3852 Denmark Ave
Use BLUE or BLACK Ink
For Office
ity 0 p Permit
111100 C Ea - 1
~
- o
!5 53830 Pilot Knob Road Permit Fee:
I I
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 { I
Fax: (651) 675-5694 Staff.
I
2011 MECHANICAL PERMIT APPLICATION
Date: Site Address: Def)rffQ 1
e. C
Tenant: , Suite
RESIDENT 1 OWNER Name: Ski~ PhoneUs
` ~`_j - ~:l OcLI
Address / City / Zip:
CONTRACTOR Name: BURNSVILLE HEATING & A/C, INC. License 1t12~~1
~t
Address: Suite 120 City:
Burnsville, MN 55337
State: Zip: Phone: qSl Q- a)J
Contact: 6L a, Email:
TYPE OF WORK New X' Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and g and mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
X 'Furnace New Construction - Interior Improvement
Air Conditioner Install Piping - Processed
_ Air Exchanger _ Gas - Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank Install / _ Remove)
Other ) S . When installingtremoving tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) 5
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installationfremoval OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- if the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge)
= $ TOTAL FEE
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.gooherstateonecall.om
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 . e approved pl n in the case of work which requires a review and approval of planscn1 11(i i`
Applicant's Printe Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -,,,Under Ground Rough In -Air Test -Gas Service Test -In-floor Heat Final
Exterior HVAC Screening Inspection
I
CASH RECEIPT
CITY OF EAGAN
• 3830 PILOT KNOB ROAD
r
E'A16AN, MINNESOTA 55122 i,
DATE / 19
RECEIVED Tj
FROM ,` (. ?.
AMOUNT $ 102- C?(
& DOLLARS
110
O CASH ?(CHECK
FUND OBJECT AMOUNT
/ //
? L
lllI
''
Thank You
BY r
• n r VVh71e-Payers COPY
Yellow-Posting Copy
E. Pink--File Copy
0)
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE !
19 L
RECEIVED
AMOUNT $ I ?i
i
8 DOLLARS
100
? CASH ?I CHECK
FOR 1 v .. t
FUND OBJECT I I I AMOUNT
Thank You
BY (
Whhe-
llo% Payers Copy
1q9 8 2 4 0 Y+ e
y elk?w?-POs Ung Copy
Pink-File Copy
BLDG: PERMIT NO. 01-3210 Bldg. Permit
I 0T'-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
']3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
a1g-3855 Park Ded.
TOTAL
BLDG. PERMIT NO.
L,
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
"o-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
I8'3855 Park Ded.
TOTAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
Dunu0• AKA.Alnn
BUILDING PERMIT
To be used for
Est. Value '9+
Site Address
Lot Block Sec/Sub. tST
Parcel No.
a Name aTI i _?
= Address
0 City pt,.,no -A022
a Name r 1. I!1C .
0
o o Address
?F City Phone
City Phone
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:
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
Receipt *
t% R
On Site Sewage Occupancy
MWCC System J Zoning
On Site Well (Actual) Const
City Water X (Allowable)
PRV Required * of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Permit No. Permit Holder Date Telephone it
Plumbing
H.V.7?.C. 9 g+ +
Electric ?? (.?<Q? °/C $? of `'?
Softener
Inspection Date Insp. comments
Footings I //. ?
Footings II
Foundation
Framing
Roofing
Rough Plbg. _
Rough Htg.
Isul. r/
Fireplace
Final Htg.
Final Plbg.
Bldg. Final y, /?
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
L - CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt
To be used for Est. Value Date 19
Site Address OFFICE USE ONLY
Lot Block Sec/Sub On Site Sewage Occupancy
. MWCC System Zoning
Parcel No.
On Site Well (Actual) Const
City Water (Allowable)
a Name
z Address 'v - PRV Required # of Stories
3
°
City P66t1e
-
Booster Pump
Length
Depth
o
Name S.F. Total
.
o c Address Footprint S.F.
V Cr
City Phone 5
APPROVALS
FEES
~ ¢
"W
W
Name Engr./Assess. Permit
Planner Surcharge
Address Council Plan Review
Q m city Phone
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.gpplicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to:_ Treatment P1
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.
TOTAL
Building Official_
Permit No. Permit Holder Date Telephone #
Ptumbing
l
H.V.94.C. r
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing /? IQ
Roofing
Rough Mg. _G
Rough Htg. y„y
Isul.
Fireplace
Final Htg. ? S'.
Final Plbg.
Bldg. Final 155
Cert Occ. z? 0-c
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT #
MECHANI CAL PERMIT RECEIPT #?.
