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3666 Denmark Ave7 CITY OF EAGAN _ * t g_ 3795 Pilot Knob Rood Eason, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # 5, ?/? S To be wed for REPAIR FIRE DAMAGYm. value $15 , 003 Date An r 1 21 I q ?" Site Address 1670 npninArlr Aygn:,o Erect ? Occupancy Lot_2- Block 1_ Sec/Sub. Timbersh .re 3rd Alter ? Zoning (Pi)) a-3 Parcel # 10 76502 0211 12 Repair Fire Zone NA ?tjj Enlarge ? Type of Const. V W Name _ n? Warke Move p ?# Stories z Address 113 Concord Demolish p Length NA 9 city. St Paul 55107phone 298-3721 Grade D Depths-Sq. Ft. 19 Name Owner Approvals OU Address Assessment - t_ r.*u 06- Water & Sew. Name 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 Perrnittee A Building Permit is issued to: Dar+n-I Q all work shall be done in accordance with all Building Official Police Fire Eng. Planner _ Council _ Bldg. Off. APC - Permit 111-0.. 50 Surchorge 7.50 Plan check 5 C; SAC Water Conn. Water Meter Road Unit Total _Wn2r n the express condition that of Eagan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing ? o? ((_.2' H.V.A-C- Well Water Disp. Sewer Electric W -3525 c C(-21 SS3 Inspection Date Insp. Other Footings Foundation Framing y?0-9 0 Rough Plbg. 7"17- G? Rough HVAC Insulation Final Plbg. Final HVAC Final Water Describe Location: Well 3/43 d Sewer / Pr. Disp. - - 1 Receipt - PLUMBING PERMIT Permit No. -- l' CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address G F-- Lot Blk. 112 Tract ?. - 4. Owner 5. Contractor Phone 6. Address t. 7. City State X14) Zip 8. Building Type: Residential ';d Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair)d 10. Describe 11. No. i Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well ` Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Fin. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 6=- CITY OF EAGAN Remarks Addit-s,on TIMBERSHORE 3rd Lot 1 elk 12 Par,,, 10 76502 010 12 OwnerL,< ; , { `>1"0 Street 3668 Denmark AU6 • State Eagan, MN 55123 ! hao Ave. a.l. ?f ?.,, I lll?l Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1974 321.03 64 X20 5 Paid STREET RESTOR. GRADING SAN SEW TRUNK 72.25 3.61 20 1 P * SEWER LATERAL 412-19 2g- 21 15 Paid WATERMAIN 4 WATER LATERAL 1971 WATER AREA 1972 71 - 415% 3-57 20 Pa j A • STORM SEW TRK 1973 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120. 0Q 7951 5-9-73 BUILDING PER. SAC 260.00 7951 5-9-73 PARK CITY OF EAGAN Addition TIMBIFRSHORE 3rd Lot 4 elk 12 Parcel 10 76502 040 12 Owner Gob. L. ?c' ! ,". t,Street 3666 Denmark & E + State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1974 321.03 64.20 5 Paid STREET RESTOR. GRADING SAN SEW TRUNK 1971 72.25 3.61 20 Paid * SEWER LATERAL 1973 432.19 28.21 15 Paid WATERMAIN * WATER LATERAL 1973 15 WATER AREA 1972 71.46 3.57 20 Paid * STORM SEW TRK 1973 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120.00 7951 5-9-73 BUILDING PER. SAC 260.00 7951 5-9-73 PARK CITY OF EAGAN Remarks Addition TIMBERSHORE 3rd Lot 2 Blk 12 Parcel 10 7.6502 020 12 Owner 'YL1 L- j)) Street 3670 Denmark AV E- t State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1974 321.03 64.20 5 Paid STREET R ESTOR. GRADING SAN SEW TRUNK 1q71 72.25 3.61 20 Paid * SEWER LATERAL 1971 419-19 2A- 21 15 id WATERMAIN # WATER LATERAL 1973 15 WATER AREA 1977 71 -46 1-57 gn d * STORM SEW TRK 1971 5 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120.00 7951 5-9-73 BUILDING PER. SAC 260-00 795.1 5-9-71 PARK CITY OF EAGAN Remarks Addition TIk®ERSHORE 3rd Lot 3 Blk Parcel 10 76501 010 1111 Owner ChP.VU? ?. Vat"ibn Street 3672 Denmark AVE ` State---jAgan. MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1974 321.03 64.20 5 Paid STREET RESTOR. GRADING SAN SEW TRUNK 1971 72.25 3.61 20 Padd * SEWER LATERAL 1973 432.19 28.21 15 Paid WATERMAIN • WATER LATERAL 1973 15 WATER AREA 1972 71.46 3.57 20 Paid * STORM SEW TRK 1973 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 120.00 7951 5-9-73 BUILDING PER. SAC 260.00 7951 5-9-73 PARK ;h?fJ?