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3744 Denmark Ave
nz Use BLUE or BLACK Ink r For Office Use I Ea Permit#: City Olf n on • I Permit Fee: 1 3830 Pilot Knob Road 1 1 Eagan MN 55122 I Date Received: Phone: (651) 675-5675 j I Fax: (651) 675-5694 1 Staff: 1 L -----------------I 2010 MECHANICAL PERMIT APPLICATION Date: Site Address: 37W a2~A46Lt~ r~V Tenant: / Suite M RESIDENT/ OWNER Name: I-~1 I ewa Phone: 30 3 -15q / - 3 57,7 Address/ City/ Zip: '37y ~aW*4 rlk .4V ~n SS z CONTRACTOR Name: License Lt Address: City: Stater zip: 17_ / Z Phone: 4f 5_/ Contact: i/Gf ~ [(uG2d~ Email: dalallkXhA,1V&1ZA1AgQC , C_0"1 TYPE OF WORK New -)-Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $-50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ ~.J TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground tilities. www.aopherstateonecall.org I hereby acknowledge that this information is complete and aerate; 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 applicati n for a permit, and work is not to start without a permit; that the work will be in accordance the approved plan in the case of work which requires a review and approval of plans. X___ c x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough In -Air Test -Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection Jul 22 2010 10:50AM HP LRSERJET FAX P.1 Use BLUE or BLACK Ink CC) j Permit a: Qq of Eajan 1 I Permit Fee: I 38$0 Pilot Knob Road Eagan MN 55122 I Date Received; Phone: (651) 675-5675 l Fax: (651) 675-6694 staff I J 2010 MECHANICAL PERMIT APPLICATION Date: S1teAddrese: 3/ y7~ ~crJ~lgr-(C /9(J`t; Tenant: t~+ YN't Saibe 9: RESIDENf'1OWNER Name: ' .~e-~ JSrw,\.nyr-S y ~y Phone: ~5I Address / City I Zip: 7 ,t~eWf-j"-, aC CONTKACTOR Name: D /ok, -tr_. .7,^c License it 06 ~L~7e~l VtQtrt_ Address: R V/ 72-1 1'1 /V L City: r r Jai ('O (,e.) State: 11i' Zip: S J Z Phone: 7C 3 - 82/0 Contact: Email: TYPE OF WORK New _ Replacement -Additional -Alteration Demolition Description of work: 1r; y 1/.3 J l )z A .,~O,-, PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction , Interior Improvement Air Conditioner Install Piping , Processed -Air Exchanger " Gas ^ Exterior HVAC Unit Heat Pump Under /Above ground Tank t_ Insta11/,X Remove) Other -When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, eta) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: Vxy $ y~YG - 3/'G 3 a D 3 .S" f/'~- a C. l $75.00 Underground tank installation/removal OR CorrtractValue S X1% $55.00 i 'irnum Cincludes State Surcharge) Permit Fee - If the Permit rre is less than $10,010, surcharge is $ 5.00 - If the Perm it is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a S10,01.0-$11,010 Permit Fee requires a$ 5.50 surcharge) $ TOTAL FEE CALL BEFORE YOU DIG. call Gopher state One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to recelve locates of underground utilities. www.gopheratateone li.ora I hereby acknowledge that this information is complete and accurate; that the work ill In oo nce with the ordinances-a+rd codes of the City of Eagan; that t understand this is not a permit, but only an application for a permit, and to without a pe a work will be in accordance with the approifejd plan In the case of work which requires a review and approval of plans. X/"r X Applicanra rinted Name - 11 Signature i cxr ~ i i OFF-- CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN $5122 N2 4678 PHONE: 454-8100 BUILDING PERMIT Site Address 111,44 I)L'uMa r K I r. Lot Block 2 Sec/Sub. Pilot Knob HI Parcel # 10 57 503 090 02 W Name Z Addre Ave. W. o Name u< Address z r.., oti,,.,e 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 Permittee A Building Permit is issued to: all work shall be done in acco Building Official a Receipt # 921; -_ r . 2. Erect ? } Occupancy Altd'r ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Approvals Fees Assessment _ Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge Plan check SAC Water Conn. Water Meter Total 97' . ,. . -.r on the express condition that all applicable State of innesota Statutes and City of Eagan Ordinances. Pwmlt # Date Issued Panelttw Plumbing aza- 7 8 Mechanical INSPECTIONS Footings Foundation Frame/ins. Final DATE INSP. _ ?