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3804 Denmark Avetgoq go (.s? WAIVER OF HEARING OF SPECIAL ASSESSMENT E. DENMARK AVENUE — DEERWOOD DRIVE TO WESCOTT ROAD In acknowledgement of the City of Eagan approving a driveway access for my/our property onto Denmark Avenue, between Deerwood Drive and Wescott Road, I/we hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following described property owned by me/us: Lot 1, Block 1, Windcrest Addition for the benefit(s) received from any future improvements constructed on Denmark Avenue between Deerwood Drive and Wescott Road. These future assessment(s) will be certified to the County 30 days after the adoption of the assessment roll for the associated project(s). Any future assessment(s) may be spread over the term years and at an annual interest rate, as stipulated in the associated project's assessment roll, against any remaining unpaid balance. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to any future assessments, and further waive the right to object to or appeal from any future assessments made pursuant to this agreement. Dated: s" f i^ a o° o Gerald Bisbee STATE OF MINNESOTA ) COUNTY OF DAKOTA ) AOn this /L day of , 0 6 4-3 , before me personally appeared o me known to be the persons described in and who executed the foregoing document, and acknowledged that they executed the same as their free act and deed. JUDY M. JENKINS NOTARY PUBLIC -MINNESOTA My Commission Expires Jan. 31,2005 WAIVER OF HEARING OF SPECIAL ASSESSMENT DENMARK AVENUE — DEERWOOD DRIVE TO WESCOTT ROAD In acknowledgement of the City of Eagan approving a driveway access for my/our property onto Denmark Avenue, between Deerwood Drive and Wescott Road, I/we hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following described property owned by me/us: Lot 1, Block 1, Windcrest Addition for the benefit(s) received from any future improvements constructed on Denmark Avenue between Deerwood Drive and Wescott Road. These future assessment(s) will be certified to the County 30 days after the adoption of the assessment roll for the associated project(s). Any future assessment(s) may be spread over the term years and at an annual interest rate, as stipulated in the associated project's assessment roll, against any remaining unpaid balance. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to any future assessments, and further waive the right to object to or appeal from any future assessments made pursuant to this agreement. Dated: '- a 0G o STATE OF MINNESOTA ) COUNTY OF DAKOTA ) n this / d-!'- day of executed the foregoing document, and deed. JUDY M. JENKINS NOTARY ParAININESOTA Mq Ctorcisian Nibs Jae. 31.31105 Gerald Bisbee ,A/) Q00 O (1 , i-9-- , before me personally appeared t me known to be the persons described in and who and acknowledged that they executed the same as their free act PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA090489 Eagan, MN 55122 . Date Issued: 08/04/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3804 Denmark Ave Lot: 001 Block: 001 Addition: Windcrest PID 10-84460-010-01 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Pella Windows & Doors Turnkey Sales Aldrich B Lawson 15300 25th Ave N #100 3804 Denmark Ave Plymouth MN 55447 Eagan MN 55123 (763) 745-1400 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 CASH RECEIPT CITY OF EAGAN %30-PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE / 19 ` FIECEMO AMOUNT $ & DOLLARS ioo ? CASH "1l CHECK i r_ t-- - -' - FUND OBJECT AMOUNT i i 1 Thank You 11 BY r ._ . i White-Payers Copy c ! Yellow-Posting Copy 'J Pin File Copy CASH RECEIPT CITY OF EAGAN •3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 8 DOLLARS +ao ? CASH CHECK ' L v S?G A"Z G lc . FUND OBJECT r AMOUNT G- ` J G ?o G GG a? s Thank You lil ° 84340 Yellow-Posling Copy Pink-File Copy 1 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHO N E: 454-8100 BUILDING PERMIT Receipt # To be used for 1/2' 111i: i'Lh x Est. Value 151?, of ,) Date MY 26 ,19 88 Site Address 3806 DENMARK AVE Lot Block ! Sec/Sub. WINDCAEST 1ST Parcel No W Nan W 3 2 Add ° city a°Name_ o(J Address U ? city ' r pr ,v W % Name Address U X WZ city, Phone I hereby acknpwledge that I information is orrect and i Minnesota Statutes and City, and state that the pplicable State of signature of Permittee ' A Building Permit is issued to: La?iti''ki t s ?Ci;", ?'.;(; on th&express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY On Site Sewage Occupancy R-3 M-1 MWCC System Zoning -2 On Site Well (Actual) Const V-14 City Water (Allowable) V-N PRV Required # of Stories Booster Pump Length 244 Depth 561 S.F. Total Footprint S.F. APPROVALS FEES 410.00 Engr./Assess. Permit 29.50 Planner Surcharge 205 00 Council Plan Review . 1 W • U0 Bldg. Off. SAC, City Variance SAC, MWCC 550.00 Water Conn. 550.04) Water Meter 67.00 Road Unit 325.00 204'00 Treatment P1 Pkrks 440.50 1 TOTAL , i.i` rs 1 & 2. BLOCY I CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Y ti PHONE: 454-8100 BUILDING PERMIT Receipt To be used for z ,' ''K Est. Value ?' , Ofitl Date _ 19 F8 Site Address 3804 bf?i, ARK AVE Lot I Block I Sec/Sub. KINDCREST 1ST Parcel No Name B-E CONSTRVCTION, INC Z Address •' 'IHIRP AVE SE City NEW BRIGHTO*hone 636-4164 0 I o Name SAME 00 Address City Phone ?Q FW Name s za Address u e W City Phone I hereby acknowledge that I have reaothis application and state that the information is orrect and agree to comply with all ap able State of Minnesota Statutes and City of Eagan Ordinance( ,Sfgnature of Permittee A Building Permit is issued to: ?`? ?.Ons [ i UC t i 4t1, Inc 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 OFFICE USE ONLY On Site Sewage Occupancy k'3 H--1 MWCC System Zoning `t-2 On Site Well (Actual) Const V-N City Water + (Allowable) V -N PRV Required # of Stories Booster Pump Length 24+ Depth 560 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 41{?