CITY OF EAGAN 1
15
1
3830 PIL OT KNOB RO AD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address ° i l rlla ?` BLDG. TYPE WORK DESCRIPTION
Lot ?-' Block Sec/Sub
P R
X N
m
Name !" r
t 1 ,/ i l r es.
ew
t Add
m
Address x `
1 i " r' k Mut
-on
i
R
C
c
Cit
Phone
L- r
epa
omm.
y Other
Name r t }, ` r r FEES
3 Address RES,-HVAC 0-100 M BTU -$24.00
p City_ Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
P
i
O
?D
,000.00)
BEYOND $1
Gas
ip
ng
utlets #
Other
-
FEE f
r4
S/C: ?J SIGNATURE OF PERMITTEE
TOTAL
FOR: CITY OF EAGAN
_ PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
CONTRACT PRICE: 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
. X
X N
R
m r??r"
Name fl Vi ?Y,
ew
es.
A
- Mutt
dd-on -
Address
I ?
U ?'' 4 f
i
C
R
r
omm.
epa
C City` i •' r s s- , . Phoned 3f? J' Other
Name I ?+ sy?` FEES
L
3
Address
RES. HVAC 0-100 M BTU -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $,50 SIC IF PERMIT PRICE GOES
Vent
G
P
O
l CFM BEYOND $1
,000.00)
as
ut
iping
ets #
Other
FEE
SIGNATURE OF PERMITTEE
S/C:
TOTAL'
FOR: CITY OF EAGAN
CONTRACT PRICE
Site Address
Lot Bloc
Name MIN tW1A VIRI
Address 14 1 ,94
c City [21 AINE
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
is BLDG. TYPE WORK DESCRIPTION
Sec/Sub Res. New ?--
Mult. Add-on
TREATMENT, Comm. Repair
LANE N.E. Other
Name I G ,z r 1
c Address k, Li ,?.._
0 City Phone , Iv
3
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
OF PERMITTEE
FOR: CITY OF EAGAN
IV-1J. ra.vaa. VIMLI - VVmrLGIG 9"I rvVVVAmaa.
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Kitchen Sink - $3.00
-Urinal/Bidet - $3.00 1y
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1 50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL:
Narr
m Awl
c city
L Name
3 Address
O City -
CITY
3830 PILOT KNOB
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
OF PERMITTEE
BLDG. TYPE WORK D SSCRIPTION
Res. New
M ult Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
rr- Water Closet - $3.00 S
_7 Bath Tubs - $3.00
TLavatory - $3.00
Shower - $3.00
T-Kitchen Sink - $3.00
Urinal/Bidet - $3.00
--T-Laundry Tray - $3.00
Floor Drains - $1.50 7 '
Water Heater - $1.50 I
Whirlpool - $3.00
__j_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
PRICE: PHONE: 454-8100
Site Address
Lot
? Name
m Addre
c City _
m
c
3
O
Name -
Address
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
FOR: CITY OF EAGAN
PERMIT #
RECEIPT # '
DATE:
BLDG. TY WORK DESCRIPTION
Res. New
M ult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
FIXTURES TOTAL
Water Closet - $100 $
-Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
=Laundry Tray - $3.00
Floor Drains - $1.50
"Water Heater - $1.50
Whirlpool - $3.00
-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
. 1 :L .:
r_nwun rnrwl
• •.r I
(Uxtiftrott of Orrupattry
Citp of (Cagan
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 a..arrauon 1 /2 DOPIER & GAR Bldg. Permit No. 14 i,x;
O-p.ncy Type R3 zoning fksW PD R2 Type comic vol
Owner of Building I.C"'M PROP'P.RI'I Y Add" 6601 SHIN ML CREW P!C`yi i
i`F t?'• ? AV v'tJE
Building Address LocalityL IO, B1, W1 XFW1 I ST
Date: M, 14, 1988
Bwlding OBiaal
POST IN A CONSPICUOUS PLACE
Tratiftrofr of (Orrupaury
Citp of Cagan
10tvarimmt of Wadb o Jwrdian
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 Clsssifcatioa 1/2 DUF & GAR. Bldg. Permit No. "4753
Rj bn
Occupancy Type Z-,, Dis a Caau
!. 1'^AARC PRGC' i T i... ' `;01 "1'MC;LE CREM PYW
Owner of Building Address
Building Address A V F: Locality B1, W I N DC R E.; i
Daa: j;NE 24, 1966
Building Official
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN h ;
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for 1/2 DUPMAR
Receipt #
Est. Value S59'000 Date MARCH 31. ,19 1541_
Site Address 3852 DENMARK AVENUE OFFICE USE ONLY
Lot 9 Block 1 Sec/SubWINOCUST 1ST ADO On Site Sewage Occupancy R-3
.
MWCC System
X Zoning
PD.R-2
Parcel No. V-n
On Site Well (Actual) Const
it Name LOMBABD PROPERTIES City Water R (Allowable) V_n
= Address 6601 SHINGLE CREEK PKW. PRV Required # of Stories
o City "OOKLYN SNWe 566--8022 Booster Pump Length 52'
Depth 301
c Name a-S CONSTRUCTION, INC. S.F.Total
z'-
o u 85
Address THIRD AVeNUIR S Footprint S.F.
