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3829 Denmark Ave
Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - I For Office Use I Permit d/ g City of Ea on I Permit Fee: 3830 Pilot Knob Road SEE Q ~ LUir,J ~ I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT / OWNER Name: Phone: 61~ j ~ y5-Y 02 P'52 j Address/ City/ Zip: 9 zeA 10 r I - el Applicant is: Owner tractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes li /No ) CONTRACTOR Name: License ~C 0:20d2 Address: City: State: ,~Z44 Zip: Phone: 6/l02 Contact: ®r t to Email: C--/ ( h j per, , COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific' reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and ork is not to w out a permit; that the work will be in accor ance with the approved plan in the case of work which requires a review and approvwal of pla x R, W X Applicant's Printed Name Ap is 's i ure Page 1 of 2 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ ` Ao DOLLARS goo ? CASH []CHECK PON White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You oLT' BY 110 t 8795 Pilot Knob Road loses, MN 551n PHONES 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address Er t O ec ? ccupancy Lot Block Sec/Sub, Alter ? Zoning Parcel # Repair ? Fire Zone E nlarge ? Type of Const. W Name Move ? Stories Address Demolish ? Length b City Phone Grade ? Depth Sq. Ft. Nome Approvals ~ uu Address Assessment ~ City Phone Water 8 Sew. Police FW Name Fire uO Address Eng. Z 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-_. Fees Permit Surcharge Plan check SAC Water Conn. Water Meter Rood Unit Total Signature of Permittes A Building Permit Is issued to: on the express condition that all work sholl be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official 4i-v A- ,- --z7 Z Z h? D C? r? a --7--7-5r'2, l A "A t i4 Permit No. Permit Holder Misc. Permit No. Holder Plumbing 30S9 It -5- H.v.A.C 33 S3 r1c?l E Iz -l7 Well water Disp. Sewer Electric l,10 570 3 S l t ti t`? S 2-7 ?8 04= - ghlry 0-.50, Inspection Dan Insp. Other Footings r?- (v /O -17' $'z Foundation Framing 1'Il $3 RW Rough Plbg / Rough HVA Insulation Final Plbg. Final HVAC Final Water Wall - Sewer Pr. Disp. BUILDING PERMIT Site Address Lot Block Parcel * 3795 t Eegmn, MN 55122 1-8100 Receipt # Date ir Name It W_ Address r•:.., oc j Name _ V? Address 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. Erect Q Occupancy Alter Q Zoning Repair 0 Fire Zone Enlarge ? Type of Const. Move Q * Stories Demolish ? Length Grade p Depth Sq. Fit. Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total Signature of Permittee 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 Permit No. Permit Holder Misc. Permit No. Holder Plumbing 3 OS-1 ?owt 'ih (` S' H.v.A.c. 33 > Z l z -(74 Well Water Disp. Sewer Electric wcs Zo3( .5U- A. I' 1S EA C,?.? I !T2. S Inspection Data Insp. Other Footings Foundation Framing 1-043 1 W Rough Plbg. 18' W Rough HVA Insulation Final Plbg. , Final HVAC Final Water Describe Location: Wall Sewer Pr. Disp. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN - Fee Fill in numbered spaces S/C T Type or Print legibly Tot. 1. Date 2. Installation Cos r : ,. 3. Job Address Lot 81 k. Tract 4. Owner 5. Contractor Phone 6. Address 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 i Mfg. ng: r andl 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 Receipt MECHANICAL PERMIT CITY OF EAGAN Pill in numbered spaces Type or Print legibly Permit No. Fee SIC Tot. 1. Date P°C. 150 1921 2. Installation Cost $13W. Cr.'s 3. Job Address P3 Cc-rnark ` Yel of l Blk. -? Tract 4. Owner 4ones Bez.atif>>1 5. Contractor DepeMable Heating Phone 7'.97-5040 6. Address 2515 Coon Rands Blvd. 7. City Coon Raaiee State ;illnnesnt- Zip rFK4:-1 { 8. Building Type: Residential ?] 9. Work Description: New 9 Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe C:eneral EieC. Furnace Fuel Type -Nat. Gar 11. No. { Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai Handli : Mfg. r ng 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 I Receipt MECHANICAL PERMIT Permit No, CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date !"ec 159 19922. Installation Cost y13?t1• 3. Job Address 3F29 Derv-,ark ,-.Lot i ?- BIk. Tract 4. Owner Poines Beautiful 5. Contractor 'enendable Heating Phone 7'S 6. Address 2615 Coon Rapids Blvd. 7. City Coon Bids State ',inn zip 55433 8. Building Type: Residential 9. Work Description: New b Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe General Electric Furnace Fuel Type Nate gas 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. 4 Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with 411-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 PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly T ot. 1. Date 2. Installation Cost 3. Job Address w lot 1 ` Blk. Tract ? 1Cr c:, t 1st 4. Owner ar ''enol ? 5. Contractor -,horn pson Pll ?g . Co. Phone 6. Address a33-2.521 7. City a State zip `' " 3 8. Building Type: Residential (7' Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? I 10. Describe 1 11. No. Fixtures Water Closet No. Fixtures Cesspool /Drainfield Bath tubs Se tic Tank 1 Lavatory p ftner S Shower o ll W Kitchen Sink e Urinal/Bidet Other Laundry Tray 1 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 PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spacea S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address c_.:..tar;. :.? Lot ? = Blk. Tract 1st 4. Owner '::xcinar Tenold l 5. Contractor o ,.lPhone 6. Address ` 7. City State Zip 8. Building Type: Residential ? ' Commercial ? Institutional ? 