3828 Denmark AveCASH RECEIPT t '
CITY OF EAGAN '
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ?V Y ( 19 ?? =y
nECMED
FROM V 11 T f-t
AMOUNT $ Z
& DOLLARS
100
? CASH PQ CHECK
i
FOR .- E/ Ule tel
I
FUND OBJECT AMOUNT
yy<
Lam' J I J ??. ?-
r
L,
al
?i
Thank You ,
BY
A - White--Payers Copy
-it
V x t Yellow-Posting Copy
*'• rs Pink-File Copy
CASH RECEIPT
CITY OF tAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ,9 S 4'
FIECOVED
FFK)M
T-?T
AMOUNT $ {y f / G
/ & V DOLLARS
loo
? CASH ? CHECK
Ap- /.saa
I FUND
Thank You C
BY
8'w • . .'3 WhHe-Payers Copy
?i Yellow-Posting Copy
?' Pink--File Copy
4.7
01-3210 Bldg. Permit
01-3422. Plan Check D
01-3445 Surch./Adm.
01-3446 SAC/Adm. ?-
01-2155 Surcharge
75-3860 Road Unit J
20-2275 SAC ?-'
217-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter t-
i 1 20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. C'
28-3855 Park Ded.
co
TOTAL C, !i 7
BLDG. PERMIT NO. / d c
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
2Q-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL
i ..- _ . CITY OF EAGAN
3$30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ONE: 454-8100 '
BUILDING PERMIT Receipt
To be used for Est. Value Date ,19
Lot Block Sec/Sub. y : NI?C?. a4? 1 '
Parcel No.
a Name
w
= Address
o City Phone y l +)4
a 0 Name
U < Address
P City Phone
WW
W Name
Address
=
?
W
4 City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and ag ree to comply,with ait applicable State of
Minnesota Statutes and City o f Eagan Ordinances: ' - -
Signature of Permittee '- '
r _ r- -
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
On Site Sewage Occupancy 0-31 %-" 1
MWCC System Zoning R"2
On Site Well (Actual) Const !-
City Water v (Allowable) V-'`
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
42U'0
Engr./Assess. Permit 2().50
Planner Surcharge
Council Plan Review 05.00
Bldg. Off. SAC, City louloO
Variance SAC, MWCC 550.013
Water Conn. 550.00
Water Meter 6 7 . W
Road Unit 325 • JC
Treatment P1 204.(X)
Parks
TOTAL
.30
. Permit No. Permit Holder Date Telephone it
Plumbing C'
H V.AC. B 1-2 2 1 -1124
Electric
Softener
Inspection Date Insp. Comments
Footings 1 V?
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. ?
Isul.
Fireplace
Final Htg. /S D
Final Plbg. ?
Bldg. Final S
0A
c.?f ou TUL
,Q &.HQ` A.
Cert. Occ. 04
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan,
PHONE: 454-8100
15 2??
BUILDING PERMIT Receipt #
To be used for Est. Value Date 19
Site Addres " OFFICE USE ONLY
Lot Block Sec/Sub. t ^ `' i ! On Site Sewage Occupancy
MWCC System Zoning
Parcel No. i
W
ll A
t
l
On S
te
e ua
) Const
(
c
cc Name
City Water
(Allowable)
W
z
Address PRV Required # of Stories
3
°
City Phone Booster Pump Length }s%
Depth
o Name S.F. Total
o a Address Footprint S.F.
City Phone APPROVALS FEES
P
w
W
Name Engr./Assess. ermit
`rte
U Address Planner Surcharge
M Z
City Phone Council Plan Review
C
Bldg. Off.
SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn. '
Minnesota Statutes and City of Eagan Ordinances. Water M
r
t
Signature of Permittee e
e
Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all P
k
applicable State of Minnesota Statutes and City of Eagan Ordinances. ar
s
r-
TOTAL -'
Building Official
Permit No. Permit Holder Data Telephone S
Plumbing
C' JL;C
CJ
Electric ?v?$? - f.Cd;: ?'/0 r?ov
Softener
Inspection Date Insp. Comments
Footings I tj
Footings II
Foundation
Framing ?P
Roofing
Rough Plbg. ?l
Rough Htg. ' ,
Isul.
y
Gf f'c?C- L[?C'ty
Fireplace
Final Htg.
Final Plbg. o
Bldg. Final
Cert.Occ,
Temp. LP Z>q L' f! it
Deck Ftg.
Deck Final
Well
Pr. Disp.
MECHANICAL PERMIT RECEI
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
1ACT PRICE PHONE: 454-8100
Site
Name I'Pf
a?
Addri?ss_77-1
c City ? y i?
