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3817 Denmark Ave Jun.30.2013 08:20 PM Stern Heating & Cooling, 6512584857 PAGE. 1/ 1 Use BLUE or BLACK Ink 1 For Offtce Use 1 I City of Eajan 1 permit#: I I I U 1 3830 Pilot Knob Road Penult Fee: ~ r I I Eagan MN 55122 1 Date Received: Phone: (651) 675 67$-5675 Fax: (851) 675.5694 f W - Jn' - Staff. 2013 MECHANICAL PERMIT APPLICATION Please submit two (2) sets of plena with all commercial applications. Date: Site Address: 3tS~~ ~h~~ AWL Tenant: Suite Resident/Owner Name: of-MKTaVecr Phone: ~I Address/ City/Zip: 3217 NL'ti !^/V S~2? Name: Sl k 4CA: , d- I ih .1-ht;~ License Contractor Address: 0411 10d A&C City, Aj- 1j►.1 State: (,1u zip: ,244 Phone: 74Y-/Zll Contact: UCh_ 3T Email: Sreh A"7it CO-1-47 , . Co New Replacement Additional Alteration Demolition nvrlrrh Type of Work Description of work: V I&W- krrrJU-• 110194.#, NOTE: Roof mounted and ground mounted mechanical equipment Is required to be screened by City Code. Please contact the Mechanical Inspector for Information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement Permit Type - Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit eat Pump Under/Above ground Tank L.. Install Remove) Other r4rk RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (Includes $5.00 State Surcherge) $100.00 Residential New (includes $5.00 State Surcharge) TOTAL. FEE COMMERCIAL, FEES Contract Value $ X.01 $55.00 Permit Fee Minimum $70.00 Underground tank Installatlonlremoval Permit Fee "If contract value is LESS then $10,010, Surcharge = $5.00 Surcharge' "If contract value Is GREATER than $10,010, Surcharge = Contract Value x $0.0005 """If the project valuation Is over $1 million, please call for Surcharge TOTAL FEE 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 6I 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. xa an (&n%;- Srcra Applicen s Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening CASH RECEIPT y' CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RECEIVED FROM AMOUNT $ & DOLLARS +oo ? CASH ?,CHECK lr'1'..r "'. f / L ... !i - ' ./ . . 1. FUND CODE AMOUNT Thank You White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 8950 PHONE: 454-8100 BUILDING PERMIT Receipt # / '? 7 7 f ?/ ciL Site Address Lot Parcel No. me Name Addre City . r. Name U? Address City Phone F W Name _a Address <W City Phone I hereby acknowledge that 1 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 i'O; R'?i",i IY T' ; IT, Erect After ? Repair ? Enlarge ? Move ? Demolish ? Zoning Fire Zone Type of Const. # Stories Ft. Assessment Water & Sew. Police Fire Erg. Planner Council Bldg. Off. APC Permit Surcharge Plan check U SAC 25.+i0 Water Conn. 7 0 . ?' 0 Water Meter Road Unit .. 2 Total A Building Permit is issued to: on the express condition that all work shall be done in?accordonce with all appiri bfe State of Minnesota Statutes and City of Eagan Ordinances. Building Official m it No. Por Permit Holder Misc. Permit No. Holder Plumbing ?? JJ L 1 Y n S /% H.V.A.C. Well Water Disp. Sewer Electric Aq1 Z A 6 d A ,a Inspection Date Insp. Other Footings Foundation Framing P sets Rough Plbg. f??c L/ D Rough HVAC Insulation Final Plbg. '? • Final HVAC Final Water Describe L at' Wall Sewer Pr. Disp. CITY OF EAGAN AT p 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 l? © 8951 PHONE: 454-5100 i BUILDING PERMIT Receipt Te he w d &. DUPL1:?X F.* V?1- ; 611000 n„ts I?PRIL 6 ,a 84 Site Address . Lot 1 5 Parcel No. - I Name i "Oi,FS BEAUTIFUL Address 3,`,31 DT"N' 1ARn b City =? l Phone 1 ='!i "0 E' `} 3 o Name u Address City Phone Name _ Address City _ 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee r'nL A Building Permit Is issued to: __ all work shall be done in ac dance with all applicable State of Min Building Official / Erect1 Alter p Repair ? Enlarge D Move Q Demolish ? Assessment _ Water & Sew. Police Occupancy r" Zoning Fire Zone Type of Const. V ` * Stories Ft. 03 Plan check -'" • 0 SAC - - Water Conn. 0 • ;''1 Water Meter Road Unit , ,, ?• 0 0 Total 7 , . 7T_. 5 0 condition thnv I 0 2 u Z :E L • a d 2 m n. m m d c c Q V E 5 m W m C « S c L E L o im+ d A I 'm m ?, r _ ?. mm O 3 - LL LL U. M C LL LL L N CL (a 7D -E4' &P # CONTRACT PRICE: Site Address Lot ; 'f Block MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3834 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 4? W Name ED _d 11 1 1"/?L ' ' Address f c City Phone Name CD Addre O City - TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater Air Cond. M BTU M BTU Vent CFM Gas Piping Outlets # Other FEE S/C: TOTAL BLDG.TYPE Res. / Mutt Comm. Other WORK DESCRIPTION New Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMMAND 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) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN Receipt --' MECHAI CITY Fill in 1. Date 2. 3. Job Address 4. Owner 5. Contractor MIT Permit No. J Fee ices S/C y Tot. Blk.. Tract Phone " 6. 7 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. an ng: r Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Il?o l CITY 1. Date 2. In, 3. Job Address 4. Owner 5. Contractor PERMIT Permit No. GAN Fee ' ?d spaces S/C legibly Tot. Cost Blk. Tract jj // ?vPhone % 6. Address Gl ?` .; . / ; ?• .re 7. City State zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. ng: r an Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : fors Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 T Ll Receipt 7 J LING PERMIT OF EAGAN I Fill in numbered spaces Tvpe or Print legibly Permit No. Fee S/C Tot. -y 1. Date I 2. Installation Cost 3. Job Address Lot' Tract 4. Owner ---- 5. Contractor: i -f f? f Phone 6. Address 7. City 4 State Zip 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New ?---"'Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt 1 J PLUMBING PERMIT CITY OF EAGAN i I d- Fill in numbered spaces Type or Print legibly 1. Date(' ' !G' f 2. Installation Cost 3. Job Address i Lot " (- -f-'Blk. 4. Owner 5. Contractor 6. Address Permit No. Fee --?