U Ci1yy NEW WINTO"Phone 636-4164 APPROVALS FEES
~ x Name Engr./Assess. Permit 410000
5
29
z
X ?
Address Planner Surcharge 0
.
206
00
U z
W City Phone Council Plan Review .
Bldg. Off. SAC, City 100-00
-
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00
information is correct and agree to comply with all yaLlicable State of Water Conn. 550.00
Minnesota Statutes and City of!Eagen Ordinances. Water Meter 67000
Sfgitature of Permittee' ? _
Road Unit
375.00
A Building Permit is issued to: )tea COili8Ti1?CTI [??? Treatment P1 1" 00
on the express condition that all work shall be done in accordance with all
Parks
apgficable State of Miipesota Statutes and City of Eagan Ordinances.
J TOTAL 2 W • 50
.';
Building Official
-/_ r
_
-
CITY OF EAGAN 4
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454.8100
BUILDING PERMIT Receipt#
a
To be used for ; I, I1UPIGAR Est. Value $59.0M Date MARCTI. 31, 119
Site Address 3a
Lot 10 Block 1
OFFICE USE ONLY
On Site Sewage Occupancy t-3
MWCC System X Zoning PD. I1_2
On Site Well (Actual) Const V-n
City Water A (Allowable) V-n
PRV Required # of Stories
Booster Pump Length 52
Depth 30'
S.F. Total
Footprint S.F.
Parcel No. _
z Name
W
3 AdIre
o rites B
Sec/Sub. WINDCREST IST ADD
Z o Nam,@ H...tt MHATRUCTION ? 2,'_
ua Address Ali THIRD Ayg? +gA
City ,E-4 BRIGRTONPhone 536-4164
rQ
W
LU U,
Name
I-- a Address.
Z
U
W
¢ City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all appl4,able State of
Minnesota Statutes and City of Eagan Ori' inar?ceg.
Signature of Permittee
A Building Permit is issued to: L-$ CoNnallCTION, INC.
on the express condition that all work shall be done in accordance with all
applidble State of Minnesota Statutes and City of Eagan Ordinances.
Building Official '.
r ?
APPROVALS FEES
Engr./Assess. Permit 4101.00
Planner Surcharge 214150
Council Plan Review 205.00
Bldg. Off. SAC, City 100.00
Variance SAC, MWCC 550.00
Water Conn. 550.00
Water Meter 67.00
Road Unit 325 .#2SL
Treatment P1 204-00
Parks
TOTAL 2.440.50
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNbBiROAD
EAGAN, MINNESOTA 55122
DATE 19 t
RECENED
i FROM
AMOUNT $
8 DOLLARS
100
O CASH p CHECK
Fop
BY
WNW--pay- copy
., .w L ` L1 V YONDW-poswv COPY
Pv*-File Copy
Thank You
CITY OF EAGAN Remarks
Addition -WiNDCREST ADFIN, Lot 9 elk 1 Parcel 10 94460 090 01
Owner Street 3852 Denmark Avenue State Eagan. M 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1983 1889.18 377.84 5
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 - 107.62 5.38 20
SEWER LATERAL 199L-- - 52. 73 5-ZZ 10
San Sew Lateral 2907.28 581.4b 5
WATERMAIN
* WATER LATERAL R2 5
WATER AREA (c S 1C)R2 168-79 11-76 9;
STORM SEW TRK &55 1982 437.65 R7 - 51 5
* STORM SEW LAT 19$2
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
Addition WINDCREST ADDN_ Lot i n elk 1 Parcel I n 8446f) 10.0-01
Owner Street 3854 Denmark Avenue State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 17 1983 1889.18 377.84 5
STREET RESTOR.
GRADING
SAN SEW TRUNK n 107-62 5-38 9n
SEWER LATERAL 59
7!; 597 ()
11
WATERMAIN
* WATER LATERAL 1989 5
WATER AREA (p 1982 168.79 33.76
rj
* 2 5
STORM SEW TRK O5) 1982 437.65 87.53 5
* STORM SEW LAT 1982 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
13UILDING PER.
SAC
PARK
CITY OF EAGAN Permit Na. 947P Date: 4 -
3830 POW kn&b Road Meter No: d Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
ier. on St .
Address: - -?4 Denumrk Ave-n,ie T.10 R1 '. inr?
rraqY
Conn. Chg:
Acct Dep:
Permit Fee:
Surcharge:
Tr. Plant
Meter.
WATER SERVICE PERMIT
'i
9478
Date: +
Size:
Date:
CITY OF EAGAN Permit No._
3830 ,I?Ilot Kh$b Road Meter No. _
P.O. Box-21199 Reader No.
