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3868 Denmark Ave
CASH RECEIPT CITY OF EAGAV 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 i R<CCI V Kr FR AMOUNT & DOLLARS loo ? CASH ? CHECK FOR BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT NO. 01-3' 10 Bldg. Permit "SC, 01-3422 Plan Check 01-34145 Surch. /Adm. 01-3446 SAC/Adm. fJ 01-2155 Surcharge 'y 17-3860 Road Unit 20-2275 SAC / 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt To be used for Est. Value ' i 1 ' • Date 'C'kj 4f Site Sec/Sub No. cc Name W 3 Address ° City Phone Name .° o c Address P City Phone U¢ W W Name I W j E Address Q w Z 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. t 143y9 19 OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) t PRV Required * of Stories Booster Pump Length -77 i Depth S.F. Total Footprint S.F. APPROVALS Engr./Assess. - Planner Council _ Bldg. Off. _ Variance FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL AV ..,O ?5 Permit No. Permit Holder Date Telephone Plumbing i Electric `:;. ?lz,? ' e i• // ?`, ??r nr? Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing 7 Roofing Rough Plbg. 4 _ Rough Htg. Isul. 7 /?1l iJL? GG /ty?.r ,rte 8`f/ Fireplace Final Ht9. rr V7 - Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. MECHANICAL PERMIT -I r ?( j RECEIPT # f - CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Z -R$ Z,9 7 CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot BIoCk _ to Sec/Sub / Res. New k f MuIL Add-on Name f Comm. Repair m Addr Other f c City nSv ll ne I FEES c Name 1;4 1 t ) RES. HVAC 0-100 M BTU -$24.00 AD ITIO AL M BTU 6 00 Address j i - . D N 50 ,. p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PERMIT) - 1 50 EA . ( - TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air / 00 M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: S/C: i SIGNATURE OF PERMITTEE TOTAL FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: )NTRACT PRICE: PHONE: 454.8100 Site Address t m Name ro Address U) City Name _ 3 Address C) City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 ADD 50S CIFP New Add-on Repair - COMPLETE THE FOLLOW -$3.00 Sink - $3.00 3idet - $3.00 Tray - $3.00 wins - $1.50 k $. / ERMIT PRICE GOES 0U1ie11er - Du.UU BEYOND $1,000.00} Well - $10.00 Private Disp. - $10.00 -Rough Openings - $1.50 SIGNATUROF pERMITTEE FEE: STATE SIC: FOR: CITY OF EAGAN GRAND TOTAL: BLDG.TYPE Res. a Mult. COMM. Other RES. PLBG. ONLY NO. Water Close -Bath Tubs - INSPECTION RECORD : CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: t Jill I I. it. I 4011Afit Avf ,s 1 frf H PARd j PERMIT SUBTYPE: I' I I , I I tr I, . IF APPLICANT: TYPE OF WORK: I f NA1 [oil It. 11 I N A.?0:il,'i 07107 ft? MIt' HAt I NI is Permit No. Permit Holder Date Telephone se ELECTRIC PLUMBING HVAC Inspectlon 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 1 I DECK FINAL q-?r-4-r wlg o 1 2?? v }{C BUILDING PERMIT To be used for r i (46AK Site Address Parcel No. Receipt Lot 1 E 143,339 Est. Value S 101 +WC Date ` 'CTORLR 19 87 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121 PHONE: 454-8100 DElR WK AVE I cc Name SUNSfUNE CONST z Address 5u.55 lc . T;% ;,'t 3 • r. - 43 - ;00 Name "W Name 1 z Address a m 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: L