_ 7 S Plumbing Mechanical Rough-In Date Insp. Final Dote Insp. i Remarks: Qsy,as.?ee.?C CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BUILDING OERMIT Receipt# To be used for Est. Value Date 14432 19 Site Address Lot Block Sec/Sub. Parcel No. Q Name z Address 3 City Phone m0Name ou Address U City Phone Name City I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee --- A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL Permit No. Permit Holder Date Telephone Plumbing H.V.AC. Electric Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final well 97 ?/ Pr. Disp. F - ,- CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: `" _i •' ?' Eagan, Minnesota 55122-1897 Date Issued:"'' 1 (612) 681-4675 SITE ADDRESS: 1 ?? r fi? t'1I nr.K > APPLICANT: F NNai ,,, 1 1 44% 1 PERMIT SUBTYPE: TYPE OF WORK: 1:1 f I'f t EI;,? I rig) t i NH -: I I 1 1, TNA1 -------------------- A! Tr vA 1 1 11W Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL FTG r 4 EK FINAL 7/?/lj SJ CITY OF EAGAN Remarks Addition Pilot Knob Heights Addition #4 Lot 9 Blk 2 Parcel 10 57503 090 02 Owner '° > <-' V '`/ ??- ?. •+tr?t 3744 Denmark '.AyEMue State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1977 1322.40 132.40 10 1057.92 A006626 -11-78 STREET RESTOR. GRADING 151 SAN SEW TRUNK 1971 148.10 7.41 20 0 A006626 9-11-78 A SEWER LATERAL 1976 15 WATERMAIN *WATER LATERAL & Stub 1976 15 WATER AREA 1972 $146.48 $7.32 20 1 95.24 A006626 9-11-78 r &STORMSEWTRK & lat 1976 $2888.84 $192.59 15 2311. 0 A006626 9-11-78 STORM SEW LAT 1975 $11 .00 $23.20 5 - - it 11 * 1976 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 250.00 9212 -2-78 BUILDING PER. 14678 SAC 500.00 9212 -2-78 PARK I CITY OF EAGAN "95 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Address: Site Address: Plumber: Meter No.: Size: Reader No.: 1 agree to comply with the City of Eagan Ordinances. By Date of Insp.: _ WATER SERVICE PERMIT PERMIT NO.: _ DATE: No. of Units: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: nso.: SEWER SERVIC E PER MIT CITY OF EAGAN '7795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: R. Date of Insp.: Permit Fee: Surcharge: Misc. Charges: Total: Dote Paid: 1 > 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 faew Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq, ft. of house; and 011 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 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel/Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-site septic system Office Use Only Cart of Survey Recd _ Y _ N Tree Pres Plan Recd _ Y _ N Tree Pres Required _ Y _ N On-site Septic System _ Y _ N Date Site Address Ben mow-k Construction Cost ?f'p Q , AL, { Unit/Ste # Description of Work rece,Carrut?r,? Amt ?Jt,?,v,? _ ?? ??,? ?,(? ?..? jtS-t? ?•v? Multi-Family Bldg Y _ Fireplace(s) 0 1 2 Property Owner _ievL OngE?he,S V Telephone#(W) Contractor/ Address f go ,0A?e 1 State -in tv 9 J S"ZtL*4 f 7 City Zip -S.5/cZ/ Telephone # (4f) ,_r0/ t7,S_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (y 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 If yes, date and address of master plan; Licensed Plumber Telephone #( Mechanical Contractor Telephone # ?rl Sewer/Water Contractor Telephone # I hereby aPP1Y for a Residential Bu lding Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances 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 in the case of work which requires a review and approval of plains. 14-1 i Q? GLOW` Applicant's Printed Name Applicant's Signature CITY OF EAGAN 3745 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 HEATING _ PERMIT Na 11-43 r March 22, 1978 99441 Dote: Receipt No.: Single V 2"; 4 E Denmark f' il?2f' Residential Site Address: Lot Block 2 Sub/Sec. T'KH 4th _ Multi Res., Comm./Ind. F Name Ra.<4e.7)auyh, Pmderson 11ew New/Alter./Repair. Address Cost of Installation -- ?. r; City Phone: Permit Fee 2 p Name f - Surcharge Address U City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3793 Pilot Knob Road Eagan, MN 55122 N° 4678 PHONE: 454-8100 BUILDING PERMIT APPLICATION $52,000. Receipt # 9212 Mar. 2, 19 78 To be used for. Sf Dwl Gar .Est. Value Date Site Address 3744 Denmark fr. Erect ?X Occupancy I Lot 9 Block 2 Sec/Sub. Pilot Knob Hghts A1* ? Zoning Rl Parcel # 10 57503 090 02 Repair ? Fire Zone 3 Enlarge ? Type of Const. V o Name Radabaugh 8 Anderson Move ? # Stories 3 Address 653 Marie Ave. W. Demolish ? , Front 66 ft. r-:.. MPndnta HohtcnL___ IaSG_141Un Grade 17:? Depth G;A ft. Name 489-8795 ^rr•?•?•- oQ Address Assessment _ V< F City Phone Water & Sew. bee Uj Name Police Fi ,., re u1 Address En g. l a z City Phone ?tanner 4 ?Counci I I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Sto tes and City of Eagan Ordinances. APC Signature of Pennittee ?i Permit 1`+'I. 7V _ Surcharge 26.00 Plan check SAC 500.00 Water Conn. 250.00 Water Meter 60.00 Total 979.50 t .• A Building Permit is issued to: Radabau h a. And son on the express condition that all work shall be done in occorda with a pli le State of Minnesota Statutes and City of Eagan Ordinances. Building Official 4-.7's BUILDING PERMIT APPLICATION DATE ..t 3 Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. DL1 _-/y`.t'r?s ?T To be used for Valuation Site Address; ?7`(t( Lot Block = Sec./ Sub. • ? f ?1 0 ? C,VV.a 7S- owner .??. ?e.. Address _ __ G s` /yl,4r.f Gr>. Parcel Number /p ,5'730-? 090 0,.N- Telephone contractor 5 1,? Address Arch./Eng. Address Erect Alter Repair Enlarge Move Demolish Grade OFFICE USE Occupancy C Zoning Fire Zone _ Type of Const. # of Stories Front Depth L/U(? OFFICE USE Date of Approval && Initial Assessment ?•r?I ?? Water/Sewer Police Fire Eng. Planner Council Bldg. Off. A.P.C. Telephone Telephone FEES Permit Surcharge ;9/1 Plan Check SAC SDD . oD Water Conn. ? 50 . 00 Water Meter 4110.6 d 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. It. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed soil 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 7/l/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel/Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-site septic system office s n CertoFSurveyRecdr'?,r=d'I:Y? ;N S6lla'Repor7,if? Tre$PrQSPf?"R' ree.,Pfes,WGeds? 301 _N On-si[e"Sep?s?Sysiem? - ?.?Y' ,=N Date L01,0 Construction Cost Site Address ?7 nC? Lit 1 r.)P?W Unit/Ste # Description of Work Multi-Family Bldg - Y i? N Fireplace(s) - 0 X 1 - 2 - Property Owner ? elephone # ({p-l ) q Z - WP t T IIW O? A Noma tlOAaobWwNIm I I Contractor dba Fi I HUM & No Address ="14. FaHvlaw Ilv! City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category Residential ventilation Category 1 Worksheet New Energy Code Worksheet (J 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 If yes, date and address of master plan: Licensed Plumber z _ Telephone #( Mechanical Contractor Ij I0 Telephone #( Sewer/Water Contractor 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 the ordinances 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 Ill Wnthe e I work which requires a review and approval of plan x`41 , S ?)i Lk v,. ? Applicant's Printed Name Applic 's Signature 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date 9 l Cf / DJ1 Site Address3 7 (/t- / .6Z1lJ1n /4R X htltf Unit # Property Owner /} ?iLJ?t J?TF/ ??/ }tllq ?Al?? Telephone # ((s?) ySa - 0.3 J`-o2 Contractor U/?j¢ Street Add ess D City /1 wlnO ..,61 r State At Zip Telephone # ( 451 Y? c? /CD6 Bond #: Expires: The Applicant is Owner X Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional -Replacement _ air exchanger air conditioner New Replacement other State Surcharge $ .50 Total $ 30. 6-0 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 of 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 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 approvalp4lans. I _ ?i4- (17,// /4l?i s Applicant's Printed Name A licant's Signature OWNER EXTERIOR ENVELOPE AVERAGE "V COMPUTATION e, e-z BITE ADDRESS CONTRACTOR 5 9??c DATE . -z3 i Determine working square footage of each. 9 > d 7 9 1. Total exposed wall area .... /,5' sq. ft. x ..11 2, Total roof/ceiling area .... c sq, ft. X .0'? Tota l exposed wall area above floor = ,46- - a. Total wall window area ......... ........ _?a-c ?S 9G b. Total door area ........ ..... ... 43.0. C. Total sliding glass area ...... .... . qz;g d. Total fireplace wall area ...... ... ..._C e. Total wall framing area (average 10%},:. SGT f. Total net wall"area above floor ........ g. Total rim joist area .. ..... ... i Ls Total exposed foundation area = y h. Total foundation window area ... ....... G -s i. Total net foundation area above grade Determine "U` value of each wa ll segment. 6 a. 33, x b. -9- a X 7TUT; SS = z j, 7 _ e. X huH / S ??7D f.? X ;;Uc: p 7 = ' i. .23o X r;Uf: v9 3 ............................................Total = -'247,1 If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. v V N 4,4 This request void ./? 7 if - 70a 6o 18 months from -11 q9 l C Q ? Request Date Fine No. Repuiretl?Inspection - ?Ready Now Will Nntity Inspec ?' yes ?No inr When Ready Licensed Electrical Contractor I hereby request inspection of above M n....o, electrical work installed at: Street Address, Box or Route No. City 37 DEN 2!t ?? M FAG AJ ecLOn o. ip Name or No. Townsh Range No. County Occupant (PRINT) Phone No. 3Sm2 yS'-( k6A) -STANDNoSS > Power Supplier Address Electrical Contractor I?Jnpany Name) Contractor's License No. ?y9-/ y Aeg lNausreiEi' ..G.trc o. Mailing Address (Contractor or Owner Making Installation) ' ?s ss cg ?G? 4pw 77ys -ZWII ? o Authorized Signature (Cont clod caner eking Installation) Phone Number 71 MINNESOTA STATE/BOARD OF ELECTRICITY Griggs-Midway Bldg- - Room N-191 1821 University Ave., St. Paul, MN 55104 Phpna (612) 297-2111 BE ACCEPTED BY THE STATE-BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?fEB-/0000Y1-04 0 See instructions for completing this form on beck of yellow copy. / w u q R '-X" Below Work Covered by This Request New Ad'd Bep Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader, Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Pecs y .then IS,,,,fy) t er Pacify Other Other 1-rmnnte Incnacbnn Faa Helnw If Fee Service Entrance Size k Fee Faaders/Subfeeders a Fee Circuits 0 to 200 Amps 0to 30 AMPS 0to 30 Am Above 200 Amps 31 to 1 31 to 100 Am s Swimming Pool Z Above 1 Above 100_Am s Transformers Irrigatio Partial-Other Fee Sign Special g /D TOTAL FE?'? Remarks . Rough-in Date the ' x/677 , Inspector, hereby certify that the above Final '? '7? D to rl/ inspection has been made. This request void 18 months from P 4(,7q Total exposed roof/ceiling area = 161o J. Total skylight area .. ........ k: Total roof/ceiling framing area (average 10% L Total. net insulated roof/ceiling area ...... ? y Determine 'V value for each roof/ceiling segment. J. n_ x -U,, 4 .........................................Total = ?l G If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. 3. + 4. _ This request void 18 months from a p 7? Date of this Request --:7r - a 9- 7 S 32 8 38 I, as ? Licensed Electrical Contractor wrier, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route N( x . Section wnship Which is occupied by Range County,L< Is a roughin inspection required on this job? No ? Yes 531 Ready Now ? Will Call EJ'? Power Supplier' Electrical Contractor` ,e---, Contractor's License No. Company Name) Mailing Address J,3 1 S - /C. 3 / (E trl cal ntra or Own Making Thls Installation) el - Authorized Signature? Phone No. 7 ,4?37 (EI rl ractar or OA?nsr Maklna This Instanatlonl L-SUM MOM P Minnesota State Board of Electricity G d 1954 University Ave., St. Paul, Minn. 55104-Phone 645.7703 REQUEST FOR ELECTRICAL INSPECTION ¢? 