%r?h?r 2 VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PEMIT NO.: 301 The Village of Eagan hereby grants to Geo. Sedgwick Heating & A/C Co. of 1001 Xenia Ave. So., Mpls. 55416 a HEATING Permit for: (Owner) Now Horizon Hanes 12 0- 2 T?bershore r gb 0-rr,,?? D,?y:a_?rk 36t 5a VA -DC'S "1 _ _ _ shat e at 3 3l?-3b Aetnuark 1279-81. ;" !? 41?T*wk J22-29/72 Fee Paid: $400ice dated this 11thday of January 19 73 Building Inspector Mechanical Permits: :;id Total: 7i m!?•F? Shc?iF VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT No.: 301. The Village of Eagan hereby grants to Oeo. Sedgwick Heating & A/C Co. of 1001 Xenia Ave. So., Mpis. 516 a HEATING Permit for: (Owner) New Horizon Hanes 12 0 2 ershore &. 6 0- D ark 36-, , - - - rimbershar e, at 334-36 Denwark 129-C7. T?is X03 % a go 'k12/22-29/72 o- ?li AT* Fee Paid: $400-00 dated this 11thday of January 19 73 Building Inspector Mechanical Permits: Lid Total: t-P bx<S/joie VILLAGE Or' EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PM4IT NO.: 301 The Village of Eagan hereby grants to Geo. Sedgwick Heating & A/C Co. of 1001 Xenia Ave. So., Mpls. 5$416 a HEATING Permit for: (Owner) New Horizon Homes 1210 - 2 ershore t 6 0- D?tauark 365 am , Z' - - ehar e, at 34-36 Denmark c 2 9-tl1. Timbafiaoaaf 8 0 22 =ark-- •-- -- Fee Paid: $400-00 /c dated this 1lthday of Jmo"ry , 1973 Building Inspector hechanical permits: Bid Total: 3 VILLAGE OF EAGAN 3M Pilot Knob Road Eagan, rilinnesota 55122 PERMIT NO.: 301 The Village of Eagan hereby grants to No. Sedgwick Heating & A/C Co. of 1001 Xenia Ave. So., Mpls. 55416 a HEATING Permit for: (Owner) New Horizon Homes 12, 0- 2 ershore & 6r0- ft =ark 36' - - reha e, at 3 alt Denmark 6,, 279- . GAS 3 8- k_ - •-_ -- Fee Paid: dated this 11thday of Jsnnary 19 73 Building Inspector Mechanical Permits: raid Total: EAGAN TOWNSHIP BUILDING PERMIT Owner '--X .kAsn- --kA.u5 -!`i.`-!- . .. ..................... Address (present)a5DaWA .......... Builder ........ Address DESCRIPTION N® 2820 Eagan Township Town Hall Dale Z_.aa 7?.G.t .................. Stories To Be Used Fox Fr ont Depth Heigh! Est. Cos! Pesmit Fee Remarks ? 13b 3a, so Q Oi2to? QC tl ? - ? ?ur.?c.'ti eti.?.r.??wu?i b? 1 , L ?, t. p LOCATION jQ4,lKn Street, Road or other Description of Location I Lo! Block Addition or 9'nb5 O?nw.vw.W AV...3b [? Q?n .n .o??itL w SL,r 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 THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, thapc\%..permission to erect ............. ................ ..._ Pon the above described premise subject to IYt provisions of the Building Ordinance for Eagan Township adopted April IL 1955. !..4.. .. ,...ll..?- !1..? .............. Per ... (9.??1...... .5_9" '::: ......--.--...--- Chairman of Tnwn Board6 Building Inspector CITY OF EAGAN Include 2 sets of plans, -? 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For Valuation /S, 66 O Date 3 -? -e3 Site Address: 3 o J?£.vmAzl- AVE i OFFICE USE ONLY Lot Block ] Sec./Sub.`TL"ErS6r- Erect Occupancy 3 Parcel #: o -7 So Duo / a-- end-Alter Zoning -AD Repair >< Fire Zone Owner: Enlarge _ Type of Con t. Move # Stories -?? ft. Address: 040 Coo ticoR?J Demolish _ Front City/Zip Code: 49AA-1 k"rJ Grade Depth ft. Phone #: 9 S' - O 7 Z (' APPROVALS FEES Contractor: C>L,0 y\ E?--- Address: City/Zip Code: Phone #: Assessments Water/Sewer Police _ Fire Eng• Planner Council Bldg. Off. j- - ? APC r' Permit -0 Surcharge Plan Check LSU ?o- SAC ?- Water Conn. Water Meter Road Unit Arch./Eng.: Address: City/Zip Code: 'I Phone #: TOTAL E\cc, per ?.i ? - (ocl3 szS-M b )n t}?.km *11-e? L I EG' CITY OF EAGAN N? 7 9 4 4 ., 3795 Pilot Knob Read Eagan, MN $3127 PHONE: 434-8100 Recei t / # T 3 BUILDING PERMIT p To be used for REPAIR FIRE DAMAG&. Value $15,000 Date April 21 _ Ig83 Site Address 3670 Denmark Avenue Erect ? Occupancy R-3 Timbershore 3rd Lot 2 Block 12 Sec/Sub Alter ? Zoning (PD) R-3 . i gg R Fire Zone NA 10 76502 020 12 Parcel # epa r V Enlarge ? Type of Const. rr Name Dennis Warke Move ? # Stories 140 Concord Address Demolish ? Length NA 298-0721 St. Paul 55107ph Grade E] Depth NA Sq. Ft.