Name `
c Address
p City
I
I
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
? n '- K H ,/,-
Sec/Sub BLDG. TYPE
Res. r WORK DESCRIPTION
New V
`V J • ; Mult. Add-on
k Comm. Repair
Phone` • r Other
RES
HVAC FEES
0-100 M BTU -$24
00
.
ADDITIONAL .
50 M BTU - 6.00
Phone
.75
M BTU
M BTU
M BTU
M BTU
?- CFM
FEE:
S/C:
TOTAL:
(RES. HVAC INCLUDES A/C ON NEW
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD
EE-) dc' $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. -COMM. RATE APPLIES
TOWNHOUSE & CONDOS -RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE -ALL ADD-ON 8
?U SIGNATURE OF PERMITTEE -'A
Vb.c II
FOR: CITY OF EAGAN
CONTRACT PRICE
Site Address
Name
is Addre.
c City
Name _
c Address
1'.0 City -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
r? Phone s I `?p.•
Phone
M BTU
M BTU
M BTU
M BTU
?- CFM
BLDG. TYPE WORK DESCRIPTION
Res. X New
Mutt Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
UAJ UU I Lt lo (MINIMUM - 7 rr-H rrHMI1)
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLII
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
1.50 EA.
- 12.00
- 20.00
- .50
-• r" ?jL,I .?? r
FEE
S/C: SIGNATURE OF PERMITTEE
TOTAL
FOR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN $5122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Ad?ess ; .
Lot J Block Sec/Sub
"
i
,
a Name/
?
?o
Address
C City Phone/741' -'
Name
3 Address
0 City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE -$12.00
MINIMUM - COMM/IND FEE -$20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. WORK Dlf?CRIPTION
Res. New
Mult. Add-on t
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
fjlp. FIXTURES TOTAL
Water Closet - $3.00 S?
Bath Tubs - $3.00
Lavatory - $3.00
t Shower - $3.00
-J-Kitchen Sink - $3.00 -
Urinal/Bidet - S3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
1 Gas Piping Outlets - $1.50 I
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE: i PHONE: 454-8100
Site Address
Lot - Block / Sec/Sub
i'
? Name
t
Addre
D
7
c City / Phone '
%- ;
Name
3 Address
0 City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE -$12.00
MINIMUM - COMM/IND FEE -$20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT #
RECEIPT #
DATE: i
BLDG. TYPE WORK D
V CRIPTION
,
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
FIXTURES
NR TOTAL
Water Closet - $3.00
' $
/ Bath Tubs - $3.00
=Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $100
ZLaundry Tray - $3.00 -
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
-1 _Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - 510.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL: "
i or 2 CITY OF EAGAN 15' ? 2 7
FOP ',AU 1. "'" ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ; ?--
7 ,?
BUILDING PERMIT
• Receipt # J t?
. J
To be used for 3- -' Est Value Date t ,19
,Site Address 832 :,'•.'?I'1P.; i` V'' OFFICE USE ONLY
Lot Block Sec/Sub
L' On Site Sewage Occupancy
, 1
. MWCC System Zoning k-
Parcel No. V--N
On Site Well (Actual) Const
a game City Water % (Allowable) V--h
i ? 4 c
Address PRV Required # of Stories
3 City Phone F336-/ilb4 Booster Pump Length 30'
Depth 521
• p Name S.F. Total
0 u Address Footprint S.F.
P City Phone APPROVALS FEES
WW
Name Engr./Assess. Permit 410. uo
29
50
Planner Surcharge .
_
= Address
:US
OQ
Qz Council Plan Review .
.
W
< City Phone
Bldg. Off.
SAC, City
100.00
I hereby acknowledge that I havg.re8d this application and state that the Variance SAC, MWCC 550.00
information is correct and agree to comply with a plicable State of
Minnesota Statutes and City ofEapa
#dina ct - Water Conn. SU
;
n
Water Meter ,7
•UO
Signature of Permitt@t?_? Road Unit 315.00-•'"'
A Building Permit is issued ta__-'' Treatment P1 4U • l1{} "I
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. 2
50
440
Building Official TOTAL .
.
1 of 2 CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT
To be used for
Est. Value *59'0()0
h
Lot Block ' Sec/Sub. 1=•?,.•.s?'>i I
x Name ;s-E CONSTkUCTION, 1 yL
W Address 5 'lHliti? 14' S?
o City : "HTGNPhone u ;0-41 o4
°OC Name SAME
0 U
address
P City Phone
F? •
W Name _
_ Address
U
W City-
.4 hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with applicable State of
Minnesota Statutes and City ofagan.'prdinc s.?