L,_'Ai t NL CUN1 i t 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 Sec/Sub. BIRCH PARK OFFICE USE ONLY On Site Sewage Occupancy R3 MWCC System Zoning it On Site Well (Actual) Const Vn City Water (Allowable) Vn PRV Required * of Stories T ` Booster Pump Length - Depth S.F. Total Footprint S.F. APPROVALS FEES ? Si)6 • Engr./Assess. Permit ---- 0 56725 Planner Surcharge _5T._2 5 Council Plan Review Bldg. Off. SAC, City 100 ' W 525.00 Variance SAC, M WCC 525.00 Water Conn. Water Meter 67.00 Road Unit 305.00 Treatment P1 180.00 Parks TOTAL }2,512.25 x a-k* ;y. Tutif iratt of (Orruvaury 4Citp of Cagan FrVarbumt of wilding Jwpu tiun 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., 243" Use ClessiGption y DW/GAP Bldg. Permit No. Occupancy Type R3 z0a ng Muia Type Cant. T11 Owner or Bwldmg `174 V F (YRTMii.'I' i i y A l+ i 125M S+. i [z.'L Building Address ,' E i J` TNT- i.ocalivL l . t°t3. BM, Dam: Budding OIEC& POST IN A CONSPICUOUS PLACE CITY OF EAGAN Birch Park Remarks Lot 1 Blk Parcel 10-14175-010-03 Street 3A()8 Denmark Ave State Eagan MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 221 197 162.96 8.15 20 Paid pri or to divis on SEWER LATERAL bn 931 198 132.70 8.85 15 " " " " ?? r? rr rr WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 1018 1986 750.48 50.03 15 STORM SEW LAT 1048 198 199.66 13.31 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Permit No: Date: 2 3830 Pllbt Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Site Address: -I- 6 Denmark ?,venue Ll 'ai.rc` 11ark Plumber. ',tar Pltirabin6 Conn. Chg: Acct Dep: ' `• 7Dpd Permit Fee: ' • )i)pd _ Surcharge: Stir:? Tr. Plant i Meter. Zoning: _ No. of Units: I agree to comply with the City of Eagan Ordinances. Misc.: By CITY OF. EAOAN 38301269 Knob Road P.O. Box 21199 Eagan, MN 55121 Permit No: 20335 Date: B/P No: 77669 Date: Owner. aunsni.? onst . Site Address: 38,68 ';eamxrk Avenue L,- MWCC: . Zoning• - - 52 5 City Chg: '` • t C^t No. of Units: Acct Dep: I agree to comply with the CI of Eagan Permit Fee: • c ;, Ordinances. Surcharge: Misc.: By SEWER SERVICE PERMIT 9106 CITY OF EAGAN Permit No 3830 Pilot Knob Road Meter No: 12 ?; P.O. Brx 21199.... Reader No: 6 P9a 8 p? Eagan, MN 55121 Owner. .),uushine Cortst. 1,o ?7 Date: Size: aclf Date: /- Site Address: 3£'6K8' Denmark Avenue L B; Birch Park Plumber Star P1 tjmbjnu Conn. Chg: WARIAHLEC Acct. Dep: No.,of,u its: ?v M. ; f tip Permit Fee: 7 gE;ng call Surcharge: CTiWg,r"W& ply with the City of Eagan Tr. PlantI 8$? 11? Meter. %9 U I IN Misc.: By WATER SERVICE PER IT d Tbis re 18 h f ./?'3 mont rom s Request ate Fire o. Rough -in Inspection Required? ?Ready Nuw ill Notif InsPec- Y //77 ?7 ip / Yes ?No for When Ready Licensed Electrical Contractor I hereby request inspection of above Owner electrica l work installed at: - I Street Address. Bo. or Route No. mC::z, o k t h 15ectton o. Township Name or No. Range o. Cnwrty Occupant (PRINT) Phone No. Power Suppl/ie,r C Address ElecI al Contractor IC ompany Name) G?rs? nc. r? J n H Contractor's License No. ? . P ? Mailing Address (Contractor or Owner akr ng Installation) `7675 G?! ?