: (Owner) NOW HOriZOn Homes at 3651,-3552.1 36*& 3657- Denmark , pursuant to application dated V7/72 Fee Paid: ?00 Dated this 11th day of - AWil , 197Z. 2.00 a/c Building Inspector 7 TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO. 198 The Board of Supervisors hereby grants to Geo. Sedgwicklleati++a_ & Air Comditionina of 1001 a UKTM " `* Permit for: k6e ner)- Nem Hwirae? Hare at afSf.,Dessrk , pursuant to appl _ 5/10/72 Fee Paid: $80.00 Dated this 4th day of Hy , 2.00 a/c Building Inspector % EAGAN TOWNSHIP BUILDING PERMIT N° 2649 Owner i.a/t1 Address (present) Builder ...........................................................'---..........--...........------.... Address ... DESCRIPTION Eagan Township Town Hall ?z Date ... / ......................................... Stories To Be Used For Front Depth Heigh! Est. Cos! Permit Fae Remarks ' LOCATION C // r..- O, r--) Street, Road or other Description or Location Lo! I Block I Addition or Tract This permit does not authorise the use of streets, roads, allays or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safely, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE ( -WHILE THE WORK IS IN PROGRESS. ............................................ u p o n This is to testify, lhai.. ' ?° "has permission to erect a.... -------- the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. J? c Chairman of Tnwn Board 4" Per ---... -...... f........_ ............................. . may' Building Inspector EAGAN TOWNSHIP BUILDING PERMIT Owner ........................ . Address ._--------'---------'-----.'-""-------------....._. .. DESCRIPTION Address (Present) ........... ............. ....... .......... .......,....._. Builder ............................................................... ----........"'........ _..-?--- N° 2649 Eagan Township Town Hall Date --- 1.?7 Z - ...... .... ......... Stories To Be Used For Front Depth Height Est. Cos! Permit Fee Remarks 00 LOCATION ( // & -J" rJ Street. Road or other Description of Location Log block Addition or Tract 3 bSS n. - .. ,. L I a / u2Pi / 4t- r .? °.- .............. Chairman of Tnwn Board This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safely, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT/ ON T, IE PREMISE pWHILE THE WORK IS IN PRO ESS. - This is to certify, that..permission to erect a.......... T`'. `: upon the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted Apz it 11, 1955. 16 Per .......... ---....--------'---... Bu u.it ....__ ......nsp......ect...o. ........ ?;' ding Ir EAGAN TOWNSHIP BUILDING PERMIT Owner ...... ................. . .... ... . ./--...'.y/-?+-..-C? Address (present) 4..0..... -s f3 Builder .............................................................. Address .... --------------- ------------------- .................... N? 2649 Eagan Township Town Hall Dale S/'1.7 2 Stories To Be Used For Front Depth Height Esl. C! Permit Fee Remarks 2 .3"x'5 8Iim D's 'Pe u LOCATION ( // i, 7, rvJ zoireer, noaa or oxner Lescrlpnon or Locanon L01 rsloUC Addition or Tract "J' 6'2ne ?. J453 oen mark l I/ ? I S11-- This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PRO ESS. This is to certify, that. ..lar!c.t.`."?:?-r.-L-!?:? Chas permission to erect a_. .......... .................................upon the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. p? c ................. . ...........fir". `r"... Chairman of Town Board 16 Per ................. ................. .._.... Building Inspector EAGAN TOWNSHIP BUILDING PERMIT N° 2649 Owner ......J... ............. -- ............ ..- .... / ?.:.."'"'.:'. "?/_ i"?? Eagan Township Address (present) .`.5<<{..o Town Hall Builder ................................._...........----.................°_..........-"_......... _ Date Address ?7 ?- DESCRIPTION Stories To Be Used For (o - 7 Front Depth Height Est. Cost permit Fee /G,D3f p7?,eG, Remarks I LOCATION Street, Rosa or caner Description or Location Lot _ Block Addition or Tract_ o - - 3?Sr L)enmas/a 3 5? wrrvl?etana?