[? "L " (,) SIC Tot. 1J . ?_ Tracts-? ? °r Phone 7. City State Zip 8. Building Type: Residential Ck Commercial ? Institutional ? 9. Work Description: New C3'? Add ? Alter ? Repair ? 1 10. Describe 1 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank i _ Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray / Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Addition WINDCRIEST J1DDN Lot 15 Rik 9 Parcel 1 Q 8446() 150 M_ Owner Street 3819 Denmark Avenue State Eagan, MN 55123 Improvement Date Amount Annual Years P5 Payment Receipt Date STREET SURF. 7 1983 1889.18 377.84 5 ?"$, q 1501 01,3 9 a0- STREET RESTOR. GRADING SAN SEW TRUNK 1973 107 67 5.38 20 , 3 0140 lee 3 - SEWER LATERAL 1981 52.73 5.27 10 8 '7_ j9 011,14,3 San S?w * '?E 2 2907.2 81.46 5 WATERMAIN ?k WATER LATERAL 1982 5 WATER AREA (c4'-/ 1982 168.79 3 5 33, fq 0/&/& es * Services 1982 5 - STORM SEW TRK !? s 1982 437.65 87.53 5 14 O 16- 6,3 -,:aO * STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 20.00 442406 4-6-84 WATER CONN. 50.00 11 if BUILDING PER. 8951 SAC PARK CITY OF EAGAN Addition -WINDCREST ADDN. Lot 16 Blk 2 Parcel 10 84460 160 02 Owner Street 3817 Denmark Avenue State Eagan, MN 55123 Improvement Date Amount Annual Years S Payment Receipt Date STREET SURF. 0 1983 1889.18 377.84 5 1015836 -22-8 STREET RESTOR. GRADING SAN SEW TRUNK _ 197 107.62 5.38 20 37.68 A015836 -22-$ SEWER LATERAL q?// 1981 52.73 5-27 in 26.38 7-22-85- San Sew Lateral * 1982 2907-28 581.46 5 581.48 A015836 7-2.2-85- WATERMAIN * WATER LATERAL WATER AREA s 19 82 1 8.79 33.76 7-2.2-85 * 1982 STORM SEW TRK 4; 5 2 37. -5-- 87-53 A015836 7-22-85 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 20.00 #42406 4-6-84 WATER CONN. 50 , 00 BUILDING PER. 8950 SAC PARK No.: o -i 1 o to comply with the Charges: ::3.00 dp meter TY OF CiAGAN SEWER SERVICE PERMIT 30 Pilot Knob Road 0. Box 21199 PERMIT NO.: gan, TWIN 551 DATE: cell ning: No. of Units: omen Be ass: sz Address: 1''19 Denmark Avenue _. . :'!;c.nnson g _ -- i agree to comply with the City of Eagan Ordinances. By Dote of Insp.: I nsp.: N 3830 Pilot Knob Road P. O. Box 21199 Eagan,1N1N 55121 Zoning: Owner. Address: i 4 15(-,remark Ave Site Address. r Plumber: Meter No.: Size: Reader No.: 1 agree to comply with tM City of Eagan Ordinances. By Date of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: 4-13-84 No. of Units: duple.,- Connection Change: 425 . 00 pd 15.00 Fd Account Deposit: T ").1.0 nd Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: WATER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges' - Total: Date Paid: metier soon rnoz 1%" F. O. Box 211 Qo r+aaa 99 J / J f PERMIT NO.: n, NPN 55121 I / DATE: Zoni Zoning: ? No. of Units: :uplex Owner: Address: Site Address: . Plumber: ?fwn di !It Meter No.. o ' J?.g?` Connection Charge: 70.00 .d Size: if ; I ,nt Deposit: I ;t eadeI No. "!f a A Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: 'k! Total: By Date Paid: r Dote of Insp.: j Insp.: , I CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: ' Eagan, MN 55121 DATE: Zoning: - No. of Units: (?^ f r r ?;1 t F_ 11 Owner: Address: 3,117 Denmark Avenue TJ±ii:lcrest st .Site Address: Plumber: norns?in P1bg Co 470.00 pd Meter No.: Connection Charge: 15.00 Pd { Size: Account Deposit: 1 ?' 00 pd Reader No.: Permit Fee: agree to comply with the City of Eagan Surcharge: . SO p? 3• d p m e L c: r Ordinances, Misc. Charges Total: B Date Paid: y Date of Insp.: Insp.: ? i r)n CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ^ Zoning: n"? No. of Units: duplex Owner H`369X 1iocies ,eaut' ful Address: Site Address: 3617 Denmark !Avenue -2,2 Windcrest lot I agree to comply with the City of Eagan Ordinances. By Date of Insp.: I nsp.: 423.00 pd Connection Charge: Account Deposit: P Permit Fee: p Surcharge: p Misc. Charges: Total: Dote Paid: CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121. NO 8950 l PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for ?, D UPLEX Est. Value S 61 .000 Date AP RIL 6 , 19-BA- SiteAddress 3817 DENMARK AVE. Erect [C Occupancy R3 Lot 16 Bl ock 2 Sec/Sub. WINDCREST Alter ? Zoning R2 Parcel No 10-844 60-160-02 Re air ? Fire Zone N/A . p E l Vn T f C t n arge ? ype o on . z Name HOMES BEAUTIFUL Move ? # Stories 3 Address 3831 DENMARK AVE Demolish ? Length 3 0 0 City EAGAN Phone 454-0643 Grade ? Depth 44 Sq. Ft. SAME _ Approvals Fees o0 U uSa Name _ Address City - Phons Assessment _ Water 8 Sew. Police Fire Eng. Planner _ Council _ Bldg. Off. APC Permit $ 316.00 Surcharge 30 . 50 Plan check 158.00 SAC 525.00 Water Conn. 470 - 00 Water Meter 61 00 Road Unit 2 F n 00 fw Name xK Address u <w City Phone 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesoto Statutes and City of Eagan Ordinances. Signature of Pennittee - A Building Permit Is issued to: oil work shall be done ir[acca Total ?i, 82-T' 50 HOMES BEAUTIFUL on the express condition that e witV`6Trpppllr0ble State of Minnesota Statutes and City of Eagan Ordinances. Building Official BUILDING PERMIT N° 8899 Receipt # eL02 To be used for 1/2 DUPLEX Est. Value $ 61,000 Date MARCH 20 , 1 9-B.4- Site Address 3817 DENMARK AVE. Erect Occupancy R3 Lot 16 Block 2 Sec/Sub. WINDCREST Alter ? Zoni R2 Parcel No. 10-844607160-02 Repair ? FireZ a N/A E Vn nlarge ? Ty Co W Name HOMES BEAUTIFUL Move ? # tries z Address 3831 DENMAREK AVE. Dem ish ? n h 30 city EAGAN Phone 454-0643 Grad El epth 44 , Ft .- o Name _ uu Address FS City - Name _ Address City - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 454.8100 Phone Phone Eng. I hereby acknowledge that I have read this application and state that Bk the information is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Fees permit $ 316.00 Surcharge - 30,i5`0.-' Plan check 158.00 SAC 525.00 Water Conn. 4 7 0. 