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3748 Denmark AvePERMIT City of Eagan Permit Type:Plumbing Permit Number:EA112340 Date Issued:08/08/2013 Permit Category:ePermit Site Address: 3748 Denmark Ave Lot:8 Block: 2 Addition: Pilot Knob Heights 4th PID:10-57503-02-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Re Fund Iii Llc 303 Erie St W Ste 320 Chicago IL 60654 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature ïù ÿ þýý üûüïûü úýýðÿ ùþ é÷ åüó ë ë ñ þýö þýüûúùþ ò ýûúù ûúùþ ùóý ò ý òñíýùú ð þïý î ë ì ééô ÿ ôìè ô áêêü ëýüì ß ù ý ý ôèôýôìêòé é ùé ê ò üôè ïý üúø éôúëô ê îæñåæêê õú þý ë çýæñåæêäêä çýñÿê ôó öòñ ùù øòù ãöû úòý ú ääíõÚñ ô ì ãö ãöññ áàßä ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý CASH RECEIPT --'CITY OF EAGAN 3795 PILOT KNOB ROAD & DOLLARS Too ? CASH ? CHECK FOR BY NUMERICAL FILE COPY BUILDING PERMIT Site Address `r4 ue?liu? r. nye. Lot Block ? Sec/Sub. Pi l At Knob H$ Parcel # (38t) t?? Signature of Permittee A Building Permit is issu all work shall be done it Building Official CITY OF FAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 Receipt # $50900- ? . N2 4843 Erect ? v Occupancy ' A4er' ? Zoning Repair ? Fire Zone S Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Appro vals Fees and all Assessment Water & Sew. Police Fire Eng. Planner - Council Bldg. Off. APC Plan check SAC , r; Water Conn. A • 00 Water Meter "0.00 r,. Total on the express condition that Minnesota Statutes and City of Eagan Ordinances. C I i i Permit # Date Issued Penelttes 1a83 - r - S a10 -37-7 INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation _ Plumbing g^ _ Frame/ ins. Mechanical Final Remarks: BUILDING PERMIT APPLICATION $50,000. Receipt * Site Address J / YV UCluual l R J%V C. Lot 8 Block 2 Sec/Sub. Pilot Knob HE Parcel * k0 57503 080 02 me Name j e t t &emp W Address 17n& T)Pnmark Am- _- __ i_rw nlne N! 4843 10 374 Erect ? X Occupancy I }},, AMP ? Zoning R1 Repair ? Fire Zone 3 Enlarge ? Type of Const. V Move ? * Stories Demolish ? Front 65 Grade ? Depth 32 ft. p Name Harnl rl Sg;11 Pt81 ^??'- -- ou Address 3704 Denmark Ave Assessment 1- Ci Eagan Phone Same Water & Sew. G? Ponce W Name Fire ?0 Address Eng. k W Ci p 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 all applicable APC State of Minnesota StatutMcnd QtV of Eagan Ordingnces. Signature of Perms e A Building Permit is issued all work shall be done in acco with IF, p I cable tote of Building Official Al 2 ,.c CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 PHONE: 454-8100 Fees Permit L(+V. JV Surcharge 25.06 Plan check SAC 500.00 Water Conn. 250.00 Water Meter 60.00 Total 975.50 on the express condition that Statutes and City of Eagan Ordinances. CITY OF EAGAN 3795 Pilot Knob Rood Bogen, Minnesota 55122 Phone: 454-8100 iEATING _ PERMIT Date: 7/19/78 Site Address: 3748 Denmark Trail Receipt No.: Single Residential No. 1233 Lot Block r Sub/Sec. _ 4th Multi Res., Comm./Ind. Name New/Alter./Repair. Address 1952 Knob Roi? Cost of Installation "aul City Phone: Permit Fee Arneson :'c?atinc ` Nark Surcharge Address u - - City Phone: Toto I 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 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: "t! I ! D ! H6 3830 Pilot Knob Road Permit Number: " 't ! n 4 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: IiI ,,, ; APPLICANT: NM(1k1 I1VI II i I tl??I Pi'a? IItIIIII1 111!! PERMIT SUBTYPE: TYPE OF WORK: let PA I k kt?r11 1 N6 Permit No. Permit Holder Date Telephone II 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 FTG DECK FINAL Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-i REQUEST FOR ELECTRICAL INSPECTION HECK BELOW WORK COVERED BY THIS REQUEST P 97393 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home Duplex ? ? ? ? ? Range ? Water Heater ? Temporary Wiring Lighting Fixtures ? ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? List e15? H List Q ers Other ? ? 11 ere ere This request void 18 months from /p t7 33 393 Date f this Request P 97 I, as lWcensed Electrical Contractor Owner, do hereby request inspection of the above electri- cal wiring installed at: L Rr` f_0 t r r1) jJ Iih (ild h? ?2ae l . Street Address or Route No. 3'14S Qu:3'i< . City Section Township Range County 0.11 1 Which is occupied by (Name of Occupant) Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call t Power Supplier Address Electrical Contractor C • Contractor's License No.Z ompany Name) Mailing Address "?j (C 0,- n 55 %Q3 (Electrical Contracto r Owner Maki g This tallation) Authorized Signature Phone No. 5?;- 9, ( ectrical Contractor or Owner Making TA instaliatlon) STATE BOARD COPY This inspection request will not accepted the State Board unless proper inspection fee is enclosed. CITY OF EAGAN Remarks Owner _ot 8 Rlk 2 Parcel -1() NA%jam 02 _ Denmark Avei1ue-Tfftft, State Eagan,NN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. !1L q 1977 1322.40 132.24 10 925.68 A007153 12-5-78 STREET RESTOR. GRADING ?CJ\ SAN SEW TRUNK 1971 $148-10 $7-41 90 81.50 A007153 12-5-78 SEWER LATERAL 1976 15 WATERMAIN *WATER LATERAL WATER AREA 1972 $146-48 $7--1? 87.92 A007153 12-5-78 u,• STORM SEW TRK lat J 1976 $2888.84 $192.59 2118.52 A007153 12-5-78 STORM SEW LAT 197S $116.00 $23-20 5 * it if 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 250.00 10374 6-12-78 BUILDING PER. #4843 SAC 500.00 10374 6-12-78 PARK WATER SERVICE PERMIT CITY 3F EAGAN 3Y95 Pilot Knob Road PERMIT NO.: Eagan MN 55122 DATE: , Zoning: No. of Units: Owner: Address: Site Address: Plumber: - Met r No : Connection Charge: . e Size: Account Deposit: Reader No.: Permit Fee: of Eagan 1 a ree to com l with the Cit Surcharge: p y y g Ordinances. Misc. Charges: Total: By _ Date Paid: Date of Insp.- CITY OP EAGAN SEWER SERVICE PERMIT W95 Pilot Knob Road PERMIT NO.: Began, MN 55122 DATE: - Zoning: No. of Units: Owner: Address: Site Address: - - - - Plumber: I agree to comply with the City of Eagan Connection Charge: - Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.:- Date Paid: RESIDENTIAL BUILDING PERMIT APPLICATION q?757q CITY OF EAGAN 3830 PILOT KNOB RD - 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 1/1/93 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE DC?_ _,_I/ I _ V JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER __t;Pr "(A ?nY TYPE OF WORK Q. c APPLICANT I S 1I ADDRESS ? X`Sn IV, tt (u re PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: Plumbing System Includes: MINNESOTA RULES 7670 CATEGORY I - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water Softener _ Lawn Sprinkler Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: ;C11 irp S) do- 69iloet Mechanical System Includes: Air Conditioning Heat Recovery System Sewer/Water Contractor: Fee: $90.00 7//?lJ Phone# &2 - Fee: $70.00 Phone # All above information must be submitted prior to processing of application. 