•RQ Planner Surcharge 29.50 Council Plan Review 2U5.00 Bldg. Off. SAC, City 100000 Variance SAC, MWCC 550.00 i Water Conn. 550.00 Water Meter 57.00 Read Unit 325.t?0 . j Treatment P1 204-:00 1 P#ks TOTAL 2 r' CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21-199 Eagan MN 55121 , , , PH ON E: 454.8100 BUILDING PERMIT Receipt # To be used for Est Value } Date 19 Site Address OFFICE USE ONLY Lot Block ? Sec/Sub. On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const m Name City Water (Allowable) W 3 i Address PRV Required # of Stories o City Phone u`4 Booster Pump Length Depth c Name S.F. Total 0 a Address Footprint S.F. P City Phone APPROVALS FEES u, W Name Engr./Assess. Permit = Address Planner Surcharge Council Plan Review Q w city Phone Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: " Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official TOTAL '"' Permit No. Permit Holder Date Telephone ik Plumbing H.V.A C. 7 1 1,f 7 E lectric <'C 8' S Softener Inspection Date insp. Comments Footings I Footings II Foundation Framing v Roofing Rough Plbg. bye Rough Htg. zti,? Su / r4- Isul. Fireplace Final Htg. b Final Plbg. ?_tr ? m Bldg. Final S QS SN,.- Cr Sciec., e? Cart.Occ. Sys. _ Temp. LP Deck Ftg. Deck Final Well Pr. Disp. - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt To be used for 7 Est. Value Date _ _ Site Address AV Lot Block Sec/Sub.II.L'Ct Parcel No. cc Name $ THIRD AVE SE 3 Address City Phone o Name 0 Address City Phone vdc U W Name : 5z v Address g W City Phone 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 :T t. .; IC 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 OFFIC E USE ONLY On Site Sewage Occupancy 'i MWCC System Zoning On Site Well (Actual) Conat City Water (Allowable) PRV Required # of Stories Booster Pump Length 40 Depth S.F. Total Footprint S.F. APPROVALS FEES 41U?Ct' Engr./Assess. Permit 5 Planner Surcharge - Council Plan Review U Bldg. Off. SAC, City Variance SAC, MWCC .7-._ - Water Conn. 536 . w Water Meter (37.(:0 325. , ` Road Unit Treatment P1 LO4 Parks `" TOTAL Permit No. Permit Holder Date Telephone Ot Plumbing c? j?? ?r5 H.V.A.C. I`t S Cir,?f l o?? Electric (, LCLr ? S Softener Inspection Date Insp. Comments Footings 1 i Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. ,,Q fe ja, l Shale [Sul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert.Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PERMIT # MECHANICAL PERMIT _ RECEIPT # CITY OF EAGAN 3830 PI LOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 4548100 Site Address BLDG TYPE WORK DESCRIPTION . LotBlocky - Sec/,Sub Res. New " r r, f t ? Name C c M ust Add-on Add c ress City, i s s,' r Phone 2 3- , h Comm. Repair Other Name FEES a Address $24.00 RES. HVAC 0-100 M BTU p City Phone _ ADDITIONAL 50 M BTU 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boller M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES Vent CFM . 0, BEYOND $1,000.00) Gas Piping Outlets # Other FEE: "1 ;li_) Ir, 1 r C r? SAC, SIGNATURE OF PERMITTEE TOTAL FOR: CITY OF EAGAN PERMIT # MECHANICAL PERMIT RECEIPT # r ?'? - t CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE: PHONE: 454-8100 Site Address ? ' `? r1k TYPE WORK DESCRIPTION BLDG . Lot Block SeclSub N f R k'l ew _ es. l Name V4C 1 ti r M tt Add r i u -on Address . i C R C City 'i 3 Phone , r omm. epa Other Name C y o ,, FEES c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 % -; 41 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler -I M BTU t MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $50 S/C IF PERMIT PRICE GOES f r , BEYOND $1,000.00) Gas Piping Outlets # Other _ FEE r S/C: SIGNATURE OF PERMITTEE TOTAL- FOR: CITY OF EAGAN 77- N rl / O PERMIT # PLUMBING PERMIT RECEIPT # r CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122. DATE: CONTRACT PRICE: PHONE: 454-8100 Name e Tv Address, c City - L Name z 3 Address O City - FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PEfIMIT PRICE GOES SIGNATURE OF PERMITTEE FOR CITY OF EAGAN BLDG. TYPE WORK DXf$CRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: FIXTURES TOTAL c .- Water Closet - $3.00 $ /,-- Bath Tubs - $3.00 4 " Lavatory - $3.00 40 Shower - $3.00 Kitchen Sink - $3.00 - Urinal/Bidet - 53.00 =Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 f• •'? Whirlpool - $3.00 Gas Piping Outlets - $1.50 f • . (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 NTRACT PRICE: PHONE: 454-8100 Site m Name Addre s c City " r`JhJ Phone 3 Address O City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 SIGNATURE PERMIT # RECEIPT # DATE. ` BLDG. TYPE WORK D SCRIPTION Res. New E Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: D{p. FIXTURES •?? Water Closet - $3.00 TQTAL $ (i TBath Tubs - $3.00 ,? . '`V t - $3 00 L ' r 0 ava . ory -T-Shower - 53.00 3. &1 J_Kitchen Sink - $3.00 j • 1.t4 Urinal/Bidet - $3.00 Laundry Tray - $3.00 .n Floor Drains - $1.50 ?• -7 U -Water Heater - $1.50 1. d'D Whirlpool - $3 00 _L Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: CITY OF EAGAN GRAND TOTAL 1Y -------------- CITY OF EAGAN PERMIT TYPE: ' , ' ; 3830 Pilot Knob Road Permit Number: ?i :'• i b n a Eagan, Minnesota 55122-1897 Date Issued: o (612) 681-4675 SITE ADDRESS: ifs APPLICANT: i ix t i BI.i+I h ? )- AVF j r 11-;; I ii, I ? I l i! 1 ;firs RI I 1 , ) r , "I /_1.'h J PERMIT SUBTYPE: TYPE OF WORK: r1 ., t. ? ? t i r? I . r?. F. R?Rc>tllF Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ?QJ [! 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 DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ' ' ;?'?'•' Eagan, Minnesota 55122-1897 Date Issued: ' j (612) 681-4675 SITE ADDRESS: 1 01 f APPLICANT: ? _ f(f iff ^. h AVf t' i s rail I #'Js, rr t i`lr PERMIT SUBTYPE: TYPE OF WORK: PAIR 1 I r , ;, r ) _ & RF RO(i f co or rk(; Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING f? 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 DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition?? ??WINDCREST ADDN. Lot 2 Blk I Parcel IQ R446f1 020 Q1 Owner LS[1a!!a'`' street 38Q6 Denmark Avenue state Eagan. MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1150 1983 1889.18 377.84 5 STREET RESTOR. GRADING SAN SEW TRUNK 97 107.62 5.38 20 SEWER LATERAL 1981 52-73 Z, 27 - * San Sew lateral (05V 1982 2907.28 581.46 WATERMAIN * WATER LATERAL WATER AREA 1982 168.79 * Services 1982 STORM SEW TRK (? 