0 0 Water Meter 63.00 Road Unit 260-00 Total $1,822.50 Signature of Permittes A Building Permit Is issued to: HOMES BEAUTIFUL on the express condition thbf all work shall be done in car q e with all opishfable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN ?T 3630 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 l?l'0 8951 PHONE: 454-8100 BUILDING PERMIT Receipt # / ` y To be used for ? DUPLEX Est. Value $ 61, 000 Date APRIL 6 19 84 Site Address 3819 DENMARK A VE Erect {Ij Occupancy R3 Lot 15 Block 2 Sec/Sub, WIND R T Alter ? Zoning R2 Parcel No. 10_84460-150-0 2 Repair ? Fire Zone N/A E l Vn T f C n arge ? onst. ype o w Name HOMES BEAUTI FUL Move p # Stories Z Address 3831 DENMARK Demolish ? Length -- 30 City E AGAN Phone 454-0643 Grade ? Depth 44 Sq Ft . . SAME Approvals Fees o Name u Address Assessment _ ? City Phone Water & Sew. Police Name Fi fw re I Address E ng. <W City Phone Planner- Council _ 1 hereby acknowledge that I have read this application and state that Bldg. Off. - the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Permit a J130,50 Surcharge Plan check 158, 0 0 SAC 525.00 Water Conn. 470.00 Water Meter _6 3-0 0 Road Unit 2 r n- 00 Total $1,822.50 Signature of Permittee I A 8 Ilding Permit Is issued to: HOMES BEAUTIFUL o the ndit that all work shall be done in aced Building Official n expressco ton o bl Stote of Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454.8100 BUILDING PERMIT To be used for 1 /2 T]fTPT,RX Est. Value S 61 . Site Address 3819 DENMARK AVE. Lot 15 Block 2 Sec/Sub. WINDCREST Parcel No. 10-84460-150-02 w Name HOMES BEAUTIFUL Address 3831 DENMARK b City EAGAN Phone 454-064:3 o Name SAME ou Address r City U Name io Address <W City Phone I hereby acknowledge that I hove 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 Pennittee A Building Permit is issued to: all work shall be done in accordanc with I applicable State f Building Official ` Phone Receipt ?t 0 Date Erect ?K Alter ? Repair ? Enlarge ? Move ? emolish G de Pero Asse ment Wots & Sew. - Eng. Planner Council _ Bldg. Off. APC _ 44 Sq. Ft.- Fees Permit $ 316.00 Surcharge 30.50 Plan check 158.00 SAC 525-00 Water Conn. 470-00 Water Meter - . 63_ 00 Road Unit 2 F n 00 Total $1 r 822 50 on the express condition that Statutes and City of Eagan Ordinances. N° 8898 YJ-c' N/A of Const. VR Depth CITY OF EAGAN d / S BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. To Be Used For p { valuation Date 1-;Z.5 - V-4 Site Address: ?Uf- Lot _Z? Block Sec. /Sub.yt/?47 Erect Parcel #: ?Q -,T y/660 _ISO - 0 2 RAlter epair Owner: A141 o nn F s AuT?„ Enlarge _ L Move i Address: 1:3 8-17 / D ,n Demolish City/Zip Code: Su a Grade OFFICE USE ONLY Occupancy /(-"& Zoning A.rY "- Fire Zone Type of Const. T r # Stories Front "3o ft. Depth -11 ft. Phone #: 95. 9 0« 3 APPROVALS FEES Contractor: Address: City/Zip Code: Phone #: Arch./Eng. Address: City/Zip Code: Phone #: Assessments Water/Sewer Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge D ..? Plan Check SAC S 2 S Water Conn. q 7j) Water Meter 3 Road Unit p ?T TOTAL CITY OF EAGAN VVV? BUILDING PERMIT APPL TION To Be Used For D,/,?? ?( Valuation rdD Include 2 sets of plans; 1 site plan w/elevations & Sp l set of energy calculations. Date /- ; 3 - /2 Site Address: -? h /7? fieem4 t9ve, OFFICE USE ONLY Lot. Block -Z Sec./Sub.6(-) Erect Occupancy Parcel Q a - 02 Alter Zoning Y? /? Repair Fire Zone Owner: 6??4&L l' Enlarge _ Type of Const. Move # Stories Address: Demolish _ Front ft. City/Zip Code: EQ,-4„. ? 'tj Grade Depth q4 ft. Phone #: 1 Contractor: SLjyyJ ?" Address: City/Zip Code: Phone #: Arch. /Eng. . Address: Assessments Water/Sewer Police _ Fire Eng. _ Planner Council Bldg. O APC Surcharge _ Plan Check SAC Water Conn. Water Meter Road Unit City/Zip Code: Phone #: -?5 ^?yI(lrU Permit CORRECTION NOTICE Address Owner/Agent Address Ordinance Nos. and Corrections - Correct By DATE: Site Name For Pilot Knob Eagan Dept. of Inspection Inspector: 3795 Pilot K Knob b Rd Rd. Eagan, Minnesota 55122 454-8100 Dept.: i` 1 .. -: 1 0 0 30 .50 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 Site Address 3St Jo- Unit Property Owner TQ r Ll? r- Telephone#( 6`'f t 3 Contractor ANf F11 AIRR I NC 12253 NtcolletAvenue Sou01 Street Address Rinvid0e, MN 55337 City 'fblephone 52.748-5200 State F97C952.7dR.52n2 Zip Telephone# ( ) ?O Gj > Expires: Bond #: Lr /? b The Applicant is Owner t/ Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional -Replacement New air exchanger air conditioner c? heat pump other State Surcharge $ 50 Total $ 3 0' Sq 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 T 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 approve plan in the acaseo ork which requires a review and approval of plans. r Applicant's Printed/Name Applica is Signature RESIDENTIAL 3 7s- BUILDING PERMIT APPLICATION S 5?` CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN 11155122 651-681-4675 New Construction Requirements • 3 registered site surveys shoving sq. ft. of lot, sq. ft. of house; and all roofed areas (20q maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE Remodel/Repair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate If home served by septic system for additions VALUATION SITE ADDRESS 3 N &nmc4iL MULTI-FAMILY BLDG _Y ,CN TYPE OF WORK. ? ?n _^_ 9•_ /? FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT fl?i+t? ?:.?/I mifr& (.fw, p I/ ,A`A/ STREET ADDRESS nuwl T S i 1,.UXh d4 b &ACITY 0 STATE Y AI 6,5 &aViRse TELEPHONE #q5?'fgpo 0' 0 ? CELL PHONE #61)- My- el5176 FAX # 9T?2:d f- PROPERTY OWNER TELEPHONE# 657- 6 -1/? COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) - Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted - Energy Envelope Calculations Submitted Plumbing Contractor: --- Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Water Softener Water Heater No. of Baths Air Conditioning Heat Recovery System I hereby acknowledge that I have read this application, state tha with all applicable State of Minnesota Statutes and City of Eaga Signature of Applicant Phone # Lawn Sprinkler No. of R.I. Baths Phone # OFFICE USE ONLY Tee: $90.00 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of- plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36. Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Franung _ Siding _ Stucco _ Stone Fireplace - R.I. - Air Test -Final Windows (new/replacement) Insulation _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector RESIDENTIAL / ( 3-Z(73' BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New construction Reaulremente RemodeUReoak Reaufrements • 3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and pil roofed areas . 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated add'dlons • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate ff home served by septic system for additions • 3 copies of Tree Preservation Plan a lot platted after 711193 • Rim Joist Detail Options selection sheet (bIdgs with 3 or less units) DATE VALUATION L? C"y S 9? SITE ADDRESS 3 FS!5 i0ev~k- AV ?C- &ae c, MULTI-FAMILY BLDG _Y _ N TYPE OF WORK Qe RU - _? FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT- _ ,kf CoQ.r< STREET ADDRESS &SK =deiuvje. 8fyd CITY P STATEI?kAIP TELEPHONE # I5a 47y 22 ) CELL PHONE # FAX # PROPERTY OWNER aRR f e %S R/ le Ile'v &('k- TELEPHONE # COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Water Softener _ Water Heater No. of Baths Air Conditioning Heat Recovery System Phone # Lawn Sprinkler No. of R.I. Baths Phone # Phone # Fee: $90.00 Fee: $70.00 -------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance Signature of Applicant °--......... °-------..._._._.. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbgyour_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final _ Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ Air Test - Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector i J_ 2/84 CITY OF EAGAN / APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PENT) po 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel I.D. Number) IF EXIST= STRUCTURE, DATE OF ORIGINAL BUILDING P---MIT ISSUPNCE: - PRESu^ S'!NT1 r,/F?DPCSL;, USE- j8f R-1 SINGLE FAyLILY ? R-2 DUPLEX (TWO UNITS) ? R-3 TOWNHOUSE (THREE + UNITS) ( UNITS) ? R-4 ApARa=/CONDa4N=, ( WITS) ? COMMERCIAL/RETAIL/OFFICE ? INDUSTRIAL ? NSTITUTIONAL/GOV? 2) APPLICANT (PLEASE PRINT) NAME: ADDRESS: % CITY, STATE, ZIP: 71, PHONE: / 5 `?(o -l0 7a? PLEAS NT) / 3) PLUMBER FOR CITY USE ONLY . NNNE -Lt?L? ADDRESS: ?` 4 PLUMBfrRS LICENSE: [ Active CITY, STATE, ZIP: Expired PHONE. MAlt? PLUMBER LICENSE H Q Not of R cord a 4) OCCUPANT/OWNm NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: --a'CONNECTION TO CITY SEWER _Q'OONNECTION TO CITY WATER OTHER (PLEASE DESCRIBE) b) 1NDLui:iL' E] PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2,34 ABOVE (Circle one) 7) SIGNATURE: DATE: 7 ?Q .e?eoe:?iw+fia sr ieEms: r!1.r...a:?jai9sais?rs= a.?I smj wrwc!?er ?.rr?rasikrr wKSSee® F O R C I T Y PERMIT $ ISSUED FEES: $ $ $ 3. e-o $ E ON L Y SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER TOTAL AMOUNT PAID/RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ( NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : - / _ .e0100 Wsmm* pook" mtmmwwm?w?rasstw+w+waw? w?a ¦,c?sa?sw.?w w:wmawowsum 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION PLEASE PRINT) 1) PROPERTY ADDRESS: 0 ?9 L?ttJL LEGAL DESCRIPTION: /?? (Lo t/Block/Subdivision or Tax Parcel I.D. Ntunber) IF EXIST= :G STRUC U"RE, DATE OF ORIGINAL EUILDI`IG P-:IIT ISS', -L C°: "c --'.e ar PRESENT S0NrLr-/PwOPCSE7 USE: ??t1 SINGLE FAMILY ? R-2 DUPLEX (TWO UNITS) ? R-3 TO4vNHOUSE (THREE + UNITS) ( UNITS) ? R-4 APARZP^.ELVT/C0NDCfi4 j =Ll ( UNITS) ? COMMERCIAL/RETAIL/OFFICE ? DMUSTRLAL ? INSTITUTIONAL/GOVE;a,= 2) APPLICANT (PLEAS -RINT) NAME: / ADDRESS: CITY, STATE, ZIP: S7 PHONE: 3) PLUMBER N PLEASE Pft T) FOR CITY USE ONLY AME: ADDRESS: C PLUM RS LICENSE; Active r CITY, STATE, ZIP: ` f?9 Expired PHONE: f Not of ecord PLUMBER LICENSE # z ? l a -Initial 4) OCCUPANT/OWNER NAME- ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING RjD?)UESTED: CONNECTION TO CITY SEWER Ell-'CONNECTION TO CITY WATER El O= (PLEASE DESCRIBE) b) 1NU1(;til'E ONE: 7) SIQIATURE: PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE LEASE MAIL APPROVED PERMIT TO 1, 20 4 ABOVE (Circle one) DATE: % _AU e 4?lw:aVes+?is?sr ie?w?::?a rlY?l .ir?iara#id srrw?tnr ?tjiy art ?-.?r:?Irr fr f?Y?frrkileie:`s?r<® F 0 R C I T Y U S E O N L Y PERMIT °»». ISSUED FEES: $ in ?d $ $ $ $ Sam. °? SEWER PERMIT 'INTCL=E SURCHARGE.} WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER $ TOTAL $ GL AMOUNT PAID/RECEIPT # 2/ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: C??p Q TITLE: DATE: I% 6"w OMAN ¦tw i\ wwt W &W OR wsm mum m m i" w3ma wlm ?? /tom l4 ?? MUM K# MEW }E fjy R-W §*= W w PW w `Ng0i 1 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. oi5 Date ?g / "? 9 / o -. Site Street Address 1 7 ??nf rnA e? rlv Unit # Property Owner ?b -T E 2J t c-2 Telephone # (6S! ) 683 - 041 3 Contractor 4z? &"--? LV\ Telephone#(6S) ) 7SS-6Sa? Address ? 1061 ? 2ai 2t E'R's, Lu Ln/ City- 3 2 OAK 4 State ' _ Zip SS 37a The Applicant is: _ Owner Contractor - Other Septic System - New Refurbished Submit 2 sets of plans and MPC license -7 fee includes County 1 $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. H you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment D (?' ll V D -Water Turnaround (add $130.00 if a 5!8" meter is required) O 1 ???s other: SEP - Water Softener -'2-Water Heater $ 15.00 - new 1X- replacement - Lawn Irrigation _RPZ _PVB -new -repair ^rebuild $ 30.00 State Surcharge $ .50 Total $ 15, ?-? 1 hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. i 2>fiNR ?IoHC?tAN? - i _ h?FCC.