- one city Owner Approvals Fees Name ig Assessment ou Address u§ Water 8 Sew. I Phone Police sow Name Fire t uO Address Eng. 'z CI Phone Planner Council 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Signature of Permittee A Building Permit is issued to: Dennis all work shall be done in accordance with all Permit 110.50 Surcharge 7.50 Plan check 55.25 SAC Water Conn. Water Meter Road Unit Total $33 on the express condition than Statutes and City of Eagan Ordinances. Building Official EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION ?ATE:1?Z29/72 (3/30/73) NUMBER 1300 ? ?? '] • e. OWNER: New Horizon Homes Addresa?°06-r68-X70 70 2,+Denmark Ave. PLUMBERThompson Plumbing Co. TYPE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Coammerciall ResidentiAl Multiple Dwelling No. of units I xt I 4 townhouses Location of Connections: Connection Charge 1040.00 billed 3-0/73 Permit Fee 10.00 nd 12/28/72 .50 pd 12/28/72 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 Toxmship, Dakota County, Minnesota By Thompson Plumbing Co. Please notify when ready for inspection and connection and before any portion of the work is covered. -a;--- -1 S rO CC, i ? --l- 73 / - 47751 ?m Request Date ughin Inspection y.) Read Now ? Will NotitY Inspector gwred? PP y When Ready? Yes G No M inspection of above electrical work at: 1 )0 licensed co 2 Job Actress street. 4 GN Section No. To nge No County Occupam (PRINTI. Phone No, 2/ Power Supplier T Address j Zee I Electrical Co cror (ConOany Name) actor's License No. Mailing Andress IConvactoorr or Owner Making Installation) 1 / nature fCOntrac /gwner 'Hong Installation) Phone Number Aumorl MINNESOTA S TE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave_ SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 1612)642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Is 7. EB-0(0001 08 15 ?t ? See instructions for completing this form on Cack of yellow copy 9rs' -lul "X" Beli Work Covered by This Request J4 9.>-, v uilding Appliances Wired Equipment Wired Range Water Heater T emporary Service Electric Heating F g W Dryer Other (Specify) strial Furnace Air Conditioner ) Contraclork eemadcs: U /?` -V- // t? T F? H^ p r, l Compute Inspection Fee Below: # Other Swimming Pool Fee # Service Entrance Size 0 to 200 Amps Fee # Circuits/Feeders 0 to 100 Amps Fee Transformers Above 200 _ Amps Abov Amps Si ns Inspectors use only: TAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Raugh-m Dale certify that the above inspection has been made. RinoI Date .9i?+ OFFICE USE ONLY This request void 18 months from 1-- - EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date:3/30/73 (12/29/72) Number: 1151 Billing Name: New Horizon Hones Owner: same Plumber: Thompson Plumbing Co. Location of Connection 666 - 22529965 - 431830 668- 22529966 - 431831 3670 - 22529967 - 431832 3672 - 22529968 - 431833 Assn.- 22529969 - 431834 Site Address: 3666-68-70C eimark Ave. Billing Address Meter Size Connection Chg.4bO.00 billed 3/30( pd 10.0/2/72-?' Meter No. Permit Fee P i 212??I'j 2 Meter Reading Meter Dep. Meter Sealed: Yes_ I Add'1 Chg.300,00 billed 3/30/73 NO Total Chg Inspected by Date Building is a: Remarks: Residence Multiple xx No. Units4 ownhouses Commercial Industrial By: Other Chief Inspector ad` 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: t a z-?. Cr _.: c/ Thompson Plumbing Co. Plea3e notify the above office when ready for inspection and connection. ?.. v - Thls reou est void ((4 l. ^1VIn1Vn?10 u nths hum I Vu Reouest/PJate p Fire, No. Re ugh-In Ius lxf coon A O? Prr?retl? R N. Rc:?d1 C< 3S3Q`] •"C Ll t ?V Will Notify