- /3 Author d Signa tu)e IConractor/Owne akin, Installation) Phonu Number THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY BE ACCEPTED BY THE STATE BOARD Griggs-Midway Bldg. - Room N-191 MN 55104 P St ul A UNLESS PROPER INSPECTION FEE IS . . ve.. a 1821 University Phone 1612) 642-0800 ENCLOSED. _ EB-00001-06 C , See instructions for completing this form on back of Vellow copy, 6'Z 93 1 " "X" Below Work Covered by This Request `1G S? CITY OF EAGAN N_ 14 3 5 9 3830 Pilot Knob Road; P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 F (D (,u BUILDING PERMIT Receipt# ` 1 To be used for SF DWG/GAR Est. Value $101,000 Date Site Address 3868 DENMARK AVE Lot 1 Block 3 Sec/Sub. BIRCH PARK Parcel No. m Name SUNSHINE CONST 3 Address 5985 125TH ST W G City A.V. Phone 431-2200 ,p Name SAME ou Address City Phone W w w Name ? Address <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 applicable State of Minnesota Statutes and City f agan rdinances. Signature of Permiltee U HINE CONST A Building Permit is issue to, on the express condition that all work shal I be done in accordance with all applicable State of Minnesot tatutes and City Eagan Ordinances. Building Official oce OCTOBER 28 19 87 OFFICE USE ONLY On She Sewage Occupancy R3 MWCC System X Zoning RI On Site Well (Actual) Const Vn City Water X (Allowable) Vn PRV Required # of Stories 52 Booster Pump _ Length 52.3 Depth S.F. Total Footprint S.F. APPROVALS FEES $ 506.50 Engr./Assess. Permit Planner Surcharge 50.50 Council Plan Review 253.25 Bldg. ON SAC, City 100.00 Variance SAC, MWCC 525.00 Water Conn. 525.00 Water Meter 67.00 Road Unit 305.00 Treatment Pt 180.00 Parks TOTAL $2,512.25 L 2004 RESIDENTIAL BUIt<D7NG PEI2WT APPUCATIOIN ( ('9 yes- City Of Eagan --`- -- 3830 Pilot Knob Road, Eagan AI N 55122 ------- .-=-=-Telepkorie#651-67?Sh7?-__>tev? pct «r ???< Date 1/ Site Address !E1 -70.C)d Construction Cost I7nit/$te # Description of Work MvIti-Family Bldg _ Y N Property Owner Contractor Address State UUMPLETE THIS AREA Fireplace(s) Zip 2 X1(1 /l M 1 Telephone # Telephone # ??47J1 f?--?2_ A Energy Code Category - Minnesota Rules 7670 Cate o 1 (Jsubmissfon type) ? Residential Ventilation category., Worksheet Submitted S:F?fir`*7" • Energy Envelope Calculations Submitted - Mmnesofa Rules. 7672 • New Energy Code Worksheet Submilted Have you previously constructed a building in . fee applies Eagan with a similar plan? _ y _ N If so, 25% plan review icensed Plumber Aechanical Contractor ewer/Water contractor Telephone #( Telephone # ( Telephone #( herebY aPP1Y for a Residential Building permit and acknowledge that the ivforma ' is complete and a e; at the work will be in conformance with the ordinances and odes of the CI of atutes; I understand this is not a permit but only an t3 ;#?.gau and the 4tat MN rmrt; that the work will be in accordance with tke application for a permit, and Mlt7s" no to start without a proval o laps. approved plan in the case of work which requires a review and ppli ant's Printed Name T APpli ants Signature Installed Siding and Windows LIMITED POWER.OF ATTORNEY UUUN 1 Y Ur COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Goldcn Salley, MIST 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney are limited solely to the express powers delineated herein and. apply solely to the Work. This Limited Power of Attorney shall expire and automatically be revoked on the 21st day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS WHEREOF this Limited Power of Attorney is executed this 21st day of May, 2003 David R. Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 200 Notary Pft(allic in for the State of Borgia My Commission Expires: January 21, 2006 396816.0 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT RESIDENTIAL ' G 0 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauiremerds • 3 registered site surreys showing sq. fl. of M sq. ff. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sates; poured found design, etc.) • l set of Energy Calculations • 3 copies of Tree Preservation Plan 9 lot platted after 7!1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE ?/aa r k- P11--c APPLICANT STREET ADDRESS /d of `9'I /I//Cd//d TELEPHONE # 9_'O-W- r 10 CELL PHONE # PROPERTYOWNER I rtt ie j L'gn-z_-e_/1 TELEPHONE# (o???' ? S/ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted O (? /? r?' ?? r? , Lr l(?'r' y?9 Plumbing Contractor. Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: MULTI-FAMILY BLDG Y N Phone # Phone # JUN 2 g 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 Applicant9 OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 Water Softener Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Air Conditioning Heat Recovery System ,5 - a? RemodelfReoeir Reauhemerets • 2copies of plan • l set of Energy Calculations for heated additions • l site survey for exterior additions & decks • Indicate d home served by septic system for additions VALUATION 4,711001 )RK (1C -(_D at51?5- FIREPLACE(S) -0-1 -2 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-14175-010-03 PERMIT PERMIT TYPE: Permit Number: Date Issued: 3868 DENMARK AVE LOT: 1 BLOCK: 3 BIRCH PARK BUILDING 030369 07/07/97 DESCRIPTION: Permit Type t43grk Type DECK NEW 434 ALT. RESIDENTIAL 3 Y # i 11g ki C ?S d§ 'v W? 51 V'W kp w . E I" 3 f G6'. REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee CONTRACTOR: $50.00 $.50 $50.50 1 hereby aekn, wledq& that / hat information is cora^aet BPfsd' agri Sta,tut.ee, and,'Ca tyA irk Eagan' `Ord. APPLICANT/ ERMITEE SIGNATURE OWNER: - Applicant - LENZEN MICHAEL 3868 DENMARK AVE EAGAN MN (612)452- 5451 CITY OF EAGAN !D,-, MO 900 386B, AV 0. 0 EMN 9001 1868 WMAITI AV 0.51) Total Receipt Amountt! 50.50 CRfl?,:f......... HER Un NANCY ur4-r4Y+:k.-%?'?$, .tr4:?A,??,?fr. ?'l?*y:d': %kkrF k?x.. A;??'dk r:?<.>', Yhir'Y„W ,oil k i i b? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) S? CITY OF EAGAN • ?? 3830 PILOT KNOB RD - 55122 -4675 UUU ?/? New Construction Requirements 681 RemodeVReosir Requirements ? 3 registered site surveys e 2 copies of plan ? 2 copies of plans (Include beam & window sizes; poured Ind. design; etc.) e 2 site surveys (exterior additions & decks) e 1 energy calculations e 1 energy calculatlons for heated additions e 3 copies of tree preservation plan H lot platted after 711/93 required: _Yes _ No 2-/-77 DATE: r CONSTRUCTION COST: DESCRIPTION OF WORK: / ? A f". k cIC STREE-T-ADDRESS: 3,7> 6-6 b 27,f-+'t&m As o- LOT 4WLb BLOCK SUBD./P.I.D. #: RGk PARK, )^'V PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: 2 F U-ze k/ Mir 44d Phone #: 1152"5'/S/ Wn Street Address:- 3 ?& 6 % 04J -lyzsla k' 4i-Q City: f?tA ?? State: 'twA./ Zip: ?SC.t Company: ,14V,1? 