--n'? Applicant's Printed Name Applicant's Signature SURVEYOR'S CERTIFICATE MAGNAR TENOLD t fah NB/°/332" W 205 62 40 /O M 878.20 . 30.pp?, 1 3 R L'? T h x@771 ih ti J 1 B76 B /M 1' W 30.67 h R N m p /? eeoe O ?_ ro B/°/332,, o o//j 1? Mp Q H W v PROPOSEp M 6 ?3 a7a44 N ?? N 41x W ti /99.47 w O 2 _ ?? -r ?Ql M g V ti, oo O? BUILDING to l w LOT` _? M /a om a ro n - ? ? ? ? 1 ? 11 _ Xae<b-o1-??.s f 10 q 1 N8/°/332" /o W 193.3 ea2rg . 3OOp =_ I L_ aez.ex 2 xee?.1 aeaz xe637 f I XBB3/ ( 1 £X/ST BCOG I 40 I DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 40 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = aal-5 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = FEET (000.0) DENOTES PROPOSED ELEVATInN PROPOSED TOP OF BLOCK = S?i.7 FEET . (AT GARAGE) I HEREBY CERTIFY TO MACNAP. TENOLD COMPANY THAT THI S IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lots 15 and 16, Block 2, WINDCP,EST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS 20TH DAY OF JANUARY., 1984. BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 SIGNED: JAMES P. ILL, INC. PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 691 Planners / Engineers ,/ Surveyors FILE NO. 75 8200 Humboldt Avenue South Bloomington„ Mn. 65431 612-884-3028 ó þ òû ÿþ ÿÿ þýý üþþÿÿïúò ëð ì ëååìì ÿù ýüûúùøýÿã üúùø ýÿ øü ßÛ ÿ ã ü ãååâüøù Þÿ ýÝü ÷ ÿä òòñ þ ñäö ÿñ èééû üûä ç ø ÿ ü ñöñüñäéãò ò øò é ã ûñö Ýü ûù ÿòñù ñ é ÷æåÜæéíëéåëí øü ýü ÿ êüæåÜæéîéîí êüåþé ÷ö ùõô øø úã ýÿ ò ú ä ììåú ò ðþýüëñ ä ýéüôõííå ÿôõíí èìíçííëåå ûùÿ ä øø ò ñ ÿ ñøù øøûý òô ýü ãùò ÿâ é øøà ñýÿü üùýÿü 4101'. City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 1 5O1 Permit Fee: 1 1 1 Date Received: ( d i 1 113 Staff: It 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5 1-7 / Site Address: 38-1-7 �fr five_ V Thi e— Unit #: Name: 0()./U ; ' Lv-e �G' Phone: 01— 2 39-0233— Address Cf-0233aAddress /City / Zip: 3 ? t' -7 Yta)V Jco9 ThAJ .S5 12 3 Applicant is: Owner Contractor Description of work: 'ICC.ttF41/4.) awe: tlk eA(3it er co 06-epoval t ® Now Lolsc$c3eP2uJkr ca Construction Cost. P72f Is Multi -Family Building: (Yes / No 1k) Company: nOb(V%SRe_sI6 kr27,A ' , tricig ct: I ,_,A ri 41 Address: oz 59 e5 74' RCf / L f#/415 City: ed }YflSfr/ State: f'7I'J Zip:5 >v ' Phone: 9,5:07=2c? ( 3E e tkR5 063 U'k License #: C_()( (pif' Lead Certificate #: /) 31)3— / If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) t4 w t .LL 1.13 n P 17 I of 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: 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.00pherstateonecall.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 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. Exterior work authorized by a building permit issued in accordance with the Minnesota Statgpuilding Code must be cOpleted within 180 days of permitissuance. p x Johyi lki x l Applicant's Printed ae Appli is Sign - 'u / F�cJ Page 1 of 3 D irn i DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace X Single Family T Garage _ Multi _ Deck _ 01 of _ Plex _ Lower Level _ Accessory Building WORK TYPES New Addition Alteration Replace _ Retaining Wall DESCRIPTION Valuation Plan Review , (25%_ 100% 1/ ) Census Code # of Units # of Buildings Type of Construction Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool _ Interior Improvement — Move Building Fire Repair _ Repair 1.-/341 1 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final 4 Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final RESIDENTIAL FE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 7674" _ Siding Reroof Windows T Egress Window /1/507 Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: — Footings _ Backfill — Final Radon Control Erosion Control , Building Inspector /3 Ar/- /)vQ D7,# 4‘0740.7 Page 2 of 3 11), 07 3 S/ ? bi H•r�r/LY / 1)Z A A System No. W L-3194 May 19, 2005 F Ratings —1 & 2 Hr (See Item 1) T Ratings -- 0 & 1/2 Hr (See Item I ) p.otf\Gx) SECTION A -A 1. Wall Assembly — The 1 or 2 lir fire rated gypsum board/stud wall assembly shall be constructed of the materials and in the manner described in the individual U300, U400 or V400 Series Wall or Partition Design in the UL Fire Resistance Directory and shall include the following construction features: A. Studs — Wall framing may consist of either wood studs or steel channel studs. Wood studs to consist of nom 2 in. by 4 in. (51 mm by 102 mm) lumber spaced 16 in. (406 mm) OC. Steel studs to be min 3-1/2 in. (89 mm) wide spaced max 24 in. (610mm) OC. B. Gypsum Board* — The gypsum board type, thickness, number of layers, fastener and sheet ori + as specified in the individual U300 or U400 Series Design in the UL Fire Resistance Directory The hourly F Rating of the firestop system is equal to the hourly fire rating o w assembly in which it is installed. The hourly T Rating is 0 and 1/2 Hr for 1 and 2 Hr rated assemblies, respectively. 2. Cable— Through Penetrations 3000 Series A. B. C. Max 200 pair No.22AWG (or smaller) copper conductor with polyvinyl chloride (PVC) insulation and jacketing material. Max 1/C No. 350 kcmil (or smaller) copper conductor cable with cross-linked polyethylene (XLPE) or PVC jacket. Max 7/C No. 12 AWG (or smaller) copper conductor power and control cables with XLPE or PVC insulation with XLPE or PVC jacket. D. Max 3/C No. 2/0 AWG (or smaller) copper or aluminum conductor SER cables with XLPE or PVC insulation and jacket. E. Max 4/C No. 2/0 AWG (or smaller) copper conductor, aluminum clad or steel clad TECK 90 cable with or without PVC jacketed E Max 110/125 fiber optic (EO.) cable with PVC insulation and jacket. G. Max 3/C with ground No. 8 AWG (or smaller) copper conductor NM cable with PVC insulation and jacket. H. Max RG/U coaxial cable with fluorinated ethylene insulation and jacket. I. Max 4 pair No. 24 AWG (or smaller) copper conductor data cable with Hylar jacket and insulation. J. Through Penetrating Product* — Any cables, Armored Cable* or Metal Clad Cable+ currently Classified under the Through Penetrating Product category. See Through Penetrating Product (XHLY) category in the Fire Resistance Directory for names of manufacturers 3. Fill,Void or Cavity Material* —Caulk or Sealant E D CL 0 3M COMPANY CP 25WB+ caulk or FB -3000 WT sealant *Bearing the UL Classification Marking This material was extracted and drawn by 3M Fire Protection Products from the 2007 edition of the UL Fire Resistance Directory. 