32 S38 CHECk HFLOW Wr1RK ('f)VFRFn RV THIS RF(lrIFST Type of Building New Add. Rep. Check Appliances Wired For 1 1 Check Equipment Wired For Home Duplex Apt. Bldg. Commercial Bldg. ? ? ? ? ? ? ? ? ? ? ? Range ? Water H Dryer 0 Furnace P A Temporary Wiring Lighting Fixtures Electric Heating Silo Unloader ? ? ? ? Industrial Bldg. Farm O her ? 0 ? ? 0 ? ? E] ? Air Co. n.,r pList )} Herers) Bulk Milk Tank List Ha ers ? COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee FeedersASubfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Am eres 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200_Amps. 1 1 Above 100 Amps. Above 100 Amps. Transformers Re mote ConUol Circ. Partial or other fee S' ns S ecial Ins ection Minimum fee $5.0 «<- Remarks TOTAL FEE i, the Clectncal Inspector, here c tify t fie gbove inspection has been made . ( J (Rough-in) Date 14 2' p (Final) Date ???X This request void 18 months tom 52 PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-57503-090-02 DESCRIPTION: REMARKS: EXISTING DECK ALTERATION 434 ALT. RESIDENTIAL I? PERMIT TYPE: Permit Number: Date Issued: 3744 DENMARK AVE LOT: 9 BLOCK: 2 PILOT KNOB HEIGHTS qt REPLACE Baildi'trg Permit Type ,,Building Work Type 'Census Code' ?r w c ± t' BUILDING 032216 06/11/98 FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - STANGENES KENNETH 3744 DENMARK AVE 'j EAGAN MN 55123 (612)452-6352 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 Mn. Statutes and City of Eagan Ordinances I APPLI T/PE MIT E SIGNA14RE ISSUED B : SIGN URE fj- lpr.0 90'39, Y:_ _ I, p •:_ry.. _..e.r..r.:.....n e.:.a ..:o.n y.r LY,.y.y..,:,: p..ye. . J 98 BUILDING PERMIT APPLICATION CITY OF ]rAGAN 3830 PII.OT KNOB RD - 55122 681-4675 New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan If lot platted after 7/1/93 required: _ Yes _ No DATE: 6y-?-- (RESIDENTIAL) RemodeVReoair Requirements IeA mc011-11 4Itp 2 copies of plan 2 site surveys (exterior additions & decks) 1 energy calculations for heated additions CONSTRUCTION COST; 20,00,19'0 DESCRIPTION OF WORK: ORX //D KETfI/?' STREE DDRESS: FiVw L BLOCK: SUED./P.I.D. # Name: 54N6&*&-S Phone #: j?eIJ -4/9-2 -6 3r - Z-PROPERTY Last First OWNER Street Address: 37W JAI,, *A< ?r City 67%,+X) State: /*/L) Zip: 3-S-12 3 Company: 4-g-22 Phone CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ / ENGINEER Company: } NZ f Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: / f -W5 OFFICE USE ONLY Certificates of Survey Received - Yes No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 05 SF Misc. ? 10 _-plex aE]:? 15 Deck WORK TYPE AFPz"9GC- 0 31 New3 Alterations ? 36 Move ? 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 t ls4 11 ? 16 Basement Finish ? 17 Swim Pool ? 20 Public Facility ? 21 Miscellaneous MC/WS System City Water Fire Spdnklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance of Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S!W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: % SAC SAC Units I , I _ i i ? I I LJ I i I --I(I f I ? ti- ! I i ALE - . I i ii i - CITY OF EAGAN N°_ 14 4 8 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt# "19 70? To be used for BASEMENT FINISPst. Value $1,500 Date DECEMBER 9 19 87 Site Address 3744 DENMARK AVE OFFICE USE ONLY Lot 9 Block 2 Sec/Sub. PILOT KNOB FITS 4 lbn Site Sewage Occupancy MWCC System _ Zoning Parcel No. On Site Well (Actual) Const KEN STANGENES City Water (Allowable) a Name 3 Address SAME PRV Required # of Stories City Phone Booster Pump Length Depth °C .o Name VALLEY INVESTMENTS S.F. Total ou Address 3770 SO LEXINGTON FootprintS.F. City EAGAN Phone 454-5191 APPROVALS FEES W w Name Engr./Assess. Permit $29. QQ 1 00 tz Planner Surcharge . xE Address a W City Phone Council Plan Review Bldg. Off. SAC. City I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordi a es . p? Water Meter Signature of PermittPe• Road Unit A Building Permit is issued to: VALLEY INVESTMENTS Treatment P1 on the express condition that all work shallbe don maccordance with all ' parks applicable State of Min o tat and Cit f Eagan