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3795 Denmark Ave Use BLUE or BLACK Ink i r For Office Use Permit t I City of Ea Ea O I Perrrilt Fee: , 7,-). I 1 3830 Pilot Knob Road 20 I Eagan MN 55122 Date Received: / i 0 /16 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I _ ! ~t 2010 RESIDENTIAL BUILDING PERMIT APPLICATION 17 Date: SAVID Site Address: q,~~ NA mAe-ic c Tenant: :Z1 PtiE-LO/J Suite M RESIDENT/OWNER Name: 1 l fy~®T O I P't FLU AJ Phone: l"S l Address/ City/Zip: c~~ M~ / 1 V Applicant is: _X1_ Owner Contractor TYPE OF WORK Description of work: < Construction Cost:`7o2oc)-n • 0-0 Multi-Family Building: (Yes / No ) CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specihc'reasons that would permit the City to conclude that the 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.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 f VJ~. , o x Ap licant's Printed Name Ap i an 's Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE -"l2S SUB TYPES Foundation _ Fireplace Porch (3-Season) _ Storm Damage Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 64~wd-o Occupancy :VC, MCES System Plan Review Code Edition I7 SAC Units (25% 100% ✓j Zoning P9 City Water Census Code 34/ Stories Booster Pump # of Units Square Feet A,,/ PRV # of Buildings Length S' Fire Sprinklers Type of Construction Width X7 REQUIRED INSPECTIONS Footings (New Building) Sheetrock F Footings (Deck) Final / C.O. Required Footings (Addition) jjO~ Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: Footings _ Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES /G Base Fee ~p 9 Al T Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 - Eel ,AN I ~=I D w ~~r U c_`t 0 t~ I f~~ . WFU REV! I , fl fI. y5 4 BY: ~r DATE: qqO 7 ~j 42~ t_ "LDING 1^' s `.C;T10NS DIVISION l!~; ben r- I 1 , ►~I GA, i Lz)T , a ' X 1 , 1 1 , 42 ('ILO~f i iz ILiHT`~ 5' a~:.o lt4.t~3 L-o -T S:v2 P~ a7 r~~r~ o,~ o ~"N/L~v S'iaL ~ ~ ~ 4 tt ~ o dA'f~• ~ ~ Q 6A, "Zi r Q r~ f o D a~ W J 308.3b 0 ~l f ` j , 901 004 78 O J Y 3 1 C\L o j., '030 6 q 3.9 0,- TO C%c 00% Drainage Utility Easement / o d 3 .17726 0 60 11741 40 21 334.88-- - 89°4,2`,25"E ,---,SOvth line of 0010 F, Pilot Hnob Heights Fourth Addition CASH RECEIPT CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 1. )4i f4*_m? k114, FUND CODE AMOUNT l l Thank Y White-Payers Copy Yellow-Posting Copy Pink-File Copy DATE - 19 RKCEI V ED A f AMOUNT ", CASH RECEIPT CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE / 19 fr 1 RQCi1V6D FROM % AMOUNT $ J DOLLARS 100 ? CASH E ]CHECK FOR FUND CODE AMOUNT Thank You Copy 9 Copy y CITY OF EAGAN 9,5`-"9 .. 3830 ilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 6 PHONE: 454-8100 BUILDIN G'PK AIT Receipt # -+ To bo rood for SF DWG/GAR Est. Value $70,000 Date S EPTEMBER 25 19 84 Site Address 3795 DEN14ARK AVE Erect CJK Occupancy R3 Lot 3 Block 2 sec/Sub. PILOT KNOB HTS Remodel ? Zoning RI Parcel No. Repair ? Type of Const. V Enlarge ? P No. Stories Name ------ --- _?_.?_ /01 - UTH ST Move ? Length Demolish ? Depth Grade ? Sq. Ft. Approvals Fees Name - Address Phone Assessment Water & Sew. Police Fire EnIg• Planner Council I hereby acknowledge that I have read this application and state that Bldg. Off. Parks the information is correct and agree to comply with all applicable APC Total r 0 State of Minnesota Statutes an4 ity of Eogan Ordinances. ? Ver. Date Signature of Permittee L,4, c , . .L ? LIEBFRIED CONST 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 Permit . 0 0 Surcharge 35.00 Plan check 171.50 SAC 525.00 Water Conn. 470.00 Water Meter 63.00 Rood Unit 96f) - 00 Permit No. Parmk Holder Dag Plumbing L b y /j? j j H. V A.C. C ? yr I La ?? ?I 7_ ??) Ebct?ic i3 I- ?- kt J k ILL- R? v. O Inspection Date Insp. Other Footings ff Foundation 4? Framing /0/ 17 ; Rough Plbg. Rough HVAC Insulation Final Pibg. Final HVAC Final Cart/Oae. Water Describe Location: well Sewer Pr. Disp. CITY OF EAGAN 3830 Pil -? ot Kn ob Road, P.O. Box 21-199, Eagan, MN 5 5121 BUILDIN13 - PERMIT PH ON E: 454-8100 0 Receipt # To be used for Est. Value Date ,19 ' Site Address OFFIC E USE ONLY Lot Block Sec/Sub. On Site Sewage _ Occupancy MWCC System Zoning Parcel No. On Site Well _ Type of Const City Water (Actual) a Name (Allowable) z Address # of Stories Length o City Phone Depth F Total S . . p Name Footprint S.F. 0 < Address APPROVALS FEES ? City Phone Assessments Permit F ¢ Water/Sewer Surcharge F m Name Police Plan Review S X I Address N Fire _ AC, City iW City Phone Engr. Planner SAC, MWCC Water Conn. Council Water Meter 1 hereby acknowledge that I have read this application and state Bldg. Off. - Road Unit that the information is correct and agree to comply with all applicable APC Treatment Pt State of Minnesota Statutes and City of