9. Work Description: New 12 Add ? Alter ? Repair ? I 10. Describe 1 11. No. _ Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Septic Tank Lavatory Softner Shower Well 1 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 T,IV CITY OF EAGAN PERMIT TYPE: ; ; : • ; r•; 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: + i Gl R / Q+ (612) 681-4675 SITE ADDRESS:' [ .1 Ot NMAFtk AVI- 1.:11Nf cRiFST APPLICANT: F iRF'•:TDE cURNuR im (A;;') 611---10C, PERMIT SUBTYPE: I . . : ., 01161-, IN TYPE OF WORK: F I N A I kK'<, ct4IMNf:Y/FI Of M115I 1sf. JN':r'fj-TE•0 lit u(tpt- rONCE-AI rN{i Permit Holder Date Telephone N PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE ?Z? /ssa C Z,Z FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. 8SMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: Ili N0cRf tit' PERMIT SUBTYPE: 141111:1.41ib1 03 0 4 ;';' 07/14!{x: ?1 1444f.0-140 `" APPLICANT: 14 fit (It 1 1 1 TYPE OF WORK: { { r1 i ? >tf?lNri/L•}I?frW RNLrMNi INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. ; Permit No. Permit Holder Date Telephone A ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL IN CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 4! " i3Vt I + . PERMIT SUBTYPE: 1' ' . 1 11101 1 N't'; ON PERMIT TYPE: Permit Number: Date Issued: 4" t, t APPLICANT: !tt tit +;i;i.+:+, ; Ebt t 6k1/- 42Ib TYPE OF WORK: I ! NAI IMIKI NlttI UtNh 0'71: 2 4) G /0't /<1C Permit No. Permit Holder Date Telephone K ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: " 1! it i hit' 3830 Pilot Knob Road Permit Number: 011 `' ; i f Eagan, Minnesota 55123 Date Issued: 0 i ; 0 / ,, ` (612) 681-4675 SITE ADDRESS: , „ , APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: N r_ tl,l '1 1 iiii1 EN6 I INA1 ?m - - - - - - - - - - - - - - Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. 711(pIg& S Deck Final Well Pr. Disp. ITY OF EAGAN 3795 PILOT KNOB ROAD AGAN, MINNESOTA 55122 7 L. I rl&.l%. CITY OF EAGAN Remarks Addition WTNf) .REBT AI)DN Lot 14 Blk 2 Parcel 10 84460 140 02 Owner Street 3829 Denmark Avenue State Eagan, MEd 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1983 1889.18 377.84 5 STREET RESTOR. GRADING SAN SEW TRUNK i Vd 19 7.7, 107-62 51 S P, '21) SEWER LATERAL iQRi 59 - 71 _5 27 in * San Sew Tateral "b 1982 2907.28 581.46 5 WATERMAIN * WATER LATERAL 1982 5 WATER AREA ?y 1-982 1 .76 5 * 1982 5 STORM SEW TRK 5 s 1982 437.65 87.53 5 • STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 240.00 3174o 8-82 WATER CONN. 420.00 BUILDING PER. 7487 SAC tr n PARK CITY OF EAGAN Remarks Addition WINDCREST ADDN. Lot 13 Blk 2 Parcel 10 84460 130 02 Owner Street 3831 Denmark Avenue state Eagan, MN 55123 Improvement Date Amount Annual Years $? Payment Receipt Date STREET SURF. -LD 1983 1889.18 377.84 5 S ..(? ft0163(0 10117les, STREET RESTOR. GRADING SAN SEW TRUNK >• •i SEWER LATERAL 59-7; 97 r San Sew Tat?-ral 1982 2907.28 581.46 5 -'I l' -? WATERMAIN * WATER LATERAL 1982 5 WATER AREA S- 1982 168.79 33.76 5 * Servioes .1982 5 STORM SEW TRK (K6- 1982 437.65 87.53 5 ?? •• * STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 240.00 m 4o -8-82 WATER CONN. 420.00 it ?t 13UILDING PER. 48 SAC n u PARK CITY OF EAGAN WATER S 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: iL.? let-: cY!: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Dote of Insp.: Insp.: - -"?"- yes,. -- - - - - CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot V.nob Road PERMIT NO.: i Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: T- 1, - ' Address: Site Address: - ',2'1 ^enmark Av e 11!i ^ j - Plumber: 1 agree to campy with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: ?f ?f yya 3 ?,? Pit CITY or ieAGAN ?1/ WATER SERVICE PERMIT 3795 Pilot Knob Road \\\? PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: cr r t d Address: Site Address: Plumber: ? Meter No.: i?F+ rge; G Size: r/ `` yy De Reader -`?,??Permi ie 1 agree to comply v 1A the C hje: Ordinances. ,tllisc. Charges: !dr t:ei By ZZ 8?/ ? ? Total: ??!Dote Paid: CITY OF EAGAN WATER SERVIC E PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: -- Owner: r= r- Address: Site Address: - - Plumber: Meter No : Connection Charge: . Size: Account Deposit: Reader No.: Permit Fee: 1 a ree to compl with the Cit of Ea an Surcharge: y g y g Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: h CITY OF EAGAN SEWER SERVICE PERMIT 37" Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site P-(dress: Plumber: 1 agree to comply with the City of Eagan Connection Charge: ; Ordinances. Account Deposit: Permit Fee: B Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements RemodelfReoairReeuirements . 3 registered site surveys showing sq. it of lot sq. IL of house; ands! II roofed areas . 2 copies of plan (20% maximum lot coverage albwed) . 1 set of Energy Calculations for heated additions . 2 copies of plan showing beam & window sim; poured found design, etc.) . 1 site survey for eztedor additions & decks . 1 set of Energy Calculations . Indicate 9 home served by septic system for additions . 3 copies of Tree Preservation Plan if lot platted after 711193 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE R-17-a1 VALULIION 3r ? _ JOB SITE ADDRESS MAR Ur)M(V - Avg IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER _(%M F SZ OIC12. ek., TYPE OF WORT FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT fa t(1h V_kffpLsbn CW4f_U&Y, C?oK-- ' 1l? PHONE#1JI-gtQQ-9-q 7 ADDRESS -3 a aiTS?J" F22 D I&AAphiir, > ZIPCODE? 31 PAGER # CELL PHONE # Lojcl--&o3 - g50A FAX # (051- 4bD'3%1 NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor. Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is c trect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan inane Signafure of Applica Certificates of Survey Received _ Tree Preservation Plan lved _ Not Required _ Updated 1101 MINNESOTA RULES 7670 CATEGORY I - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted - MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Phone #: Water Softener _ Lawn Sprinkler Water Heater _ No. of R.I. Baths No. of Baths - Air Conditioning - Heat Recovery System OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex ? 