(? l This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE OWHILE THE WORK IS IN PRO ESS. This is to certify, that. .r - 4,""""`? y. `r- i1T?f"." ................... as permission to erect a.....----------- .------ .-------------------------- ..........._upon the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. ?O c Chairman of Town Board Per ---.._....._....._............--- ' ' Building Inspector --?? r 7 I 7?g/?/ 7 . - -LLB 6 -`?- JUL 1U 1878 .r? t\ ' .??u-? ? ??-.? -• _ -ter- e - . 2t7 L: 0. 14 A 4, r& p 14 c.,i. ai ..e.ryt_ r RESIDENTIAL '' II BUILDING PERMIT APPLICATION Y C', I f 1-1 3830 PILIOT KNOB RD - 55122 651-681-4675 C C" Z _ G New Construction Requirements RemodelfReoair Requirements • 3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes, poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE -1 / ;ct VALUATION JOB SITE ADDRESS ?4 5-,3 DPr t wr u ?? P V 'e-, IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OV TYPE OF WOR APPLICANT _ ADDRESS PAGER # a CELL PHONE d 4 ?Sd FIREPLACE(S) _ 0 _ 1 _ 2 p_ PHONE# i AR-ZX 7`3 2 6al/l-r /90 ZIPCODE ?S Sa' { FAX# 6l? YS?'7?1?6 NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: Plumbing System Includes: Mechanical Contractor. _ Mechanical System Includes: Sewer/Water Contractor: MINNESOTA RULES 7670 CATEGORY I Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted ti MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Air Conditioning Heat Recovery System All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Or( Signature of Applicant Phone # Phone # and agree to comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 OFFICE USE ONLY ? 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 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex PP 18 Deck LL' Gi( ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous b 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 IF 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Li Occupancy R` MC/ES System Census Code _ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width _ Other - Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone Windows (new/replacement) Approved By (141 , Building Inspector REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) t0k Final/No C.O. Footings (addition) Foundation Dram Tile Roof _ Ice & Water _ Final Framing Fireplace - RI. _ Air Test -Final Insulation 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 Final/C.O. _ Plumbing HVAC RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 75 :1 rc/ 3830 PILOT KNOB - 55122 71 ro New construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy calculations • 3 copies of Tree Preservation Plan if lot plaited after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE lzk JOB SITE ADDRESS -J RemodegReoair Requirements Ca II "f 7-o-01 2 copies of plan `4444 1 set of Energy calculations for heated additions • 1 site survey for exterior add'Nons&decks • indicate it hone served by septic system for additions ?7 ?/?'? VALUATION IF MULTI-FAMILY BUILDING, HOW MANY UNITS? -T PROPERTY OWNER 0-',?E TYPE OF WORKS E APPLICANT ADDRESS -3f,SSL?e^v`°`!? toll? PAGER # CELL PHONE # FIREPLACE(S) 'x\ 0 _ 1 _ 2 PHONE# CaIZ 7?0 -? Z`fI ZIP CODE SS/?-3 FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I O ?n (check one) Residential Ventilation category 1 Worksheet Sub ll Energy Envelope Calculations Submitted D _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted By Plumbing Contractor: Phone #: Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor. Air Conditioning Heat Recovery System Phone # Phone # Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state with all applicable State of Minnesota Statutes and City of Ec Signature of correct, and agree to comply Certificates of Survey Received - Tree Preservation Pla Re ed _ Not Required 6--' Updated 1/01 OFFICE USE ONLY ? 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 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ?V 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 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 WindowslDoors 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 19, (20 ? Occupancy R -3 MC/ES System Census Code ?