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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