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3805 Denmark Ave PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA098523 Date Issued: 04/08/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3805 Denmark Ave Lot: 018 Block: 002 Addition: Windcrest PID: 10-84460-02-180 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: dean Kamrath 13791 jonquil In n davton, mn 55327 612-205-6060 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: Adam's Ani-time Plumbing & Water Heaters Michael A Peterson 13791 Jonquil Lurie N 380 Denmark Ave Dalton NIN 55327 Eagan MN 55123--144 (612) 20-6060 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 Citv of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19? RKCtweD FROM AMOUNT & DOLLARS goo CASH El CHECK FOR ' 1 I ! l r. ?J. _ ' ?' /-V. •. y ?. 1 '3 -3 FUND CODE AMOUNT C Thank You 66328 White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 4+ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt# To hp nand fnr 112 DUP b G48 tea,„o $55,000 i,.,o APRIL 17 1085 Site Address 3807 DENMARK AVE Lot 17 Block 2 Sec/Sub. 14INDCREST 1ST Parcel No. Name LOMBARD 3 Address 6 Z 5 4TH o -1 - Z. o Name- 0 a Address ~ City ?cc U ?W, Name- Address i z W City - information is correct and Minnesota Statutes and G Signature of Permittee Q2" A Building Permit is issued to: B-E all work shall be done in accordance with al Erect ?X Occupancy Remodel ? Zoning PI-) R1 Repair ? Type of Const. V Addition ? No. Stories Move ? Length 31) Demolish ? Depth r? Int. Impr. ? Sq. Ft Install ? Aoorovals Fees Assessment Water & Sew. Police Fire Eng. Planner JVII;,OLIVI I 0 I IV`u LaLtt UIQL LI IC Bldg- with all applicable State of Var. INC City Permit $ 298.00 Surcharge 27 - 50 Plan Review--IA-9--00 SAC 575 - 00 Water Conn. S (t n - UO Water Meter f* 3 - 50 Road Unit 2 Q n - 00 Tr. PI. 15 b - 0 0 Parks Copies Total $2,059.00 condition that Building Official ?; Permit No. Perrnlt Holder Data Telephone k Plumbing J? J ` l / .- -? t , _ H.Wft- 7 ), . / , ` 1? ?i Electric s ;. O Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing A64 X -4• / C 41114 ' o wn C-1 s Ulf, 7 •? Roofing Rough Plhg• Rough Mg. 1241 Insul. 7- L-J7 C - of Fireplace • Final Htg. Final Plbg. Bldg. Final Cod.Occ. j Deck Fig. Deck Fr q. WON Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` PHONE 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value 5 5 r t: J tj Date ??kk r??. < L%. i 7 19 Site Address Erect 0X Occupancy -' Lof Block Sec/Sub. ±'1;; Remodel ? Zoning o,,,,,,,, ,,,,, Repair ? Type of Const. V o Name 3-E CONSTRUCTION I o V i 3 ;1? AVE SE Address city Phot1 6 3 6 --4 W W Name. God J 967- z ?t6 s 3?- w City Phone 7 l1 1 hereby acknowledge that I have read this application and state that the information is correct and agree to ct5nlply with all applicable State of Minnesota Statutes and City of,Eagan Ordinan es. Signature of Permittee s, r_ A Building Permit is issued to: ti-l' CO`vS }'',ULTj'11 t I. 4C all work shall be done in accordance with all applicable State of Minnesota Fire Eng. Planner Council Bldg. Off. 4 APC Var. Date- Statutes and Ci - 11 Id, Permit G 3 •00 Surcharge 27.50 Plan Review--- 1-4-9-a-00 SAC / 575.00 water Conn. 500 - U O Water Meter 63.50 Road Unit 290 •00 Tr. PI. 256.00 Parks Copies Total • 00 on the express condition that an Ordinances. Building' Permit No. I Permit Holder I Date I Telephone p Occ. Dlep. PERMIT # MECHANICA L PERMIT RECEIPT # ' CITY OF EAGAN 3830 PILOT KNOB ROA D, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE 454-8100 Site Address BLDG WORK DESCRIPTION TYP 1 , E Lot Block - Sec/Sub r _ r Name Res. New M A d d -on utt lay Address c City Phone t - Comm. Repair O ther Name FEES c Address RES. HVAC 0-100 M BTU -$24.00 p City P hone 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 Boiler 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 BEYOND $1,000.00) Gas Piping Outlets # j Other FEE l r S/C: - SIGNATURE OF PERMIT-TEE TOTAL FOR: CITY OF EAGAN Site Lot. MECHANICAL