3 Fire Protection Products www.3m.com/firestop W -L-3194.1 of Dowe 403 System No. W L-1296 February 14.2008 F Ratings —1 and 2 Hr (See Item 1) T Ratings - 0 and 1/4 Hr (See Item 1) SECTION A -A Wall Assembly —The 1 or 2 hr fire rated gypsum board/stud wall assembly shall be constructed of the materials and in the manner described in the individual U300, U400 or V400 Series Wall and Partition Design in the UL Fire Resistance Directory and shall include the following construction features: A. Studs— Wall framing may consist of either wood studs or steel channel studs. Wood studs to consist of nom 2 by 4 in. (51 by 102 mm) lumber spaced 16 in. (406 mm) OC. Steel studs to be min 3-1/2 in. (89 mm) wide spaced max 24 in. (610 mm) OC. B. Gypsum Board* — The gypsum board type, thickness, number of layers, fastener type and sheet orientation shall be as specified in the individual U300, U400 or V400 Series Design in the UL Fire Resistance Directory. Max diam of opening is 10-5/8 in. (270 rum). C. Steel Sleeve — (Optional, Not Shown) - Cylindrical sleeve fabricated from min 0.019 in. thick (0.48 mm) galv sheet steel and having a min 2 in. (51 mm) lap along the longitudinal seam. Length of steel sleeve to be equal to thickness of wall. Sleeve installed by coiling the sheet steel to a diam smaller than the through opening, inserting the coil through the openings and releasing the coil to let it uncoil against the circular cutouts in the gypsum wallboard layers. The hourly F Rating of the firestop system is equal to the hourly fire rating of the wall assembly in which it is installed. The hourly T Rating is 0 and Ito lir for 1 and 2 Hr rated assemblies, respectively. 2. Through Penetrants A. B. C. D. E. F. Steel Pipe — Nom 8 in. (203 nun) diam (or smaller) Schedule 5 (or heavier) steel pipe. Iron Pipe —Nom 8 in. (203 mm) diam (or smaller) cast or ductile iron pipe. Conduit — Nom 4 in. (102 mm) diam (or smaller) steel electrical metallic tubing (EMT) or nom 6 in. (152 mm) rigid steel conduit. Copper Tubing —Nom 4 in. (102 inm) diam (or smaller) Type L (or heavier) copper tubing. Copper Pipe — Nom 4 in. (102 mm) diam (or smaller) Regular (or heavier) copper pipe. Through Penetrating Product* — Flexible Metal Piping — The following types of steel flexible metal gas piping may be used: 1. Nom 2 in. (51 mm) diam (or smaller) steel flexible metal gas piping. Plastic covering on piping may or may not be removed on both sides of floor or wall assembly. OMEGA FLEX INC 2. Nom 1 in. (25 mm) diam (or smaller) steel flexible metal gas piping. both sides of floor or wall assembly. GASTITE, DIV OF TITEFLEX 3. Nom 1 in. (25 mm) diam (or smaller) steel flexible metal gas piping. both sides of floor or wall assembly. WARD MFG INC 3. Fill, Void or Cavity Material* — Caulk or Sealant 3M COMPANY *Beating the UL Classification Mark This material was extracted and drawn by 3M fire Protection Products from the 2008 edition of the UL Are Resistance Directory. 31 Fare Protection Products www.3m.com/firestop W-1.-1296 1 of 1 Plastic covering on piping may or may not be removed on Plastic covering on piping may or may not be removed on CP 25 W B+ caulk or FB -3000 WT sealant c©da s artthe.1466.111,t !hoose option 4 for FAX ON MAIM System No. W L-2088 May 23, 2005 F Ratings — I and 2 Hr (See Item 1) T Ratings —0, 1 and 2 Hr (See Item 2) SECTION A -A I . Wall Assembly —The 1 or 2 hr fire rated gypsum board/stud wall assembly shall be constructed of the materials and in the manner specified in the individual U300, U400 or V400 Series Wall and Partition Designs in the UL Fire Resistance Directory and shall include the following construction features: A. Studs— Wall framing may consist of either wood studs or steel channel studs. Wood studs to consist of nom 2 in. by 4 in. (51 mm by 102 mm) lumber spaced 16 in. (406 mm) OC. Steel studs to be min 3-1/2 in. (89 mm) wide and spaced max 24 in. (610 mm) OC. B. Gypsum Board* —Thickness, ' e, number of layers and fasteners as •aired in the individual Wall and Partition Design. The ou ng o t e firestop system is equal to the hou fire rating of e wall assem in which it is installed. 2. Through Penetrants — One nonmetallic pipe or conduit to be installed either concentrically or eccentrically within the firestop system. The annular s ' ace for max 1-1/4 in. (32 mm) dram pipe or conduit shall be min 0 in. (i int contct to max 718 in. (0 mm to max 22 mm) A. Polyvinyl Chloride (PVC) Pipe —Nom 2 in. (51 mm) diam (or smaller) Schedule 40 solid core or cellular core PVC pipe for use in closed (process or supply) or vented (drain, waste or vent) piping system. B. Polyvinyl Chloride (PVC) Pipe— Nom 3 in. (76 nun) diam (or smaller) Schedule 40 solid core PVC pipe for use in closed (process or supply) piping system. C. Chlorinated Polyvinyl Chloride (CPVC) Pipe — Nom 3 in. (76 mm) diam (or smaller) SDR 11 CPVC pipe for use in closed (process or supply) piping systems. D. Rigid Nonmetallic Conduit -H- — Nom 3 in. (76 mm) diam (or smaller) Schedule 40 PVC conduit installed in accordance with Article 347 of the National Electrical Code (NEPA No 70). E. Electrical Nonmetallic Tubing (ENT)++ --Nom 1 in. (25 mm) diam (or smaller) ENT formed of PVC, installed in accordance with Article 331 of the National Electrical Code (NEPA No. 70). See Rigid Nonmetallic Conduit (DZKT) and Electrical Nonmetallic Tubing (FKHU) categories in the UL Electrical Construction Equipment Directory for names of manufacturers. The hourly T Rating is dependent on the hourly rating of the wall assembly, the pipe or conduit size and whether the pipe is intended for use as a closed or vented system, as shown in the following table. Nom Pipe Diam In. (mm) Wall Assembly Rating Hr Closed (c) or Vented (v) T Rating Hr 1/2 to 3 (13 to 76) 1 c 1 1/2tol-1/4(13to32) 1 v 1 Into 1-114(13to32) 2 c 2 1/2tol-1/4(13to32) 2 v 1 2 (51) 1 4' 0 2(51) 2 v 0 Fire Protection Products www.3m.com/firestop w-1.