8 87.53 * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks???? 8r-????'? ?'?" N AdditionWINDCREST ADDN. Lot elk 1 Parcel 10 84460 010 01 Owner l!!? -Street 380-4 Denmark Avenue State Fag , ME SS12-1 ?-0 ACA M_ o& n7. Improvement Date Amount Annual Years " Payment Receipt Date STREET SURF. Q 1983 1889.18 377.84 5 ? STREET RESTOR. GRADING SAN SEW TRUNK 44J 1 Q 7,-; 107 69 y SEWER LATERA I_qR 1 L &2 7% San Sew lateral rp 5? 36 WATERMAIN WATER LATERAL WATER AREA (p 5 %1( 19 8Z 168.79 5 A7 * Services 1982 - 5 STORM SEW TRK (055 87.53 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK EA,GAN Permit No. Date: >t Knob Road Meter No: Size: 21199 Reader No: Date: AN 55121 Conn. Chg: C'5`i. Ci1nd Zoning: P2 , Acct Dep: 5 ° ?dpd No. of Units: 1 Permit Fee: `, • 00pd Surcharge: 1 agree to comply with the City of Eagan Tr. Plant 4.0Opd Ordinances. Meter: 57 - ` otpo Misc.: By CITY OF PAGAN Permit No: ' Date: 3830 Pilot Kncb Road Meter No: 4<o Z5/4) L Size: P.O. Box 21199 Reader No:? Date: Eagan, MN 55121 Owner. 1, `: ConSr- .. Site Address: 38-04 Denmark Avenue T.3- B1. 'i;f.nderest Plumber. Croth S & W/:=tan- PLrt,.-':,1 Conn. Chg: _ 50.00. d Zoning: _ Acct Dap: 15. 00>:: No. of Units: Permit Fee: Surcharge: I SffM*'tgcoWp1 iQ4e City 4fE an WATER SE RVICE PERMIT Cil OF"EAGAN Permit NO. 107 `? ^ Date: c _7_R8 c 3830 Pilot Knob Road B/P No: r •.1 - Date: P,O. Box 21199 Eagan, MN 55121 A Owner: n.? Site Address: Plumber: MWCC: iS Q ,'30 Zoning' Cd • 0?? ?`, T No. of Units: City Chg: . Acct. Dep: '- I agree to comply with the City of Eagan Permit Fee: Ordinances. Surcharge: By Misc.: SEWER SERVICE PERMIT W/Stan Partvk . Chg: --5bs. ®QPd Zoning: _ Dep: No. of Units: I Fee: ,cnarge: 1 agree to comply with the City of Eagan Plant qQ4 Qgpil Ordinances.. ter. B. WATER SERVICE PERMIT CITY OF EAGAN Permit No. 9638 Date: 38" Pilot Knob Road Meter No: Size: I P.O. Box 21199 - Reader No: Date: Eagan, MN.55121 i Owner. 3 r?rc C Site Address: 3806 Dommark ' 'lust in?cr at Plumber Croth S b V/!;t rxi Partoka i Conn. Ch9: S5 ) - Q0nd Zoning: A, Acct. Dep: t `• -+d No. of Units: Permit Fee ' - !1t1 Surcharge: fit= I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter. Misc.: By WATER SERVICE PERMIT i 10783 Date: 6-7-f'? { CITY OF EAGAN Permit No. J 3830 Pilot Knob Road B/P No: F4186 Date: 5-97-88 P.O. Box 21199 Eagan, MN 55121 'c ::sr_. Owner. Site Address: Plumber: MWCC: " G.Ot)pd .00ad City Chg: Acct. Dep: Permit Fee: -, Surcharge: Zoning No. of Units: I agree to comply with the City of Eagan Ordinances. By SEWER SERVICE PERMIT BLDG. PERMIT NO. / C/ 3 i 210 Bldg. P444 91-3422 Plan Check 01-3445 Surch./Adm. b1-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20.3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 ' Park Ded. TOTAL g? a O y?o 00 ?/ dO 67, 5-0 00 oC60 100 LOTS 1 & 2, BLOCK 1 CITY OF EAGAN N ° 15083 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 BUI LDING PERMIT PHONE:454.8 100 gq I? Receipt# To be used for 1./2 DUPLEX Est. Value $59,000 Date MAY 26 ,19 Site Address 3806 DENMARK AVE OFFICE USE ONLY WINDCREST 1ST Lot 2 Block 1 Sec/Sub On She Sewage _ Occupancy R-3 M-1 . MWCC System X Zoning R-2 Parcel No. V-N On Site Well (Actual) Const a Name B-E CONSTRUCTION. INC City Water X (Allowable) V-N 8? MapAr 85 THIRD AVE SE PRV Required # of Stories CityNEW BRIGHTON Phone 636-4164 Booster Pump Length 24' Depth 561 o Name SAME S.F. Total oa Address Footprint S.F. U City Phone APPROVALS FEES W W Name Engr./Assess. Permit 410.00 F z Address Planner Surcharge 29.50 ?z. W City Phone Council Plan Review 205.00 Q Bldg. Off. SAC, City 100.00 I hereby acknowledge that I h ead is application and state that the Variance SAC, MWCC 550.00 information is correct and a to ply wit applicable State of Water Conn. 550.00 Minnesota Statutes an f a rdi e Water Meter 67.00 F Signature of Permitte Road unit 325.00 A Building Permit is issued to: B-E CONSTRUCTION, INC Treatment P1 204.00 on the express condition thatallwork shall be done in accordancewith all applicable State of Minnesota Statutes and City of Eagan Ordinances. /? Parks Parks 440 2 50 Building OfficialJ __12!?Al._1]?.?( ] 1 t. TOTAL , . 1 LOTS 1 & 2, BLOCK 1 CITY OF EAGAN No _ 15082 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt# (l 1 To be used for 1!2 DUPLEX Est. Value $59,000 Date MAY 26 ,193 Site Address 3804 DENMARK AVE OFFICE USE ONLY WINDCREST 1ST Lot 1 Block 1 Sec/Sub On Site Sewage _ Occupancy R-3 M-1 . MWCC System X Zoning R-2 Parcel No. V-N On Site Well (Actual) Const B-E CONSTRUCTION INC City Water X (Allowable) V-N a , Name T Address 85 THIRD AVE SE PRV Required u of Stories 0 City NEW BRIGHTOii,hone 636-4164 Booster Pump Length 24' Depth 56' o Name SAME S.F. Total oQ Address Footprint S.F. ' V City Phone APPROVALS FEES ww Name Engr./Assess. Permit 410.00 t i x u Address Planner Surcharge 29.50 aw City Phone Council Plan Review 205.00 Bldg. Off. SAC, City 100.00 I hereby acknowledge that I have r application and state that the Variance SAC, M WCC 550.00 information is correct and a co ly with p Iicable State of A g Water Conn. 550._00 Minnesota Statutes and Cit P i 3d ?d a Ina c Water Meter 67-00 Signature of Permitte Road Unit 775.00 A Building Permit is issued to: B-E Construction, Inc Treatment P1 204. on the express condition that al I work shall be done in accordance withal I applicable State of Minnesota Statutes and City of Eagan Ordinances. parks o R A ? . ` TOTAL 2,440.50 O ?