PERMIT RECEIPT # CITY OF EAGAN _ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE m Name ao Address c City Phone Name c Address p City Phone TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # Other FEE S/C: TOTAL, J,q .00 '11 --w II BLDG. TYPE WORK DESCRIPTION X Res. New Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 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 - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) -1 SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # t 4 PLUMBING PERMIIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot / .1 Block Sec/Sqb Res. New m Name'=- Mult Add-on to U _ Address ' !' ' Comm. Repair City " / --i Phonc* Other NQ. FIXTURES TOTAL Name Water Closet - $3 00 $ " . Address Bath Tubs - $3.00 . , ' p Phon? ( C City Lavatory - $3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE $10 00 TUrinal/Bidet - $3.00 Laundry Tray - $3.00 - . Floor $1,50 Drains - 1.5 MINIMUM - COMM/IND FEE 20.00 Water Heater - 0 STATE SURCHARGE PER PERMIT - 50 Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10 00 . ,Private Disp. - $10.00 - Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: J PERMIT # f PLUMBING PERMIT RECEIPT # y CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: INTRACT PRICE a / PHONE 454-8100 Site Address Lot % Block ? m N c m c 3 O FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE -$10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) OF FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New _ Mult. Add-on Comm. Repair Other NP. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 -rLavatory - $3.00 Shower - $3.00 ! Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: v GRAND TOTAL CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS Correction N xll?s??,. once Located at ? 6, r I have this day inspected this structure and these premises and have found the following violations of city codes governing same: When corrections have been made, please call 454-8100 for inspection. Date Inspector City of Eagan DO NOT REMOVE THIS TAG CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: , i 3f; +f• Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: „ 1 t }{ !t 1 r,r.. t. APPLICANT: + t i ttt?i 1 r ., 1 r n l. ) /.f9 PERMIT SUBTYPE: TYPE OF WORK: ?FPAIR ?:? t< t t t ?.r+ 1.0. A REROOF Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL 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: (612) 681-4675 SITE ADDRESS: APPLICANT: I HMAIit AVf . +., I ; . , f Nl, , ?1 ! pJi I 1,411t v1-'-. 1 PERMIT SUBTYPE: (h{.' ) /. 1 1,5: TYPE OF WORK: i f'AIR INSPECTION • TYPE DATE INSPTR. ? J ---------------------------------- Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ray 77 /f ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition WTNDCRF.ST ADDIN Lot 18 Blk 2 Parcel 10 84460 180-07 Owner Street 3805 Denmark Avenue State Eagan. MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, -760 1983 1889.18 377.84 5 STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL San Sew La WATERMAIN WATER LATERAL WATER AREA CkS-(j 1982 -16K.79- 33.76 5 Services 1982 STORM SEW TRK 05-s- STORM SEW LAT 19 82 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Addition-_WINDCREST ADEIN Lot 17 Blk 2 Parcel 10 84460 170 02 Owner street 3807 Denmark Avenue state Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. i?Q 1983 1889.18 377.84 5 STREET RESTOR. GRADING SAN SEW TRUNK QP1 1973 107.62 5.38 2 ? - SEWER LATERAL * San Sew Lateral f 1982 r29072907.28 581.46 5 -sgl-qF WATERMAIN * WATER LATERAL 1982 5 WATER AREA (p' 19$2 16$.79 33.76 5 ' 3, " / * Servioes 1982 5 STORM SEW TRK ly' 1982 437.65 87.53 5 - * STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN 3830 Pilot Knob Road SEWER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: - Owner: ?Ql Address: Site Address: _ 255; .' ?' r:f>., - • - C. rest Plumber. tX1 (i? > r: c. n . I mom to eeaph with the City of Eyes Connection Cho •'. ' n-1 . oh?unew Account Deposit: 'IS [)0", Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Dote