Inspec- tor When Road, icensed llectrical Contractor I hereby request inspec9on of above n Owner electrical work installed at: Street Address z or Route No. ' C-ItV 3lp 7o 04WAMeK u do aetrcn No. Township Name or No. Range Nq. y TA Oc ant (PRINT, Phma Nn. - ?af g-s X38 a?s kk? -a Power Supoller p Address /0 S A Elecrr : Contr-.uI iconmany Name) Contract is license No. J e r O d - Maili l dross [o r Owner Ma king Inst?a? atLp` nl \ Authrriz mcatur canto tor wirer Making Installation; Phr ire Numher -,S-t)gn MINNESWSTATE BOARD OF ELEC RICI Origgs-Midway Bldg. - Room N-191 1821 University Ave.. St. Paul, A1N %Q104 Phone 1612) 297-2111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION rA ES-00001-03 n?7 3-5 25 r See instructions for completing this form on hack of v. Yellow copy. X" "" Belrlw_;,,-,Tk Covered by This Request New Add Rep. Type of Building Appliances Wired - - r EquiVmem Wired Home Range Temporary Service Duplex Apt. Building Water Heater Dryer Lighting Fixtures Electric Hearin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm then peel y her lSVer.ifyl Other Spgmf, Other Other ize Fee Feeder s rSubferrders p Fee Ci 0 to 30 Am s 0 to 30 Am s u4 zz 31 to 100 Amps 31 to 100 Am s mps Above 100Amp Above 100Amps Remote Control Circ. Partial, igns Special Inspection `rvrr d G? .tee D t -- g 1e, L T T (p?.?(?? ? ////?? ?°+?I`+?/ T `FEE ,1 Final I• the tor. hecraleby Inspector. qtr .i?1-A ?? -r' tify th Certfy that the . ctlOn heE do made. This request v, 1R months fiom EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date:3/30/73 (12/29/72) Billing Name: New Horizon Hanes Oorner: same Plumber: Thompson Plumbing Co. 666 - 22529965 - 431830 668- 22529966 - 431831 3670 - 22529967 - 431832 3672 - 2252998 - 431833 Assn.- 22529969 - 431834 NO Total Chg. Building is a: Residence Inspected by Multiple xx No. Units4 Commercial s Industrial Other Number: 1151 Site Address: 3666-68 10 72 Denmark Ave. Billing Addres Meter Size Connection Chg-480.00 billed 313011 Meter No. Permit Fee10.00 pd 121/28/72 .50 ")CL Meter Reading Meter Dep. Meter Sealed: Yes Add'1 Chg.300.,00 billed 3/30/73 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. Thompson PlumbinD Co. P1eaje notify the above office when ready for inspection and connection. 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 0 651-675-5675 FAX 9 651-675-5694 New C msttuction Recuiremenis RemodeVReoair Reouiremenls 3 registered site surveys shovnng sq. It of lot, sq. ft of house; and all roofed areas 2 copies of plan showing footings, beams, joists (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 additions & decks t set of Energy Calculations Addition - indicate Non-site septic system 3 copies of Tree Preservation Plan if lot platted after 711M Rim Joist Detail Options selection sheet (buildings with 3 a less units) Minnegasco mechanical ventilation form Q D Q -:?- Q n Me ,•.: Date To- / 1? / b6 Co struction Cost Site Address ?b I ,4&4(L"IL /(7 Unit/Ste If Description of Work T E> ? (AAc''S - !{"^?_. •? j ? ) Lp?_ Multi-Family Bldg V Y - N Fireplace(s) _ 0 - 1 _ 2 ! pA Property Owner V e,_,.., l be) ? Telephone # (6$ J) ?} g - C IJ ?? Contractor GtreM Lakes Window A Siding Address 14M Gonda Drke Awk ya-" 1164°' city State Pa. (lq;f M-3400 Fax ?'it),m4260Zip Telephone # ( ) IIIIIIIII LM X 31111111111111111 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (+I submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y - N !f yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor OPT 9, 14 MM Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with t e or finances and codes of the City of Eagan and the State of MN Statutes; 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 approved plan i ase of work which requires a review and approval of plans. 16,.&, Il- Li kcs Applicant's Printed Name Appli Sig at e RESIDENTIAL ' BUILDING PERMIT APPLICATION CITY OF EAGAN r7 J. 