( Building Official t _ - 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN I SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCUL IONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS 0 FOR SALE UNITS 2 # OF UNITS 2 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ?Z -rwl+j NCO MAY 2 51988 To Be Used For: ging1p ff?mij Valuation: S6*-_98$QB Date: 5/22/88 Site Address 3$0D Lot I_ Block I_ Parcel/Sub W;nArrpcr Owner T T 7 n Address unnl ghJuglo Crapk Pnrkyuav City/Zip Code Rrnnkl ?zn ( pnrpr , MN 59 00D On site sewage Occupancy MNCC system L/ Zoning On site well Actual Const V-/+f City water i/ Allowable V-N PRV required # of stories Booster Pump Length Z - Depth 561 S.F. Total Footprint S.F. Phone Stitt-Rn99 1 APPROVALS Contractor B-E Construction Inc. Engr/Assess Planner Address 85 Third Avenue S.E. Council Bldg. Off. City/Zip Code New Brighton. MN. Variance Phone 646-4164 Arch./Engr. Hoeg not- al4 Address City/Zip Code Phone # FEES Permit 10. 00 Surcharge 29.5D 0 Plan Review z o5- 0 =*/, SAC, City ! Qp j= SAC, MWCC -5-clo-i = Water Conn 550, Do Water Meter Gr), oa Road Unit 25, DD Treatment Pl 7-O L4 OD Parks Copies TOTAL SO J" `PO?? Afi VALUAIION ?ous4c- 3G X .?d = 86U X 62='53568 IClK2o= 3?soX I.'f = -588$5 b860?r 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/ 19106 1 Site Address J?b(0 ?rp.-nQr iC hV-e- Unit# Property Owner Telephone # (?j? I) 6 Z9- 0 0 Y Contractor 111111112 06 minim "llp - Street Address UW ftoft Aveme Sou* PIN 5 City ale s 6- 19 State ( ) Telephone # Bond #: ?? 9LO y Expires: V - The Applicant is Owner _IX Contractor Other Add-on or alteration to existing dwelling unit ?o furnace -Additional ! Replacement $ 30.00 _ air exchanger air conditioner -New -Replacement other State Surcharge $ 50 Total 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 approval of plans. Applicant's Prinfed Name Applicadtt's Signature F ? P kI APR 2 0 2005 1 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 0 651-675-5694 I Lj?. 5-D New Construction Requirements RemodeVReoair Requirements Office Use OnN 3 registered site surveys showing sq. it of lot sq. it of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pros Not Reqd l set of Energy Calculations Addition- indicate ifonsite septic system _On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Oetal Options selection sheet (bldgs with 3 or less units Date I/ / 3 / b 3 Construction Cost JUDO , b7 p? rut y e_ Site Address Q L f Q n Yh p k Unit/Ste # A jfo rem a (0 j 01 S5 ra3 Description of Work oC de 5s II r? wCodows 4- rhea ?du60rt,Yirr ?nde + ?(A 5Ca+?/ Multi-Family Bldg Y N Z, P Fireplace(s) - 0 1 - 2 Cl Property Owner a Telephone # ( /O S I) ysa -i Contractor Address 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 Licensed Plumber rrN13 glill5 APR 0 4 2003 ?V By Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone # ( ) Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with 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 plans. ver1U Akan a,. 2?1 S i ) o n,Q3:f 4 all,,j a-j Applicant's Prin ame Applicant's Signature 1988 BUILDING PERMIT APPLICATION - CITY SINGLE FAMILY DWELLINGS 160S3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENE NOTES ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PER MULTIPLE DWELLINGS RENTAL UNITS 0 FOR SALE UNITS 2 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG 1 SET OF ENERGY CALCULATIONS COMMERCIAL a Q l! U 1,Yyfi°UU+ 1) Lt 1,U °'SU INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS k2 T W I h) ffi?D MAY 2 To Be Used For:Sinele family Valuation: Date: 5/22/88 ' r G'1' Coo m Site Address 3806 Denmark Avenue I OFFICE USE ONLY Lot 2 Block 1 Parcel/Sub Wind Cre s t 1st. Addition Owner Lomhard Prnn r i c Address 6601 Shinglp Ctrppk Parkway City/Zip Code Rrnnkl;4n Cenrpr MN_ On site sewage MWCC system ? On site well ` City water 7 PRV required Booster Pump Phone sAARn77 I APPROVALS Contractor R-F Cnnatrurtion Tn Engr/Assess Planner Address R 5 Th i rd Avpnnp S _ R . Council Bldg. Off. City/Zip Code Npw Rri h 'on yam,' Variance Phone 611)-4164 Arch./Engr. dnps nn1- appl}r Address City/Zip Code Occupancy 9-3/M-1 Zoning P- Z.. Actual Const ? Allowable V-! # of stories Length 2`! Depth _ S.F. Total Footprint S.F. FEES Permit L?la,bO Surcharge 29„5? Plan Review ?2 /4- SAC, City oa 100,00 SAC, MWCC $$O, Do Water Conn f D • 00 Water Meter (p?.0o Road Unit 7-LIP O Treatment Pl 2 0(4.00 Parks Copies TOTAL ?• s(? Phone # EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION SITE ADDRESS: LOT I foc%. ( GrJ?n Jc??s°? /s? .4JJ? CONTRACTOR: DATE: PHONE: DETERMINE WORKING SQUARE FOOTAGE OF EACH: 1. TOTAL EXPOSED WALL AREA......,, sq ft x "U" 2. TOTAL ROOF/CEILING AREA......,, rl? sq ft x "U" ,e 'Yt 3, 3. TOTAL EXPOSED 14ALL AREA CALCULATIONS: Total exposed wall area above floor......,, ?vjls?y sq ft a) Total wall window area: glazed,,,,,, 5o sq ft x "U" Srf * 4i5• glazed,,,,,, sq ft x "U" b) Total door area ......... 7 ?' sq ft.x "U" ° 1 S c) Total sliding glass door area: glazed...... sq ft x "U" n_ glazed...... sq ft x "U" Y = d) Total fireplace wall area p sq ft x "U" e) Total wall framing area (Average 1OR).......... sq ft x "ll" / 19.E f) Total net wall area above floor (Insulated)....... /0 sq ft x "U" g) Total rim joist area...... //,:I sq ft x "U" 1 a _ S. Total foundation area (Exposed)......... sq ft h) Total foundation window area............ sq ft x "U" i) Total net foundation area above grade........ sq ft x "U" n 3, TOTAL a) thru 1) ° If item #3 is the same as, or less than item #1, you have met the intent of S.R.C. Section 6006 (c) 2. _ r 4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/ceiling area........ sq ft j) Total skylight area....... sq ft z "U" 0 k) Total roof/ceilinq framing area (Average 109,)..... /'9 sq ft x "U" 1) Total.net insulated roof/ceiling area....... sq ft x "U" o JZ_ 4. TOTAL j) thru 1) i If total of N4 is the same as, or less than 92,.youu have met the Intent of S.B.C. Section 6606 (c) 1. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items 93 and #4 shall not be greater than the sum of items NI and ?2. 