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 Ordina242wf j/(/// Signature of Applicant y,U' ' Certificates of Survey Received _ Tree Preservation Plan Received - Not Required "70.00 RemodellReoair Requirements • 2 copies of plan 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks (EXCLUDING LAND) = FIREPLACE(S) _0 V 1 ' 2 _3 tofhV P PHONE # ZIP CODE .?-33, Updated 1101 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 028164 (612) 681-4675 Date Issued: 07/05/96 SITE ADDRESS: 3748 DENMARK AVE LOT: 8 BLOCK: 2 PILOT KNOB HEIGHTS 4TH P.I.N.: 10-57503-080-02 DESCRIPTION: (ROOFING) ermit Type irk Type s s` , STORM DAMAGE REPAIR 434 ALT. RESIDENTIAL '1 REMARKS: FEE SUMMARY- CONTRACTOR: - Applicant - ST. LIC.OWNER: ROGNESS CONST, 0 D 14691612 0004288 STOREY TERRY 22511 FOREST RIDGE DR 3748 DENMARK AVE LAKEVILLE MN 55044 EAGAN MN (612) 469-1612 (612)688-7677 V I h r'b ackn le "e`that I have re?(4 this 4014c&tion and state that the u inf r a 111 " is oar ct amd agree to cor>dply with all applzc0b??e State'o_f -Mn Ste u e n G of Eagan 'Orditletices.` n ISSUE BY: IG URE RD 11144 CITY OF EAGAN 3830 PILOT KNOB B RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements RemodelfReoair 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) ? i energy calculations ? 1 energy calculations for healed additions ? 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes N DATE: CONSTRUCTION COST: DOO DESCRIPTION OF WORK: STREET ADDRESS: 5 / `rte VJ LOT BLOCK SUBDJP.I.D. PROPERTY Name: r?u / OWNER ""°' Street Address- )i 4"g 6 -Z CONTRACTOR ARCHITECT/ ENGINEER Phone #: ? gg- 7??? City: /Z 4- State: Zip: Company: ( Phone #: ¢69 161 Street Address: 2-2-5'// LA4,e-Wcense #: 42-X1 City: Company: Name: I A Zip: a Phone Registration #, Street Address* City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY address change and lot agree to comply with all Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OWNER SITE AD Determine working square footage of each. 1. Total exposed wall area ... l?•?° sq. ft. x .19 = 2. Total roof/ceiling area .... ?y?b sq. ft. x .01 _ $ GYy Total exposed wall area above floor = ??0t/ a. Total wall window area ................ / 7.), 0 b. Total door area C. Total sliding glass area ............... F d. Total fireplace wall area ...... .. ... e. Total wall framing area (average 10,%)... ?o f. Total net wall area above floor ........ =L6 g. Total rim joist area .................. Total exposed foundation area = 136 63 h. Total foundation window area .......... -7,06 i. Total net foundation area above grade .y Determine "U' value of each wall segment. a. J?? x "U': , l = l/T? b = b. x tau:; , -Z q c. '90 x ttU:: &I-- D. t f 76. y 0 8 g• X nU:; _ h.? X "U t' re, _ i. / R• S7 X rU 1 -`/7 o 3 ............................................Total = 3 Y ?./) If item #3 is the same as, or less than item #1, you have met the intent of SSC 60o6(e)2. 1 J'A.1oipt iolxhvW M614 31,6 YS. rVin DOUR Mn i71 9S P falni S?rA?rt C-lnrf y? A -,E TOM Wail F014,v6 (10%) -F0t_A1 vc1 v,.(r egro x/09. EXTERIOR ENVELOPE AVERAGE '`U'' COMPUTATION :J,7y-U .G1- 7.39 .S v l9.?k l 3 1,5-9 y v • 5, - 1 S. •? u 0 9: yv . 3,1 rw :0y- ld. 37 -7 6, y3 TOR DAT2 G• ? 7A PHONE f_?- ?l ys Total exposed roof/ceiling area J. Total skylight area .. ... k. Total roof/ceiling framing area (average 10 1. Total net insulated roof/ceiling area i 3 37. Determine "U' value for each roof/ceiling segment. J X "UH k .U r, 1. "3 3 . o X . u,, ,o3 = 4 .........................................Total = ' If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)1. 