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Replacement C? d Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch (screened) ? 24 Storm Damage 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Int Improvement ? 38 Demolish (Interior) ? 44 Siding Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair Demolish (Bldg)' ?9 43 Reroof ? .46 Windows/Doors 'DemolMon (Entire Bldg only) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof ?j Ice & Water X Final _ Other . Framing / °° _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace - R.I. -Air Test -Final _ Siding _ Stucco _ Stone Insulation _ Windows (new/replacement) Approved By Lad Building Inspector 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 FinaUC.O. '?J FinaUNo C.O. _ Plumbing HVAC CITY OF EAGAN 1795 Pilot Knob Road Eagan, MN 55122 NO 7486 • i PHONEt 454-8100 BUILDING PERMIT Receipt # ??? ?y(? To be used for 1/2 DUPLEX & GAR Est. Value $61,000 pate September 7 _, Iq 82 Site Address 3829 Deramrk Avenue E R-3 rect IS Occupancy Lot 14 Block 2 Sec/Sub. Windcrest 1st Mer ? Zoning (PD) R-3 Parcel # 10 84460 140 02 Repair ? Fire Zone NA V Enlarge ? Type of Const. s W Name D j}zler-TenOld Move ? # Stories Address 2001 Cape Cod MikM Place Demolish ? Length '40 o Name _ Address City _ Gg Name _ FW Address 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 Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: U1LZler-Teno1Q all work shall be done in accordance with all applicable State of Building Official , Grade ? Depth 44 Sq. Ft._ Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Council - Bldg. Off. _ APC Permit .701.UU Surcharge 30.50 Plan check 180.50 SAC 525.00 Water Conn. 420.00 Water Meter 60.00 Road unit 240.00 Total $1817.00 on the express condition that and City of Eagan Ordinances. CITY OF EAGAN 9795 Pilot Knob Road Eagan, MN 55123 Np 4 8 7 • PHONES 454.8100 / BUILDING PERMIT Receipt # < jy To be used for 1/2 DUPLEX & GAR Est. Value $61.000 Dote Re Rtemhes 7 19 82 Site Address - 3831 Demark AVeane Erect IR Occupancy R-3 Lot 13 Block 2 Sec/Sub. Windcrest 1St Alter ? Zoning (PD) R-3 Parcel # 10 84460 130 02 Repair ? Fire Zone NA V Enlarge ? Type of Const. W Name Ditaler-Tettold Move ? # Stories Address 2001 Cape Cod H Place Demolish ? Length 30 b q Mtka. 55343 Phone 546-6723 Grade ? Depth 44 Sq. Ft.- a: Name Owner Approvals Fees 0 OU Address Name _ Address I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: DitZle oil work shelf be done in accordance with all Assessment _ Water B Sew. Police Fire Eng. Planner _ Council Bldg. Off. _ APC Permit 301. UV Surcharge 30.50 Plan check 180.50 SAC 525.00 Water Conn. 420.00 Water Meter 60.00 Road Unit 240.00 Total $1917.00. _ on the express condition than City of Eagan Ordinances. Building Official pn CITY OF EAGAN BUILDING PERMIT APPLICATION To Be Used For 2 0.JJ E )( d-C Q'? '/ Valuation E Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Date Site Address: 3$2-A 1) Lr\ jt-vE.1l c1 OFFICE USE ONLY Lot 14 Block ? I Sec./Sub. G9 tic?cf???? (?t ? occupancy Parcel #: 1c) I' ? y q u D D Alter Zoning P? II I Repair Fire Zone AIX Owner: b lA-7- l E y-r'-rr- 20 a Enlarge - Type of Cont. move Address: ?Ud? Ca- Co Plop L Demolish _ Fronries 0 ft? City/Zip Code kQ ( 553 (3 Grade Depth L{ ft. Phone #: S (D - (-o -IAPPROVALS FEES Contractor: Uujll (- Address: City/Zip Code: Phone #: Arch./Eng.: Address: City/Zip Code: Phone #: Assessments c?a Permit Water/Sewer Surcharge 3 0 Police Plan Check 1,6,0 Fire SAC Say' °? Eng. Water Conn. o Planner Water Meter !00 Council Road Unit W y0 Bldg. Off., APC !? ITO 10 CM0'aY\ar Ero(c4J C0k4-&,c-4-.?>s rsc, -e,\ ogn5 {-or dtA!pCEJ- + gbta4 cjn) tO/L Call ?I2e r. ?? o.d? plans, CITY OF EAGAN Include 2 sets In " Q 1 site plan w/elevations & l U 1 BUILDING PERMIT APPLICATION 1 set of energy calculations. Th Be Used For valuation9"`O/' ?m Date Site Address: 3$3k DLAnlark VEfW\-e. OFFICE USE ONLY Lot t 7> Block a Sec. /Sub. WcnderES4--1 Erect x Occupancy 3 Parcel #: 10 g-q q tob /SC) C )C-)- Alter Zoning /or 3 - Repair Fire Zone t. Owner: Enlarge _ Type of Cons ???yy Move # Stories Address: v2 C) O 0Cc' E_ Co E RO-0-? - Demolish Front D ft. City/Zip Code: Ak)-k? k 953 Y Grade __ Depth ft. Phone #: s (F( o - (D -7a 3 APPROVALS FEES Contractor: d W ML' Address: City/Zip Code: Phone #: Arch./Eng.: Address: City/Zip Code: Phone #: Assessments Water/Sewer Police _ Fire Eng- Planner Council Bldg. Off. - i' APC Permit .36 / Surcharge a o 2- Plan check / ;i?o s? SAC 5-,IS Water Conn. y?!o Water Meter 6,0 % Road Unit 9 Yo -° =AL V I-7` o D 4P b 0 o INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021531 Eagan, Minnesota 55123 Date Issued: 07/20/93 (612) 681-4675 SITE ADDRESS: LOT. 13 BLOCK: 2 APPLICANT: 3831 DENMARK AVE OSTFIELD BENJAMIN WINDCREST (612) 832-5552 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW 7 L- u EXTE11OR ENVELOPE AVI•:Pv1GE "U" COMPUTATION OWNER: DATE SITE ADDI214SS: PHONE: CONTRACTOR: T_a(QI.D AD= l.gre,gy--rPCeeS " Determine working square footage of each 1. Total exposed wall area...... . sq. ft. X = .17 2. Teal roof/ceiling area ... A-47-34--sq. ft. x _O5 _ _ t gpAg%C44s c'LI14c, - Total exposed wall area above floor a. Total. wall windrn; area ................................. Z7. ota). Scar area ....................................... _ Z TO taI slidInl giac., door area ......................... 4a. CD d. Total fireplace wall area ............................. ?- e. Total wall framing area average 10.) .................. f. Total rim joist area .................................. g.- wan area above floor .......................... Q h. wall area above floor .......................... i. wall area above floor .......................... j - wall area above floor -- total exposed foundation area k. Total fo,iudation window area ........................... 