3. lh?a.a + 4. ?o- 9 17D. 7 C E R T I F I C A T 1 0 N I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. o(5q3 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD - 55122 65511-681-4675 New Construction Reguirementh C l+ 1 1 ,83 ) Remodel/Reaalr Requirements > 3 registered site surveys showing sq. fL of for, sq. It. of louse 7-(f _ 00 and slit roofed areas (M mmdmum lot coveraae allowed / > 2 copies of plans (stow beam ft window sizes: poured Md. design; etc.) > 1 set of energy calculations > 3 copies of free preservation pion If lot platted alter 7/1/93 DATE: DESCRIPTION OF WORK: STREET ADDRESS: _sm LOT: _J_ BLOCK: 2 copies of plan 1 set of energy caculatons for heated additions 1 site survey for exterior additions & decks CONSTRUCTION COST: Nome:?? xs?? ?,c?s/LA' f??n Phone C 4 -Z C(e7-2 PROPERTY LOS, First OWNER J Street City - State: /W) Zip: Compan% 46e,,? _11-6-IL4 /s,, ?- a Phone #: - (area cod?X7 CONTRACTOR Street Address: , , License # Exp. 3( O1 City f/ State: G) /qua Zip: T:3-Ig ii? ARCHITECT/ ENGINEER Company: Name: Telephone #: ( Street Address: Registration #: City State: Sewertwater licensed plumber (if instail)na sewerlwaterl: Phone #: ZIP: 1 hereby acknowledge that I have read this application, state that file into 7,???? is coned, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes No .I ,I Tree Preservation Plan Received - Yes - No - Not Required SITE AD CONTRACTOR: DATE: DETERMINE WORKING SQUARE FOOTAGE OF EACH: PHONE: 1. TOTAL EXPOSED WALL AREA , , , , , , , , .1,Y sq f t x "U" 2. TOTAL ROOF/CEILING AREA......,, 19,:Z eq sq ft x "U" 3. TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall area above floor......,, sq ft a) Total wall window area: glazed,,,,,, Sso sq ft x "U" glazed,,,,,, sq ft x "U" b) Total door area ,,,,,,,,, 9 )? sq ft.x "U" /- c) Total sliding glass door area: glazed....., n sq ft x "U" glazed...... sq ft x "U" d). Total fireplace wall area An sq ft x "U" co a (_ e) Total wall framing area (Average 109).......... //q, S sq ft x "U" f) Total net wall area above floor (Insulated)....... /0 6 9, 2 sq ft x "U" _0.6 -53,? g) Total rim joist area...... /i-!2 sq ft x "U" Total foundation area (Exposed)......... /p . 4 sq ft h) Total foundation window area............ In. S sq ft x "U" $_ 1) Total net foundation area above grade........ sq ft x "U" _ n 3, ... TOTAL a) thru 1) If Item X3 is the same as, or less than item 91, you have met the intent of S.R.C. Section 6006 (c) 2. EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION 4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/ceiling area........ sq ft j) Total skylight area..:.... (} sq ft z "U" _ Q Total roof/ceilinq framing area (Average 109)..... /Z?Z-_ _sq ft x "U" 1) Total net insulated roof/ceiling area....... / sq ft x "U" 4. TOTAL J) thru 1) LJ i If total of 94 is the same as, or less than N2„ you have met the Intent of S.B.C. Section 6606 (c) 1. ALTERNATE BUILDING ENVE To utilize the total envelope system method, the of items N3 and #4 shall not be greater than the 1. + 2. 3. + 4. o- .OPE DESIGN values established by the sum sum of items #1 and 02. C E R T I F I C A T 1 0 N I hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. rr 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651.681-4675 New Construction Reauirements 7 -5 1 Remodel/Repair Reaulremenis .n sa 75 3 registered site surveys showing sq. ft. of lot, sq. ft. of house '-? 2 copies of plan and gti roofed areas (2446 maximum lot coverage albwetl) 1 set of energy calculations for heated additions > 2 copies of plans (show bearn & window sizes; poured Ind. design; etc.) 1 site survey for exterior addiflons & decks 1setofenergy calculations > 3 copies of free preservation plan It lot platted after 7/1/93 rr d A DATE: 2- 4 'LYp CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT: a PROPERTY OWNER BLOCK: Name: ?f/} Phone#: Lost First Sheet city .a. State: Zip: CONTRACTOR Street Addresst/ #:9f`.?i KQC) (area code aoOf?''?? Ucense # Exp. 3/ city State: lai;ll- ARCHITECT/ ENGINEER Company: Name: Telephone C ( Street Address: Registration #: _ City State: ZIP: Sewertwater licensed plumber (if Installing sewer(water): Phone #: 1 hereby acknowledge that I have read this application, date that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Yes No Yes No _. Not Required CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: B U I L D I N G Permit Number: 0 3 3 5 6 4 Date Issued: . 10 / 0 2 / 9 8 3804 DENMARK AVE LOT: 1 BLOCK: 1 WINDCREST P.I.N.: 10-84460-010-01 DESCRIPTION: 8 d0 ffiah kH iH R ;°y? i ?p-X,-t .raiih+gm61 34 dgi°` ??Iffi o`g-3laxianv'..0 T REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC. OWNER: WALKER ROOFING CO INC 17292325 0004229 HEDDEN JANICE 2701 36TH AVE S 3804 DENMARK AVE MINNEAPOLIS MN 55406 EAGAN MN 55123 (612) 729-2325 (651) APPLICANT/PERMITEE SIGNATURE T.O. & REROOF B,tf.ldir5°zV Permit Type STORM DAMAGE Q,4111, 1, di n ',"rk Type REPAIR et3sr us Code434 ALT. RESIDENTIAL g; 6. tl^id1 °f? ay rgp F F ss1 %_ m ^J 'kix. ISSU Y: SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF FAGAN 3830 PILOT KNOB - 55 122 l 6 _ D f CT? New Construction Requirements RemodeVReoair Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured tnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 711/93 requ _Yes No J DATE: (? ?y ? CONSTRUCTION COST; ?('"? ? 1C-1-11`5 ?!! l ll t ll Q1l St,/ `Y \ a ,(}, DESCRIPTION OF WORK: p STREET ADDRESS: r_JC)( J-Y c ???Sl yJ1 ?Y A X JS- lC l 1 p LOT: BLOCK: SUBD./P.I.D.#: W,,,n CSCJs-LA e Vt I?0.V-\- i C_-'- ?/" PROPERTY OWNER CONTRACTOR Name: lit 11 P 1 Last Street Address: City Zip: t ? I -,?- ,) License # A?? State: ! 1 1 Q? Zip: ??Agao ARCHITECT/ ENGINEER Phone #: Registration #: Street City State: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address chan( 1 hereby acknowledge that I have read this application and state that the inform lion ' correct and agree to comply wit 7p cat State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received Yes - No State: U Not Requi City PERMIT 830 X OF EAGAN 3?30 of Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 033565 10/02/98 SITE ADDRESS: P.I.N.- 10-84460-020-01 3806 DENMARK AVE LOT- 2 BLOCK: 1 WINDCREST DESCRIPTION: T.O. & REROOF Bwi'14t'6''q Permit Type STORM DAMAGE A-. 11 slt,d1nz,)ii' irk Type REPAIR ensms Gad 434 ALT. RESIDENTIAL f', & Tµ d@ F Y4.p. ? r g'eISS b%q?