Paid: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE Zoning: No. of Units: =x Owner: Address: Site Address: Plumber: I yhve to eesply with the CNy of Eyes o ahasese. By Date of Insp.: Connection Charge: - , 00r.d Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, ION 55121 DATE: Zoning: _ No. of Units: O wner: Address: T . - T Site Address: Plumber: Meter No : Connection Charge. _ . Size: Account Deposit: . ?l\Ir Reader No.: Permit Fee: - I yhw to comply with the City of hgss Surcharge: OAisosea. Misc. Charges: Total: B Dote Paid: y Dote of Insp.: Insp.: OF EAGAN WATER SERVICE PERMIT Pilot Knob Road 3ox 21199 PERMIT NO.: MN 55121 DATE: No. of Units. CITY OF EAGAN 3839 Pilot 'nob Road P. b. Box 21199 Eaga:i, MN 55121 Zoning:. Owner: - Addrew: Site Address: Plumber. Meter No.: Size: -1( Reader No.: 1 some to 6004, orllmnow By Dote of Insp.. ?1 7 r Insp.: CITY OF EAGAN WATER SERVICE PERMIT 3839 Pilot Knob Road P. d. Box 21199 PERMIT NO.: EaWi, MN 55121 DATE: Zoning: _ No. of Units: Owner: Ad dress: _ Site Address: Plumber. Meter No.: Connection Charge: Size: Account Deposit: - Reader No.: Permit Fee: 1 apna to 0 P% w111r the City of Iowa Surcharge: OndiOSaaee. Misc. Cho roes' i ^s c t. [' f Total: by Date Paid: Date of Insp.: Insp.: FAI= Total: fi? . 5nnr? ete? Date Paid: WATER SERVICE PERMIT PERMIT NO.: DATE: - No. of Units: amection Charge: nt Deposit: ''?i a`r.T iR?:M---77 'FOR . SALE UNIT CITY OF EAGAN 3 N0 11814 830 Pilot Knob Road, P.O. Box 21-199, Eagan, M _ N 55121 BUI P PHONE: 454-8100 ?J?(P?j - LDING ERMIT Receipt# To be used for 1/2 DUP & GA&t Value $55,000 Data APRIL 17 19 86 Site Address 3805 DENMARK AVE Erect Occupancy R3 Lot 18 Block 2 Sec/Sub. WINDCREST 1ST Remodel ? Zoning R D Parcel No. Repair ? Type of Const V Addition ? No. Stories LOMBARD PROPERTIES Move ? Length 30 W Name 625 4TH AVE SO Demolish ? DepthSo 3 Address MPLS 343-0250 In . 13 Sq. Ft. City Phone Install stall ? Name B-E CONSTRUCTION INC Approvals Fees i $a Address 85 3RD AVE SE Assessment Permit 0 E city NEW BR?qMeTON 636-4164 Water &Sew . Surcharge 27.50 Ga Police Plan Review 149.00 1 W Name Fire SAC 575.00 a a i Address Eng. 500.00 Water Conn. a W City Phone Planner Water Meter 63.50 I hereby acknowledge that I have read this application and state that the information is correct and a r om ly with all applicable State of Minnesota Statutes and City a an dina s. Signature of Permittee A Building Permit is issued to -E CONSTRUCTION INC : all work shall be done in accordance with all applicable State of f4innesot4 Building Official Council Bldg. Of Road Unit 290.00 Tr. PI. 156.00 Var. Date CoplesI ?0 on the express condition that an Ordinances. FOR SALE UNITS CITY OF EAGAN 1 -1, -, - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 11815 PHONE: 454-8100 BUILDING PERMIT Receiptri To be used for 1/2 DUP & GA4styalue $55,000 D t APRIL 17 86 a e t Site Address 3807 DENMARK AVE Erect C Occupancy R3 iol 17 Block 2 See/Sub. WINDCREST 1ST Remodel ? Zoning PD R2 Parcel No. Repair ? Type of const V Addition ? No. Stories LOMBARD PROPERTIES Move ? Length 30 Name Address 625 4TH AVE SO Demolish El Depth RN p city MPLS Phone 343-0250 Int Impr. ? Install ? Sq. Ft. -o Name B-E CONSTRUCTION INC Approvals Fees ;$¢ Address 85 3RD AVE SE Assessment Permit $ 29 0 city NEW BRIF"TON 636-4164 Water &Sew. Surcharge 27.50 ?? Police Plan Review ?40 W W W Name Fi 575.00 SAC re Address E W 500 00 ng. ater Conn. . .46 City Phone Planner Water Meter 63.50 Council Road Unit 290, 00 ` I hereby acknowledge that l haveread this applicationand statethatthe BIdg.Off. 4/16/8 Tr. PI 156.00 information is correct and' grey ly with all applicable State of $2,059.00 Minnesota Statutes and Ci a an dinanc APC Parks- Var. Date Copies Signature of Permittee Total A Building Permit is issued to: B-E CONSTRUCTION INC on the express condition that all work shall be done in accordance with all appkNb late of M,,n sota to I and City of Eagan Ordinances. Building