Eagan Ordlnances. Variance Parks Copies Signature of Permittee TOTAL ) 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 Permit No. Permit Holder Iote Telephone e Plumbing H.V.AC. Electric Softener 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 Frmg. Well Pr. Disp. y'3 MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 CONTRACT PRICE: Site Address -:? t ?? IG Lot Z- Block_ Name ' ,,, is r N T a? Address C Cityd"-r'1s ?' / ?' ?,L Phone Name JC c 77 La ? in S C Address 3 7 9„? °?J/ho p City CAY A Phone TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. ;7 t? c 6 M BTU Vent CFM Gas Piping Outlets # Other FEE:- SIC: TOTAL- lep' so PERMIT # y J/X RECEIPT # DATE BLDG.TYPE Mult Comm. Other WORK DESCRIPTION New Add-on Repair FEES RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU _L. Do) ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN Receipt MECHANICAL PERMIT Permit No.y CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. , - ) 1. Date 2. Installation Cost ?/-'2 /00- 9 S -? 1 pp 1 ? 3. Job Address ?E n iir? ?k /? vt Lot BIk. -? Traci ` 4. Owner <1 o 5. Contractor f E 17 0 Phone 6. Address Q .7 ?/ 3 lJ? ?L I; D State Y1 7 Zip S S 5- 7. City 8. Building Type: Residential 9. Work Description: New Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe 11. Fuel Type N M No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handling: Mfg. Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordi s 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 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. a 1. Date 2. Installation Cost ` 3. Job Address k - Lot Blk. Tract 4. Owner ?) l 4;rte r! S1-? 5. Contractor Phone 5Y S ? 6. Address P. 7. City en State Y ?i Zip ? " 4 ?s 8. Building Type: Residential © Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 1 10. Describe 1 11. No. ? Fixtures Water Closet No. Fixtures Cesspool /Drainfield Bath tubs Septic Tank Lavatory Softner Shower 4^v' i Kitchen Sink Urinal/Bidet Other Laundry Tray _ Floor Drains Drinking Ftn. ---- 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 : Y for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: i:lt 1 1 It 1 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 Permit Number: Date Issued: H?+ f I I / ??'<. (612) 681-4675 SITE ADDRESS: l ' I f ) `' 1111: H11 MA. APPLICANT: ul NPi1;h HV! t,,; ; , it !i 1 ! PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. F L Permit No. Permit Holder Date Telephone 1 ELECTRIC 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 BSMT R.I. BSMT FINAL ti DECK FTG / DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: -?71 I?t Nrhr;f t Nt?l? 111 li,ill'• PERMIT SUBTYPE: II .I INwi 11- 111 fit I++N f I I i e1 X11 I . %i 1 . K INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: I11 If r t APPLICANT: k 1 f TYPE OF WORK: I VAM IPAh Permit No. Permit Holder Date Telephone A S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I /I Foundation Framing 3 P „p yi G w ?a Roofing Rough Plbg. Rough Htg. Isul. , /a/LT/9L J Fireplace ^ 31? ?? Final Htg. Orsat Test Final Plbg. Plbg. Inspector- Notity Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN Remarks Addition PILOT KNOB HGTS. 51H Lot 3 Blk 2 Parcel 10 57504 030 02 Owner Street 3795 Denmark Avenue state Eagan, PIN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. Tmp 17,56-00 175 60 10 878.00 C009994 12-219-84 STREET RESTOR. GRADING -- SAN SEW TRUNK 15J 1971 191 -()A () 55 n 47.79 0009984 12-28-84 SEWER LATERAL c 107f, lq?A R7 103 79 508.97 it " -c SEWER LATERAL -1 -99" -1 60.33 1158.45 " WATERMAIN ,t WATER LATERAL WATER AREA 1 9 - 45 2f) 56.81 C009984 12-28-84 * WA -- STORM SEW TRK 1976 * STORM SEW LAT 1976 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #46571 9-25-84 WATER CONN. 470.00 it It BUILDING PER. rr rr SAC 5'? 5 no n n PARK CITY OF EAGAN WATER SERVICE PERMIT 3830 ' ilot Knob Road P O box 21199 PERMIT NO.: . . Eagan, MN 55121 DATE: oning: No. of Units: r; ? r'; C`nncY n Site Address: ',. iyurtue -.? R? t r,t :poi, -_^ts 5th Plumber. Meter No.: ?i in Connection Charge: Size: Account Deposit: • t 7 (' Reade No.: 9 L G ? 5- 9 3 Permit Fee: 19,00 1 cone to cacply with the Cl Began Surcharge: 50 12d Ordiaoneee. (1 D,11 met..r Misc. Charges: D,11 Total: By Dote Paid: Date of Ins : Insp : p. . CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 551il toning. Lie r e onst Owner: Address: Site Address: ' enmar. Avenue L B Pilot 'Knob- lip.ts th Plumber: ' e ne Plbg 9-25-34 46571 ff)9.jl? "d I pne to --=Ph with the CRY of Eagan Connection Charge: 425.0 pd Oraiwoeees. Account Deposit: Permit Fee: y PQ Pd Surcharge. By Misc. Charges: Date of I nsp.: Total: Insp.: Date Paid: _ No. of Units: SEWER SERVICE PERMIT PERMIT NO.: DATE: No, of Units: (dress: 3795 Dermark Avenue L3 E2 Pilot knob flits 5th r: 7eiae No.: Connection Charge: 470.00 pd Account Deposit: 1 010 Du No.: Permit Fee: 3", Pd to comply with the City of Eagan Surcharge: • 5') n" Hose. Misc. Charges: 63.00 p:.' :peter Total: Dote Paid: INSPECTION RECORD CITY OF EAGAN PERMIT TYPE 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: P.I.N.: 10-57504-030-02 APPLICANT: LOT: 3 BLOCK: 2 3795 DENMARK AVE HOPKINS SCOTT PILOT KNOB HEIGHTS 5TH (612) 452-0249 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW BUILDING 026229 08/11/95 7 I ALL CON RACTORS MUST BE LICENSED WITH THE CITY C INCLUDE © CERTIF] © SET OF To Be Used For: DWCa. ?