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. 3. 3?,ii +4. ?i?lS7 x/33-?? DATE ?„ __ / _ ?' BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for i ._? Site Addr E. 3 75? 5 Valuation Q.v-(,- Lot Block Sec. Sub. Parcel Number 1,4 S7SD4 P(fl) PJa- 02 AM h7nob /l s ? A/Jd;Y'c.t r i Owner e i ) -7 i) Address = i //2 r,, ..: ! /l,e i Contractor //u ?./ _? , j,• j Address 31/ •/ %r m '- 'F ,r Arch. /Eng. A-,:7-1, Address a Erect Alter Repair Enlarge Move Grade OFFICE USE Date off Approval & Initial Assessment (/• /[ 72"' Water/Sewer Police Fire Eng. Planner _ Council Bldg. Off. A.P.C. Telephone :Z- J / 9' l Telephone '?&.) i / % Telephone /"/ 1 7 / 1 OFFICE USE Occupancy Zoning Fire Zone 3 Type of Const. 7l # of Stories Front Depth d FEES Permit Surcharge Z<S Plan Check SAC C' G Plater Conn. Plater Meter (• O TOTAL _ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAOAN / 3830 PILOT KNOB RD • 55122 bU• O N1 / 651-681-4675 ?//ed 9-,q,j0 New Construction Requirements Remodel/Repair Reaulremenri - > 3 registered site surveys showing sq. tL of lot, sq. ft. of house and gE roofed areas (20% maximum lot coverage allowed) > 2 copies of plans (show beam d window sixes; poured tnd design; etc.) > 1 set of energy calculations > 3 copies of tree preservation plan If lot plaited after 7/1/93 DATE: gl3d?d 6 60.00 0.50 DESCRIPTION OF WORK: -Dec K t?e p1W STREET ADDRESS: 3 y S D. k 1 m r. I t u LOT: BLOCK: SUBD./P.I.D.C LIIUI KMO? [Wakis 4fY1 Name: 5+?? -rre, l Phone #: GS/-6 88- ?G PROPERTY Wst First OWNER SheetAddress:3 !7y$ Deinrvhgt2 Ave, . City fzlbAo State: /YIN Zip: {-?/Z3 CompanyZo(?m - /1'e i nJ 16-4a. Phone #: l `f ff 8 - `=•63 (area code) CONTRACTOR ? street Address: 13 / l 4fo . t ,4 s IT. 5T. License # ? 6184 Exp. ° City PAoL State: m/U zip: SS//T CITY OF EAGAN CASHIER: JS TERMINAL NO: 718 DATE: 09/22/00 TIME: 14:40:04 ID: NAME: WM KLEIN CONSTRUCTION 3210 9001 374.8 DENMRK AVE 2155 9001 3748 DENMRK AVE Total Receipt Amount: CR137830 USER ID: JAN 2 copies of plan 1 set of energy calculations for heated additions I site survey for exterior addtions & decks CONSTRUCTION COST: g6466 do Name: RegistraBon #: _ Pole: ZIP: Phone #: donation is correct, and agree to comply with an applicable State mk E ONLY _ Not 60.50 OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-piex 19 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-piex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-piex Pibg Yor_N ? 25 Miscellaneous ? 06 04-piex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? _ 43. _ Reroof . ? 32 Addition ? 37 Demolish (Bldg)' 0 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair CiD 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy R-3 sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Ston e APPROVALS 6 Planning Building 1 Engineering Variance P 1 ? 31 Ext.Aft-Mufti ? 33 Ext. Aft - SF ? 36 Mufti y3 y Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: Valuation: $ SAC Units % SAC SITE PLAN APoOffe TY o. /S/ /S k Al, L Al 5 w uNC ry- I ? I y 3 ., ELV/a Garag.; 1 E,ery L%NE I ?I 1 - t ., L.OT =j BLOG k STREET ADDRESS 3 / i? ll n vY? u r /l 14 b e: ?£?N?,.s?R?i?El?T ,LINE ELV. 100 v ; i i 21_ I Al C1 i. f Feet 1 -Ai?ojo 7-Y LINE i ?I ELVfa Garag: -Ao,&c rY UNE? I .I I 1 - LoT i3L®c k STREET ADDRESS ?