-fIS ?L # L R Aei Zm ?: IMF ifn?e vi31,40% t? w t}p"° )&'-vhf q "S%' ''p tYi ri& pf{ psi.. ' j"t *b -fig $P &m +S REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC. OWNER: WALKER ROOFING CO INC 17292325 0004229 DALY MARY 2701 36TH AVE S 3806 DENMARK AVE MINNEAPOLIS MN 55406 EAGAN MN 55123 (612) 729-2325 (651) APPLICANT/PERMITEE SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF F.AGAN 3830 PILOT KNOB RD - SS122 4 i? 681.4676 C? Icy - ?)-- 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 711193 required: _ Yes _ No DATE: q " ,D5 DESCRIPTION OF WORK: -F-o, STREETADDRESS: --YgC) 0-c- 0, VVt Remodel/Repair Requirements • 2 copies of plan • 2 site surveys (exterior additions & decks) ? I energy calculations for heated additions CONSTRUCTION COST; LOT: ?- BLOCK: 1 SUBD./P.I.D.#: Qil? Name: ?)O \ `{ / Phone #: PROPERTY Last First OWNER Street Address: City State: Company: w ? Phone #: CI " ?? ?_S CONTRACTOR Street Address: City ARCHITECT/ ENGINEER Comnanv: Name: Registration #: Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: ?( - Zip: Penalty applies when address chang I hereby acknowledge that 1 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: OFFICE USE ONLY Certificates of Survey Received _ Yes No State: License # State: Zip: Phone #: Tree Preservation Plan Received - Yes - No - Not Required APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ®F eagan 1) PROPERTY ADDRESS: LEGAL DESCRIPTION;. (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/Year) PRESENT ZONING/PROPOSED USE: Q COAMBRCIAL/PETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL [:Zj-R-?2-DUPLEX (Tom Units) a INSTITUTIONAL/GOVERNMENT 0 R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) Z) NAME. 1 % D K?,7 J ?L '?- cI L(J y?£i ADDRESS: CITY, STATE, ZIP: PHONE: 3) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: MASTER LICENSE # ,-; j l f 4) ADDRESS: CITY, STATE, ZIP: PHONE: l? ,7v 1, l m le,I- 4 NOTE: PAVnU OF FEE AT TIME OF APPLICATION DOES NOT CON- STITOTE APPROVAL OF PERMIT. + r i INSPECTION OF SE'VM AND/OR WATER INSTALLATIONS WRL. NOT BE BRED .'t UNTIL PERMIT HAS BEEN APPROVED. ,*F sxxxxxx+rsxxrrr+exxxxssrrrrrrrrsrrrxxr Active Expired Not recorded Sta Initial 5) "0039 [I]-CO'NNECTION TO CITY SEWER E CTION TO CITY WATER a OTHER 6) A k 'r * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. * PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE * ARE ANY PROBLEMS. " FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ le--5? SEWER PERMIT (INCLUDE SURCHARGE) $ $ 4n '5WATER PERMIT (INCLUDE SURCHARGE) $ oeD $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ?S [rC7 ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ S??? $ WAC $ Lr 7 6 Ll? $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ o2Ci 0-t) $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ l 7 ??' !7 $ ??' TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: / DATE: ?/7 /?? SEWER AND/OR WATER CONNECTION 1) PROPERTY ADDRESS: ............................. .. t NOTE: PAYMENT OF FEE AT TIME OF ^x T ^.'` APPLICATION DOES NOT CON- * SMOTE APPROVAL OF MMIT. f f i INSPECTION OF SEWER AND/OR WATER t ?. INSTALLATIONS WILL NOT BE scEmm D UNTIL PERMIT HAS BEEN APPROVM. ' ftx+++t+:++++xxxxxxtttxx+t+++ttxxxxff+ LEGAL DESCRIPTION; (Lot/Block/subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE PRESENT ZONING/PROPOSED USE: Q COnE RCIAL/RETAIL/OFFICE INDUSTRIAL Q INSTITUTIONAL/GOVERNMENT )F ORIGINAL BUILDING PERMIT ISSUANCE: Mont Year (J R-1 SINGLE FAMILY M-R'DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) Z) s NAME: /ri !-cam Y? 7 F < is r"!., .d ?(J y.. / ; !C_i ADDRESS: 2- c? Su 4j7 Sr' 7 /' , "- CITY, STATE, ZIP: j -. i? 9 YGs >1 4' PHONE: ?? 7 ? -`" r9 7lJ j / For City Use 3) ? NAME. / - ? Pl erums License: ADDRESS: ?r? > iai ? 1- 7 c.. %c /(% c? Active Act ied CITY, STATE, ZIP: Not recorded PHONE: )!= r MASTER LICENSE # T _ Staf Initia 4) • • a• NAME: `- ? ADDRESS: CITY, STATE, ZIP: PHONE: TO CITY SEWER 6) * * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WDRKS TD FACILITATE MEIT:R PICK-Lip. PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE x * ARE ANY PROBLEMS. APPLICATION FOR PERMIT TO CITY WATER a OTHER FOR CITY USE ONLY . PERMIT # ISSUED -jc? Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ (! CJ 7, $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ IS 'D ACCOUNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ Ll 'GrZI $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: r/ $ ?' 4 G? ?. O $ _ ?j ? TOTAL fy ? / ?/ RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVA TION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE I SSUED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY:(? Z(/yb TITLE: DATE: 7 ?A PERMIT $$ + I RECEIPT DATE: USIDENIML PLUMING PERKM A MLICA noN C1rYoFIP.r1 em 366 Pff r KHOO RD ? '7 ffAGAN, MN as122 ass-agi-aa?s Please complete for: A single family dwellings D townhomes and condos when, permits are required for each unit A backfiow preventer for iffigatton system SITE ADDRESS: 2L%UQ ?P t? (Mt f 1? tP OWNER NAME:: {?O tti ACS ?t TELEPHONE°#: ...t - (AREACODE) INSTALLER NAME: MCGUIRf TELEPHONE M. & sf7NS `15? G 1` ?jc?7(.? 6155 12U1 AVt:I[ur_jUUVj (AREA.CODE) STREET ADDRESS: iioiklns, M[V 55ua$ '" "t ' CITY: STATE: ZIP: Place a check mark next to the nermif wnrk tvne _ New residential dwelling unit under construction and not owner/occupied, $ 90 00 % Add-on, modification or alteration to existing dwelling unit, including: $ 50 00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water tumaround Nature of work: ?Do 9a - \ A }(LkC4 p f _ Septic.System, new/refurbished - • $ 225.00 • includes County & Consulting Inspector'fees • requires MPC license State Surcharge $ .50 Total $? Reminder. Be sure to schedule inspections of alterations; Le. water.heaters, water softeners, etc. 1 hereby acknowledge that I have read this application, stale that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities cons er this perms 'thin C'`ygrapeRyhtof-wayleasement. f a-?to?O f pOgSED 04 4 4 IG AT F PER TTEE -Updated 1101 ._ ? 3 A?5? 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date -`r 13 Site Address- c38d ?