Eagan, 'NIN 55121
Site Address: 54i erim?rt AueAU a L10 B' i r . ?-
Plumber. Toth S S W/S a^ "7rt»'
Conn. Chg: =,5r'`. and Zoning: i
Acct. Dep. 1'. 06d No. of Units:
Permit Fee iv!. -M22
Surcharge: . 50p a 1 agree to comply with the City of Eagan
Tr. Plant ?t.4 010 d Ordinances.
Meter.
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: 1 ?'t627 Date:
3830 Pilot I%ob Road B/P No, Date:
P.O.I t3ox 21199
Eagan MN 55121
Owner. ?o=±a•
Site Address: 54, 1iermar'. Ay'.nU? Ll? ; I t; _. „ ?.
Plumber:-
MWCC:
- Zoning*
City Chg: No. of Units:
Acct Dep:_ 15. onpc:
I agree to comply with the City of Eagan
Permit Fee:
Ordinances.
Surcharge:
By
CITY OF EAGAN Permit No: 9477 Date: 4- 1 ,_"
3830 Pitot Knob Road Meter No• l Size: ?G
P.O. Box 21199 Reader No: 6! 3 Date: Z5-4-1-7-2V
Eagan, MN 55121
Owner.
Site Address
Plumber. "xoti
Conn. Chg: 7.50
Acct. Dep: 15 • r
Permit Fee- 15
Surcharge:
Tr. Plant
Meter.
1W P2
)upiex
z?
the City
WATER SERVICE PERMIT
Conn. Chg: »V'!)Upd Zoning:
Acct. Dep: J' No. of Units: p_"' i
V
Permit Fee: - ` P(I
Surcharge: pe I agree to comply with the City of Eagan 204 0 Tr. Plant c. pc Ordinances.
Meter. 67 . (1Gn,4 i
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: Date:
3830 Hlot nob Road B/P No. Date:
-- P.0-'Box 21199
Eagan, MN 55121
Owner _
.
Site Address nry,_.rt.- Ta£ T a _.
r`
Plumber:
MWCC: Zoning!
City Chg: No. of Units:
Acct. Dep: I agree to comply with the City of Eagan
Permit Fee: Ordinances.
Surcharge:
Misc.: By
SEWER SER VICE PERMIT
CITY OF EAGAN Permit No: 9477 Date: 1
3830,Pilot KK.*b Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
CITY OF EAGAN N°_ 14 7 5 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551211 //I
BUIL•DING'PERMIT PHONE: 454-8100 Receipt # 2040
To be used for 1/2 DUP/GAR Est.Value $59,000 Date MARCH 31, -19H
Site Address 3852 DENMARK AVENUE
Lot 9 Block
Parcel No
1
Sec/Sub. WINDCREST 1ST ADI
Name LOMBARD PROPERTIES
3 Address 6601 SHINGLE CREEK PKWY.
C City BROOKLYN CENFTK&e 566-8022
a Name B-E CONSTRUCTION, INC.
0
a Address 85 THIRD AVENUE SE
City NEW BRIGHTONPhone 636-4164
U?
y,W Name_
z z. Address
v
aw City-
I hereby acknowledge that I haver of this application and state that the
Building Official Btu _ (JL.E.[-l /11--AC OFFICE USE ONLY
information is correct and to ..ply with all a licable State of
Minnesota Statutes and f a Or ina ce-s.
Signature of Permitte _
A Building Permit is issue to: R-E CONSTRUCTION
on the express condition that all work shall be done in accordance with all
applicable State of Mi vsota Statutes and City of Eagan Ordinances.
On Site Sewage Occupancy R-3
MWCC System X Zoning PD.R-2
On Site Well (Actual) Const V-n
City Water X (Allowable) V-n
PRV Required # of Stories
Booster Pump Length 52'
Depth 30'
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 109-.00-
Variance SAC, MWCC 550.00-
Water Conn. 550..00_
Water Meter -6.7_,.00_
Road Unit 325,00-
Treatment P1 204.-00-
Parks
TOTAL 2,440.50
CITY OFEAGAN N°_ 14754
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # (D L4 O(-j
Tobeusedfor 1/2 DUP/GAR Est Value $59,000 Date MARCH 31, ,1988
Site Address 3854 DENMARK AVENUE
Lot 10 Block 1 Sec/Sub. WINDCREST 1ST ADD
Parcel No.
c Name LOMBARD PROPERTIES
i Address 6601 SHINGLE CREEK PKWY.
City BROOKLYN CENTg9ne 566-8022
c Name B-E CONSTRUCTION TNC
u< Address A5 THTR AVENUE SE
City NEW BRTGHTONPhone 636-4164
aw ICity Phone
I hereby acknowledge that I have r this pplication and state that the
information is correct and agree om withppli le state of
Minnesota Statutes and 3111 g inai ?e
Signature of Permittee ?