[aat Valuation: y1#f Site Address: 3-795 Dew-4^aK PVC. 1C?OD0.°O[ PI LLIT i4? ? B Lot:_ Block: z Sect/Sub: H675. ST Parcel #: Owner: Address: City/Zip Code: Phone #: Erect: x Remodel: Repair: Enlarge: Move: Demolish: Grade: W 0-1,- Length: Depth: Sq. Ft.: .343-+ 35- + 171.5+ 525-+ 470-+ 63-+ 260-+ 1?867.5* Contractor: LE16r?lE? COfJST WULTIOh) Address: JDI b_ft? I, Assessments: Permit: 343.°` City/Zip Code: {,MIQC( TOQ SSDZ4 Water/Sewer: Surcharge: 35 `` Police: Plan Rev.: \11,? Phone #: G[(o?j-2122 Fire: SAC: r525.o< Engr.: Water Conn : 4-10,Lc Arch./Eng: Planner: Water Mete r ?0_ Address: Council- Road Unit: 2(op4E Bldg. Off-: ?S Parks: City/Zip Code: APC: i ?6 Sd ? Var ance: j Y- 6r -L- 2-4-,--2z ?35d¢ = 7440 w •00 5Z?6 x (( = Se)OS CITY OF EAGAN N? 9536 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # / l0 To be used far SF. DWG/GAR Est. Value $70,000 Date SEPTEMBER 25, 1q 84 Site Address 3795 DENMARK AVE Erect ?C Occupancy R3 Lot _3 Block 2 Sec/Sub. PILOT KNOB FITS SRemodel ? Zoning Rl Parcel No. Repair ? - Type of Const. V Enlarge ? No. Stories :c Name LIEBFRIED CONST Move ? Length z 701 - TH ST Demolish ? Depth Address Sq. Ft. city FARMINGTONphone 463-2122 Grade El o Name SAME Approvals Fees j ? Address t• City Phone a h Name u? Address <W City Phone Assessment Permit .00 Water 8 Sew. Surcharge 35.00 Police Plan check 171.50 Fire SAC 52.5 00 Eng. Water Conn. 470.00 Plonner Water Meter 63 _ 00 Council Road Unit 2F;f1 - 00 I hereby acknowledge that I have read this application and state that Bldg. Off. Parks the information is correct and agree to comply with all applicable APC Total $1,867.50 State of Minnesota Statutes a ity of ogan Or tonces c Var. Date Signature of Permittee 1 A Building Permit is issued to: LIEBFRIED CONST on the express condition thus all work shall be done in a or p will ap-pTbgble State of Minnewto Statutes and City of Eagan Ordinances. Building Official `J CITY OF EAGAN N! 1 38 3 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDINCA PERMIT PHONE: 454-8100 Receipt# --) 50?Cp To be used for DECK Est. Value $560 Date JUNE. 29 _1987 Site Address 3795 DENMARK AVE Lot 3 Block 2 Sec/Sub. PILOT KNOB HTS 5 Parcel No a:IName SCOTT HOPKINS i Address SAME c City Phone 452-0249 o1Name SAME u a Address City Phone a mw Name_ t x a Address eW 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 a City o Eaga Orrddiinances' Signature of Permittee 17 11 A Building Permit is issued to: SCOTT HOPKINS all work shall be done in accordance with all spplicaWaLSfQe of I OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System Zoning On Site Well Type of Const City Water (Actual) (Allowable) * of Stories Length Depth SF. Total Footprint S.F. APPROVALS FEES Assessments _ Permit $13.50 Water/Sewer _ Surcharge _ sn Police Plan Review Fire SAC, City Engr. SAC, MWCC Planner Water Conn. Council Water Meter Bldg. Off, Road Unit APC Treatment P1 Variance Parks Copies TOTAL $111g0 on the express condition that nnesot atutdg,and City of Eagan Ordinances. Building Official 5-q . -S /r? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys shoring sq. ft. of lot, sq. ft. of house; and pit roofed areas (20% maximum lot coverage allowed) • 2 copies of plan shoving 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 Detad Options selection sheet (bldgs with 3 or less units) DATE X /S ! Oa /e? ? ?S- l 0( -o -I)-- RemodelfReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for healed additions • 1 site survey for exterior additions & decks Indicate it home served by septic system for additions VALUATION 41(`) Q-11M SITE ADDRESS 3795 D&4/nAr.%L AycjyurU MULTI-FAMILY BLDG _Y AN TYPE OF WORK RsmDINFL- Brbemr-\. -rD 1?09zH FIREPLACE(S) _X 0 _ 1 _ 2 APPLICANT STREET ADDRESS 329s br.JNtrtKIC Au"txf= CITY FACjA^[ STATE!!!WI ZIP TELEPHONE # 051-683-09Vo CELL PHONE # FAX # f(?? Wo2l?