Official CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PAYMEKT OF FEE AT TIME C APPLICATION DOES NOT COISSTI= APPROVAL OF PERMIT. INSPECTION OF SEWER AND/CRt kWAT;' INSTALLATIONS WILL NOT BE 'SQMII ULM UNTIL PERMIT HAS BEEN APPROVED. - ***iri*!r it,tR*wtnttttrirlkaF*s*:x,wst#t 1) PROPERTY ADDRESS: 3 <T 0 (Plea int LEGAL DESCRIPTION: /7 Y Lot Block Sub ivision or Tax Parcel ID ) i IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Mon ear) ? cai4ERCIAL/REPAIL/0FFICE R-1 SINGLE FAMILY ? INDUSTRIAL ` jrR-2 DUPLEX (To Units) ???? In INSTITUTIONAL/GOVERNMENT jf? R-3 TOWNHOUSE (Three + Units ) ( Units) ? R-4 APARTMENT/CONDOMINIUM ( Units) 2) ?r ADDRESS: CITY, STATE, ZIP: l/ PHONE: C' 3) a = "' NAME: For City Use ADDRESS: a ?? ? 1 Plumbers Licens( Active i CITY, STATE, ZIP: Jvt?. Expired i Not record( PHONE: ?S??J d o MASTER LICENSE# 3 ? - St Initia- 4) •• •.. N M .& i E ADDRESS: -S^ CITY. STATE, ZIP: ?L Q eN, ? . , _ y '5) • '• v : a: :: • o• ?• Kff CONNECTION TO CITY SEWER ff3--CDRFECTION TO CITY WATER I] OTHER_ 6) r• • i ?-p E1?ASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TD 1, 2, 3, 4, ABOVE (Circle one) Er '' . 9 > ,. ? .S FOR CITY USE ONLY PERMIT # ISSUED 7G Pd W/Bldg. Permit S $ 3 SZ> FEES: $ /b S c? S S $ $ S $ ? $ $ w $ $ a $ SOOOD $ $ S7s, o a H d" $ ? o $ $ a $ $ $ $ q PG $ $ ti s E q a J s $ $ /.?Sy s 5%?0 l/?zz 3z?3 - -- RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCA t VATION IN PUBLIC RIGHT OF WAY? Q YES -r IF YES, THEN A " PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE DIVISION LIST ISSUED BY THE E NGINEERING . AS A CONDI TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ?? /??J 4 FOR CITY USE ONLY PERMIT # ISSUED Pd W/Bldg. Permit FEES: $ $ /O - 5--o SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) // $ (n-S? $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ IS GAD ACCOUNT DEPOSIT - SEWER $ $ /-d C3 ACCOUNT DEPOSIT - WATER $ C) $ WAC $ ??7Y10-D $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ /,S l G $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $_ $ 7-a TOTAL <? Zz 6 3z RECEIPT RECEIPT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIST AS A CONDITION . . SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: zJ TITLE: DATE : ( ?I(J '. CITY O F E A G A ICI * *?. PAYMFXr OF FEE AT TINE OF * APPLICATION DOES NOT CONSTITUTE • ?* APPROVAL OF PERMIT. APPLICATION FOR PERMIT * * INSPECTION OF SEWER AND/OR WAS EEO ** INSTALLATIONS WILL NOT BE SCHED- SEWER AND/OR WATER CONNECTION * tLED UNTIL PST HAS BEEN APPROVED. * a 1) PROPERTY ADDRESS: ?? S (Pi e Print) 4-- _sF•-y.-an.!/?/i .- LEGAL DESCRIPTION: ,? - Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRU(=RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: Mon Year) - CM24ERCIAL/RETAIL/OFFICE -1 SINGLE FAMILY [] INDUSTRIAL ?tTf R-2 DUPLEX (Two Units) X INSTITUTIONAL/GOVERNMENT _ R-3 TOWNHOUSE (Three + Units) ( Units) _ El R-a_ 2) ® NAME- ADDRESS: CITY, SPATE, ZIP: r PHONE: I_ • 3) c : ?• NAME: oc ADDRESS:S -- f i CITY, STATE, ZIP:L PHONE: MASS ?j NAME • ADDRESS: S CITY, STATE, ZIP: fit/' PHONE: ZrC/Lr $) a• ?a: •?• :: - 56 CONNECTION 1O' CITY SEER Q 6) RIEMFM• i- PLEASE HOLD APPROVE[ PLEASE MAIL APPROVE[ ro to H °r d n .c b ra M 0 ro H ? C 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 1KNO -4 ; RD - 65122 16 3 3 ? / ? 3830 PM OT a i New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (indude beam 8 window sizes; poured fnd. 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 7/1/93 required: _Yes No DATE: q _ CONSTRUCTION COST; DESCRIPTION OF WORK: TU S?D,(VV\ STREETADDRESS: 3w-l Ptir-C- LOT: 1 I BLOCK: _ SUED./P.I.D. #: W Name: ULI ??? t Phone #: PROPERTY Last First OWNER Street Address: City State: Zip: Company: al ? Ck An Phone #: -7 2 CONTRACTOR Street Address: License # ARCHITECT/ ENGINEER City Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received - Yes No State: Zip: Phone #: Registration State: Tree Preservation Plan Received - Yes - No - Not Required 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) R CITY OF KAGAN 3830 PILOT KNOB RD - 55122 a- 3 681-4675 New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam &,window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot planed after 7/1193 required: Yes - No Remodel/Repair Requirements ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions DATE: 'T DESCRIPTION OF WORK: CONSTRUCTION COST; STREET ADDRESS: L X`l ?7r ,='V{ A 1 1 1.1" r L LOT: BLOCK: SUBD./P.I.D. #: W llWi? Name: 11 Phone #: ( ? ?