A Building Permit is issued to: B-E CONSTRUCTION, INC.
on the express condition that all work shall be done in accordance with all
applicable State of M,i(J.?.ynesota Statutes and City /of,Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy R-3
MWCC System X Zoning PD,R-2
On Site Well (Actual) Const V-n
City Water X (Allowable) V-n
PRV Required # of Stories
Booster Pump Length 52'
Depth 30'
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 100.00
Variance SAC, MWCC 550.00
Water Conn. 550.00
Water Meter 67.00
Road Unit 195_00
Treatment Pt _204_00-
Parks
TOTAL 2,.440.50
S?° 7 q ?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Requirements
• 3 registered site surveys showing sq. R of lot. sq. R. of house: and all rooted areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window saes: poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist DetaJ Options selection sheet (bldgs with 3 or less units)
DATE '3- y 21 02
RemodeifReoeir Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• indicate if home served by septic system for additions
VALUATION !o'I1?5 •?
SITE ADDRESS I,95'2- - 54 C Q-p lut' MULTI-FAMILY BLDG L Y _ N
TYPE OF WORK zr a R R {?«? FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT
STREET ADDRESS 16-T
TELEPHONE # `lN7'Ot4,"t`A CELL PHONE #
Sajmsq?'- STATE Tr" ZIP 5 S 7
FAX #
C> 9.1>- 3rHo QF,y, 11,-d
l
PROPERTY OWNER uJ ?v?a4 ITeIY ?a{:an '
r_? TELEPHONE# 8°t8
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(J submission type) • Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Fee: $70.00
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
Water Softener
Water Heater _
No. of Baths
Fee: $90.00
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN A0K
SINGLE FAMILY DWELLINGS 147S
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET YFNERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS 0 FOR SALE UNITS 2 # OF UNITS 2
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
i-- (I z ,g; ?"^) REC[I MAR 17 W,
To Be Used For: single family Valuation: Date: 3/1/88
Site Address 3852 Danmark Acanna
Lot _9 Block _3_
Parcel/Sub Windcreat Pirst Arlditjnn _
Owner ._ Lombard-Prwpn tj es
Address f?Egl_Sbjnvla rraalr Fart.+o,yf
City/Zip Code Brookl;r, rantar MN 55429
Phone 566-8022
Contractor
Address A
City/Zip Coda _New Brighton, MN. 55112
Phone 636-4164
Arch./Eagr. Does not apply
Address
City/Zip Code
Phone #
OFFICE USE ONLY
59, oco _
On site sewag Occupancy
e to 3
MWCC system -
Zoning Ppj R-7-
On site well Actual Const V-N
City water Allowable
PRV required ll of stories
Booster Pump Length Z
J3
_
Depth o
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 810.00
Planner Surcharge 29"50.
Council Plan Review X05,00
Bldg. Off. JZ$ SAC, City 10000
Variance SAC, MWCC 15-50, 00
Water Conn 550, 00
Water Meter 69? 00
Road Unit 'q-Z5. OJ
Treatment Pl 0o
Parks
Copies
TOTAL U. SD
VA l--tA,ATI Dr,J
?mc as ?.o? ?o t?1??j`}
j ?
•P
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS / /V 7 Si4
INCLUDE 2 SET'S OF PLANS, .2 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 0 FOR SALE UNITS 2 it 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 J1 SET OF ENERGY CALCULATIONS yyy?p?
To Be Used Forygg?? ••+ ;_ Valuation: acQ_T99 Date: 3/1/88
Site Address 3854 L? n o
Lot In Block I_
Parcel/Sub w a + ?• + eaa +
Owner Lombnra Prnportiaa
Address y6DZ ch"?= Crate Par]smr?y
City/Zip Code r „+o arnr GGn?o
Phone 566-8022
Urrlk,n U?n wiv,.i
590tH-
On site sewage Occupancy R-3
MWCC system -
/ Zoning
On site well Actual Const V-N
City water ? Allowable V-N
PRV required 4 of stories
Booster Pump Length
Depth 33
S.F. Total
Footprint S.F .
APPROVALS
Contractor R_T rnnstrnrti on, Inc. Address 85 'Ph I rd A..Pn„A SE,
City/Zip Code New Brighton, MN. 55112
Phone 636-4164
Arch./Engr. Does not apply
Address
City/Zip Code
Phone #
Engr/Assess
Planner
Council
Bldg. Off. ? Z6
Variance
FEES
Permit -J0•00
Surcharge 9.Sa
Plan Review 005.00
SAC, City 100100
SAC, MWCC 550.00
Water Conn 0-00
Water Meter 00
Road Unit -395-10-0
Treatment, Pl 3o-q • Ob
Parks _
Copies _
TOTAL
x14= ?3gy
19x7-4= 14.54
30 x 2g= ts4o x 13= Id?r Zc)
MAIN LEVEL
30x7-6-gyoxwq? ?l116a
s?e464
SITE AC
CONTRACTOR.