1. Total net foundation-area above grade .................? Determine "U" value of each wall segment (e.g. window, door, each separate wall section) X ..u., ASS =_ c. O D X "v" d. X ..v.. z ?- e. 2) X f. X g • ??SS?d.J X h. ?- X i. ..g.. _ (Z = 77 `J ,.v.. 'lull ?- I . X "v" = r ] - -- X ..U.. r r" 3. Total. _ -z 7:f item 1`3 is the same ,.s, or less than item 41, you )Iavr, nict the intent .at: SBC G006 (c) 2. Exterior Envelope Average "U" Computation Page 2 of 4 Total exposed roof/ceiling area = 1?IfZO 414.0 m. Total skylight area ............................ -- n. Total roof/ceiling framing area (average 10%)... ALA- o. Total net insulated roof/ceiling area........... 'g$ Q -'5-7Z.(o Determine "U" value for each roof/ceiling segment M. x ?.ull ®.. W {It.O ,Q's n. 4 1.4 x ..U.l (CAMo .ot o. 7502-& g ..U.. •0?--- 4 ................. i......... Total -s A z.9 "ZOI r. _?_? 7577 If total of #4 is the same as, or less than #2, you have met the intent of SAC 6006 (c) ]. Alternate Building Envelope Design I To utilize the total envelope'system method, the values established by the sum of items #3 and 44 .shhaal-l not be greater than the sum of items 01 and 02. 3. _?78.$ +4. 7Z--- _ ?1?.? L, I m EA L FT, EXPOSED 5L®Ck. ; 36-r 3ot• 3c5-t 3o t 1 = Iz I ;:U L,. L 1. 3c? t- 3c?t 4o t 40 (do. 0 FvLL2-.-- ,, ;- 1Z ? M : ldo..© PLAQ 4:?g4045 (,uwl . WALL_ r=)e.PO:SP-b WALL. A ZE.A kti EE : roO x S = ' .o w.o, ,? f Jc =??? 1106 ?:ULL I I? K 5= I IZOO FU LL, Z k M f M : 146 X f % 14o-a -T-0-tAL. = ZIC•F . - Qa.MAMC?LG cMuWyt414 is34.® Q,;:.t EkPosE:,D C.EI LtUq = I Izo. pD(?I'/CEILING .y I I VMT L Inted Heat flow up • llCi, ?5 ' LG . d construction Closoi-/ R-Value Interior air film O.G1 2._ ??- 3. f OSQ DC? 4. Exterior air file (still) 0. Total X1.80 1. Interior air film 0.61 2. 3• T ,% +1 OSUL • ? ? 4. Exterior aii file (stiff- •bi Total CcA,"A Are dp 1. Inside air film 0.61 2. 3. ' 4. 0. 17 $, outside air film Total 1. Inside air film 0.61 2. 3. ' 4. 0. 17 S. outside air film . Total . 0.61 1. Inside air film 2. 3. ' 4. 0.17 .$. outside air film Total Note: use additional sheets if more cpacc i. leaded for details and calculations. Heat flow up. ,??eate v v • $0:7-QPI:IZD Heat flow up IFM V -. ' "WALL SECTIONS .RTE: Use 151, of opaque wall area for frama•construction Construction R-.Valuo .2 1 r ir film 11 1. 11 . r 3, inches oft wood 4. 3Z SNILA?NIN?• 2.O(o 5. 5I I 4 -- --'?Z 6. Exterior air film = 0.17 Total 8.33 . Um.l2 1. Interior air film 0.6fI . 2. f," aYPBL -.-r4? 3. 3 Iz I L I1 •00 6. Exterior air film 0.17 Total 114-, 0 S 04.07 1. Interior air film 0.60 1 ?O ? ° 3.. J015T n I ? G 4 s <us a ?NIN?_ i . 5. 51oIriG 2 6. Exterior air film 0.17 Total ?(?.42., 1. Interior air film 0.611 2. 4. GoNL C4 LOGk ? 5' 0.17 6. Exterior air film Total N GRADE FIG. S3 i ? b V . _ e c FIG. 84 ff1 /Cr?: Y X (cr/?? ? (cr rn NOTE: Indicate type, "R"'value, depth and. _ placement of insulation. STAN??A?p FLOOR- A9-ShS vJEtZ UrJf+GA-TEO SPACE - t N i t~ '? Aa AEA rrZ- AM\N G AMEA Ali ?1?IZ ?i>rM .61 _F IN l 5+l T?LOb fZ. . 5D - 5 U t3 tb F ?, B??rTs ((-?? 3 D, 0 0 _ E(r2_ -Fl vA i TaTA L_ tZ = 3 2. °I2 ? = .d3 .61 ,So .?2 11 •?7 .58 •? 1 V = • o? -FUGk ?h2PcGES CPAVJL Sf?Nc..Es) CANTS CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT 3829 DENMARK AVE LOT: 14 BLOCK: 2 WINDCREST P.I.N.: 10-84460-140-02 PERMIT TYPE: Permit Number: Date Issued: c+eo':?- Flas &/-6/9 40 BUILDING 027722 06/03/96 DESCRIPTION: Building permit Type Building 4&o-r..k Type Census Coate E ?a . -1? DECK NEW 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee $45.00 $45.50 CONTRACTOR: OWNER: - Applicant - WARNER MIKE 3829 DENMARK AVE EAGAN MN 55123 (612)687-9486 ) 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 Mn. L Statutes an City of Eagan Ordinances. Ln?lr -' CANT/ ERMITEE SIGNATURE ISS ED 8 SIG TURE '? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 G PERMIT APPLICATION (RESIDENTIAL) j#jq 1996 BUILDIN 681-4675 New Construction Reauirements Remodel/Repair Requirements 44.5-f o ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 7 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan 9 lot platted after 7/1/93 required: _ Yes _ No DATE: 16 " 2 0' 4 CONSTRUCTION COST: 5,000- DESCRIPTION OF WORK: L e( 'be?,-L STREET ADDRESS: Z °L JerU WZ,,g'c y , " LOT BLOCK SUBD./P.I.D. #: LAIN®eR as? Addy Jam, 2gz_37r7 PROPERTY Name: I J14R-Ne.2- _ Phone #: /o 87-1 S' J OWNER ' ST 3S 29 ? AAlz ? Street Address: . 1 N City Of-- A7U State: )?(d Zip: "IX5 CONTRACTOR Company: Phone #: Street Address: License #: City: State: Zip: ARCHITECT/ Company: ?e Phone #: ENGINEER Name: Registration #: v , Address- City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the information is orrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY HLEC EWES Certificates of Survey Received _ Yes No MAY 2 6 1996 Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? ? 05 SF Misc. ? 10 _ plex op,-? 15 Deck WORK TYPE 31 New )? 32 Addition ? 33 Alterations ? 36 Move ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building A Engineering Variance o/ n Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SAN Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit % SAC SAC Units CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 0 3 0 4,2 2 Date Issued: 07/14/97 SITE ADDRESS: P.I.N.: 10-84460-140-02 DESCRIPTION: 3829 DENMARK AVE LOT: 14 BLOCK: 2 WINDCREST _ SIDING/WNDW B,iilding,,,.Permit Type Building Wgrk Type Census Code, 4 yi t+'! . r ., RPLCMNT SF (MISC.) REPAIR 4 ALT. RESIDENTIAL v.+g Y I REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee VALUATION $112.25 $3.00 $115.25 $6,000 CONTRACTOR: - Applicant - ST. LIC OWNER: HANSON CONST, RALPH 14232009 0003720 WARNER MILES .2135 128TH ST W 3829 DENMARK AVE ROSEMOUNT MN 55068 EAGAN MN 55121 (612) 423-2009 (612)454-2921 I hereby acknowledge that I have, read ,this.,application and state that the info,rmation.,is eo,rrect„and, agree, to comply with alJ applicable State of Mn-. L Statutes and City of Eagan-Ordinances. KIAPCANT/PERMITEE SIGNATURE ISSUED BYISIGNATOTC 101- -- . x?:?;tXc>;,mra::;t)r??tn ?Cik?t.W,:#:tt?tW.:?XYnW?XV,tV'>FktktBt?