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 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 platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE O '2-- 0 1 SITE ADDRESS J(D66 TYPE OF APPLICANT 'AlfkT-FAMILY BLDG?6 _N VALUATIONh I q 4- • / tq J STREET ADDRESSlq&, O C6 LENO'ft oy'r • CITY A ? STATE 1/-iIP TELEPHONE #9Szbj)l-3r//oo CELL PHONE # FAX# 9Td'611 -V?Sn_ PROPERTY OWNER TELEPHONE # COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (q submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor. __ Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Wafer Contractor. Air Conditioning Hcat Recovery System Phone # Phone # twT r 13 Fee: $90.00 Fee: $70.00 -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge 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 OFFICE USE ONLY Water Softener _ Water Heater No. of Baths RemodelfReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions 1 site survey for exterior additions & decks • Indicate If home served by septic system for additions FIREPLACE(S) _ 0 _ 1 _ 2 Phone # Lawn Sprinkler No. of R.I. Baths 4- Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 e TIMBERSHORE 3RD 76502 PAGE 2 OF 2 PERMIT DATE & TYPE LOT BL ADDRESS 8/72 4-PLEX 010 08 1268 TIMBERSHORE LN 020 08 1270 TIMBERSHORE LN 030 08 1264 TIMBERSHORE LN 040 08 1266 TIMBERSHORE LN 8/72 4-PLEX 010 09 1276 TIMBERSHORE LN 020 09 1278 TIMBERSHORE LN 030 09 1272 TIMBERSHORE LN 040 09 1274 TIMBERSHORE LN 8n2 4-PLEX 010 10 3650 DENMARK AVE 020 10 3652 DENMARK AVE 030 10 1280 TIMBERSHORE LN 040 10 1282 TIMBERSHORE LN 8/72 4-PLEX 010 11 3660 DENMARK AVE 020 11 3662 DENMARK AVE 030 11 3664 DENMARK AVE 040 11 3365588 DENMARK AVE - --- -- 8n2 4-PLEX X04 b' l 2 3668 DENMARK AVE 020 12 3670 DENMARK AVE 030 12 D 3672 DENMARK AVE 040 12 3666 DENMARK AVE 10n1 4-PLEX 010 13 3634 KOLSTAD RD 020 13 1306 CRESTRIDGE LN 030 13 1304 CRESTRIDGE LN 040 13 3636 KOLSTAD RD 6 lL i 53 I MECHANICAL (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 seo . Dale Site Address i # Un t Property Owner Telephone # J Contractor _=wp HEATING & AIR r,M01T MOG CD. 410 WEST LAKE STREET Street Address M(NIt1EAPQLIS MN 55408-2998 City 612-824__M56 State Zip Telephone # ( ) The Applicant is Owner X Contractor Other Add-on, modification or alteration to existing dwelling unit $ 30.00 furnace replacement air exchanger YY rII.-air conditioner other State Surcharge nn rn ??? ll U ppii $ .50 l I SEP 2 5 M3 T 3m ? ota $ 1t3Y-- I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes o the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit and w k is not to start without er • that the work accordance with the a oveed/pllan Jis?th/ca e orrk ch requires a re iew and approval of p l f C ? G Applicant's Printed Name Applicant's ? e U CITY USE ONLY ?j LOT 1 BL '7- _ I RECEIPT #: SUBD. l YAA6,4 /("qw y , , RECEIPT DATE: y/ tz,9/ 1999 MECHANICAL PERMIT (RESIDENTIAL) PvrrW' -4 CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 7-1-99 (651) 681-4675 Date: Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. a New Furnace _ Replacement Air exchanger, i.e. Vanee system, etc. Reminder: Call 681-4675 for inspections. - Repair _ Other a Air conditioning Other $ 30.00 State Surcharge: .50 Total: $30.50 SITE ADDRESS: 3666 Demaark OWNER NAME: Linda Walker PHONE #: INSTALLER NAME: Midland Heating PHONE #: STREET ADDRESS: 6442 Penn Ave go 612486-7605 612-869-3213 CITY:_ Richfield STATE: ZIP: 55423 G? SIGNATURE OF ERMITTEE JS.FOR.MS BLD;MECH PERMIT (RES) - 1999 L C?Z- B? /Op CITY USE ONLY ? RECEIPT #:-? ?b SUB D. , ?i.YVV/rPi C DATE: ??y)? 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH ?Q. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet " minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler' home under const. 