/? Zoning P-D City Water SAC Units ?L Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) 40 Final/No C.O. Footings (addition) Plumbing Foundation ITVAC Drain Tile Roof _ Ice & Water _ Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace - R.I. -Air Test -Final _ Siding _ Stucco _ Stone Insulation _ Windows (new /replacement) Approved By / , 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 _ FinallC.O. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN )fir A 7/ 3830 PILOT KNOB RD - 55122 T 70, L "I 7 I / V 651-681-4675 Called 7'3-01 New Construction Reouiremerds Remodel/Repair Reauiremente • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions WY) • 2 copies of plan showing beam & window saes; poured found design, etc.) • i site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan Slot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 7-01--01 JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER VALUATION 11, 0 0 0• d U TYPE OF WORK ac''lcl hp"j( FIREPLACE(S) X 0 _ 1 _ 2 APPLICANT Mad ?Tnhi,can PHONE# LSJ)1-111-6622 ADDRESS ?C -; nianmok-k Ava ZIPCODE S;LLIJ PAGER # OMPHONE # (929) f3 ;s- ? QOL FAX # (69)) 10S-0..5'9 %,or1C troticc-Aitt (Ciw8$1-d68cl NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 Plumbing Contractor: Plumbing System Includes: - New Energy Code Worksheet Submitted Phone #: _ Water Softener _ Lawn Sprinkler Water Heater _ No, of R.I. Baths No. of Baths Fee: $90.00 Mechanical Contractor: Phone # Mechanical System Includes: - Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # n All above information must be submitted prior to processing of application. rct,and by acknowledge that I have read this application, state that the information ogre o c mply I here with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?" - Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ updated 1/01 OFFICE USE ONLY ? 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 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex k 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 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 - j MC/ES System Census Code Zoning ' L City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Final/No C.O. Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace - R.I. - Air Test - Final _ Siding _ Stucco _ Stone Insulation _ Windows (new/replacetnent) Approved By "', , 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 FinaUC.O. _ Plumbing HVAC COMMERCIAL (CI l j 2002 BUILDING PERMIT APPLICATION I D CITY OF EAGAN 651-681-4675 314 . -75 Foundation Only New Construction Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always- • Meter size must be established • Meter size must be established • Meter size must be established - if applicable • Project Specs (1) 1 • Energy Calculations (1)'" 1 l • Electric Power & Lighting Form (1) 1 • Master Exit Plan (1) l 1 • Fire Protection Plan (1) 1 • Soils Report (1) l • MC/ES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. DATE: tP 2? L WORK TYPE: _ NEW KREMODEL CONSTRUCTION COSTn-?/ SITE ADDRESS: alp S I ?,?5 ?_ lP J_? ?_ 3 S y?l CN(i(C? f t V ?/ TENANT NAME: T n/1 I? t4ti PC SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK )' ?_!c>? le PROPERTY OWNER Name: Last Street Address: City: State: Zip: Company:( l N vO Uj S) aP)ho e L/Z) c) CONTRACTOR 146 n n Street Address: (jl -.fit/?? ?L 11" City: ' \ State: I A ?J Zip: - ARCHITECT/ ENGINEER Company:? E M n Phone #: Name: Street Address: City: Licensed plumber Installing new sewer/water service: Phone #: Zip: I hereby acknovdedge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: bk - Updated 1/02 First Phone #:&a) -l?? ?5? a H? roSi - '73-?-- -6j obi<<--> Registration #: 1ST 76500 PAGE 1 OF 2 PERMIT DATE & TYPE LOT BL ADDRESS 3/72 4-PLEX 010 01 1296/ CRESTRIDGE LN 020 01 1298/ 030 01 1300/ 040 01 1302 3/72 4-PLEX 010 02 3637/ DENMARK AVE 020 02 3635/ 030 02 1292/ CRESTRIDGE LN 040 02 1294 3/72 4-PLEX 010 03 3647/ DENMARK AVE 020 03 3645/ 030 03 3643/ 040 03 3649 3/72 4-PLEX 010 04 3655/ DENMARK AVE' ' 020 04 3653/ `. 