/ 7 b' %1 r ?»u y /( / v e'. ELV- Wo v City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Q Permit 0: i09.35(42 0�c/ Permit Fee: (NI • CD Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9411 Site Address: , 7 4 Den A!/1 ci% an Unit #: Resident! Owner f Name: eli ,/ (e, /felt; Cl SPhone: Address / City I Zip: 3324 aw �hr/( 11� .,/, c Applicant is: Owner XContractor T e of Work YP Description of work: 6414 12Grif 7 'tt haCe4Y'/ 71"/"...) A 1/ Construction Cost: /,.C'C%. C,C7 Multi -Family Building: (Yes / Noir) Contractor Company:r'1 f%C2L5/444C/114/7 Contact: '...\" ,\C)Istlin Address: ��l5- L57/ '$l''!vC{� City: //if/%% ,C. Stale: ,�'//7 Zip: 5-35 e Phone: lam! O-' -'0/'-a9/ l License #: ICC 6.37/ / Lead Certificate #: If the jproject is exem t from lead certification, please explain why: (see Page 3 for additionale ct_ je, tiinformation) G 76 feo ‘,\-qf In the last 12 months, If 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? yes; date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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) 454-0002 for protection against underground utility damage, Call 48 hours before you intend to dig to receive locates of underground utilities, www,aooherstateortecall.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. �xterlor work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 190 days of permit Issuance. x J19A177 11,/ce/le Applicant's Printed m TOO �1 Page 1 of 3 Xtra OT : ZO 800g/TO/TO SUB TYPES Foundation — Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition ')/ Alteration r Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%) Census Code # of Units # of Buildings Type of Construction 374g Denmark A'€ DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck \ / Lower Level — Porch (3 -Season) Porch (4 Season) _ Porch (Screen/Gazebo/Pergola) _ Pool _ Interior Improvement Move Building Fire Repair — Repair Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final IFraming Fireplace: _Rough In Air Test Final 1. Insulation Meter Size: Reviewed By: Siding Reroof Windows _ Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required )( Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ FootingsBackfill _ Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 1 y4/ /1 0 TOTAL /J71, 0 Page 2 of 2 zu) City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r L Use BLUE or BLACK Ink For Office Use ^ �� Permit #: L L.(� Permit Fee: Date Received: Staff: oc' -[H3 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: /-P - / 3 Site Address: 3.7 I/ g Nil -11o/ i6 1/-k- Tenant: /L Tenant: Suite #: Resident/Owner Contractor Name: rvA Soi\. r,Phone: 7(0 (4r cA `7 Jff AA Address / City / Zip: J �� l /c “- %/ c3 1 k 14+ 7/o /a71,4-/ j / Name: i''%1✓ 'r COr!' /leos, 4'zi Address: go % C-7-/�7r �,� i- City: Gro'. -;.S 4,7 /E'. State: /./IA/ Zip: .1;'..15-3 37 Phone: ,S-) -89/ y Fe? -47 c License #: 0 Contact: �( CI V\ Email: Type of Work Permit Type New _ Replacementc�// Repair _ Rebuild 1---- dify Space Work in R.O.W. Description of work: J�t �U• ;41 ) RESIDENTIAL 1 ctE2 5 f-',4 Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures (4. 