3.00 = Alterations ' to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL c:lz 76.Sd? -off - ? ?" - SITE ADDRESS: BASER TED 1 3670 DENMARK AVENUE EAGAN , 55123 OWNER NAME: I 11586-8971 W INSTALLER NAME STREET CITY: PHONE #: ( ) jg&? WrTl U1 E STATE: ZIP: CITY USE ONLY L RECEIPT #: SUED. DATE: ? 4 ? 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? town homes and condos when permits are required for each unit ; FIXTURES EACH N4. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x Lavatory 3.00 x _ Kitchen Sink 3.00 x = Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 " x ` _ . Gas Piping Outlet ' minimum - 1 3.00 x _. T=. Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * t)akota Cty.iicense 50.00 ,e .. (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations :* to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE to L TOTA ?L' (? L kv f vC SITE ADDRESS: 41bv12 i ' ? OWNER NAME: 1 I I i" INSTALLER NAME: STREET ADDRESS: (? J 5sr on:. CITY. ?i C Z O 5 STATE: NI /L/ ZIP: PHONE #: (? 1? j Z l??J lif ? SIGNA;r"'PERMITTF-E EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: 12/29/72 (3/30/73) NUMBER 1300 L3?'t-68-70=72 OWNER: New Horizon Homes Addres Denmark Ave. PLUMBERThompson Plumbing Co. TypE of PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial) Residential I Multiple Dwelling , No. Of units I xx I 4 townhouses Location of Connections: Total Inspected by: Date Remarks: Connection Charge 1040.00 billed 3{3.0/73 Permit Feel 0.00 pd 12/28/72 .50 pd 12/28/72 Street Repairs 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. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date:3/30/73 (12/29/72) Number: 1151 Billing Name: New Horizon Hones Owner: same Plumber: Thompson Plumbing Co. NO I Total Chg. Inspected by Location of Connection Meter Size Connection Chg. 80.00 billed 3/30/73 3 66 _ 22529965 --431830 3668- 22529966 - 431831 Meter No. Permit Fee10.00 pd 12/28/72 12/20/ 2 3670 - 22529967 - 431832 p Meter Reading ?, Meter Dep. 3672 - 22529988 - 431833 Assn.- 22529969 - 431834 l Meter Sealed: Yes_ 1Add'1 Chg.300.00 billed 3/30/73 Building is a: Residence Multiple xx No. Units4 Commercial Industrial Other Date Remarks: Site Address• 36 68-70-72 Denmark Ave. Billing Address RE-!NSHCTION FEE FOR ERLY INSTALLED METERS. 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./ Thompson Plumbing Co. Please notify the above office when ready for inspection and connection. 3 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE:12/29/72 (3/30/73) NUMBER 1300 y-p /33'1, 1. 3 OWNER: New Horizon Homes Address 3666 670=72 Denmark Ave. PLUMBERThompson Plumbing Co. TYPE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units I I I :x 14 townhouses Location of Connections: Connection Charge 1040.00 billed 3{3.0/73 Permit Fee 10.00 nd 12/28/72 .50 pd 12/28/72 Street Repairs Total Inspected by: Date Remarks By Chief Inspector I-- In consideration of the issue and delivery to aroe of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Totmship, Dakota County, Minnesota By Thompson Plumbing Co. Please notify when ready for inspection and connection and before any portion of the work is covered. /. ` ,;? --- EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERIUT FOR WATER SERVICE CONNECTION Date:3/30/73 (12/29/72) Number: 1151 Billing Name: New Horizon Homes Owner: same Plumber: Thompson Plumbing Co. 666 - 22529965 - 431830 668- 22529966 - 431831 3670 - 22529967 - 431832 3672 - 225299$8 - 431833 Assn.