030 04 3651/ 040 04 3657 3/72 4-PLEX 010 05 3663/ DENMARK AVE 020 05 3661/ 030 05 3659/ 040 05 3665 3/72 4-PLF,X 010 06 1295 KOLSTAD LN 020 06 3669/ DENMARK AVE 030 06 3667 040 06 1297 KOLSTAD LN 3/72 4-PLEX 010 07 1305 KOLSTAD LN 020 07 3666/ KOLSTAD RD 030 07 3668 040 07 1307 KOLSTAD LN 2 ?/ MASTER CARD ? 36 / - /Ss-Ss cNiHA ° 7 s,(o r-ej if/ ? Hn ?, z D 0s lAle STRUCTURE AND LAND USED AS COA1A2- Permit No. Issued Issued To Contractor _ Owner BUILDING PLUMBING -? CESSPOOL - SEPTIC TANK -? WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER 0 Items Approved (Initial) Date Remarks Distance From Well FOOTIN G SEPTIC FOUNDATION 7 CESSPOOL FRAMING i TILE FIELD FT. FINAL ELECTRICAL _ HEATING GAS INSTALLATION DEPTH OF WELL SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING 5 WELL SANITARY SEWER ?p W Violations Noted on Back COMMENTS L 1 y MASTER CARD 36 / - Ss-S-3--S 7 LOCATION ?/?/j`r?s????1 ? C" j& 3y OWNER 4L/ y 7 O tJ C INC_ STRUCTURE AND LAND USED AS Permit BUILDING PLUMBING No. Issued Issued To Contractor Owner CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Vol? Items Approved (Initial) Date Remarks Distance From Well FOOTIN G SEPTIC FOUNDATION 7 ,. CESSPOOL FRAMING l? 17 TILE FIELD FT FINAL ELECTRICAL HEATING GAS INSTALLATION DEPTH OF WELL SEPTIC TANK CESSPOOL DRAINFIELD `- PLUMBING 7 WELL SANITARY SEWER sy UV Violations Noted on Back COMMENTS MASTER CARD ? 3 LOCATION /?iv?fjers?dyc.f ,J`,I eZ4f OWNER W y I?f D 1V Sr ?/V? STRUCTURE AND LAND USED AS Permit No. I _ Issued Issued To Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING ra8 r GAS INSTALLING SANITARY SEWER OTHER OTHER CJJ?/ Items Approved (Initial) Date Remarks Distance From Well FOOTIN G SEPTIC FOUNDATION CESSPOOL FRAMING S/ !7 TILE FIELD FT. FINAL ELECTRICAL HEATING _ GAS INSTALLATION L- r 7 `l /n DEPTH OF WELL SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER ' I ?, l Violations Noted on Back COMMENTS: EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 f PERMIT FOR SEWER SERVICE CONNECTION DATE: April 11, 1972 -?,j NUMBER 971 q--M, 3656, .3-q OWNER: New Horizon Homes Address(3o71; 36 2, 3657 Denmank PLUMBER Thompson Plumbing Co. TYPE OF PIPE Heavy Cast Iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No, of units x 4 Location of Connections: Connection Charge 4E'd Permit Fee 10.00 )1/11/72 .50 pd 4/11/72 Street Repairs Total Inspected by: Date Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By Thompson Plumbing Co. Please notify when ready for inspection and connection and before any portion of the work is covered. 4 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: April 11, 1972 Billing Name: New Horizon Homes Owner same Plumber: Thompson Plumbing Co. Number: 809 11 l Site Addressvl651; 365$, 3655, 3657 Denmark Billing AyUes 3634 Koolsta Ave. ow V Meter Sizeg Connection Chg.-4/ o -'-d /,-`/ ( " / Meter No. Permit Fee 10. 0 72 $ y / Meter Reading Meter Dep. 5 meters at 50.00 ea. Meter Sealed: Yes_ Add'l Ch g. 300.00 pd 4/11/72 NO I Total Chg. Building is a: Residence Multiple xx No. Uni Commercial plus extra, Industrial Other inspected by Date Remarks: By: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do Ctrs proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Thompson Plumbing Co. Please notify the above office when ready for inspection and connection. EAUX TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: April 11, 1972 Billing Name: New Horizon Homes Owner: same Plumber: Thompson Plumbing Co. c Meter No. Permit Fee 10.00 pd 4/11/72 1T/72 .5u pa 47 Meter Reading Meter Dep. 5 meters a ea. Meter Sealed: Yes Add'l Chg. 300.00 pd 4/11/72 NO I Total Chg Building is a: Residence Multiple xx No. Uni plus extra Commercial Industrial Other Inspected by Data Remarks: Hy: " Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Thompson Plumbing Co. Number: Bog -1 r/ -91111-6 Site Address: 3651, 3-6 3655, 3657 Demnark 75 7G -?7 7 Billing )?Yess 3634 Kolstad Ave. fwl Pleaz,e notify the above office when ready for inspection and connection. x EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE.. April 11, 1972 OWNER: New Horizon Homes PLUMBER Thompson Plumbing Co. 1 ?I i. 3 NUMBER 971 q- q 3656, 3 1 Address 3651, 3652, iii /3657,Denmank TYPE OF PIPE Heavy Cast Iron ? /5 DESCRIPTION OF BUILDING Industrial Commercial) Residential ` Multiple Dwelling No. of units Location of Connections: Permit Fee 10.00 L/11/72 .50 pd 4/11/72 Street Repairs Total inspected by: Date Remarks x Connection Charge 6d By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Tormship, Dakota County, Minnesota e By Thompson Plumbing Co. Please notify when ready for inspection and connection and before any portion of the work is covered. J EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PER111T FOR WATER SERVICE CONNECTION Date: April 11, 1972 Billing Name: New Horizon Homes Owner: same Plumber: Thompson Plumbing Co. Number: 809 Site Address:3651, 3653, 3655, 36[7 Denm ark "707'5 ?174' .17 7 Billing dress 3634 Kolstad Ave. -Ye' :F JP 4 i G IV? '4 Meter SizsgV Connection Meter No. Permit Fee 10.00 pd 4/11/72 > x /'72 Meter Reading_ Meter Dep. 5 meters a ea. Meter Sealed: Yes Add'i Chg. 300.00 pd 4/11/72 NO I Total Chg. Inspected by Date Building is a: Remarks: Residence Multiple xx No. Units4 Commercial Plus extra mete Industrial By: Chief Inspector Other In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By. Thompson Plumbing Co. Plea3e notify the above office when ready for inspection and connection. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: April 11, 1972 T _3 NUMBER 971 OWNER: New Horizon Homes 2 ki" 36657 y Address 3651 , Denmaak 57 PLUMBER Thompson Plumbing Co. TYPE OF PIPE Heavy Cast Iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units x 4 Location of Connections: Connection Charge 111'e -d - /?-' Permit Fee 10.00 1/11/72 .50 pd 1/11/72 Street Repairs Total Inspected by: Date Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By. Thompson Plumbing Go. Please notify when ready for inspection and connection and before any portion of the work is covered. 3 EACF.N TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PER11IT FOR WATER SERVICE CONNECTION Date: April 11, 1972 Number 809 Billing Name: New Horizon Homes Owner: same Plumber: Thompson Plumbing Co. r? Site Address: 3651, 365q, 3655, ?657 Denmark '-v75- -"9a -1g 7 Billing 1 $ ess 3634 Koistad Ave. 7 G tion of Connection Meter Sized b° Connection Chg../-/;o, Meter No. Permit Fee 10.00 pd 4/11/72 Meter Reading`` Meter Dep. 5 meters a ea. Meter Sealed: Yea Add'1 Chg. 300.00 pd 4/11/72 NO Total Chg. Inspected by Date Building is a: Residence Multiple xx No. Units4 Commercial plus extra met Industrial Other Remarks: By: Chief Inspector a In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Thompson Plumbing Co. Plea.;e notify the above office when ready for inspection and connection. -1A , CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-76500-030-04 PERMIT PERMIT TYPE: BUILDING Permit Number: 0 2 8 0 3 0 Date Issued: 06/25/96 3651 DENMARK AVE LOT: 3 BLOCK: 4 TIMBERSHORE DESCRIPTION: d##? (PRIVACY Bfiildirf2U, Permit Type wilding W;prk Type Census Code s ?v WALL) DECK REPAIR 434 ALT. RESIDENTIAL E qs..-? 1E! ]`1011''?i. 3 REMARKS: INCLUDES: 3657 DENMARK AVE L4 FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 CONTRACTOR: - Applicant - ST. LIC.OWNER: NOBLE BUILDING CO 14327926 2001814 TIMBERSHORE HOMEOWNERS 6605 166TH ST W 1165 TIMBERSHORE LANE ROSEMOUNT MN 55068 EAGAN MN (612) 432-7926 (612)452-2409 I hereby acknowledge that I have road this information is correct and agree to comply Statutes d Cit f Eagan Ordinances. PPLICANT/PER ITEE SIGNATURE application and state that the with all applicable State of Mn. ? Na &I' I ISSUED BY' SIGNATURE- - CITY OF EAGAN go 6 3839 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New construction Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: 6 -/( - I tr CONSTRUCTION COST: DESCRIPTION OF WORK: /UaC' g tL)4 /? STREET ADDRESS: 3t ? 1,3 `3 / OeJ4 "? a L' LOT 3• I BLOCK SUBD./P.I.D. #: Ala,- PROPERTY Name: T / 'r, S e r e owr ?o?h r 1 Asy Phone #: OWNER U5, IMT Street Address,/ / 6 f- K e - d° X'21 a G/ City: State:- Zip: 1 dJ D? Puce - 53,i -5- CONTRACTOR. . Company: /t C Phone #: 2 -??/ z 6 Street Address: °,c 2 Ydc) k / License #: a -001F12'1 City: yo -1(-r State: "M Zip: SS72 41' ARCHITECT! Company: Phone #: ENGINEER Name: Registration #: Street Address, City: Sewer & water licensed plumber: change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the information ' c rre t a fd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Remodel/Renalr Requirements State: Zip Penalty applies when address change and lot 7-05 2?Vr- j i I'i'! 'i9SG OFFICE USE ONLY Certificates of Survey Received Yes No No Tree Preservation Plan Received - Yes OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation,,,B'-C6 Duplex ? 11 Apt./Lodging ? ? 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? o 04 SF Porch o 09 12-plex o 14 Fireplace ? ? 05 SF Misc. ? 10 - plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move 0 32 Addition ,,,?34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance 7.? o/ -L- O Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SM Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ //5e4D % SAC SAC Units Timbershore Homeowners Assoc. P.O. Box 21061 Eagan, Minnesota 55121 To whom it may concern: OE6a& company has the authorization to replace/rebuild the privacy wall/deck at 3G1 713 S/ ??a G 4,,e by the Timbershore Homeowners Association Board Signed Rep President/Vice Date: s - t - 9 L PONAMW Phone: 612452-2409 Timbershore Homeowners Association Eagan, MN 55123 City of Eagan Eagan, MN 55123 To whom it may concem: We understand that a signed letter must be submitted to the City from the Association in order to obtain a building permit. We revieed the plans to build a new deck at: Since the deck conforms to out standards, the Timbershore Homeowner's Association has approved the deck to be constructed. If there are any problems or additions questions, please call. Sincerely, Cfi k Ph # 4 b eve Vv\,?L c CD v? ?ti?on A-r ? v-?- PERMIT Cff<?? c CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Permit Number: B U I L D I N G Eagan, Minnesota 55122-1897 0 2 6 4 4 8 (612) 681-4675 Date Issued: 09/29/95 SITE ADDRESS: 3657 DENMARK AVE LOT: 4 BLOCK: 4 TIMBERSHORE 1ST P.I.N.: 10-7G500--040-04 DESCRIPTION: B 1d,ite ,?,ermit Type DECK u lding'W10r,k Type ADDITION t, . a : se A. st rs l REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - VE.TSCHER SHERYL 3657 DENMARK AVE EAGAN MN 55123 (612)688-0869 I herehy acknowlerdgel that {;t kSVe` r'a6d thl? aP'P'Lio,?t,jdtk arid- - t?:"tRta -` }1M? iF?ttri^i#aCig?r Ys ci °,r .e_ct Ord` yt?o ,`-t>ta, ?m l € t oil 4'"l 0aZ .09t t ie 0?f°jqo'<, ?8tatute qd Gary oY E 00! orj, s- -*n- AIPi ?i?1rrn APPLICANT/PERMITEE SIGNATURE ISSUED SIG ATUR CITY OF EAGAN IC44? 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 431). 0 Sri fl {-S.rl ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include bream & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: CONSTRUCTION COST: 300 DESCRIPTION OF WORK: DEG, .400/r/0'y STREET ADDRESS: LOT t BLOCK 3 6 S"7 K A-? E SUBD./P.I.D.?1????11pLD•?? PROPERTY Name: ?ErScylE2 SHt R YL Phone #: (0 8 $ - 086 9' OWNER Street Address, 3 6 57 FIRST Qe.w M *f- ,e. A ve.. City: 9.9-4F ?4? State: 141'y Zip: SS/ Z 3 CONTRACTOR Company: P2oPeG7-Y DWFve.>! Phone #: Street Address: License #: City: State: Zip: ARCHITECT/ Company: Phone #- ENGINEER Name: Registration # Street Address, City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the info ation is r ect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Yd ?L ? V l.??l v! Certificates of Survey Received Yes No SEP 2 1 1995 Tree Preservation Plan Received Yes No I _ y ^ _ " UILDING PERMIT TYPE 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ?31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Mufti Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ,)k15 Deck ? 36 Move ? 37 Demolition APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC C:h, SAC Water Conn. Water Meter Acct. Deposit SNV Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Building Y .*,;,v A 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit - Engineering Variance Valuation: $ l?l? U Total: o/ % SAC SAC Units J 341. t sa VOL 349 Co 41 3 51 363 L • Arco, • D C• 3 r4 4 5 •s •t 1 TAD • i 1 ?- • ' • --'? i ``- 38tls 30 _ i2 I 3? 0 4 U??'Il 4!Q R1 ( I - 1 4 4L u ?lu 366 i 3639 3 is i •4 ` •A ? 3 5 Y 2 i • 6 [L' 3662 3664 < 3 63 --- -- L. A Z r4e w 3660 i 3666 o l• i •4 2• i • 3670 1 3672 •{• 4 41 Timbershore Homeowners Association Eagan, MN 55123 City of Eagan Eagan, MN 55123 To whom it may concern: We understand that a signed letter must be submitted to the City from the Association in order to obtain a building permit. We are giving a blanket approval to Noble Building CO. for replacement of privacy walls and other work that may be necessary. ' If there are any problems or additions questions, please call. Sincerely, 9 Ph # 0 a LI PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date/ e/ 0 S 0-&6Inap /T UV Unit # Site Address s???/ /, ) Property Owner CQ Telephone # ((vS?) YS?- 7 7d Contractor l?'l, U G(?`ll??? I Address,;? City State Zip ?SG7 Telephone # 40 10?/ The Applicant is Owner Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including _ Adding fixtures to lower levels or room additions, excluding water softener and water heater $ 50.00 _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed - $121.00) Other: RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener ater heater $ 15.00 replacement _ additional $ .50 State Surcharge I t Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the mtm'araiaau-?ompfere anu-accurate; ma< mu wulR wll. be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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. /,? Applicant's Printed Name Applic 's Signature MASTER CARD • LOCATION ,,? 6 rsl p res ,•) J .Dc ;Ae 7 OWNER ?81?J ?O N S?/V? STRUCTURE AND LAND USED AS r?? A C a A/a Issued To Permit No. Issued Contractor Owner BUILDING -3. y PLUMBING yyyy _ CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING ?a$ r GAS INSTALLING SANITARY SEWER OTHER OTHER • • Items Approved (Initial) te Remarks Da Distance From Well FOOTIN G 99 SEPTIC FOUNDATION 7 CESSPOOL FRAMING 1'? 17 •? TILE FIELD FT. FINAL ELECTRICAL HEATING `7 7 DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: L Jul 10 13 07:32a Gates General Contractors 7634387710 P.1 ~ Use BLUE or BLACK Ink L ✓ ,zvc,'r 6~~6-5 I For OfficeU9s+e--------- ~ (.I ~G 72/ j Permit*: 1 l j City of Ea an Permit Fee: 36 I 383D Pilot Knob Road I I Eagan MN 55122 I Date Received: TI 15 j Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 1 Staff: 1 I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: b Site Address: -cc ~ r 3 ~ 5~3; 3L 5-5; 3(,5--7 Name: ! Phone: Resident Owner Address / City i Zip: Applicant is. Owner Contractor Type of Work : Description of work: Construction Cost: 3 1 i'CTTU ^ Multi-Family Building; (Yes ✓ / No Company (Or14r~ ~G,~/~~r~l_7 L`Ohs?ri~ Contact: r ~G, v 2-7 KtV T3C: ity: Contractor Address: state: /*14"_ Zip: ,S~7 7 Phone: 1-511-72-3'-~ -3 License 17 C Oa G Z 5'3 Lead Certificate lt: Nom- Z 3 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1 ~J 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 specific reasons that would permit the City to _ conclude that they are trade secrets CALL BEFORE YOU DIG. Call Gopher State One Call at 651 4540002 for rotection against underground utility damage. Cal 48 hours before you intend to dig to receive locates of underground utilities. ~~dww.aoo`ersiateonecall orm hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the a roved plan in the case of work which requires a review and approval of plans. Exterior rk author' ed by a building it tss in accordance with the Minnesota State Building Code must be completed within 160 days permit iss nice. Applic' Printed Name Applicant's Signature Page 1 of 3