_ _ _ PROPERTY Last First - OWNER Street Address: City State: Zip: u \ # ? U _A Y 51 X, Company: : Phone CONTRACTOR ? Street Address??y` ?? V 1V L Li ? 1 cense # City State: y ?? (? ' \ 1' v Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the 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 Not Penalty applies when address chant correct and agree to comply wall applicat .i r!, OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ ptex ? 09 07-plex PC 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 ' Accessory Bldg. WORK TYPE P 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units _L No. of Buildings 0 Const. (Actual) Y-Z/- (Allowable) S- Ll UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building -64- Engineering sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance ? 31 ?Ext Aft - Multi ? 33 Ext. Aft - SF ? 36 . Mufti T Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn: Water Meter Acct. Deposit S/W Permit. S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total Valuation: $ SAC Units % SAC 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 ?v New Corultuction Reoulremenh Rerrrodel/Repair ReaultO caaed -I 1'1'00 > 3 registered site surveys showing sq. tL of lot. sq. ft. of house and gp rooted areas (20% mmlmumr lot coverage allowed) > 2 copies of plans (show beam A window sixes; poured find. design; etc.) > 1 set of energy calculations > 3 copies of tree preservation plan If lot platted after 7/1/93 DATE: DESCRIPTION OF WORK: STREET ADDRESS: U / J / LOT: h BLOCK: I _ SUBD./P.I.D. Y: 'in 4 r PROPERTY OWNER CONTRACTOR Name: . = Phones: Last First city State: 14-1 itJ Zip: Street ComponyE,i ,x4 Phone s: ? / 3 O Z? ,// /l (area code) Street address: /7G fU/j-e r- License # -L? Exp. s v city State: Zip: -3S? ?sC Name: CITY OF EAGAN CASHIER: JS TERMINAL NO: 794 Registrations: DATE: 09/28/00 TIME: 10:06:46 ID: _ State: NAME: GREAT 1:?Z-KES WINDOW & SIDING CO 3210 9001 3807 DENMARK AV 60.00 2155 9001 3807 DENMARK AV 0 . 5 0 to Informal Total Receipt Amount: CR137955 USER ID: JAN 2 copies at plan 1 set of energy calculations for heated additions 1 site survey for exterior additions ?k decks COST. /Gaa Phone #: Zip: Is correct. and agree to comply with all applicable State )Ifcanh. USE ONLY F 60.50 Not Required SEP 12 2000 OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) plex ? ? 03 01 of 09 07-plex ? 18 Deck ? 23 Porch (screened) _ ? 04 02-plex ? 10 08-plea ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)" ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ` Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning B uilding Engineering Variance ? 31 E t. Aft - Mufti ? 33 Ed. Aft - SF ? 36 Multi Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: SAC Units % SAC 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) I l 5qq l I CITY OF EAOAN 3830 PILOT KNOB RD - 55122 851-881-4875 New Construction Reoulremenh 1 3 RemodelAsoalr Reaulrements -"3i .3 ? 3 registered site surveys showing sq. fl. of tot, sq. n. of house and gll roofed areas f20% maximum tot coverooo atiowecn 7- (B - U() 2 copies of plans (show beam tt window sixes; poured find. design; etc.) 1 set of energy calculations 3 copies of free preservation plan it tot platted after 7/1/93 DATE: DESCRIPTION OF WORK: STREET ADDRESS: <L LOT: 1- BLOCK: Nome:t// ?ea Phone lf: lr -???