Signature of Permitter
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building
Receipt
15Li606.' a
Date A NE 21 ,19_41:;
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const V-N
City Water X,_ (Allowable) V"h
PRV Required * of Stories
Booster Pump Length 30 r
Depth 51
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 410.00
Planner Surcharge 29.50
Council Plan Review 205.00
Bldg. Off. SAC, City _ 100. W
Variance SAC, MWCC 5-50.00
Water Conn. 550.00
Water Meter 67.00
Road Unit 325.00
Treatment P1 204.W
Parks
t
Q
TOTAL t
CITY OF EAGAN PERMIT TYPE: "'
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: r „ r t:1 •,r ; APPLICANT:
HMA14V AVF' i,r,r,l { rar, 4 it { Ht
L
PERMIT SUBTYPE: TYPE OF WORK:
VPAIR
REPOO)F
Permit Holder Date Telephone r
PLUMBING
HVAC '
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING 7 \
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
3830 Pilot Knob Road
PERMIT TYPE:
Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: `' ri +. H ..E t? APPLICANT:
i FI W lit Y
NFIARK AVf ;
1.1I HIII. HI I
PERMIT SUBTYPE:
(h l.' 1 I v- ;., ;il
TYPE OF WORK:
f.I VAIR
n. A Rs.ROf11
INSPECTION DATE INSPTR, INSPECTION DATE INSPTR.
.?_. era
Permit Holder Date Telephone k
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING n
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
Tertif irotr of (Orrupattry
Citp of (Cagan
lurprtmruf of ludbim jW1,rum
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.,
use causifimoon DURIM Bldg. Permit No. 15228
OCCV-y TYPE R3/M 1 Zoning stria R2 Type Coral. VNL
O. at B.ddia ?-E GGN5TU-IiCx, Ate, 85 WIRSDAVE SI , NEW MMUN
Budding Ad&= 3830 MZ-VO,!, AVEN'C'i: LOwi ylb. BI- WRMM I ST
D.« SEFr*M R 15, 1988
Balding OfficW
POST IN A CONSPICUOUS PLACE
f . R 4
(9trtifirate of Orrupanry
Citp of (fagan
flrpnrtm"d of lludbwg . Pruan
This Cenifrcate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Uae clwifiadon
Bldg. }tmtil No. _
??1 R2 j,
?P-Y Type Zoning Dntnct r T?
Owner of Bolding PJ?. (X?3SI ?iTi : Addrm X35 310 AC, TL, B1,
Building Addrees - Lanlity
R 21, 198
L ^ Date:
Budding Offidnl
POST IN A CONSPICUOUS PLACE
FUND
White-Payers Copy
Yellow-Posting copy
Addition WTNDCRFST ADDN Lot 5 Blk 1 Parcel10 84460 050 01
Owner Street 3828 Denmark Avenue state Eagan, W 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. '7 1983 1889.18 377.84 5
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 107-62 5-38 20 1
SEWER LATERAL
S 981
R 5 2 - 7A S-27 in
* San Sew Lateral
(c5(,c 1982 2907.28 581.46 5
WATERMAIN
* WATER LATERAL 1982 5
WATER AREA l5; 1982 168.79 33.76 5
* Services 1982 5
STORM SEW TRK r? 1982 437.65 87.53 5
* STORM SEW LAT 1982 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
i
WATER CONN.
BUILDING PER.
SAC
PARK
.+r CAGAN Remarks
Addition _ WTNFICREST AnnN Lot 6 Blk 1 Parcel 10 84460 060 01
Owner street 3830 Denmark Avenue State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1983 1889.18 377.84 5
STREET RESTOR.
GRADING
SAN SEW TRUNK .4-41 1973 10762 5-38 20
SEWER LATERAL R4 1981 -1;2-731 S-27 in
San Sew Lateral ?50 1982 2907.28 581.46 5
WATERMAIN
it WATER LATERAL 1982 5
WATER AREA ?Ll 2 168.79 33.76 5
*
Servicles
1982
5
STORM SEW TRK 1982 437.65 87.53 5
dk STORM SEW LAT 1982 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
I
WATER CONN.
BUILDING PER.
SAC
PARK
OF EAGAN Permit No: 1 ;W-: Date:
I Pilot Knob Road B/P No: 10 7 ; Date:
Box 21199
an, MN 55121
ier. -;-F ConSt
Address. i-mmnr> Av L
nher.
Chg: I
Fee:
Zoning-
No. of Units:
I agree to comply with the City of
Ordinances.
By
SEWER SERVICE PERMIT
Conn. Chg: 550 .00 Zoning: R) I
Acct Dep: 15 -00 No. of Units:
Permit Fee: 10 .00
Surcharge: .50 1 agree to comply with the City of Eagan
Tr. Plant 204 .10 Ordinances.