-2088. 1 of 2 System No. W L-2088 continued 3. Fill, Void or Cavity Materials* — Caulk, Sealant or Putty — 3M COsealant or MP+ Stix putty (Note: CP 25WB+ not suitable or +++Bearing the UL Listing Mark. *Bearing the UL Classification Marking Reprinted from the Online Certifications Directory with permission from Underwriters Laboratories Inc. Copyright C 2011 Underwriters Laboratories Inc.® Pmts ,on'' www.3mcom Jfirestop W1.-2088•2Qf2 140o-32a=l r PERMIT City of Eagan Permit Type:Building Permit Number:EA118604 Date Issued:11/05/2013 Permit Category:ePermit Site Address: 3817 Denmark Ave Lot:016 Block: 002 Addition: Windcrest PID:10-84460-02-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements 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 . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Derek E Terveer 3817 Denmark Ave Eagan MN 55123 (651) 239-2332 Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r-----------------� I For Office Use � ' � Permit#:� D �� j Clty of �� I Permit Fee: ( �� 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: � 1 I r 2015 RESIDENTIAL BUILDING PERMIT AP�I A�IQN �..---- Date:;' � � Site Address: ✓ � �`� �/" —` � Unit#: � � .: � ..�. .r. � Y �� - �(`� �j �, Name: ��i � 1 �� ( �� . Phone: Address/City/Zip: l,��/ ��`-� �° r �� S�c GJ Applicant is: Owner ontractor �- ,Sl'� l� G�� G�'-� � '�-� Description of work: �. , Construction C�: ��v�� Multi-Family Building: (Yes /No Company� � .1/ '� / n�� Contact: ' °� T � Address�i�� d� � (y City: �—�(°�'�� ,� ��t['8 � �� ` Stat��Zip:�1LJ�`� Phone�� - Email: ; �,` (�� .�( C c-�-- � �. _ _� License#: J v2 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: �� - CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utiliry damage. Call 48 hours before you intend to dig to receive locates of underground utilities. vwvw.aooherstateonecall.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 I understand this is not a perrnit, 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 Minne te Building od t be c pleted within 180 days of permit issuance. X��<�" r�� c,��G X Applicant's Printed Name pplic Ys Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147778 Date Issued:02/05/2018 Permit Category:ePermit Site Address: 3817 Denmark Ave Lot:016 Block: 002 Addition: Windcrest PID:10-84460-02-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Derek E Terveer 3817 Denmark Ave Eagan MN 55123 (651) 239-2332 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature l�'� i RECEIVED P f2-12-c- MAR 0 8 2018 For Office Use (y/�i J� WEAAN � Permit#: /470 l O v Permit Fee: /-7_ ' v Date Received: 34, cP 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: /_... >" buildinginspectionsCa)cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: March 6, 2018 Site Address: 3817 Denmark Avenue Unit#: Name: Derek & Linda Terveer Phone: Resident/ 3817 Denmark Avenue, Eagan, MN 55123 Owner Address/City/Zip: Applicant is: Owner X Contractor -eb Remove existing deck,metal]new lending,foegngs,ledger&aWtlng,frame deck wdh wah traded joists,liaise Tres decking,skirt a risen,ace screwed and Wawa framing. Type of Work Description of work: Construction Cost: $17,000 Multi-Family Building: (Yes /No X ) Company: BN Builders, Inc. Contact: Brian Nelson Contractor Address: PO Box 202 city: Rosemount State: MN Zip: 55068 Phone: 612-644-8274 Email: brian@bnbuildersinc.com License#: BC629559 Lead Certificate#: NAT-70712-2 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: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe 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 website at www.citvofeagan.com/subscribe. 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(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.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 ac nce with the approved plan in the case of work which requires a review and approv a Lef-piaH Ax r 1 O.r-- Net Srm x , Applicant's Printed Name Ap is Signature 3817 am,(ic 4-J ! e/ sat, DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace — Porch(3-Season) — Exterior Alteration(Single Family) — Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck ^ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New — Interior Improvement _ Siding , Demolish Building* _ Addition — Move Building _ Reroof ^ Demolish Interior _ — _ _ Alteration Fire Repair Windows Demolish Foundation AJ Replace — Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 0 3 d(oo.,- Occupancy j4ZL- I MCES System Plan Review Code Edition 010 ?.oi 5- SAC Units (25%_100%4) Zoning n City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 3 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: ?0 Footings(Deck) Final/C.O. Required Footings(Addition) ? Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding: Stucco Lath _Stone Lath Brick_EFIS — Insulation Windows Sheathing Retaining Wall:_Footings—Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: '1-0 #11 /72i 4(ye- , Building Inspector RESIDENTIAL FEES y Base Fee Surcharge Zo `( 54, f4 , Plan Review MCES SAC $ i5: 0 .