-?G 72, PROPERTY Lost First OWNER _ C Street City State: Zip: ffa ny L_ Pnone#: Compa / r/ (area code) CONTRACTOR J? a4c/ r a ce9(a7 Street Address: /7G - 7 ,, J2) w License fi EXP..3/ 3/ City ( State: Iff Zip: ? a ARCHITECT/ ENGINEER Company: Name: Telephone #: ( Street Address: Registration C City State: Zip: Sewer/water licensed plumber (If Installing sewertwater): Phone #: ( I hereby acknowledge that I have rood this application, slate that the Info lion is cortect, and agree to compy with ati applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant:. OFFICE USE ONLY 4 g 7? 2 copies of pion 1 set of energy calculations for heated additions 1 site survey for exterior additions a decks Certificates of Survey Received Yes No 11- Tree Preservation Plan Received Yes No Not Required ?? CONSTRUCTION COST. y 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 05 a Q? 651.681-4675 Construction Reautremenh $?j J 23 3 registered she surveys showing sq. h. of lot, sq. n. of house f J ?7 / and gR roofed areas 420% mmdmum lot coverage allowed) 2 copies of plans (show beam & window sixes: poured fnd. design; etc.) 1 set of energy calculations 3 copies of free preservation plan it lot platted after 7/1/93 DATE: z '-- D O DESCRIPTION OF WORK: STREET ADDRESS: LOT: BLOCK: Remodel/Reodr Reautremenb 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions & decks CONSTRUCTION COST: 500--? r #: 6,S-1 --4(,-71- PROPERTY OWNER Street First city state: Af Zip: CompanCrA g` f?11 GJ _/t: Phone C ? LZ (area code) `` CONTRACTOR 0f )eC/cl7 Street Address: License # Exp. 3 City State: MdZ Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( Street Address: Registration #: city State: Sewertwater licensed plumber (If installing sewerfwater): Phone #: Zip: I hereby acknowledge that I have read this application, state that the Info n 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 Tree Preservation Plan Received Yes - No - Not Required PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 033563 10/02/98 SITE ADDRESS: 3807 DENMARK AVE LOT: 17 BLOCK: 2 WINDCREST P.I.N.: 10-84460-170-02 DESCRIPTION: T.O. & REROOF B?Permit Type STORM DAMAGE wilding t3krk Type REPAIR 4t enSU-s C0dL, 434 ALT. RESIDENTIAL ?.. , MOXt e4 7t ad REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC. OWNER: WALKER ROOFING.CO INC 17292325 0004229 SHANLEY JEAN 2701 36TH AVE S 3807 DENMARK AVE MINNEAPOLIS MN 55406 EAGAN MN 55123 (612) 729-2325 (651) APPLICANT/PERMITEE SIGNATURE PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 3805 DENMARK AVE LOT: 18 BLOCK: 2 WINDCREST PERMIT TYPE: BUILDING Permit Number: 0 3 3 5 6 2 Date Issued: 10 (0 2 / 9 8 P.I.N.: 10-84460-180-02 DESCRIPTION: T.O. & REROOF BWdldin ;y.Per•mit Type STORM DAMAGE i1ding Wk rkk Type REPAIR In vS Ek9 Ccder` n=om 434 ALT. RESIDENTIAL rv? AA 9 E. i ?rvf j a ..J REMARKS: FEE SUMMARY: Ur C 47 I ("" 'vz CONTRACTOR: - Applicant - ST. LIC. OWNER: WALKER ROOFING CO INC 17292325 0004229 YISMAW GIRMA 2701. 36TH AVE S 3805 DENMARK AVE MINNEAPOLIS MN 55406 EAGAN MN 55123 (612) 729-2325 (651)295-0835 7n'wledge that I have read thle? Js correct and apree?to-,,-comprl I-'clt c1 Eagan; Ord1.n rv «? . APPLICANT/PERMITEE SIGNATURE I SUED BY. SIGNATU E? 19$5 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND f -SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND 1/d- _i3, "PO.OO To Be Used For -.Valuation: $ Date: 4/4/86 Site Address 3807 Denmark Avenue Lot 17 Block 2 Parcel/Sub Windcrest 1st Addition Owner Lombard Properties Address 625 4th Avenue South City/Zip Code Mpls., MN. Phone 343-0250 Contractor B-E Construction, Inc. Address 85 Third Avenue SE City/Zip Code New Brighton, MN. 55112 Phone 636-4164 Arch./Engr. Does not apply Address City/Zip Code Erect ?. Remodel Repair Addition Move '- Demolish Int.Impr. '?