-# fv5/ - IoBL • Gold' PROPERTY OWNER?MozHX 7'H Lon1 TELEPHONE#/a-(oA3-OYCa& COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY I _ MIN ? " ? I I (J submission type) • Residential Ventilation Category 1 Worksheet Submitted Ujelw0._s Energy Envelope Calculations Submitted V n AUG 0 5 2002 Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Phone # Phone # 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 Or i nces. Signature of Applicant CU) OFFICE USE ONLY Water Softener Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Air Conditioning Heat Recovery System Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg X 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New X 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 101om tp Occupancy .3 MC/ES System Census Code 434 Zoning 1p7 . 1P City Water SAC Units O I Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs I Length Fire Sprinklered ' 1 Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. _ Footings (deck) _ ZC Final/No C.O. - Footings (addition) _ Plumbing _ Foundation 5t HVAC _ Drain Tile Other Roof _ Ice & Water _ F inal Pool Ftgs Air/Gas Tests Final Framing _ _ _ _ Siding Stucco Stone _ _ Fireplace - R.I. - Air Test - Final _ _ _ Windows (new/replacement) Insulation _ Retaining Wall Approved By 4r-, , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total city of eegan PATRICIA G AWADA Mayor PAUL BAKKEN PEGGY CARLSON CYNDEE FIELDS MEG TILLEY Council Members THOMAS HEDGES City Administrator Municipal Center: 3830 Pilot Knob Road Eagan, MN 55122-1897 Phone: 651.681.4600 Fax: 651-681.4612 TDD: 651.454.8535 Maintenance Facility: 3501 Coachman Point Eagan, MN 55122 Phone: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 w ..cityofeagan.com THE LONE OAKTREE Ilie symbol of strengrh and growth in our community August 13, 2002 MR TIMOTHY PHELON 3795 DENMARK AVE EAGAN MN 55123 Dear Tim: I have attempted to reach you via telephone several times regarding your building plans. Please call me at 681-4683 to answer questions I have concerning the need for a structural beam to carry the load of your ceiling joist in the absence of the former exterior wall. Sincerely, J. Craig Novaczyk Senior Inspector JCNJs 6gZ(-1> 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. $SO.so Ck.„?. 8320 ttw??? ?i.zs ?,r,eol Date J / 3 / dS' /? Site Street Address 3-29S ? osim&kr, Aj"w- Unit # Property Owner '% /M2?TtiV ELOPt) Telephone# (651) (Og3-05uo Contractor Telephone # ( ) Address City State Zip The Applicant is:. Owner _ Contractor -Other Alterations to existing dwelling 1 ' 50:00 7 A dd plumbing fixtures (excludes water softener and/or water heate section if installing these appliances). ete3'jnext r--co ,1b ' 3 2005 ?i _ -Septic System Abandonment ay`` _ -Water Turnaround (add $ 125.00 if a 5/8" meter is required) -`? 7 1 Other: b6rr ++QtQM r tac k IA) ?1rtU n? 6ycx?r ?61e?°? hl? S.tl Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ Sb.50 I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approve l. / //4,,0T j j \/ pgy-1 e),oj Ak- Applicant's Printed Name Applic s Signature CITY USE ONLY PERMIT #: g RECEIPT DATE: 2008 RUIDEMAL MECHMICAL PERMIT APPLICATION cITYoFEke AN J Jj ?bvy0 S$SO PILOT KNOB BD EAeAN MN 551 EE 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: 9J.331b1. SITE ADDRESS: 3195 Itin?r.,,, /( 0114.1-P J , l OWNER NAME: / . j TELEPHONE #: 651- A f 2: 04dt g 6S/- bd'6? oo ?.? ? ago INSTALLER NAME Q / lN ( 'J/ NE # ? / s : ?na , / G . TELEPHO : (6 i - 4g9 - P STREETADD RESS: NJw oi-e C, f? yyJ ? aPo T YY CITY: Ca STATE: 7»,,%j.y ZIP: t S%L>, Place a check mark next to the permit work type _ Add-on, modifc f lion to existing dwelling unit $ 30.00 urn a replacemen • air conditioner , = • other S x,rv Nature of work: 11..n ?u4 , d? QaL.law - State Surcharge $ .50 Total $ 36 .?o SIGNA RE OF PERMITTEE 1/02 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT 868RD, 1675 N MN 55922 651 ?? S 1 ?- New Construction Requirements 3 registered site surveys stowing sq. R. at tot sq. R. of house; and A 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 Jaist Detail Options selection sheet (bldgs with 3 or less units) DATE / - 12-- 0- Z, RemodellReeair Requirements 2 copies of plan 1 set of Energy Calculations for heated additions i l A a-- 1 site survey for extedor additions & decks Indicate if home served by septic system for additions VALUATION51000 SITE ADDRESS S E) 't ?Yl alk Ave- MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK A a?}+d"t FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT 7 M P?'e1d"l STREET ADDRESS 37g5 Qe_ n ~/ ? ??_ CITY a 3 e n STATE P ZIP S 1ZZ TELEPHONE # 65 -68 3-066 CELL PHONE # FAX # PROPERTY OWNER ?) n_pky 1d,1 TELEPHONE# 651-693'0,?64 ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J 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/Water Contractor: Water Softener _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Pee: $90.00 Fee: $70.00 -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information its correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi? Signature of Applicant OFFICE, LJSE ONLY Phone # Lawn Sprinkler No. of R.I. Baths Phone # Certificates of Survey Received _ Tree Preservation Plan Received Not Required Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30* Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-piex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation l7 Occupancy "A- MC/ES System Census Code Zoning P() City Water SAC Units Stories Booster Pump Nbr. of Units Sq- Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const L/ IV Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. _ Footings (deck) # Final/No C.O. -C Footings (addition) _ Plumbing Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs - Air/Gas Tests -Final Framing _ Siding _ Stucco _ Stone Fireplace $ R.I. 4Air Test Y Final - Windows (new/replacement) t4 Insulation Retaining Wall r Approved By 1 Building Inspector -------------------- ----- __°_- Base Fee S I a -? Surcharge l -SL7 Plan Review 333- i? MCIES City SAC V 114 ??( C? J ? ?" City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plante ?!? / Plumbing Permit Mechanical Permit OF, License Search (p Copies X Other ?r a Total Job Site Address: S7 qS _Qnwto?k J'e- 2 an ENERGY CODE WORKSHE T FOR city of eagan ONE & TWO FAMILY DWELLINGS INSTRUCTIONS: Complere'P9hs I, It and 111. Clearly mark plans with: insulation R-values: window and sk} light U-values: size and mpe of equipment: equipment controls: and location of interior air barrier, vapor retarder and winduash barriers. More detailed information can be found in the ;Minnesota Energv Code Sunentarv Sheets available from the Minnesota Department of Public Service. Part I. BUILDING ENVELOPE Check option used: ? "Cookbook" Method (complete worksheet below) ? MnCheck method (attach report) ? Building Component method (attach calculations) ? S% stems Analysis method (attach analysis) "Cookbook" Worksheet INSTRUCTIONS Step 1. Check item(s) that design meets on Minimum Requirements list to the right Must meet all items to use Cookbook option. Step 2. Indicate proposed wall type on table below. Step 3- Indicate Window U-value and source. Step 4. Verify total window (including area of all foundation win- dows) & door area is equal or less than allowable percentage MIN11MNM REQUIREMENTS for "Cookbook" Option) Heating system efficiency: Minimum 90%AFUE Vltntry Doors: 11/4" solid wood or maximum U-value of 0.40 Skylights: None permitted Ceiling Insulation: Minimum R-38 Joist Insulation: Minimum R-10 Floors over unconditioned spaces: Minimum R-30 Foundation windows: %" insulated glass in wood or vinyl frame or maximum U-value of 0.51 TABLE FOR DETERMINING MAXIINIUM WINDOW AND DOOR AREA Maximum Allowable Total Window and Door Area as a Percentage of Exposed Wall -; 10% 12% 14% 16% 18% 20% 22% 24% 26% 28% Wall Ty up e R-5 to R-10 Foundation Iasul.: Maxim um Average Window U-value (except foundation windows a 5.6 sf )s - ? 2x4, R- 13 insulation, < R-5 sheathing 0.37 0.36 0.30 026 0-23 0.20 0.18 0.16 0.15 0.14 ? 2x4. R-13 insulation. 4 R-5 sheathing 0.37 0.37 0.37 037 0.35 0.31 0.28 025 023 022 ? 2x4, R-13 insulation, 11 R-7 sheathing 0.37 0.37 0.37 0.37 0.37 034 031 028 . 026 024- 2x6, R-19 insulation, < R-5 sheathing 0.37 0.37 : 0.37 0.37 0.34 031 028 0.25- 023. 021- 2x6. R-19 insulation, 4 R-5 sheathing 0.37 0.37 0.37 0.37 0.37 0.33 030 028 026: 2x6, R-21 insulation, < R-5 sheathing 0.37 g 0.37 037 0.37 0.33 0.30 027 - 0.25 023 ? 2x6. R-21 insulation, 0 R-5 sheathing 0.37 0.37 0.37 0.37 037 0.37 0.35 0.31 029 ' 0-2T---- Wall T with R 10 Foundation Insulation : Maximum Avera ui Window U-value (except foundation windows <* 3.6 sl): ? 2x4, R-13 insulation, <R-5 sheathin 037 ' 0.37.A -0_33 028 025 022 020• 0.18 r O.IT :. O:LSa ? 2x4, R-13 insulation, 0 R-5 sheathing 0374 --037 :-0:37_: 037 :0:37 :: 033 %0.30 027* 4.25 -023T`-' ? 2x4, R-13 insulation, 0 R-7 sheathin 037: ' "0.37 0.37- 037 0.37 0.36 • 0.33` 030: -0271 ,-0253 2x6, R-19 insulation, < R-5 sheathing 0.37 037: 0.37 037 037 032 029 0.27:' . 024 : 1•021.= ? 2x6, R-19 insulation, D R-5 sheathing 0.37 0.37 0.37 0.37 0.37 0.37 0.35 0.32 029 027.. ? 2x6, R-21 insulation, < R-5 sheathing 0.37 0.37 0.37 0.37 0.37 0.35 0.31 029 0.26 024'± ? 2x6, R-21 insulation, 4 R-5 sheathing 0.37 0.37 0.37 0.37 0.37 D.37 036 0.33 030 028 Wall Type with R319 Foundation Insulation : Maximum Avera a Window U- value (except foundation windows d 5.6 sf): ? 2x4, R-13 insulation, < R-5 sheathing 0.37 037 0.34 029 0.26 023 0.21 0.19 0.17 0.16 '.. ? 2x4, R-13 insulation, 0 R-5 sheathing 0.37 0.37 0.37 037 0.37 0.34 0.31 028 016 024 ? 2x4, R-13 insulation, 0 R-7 sheathing 037 0.37 037 037 0.37 0.37 0.34 0.31 028 024 ? 2x6, R-19 insulation < R-5 sheathing 0.37. 0.37 0.37 0.37 0.37 0.34 0.30 0.28 023 023 ? 2x6, R-19 insulation, 11 R-5 sheathing 0.37 0.37 0.37 0.37 0.37 0.37 0.36 0.33 0.30 028 ? 2x6, R-21 insulation, < R-5 sheathing 0.37 0.37. 0.37 0.37 0.37 0.36 0.32 0.29 0.27 025 ? 2x6. R-21 insulation, 0 R-5 sheathin 0.37 0.37 0.37 0.37 0.37 0.37 0.37 0.34 0.31 029 Window U-value: LJ Source: ? NFRC ? Code Default Table (see Part 7670.0700) 100X .011(% < % - "'? window & door area gross exposed wall area DESIGN ALLOWABLE (from table above) I 1 1 1 '. C' 1 2.. 2 ? 1 ? 1 iA 1 V _ a n 1 1 F \CITY OF EAGAN 13830 Pilot Knob Road Cagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-57504-030-02 PERMIT cr*OG PERMIT TYPE: BUILDING Permit Number: 0 2 6 2 2 9 Date Issued: 08/11/95 3795 DENMARK AVE LOT- 3 BLOCK: 2 PILOT KNOB HEIGHTS 5TH DESCRIPTION: B=UiIding;,„Permit Type DECK guii,ding `6,r,k Type NEW a.aa _p J `# T 9 x P 6 61 ?:ta e"k ", A'?BU u;34 ?Yp i'C4',a wws sn '«% REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee CONTRACTOR: Peav,..wead I hereby acknowledge that: 'I information is corroct and agree to 'cop Statutes and--,City of Colgan) O dippnoeg-, $30.00 $.50 $30.50 OWNER: - Applicant - HOPKINS SCOTT 3795 DENMARK AVE EAGAN MN 55123 (612)452-0249 It** CITY OF EAGAN $30"60 3830 PILOT KNOB - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) could 14 681.4675 New Construction Reoulrements Remodel/Repair Reouiremerds ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterlor additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan M lot platted after 7/1193 required: _Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: ?/ s ?P ti ?* ? /9v? . LOT _,J- BLOCK SUBD./P.I.D. #: ?? I? ?1 v1tY ?l ?J _? FL PROPERTY OWNER CONTRACTOR Name: T/?D?ir7S scO7?4 Phone#: Street Address* 3'792 L"' City: State: Zip: S /Z Company: Street Address: City: State: ARCHITECT/ Company: ENGINEER Name: Phone #: License #: Zip* Phone #• Registration # Street Address- City: State:i - - -?- AUG 10 1995 Sewer & water licensed plumber.. x?aky pplies whe address change and to change are requested once permit is issued. 55iT0t- I --------------- I hereby acknowledge that I have read this application and stat tmt-,", applicable State of Minnesota Statutes and City of Eagan Ordinances. - Signet re? N ? L OFFICE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received Yes No to comply with all ------ - ----- BUILDING'PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF-Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 WPorch ? 09 12-plex . ` ? 05 SF'Misc. ? 10 _-plex R WORK TYPE ,4(-11 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCM/S SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi .Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? x'15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building MCM/S System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit - Engineering Variance Valuation: $ O % SAC SAC Units CITY 0= EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-57504-030-02 PERMIT PERMIT TYPE: BUILDING Permit Number: 022541 Date Issued: 11/16/93 3795 DENMARK LOT: 3 BLOCK: PILOT KNOB HEIGHTS AVE q? 2 5 T H DESCRIPTION: Build3ri`g', Permit Type SF ADDITION Building ~Wc'rk Type NEW %UBC Occupancy\ R-3 j Building Le+rrgt1r-', 20 Building Width I_ 14 f' c n 1 , a 0c) ?rsl Lc? REMARKS: INCLUDES KITCHEN REMODEL & GAS FIREPLACE FEE SUMMARY- Base Fee Plan Review Surcharge Subtotal VALUATION $198.00 $128.70 $9.50 $336.20 $19,000 COPY $.50 Total Fee $336.70 CONTRACTOR: - Applicant - ST. 'IC- OWNER: SAVARD CONST 17291739 0005922 HOPKINS SCOTT 4230 20TH AVE S 3795 DENMARK AVE MINNEAPOLIS MN 55407 EAGAN MN (612) 729-1739 (612)452-0249 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. WPLICANT/PERNUTEE TE SIGNATURE t ISSUED : SIG URE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 022541 Eagan, Minnesota 55123 Date Issued: 11/16/93 (612) 681-4675 SITE ADDRESS: LOT: 3 BLOCK: 2 APPLICANT: 3796 DENMARK AVE SAVARD CONST PILOT KNOB HEIGHTS 5TH (612) 729-1739 PERMIT SUBTYPE: TYPE OF WORK: SF ADDITION NEW INSPECTION FOOTINGS DATE INSPTR. INSPECTION TYPE FRAMING DATE INSULATION FIREPLACE FINAL REMARKS: INCLUDES KITCHEN REMODEL & GAS FIREPLACE F L- J 1 / REACTIVATE _ PERMIT fI SINGLE & MULTI-FAMILY COMMERCIAL CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION $3i',. 6814675 2 sets of plans, 3 registered site su eyAoy ao5yim el calcs. 2 sets of architectural & structural plans, 1 sew 'af specifications, I copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit Date Site Address: STREET Tenant Name: (commercial only) Name LAST Address I SUBD F1L0T kr40% HF#Vry-r5 P.I.D. N LOT 3 BLOCK Z .5TH AOV?N? -Description of work: The applicant is: ? Owner Contractor ? Other coeecribe>: Property Owner Phone _?Z 1?'