Meter. 67 -00,
Misc.: inn r -
By
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: Date:
C? '! ..
3830 Pilot Knob Roan. B./P No: Date:
P.O. Box 21199
Eagan, MN 55121
Site Address:
Plumber:
MWCC: 5S0. a0 Zoning
City Chg: 10!1 Ct?
'
No. of -Units:
Acct. Dep: ?ti.,iC
I agree to comply with the City of Eagan
Permit Fee: Ordinances.
Surcharge:
Mkr. • By
SEWER SERVICE PERMIT
CITY OF EAGAN Permit No: 97 " Date: 7J5i'8.,
3930 Pilotifnob Road Meter No. Size:
P.O. Box 21199,,?- . •Reader No: Date,
Eagan, MN 55121
T
CITY OF EAGAN Permit No: ? 1, 4 Date: c
3830 Pilot Knob Road Meter No: ? 67- 7!7 Size: SIB
P.O. Box 21199• Reader No: !OP!?Q?S? Date:
Eagan, MN 55121
Owner. ! 5
Site Address: ^il'ltai k f.y L:
Plumber >sj
Chg %2 .
Dep:
t Fee:
Plant JJ
ter. y: (l
OF EAGAN
Pilot Knob Road
MN 55121
Coast
Zoning: P2
No. of Units: 1
I agree to comply with the City of Eagan
Ordinances.
By? ?ll?-e?x-'tJ
WATER SERVICE PERMIT
Permit No: 9743
Meter No: .7 7
Reader No: , -5 :2 qf
Date: 7/5
Size: r"?oC
Date:
Address:; 828 ilAn flrl, AM 1.7 "l nber. SlYff ° "
Conn. Chg: ;g(? 00
Acct. Dep: L. '
Permit Fee: _
Surcharge: .tom
Tr. Plant .} a
Zoning:
No. of Units: f l
I agree to comply with the City of Eagan
Ordinances.
Bye/'/ ?'-FGY?ti I
WATER SERVICE PERMIT
974 ? Date: 7? 088
CITY OFlAGAN' Permit No.
3830 Pilot Knob Road Meter No: Size:
Date: 1
P.O. Box 21199 Reader No:
Eagan, MN 55121
B-T, Goat
No. of
I agree to comply with the City of
Ordinances.
. uF 2 CITY OF EAGAN N2 15227
FO[?. SALE .UNITS 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING P 7
3
ERMIT Receipt # -
To be used for DUPLEX Est. Value $59,000 Date JUNE 21 ,19 88
Site Address 3828 DENMARK AVE OFFICE USE ONLY
Lot 5 Block 1 Sec/Sub. WINDCREST 1ST On Site Sewage Occupancy R-3 M-1
MWCC System X Zoning R-2
Parcel No. On Site Well (Actual) Const V-N
a Name B-E CONSTRUCTION. INC City Water -X- (Allowable) V-N
z
z Address 85 THIRD AVE SE PRV Required # of Stories
City NEW BRIGHTONPhone 636-4164 Booster Pump Length 30'
Depth 52'
p Name SAME S.F.Total
ou Address Footprint S.F.
u
City Phone
APPROVALS
FEES
„1 ,u W Name Engr./Assess. Permit 410.00
z
E
Address Planner Surcharge 29.50
u
Q W
City Phone
Council
Plan Review 205.00
Bldg. Off. City
SAC 100.00
I hereby acknowledge that I h ad thi application and state that the _
Variance ,
SAC, MWCC _
550.00
information is correct and a t cc ly w'th ppiica fate of Water Conn. _550.00
Minnesota Statutes and f Ea dine c
Water meter
67.00
Signature of Permit as _
Road Unit
- 3Z5._O0
A Building Permit is issued to:_ B-E CONSTRUCTION _INC Treatment Pt 204_00
on the express condition that all work shall bedone in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. parks _
'
TOTAL 2,440.50
?,Q?1y5,..
Building Official l __
1 of 2 CITY OF EAGAN NO 1 5 2 2 8
FOR. SALE .UNITS 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PH0NE:454-8100 4? p
BUILDING PERMIT Receipt# (-1
To be used for DUPLEX Est. Value $59,000 Date JUNE 21
Site Address 3830 DENMARK AVE
Lot _6 Block 1 Sec/Sub. WINDCREST 1ST
Parcel No.