%??X'K:i+:tt?t?XiK CITY OF EAGAN CASHIER: 'TERMINAL.. NO;: 1.31 . k NAMB RALPH iHANSON CONST!JCTTON TRIO 900i 3829 I)ENMA m AV i.l.b. 25 r_':L`.?r-, 90i):I. 3929 DENMARK ASV 3e00 i Total Receipt Amounbt USER 0w NAWY ?A-? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 65122 6814676 New Construction Requirements RemodeyReoair Requirements e 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) 4 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 711/93 required: _ Yes _ No DATE: I'LL 10'7 CONSTRUCTION COST. k DESCRIPTION OF WORK STREET ADDRESS: LOT BLOCK 38,12 A SUBD./P.I.D. #: a` PROPERTY Name: Phone #: OWNER .. ?.. Street Address: 3 Sa 9 ?J2" M a?? /?rre City: State: 2G Zip: CONTRACTOR Company: AloAl /Lm 12-? Phone #: --?26 ° °2 Street Address: x/34 la f License #: 77,f- City: A" 1a State: ?h- Zip: ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licersed plumber (new construction only): and lot change are kequested once permit is issued. Penally applies when address change I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: , OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 1- ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Mufti Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition cd- 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main leve l sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee 1102.45 Valuation: $ Surcharge 3-00 Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: / / 5 . o? 5 % SAC SAC Units PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: BUILDING 033616 10/08/98 3829 DENMARK AVE LOT- 14 BLOCK: 2 WINDCREST P.I.N.: 10-84460-140-02 DESCRIPTION: ermit Type FIREPLACE lurk Typ NEW '. r.: 434 ALT. RESIDENTIAL n I ?;;#:?:?#;Yr:Y.{?Y,M #?.:'(, 4#?#:#?#?$!:ry:> %Y m <:?::l::d?X #'.?Y1F?f:#'.:?RiY.#:#!W i8:4. A!b a?_. :g?wE ?i?IZ mia? G p r'4"IRMi'NAL. NO 944 REMARKS: 113 CHIMNEY/FLUE MUST BE INSPECTED BEFORE COP iQAK::;, ALLIFI) !=:!a:'F:'3:I:I;L. It•![; FEE SUMMARY: Base Fee $50.00 Surcharge _?.50. Total Fee $50.50 5f.3. 00 -, 21 11.75 C11001, .S?a DIFNMAK AVE. 1) Cs{S:19022. 3:1. .W.#;:K:q'.?.';x.#;•m.aFyF )( *1X: 01'+'r%&:q :k>Y*0 CONTRACTOR: - Applicant - ST. LIC. FIRESIDE CORNER INC 16331042 20090911 WARNER MIKE 2700 N FAIRVIEW AVE 3829 DENMARK AVE R?ISEVILLE MN 55113 EAGAN MN 55123 (`612) 633-1042 (651)292-3506 APPLICANT/PERMITEE SIGNATURE ?Q 1`a C A 1?g J (fisuLu BY. SIGNATURE t S-D s? CITY OF EAGAN / 3930 PILOT KNOB RD - 55122 l - 1998 FIREPLACE PERMIT APPLICATION `` 681-4675 C? DATE: (`i l 0 U' 9 PERMIT FEE: $50.50 DESCRIPTION OF WORK: Construct new fireplace Alterations to existing Install eas insert only Install eas line only Other JOB ADDRESS: LOT: BLOCK: SUBDI4'ISION/P.I.D. C \ L,l " (' 14 APPLICANT (circle one only): OWNER NTRACTO 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. Name: /',?r?il?(1 t /77(?9,0- Phone 14: PROPERTY Last First OWNER Signature: ?j Street Address: /? ??. City ?a 11 State: )w /, - Zip: Company: E l t D ePhone k LV ?? FIREPLACE w INSTALLER Signature: Street Address: License # -t-2 W City t State: zip: Company: Phone #: GAS LINE INSTALLER Signature: Street Address: OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. r CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: C?e 1()7S/q 211 BUILDING ?!? 021531 07/20/93 SITE ADDRESS: P.I.N.: 10-84460-130-02 3831 DENMARK AVE LOT: 13 BLOCK: 2 WINDCREST DESCRIPTION: BuildingPermit Type DECK Building laork Type NEW /'UBC Occupancy R-3 Building Length,, 16 Building Width 16 REMARKS FEE SUMMARY. Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - OSTFIELD BENJAMIN 3831 DENMARK AVE EAGAN MN 55123 (612)832-5552 I her, y cknawledge that I have read this application and state that the in f rm ion is correct and agree to comply with all applicable State of Mn. St to es and City of Eagan Or di ances. PP NT SSUED B : SI NATUR x x x X x REACTIVATE ^ r: ' L uLb \b0?1? ti.. id PERMIT N J L 1993 CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION $$3.,5) 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 6, 13 Valuation of work Site Address: ?e-?J mA4Lk Avs STREET SUITE k Tenant Name: (commercial only) LOT IJ BLOCK _J, ?nj6jj A+- FSUBD. 1 T F - I.D. Description of work: R LA-t-.aew( The applicant is: wner Contractor ? Other (Describe) Name OSTfi? L9 JO&LA Phone 4;4- 8/O3S'_ Property LAST I FIRST aus4h»9 t 6G-.4 CD/t 832-5'SS'_2- Owner Address- 3831 ??N?u A-vE STREET STE M City C?1(cA-?J State M"? Zip S-Sl 2_3 Company 1 ?JSTwc71t," (0.tc• Phone S Contractor Address 1077,7- 1, A-%jig 0 4971 Exp. City O u TH State Zip Company Phone Architect/ Engineer Name Registration Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days onFe area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: X OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE R 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'"1. ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy 77 -1 Zoning S of Stories Length r5' Depth .1,5 V• APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. 1st F1. sq: ft. 2nd F1. sq, ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace g 15 Deck ? 35 Tenant Finish ? 36 Move ? Framing ? Draintile 43y d ? Insulation ? Fireplace Permit Fee Z7, pm vatmt;on: Surcharge '50 Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: S L J It 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % boo SAC Units _(_ 2 CITY USE ONLY L ? d BL ? RECEIPT #: 9?`Q c? 0 SUBD. tJU RECEIPT DATE: y / o 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-6675 Please complete for: FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa ? single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system Gas Piping Outlet ' minimum -1 Rough Openings Water Softener "for dwellings under construction Water Softener `for existing dwelling U.G. Sprinkler for dwelling under const. U.G. Sprinkler ` for existing dwelling Alterations ` to existing residence Water Turn Around Private Disposal System ` MPC lic. (new and refurbished systems) Private Disposal Systems * Abandonment RPZ (new installation only) EACH # TOTAL 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x X = 3.00 x = 1.50 x = 5.00 x = 20.00 ' x = . . 3.00 = 20.00 20.00 = 20.00 = 75.00 = 20.00 = 20.00 STATE SURCHARGE .50 TOTAL G-6' 5 n - ----•- -------- - ------ --- - --- ---•- --- ----- • ----- -- - 1 hereby acknowledge that I have read this application, state that the infortnaeon is correct, and agree to comply with all applicable C'ay of Eagan o rnances. It is the applicants respons'"'"'- "` "" - - - -"-- -sgan assumes no liability for any damages caused by the City during its normal operational and mail ANDERSEN, JOHN this permit within City property/right-of-way/easement. 3831 DENMARK AVENUE SITE ADDRESS: EAGAN, MN 55123 (651) 454-8635 OWNER NAME: _ INSTALLER NAME: N d?L? I-QKAA 12Wr t 61 MG TELEPHONE* PZ7?_ STREETADDRESS: Z2(05 6Arg.FIE-LIR CITY: M(LlN E4pous STATE: ZIP: 6'5j.08 OF PERMITTEE CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1998 8730 `lumboldt Avenue South 8L06M:; SSTOZ, rlM\''ES0 A 55431 ????? CJY1Y'MIG?J / •U _ WE ARE SENDING YOU /? Attached El Under separate cover via- 0 Shop drawings ?/Prints ? Plans ? Copy of letter ? Change order ? GATE / JcT I9 !3 -? Jos NO. ATTENTION / / lti"fir F?I'?r t `• //1 ?K following items: ? Samples ? Specifications COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: ? For approval ? Approved as submitted p`For your use ? Approved as noted ?'As requested ? Returned for corrections / ? For review and comment ? ? FOR BIDS DUE 19 ? PRINTS RETURNED AFTER LOAN TO US 7r 1: of z.. ?/ D„ ? A/n /-?.•/ ?i?SPr1? /S S. /.?///.?. tr Y Sid 7 i t COPY TO SIGNED: maATHax Ora, uea?am olnr. If enclosoms am not as noted, kindly notify us at once. ? Resubmit copies for approval ? Submit copies for distribution ? Return corrected prints RELATIVE DENSITY SUMMARY SHEET LET /?v7N .? 7 ?A/i .nrACr % . ST 4A77.Tin_. l/1•. nL L/ r TEST NO. STATIO DEPTH OF TEST PROCTO NO. TEST SUIT LB /CF mtE QUIRED RELATIVE DENSITY % RELA- TIVE DENSIT DATE & REMARKS - 7'10 135.5 l a6.3 9a,. ?3:0 /G 3P O.5 35. 35_ 9 y 5 y _ 23 d"-5 135 7 /71 7 I SUBTERRANEAN ENGINEERING MINNEAPOLIS, MINNESOTA. Ph. 646 - Bees . Compaction Quality Control Tests Project _Windcrest Addition Report No 2 Westcott Rd. & Denmark Ave., Eagan, Mn. Job No S-8098 Sand Cone Method Nuclear D Other ? Depth F"tIng ow O last W M60 M fg post moisture dry Ina aimum lsr dale ne location Wow }III densFly cenlerd ? dry dI eemprctlen eaee n"H%da:ena sumacs 13 pct fov. 18 elev. MEETS 980 4 See 882.5' 134.7 2.4 130.6 135.7 96.2 SPECIFICATION; lov. 18 MEETS .980 5 882.0' 133.4 4.1 126.8 135.7 93.4 SPECIFICATION; fov. 18 MEETS .980 6 879.5' 148.8 11.1 132.8 135.5 97.8 SPECIFICATION; fov. 18 MEETS .980 7 Plan 882.0' 157.1 17.0 133.1 135.5 98.0 SPECIFICATION; lov. 8 MEETS .980 8 880.0' 145.0 13.4 126.5 135.5 93.2 SPECIFICATION; lov. 18 MEETS .980 9 882.5' 146.2 10.6 131.0 135.5 96.5 SPECIFICATION! lov. 18 10 Below 878.0' 140.8 10.3 126.3 135.5 93.0 MEETS by, 1 1 11 870 - W 119.7 7.9 12R.7 1 39, 9; 94-4 SPECIFICATION; ov. 18 I 12 864.0' 141.2 11.2 125.6 135.5 92.5 MEETS 'ov, 18 13 SPECIFICATION! Notes: All teats corrected for atone content, where applicable. ASTM Indicated Percent Compaction JZ% Max. Modified Proctor Dry Density D-1Sb7 ? % Max. Standard Proctor Dry Density Dees Distribution: cc Windcrest Company cc James R. Hill, Inc. cc Enebak Const. Co. cc Eagan Bldg. Insp. Dept. Q? z at15 n .t ar rs tur -:/ • ! v 0 Its .t ?4+17 ? / 4 LOT .tGT / a SUBTERRANEAN ENGINEERING INC. MINNEAPOLIS, MINNS80TA. Ph. 548 - 8888 Compaction Quality Control Tests Project Windcrest Addition Report No. 3 Westcott Rd. & Denmark Ave., Eagan, Mn. Job No S-8098 Sand Cone Method 1qu1 Nuclear K? Other ? Depth • ow teal n? $[ stet moisturs % dry rnasimum y % data no, location 6 elrrwfill wrface ? density txf content dwn itY d y dr,; d,., t cem dr tfm rreemmendat?aru Nov. 1 1980 14 See elev. 880.5' 149.4 9.4 135.5 135.7 99.8. -MEE ETS PECIFICATIONE Nov. 1 1980 15 873.0' 154.7 16.1 132.1 135.7 97.3 ETS PECIFICATIONE Nov. 1 1980 16 Plan 875.0' 151.6 14.0 131.8 135.7 97.1 ETS PECIFICATIONE Nov. 1 1980 17 869.0' 145.8 9.7 131.8 135.7 97.0 ETS PECIFICATIONE Nov. 1 1980 18 Below 872.0' 154.9 17.8 130.3 135.7 96.0 ETS PECIFICATIONE Notes: All tests corrected for atone content, where applicable. ASTM Indicated Percent Compaction IR% Max. Modified Proctor Dry Density D-=7 ? % Max. Standard Proctor Dry Density D-BSS Distribution; 1 cc Windcrest Company 1 cc James R. Hill, Inc. 1 cc Enebak Const. Co. 1 cc FHA-HUD 1 cc Eagan Bldg, Insp.. Dept. 7 sir ^?? L.j L- r BIIBTER.R.ANEAN ENGINEERING INC. MINNEAPOLIS. MINNESOTA. Ph. 548 - 8888 Compaction Axiality Control Tests Project Windcrast Addition Report No. 4 WestcQtt Rd. & Denmark Ave., Eagan, Mn. Job No S-8098 Sand Cone Method Nuclear ? Other ? Depth 11910W 0 2214119 test ? W o 9 wet malatum t % dry maximum aKy b d{ d dale M toullon b.tow fill 13 density y f conten 6. ,.aft ^'ty y y eanpw on ncemm.n alM.na surface PC Pc ov. 2 elev. ETS 980 19 See 875.0' 142.8 10.3 128.2 135.7 94.4 SPECIFICATIONS ov. 2 ETS 980 20 877.0' 145.6 11.6 129.2 135.7 95.2 PECIFICATIONS ov. 2 ETS 980 21 Plan 878.0' 147.6 13.3 128.9 135.7 95.0 PECIFICATIONS ov. 2 ETS 980 22 880.0' 149.3 12.2 131.9 135.7 97.1 PECIFICATIONS ov. 2 ABETS 980 23 Below 881.5' 148.2 11.5 131.7 135.7 97.0 PECIFICATIONS ov. 2 ETS 980 24 876.0' 147.4 10.4 132.3 135.7 97.4 PECIFICATIONS ov. 2 ETS 980 25 877.5' 137.8 6..5 128.0 135.7 94.3 PECIFICATIONS ov. 2 F J ETS 980 26 871.5' 145.1 11.3 129.1 135.7 95.1 PECIFICATIONS Notes: All tests corrected for stone content, where applicable. ASTM Indicated Percent Compaction 1R% Max. Modified Proctor Dry Density D-1557 ?