- 22529969 - 431834 T "' 32 Site Address: 3666-70-72 Denmark ;1ce. Billing Address Meter Size Connection Chg.L[bO.00 billed 3/30/( Meter No. Permit Fee10.00 pd 121281"/2 ?, pc 772 Meter Reading Meter Dep. Meter Sealed: Yes IAdd'l Chg. 300,00 billed 3/30/73 NO I Total Chg. Building is a: Residence Multiple xx No. Units4 Commercial 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 the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Thompson Plumbing Co. Pleaae 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: 12/29/72 (3/30/73) NUMBER _ 1300 y-p 1-1a 143,1 a- 1, 3 OWNER: New Horizon Homes Address 3666-68 7 V 72 Denmark Ave. PLUMBERThampson Plumbing Co. TypE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Coammerciall Residential Multiple Dwelling No. of units I I ' an: ' 4 townhouses Location of Connections: Connection Charge 1040.00 billed 33.0/73 Permit Fee 10.00 nd 12/28/72 .50 pd 12/28/72 Street Repairs Tots 1 Inspected 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 regulatione of Began 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. Jul 28 2014 09:46AM HP FaxGates G.C. 7634987710 page 5 Use BLUE or BLACK Ink � For ORlce Use � � j Permit#: / �^ !��� I Clt of�a�aIl ; . .z� 3�, � � ; � Perm�t Fee. J � 3830 Pilot nob Road � �r� r � Eagan MN 5122 � Dale Received: � � Phone:(65 )875-5675 I I Faz:(651) 75-5694 I Staff: ' I I I �������� ���__��J 014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � ` �'� 5ite Address:����� Zl�C��I 36�70� 3G�2 D�l�'1 h���' Un#: Name� �M�'.YJ!^�./� �._.IIr.,..�..�.,..,._.._ _.__.,.�5...,y`I�.' I'�. �, ` Phone: ✓ % `� � Resident! �- Owner � Address/City/Zip: °�� �o��-- � `, . � Contra g pp icant is: Owne� _ ctor �. .._..__..._.._. __...o�.......� ...,..,:..,r __...._.._. r,....,�.,�....,._._._..�...,........,.. ....,.,....�,.....�.._.._. � Descriptionofwork: "�%��- ,�'f".�? 0�-f.����� Type of Work 0 p , , � � e Construdion`Cost: �O ��f''• �� ' __ �_w �Multi-Family Building: (Yes v I No_J� Company: !�Cr '.��?iYC,;rcx� ;�.ia.:�aY� Contact: �/:���X �0.qF 7� '� % /, AddfESS: .7 �"� l 'i-;.w: �r i i C��: / :'/ ' r. ". Contractor " � State: iM��% Zip: �5�y:i . Phone� o'�_Ty- ,�3y�., i,�_,�� 7��r�� a.,�,;f a '��,_�±..<:�<.:. .� Email: -C. r � .,,� � --_� . , � � ., ^ . _ License#: �' `��� ' - Lead Certificate#� f%% � � ' •- If the project is ex pt from lead certification, please explain why: (see Page 3 for additional infonnation) �w �.,.,.....,,,..._..�.�........_..�_....,�.�.,�._...._,... _._. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 1Y mo�t ,has the Ciry of Eagan issued a permit for a similar plan based on a masber plan? _Yes �No I yes, date and address of master plan: Licensed Plumber: Phone: Mechanical CoMra or: Phone: Sewer 8 Water Co actor: pho�; _.....,._.._._.�.�_..._... ......a.. - _.,_.... �.._.._..__.___._�..._. NOT'E:P/ans an� supporting documents that you submit are considered to be pub/ic information. Portions of �the lnformationj y be classified as non public if you provide speci�ic r+easons that would permit the City to ,__,_,.,,,,,,,,_' .__,. conclude that they are trade secrets. ___ _ _M M.._� CA BEFORE Y U DIG. Call Gopher State One Call at(651)454-0002 for proteclion against underground utility damage. Call 48 hours before you intend to dig receive locates of underground utilities. www.ao�herstateonecall.oro I hereby acknowledge t t this information is camplete and accurate;ihal the work will be in oonfortnance with the ordinances and codes of lhe City of Eagan; that 1 understa this is not a permil, but only an appliption for a permit, and wark is not to start without a permit;B�al the work will be in accordance wilh the app ved plan in the rase oFwortc which requires a review and approval of plans. E:terior w oriz by a bullding pe ft issued In accordance with the Mlnnes ' ing Code must b completed withln 180 days nnit suanc . x G�- 3 Y Appli s Printed ame Applicant's Signawre Page 1 of 3 3 Use BLUE or BI.ACK Ink �__._..._�._---------^� ) Far Of#ice Use. � • ������ � Permit#: V Y�� I C��y of �a�a� C r�-3a � � �� �1�� Q U 2��4 I Permit�ee: 383p Pilot Knob Road � 8 /_ I I Eagan MN 55122 ! Date Received: �S1 I Ahone:(651)675-6675 ��''�"' -----------» f Staff: � Fax:(651}675-5894 I --- � �-----_.—____.._----' 20'14 RESIDENTIAL BU[LDING PERMtT APPLICATION C��' ��� � � � � ���� Date: `����uJ�� Site Address: �� * ����� Unit#: GQ,1t,�n� U �' Name: �` �����.