a Name B-E CONSTRUCTION, INC
Address 85 THIRD AVE SE
o City NEW BRIGHTONPhone 636-4164
o Name SAME
0 a Address
City Phone
Ow w,
w
w
Name
sza Address
a W City Phone
I hereby acknowledge that I av ead is application and state that the
information is correc antl to c ply i[h pp?licabl?e State of
Minnesota Statutes a of rdin n e . : _-
Signature of Permit tee
A Building Permit is issued to:. B-E CONSTRUCTION,-LNG__
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Off iciaLT.l.U;1,y?1\JIAAll
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3 /M-1
MWCC System 7 Zoning R-2
On Site Well (Actual) Const V-N
City Water _ X (Allowable) V-N
PRV Required # of Stories
Booster Pump Length 30'
Depth 52'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. _ __ Permit 410.00
Planner Surcharge _ 29.50
Council Plan Review 205.00
Bldg. ON. _ SAC, City _ 100.00
Variance - SAC, MWCC 550.00
Water Conn. 550.00
Water Meter _67.9
Road Unit _21..0.0
Treatment Pt _2,04.00
Parks
TOTAL 2,440.50
1988 BUILDING,
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3
NOTE: ADDRESSES FOR CORNER LOTS
IS DESIRED. NO CHANGES WILL
7 Uv+
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS--': " 2 U OF UNITS 2
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL a STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
jht44
4
To Be Used For: Single Family Valuation: $64nnq 9A?+ Date: 4/20/88
Site Address 3830 Denmark Avenue
Lot 6 Block 1
Parcel/Sub Winderest First Addition
Owner Lombard Properties
Address 6601 Shingle Creek Parkway
City/Zip Code Brooklyn Center. MN.
Phone 566-8022
Contractor B-E Construction Inc.
Address 85 Third Avenue SF
City/Zip Code. New Briahton• MN. 59112
Phone 636-416a
Arch./Engr. T)nac not. nppjtr ?
Address
City/Zip Code
5y000--
On site sewage_
MWCC system r
On site well _
City water
PRV required _
Booster Pump _
Occupancy R 3 tA-?
Zoning R-Z
Actual Const V-ti!
Allowable Y -M
if of stories
Length 30,
Depth -52r-
S.F. Total
Footprint S.F.
APPROVALS FEES
`1?o• 00
Engr/Assess Permit
Planner Surcharge 29.55
Council Plan Review 2 05.00
Bldg. off. SAC, City 100160
Variance SAC, MWCC 550,0Cz
Water Conn 550,00
Water Meter 6% 00
Road Unit 325.00
Treatment PI ?-04,00
Parks
Copies
TOTAL
Phone U
` n
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 1.512.1
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 2 d OF UNITS 2
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Single Family
Site Address 3828 Denmark Avenue
Lot ` Block I_
Parcel/Sub
Valuation: $44r999mQQ6 Date: 4/20/88
Owner Lombard Properties
Address 6601 Shingle Creek Parkway
City/Zip Code Brooklyn Center, MN.
Phone 566-8022
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
Phone e
Ooo r UrrlLoa U" UNLI
59
,
On site sewage Occupancy
MCC system Zoning R-2
On site well Actual Const V-N
City water yL Allowable yyy_
PRV required 0 of stories
Boaster Pump Length D
Depth 52,
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 4110,00
Planner Surcharge Z9, w
Council Plan Review 2 ,oo
Bldg. Off. SAC, City /00,0 0
Variance SAC,.MWCC S50,oo
Water Conn 550.00
Water Meter 6`7,00
Road Unit 325,00
Treatment P1 Zo 04, o0
Parks
Copies
TOTAL
d
19xZ? . y56?c ?? = b 35t?(
51 V6 , Ir? .
' ou.,SC
;;Pgx?v ?1/0 X?z
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date 4 / j j / p <,-
Site Address ??z3c ! ] IFN, wt o rk Unit #
Property Owner L4 <n4
?? Telephone # 414 r) ??} 2f y`[ r
Contractor
STANDARD HEATING & AIR CONDITIONING CO.
Street Address 440 WEST LAI(E STREET
City
State MINNEAPOLIS, !N.5-408-29% Zip
812
( )
Telephone #
Bond #: Expires:
The Applicant is - Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
}
\ furnace -Additional Replacement
_ air exchanger
air conditioner -New Replacement
other
State Surcharge $ .50
Total $ :?o • {a
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes, that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of w ch requires a r ew and approval of plans
0(sk wr
Applicant's Printed Name Applicant's Signatu ji !.