/ /?cvt r,,,, ct ? /? A Unit # Property Owner if ? c? J .$ 0 .1. Telephone # ( 6 5 I ) 3 N I - '70 17 Contractor uo a vti Street Address 17 O City y- Ilt.d " Tr r State {l ", Zip SSI? 8l- Telephone # (66/ ) 'y3'9- '5-Y70 t? Bond #: (0 ? ! U Sys"S Expires: • / '1-,99-06 - f?o..ve .64 Y° rcc-:Ve . The Applicant is Owner ? Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional Replacement _ New _ air exchanger air conditioner heat pump other State Surcharge $ .50 Total $_ 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; Ilya the work will be i cco dance with the approve plan in the case of wor which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature 7 -;S9 g 2006 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. '1S.sO Date _'?'p-1 .6? 1 'f?' 4 Site Street Address P R) /'y/ &Q Unit # 4? A/ Telephone # / ? ? z h Property Owner 2/ 0 / / / ` Contractor / O //(/TPe r /??CAS Telephone # (9? 3 5 c ? P ??IYlity ?i? n95 /moo State. {y?,t/ Zips 9 A 9 /s/ Address ,; ,4 The Applicant is: _ Owner Contractor -Other _ New _ Refurbished Submit 2 sets of plans and MPC license Septic System Includes County fee _ $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 i Add plumbing fixtures. This fee includes installation of a water softener and/or water _ heater at the same time. if you are installing only a wafer softener and/or(e move to the next section and chec e lete this section d n t com t h _; ,._ i II II o p , o er, ea LJJ appliance(s) you are installing. Q "J 2006 UN -Septic System Abandonment Water Turnaround (add $130.00 if a 5/8" meter is required) Other: / Water Softener Pr „? Water Heater $ 15.00 new replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ 50 $ 1s Total that tha I hereby apply for a Residential Plumbing Hermit and acknowledge mar ura u,u a r, v --•_._, ..._. _ _ 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 e r viewed and approved. Ap licanfs Printed Name ® Applrcant's Signature SURV'EYOR'S. +- DENOTES O DENOTES • DENOTES XOOO.O DENOTES (000.0) DENOTES WE HEREBY CERTIFY REPRESENTATION OF CERTIFICATE PROPOSED SURFACE DRAINAGE IRON MONUMENT SET IRON MONUMENT FOUND EXISTING ELEVATION PROPOSED ELEVATION TO W.INDCREST COMPANY A SURVEY OF THE BOUNDARIES OF: WINDCREST COMPANY SCALE: 1 INCI4 = 30 FEET PROPOSED GARAGE FLOOR - 576.4/ FEET PROPOSED LOWEST FLOOR = g 6.6 FFEET EET PROPOSED TOP OF BLOCK = 89 THAT THIS IS A TRUE AND CORRECT Lots I and 2 , Block I , WINDCREST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT-TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 17-10 DAY OF DFc StABE R, 1985 20 SIGNED: JAM ILL, INC. c BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 HEET I OF 2 SHEET PROJECT NO. 85988 FILE NO. FOLDER BOOK / PAGE JAMES R. HILL, INC. Planners / Engineers / Surveyors 8200 Humboldt Avenue South Bloomington, Mn. 65431 812-884-3029 SURVEYOR'S' CERTIFICATE WINOCREST COMPANY O /// O VJiJ ant P Sp i,?t t ? ,' It 00 136" ,-?890 40 N 110,.64 .64 40 W Z W a r Y Q Z W 40 b a u C 0 0 s SHEET 2 OF 2 SHEETS PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 85988 Planners / Engineers / surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 56431 812-884-3029 d~o V® s Use BLUE or BLACK Ink ------------------I ~ For Office Us~ I City of Ea aIl DEC 172009 Permit ~ I Permit Fee: z4 L53 I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: l o ~ j Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0 /6k7 Site Address: S y hlnw" Lei". h S~Q3 Tenant: Suite M RESIDENT / OWNER Name: Z ZOL tt/ e- Phone: 16.677 7 7V1- ?079 Address / City / Zip: e 7 U-/ ,44M L fivIle- ~cwt tt Y v 6,i5- 3 Applicant is: Owner Contractor TYPE OF WORK Description of work: f~ ox/ kk 5r .rf_,0 A t1C 0_1 - ylS ~/Ve4t/ ~7 ? Id, Construction Cosfx 00" Multi-Family Building: (Yes / No CONTRACTOR Name: ( /rte 2 License 0 3 1 3 b Address: 2-650 I" l T VUV , . ems, l/~ 1f -e- City: W 14 ,n e c, 42 State: y_ Zip: ~~~~~L[n Phone-76/d- (2 7 6,, 16 /7 0 Contact Person: 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 specific 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.or I hereby acknowledge that this information is complete and accurate; that the work will be in conform n with the ordin ces and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, a is no s rt without a rmit; that the work will be ip.,. accordance with the approved plan in the case of work which requires a review and proval o plans d Cyr - x x Applicant's Printed Name Applic is Si Page 1 of 3 A- 0, NOT WRITE BELOW THIS LINE qd S g q 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 +O L?`U Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%--~) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final/ C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final K Framing L (-FAkv - 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: ! Ze , Building Inspector RESIDENTIAL FEE _ S Base Fee G~ Mo oh/o -J- 7- z F%" , Surcharge Plan Review jr f1 d D MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 I Use BLUE or BLACK Ink For Office Use . r' Permit t City of Eap I.~ I Permit Fee: 3830 Pilot Knob Road 1 Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I j Staff: Fax: (651) 675-5694 L - - - - - - - _---_-1 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 3:52 ~2 Site Address: C7 Tenant: U-Ca Eb Suite M RESIDENT / OWNER Name: /_1ckr o ~ Phone: 62- -3YZ- >z--, 22 Address/City/Zip: SDI/ AwsL_ CONTRACTOR Name: ol~vhc License#: b~"~35 Address: City: C- State: YlVk_jj_ Zip: ~SS Q t Phone:~b°3 -Contact Person:e,C TYPE OF WORK _ New ,Replacement _ Repair - Rebuild - Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures L_ RPZ / PVB) Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) "Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 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.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 `8- `13 ck s- 0-c\ x l - Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED FEB 0 3 ?014 r Use BLUE or BLACK Ink L For Office Use Permit #: 1 `� Permit Fee: (l) , �✓ Date Received: 3� ) Stall: 2014 RESIDENTIAL PLUMBING�„PERMIT APPLICATION 11 Date: \\ � t ` 1 Site Address: 3 1 >Arr {J A-0 Tenant: I (.