� Phone: ` ` Residenfl. ;:OWri�I'. Address I City l Zip: Applicant is: Owner �Contractor bescriptionofwork: ��h�1 � Pubt�" �06��1'1�t tl��� �F�t�.t' Type af Work .. �� � Construction Cosf: � ����C�. �b Multi-Famiiy Buildfng:(Yes�/No ) Company: �(��t�i� RC'�f��hQ.�"" "�" �tt5 . ,r.Confact:��lf'� ��Q�,$� 'Contractor Address: �-[�b� L.tcr.�e�r�. '�S,,�t�,,• city: E[aa.. State: Zip: ��{0 Phone: ���"��"�t Email:�, ,��1,�� 6 EtS'.�,� License#: �t/t�v ��.t3 tJ Lead Cerfificafe#:,��t�"�����' �F If the project is exempt from lead certification,please explain why: (see Aage 3 for additional infarmation} COMPLETE 7HiS AREA ONE.Y(F CONSTRUC7ING A NEW Bl11LD1NG In the last 12 months,has the City of�agan issued a permlt for a sirrsilar plan hased on a master plan? Yes _No If yes,date and address of master ptan: Licensed Piumber: Ahone: Mechantcal Contractor: Phone: Sewer&Water Cantractor: Phone: I�(OTE:Plans and supporting otocuments that you sub.mit.are.considered to.b..e. publlc.mformation. Rortions of:. the:Information ma be classifled.as non publfc lf ou. rovtcfe spec/fic reasons that.wauld permlt the City to ', Y:. Y R ':conclude fhat fhey are tracle secrets. CAI,L BEFORE YOU DlG. Ca11 Gnpher 5tate One Cail at{651)454-0002 for protection agatnst underground utiliry damage. Cal!48 hours before you intend to dig to receive locafes of underground utilities. �wnv.aonherstateonecafl.or� 1 hereby acknovAedge that ihis informatlon is compfete and accurate;that the vroric wilt be in conformance vhth tha ordinances and codes of fhe Ciry of Eagan; that I understand fhis Is not a permil, hut only an application for a permit,and►vork is not to start without a permit;ihat the�vork vrilf bs in accordance vrith the approved plan in fhe case of v+ark evhich requires a review and approval of plans. Exterior work authorized by a building per►nit issued 1n accordance wlfh ihe Minnesota State Butlding Cade must be completed within 48U days of permit issuance. x [.kl��f� x 6 �• ApplicanYs Prinfed Name Applicanf's S gnature Page 1 of 3 , � � 3C��CP �N r,�<� I� ✓e-- �O NOT WRii'� B�L.OW THIS L1NE �� r�� SUB TYPES _ Foundation � Fireplace _ Porch(3-Season) _ ExteriorAlteration(Single Family) _ Single Family Garage ` Porch(4-Season) _ Exterior Alteratlon{Multij _ Multt � Qeck � Porch{Screen/GazebolPergola) � Miscel(aneous _ 09 af_Plex � Lower Level _ Poo! _ Accessary 8e�ilding WORK TYP�S _ tlew � interior lmprovement � 3lding _ Demolish Buitding' Addllion _ Move Buiiding _ Reraof u Demofish Interior � Atteration _ Fire Repair � Windows _ Demofish�'oundation _ Repface _ Repair Egress Window Water Damage _ Ret�ining Wail *Demolition of entire building-give PCA handout to applEcant bESCRiPTiON Valuation iM��. �(?t� Occupancy �R-� � MC�S System Pfan Review Code Editlan 2-�^� 7 MSSC- SAC Units (25%_100%,�,) Zoning � City Water Census Code Stories Boosfar F'ump #of Units Square Feet PRV #of Baildings Lengfh Fire 5prinklers Type of Construction �_ Width REQUIRED INSPECTiONS Footings(I�ew Building) Meter Size: Footings(Deck) Final 1 C.O. Required Footings(Additton) � Final!No C.O.Required �oundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Fir�al Pool:^�aotings Air/Gas 7ests _Final Framing Drain Tile �ireplace:_Rough!n Air Test �Fina1 Siding:____Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining WaII:_Footings_BackfiE!_Finat Shestrock Radon Control Fire Walfs Eroslon Control Bracad Walls Other: Reviewed By: �� Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC CJfility Connectian Charge S&W Permit�Surcharge Treatment Plant Copies 'TOTAI. Page 2 af 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA152803 Date Issued:11/01/2018 Permit Category:ePermit Site Address: 3666 Denmark Ave Lot:4 Block: 12 Addition: Timbershore 3rd PID:10-76502-12-040 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Linda M Walker Tste 3666 Denmark Ave Eagan MN 55123--104 (651) 686-7605 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature