3704 Denmark AveJ
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
?j 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constnution Requirements
• 3 registered site surveys showing sq, ft. of lot, sq. R of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window saes; 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 (4
--? o .06
RemodeURegair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated addition
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION
SITE ADDRESS
TYPE OF
N
it u k, a q as
APPLICANT
STREET ADDRESS X-4EZ T'i ! .<X 15-0 W, It
TELEPHONE # 951-ANQ-0P9_5_9CELL PHONE #
PROPERTY OWNER
-MULTI-FAMILY BLDG _Y _N
FIREPLACE(S) _ 0 44 2
h >c nis-7/-AC)
TELEPHONE #
ssa3
-------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Cade Category _ MINNESOTA RULES 7670 CATEGORY I _
(J submission type) • Residential ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes: _ Water Softener _
Water Heater _
No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Mechanical Contractor: V'm 0 ,V 'd0 CO kq ey-
Mechanical system includes: _ Air Conditioning
Heat Recovery System
Sewer/Water Contractor:
Phone # q5? ?g9d C
Fee: $70.00
Phone #
--------------------------------------------------------------------------------------------------------------------------
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 OrTTrr??,,??ee??nn?`antes.
Signature of Applicant &
_____....
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
FAX #