- Install APPROVALS Occupancy Zoning An Type of Const 0 of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Variance Copies TOTAL s 47 Phone # Ile 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1'SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND a ? .S? Oo u, o0 To Be Used For: G Valuation: Date: 4/4/86 Site Address 3805 Denmark Avenue Lot 18 Block 2 Parcel/Sub Windcrest lst Addition Owner Lombard Properties Address 625 4th Avenue South City/Zip Code Mpls., MN. Phone 343-0250 Contractor B-E Construction, Inc. Address 85 Third Avenue SE City/Zip Code New Brighton, MN. 55112 Phone 636-4164 Arch./Engr. Does not apply Address City/Zip Code Erect Remodel Repair Addition Move Demolish Int.Impr. Install APPROVALS Occupancy Zoning -1)6 Type of Const # of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment Pi APC Parks Variance Copies TOTAL Phone # 1 iURVEYOR'S CERTIFICATE ' wiNx'REST COMPAMY DENMARK O M 9p Rya s', J. moo' to O /N'.-- a -x 128.84 1% AVENUE a?(1. fJ A S8°46128"%4.9 ^0 IL O O \ Q7? SlB.D ., 71 81.46 19.0 19 Cip PC' 0 V? NiF W/ x i AN QKQ = 11/ c o 0 ? J ? N ??3• PROPOSED 30.0 v? T4 O tj% LOT 18 ? \ ?N h ? \\ 2 N 0 C O In 51.00 Y 6 l O 0 M ---f•-21.00 ' S F a I N BUILDING 0 '30 ?yq Ifj ((1 . ?g 4.S) N -- a 3 1 r-; tN ? / I M -? m LOT 17 z 1` - ?a iW by QW * ry 1 1 p I lop 24.76' 3 1°53154" W REVISED 1-21-86 TO SHOW PROPOSED BUILDING BY \ B 6. R CONSTRUCTION ?l SHEET 2 OF 2 SHEETS PROJECT NO. BOOK i PACE JAMES R. HILL, INC. 8(0333 85988 planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 65431 812-884-3029 SURVEYOR'S CERTIFICATE' WINDCREST COMPANY -? DENOTES PROPOSED SURFACE DRAINAGE SCALE: l .INCH = 30 FEET O DENOTES IRON.MONUMENT SET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR =8-18,4, FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 815.3 FFEET EET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = WE HEREBY CERTIFY TO WINDCREST COMPANY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lots 17 andl8 , Block 2 , 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 17TH DAY OF DECEMBER , 1985. SIGNED: JA/ME5, LL, INC. v - REVISED. 1- 22 - 86 To SNOW TO SHOW A PROPOSED BUILDING BY BY B a R CONSTRUCTION HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 SHEET I OF 2 SHEETS PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 80333 85988 14312 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mm 55431 612-084-3029 SURVEYOR'S CERTIFICATE WINOCREST COMPANY 0 M DENMARK 0 m 128.84 ya1 y.(" AVENUE . $" y.6 S8046'28111I%y.% 51. Owl O 7 R? n o f?' - 19.0 0 Kb J / n0 \ O i ?f a3 11.0 p Z O O ? J O Og N U3 PROPOSED p 30.0 N a ca-I4.S) 7?1 ?. q 8 Z W' ? 9 N N c w ri„ n ?c O 0 REVISED 1-21-86 TO SHOW PROPOSED BUILDING BY B & R CONSTRUCTION Z PROJECT NO. 8(0333 85988 FILE NO. FOLDER -- O -21.00 3 I ; ' S I 9s BUILDING /30.0 i i 44 g• LOT 18 LOT 17 s S 1°53'54° W 60 \ 1 'i \ L `? 1 $$o.to N O N N M M O_ 1D z 1 a ((1 I r- \J i - J SHEET 2 OF 2 SHEETS BOOK i PACE JAMES R. HILL, ING, y3?a? Planners / Engineers / Surveyors 8200 Humboldt Avenue South Bloomington. Mn. 65431 612-884-3029 3 =+ \ M 'a m ? Wk OD N o 2 W \a?\ r 0 + s Use BLUE-or BLACK Ink I For Office Use/~~ Permit City of EaRED I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I / I Fax: (651) 675-5694 i Staff: rl - - - - - - - - - - - - - - - - 2012 RESIDENTIAL BUILDING PERMIT APPLICATION 112 Date: '7 j Z-1Z, Site Address: MO"S ~?pta4e v& At,,e Unit Name: Phone: IPS(" Zo 9 - 6V RESIDENT /-W Z$-z~Z, OWNER Address/ City/ Zip: 3C-0 pf" C4,q lk *'l ~ a y k-I, Af to ST/ Z -Z J Applicant is: __tOwner Contractor / TYPE OF WORK Description of work: l~rc,/c ~,c>~~t*cl Construction Cost: o> Z o o Z) Multi-Family Building: (Yes / No ) Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) EQ &,'14- 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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. Exterior work authorized by a building permit issued in accordance with the Minneso ate uilding Code s e completed within 180 days of permit issuance. x tf,/ , I d~~ S L► x Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINEN r 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 70 Occupancy ! MCES System Plan Review Code Edition ;,p 7 SAC Units (25%_ 100%s. A ) 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) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test 