"ill
vR 2 12005
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE: BUILDING
Permit Number: 0 3 3 5 6 6
Date Issued: 10 / 0 2 / 9 8
3828 DENMARK AVE
LOT: 5 BLOCK: 1
WINDCREST
P.I.N.: 10-84460-050-01
DESCRIPTION:
01-1 T.O. & REROOF
Bgpl ]f Permit Type STORM DAMAGE
7LIdIng i?mmrk Type REPAIR
- €T {?U64rd e?: ?q? 434 ALT. RESIDENTIAL
I a
n
air, xi ??tg ? e M N i= Ewa k
?€ a 1, - 5 ?-?r t's4q VIA b REMARKS:
FEE SUMMARY-
CONTRACTOR: - Applicant - ST. LTC. OWNER:
WALKER ROOFING CO INC 17292325 0004229 ZEPEDA MARIE
2701 36TH AVE S 3828 DENMARK AVE
MINNEAPOLIS MN 55406 EAGAN MN 55123
(612) 729-2325 (651)
APPLICANT/PERMITEE SIGNATURE
ISSVED BY: SIGNATURE
CPrfn FACE (-
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF KAGAN
3830 PILOT KNOB RD RD - 55122
9
681.4675 1 6
New Construction Requirements
? 3 registered site surveys
• 2 copies of plans (include beam & window sizes; poured fnd. design; eta)
? t energy calculations
• 3 copies of tree preservation plan N lot platted after 7/7/93
requ _ Yeses No
DATE: - ) - IR
'D r?
DESCRIPTION OF"
STREET ADDRESS:
Remodel/Repair Requirements
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST; (Q(lJ?
LOT: BLOCK: SUBD./P.I.D. #:
Phone #: r p
Name: A61it'Emt
PROPERTY Last First
OWNER
Street Address:
City
State:
Zip:
Company: Phone #:
CONTRACTOR am (_ , ^
Street Address:L llt R 1 C? License
City m State: M?\3 Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration C
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Penalty applies when address chant
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicat
State of Minnesota Statutes and City of Eagan Ordinances. ? I A- I A
Signature of
OFFICE USE ONLY
Certificates of Survey Received - Yes
No
f\ =
II ?
Ill (, I _ J
Tree Preservation Plan Received Yes No .- Not
CITY"OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.Z.N.: 10-84460-060-01
PERMIT
3830 DENMARK AVE
LOT: 6 BLOCK: 1
WINOCREST
PERMIT TYPE: BUILDING
Permit Number: 0 3 3 5 6 7
Date Issued: 1.0 / 0 2 / 9 8
DESCRIPTION:
T.O. #S REROOF
B e 3nst?Permit Type STORM DAMAGE
i dxng 1Wgrk Type REPAIR
& aTSr9 Cod'46`'h,,x 434 ALT. RESIDENTIAL
?a
p?m as # mi .. ...eM+Fn?
e €v RI6EW'
i? a 3 `sue Laimi? etgaa+yY_F &rz ffl?h".
nA?
REMARKS:
FEE SUMMARY-
CONTRACTOR: - Applicant - ST. LIC- OWNER:
WALKER ROOFING CO INC 17292325 0004229 PACKER EDWARD
2701 36TH AVE S 3830 DENMARK AVE
MINNEAPOLIS MN 55406 EAGAN MN 55123
(612) 729-2325 (651)
APPLICANT/PERMITEE SIGNATURE
ISSUED BY. SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF KAGAN
33 ?? 3830 PILOT KNOB RD - 55122 1
681-4675
New Construction Requirements Remodel/Repair Requirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window saes; 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 7/1193
required: _Yes _ No
DATE: q - 2-S CONSTRUCTION COST;
DESCRIPTION OF WORK: 1 -U - ?Lf \C I?VV\
STREET ADDRESS: 3 3 O ?LC_ 4? 1tiL(
LOT: BLOCK: SUBD./P.I.D. #:
Name: Sal k), ? UW 0,4 Phone #:
PROPERTY Last First
OWNER
Street Address:
City
State:
Company: W C Phone #: 1 a?
CONTRACTOR
Street
City
ARCHITECT/
ENGINEER Comp
Name
Street
License #
State: Zip:
Phone #:
Registration
City State:
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip: S5- 1 -?"
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
Tree Preservation Plan Received - Yes - No - Not Required
J? I O 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) r
CITY OF EAGAN 7 rp 7?
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reaulrements )3`353) Remodel/Repair Reauiremenls
3 registered alts surveys showing sq. fL of bt, sq. M. of house 2 copies of plan
and g(j roofed areas (2D% maximurn lot coverage allowed) ?? V 0 1 set of energy coicuiolbns for heated additions
> 2 copies of plans (show beam & window sizes; poured Ind. design; etc.) 1 site survey for exterior additions & decks
> 1 set of energy calcularions
> 3 copies of free preservation plan If lot piatled after 7/1/93
DATE: 7' CONSTRUCTION COST: O
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: S BLOCK: I
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Namer/w/ Phone #:
Last ' First --?
street
city 4dge _ State: Zip:
Telephone #: (
Phone#:
(area co )
o?a? ?7
Ucense # Exp.3 a
Stater ZIP:
Name:
Street Address: Registration #:
City
State:
Sewertwater licensed plumber (ff installing sewer/water): Phone #.