- City City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149130 Date Issued:05/08/2018 Permit Category:ePermit Site Address: 3817 Denmark Ave Lot:016 Block: 002 Addition: Windcrest PID:10-84460-02-160 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Derek E Terveer 3817 Denmark Ave Eagan MN 55123 Silver Tree Plumbing & Heating Llc 3185 Terminal Drive - Suite 200 Eagan MN 55121 (651) 319-4200 Applicant/Permitee: Signature Issued By: Signature For Office Use. ••• �� Permit#: E AG N Permit Fee: )--)-,t°°( Date Received: Z7 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810JV !.f 55 5 5..,, . (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections aC),citvofeagan.com APR 5 2018Cc 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: April 2, 2018 Site Address: 3817 Denmark Avenue unit#: 19(1 Name: Derek & Linda Terveer Phone: Resident/ 3817 Denmark Avenue, Eagan, MN 55123 Owner Address/City l Zip: g Applicant is: Owner X Contractor Type of Work Description of work: Bathroom Remodel (See Scope of Work & Drawings) Construction Cost: $34,000.00 Multi-Family Building: (Yes - /No X ) Company: BN Builders, Inc. Contact: Brian Nelson Contractor Address: PO Box 202 city: Rosemount 55068 Phone: 612-644-8274 Email: brian@bnbuildersinc.com State: MN Zip: License#: BC629559 Lead Certificate#: NAT-70712-2 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: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-•ublic if •u • •vide-• IRc reasons that would•ermit the Cl to conclude that the 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 website at www.citvofeagan.com/subscribe. 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(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.copherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in confirm- ce with the ordinances and codes of the City of Eagan;that I un rstand this is not a permit, but only an application for a permit, and mirk is not t. start without a permit; that the work will be in accortiance with t approved plan in the case of work which requires a review and ap royal f pia •. VAJA. Applicant's Printed Name pplicant's Signature --N r) vt r~,cr k- 0\42- jL( Y73 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation — Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) /` Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Pim( _ Lower Level — Pool _ Accessory Building WORK TYPES _ Newoe, Interior Improvement _._. Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior 'y Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation24� 0 Occupancy ,-L-1\4_,q, MCES System Plan Review Code Edition IA`s tr.01)(t,,�^' SAC Units (25%__,-100%S) Zoning l0'O City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction v-6 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) $ Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water Final Pool:_Footings Air/Gas Tests _Final i Framing i30 Minutes 1 Hour Drain Tile /_ Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final — Braced Walls Erosion Control — Shower Pan Other: — Reviewed By: k'I , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC !! P U., Utility Connection Charge S&W Permit&Surcharge -�1 2/ ,/ t ',- Treatment Plant Copies , TOTAL \ r „if.f /" 4` ` Page 2 of 3 For Office Use -J ,IL #f1 °" Permit# t/1� �•• Permit Fee: alto. 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 RECEIVED Date Received: (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a citvofeagan.com JUN 0 4 2019 L i (0) 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date:(01`1l1 q Site Address:6E11 1.JC( l��[�l,(�I 1;e_ Unit#: r t Name: r L U r �.iC �Q f'V ee( Phone: Resident/ ;'� Owner Address/City/Zip: I 1 erl Y 04- JQ GaOjCkr i M 2-3 Applicant is: Owner ).. Contractor Type of Work Description of work3 I QCJ eC� S�'ope c \Nor Construction Cost4 2, ti--a1). 00 Multi-Family Building: s /No ) Company: C71V l iC 1rS ��..t'1C- • Contact: 3 , 1 Contractor Address!l"E 2 - `= V) • City:Var MI r1Cjitrl State:M Zip;J �-S-- Phone S M122 a 12&mail:��(( `J� 1�1 tC er k-•C.Sa�"1 License#: &-l02C7 -� P t Lead Certificate#: A-r1--10112_- 2_ 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: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression 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 bade 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 website at www.citvofeagan.com/subscribe. 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(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in con orm nce with the ordinances and codes of the City of Eag n; that I u rstand this is not a permit, but only an application for a permit, a d work is not • start without a permit; that the work will be in acco ance with th approved plan in the case of work which requires a review and app ,va •f pl- s. `i 11 rr`sh I A� App icanVs Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE ---N1-1 -62-P‘,-,-«4-- ftv - ( c '1 SUB TYPES — Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck — Porch(Screen/Gazebo/Pergola) , Miscellaneous )Q 01 of zPlex — Lower Level — Pool _ Accessory Building WORK TYPES _ New Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish interior rAlteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 4 1S/�t 5©' Occupancy .,1ZZL- 2- MCES System Plan Review Code Edition �o SAC Units (25% 100% Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction -----Vr Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) elD Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile — Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS pInsulation Windows Sheathing Retaining Wall:_Footings Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan /� / Other: Reviewed By: 7 "2i l--1 ,Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA161456 Date Issued:05/27/2020 Permit Category:ePermit Site Address: 3817 Denmark Ave Lot:016 Block: 002 Addition: Windcrest PID:10-84460-02-160 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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 - Derek E Terveer 3817 Denmark Ave Eagan MN 55123 Bn Builders Inc 6035 235th St W Farmington MN 55024 (651) 423-7248 Applicant/Permitee: Signature Issued By: Signature