rdinances. $3D.00 Building Official TOTAL Z 1987 BUILDING PERM(YPICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND f3S/127' /J1Sffinl(, - 3/y 8A-T7+ 4- / ,?, ??.o To Be Used For: 0 OY+\ Valuation: ?Wi'4 v Date: Site Address 37/7V Djtxlm/-K je- (k.?11 Lot Block Z Parcel/??SSub Owner & Sr 6 ? F S Address 37 LILY 15rJm a9-Y City/Zip Code t/T6R-A) Phone Contractor 019- lIz?q Z ?j5A1,7:S Address 3770 S l' City/Zip Code C"lq7j Phone Arch./Engr. Address City/Zip Code /-5001 OFFICE USE ONLY On Site Sewage MWCC System On Site Well City Water APPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off ( J- 3 APC Variance Occupancy Zoning Type of Const (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 7q 0. / "t- Phone # XEAJ STAt?G6lkJts 3751el 7Pt,vmAP-K 11A -LCy -- ? ST/1') NTS (_GNS/. -'1-5 ,?57*16 N ism r 3/?f 9r? 777 14?o L.,?uNv y 0? 7 y' T 1 I r ?? r bey i 3/yR,r,A, Q F ?jcisr?iJG I ??T STR.t ? o(-.g MIN ? Tis u `*rr, lo t !I I ?J?1 t-4S NSW ?raaP et ??.;?G -- 1?g TT7> P T FX iST,?JG?_^,?i i a C G $TpQAb E ? ? CLVSF.r' a EX isr. S moKE DETEz-iok& - Bsm 7? 8,D kQ zb h ?I?FCC pLuvsil3• P?1/TS 7 PERMIT # RECEIPT DATE: Z?J-0 8008 MIDENTIAL PLUMBING PERMIT APPLICATION CITY of £A6iAN S$SO PILOT KNOB 8D KAGAN, MN 551 EE 651-681-4695 Please complete for single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: -I ` q ) m inner f /7UQ. I OWNER NAME:: On ?clT(Jn TELEPHONE #: lo5I -'-I52 'I0?52- e (AREA CODE) INSTALLER NAME: STREET ADDRESS: TELEPHONE q52. 4?Oq -(D9 9 (AREA CODE) CITY: ),G U I I le__ J STATE: I I I ZIP: 51Jz `i _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: - Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 - Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118) Other: RPZ:newinstallation/repair/rebuild J u;'^ J $ 30.00 lawn irrigation system I L 1 inv Replacement/additional: _ water softener lkwaterheater $ 15.00 State Surcharge $ .50 Total $ 5 JlJ I hereby acknowledge that I have read this application, state that the information is correct, and a ree to complywith all ap ica?ble City of Eag n ordi noe s. It is the applicant's responsibility to notify the property owner that the City of Eagan a qthl li bility fodany damages Woe}I by the City • rin [ normal operational and maintenance activities to the facilities constructed under this permit rop rly Pn fly/e (mgf? t. v SIGNATURE F PERMITTEE 42 Date: CityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: //D7;77D Permit Fee: o Date Received: Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Site Address: 744 DeA% 714Rg ,41/, Tenant: Suite #: Name: /PP/VT 4T1'k/A Phone: /4 03 —07V Address / City / Zip: g 7V A)///ARR. Alit vat, 4541 6-3'../z._ Name: 'E2 Address: City: State: Contact: Email: License #: Zip: Phone: New X Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: 7)74/4%l R BAA REP44e-gifinfrr 416rV gdOSETe-A4/�,f1 /2, RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 1 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 s art without a permit; that the work wit be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground _Rough -In _Air Test _Gas Test _Final 0 Iz 0 0 — Z 0 uJ z CD -J al 5— co cs (00 Scale 1/4"=1' 11,11/ C!tyofEa�afl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use ` J Permit #:/ - Permit Fee: / f Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1l Site Address: 37'/ AD FAllnAl2k AVE Unit #: dier>I n ; t j j Name: r�� 5-rg�% Al2 Phone: l 'i/03 -07V t� ./ Address / City / Zip: 376/ / �/ ✓ EII74%Z 1 4 YE Applicant is: X Owner Contractor % #Werk Description of work: IZ E ROD Construction Cost: Multi -Family Building: (Yes / No x ) tr o ract©� Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: dans ` ' ® U m ® o . is Raaf you bm consfi# p®® lic nfd e nforxn f n as oh P ®: f u ®. peck i $ that o a s t`the CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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 in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name App cant's Signature Page 1 of 3