ZIP:
I hereby acknowledge that 1 have read this application, stale that the Info lion is correct, and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ? t7 ?
OFFICE USE ONLY
Certificates of Survey Received
Yes No
Tree Preservation Plan Received Yes - No - Not Required
city zq 12 P? (f?
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN 4 5(p,75
`I? ltJ ?1 3830 PILOT KNOB RD - 55122
651.681-4675
W7 (93) Remodel/Reoalr Reauirements
3 registered site surveys showing sq. ft of lot, sq. ff. of house 7_
and gll roofed areas (20% maximum M coverage allowedl
2 copies of plans (stow boom & window sties; poured Ind. design; etc.)
1 set of energy calculations
3 copies of tree preservation pion If lot plaited after 7/1/93
DATE: ? dS''D C7
DESCRIPTION OF WORK:
2 copies of plan
1 set of energy caiculo llons for heated additions
1 site survey for exterior additions & decks
COST:
STREET ADDRESS:
LOT. (L_ BLOCK: SUBD./P.I.D. #: Iv0 11 C redif
Name:?e/sw? ? . A?? Phone #:? G??-?{ C 7Z
PROPERTY Last First
OWNER
Sheet Address:
Q?_
City l..._ State: in-, Zip:
Company. ?Za.Phone#: 9 ? z
a,Fode)
(are T GCS
CONTRACTOR
Sheet Address: f Q
?
y License #
EXP•
City State: Zip:
ARCHITECT/
ENGINEER
Company
Name:
Telephone #: ( )
Sheet Address: Registration #:
City State: Zip:
Sewertwater licensed plumber (if installing sewertwater): Phone #:
I hereby acknowledge that I have read this application, slots that the informs Llscoffecdtand agree to comply with aS applicable StatE
of Minnesota Statutes and City of Eagan Ordinances. ////
Signature of Applicant. ?
OFFICE USE ONLY
Certificates of Survey Received _
Tree Preservation Plan Received
Yes No
Yes No
Not Required
r
APPLICATION FOR PERMIT - '$
SEWER AND/OR WATER CONNECTION
RV of eagan
NOTE: PAYMENT OF FEE AT TIME OF .'.
APPLICATION DOES NOT CON- i
STPMPE APPROVAL OF PERMIT. a
f
*f INSPECTION OF SEWER AND/OR WAIER r
INSTALLATIONS WILL NOT BE SCEDULED
[!NEIL PERMIT HAS BEEN APPROVED.
ix+ffrr+r#fixxwkfffkffffwfrrrrfffifrf+
1) PROPERTY ADDRESS: J FZ d'i J /??.4 {'
LEGAL DESCRIPTION; ..
Lot B oc S vision or Tax Parcel ID )
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
(month/Year)
PRESENT ZONING/PROPOSED USE:
Q COMMERCIAL/RETAIL/OFFICE
Q INDUSTRIAL
Q.INSTITUTIONAL/GOVERNMENT
1_1 R-1 SINGLE FAMILY
R-2 DUPLEX (Twn Units)
R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINIUM ( Units)
2) NAME: YLLJ
ADDRESS:r ., s P r/, ?d%i ^ f
CITY, STATE, ZIP:
PHONE:
3) NAME: ??17 ??? r ???? g
ADDRESS: iZl L
CITY, STATE, ZIP:
PHONE: MASTER LICENSE #
•iuRDers license:
P Active
Expired
Not recorde(?
Staff Ind 1tLal
4)
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
-/-r : :v / . ,
5) 101 s w •? o i a?
CONNECTION TO CITY SEWER 0CONNECTION TO CITY WATER M OTHER
6)
**********F*+ia***:k********ia******rt*ir**:tia*******ic***:t*****ir**ir***ia**************ir***i**************f i
*
* THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. w
*+ PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM TFM CITY WILL CONTACT YOU IF THERE
* ARE ANY PROBLEMS.
FOR CITY USE ONLY
PERMIT # ISSUED
g7 3
Pd W/Bldg. Permit
FEES:
$ /D.-j Q 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
$ Oa $ WAC
$_(?SQ; ?jZ> $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ / $ LATERAL BENEFIT/TRUNK WATER
$ 2 O'L D U $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $6,/. TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: 2 - ? k9
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
.............__.
t
? NOTE: PAYF)FIdT OF FEE AT TIME OF •`,
APPLICATION DOES NOT CON-
STIUM APPROVAL OF PERMIT.
+
•r INSPECTION OF SEWER AND/OR WATER +
t.