% Max. Standard Proctor Dry Density D-898 Distributions cc Windcrest Company cc James R. Hill, Inc. cc Enebak Const. Co. cc FHA-HUD cc Eagan Bldg. Insp. Dept. • t v:l AL • ( y zu? l,E ,or CX SUBTERRANEAN ENGINEERING INC. 7415 Wayzata Blvd., Suite 112 Minneapolis, Minnesota 55426 Tafal Houn On Job Report rime / fv Phone x464938 ?efe Summary of Technical and/or Engineering Services performed, including Field Test Data. Locations, Elevations, and Depths are mfimahed. THE LIMITATION OF LIABILITY STATEMENTS ON THE REVERSE SIDE OF THIS REPORT CONSTITUTE AN INTEG- RAL PART HEREOF. 1. Impacted Lot /-arn?? RIGA Plat 2 AA uLiziLs!1,4 iiX"(t?s 2. Excavation is feet deep grading to feet deep at ?? and exfends to ekvafi +o of. The side slopes are almost vertical ? 2 vertical: I horn ? I vert.: I horiz ? flatter than 1:1 ? 3. Comtrucfion staking is adequate inadequate p no stakes found ? 4. Excavation is ?? / r rla'W7JIL Euf_Ry / ?O to 1/Ft'97044- C4.` is not ? adequately oversized beyond the building lines. The amount of oversinng at bbaasse is feet. We cannot comment on oversizing ?, because there are no comtrudion stakes. 5 6cevation is dry Id wet ? Wafer is seeping in from side. Soil at base ?. Approximate depth of wafer in excavation Dewatering is in progress, by means of submersible pump ? wellpoinfs ? deep wells ?. Additional dewatering is necessary ? not required ?. 6. All undesirable soils have been excavated. Yes &KFb ?. feet of :nil remain to be removed ?. 7. Sal at base of excavation is sandy clay clayey sand ? silty sand clean sand ? sandy Of Ild' oT^e? 8. Approved Not approved ? for fill placement. 9. Fill is4&VW &E-l i>DrJLutsr.Pjp u? a?sily+l,?dy//? /NE!'a°At/E.C _Ifype of soil). FU is being compacted with a vibrating slQpsfo er el vibrating smooth drum roller ? manually operated vibrating plate tamper ? Roller is Non-vibrating roller F1 is not ? self-propelled. 10. Performed W field density tests. See Compaction Qualify Control Test Report No. i!?` for results and test locations. 11. ?//;t-- /2 - feet of fill remains to be placed. 12. Additional inspection and tests will be required. Yes 2__N0? 13. Weather conditions at time of this inspection. Hot and dry Sub-frearing ? ifs _ RECOMMENDATIONS AND CO1NC_ LUSIONS 9.11 Warm ? Raining ? Slightly above freezing 0/.. /J ^r-;r it I ?..T I 88n q / i ri e SUBTE RANEAN 64GINEERIN-G-MC. Lab. Time Report T,me Phone: 5464938 av, Summary of Technical and/or Engineering Services performed, including Field Test Data. Locations, Elevations, and- Depths are estimated. THE LIMITATION OF LIABILITY STATEMENTS ON THE REVERSE SIDE OF THIS REPORT CONSTITUTE AN INTEG- RAL PART HEREOF. 1. Inspected Lot ?i / %? ,>.?lock Plat Excavation is feet deep at and, grading fo feet deep at end and extends to elevation to feet. The side slopes are almost vertical ? 2 vertical: 1 horis. ? I vert.: I horiz. ? flatter than I:I ? // Construction staking is adequate ? inadequate ? no stakes found ? Excavation is ? is not ? adequately oversized beyond the building lines. The amount of oversizing at base is Beet. We cannot comment on oversixing ?, because there are no construction stakes. ?6?ev&Non is dry ? wet ? Wafer is seeping in Soil at base ?. Approximate depth of wafer in excavation Dawatering is in progress, by means of submersible pump ? wellpoints ? deep wells ?. Additional dewatering is necessary ? not required ?. All undesirable soils have been excavated. Yes ? No ?. feet of Uil remain to be removed ? Soil at base of excavaf ion is sandy clay ? clayey sand ? silty sand ? clean sand ? sandy silt ? other / Approved ? Not approved ? for fill placement. 9. Fill is,(y X& 4p X77, &FdW41v1 Z*J /77.--/r dFLSi (L IlP'?f ja/k'E_' ?CAIfype of soiry. FA is being compacted with a vibrating shee sfoot roll Vibrating smooth drum roller ? manually operated vibrating plate tamper ? Non-vibrating roller ? Roller is is not selfp-p/ropelled. 10. Performed n field density tests. See Compaction Quality Control Test Report No. « results and test I Hons. I. () feet of fill remains to be placed. 12. Additional inspection and tests will be required. Yes ®/N0 ? ID. Weather conditions at time of this inspection. Hot and dry ? Warm ? Reining ? SGghty above freezing ?- Sulx-freezing ? _ AND CONCLUSIONS SUBTERRANEAN ENGINEERING INC. v 7415 Wayzata Blvd„ Suite 112 Minneapolis. Minnesota 55426 -------------- ----- ti SIIBTEHHANEAN ENGINEERING INCe 7415 Wayzata Blvd.. Suite 112 Minneapolis, Minnesota 55426 .? Job Nam* / I, 1A/ID.<:Cr iIA I/ //1A Job Location Earthwork Conrroctor iy+L Client A ?A/? a r?? - ' ArciveJob •. • r'.44.t Mileeg lw Dapart Job Traval Time Lab. Time Total Hours l7 _?/?j/ On Job / Reoorf Tina 7 Job Phone: 546-6938 Dab Q Total Chargeebla Hours 'li'v Summery aF Technical and/or Engineering Services performed, including Field Test Data. Locations, Elevations, and Depths are eatimated. THE LIMITATION OF LIABILITY STATEMENTS ON THE REVERSE SIDE OF THIS REPORT CONSTITUTE AN INTEG- RAL PART HEREOF. 1. Impeded Lo+lkti,? ' Block e - Plat _ X Eacavafion is feet deep a+ end, grading to feet deep at end and extends to ekavaiion to feet. The side slopes are almost vertical ? 2 vertical: I horiz. ? 1 verf.: I horix. ? flatter than 1:1 ? X Construction staking is adequate ? inadequate ? no stakes found ? Excavation is ? is not ? adequately oversized beyond the building Ines. The amount of oversising of base i• feat. We cannot comment on oversizing ?, because there are no construction slakes. X Excavation is dry ? wet ? Water is seeping in Soil at base ?. Approximate depth of water in excavation Dewafering is in progress, by means of submersible pump ? wellponts ? deep wells ?. Additional dewotering is necessary ? not required ?. 