DETERMINE WORKING SQUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED WALL AREA',,,,;,,,
sq ft x "U"
X59.8
2. TOTAL ROOF/CEILING AREA,,,,,,,, )DSO sq ft x "U" •o?,
3. TOTAL EXPOSED WALL AREA CALCULATIONS:
Total exposed wall
area above floor,,,,,,.. sq ft
a) Total wall window area:
glazed...... sq ft x nu"
glazed,,,,, sq ft x "U" °
b) Total door area ,,,,,,"!__- sq ft.x "U" • °
c) Total sliding glass door area:
glazed...... d sq ft X "U" °
glazed...... sq ft x "U"
d). Total fireplace wall area Q sq ft x "U"
e) Total wall framing area
(Average 10%)........... 1535 ? sq ft x "U" 1/12
f) Total net wall area above
floor (Insulated)....... sq ft x "U"
g) Total rim joist area...... /Z/?•.SS sq ft x "U" ,??_° ?` •3 --
Total foundation
area (Exposed)......... (') sq ft
h) Total foundation
window area ............... sq ft x "U"
1) Total net foundation '
area above grade......... 4L; .. I sq ft x "U"
3, TOTAL a) thru 1)
If Item R3 is the same as, or less than item F1, you have met the intent of
S.B.C. Section 6006 (c) 2.
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
?TbTAL EXPOSED ROOF/CEILING CALCULATIONS:
Total exposed
roof/ceiling area ........ sq ft
J) Total skylight area....... sq ft z "U
Q Total roof/ceiling framing
area (Average 109).. / sq ft x. "U" .63 `
1) 7ot insulated sq ft x "U"
roof/ceiling .O ` .--?
roof/ceiling area....... Ir??-C-,t1
TOTAL j) thru 1)
f total of 94.1s the same as, or less than P2, you have met the intent of
.B.C. Section 6606 (e) I.
ALTERNATE BUILDING ENVELOPE DESIGN ,
To utillxe the total envelope system method, the values established by the sum.
of items 93 and #4 shall not be greater than. the sum of items di and . 02.
+ 2.
;C E R T I F I C A T 1 0 N,
I hereby certify that I have calculated the "U" factors and !'R"
values herein and that the building here described meets or. exceeds the State .
of Minnesota Energy Conservation Act.
gnature
4 (Dat )
?a 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
851-881-4875
Remodel/Reoolt Reaulrements
3 registered site surveys showing sq ft. of lot, sq. ft. of house
Al
and gQ roofed areas (20% maximum lot coverage allows
2 copies of plans (show beam & window sizes; poured fnd. design; etc.)
1 set of energy calculations
3 copies of tree preservation plan It lot platted after 7/1/93
DATE: 'Dp
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: I BLOCK: I_
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions & decks
CONSTRUCTION COST:
1ST `,
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name•K1y Lie4? +c?? " "]may Phone #: 4 72
Last 1 flrsh F
Street
City Lfn? Stater Zip:
le #:
(area Z 9? /? 3 C7
v0(. adgl
License # FxP• / a
City State:
Company: Name:
Telephone #: (
Street Address: Registration C
City
State:
Sewer/water licensed plumber (if installing sewertwater): Phone fk
Zip: Z63Va?
Zip:
ith an applicable StatE
y w
I hereby acknowledge that I have read this application, state that the Infor7zz:z
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
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
] 4? y CITY of EAGAN SCn, 75
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reoulremenis J-;3003) Remodel/Repair Reaulrerrnents
3 registered site surveys showing sq. ff. of lot, sq. fl. of house 2 copies of plan
and gll roofed areas (20% nxxximurn lot coverage allowedl 7 ' Q C 1 set of energy calculaRons for heated additions
n 2 copies of plans (show beam & window sizes; poured Ind. design; etc.) 1 site survey to exftdw additions & decks
> 1 set of energy calculations
> 3 copies of tree preservation plan If lot platled after 7/1/93
DATE: CONSTRUCTI011 COST
DESCRIPTION OF WORK:
STREET ADDRESS: ??7 lVen--A -/ux-
LOT: 10 BLOCK: I SUBD./P.I.D. C
1
Nome: Phone #: - ?z
PROPERTY Lost Hatt
OWNER _/'G i7
Sheet Address*
City zaw - State: aky7 Zip:
Compan?J` l?J 1 s Phone M: A?i
(area C
CONTRACTOR r ';;?0 7
Street Address: License S Exp.*Z(21i?