4 &&.o A., cr.,e Phone #: Street Address: License #: City: 11 State: Zip: Company: /ti- OW -V le Phone #: Name: Registration M Street Address: City: State: Zip: Sewer & water licermed plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. 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 /// I a 64glr OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex o 05 SF Misc. ? 10 = plex WORK TYPE Xl 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? X15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft, sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water / Fire Sprinklered PRV Booster Pump Census Code. t 3 SAC Code Census Bldg 1 Census Unit Engineering Variance Permit Fee Surcharge Plan Review License MCMS 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: Valuation: $ % SAC SAC Units FOR CITY USE ONLY PERMIT # ISSUED L?116 Pd w/Bldg. Permit FEES: $_ - 5b $ SEWER PERMIT (INCLUDE SURCHARGE) $ '5-z) $ WATER PERMIT (INCLUDE SURCHARGE) $ T o-y $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ CYt? $ ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ f T `t g ' t? Z7 $ TOTAL r/ / RECEIPT RE CEIPT 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 FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: Q 71V 7 i CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PAYMFNT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. ----------------------- (Please Print) ?_ _ ^^^ 1) PROPERTY ADDRESS: (?,? lJEiy?y/?AA? ?y?• LEGAL DESCRIPTION: _L p 7- / 8to? iC 3 I)/pCN ff1/CK lL,oz/b1ocK/6ubdivision or Tax Parcel ID-#) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (1bn Year Q C0 MMCIAL/RETAIL/OFFICE [T INDUSTRIAL n INSTITUTIONAL/GMTR ENT R-1 SINGLE FAMILY R-2 DL'PLEx (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) ? R-4 APARTMENT/CONDOMINIUM ( Units) 2) r NAME: -f -J QA1 ADDRESS: / - $- . E CITY, STATE, ZIP: %PpLE GoPcC / ?c? s/ f PHONE: y 3 / -o1?t7U 3) NAME: ?i R 2 ? For City Use _ c u r r c3 in/ 4 Plumbers License: ADDRESS: / 0 I R & &-A1'Q pR"yg-S T22?c? Active i CITY, STATE, ZIP: Qzvarr ?? Tn•/ h' " ed t _ PHONE. _ ,a rSi 5 n ?r • ? 88j/ _ •y/yry -MASTER LICENSE# 33?/r M - N o r Not recorded StaTf•Initial 4) •«« , ia• NAME' JRr1E ?s? ADDRESS: CITY, STATE, ZIP: PHONE: •5) r w• r « :: • o? ar CONNECTION TO CITY SEWER ` [Cn CONNECTION TO CITY WATER OTHER 6) u c r q PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ASE MAIL APR PERMIT TO (1, 0 Circle 3, 4, ABOVE (Circle one) 7) r. r. u. . 1987 BUILDING PERMIT APPLICA ION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 0 SETS OF PLANS, Q CERTIFICATES OF SURVEY, <T 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 - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS COMMERCIAL OF SURVEY - CHECK WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: _Sin/?LE VValuation: I OOO Site Address 3949 11EAl".412K Ave. I_ OFFI Lot _L Block ?3 On Site Sewage_ MWCC System J Parcel/Sub t'0 2K On Site Well _ City Water y/ Owner SLc Zoy, 'Ve ?ONd7-.2uc:-7QA! Address SZ7,Sg- ?r a4s j City/Zip Code ApsLe V44"'e U 6's71 y Phone y3 / -.2 a co APPROVALS Contractor , 5,'1ohE 1-75 A64)if'e- Address City/Zip Code Phone Arch./Engr. jAHES Kq 1)144- Address 7'%D / ?