` (i i\ Lou.) , it tl 11I Name: -A((1 ( Ch i�,. �1 Phone: Address 1 City / Zip: '3 I /'27 Cti i/f ) Fct3 '.1, M t3 5S 1'3 i X - l S -4 -cd � tit Jt ( i _ cJ ferairnJM License #: 1 CP1 (AJ L Address: 9140 Voei City: 4-1(_)C'/SC.3YI, L/l.3 1 State: (J3 ( Zip: 1+ O Phone: 7/c L t p'7 Suite #: Name: Contact Al • k2 7 Email: _ New V Replacement _ Repair _ Rebuild Description of work: 1 G1 1 1 RESIDENTIAL Water Heater Lawn Irrigation ( RPZ /_ PV8) Septic System New Abandonment Modify Space _ Work in R.O.W. Water Softener Add Plumbing Fixtures ( Main / Water Turnaround r Level) 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 Tumaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) 690' ,, TOTAL FEES $ Ul 0 ' `") 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.ora 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 1 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. 401'. City of Eagan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use _ Permit #: / -� `/.�.6 Permit Fee: /b Date Received: Staff: a(0-1(0 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: ent/ er Name: Phone: Address / City / Zip: h %a " 353O . . , `L i I L , '. Applicant is: Owner /Contractor Type O Description of work: Re, co DS 00 Construction Cost: '64 (2$ ` Multi -Family Building: (Yes L,7/ -No ) Company: l"Ijrcay ConSkjG�-,c 0►',‘ Tiflc, Contact: ,Kew Address: s � aLt.) City: 51,424:1), State: Zip: 5.3-79 Phone: C14)-94/ ' 7 mail:f orrayGor S -t" 7f J. coo, License #: 8C,I 10 as 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: If TL dans and'su .porta locum hat yo binrt ere cp tiered o� p Y � � ��`iotrs +tff f ation r»ay bei pssrhed publt ou puede crfic .; • n- ®� rnrrt the Cr #o �£ rrclude tth 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 con)pleted within 180 days of permit issuance. x (11) g , l y Applicant's Printe Name x Appls"5igna Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA151658 Date Issued:09/06/2018 Permit Category:ePermit Site Address: 3804 Denmark Ave Lot:001 Block: 001 Addition: Windcrest PID:10-84460-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Aldrich B Lawson 3804 Denmark Ave Eagan MN 55123 (651) 341-7079 Roto Rooter 14530 27th Ave N Plymouth MN 55447 (763) 519-3904 Applicant/Permitee: Signature Issued By: Signature RECEIVED JUN 3 0 2020 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-56751 TDD: (651) 454-85351 FAX: (651) 675-5694 bulldinoinspections@citvofeacan.com r For Office UseseO` �7 / Pammit#:/f/? 7 %tea•&p• Permit Fee: Date Received: Staff: ,cc 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/29/2020 SlteAddress: 3804 Denmark Avenue unit#: Name: Carol Lawson Phone: 651-341-7079 Address /city / Zip: 3804 Denmark Avenue Applicant is: Owner ✓ Contractor Type of Work Contractor Description of work: Replace a window well. Construction Cost: $2'800.00 Company: Egress Window Guy Multi -Family Building: (Yes /NoJ Contact: Steve Engelhart Address: 3410 Kilmer Lane North City. Plymouth State: MN Zip: 55441 Phone: 763-544-2775 Email: stevee@egresswindowguy.com License #: BC665399 Lead Certificate #: NAT-123125-2 Vat If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor:. Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public Information. Portion$ 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: You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's webslte at www.cltvofeaaan.comisubscrlbe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in n rmance 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 wor i knot 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 ,ff ans. Steve Engelhart Applicant's Printed Name Appl cant's Sign ire • DO NOT WRITE BELOW THIS LINE DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Single Family Multi 01 of Piex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction _ Fireplace _ Garage Deck Lower Level bAvK — Porch (3-Season) _ Porch (4-Season) _ Porch (Screen/Gazebo/Pergola) Pool _ Interior Improvement _ Move Building Fire Repair Repair vio REQUIRED INSPECTIONS _ Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile _ Roof: Ice & Water _Final Framing _ Fireplace: _Rough In Air Test Insulation Meter Size: Reviewed By: Siding Reroof Windows Egress Window /1-v 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 Occupancy -K.,. Code Edition 21 a I) Zoning Stories Square Feet Length Width MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required ¢ d HVAC Other: Pool: Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Final Windows Retaining Wall: _ Footings Backfill _ 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 TOTAL f fifh-P';k L/K. Page 2 of 2 // / 4 4 / / EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(a-)cityofeagan.com ----- —----------- For Office Use i ' I Building Permit #: I I I I I S&W Permit #: I I Permit Fee: �� ' 0 I I I I I Date Received: I I I I Date Issued: I I---------------------J RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3/30/2023 Site Address: Applicant is: ❑ Owner 0 Contractor Name: Windcrest Twin Homeowners Association Homeowner Address:�Et Z,3I Q �vki.'�-1CA, � P'ly-:1 Eagan 55122 State: MN Zip. Phone: Email: Type of Work Description of work: Residential Re -Roof i Construction Cost: 3 Unit #: Type of building: ❑ Single Family ❑ Townhome, of units 0 Twin Home Company: GCM Construction contact: Carter M Building Address: 6438 City West PKWY city: Eden Prairie Contractor State: Zip: Phone: Email: MN 55344 612-245-026E cmelchert@gcmcompany.com License #: BC766925 Expiration Date: 3/31 /2025 Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction License #: Expiration Date: 0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. 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. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. 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. xCarter Melchert X Applicant's Printed Name A plicant's Signature