(-17.3 9 Contractor Address ?2>W1 Qom Alz_ ?, License # Exp. City ?, State Zip 55 Architect/ Engineer STREET Valuation of work ,/4 SUITE FIRST City Z!_; State Zip Company Company Name _ Address City _ Sewer & water licensed plumber sewer & water permits is two days once area I hereby acknowledge that I have read this correct and agree to comply with all appli Eagan Ordinances. , _02 STE r Phone Registration / State Zip Processing time for lication and state that the information is e State of Minnesota Statutes and City of Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. 0 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck Ile ? 16 Basement Finish' ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. WORK TYPE 'd-31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish 32 Addition ? 34 Repair ? 36 Move ENERAL INF ORMATION Const. (Actual) Basement sq. ft. MWCC System Allowable) 1st Fl. sq. ft. City Water UBC ccupancy 'S? 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length Z6- On-site well Census Code 4•'7 Depth _ 14 On-site sewage SAC Code --may APPROVALS Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS ALs? W1Tr-fiexi'iP_;7" ac 6A& i:i/eG=IOt.AeC ? Site ooting `framing Insulation ? Wallboard F inal ? Draintile Fireplace Permit Fee $.00 v.luetim: $? Surcharge q, se, c •4 P (ML la Review AC i2?. 1a Pt77 ! City SAC Water Conn. ?? ei?sf?t`? 60 Water Meter Deposit S/W Permit to 0 S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total. SAC % SAC Units `LEIP??RIED wNSTRUGTIDfJ I?! f UI a? ST - •r F?RMIN?i7r7{?l, h'if?. 55024 r_= c d PIL,ol 1< Iw? i HEiUHTS 51 LD-T 3 ?'i?.1=oTa, Gouty 1Y , M N . ? sl 1? -erl 1 ? I\- L0?- Pjtyl_3 P }7iµMPKK }JO IZ&cj f- ? _ log 85?."I i 11 11 ? LOT ?y 19 1 ?SLv? K 2 0l ? 11 1 , \C? a o b-q 1 9 ?f A' 1 OV UAyD c1 . Gj ? 1 4 SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 NOTE: ADDRESSES FOR CORNER LOTS - C( IS DESIRED. NO CHANGES WILL BE MULTIPLE DWELLINGS - RESIDENTIAL INCLUDE 2 SETS OF PLANS, CERTIFL 1 SET OF ENERGY CALCULATIONS COMMERCIAL ?043 LTCATTON - C: EAGAN SURVEY, 1 SET OF ENERGY CALCULATIONS MUST DESIGNATE WHICH ADDRESS i PERMIT IS ISSUED. L UNITS FOR SALE UNITS SURVEY - CHECK WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL ? STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1. $'ET OF ENERGY CALCULATIONS, I + o $2,000 LANDSCAPE BOND To Be Used For: Jc' ??C Site Address 3 IE35 Lot Bl ekek-?? Parcel/Sub Y' i'-?"1 I x tion: 5-k'e-^ Date: 6 /zw'lk 7 Owner sc o i/ Al"'o Address ve_ City/Zip Code E a? .S / 2 Phone ?sZ-O ZS «1 Contractor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone R On Site Sewage_ Occupancy MWCC System Zoning On Site Well Type of Const City Water (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit ?[3• S Water/Sewer Surcharge ,5 u Police Plan Review Fire SAC, City Engr SAC, MWCC Planner Water Conn Council Water Meter Bldg Off Road Unit APC Treatment P1 Variance Parks Copies TOTAL /y d a 7?e?lc 2f ?i i? ,a pp 5k5 'ff 't-) S 0 Rene,/!, We?/< Ge Me.-r? SfQ? ID' /z- 0 n r-i rf? 2? ? 2??0 / 2x 10 2 2 4 ' f---J 2x`? ?e s+' J LnIzNA 4544 (DO 2/84 CITY / F EAGAN r APPLICATI ON FOR PERMIT - SEWER AND/OR W ATER CONNECTION (PL ASE PRINT) 1) PROPERTY ADDRESS: 3795 Denmark Avenue, agan, Minnesota LEGAL DESCRIPTION: Block 2 Lot 3 Pilot K }cb Heights Fifth Addition (Lot/Block/Subdivisio n or Tax Parcel I.D. Nunber) STRUCTL: E, Dili OF ORIGINAL I`DG F `ffT 9/84 ISS???C=: PRESET --."?11P:r,/PROPOSrz LTSE: ?$ R-1 S_]GIE FAMILY ? R-2 DUPLE;{ (7,10 UNITS) ? R-3 TCTAT?HOUSE (TFIREE + UNITS) ( UNITS) [j R-4 APAR21ENT/CO=1INIU]M ( UNITS) ? COMMERCLAL/RESAII,/OFFICE ? LMUSTRIAL ? INSTITUTIONAL/GOVERNMENT 2) APPLICANT (PL ASE PRINT) NAME: JOHNSON EXCAVA , ZION ADDRESS: Y 9 i H ?kl - ! n CITY, STATE, ZIP: I ?s1g h i4- I f e ?Y) , _ _ SSI? PHONE: 11 ?i {? Y d 3) PLUMBER (PLE ASE PRINT) FOR CITY USE ONLY NAME: Peine Plumbing & H eating PLU ERS LICENSE: a ADDRESS: North Highway 3 Active CITY, STATE, ZIP: Farmington, Mn. 5024 Q Expired MAS - PHONE: 463-8830 PLU IER MBER LICENSE N. 6 Q Q Not o Record R5 7T 4) OCCUPANT/OWNER (PLE ASE PRINT) NAME: Scott & Kim Hopk ins ADDRESS: CITY, STATE, ZIP: Apple Valley, Mi nnesota 55124 PHONE: 681-7084 5) INDICATE WHICH PERMIT IS BEING REQUES Q CONNECTION To CITY S EWER Q CONNECTION TO CITY TER E] OTHER (PLEASE DESCRI BE) 6) INDICATE ONE: Q PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE P T 1, 2, 3, 4 ABOVE " (Circle one) l 7) SIGNATURE; DATE: / k ? GE TCT ?t R ga??ltJ? i? lr w ?:i:l?.a:f?+.t Ma r.+e?±ass?a? aA iii nr rs;acs a? a Y4 ! we?re?i? a i s oa??? w F 0 R I T Y U S E O N L Y h PERMIT # ISSUED FEES: $ y o $ $ $ f?5 , - rJ $ ..l •;? s;--c? $ $ SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER TOTAL AMOUNT PAID/RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ?-] YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : / o - W sib wfE ltd:M a%ft pctR owow w== man R S!4wrrM+wwl4miowff Ra we=ww-w BUM --- CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN CLAIMANT___gyRNSYILLE__IEATING_3&_A r _IN -------_----- ADDRESS 12481 RHODE ISLAND AVENUE_SOUTH__---_____-_ __ SAVAGE,MN __ 55378-1 122 ------------------ Location 3795 DENMARK AVENUE _L3, B2, PILOT KNOB_HEIGHIS 5TH Receipt No. /Date _1 7084=1 2/ 1419 3-_--_-__--- Reason for Refund PERMIT NOT NEEDED FOR WORK BEING DONE_______________ --------- -------- --------- Type of Refund Electrical Permit ------- 01-3211 - ----- $-___--- Plumbing Permit 01-3212 $-_--__- Mechanical Permit 01-3213 $_18.00 Surcharge 01-2155 $ Water Connection Permit 20-3713 $--_--_-_ Sewer Connection Permit 20-3743 $__--___- Account Deposit 20-2252 Utility Account over-payment 20-2250 $-__--___ Other: ------ $-------- ------------------------- $ TOTAL $ 18_00 I declare under penalties of law that this account, claim or demand is just and that no part of it has been paid. X71=` -------- --- - - ------ DATE I NATURE ?• (? PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE Id-1 /O/f3 HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 C $3.00 EACH) ADD-ON/REMODEL (EXISTING CONsmucnON) STATE SURCHARGE TOTAL - 0 ?_.!? /t A e- t") 0 r? a?i ? Oh. FEES $ 24.00 6.00 00 $ 15.00 SITE ADDRESS: 3 7 9s" Z eii aY xrL- OWNER NAME: , kt/Q rd byl TELEPHONE #: 'Ia I "7 INST. ADDRESS: 12481 Rhode Island Ave. So. Savage, ivill 55373-1122 CITY: 894-9665 STATE: ZIP CODE: TELEPHONE 60-NATYRE OF PERMITTEE 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-467S < ?t?I P???IEp C?NIf?UG71ON ING. t:?*?h?1NUTON_, MN, 55024 9 r ?O ? 28.55 I' ? ? ion 858.1 ? 11 1 I 11 ?1 ? 1 - LOT 5 9 1 ?LoGK 2 0? 21 1 \ 1 o \ 6. s '°q 1 1 ??St?Nw p 59 1 "? -- tiA ? - 1 ti? \ X1 1 l PILOII<NOg HEIciKc2 _?LO?K 2 _?.KOTA Gouty TY, M N . 10 AJlD? ?3 1 1 1 1 sm?.o pv?uUE_- - 1 EXTERIOR ENVELCPE AVERAGE `7U' CONPUTATION OWNER SITE ADDRESS 3-I95 DCNY?PRI? CONTRACTOR LeIaFZC LOW' ,T. DATE PHONE Determine working square footage of each. 1. Total exposed wall area .... I 1 1 5 sq. ft. x .11 1-11. 2? 2. Total roof/ceiling area .... 1 l I (o sq. ft. x .026 - 3o S? Total exposed wall area above floor = ?'?531,5 a. Total wall window area Iloo 5 b. Total door area ....................... (03. C. Total sliding glass area .... ........4-7, d. Total fireplace wall area ....... e. Total wall framing area (average 10%)... \33 f. Total net wall area above floor ........ 9-53 g. Total rim joist area 140 Total exposed foundation area = 140- h. Total foundation window area ......... _ 1. Total net foundation area above grade . \40 Determine "U' value of each wall segment. a. 1 c?o.5 x "U" Cot = °I9.51 b n 3 X "U" .4 1L15-7- - ? - c: D . X "U'r s e. 33 X '•U" og 11 f.T3 X „U': 04 = 3l•32 9. 14o X "U" , c- 4 = e. (o i. 1 a X "U'' ? e q. (o 3 ............................................Total 225. Z4 If item ,N3 is the same as, or less than item N1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = ll?(a ?. Total skylight area ........... - k. Total roof/ceiling framing area (average 20 klb 1. Total net insulated roof/ceiling area ...... IO S S Determine 'V value for each roof/ceiling segment. J X 1.U, _ k. I I b X .:U+: . I Z = )4,% 1. IOSg X ,:U,, C?2 ZI•I(O 4 .........................................Total = 5 2 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 Desij,n To utilize the total envelope system,, method, the values established by the sum of items 03 and #4 shall not be greater than the sum.of items #1 and s2. 1. + 2. _ 3. + A. _ PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA074549 Eagan, MN 55122 . Date Issued: 07/31/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3795 Denmark Ave Lot: 03 Block: 02 Addition: Pilot Knob Heights 5th PH) 10-57504-030-02 Use Description: Sub Type: e - Air Conditioner Work Type: Replacement Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector, 952-445-2840. Crystal Gemuenden 8910 Wentworth Ave S Bloomington, MN 55420 952-881-9000 Crystal. Gemuende n@ServiceExperts.com Fee Summary: Surcharge-Fixed $0.50 9001.2195 ME - Permit Fee (Replacements) $30.00 0801.4088 Total: 530.50 Contractor: -Applicant - Owner: Sedgwick Heating & Air Timothy J Phelon 8910 Wentworth Ave S 3795 Denmark Ave Minneapolis MN 55420 Eagan MN 55123 (952) 881-7739 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA166530 Date Issued:01/19/2021 Permit Category:ePermit Site Address: 3795 Denmark Ave Lot:3 Block: 2 Addition: Pilot Knob Heights 5th PID:10-57504-02-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Timothy J & Jeanne R Phelon 3795 Denmark Ave Saint Paul MN 55123--104 (651) 253-2700 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature