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
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