IIISTALLATI0NS WILL NOT BE SCEDULED i
EWTIL PERMIT HAS BEEN APPROVED.
+xttwxxxxwwxttrtwxxx:rrxwsss+xww+ss+ww
atV of ecagan
(PLEASE PRINT
1) PROPERTY ADDRESS: ..... . 3 r 30 >?/J 1
LEGAL DESCRIPTION:.
(Lot/Block/Subdivision or Tax Parcel ID )
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
(Month/Year)
PRESENT ZONING/PROPOSED USE:
Q COMMERCIAL/RETAIL/OFFICE
Q INDUSTRIAL
Q INSTITUTIONAL/GOVERNMENT
2) NAME: CO'Y' A-
ADDRESS: j < 3
CITY, STATE, ZIP: .... y% z?
R-1 SINGLE FAMILY
R-2 DUPLEX (Two Units)
q R-3 TOWNHOUSE (Three + Units) ( Units)
Q R-4 APARTMENT/CONCOMINIUM ( Units)
PHONE: 1' J - y > o
? (?- 1,444
3) w NAME: 7 r 11 ?.
ADDRESS:
CITY, STATE, ZIP: l?/C7I vl a ve / j -??--
PHONE :? MASTER 'LICENSE #
4) • •
ADDRESS:
CITY, STATE, ZIP:
PHONE:
? 2.1'
Active
Expired
Not recorded
St Initl.a
* x
* THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP.
*t PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE
* ARE ANY PROBLEMS. w
5) • a i a.•
CONNECTION TO CITY SEWER Idl CONNECTION TO CITY WATER 0 OTHER
.FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ /D S$ SEWER PERMIT (INCLUDE SURCHARGE)
$ / $ /O SCE WATER PERMIT (INCLUDE SURCHARGE)
$ (G ?,? U $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ l?j Oy ACCOUNT DEPOSIT - SEWER
$ $ / 0-u ACCOUNT DEPOSIT - WATER
$ ` J ?50 , o o $ WAC
$ 6,50, OZ1 $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ ?Z)7 CJ ZJ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ TOTA
L
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION
LIST AS A CONDITION
. .
SU BJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : / - 5- b tj
SURVEYOR'S: CERTIFICATE
Q
I Q:
Q
L_ l/ I
40
I _
-?-- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
A DENOTES IRON MONUMENT FOUND
XOOO.O DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
117
O
O 3
h 00
M
O
1 O
O
2
0
Q
N
7
t
KUVI L)
RY._
Date
EAGAN ENGINLRING DEPT
SCALE: 1 INCH = 40 FEET
PROPOSED GARAGE FLOOR = 8P3.q FEET
PROPOSED LOWEST FLOOR = 8 19,6 FEET
PROPOSED TOP OF BLOCK = 993,'4, FEET
(.AT GARAGE)
I HEREBY CERTIFY TO THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lots 5 and 6, Block 1, WINDCREST 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.
SICNED =![S R. HALL, IINC.
?' 4j
®o?
BY:
H ROLD C. PETERSON, LAND-SURVEYOR
-MINNESOTA LICENSE NO. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
Planners / Engineers / Surveyors
FILE NO.
8200 Humboldt Avenue South
FOLDER Bloomington, Mn. 65431 812-884-3029
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA125831
Date Issued:08/05/2014
Permit Category:ePermit
Site Address: 3828 Denmark Ave
Lot:005 Block: 001 Addition: Windcrest
PID:10-84460-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Ashley Orman
130 Plymouth Ave N
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Marie G Zepeda Tste
3828 Denmark Ave
Eagan MN 55123
(651) 263-8865
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
• • i i
•t- • o
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections(a-)Cityofeagan.com
-------------I
I For Office Use
I
I Building Permit #:t LJ�; I
I I
I I
I S&W Permit #: I
Permit Fee:
I I
I I
Date Received: I
I I
I I
I Date Issued:
I---------------------J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date:+ Site Address: Unit #:
Applicant is: ❑ Owner SContractor
Name:
Homeowner Address: Vc . �U city:
Statei! 1 Zip:S- / z2- Phone: Email:
Description of work:
Type of
Work Construction Cost;} ,?
i
Type of building: ❑ Single Family ❑ Townhome, of units win Home
Company �, p�� i ` c-n `^ Contact: C V v
..
Building Address: City: L , 21✓>
Contractor
StatejLl % Zip:553614 Phone:
i
License #:G7�t�s S� Expiration Date:3i/, S
Sewer & Company:
Water
Contractor Address:
Required for State: Zip
new construction
License #:
Contact:
City:
Phone: Email:
Expiration Date: __
� I 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.
Applicant's Printed Name Applicant's Signature