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 Sheathing Radon Control Sheetrock Erosion Control Reviewed B y: , Building Inspector /Jt ' r RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge` Treatment Plant Copies TOTAL Page 2 of 3 -SURVEYOR'S CEATIFICATE • ~ WINDCREST coMPariY y$ DENMARK AVENUE 128,84 S8046'28"51.00 - } W 1 t 0 rn NO4'-a `0 0 a g y t 81.46 19.0 19.0 21.00 QD ~ J ' ^O. ~ 0 0v ~ 04 F 60 7 Z 11.0 11.0 z0c N /03 ~N N t PROPOSED BUILDING 30.0 30.0 '44,~ {tj ((1 \ $ 4.9) N - - 0 N 0 Wifl 0 CIO -A L 0 ao w LOT 18 LOT 17 Z ~ W= 0 W 00 N o W \ o ' qto~ 51.37 24.76 S i,53~5w REVISED 1-21-86 TO SHOW PROPOSED, BUILDING BY B & R CONSTRUCTION { 60 Z SHEET 2 OF 2 SHEETS PROJECT NO. BOOK / PAGE JAMES R. HILL, INC- 81o333 asses Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 56431 812-884-3029 Use BLUE or BLACK Ink r----------------� i For Office Use � ' � Permit#: � `—�� j Clty of �a�a� I Permit Fee: � b�' �J � 3830 Pilot Knob Road � I Eagan MN 55122 � Date Received: �� Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff:� I I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: €€ ; �� : ,, � �� Name: '�"� �rLt�a c l �-'i�"S�r„ Phone: � 12-�/�Z° Z`i 2� � Residentf � �` ; Address/Cit /Zi ��S f�� WI1+�t" Y P� c��L�/G-- � �� a �� fi� Applicant is �Owner Contractor , �� ~ Description of work: —rx�'� �� G+C�� '�" ��Type of�Work�� a �. � � � `��'�,.�� ,: Construction Cost: lD `/5� Multi-Family Building:(Yes /No � ) ��'�. � � � :: ,� /� w �� , �� Company: �� r�.s.� Jv;�,r- 4c',�r�N�) Contact: ��J�, � � � � ;�,.��°'�� "�`��,��; �"• `��""� �,• �v�'� Address: 7�l ( � �"N'� City: ��° �G�✓� �Q''�fC Contractor �� ; State:�Zip: �i S�O �� Phone: 6S�• �L`/�l vEmail: �� _ � � ' ��', * .�:� � .,; � ,; ;,= License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 a d suppo�rt�� g� ocuments�haf�y u subm�t ar�cons�der��#�be pu�iti��' �o�rt,t�an. �'.�o�fro�►s o�`� ' � 3 � � � �w .� �: �:'�` .� ��L:�`�� tite�nformatian niay.be c�ass�freal as��or��publ�c��y�y pro��ale spec��c reaso s�ha wau d'� ;ermrf.'he C�f �a .t . ��`�; ��.,. �e ' �� :�:�. ��;��_ .-� tcr� ciu,tle that,�the �,are tratle s rets: �H � � � � � �:,� � � � � � d . .. . _ � ... .. ,•., W . -,,, �...._�. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. vwvw.qoaherstateonecall.orp 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 Minnesot Sta e Bui ding Cod must b'`� pleted within 180 days of permit issuance. � j e � X ��u� C ��✓S �� X , �� ...�_.v_ _.__ � . .._ , _.r.�. Applicant's Printed Name A plicant's Signature Page 1 of 3 ' PERMIT City of Eagan Permit Type:Building Permit Number:EA175481 Date Issued:04/06/2022 Permit Category:ePermit Site Address: 3805 Denmark Ave Lot:018 Block: 002 Addition: Windcrest PID:10-84460-02-180 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Michael A & Nicole M Peterson 3805 Denmark Ave S Eagan MN 55123--144 (612) 799-9372 American Building Contractors 2960 Judicial Rd Suite 100 Burnsville MN 55337 (952) 707-6959 Applicant/Permitee: Signature Issued By: Signature I * i i •--- --- •--i EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 bu ildinginspectionsCcDcityofeagan.com --------------------- For Office Use I Building Permit #: I I I I I S&W Permit #: Permit Fee: I I I I Date Received: I I I Date Issued: I I---------------------- RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3/30/2023 Site Address: Applicant is: ❑ Owner 0 Contractor Name: Windcrest Twin Homeowners Association Homeowner Address: � > � �,�v.�cti.�(e bAki city: Eagan State: MN 55122 Zip: Phone: Email: Description of work: Residential Re -Roof Type ofj c Work Construction Cost: Building Contractor Type of buildin Unit #: ❑ Single Family ❑ Townhome, of units 0 Twin Home Company: GCM Construction Contact: Carter M Address: 6438 City West PKWY Cit . Eden Prairie State: MN Zip: 55344 License #: BC766925 Y• Phone: 612-245-026E Email: cmelchert@gcmcompany.com 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� Applicant's Printed Name Applicant's Signature