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 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 conformanc. with the ordinances and codes of the City of Eagan; that I r der and thi• is not a permit, but only an application for a permit, anR ork is not to art witout a per iit; that the work will be in a co dance wi he pprov plan in the case of work which requires a review and app .v. I of plans. / JS° Under Ground _Rough -In Air Test Gas Test ' Final City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT Permit Type: Building Permit Number: EA110588 Date Issued: 05/17/2013 City of E Site Address: 3748 Denmark Ave Lot: 8 Block: 2 Addition: Pilot Knob Heights 4th PID: 10-57503-02-080 Use: Description: Sub Type: Single Fam Construction Type: Work Type: Day Care Inspection Description: Census Code: Occupancy: Zoning: Square Feet: 0 Comments: Jennifer Marcus 612-998-1411 Fee Summary: Day Care Inspection $50.00 1221.4216 Total: $50.00 Contractor: Owner: Troy A Cusey 3748 Denmark Ave Eagan MN 55123--103 - Applicant - 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. Applicant/Permitee: Signature Issued By: Signature City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: Az 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. 3ito( An .r fr A-vc. Date: Tenant: i " Site Address: Suite #: J Resident/Owner Name: °`-` Phone: 65-1-330"aSy Address / City / Zip: TN ' k , Vim= Contractor Name: Rons Mechanical Inc License#: Address: 12010 Old Brick Yard Road City: Shakopee State: MN Zip: 55379 Phone: 952-445-8585 Contact: Linda Email: 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. RESIDENTIAL v. Furnace ✓ Air Conditioner _ Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping _ Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) �� $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ 100.00 TOTAL FEE COMMERCIAL FEES: $70.00 Underground tank installation/removal $55.00 Minimum *If the project valuation is over $1 million, please call for Surcharge Contract Value $ x 1% =s Permit Fee = $ 5.00 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 utilities. www.gopherstateonecall.org 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. x MAO, iv v\o‘.v\d.-ems Applicant's Printed Name x Applicant's Signature yak FOROFFICE USE Required Inspections: Underground Rough In Reviewed By: Air Test Gas Service. Test In -floor Heat Date: Final HVAC Screening 11/15/2013 08:53 FAX 651 451 7740 CULLIGAN 100001/0001 Use BLUE or BLACK Ink ~ For Office Use I . I I City of Eakail 1 Permit 1 1 Qi f Permit Fee: i 3830 Pilot Knob Road I I Eagan MN 55122 1 Date Received; 1 Phone: (651) 675-5675 1 1 Staff: Fax: (651) 675-5694 L 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite v @S Name: Phone• 452-yr'D V& 17 jT_Q Address / City / Zip:, 2/v l~ 3 T~p2 y a Name: MILBERT COMPANY INC dba CULLIGAN WATER License 063031-WC a<; ` Address: 1801 SOTM STREET EAST City: INVER GROVE HGTS w State: NIN Zip: SS077 Phone: 651-451-2241 . . BILL MILBERT Contact: Email r f New Replacement - Repair - Rebuild _ Modify Space Work in R.O.W. T - - Description of work: RESIDENTIAL _ Water Heater =xt ` Water Softener Lawn Irrigation RPZ PVB) Septic System Add Plumbing Fixtures Main I- Lower Level) ' New _ Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 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 $ w 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.aopherstateonecall.oin 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. x W ( n 6 x Applicant's. Printed Name Applicant's Signature ~O 'flFt• C ' SE x r ~~2ev1ew, e~B~y ~ ~ at°~,"~ ~'~tegvtr~d I,r~tao#fior~~.~~. E~hcl~e 1, roc,~► ~ ou,,1~~;~:1.,:..'•.t ~ Y a~