6( All undesirable soils have been excavated. Yes ? No ?. feet of =al remain to be removed ?. Soil at base of excavation is sandy clay ? clayey sand ? silty sand ? clean sand ? sandy silf ? other tK N otpraoved / pproved ? for fill placement. 9. Fio is f type of soil). Fill is being compacted with a vibrating she "foot rot r vibrating smooth drum roller ? manually operated vibrating plate tamper ? 2// Non-vibrating roller f7 Roger is is not ? self- polled. Q 10. Performed field density tests. See Compaction Quality Control Test Report No. -A -for results and fast locations. 11. 011< feet of fill remains to be placed. 12. Additional inspection and tests will be required. Yes No ? 13. Weather conditions at time of this inspection. Hot and dry ? Warm ? Raining ? Slightly above freezing Sub•freeong ? RECOMMENDATIONS AND CONCLUSIONS SUBTERRANEAN ENGINEERING INC. SURVEYOR'S CERTIFICATE ' MAGNAR TENOLD h N 8/°/3'32 ? 1 W /93.32 y Ni 51 CS ;t m O z.01 6.0 2.o ry m (0 40 3 J 45 20ON. /D N O M D? NOR/VEWAYI?? O N 84045`38"W m W o 18771 1b r BUILDING \ R) p? r, loo. 11 f n b N b D VEWAY `' 15 1 w ia.R N (D ?. ••/ 20.0 y„ J a ` Nr N I V(0 2W h? I/O Q I, ^ I W 2 , o , 40 J? 3? I ' C' Q: Q: / ,` ? ? M Iegi.il s /? n1„W 19499 LANE/ J 04 gOIZ F ,801.01 ,1 m ? 14* m ERcL?F o pE M / b? m I Q Z 0 N SCALE: 1 INCH = 40 FEET PROPOSED GARAGE SLAB ELEVATION = 883.0 FEET -PROPOSED TOP OF FOUNDATION ELEVATION = 883.5 FEET (000.0) DENOTES PROPOSED ELEVATION I HEREBY CERTIFY TO MAGNAR TENOLD THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lots 13 and 14, Block 2, 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. IT ALSO SHOWS THE LOCATION OF A PROPOSED BUILDING BUT NO STAKES HAVE BEEN SET FOR SUCH LOCATION. AS SURVEYED BY ME THIS 27TH DAY OF AUGUST, 1982. SIGNED: JAMES R. HILL, INC. BY: ME/ 'C ?J??`?Vfi??J HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 82187 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 55431 812-884-3029 _ORVEYOR'S CERTIFICATE J / O . W A m O I A ' n , M /, `) /V8/0 I 32" 1 -- W /9332 i , 2.0' 6.0 2.0 ?. \ O3 20,0 n o??jjra.e /8T. BUILDING ' 0 MAGNAR TENOLD 1 l v ,/0 300 ? IR/VEWAI I(N 40 Op Np o v \ QJ 11 It o- I I (C 4 ? J ti I ? 'n 2W Q a ql " hi /o v LU? J i ; W ?y 'j ?i °- oW ? m 40 q. ? a? ,27„vy 194.9 JANE' 1 ? 0 040 m 574 FF ,ae,.e? -- M DEER?LI b b I? W N SCALE: 1 INCH = 40 FEET PROPOSED GARAGE SLAB ELEVATION = 883.0 FEET -PROPOSED TOP OF FOUNDATION ELEVATION = 883.5 FEET (000.0) DENOTES PROPOSED ELEVATION I HEREBY CERTIFY TO MAGNAR TENOLD THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lots 13 and 14, Block 2, 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. IT ALSO SHOWS THE LOCATION OF A PROPOSED BUILDING BUT NO STAKES HAVE BEEN SET FOR SUCH LOCATION. AS SURVEYED BY ME THIS 27TH DAY OF AUGUST, 1982. SIGNED: JAMES R. HILL, INC. BY: ? /U/?/J ; HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 PROJECT NO. BOOK /PAGE 82187 JAMES R. HILL, INC. Planners / Engineers / Surveyors FILE NO. FOLDER 8200 Humboldt Avenue South Bloomington, Mn. 55431 612-884-3029 ,SURVEYOR'S CERTIFICATE'' MAGNAR TENOLD / 115 h N8/'32"yy ;,, I f -- - ? 193 32 I M 5 1b t, - I +\ 40 O + zo, 6.0 z.0 NI m I ? 6 + 3 J I 4 :10.0 IO h N Q N 8404538" m ° ° PROPOSED OR/VEWAY o ' 18771 / --300 - a BUILDING \ N + ORlVE /y W4Y ? M ` dA 20.0 y I Co ry I ?,t0 I 04 ? a? I hl I0 it a to ^ Q 2 ; J m 40 = I W , 'I ? _ I Ry 0 I ? / ow s T w 194.99 LAN E a? °4 7'2 e ;la o o F s _- ? ?EERcLj F I e q a 0 I C) N SCALE: 1 INCH = 40 FEET PROPOSED GARAGE SLAB ELEVATION = 883.0 FEET -PROPOSED TOP OF FOUNDATION ELEVATION = 883.5 FEET (000.0) DENOTES PROPOSED ELEVATION I HEREBY CERTIFY TO MAGNAR TENOLD THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lots 13 and 14, Block 2, 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. IT ALSO SHOWS THE LOCATION OF A PROPOSED BUILDING BUT NO STAKES HAVE BEEN SET FOR SUCH LOCATION. AS SURVEYED BY ME THIS 27TH DAY OF AUGUST, 1982. SIGNED: JAMES R. HILL, INC. BY: ? /?j /v??$/f HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 82187 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 55431 612-884-3029 Use BLUE or BLACK ink For Office Use P T1 j i Oa j j Permit ' u cC...i'v~~ I Permit Fee: 3830 Pilot Knob Road R- I q i Eagan MN 55122 Mp`i 91011 1 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff INFLOW & INFILTRATION PERMIT APPLICATION -X Plumbing / Sewer & Water gate: site Address: Tenant: Suite RESIDENT i OWNER Name: f4k e r Phone: - 0 - S (s Address t City / Zip: 3 8 g e-A) M,421G 40e-, ~L/,~ J i a 3 Name: J4 4L S S i e r, ti rn h; n e r v ,`c t Tvi c.. License CONTRACTOR 5 Address: U . c p} t City: a State: 1! Zip: SS a Phone: S 4~ g 5 Contact: th i uz t l~ l - Email: _tY~ i' K~r. a r ~ Y'J } ~ rw b r Ys z ~ C.- r PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other. Other. DESCRIPTION Description of work: ; 0 - w. ~~7 i-u B ~s r X60.00 /Each (includes $5.00 State Surcharge) ~ ~ . ~ ~ ~ TOTAL FEE ~ ~ CI ~ *Permit fees will NOT be reimbursed by the City of Eagan. ff you plan to submit !11 repair casts for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaaan.com/inflow, or City Mall at 3830 Pilot Knob Rd. 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 oro 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 worts is not to start without a permit; that the worts 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 FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground _Rough-In ,Final PERMIT City of Eagan Permit Type:Building Permit Number:EA179389 Date Issued:10/03/2022 Permit Category:ePermit Site Address: 3829 Denmark Ave Lot:014 Block: 002 Addition: Windcrest PID:10-84460-02-140 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael G Warner 3829 Denmark Ave S Saint Paul MN 55123--144 Foremost Exteriors Llc 4740 124th St Savage MN 55378 (952) 495-5545 Applicant/Permitee: Signature Issued By: Signature