City State: M? Zip:i 5??2 T
ARCHITECT/
ENGINEER Company: Name:
Telephone E: (
Street Address: Registration ft:
City
State:
Sewedwater licensed plumber (if installing sewer er): Phone M.
Zip:
I hereby acknowledge That I have read this application, $tale that the NO on 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 ?, C -
APPLICATION FOR PERMIT
„
*
NOTE: PA)MENT OF FEE AT TIME OF
_
i
,#4 APPLICATION DOES NOT CON- i
.'} STrl= APPROVAL OF PERMIT.
f
* INSPECTION OF SEWER AND/OR WATER +
i INSTALLATIONS WILL NOT BE SCFDIAM
i [RTTIL PERIIT HAS BEEN APPROVED.
}ffiiffff44k*###tk*44f#4ftttktffift#fk
1) PROPERTY ADDRESS: .... >a ,f
LEGAL DESCRIPTION:.
(Lot/Block/Subdivision or Tax Parcel ID
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
(Month/Year)
SEWER AND/OR WATER CONNECTION
of eagan
PRESENT ZONING/PROPOSED USE:
Q_COPM9ERCIAL/RETAIL/OFFICE
Q INDUSTRIAL
Q INSTITUTIONAL/GOVERNMENT
2)
C?
ADDRESS: , >.f n S,, 7"'-r
C-
CITY, STATE, ZIP: .. ?•.,/?
PHONE:
3) NAME:
ADDRESS:
CITY, STATE, ZIP: '--X141 S _
PHONE: MASTER LICENSE #?
?lu=ers License:
Active
Expired
Not recorded
St Inltia
4)
NAME:
ADDRESS:
ter,.
=j R-1 SINGLE FAMILY
R-2 DUPLEX (Two Units)
Q R-3 TOWNHOUSE (Three + Units) ( Units)
Q R-4 APARTMENT/CONDOMINIUM ( Units)
r'
.mac ?
S)
CONNECTION TO CITY SEWER { CONNECTION TO CITY WATER O OTHER
6)
0
THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP.
* PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE
* ARE ANY PROBLEMS.
CITY, STATE, ZIP:
PHONE:
FOR CITY USE ONLY
PERMIT # ISSUED
fV77
Pd w/Bldg. Permit
fi
SEWER PERMIT (INCLUDE SURCHARGE)
$ // $ / C S WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ -C'ZJ ACCOUNT DEPOSIT - SEWER
$ $ L7 ACCOUNT DEPOSIT - WATER
$ J
5 G G C $ WAC
/
$ (? 3 G , f 0 $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
/
$ o` d $ WATER
RE
T
E
N
R
R
S
T
A
M
NT PLA
T
U
CHA
GE
$ $ OTHER:
$ A Y 7 G $ ?' Cl TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A " PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO
Q DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
i
GrZ-C???t p
TITLE:
DATE: _
/
FEES:
Z, _ 5--o
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
OF eagan
1) PROPERTY ADDRESS:
„ ........ ..............
...."
**NDM: PAYMENT OF FEE AT TIME OF .`,
APPLICATION DOES NCr CON-
BTiTum APPRGJAL OF PERkaT. +
r
i INSPECTION OF SEWER AND/OR WATIIt ?
•', INSTALLATIONS WILL NOT BE SCfDULPD ;
i =L PERMIT HAS BEE24 APPROVED.
+t:rffrr++++ffftr»efefftrttf+ffftt+ri
LEGAL DESCRIPTION'.
Lot Block Sub division 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
INSTITUTIONAL/GOVERNMENT
2) NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
IJ R-1 SIDLE FAMILY
rj R-2 DUPLEX (Two Units)
Q R-3 TOWNHOUSE (Three + U+ R-3 TOWNHOUSE (Three + Units)
Q R-4 APARTMENT/CONDOMINIUM
( Units)
( Units)
? For City Use
m
3) NAME: >Y? %if,
r??q Pl m
ers License:
ADDRESS:
7J 7
?u vn . v.,. ?, l (/ L Active
Expired
CITY, STATE, ZIP:
PHONE
MASTER LICENSE # Not recorded
: Statf Initial
4) a'
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5)
CONNECTION TO CITY SEWER M CONNECTION TO CITY WATER O MIER
6)
* THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. i'
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM Tfs CITY WILL CONTACT YOU IF THERE
* ARE ANY PROBLEMS. ;
FOR CITY USE ONLY
PERMITT#.ISSUED
?/ 7f
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ /
$ O S 'C' 6. ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ ?L' Z $ WAC
$ /
?5-2?,'nd $
SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ G y d Z' $ WATER TREATMENT PLANT SURCH
R
A
GE
$ $ OTHER:
$ r / / • CJ 0 TOTAL
?9.2- .y/ 6 (?; 3 Z
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A " PERMIT FOR WORK WITHIN PUBLIC
NO
Q ROADWAY" MUST BE
DIVISION ISSUED BY THE ENGINEERING
. LIST AS A CONDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
6433z-
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
N If so, 25176 plan review
New Construction Reouirements
Remodel/Repair Requirements ..................
OffrdeFJse:Otil4
3 registered site surveys showing sq. fl. of lot, sq. fl. of house; and all roofed areas 2 copies of plan Cer[ of Survey Recd ' Y "N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tr49 Pfes Plea Recd _Y N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Rehired
1 set of Energy Calculations Addition - indicate if on-site septic system Onsite Septic System " y _,N
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Jost Detail Options selection sheet (bldgs with 3 or less units
Date 1Z I Z l oq Construction Cost Ago
Site Address 3,9S7_ , eA-A `JO r (wf Unit/Ste #
Description of Work 110,71 & (5-IT5
Multi-Family Bldg
- Y - N Fireplace(s) - 0 kt - 2
, /??j
n
Property Owner QU? -)u/1 / uL2 1
Telephone # ((?/J7) /y? 73/5
t
F W_151 X
Contractor
L
lw`1 3
?
Address 2650 city I/M L
'
?I '
State /ki Zip $i 37 Telephone # VP ')-?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Ck n4 • ?D?'19/
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the inforn
that the work will be in conformance with the ordinances and codes of the City
Statutes; I understand this is not a permit, but only an application for a permit, at
permit; that the work will be in accordance with the approved plan in t e case of w
approval of plans.
Applicant's Printed Name Applica is Signature
LI
dill
w ,I!I
of Eagan and the State of MN
d work is not to start without a
Silk which requires a review and
WINDCREST COMPANY'
SURVEYOR'S CERTIFICATE'
40
N
U;
Q
I
Q
Z
2
LU
L_ 1J 1
L_ li !
J
-30' :59T SACK V. l N E
0
0
h3
_O
O
2
O
O
4 DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCH = ?+? FEET
O
• DENOTES
DENOTES IRON MONUMENT SET
IRON MONUMENT FOUND
PROPOSED GARAGE
FLOOR
= 993.o
FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST
OSED TOP OF FLOOR
BLOCK = Ilh9•o
= 8gg FFEET
EET
(000.0) DENOTES PROPOSED ELEVATION PROP ,
WE HEREBY CERTIFY TO WINDCREST COMPANY THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF;
Lots 9 and 10, Block 1, WINDCREST ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOD! IMPROVEMENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED BY
ME OR UNDER MY DIRECT SUPERVISION THIS IoT4 DAY OF JANVpR`j , 1986.
SIGNED: JAMES R. HILL, INC.
1 jb
BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
PROJECT NO. BOOK/ PAGE JAMES R. HILL, INC.
85988
Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue South
FOLDER Bloomington, Mn. 55431 512-884-3029
-,..n .II ALA 7. R 1700
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139097
Date Issued:10/10/2016
Permit Category:ePermit
Site Address: 3852 Denmark Ave
Lot:009 Block: 001 Addition: Windcrest
PID:10-84460-01-090
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Steven L Bringgold
3852 Denmark Ave
Eagan MN 55123
(612) 326-1919
The Fireplace Guys Llc
680 Hale Ave N #110
Oakdale MN 55128
(612) 326-1919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172260
Date Issued:09/22/2021
Permit Category:ePermit
Site Address: 3852 Denmark Ave
Lot:009 Block: 001 Addition: Windcrest
PID:10-84460-01-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ruben Ustayev
3852 Denmark Ave
Eagan MN 55123
(651) 239-4486
Custom Remodelers
474 Apollo Dr
Lino Lakes MN 55014
(651) 784-2646
Applicant/Permitee: Signature Issued By: Signature
EAGAN
I�1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections(o)cityofeagan.com
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For Office Use
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RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3/30/2023 Site Address: Unit #:
Applicant is: ❑ Owner 0 Contractor
Name: Windcrest Twin Homeowners Association
Homeowner Address: ,� � J l au, (� 64L+ city: Eagan
MN 55122
State: Zip: Phone: Email:
Description of work: Residential Re -Roof
Type of A s 7a
Work Construction Cost:
Building
Contractor
Sewer &
Water
Contractor
Type of building: ❑ Single Family ❑ Townhome,
Company: GCM Construction
of units 0 Twin Home
Contact: Carter M
Address: 6438 City West PKWY city. Eden Prairie
State: MN Zip: 55344 Phone: 612-245-026E Email: cmelchert@gcmcompany.com
License #: BC766925
Company:
Address:
Required for State: Zip: Phone:
new construction
Date: 3/31 /2025
Contact:
City:
Email
License # Expiration Date:
0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the
information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
xCarter Melchert
Applicant's Printed Name Applicant's Signature