/?Hf 5 /tom. ?o . Sr 7* City/Zip Code ?zootr>R/&'TG.V, ss'?31 Phone # m-41-.3p4 Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off Io 7 APC Variance Date: WD OCT 23 190 Occupancy R-3 Zoning R-1 Type of Const (Actual) V-14 (Allowable) V-N # of Stories Length 52:0f)' Depth x.33' S.F. Total Footprint S.F. FEES Permit 60(p,50 Surcharge SD, 5C? Plan Review Z5 31 $ SAC, City 10000 SAC, MWCC 525 ' CO Water Conn 52500 Water Meter 6`1.D0 Road Unit 36E,00 Treatment Pl 1 0,00 Parks Copies TOTAL 177-/Q _, 6 .4 RA6 c Z2XZZ-i.?/8?1X/2= 580 b=T 52X 30 = 156opq= 21840 5zy- 166q x yy_ 73716 loop 6q- u•-: u'n i • J lj 'r G7•iJU? \ •;U 7'LIII'r U°UU+ ?Jr!Sl jv', d: 1 I EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: SITE ADDRESS: 3 -69 lUlyl7?igK ?UE Lozz 8i-K haze// CONTRACTOR: G(. ?l I`11N ATE: PHONE: Determine working square footage of each:, =;`a 1, Total exposed wall area ,., sq. ft, x .11 = 7 1 2. Total roof/ceiling area sq. ft. x .026 = 3 r 2 1 Total exposed wall area above floor = c. d. g• Total wall window area ............................. ........... ... Total door area ........... • 06- Total sliding glass area ............................ Total fireplace wall area ..... • .. Total wall framing area (average 10%)•............. /? ............ ? ' Total net wall area above floor ...... :.CQhj a Total rim joist are ??_ Total exposed foundation area © ?4 h. Total foundation window area... :...............:... i. Total net foundetion area above grade .............. J gi 2 gs/ Determines 'U' value of each wall segment: a. x , u, S!. b. ? x fut r c. x 'U' d. x ' u' e. ?2 x :U, g. 'mss ?? 1 1_., x ' u' _ h. X, tut 3 . ................................................... Total = L If item 03 is the same as or less than item #1, you have met the intent of SBC. 6006(c)2. Total exposed roof/ceiling area = J. Total skylight area • ....................... k. Total roof/ceiling framing area (average10%) .,• • • •.''?-? ??'-? 1. Total net insulated roof/ceiling area ........:..... SSZ s !a ? 1 9 ? eI OVER Determine 'U' value for each roof/ceiling segment: x f U k. ( lr '2- x 'U' ?4P 1. C x ' U' 1 _ 0 4 . ...................................................... Total = G If total of 04 is the same as or less than 02, you have met the intent of SBC 6006(c),. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items 03 and 04 shall not be greater than the sum of Items #1 and 02. 3.? jr?tf + 4. ??p i ?.- =cam' t CITY OF EACAN . i j MINIMUM "U" VALUE AND R-FACTOR AT ROOF, ti Cli1= I f R = W. . TOTAL (R)=22 WALL, R IM AND CONCRETE BLOCK .' Roo F C?1L1NC , (T1 v O .1t?TEVIDN E tR FIGj , ?o I O 5(s" G?rP E?. 5{0 r l Q 1NSULA ?toN l( t? Q? e, OO EXjE1?1o(? AIR FILr't ? Cd =' (STILL) '`v" _ 1z = t,? To7AL (iz)-41+-76 Wp%tL (, VA QQ IN 1_Er-101- AIR FILM • O '!Z° GYP.' R?.• : .. ? ¢ ? . lr?SUL.ATIor' s zt' tglb' MA-!?OvlTc ,I Ex;ER1or- Ate FlU1 l7 r IZIM bYi .(t;) VALE IL 111TF.t'1om 'Air, FILIJ / (O ii . 51/7-' IrSULATIc, + i 414 G x Fitz '9116 141GT, i lag j k 105 Z-?157- >v r+kS0r+1TE Stolrr, ;(,+7 :T'zRIDV- Air- FILM TOTAL (R) 24 td, ' Clz) VFlLV= IOT617101c AIM FILJ-1 .fog C 1i AM FILM Fl- i3 •1 pull -7 Floors o er unheated spaces must have minimum R-factor 'of R-20 (tuck-under garages). Floors o:cr outdoor air (overhangs) dust have a mininum R-factor of R-33. kW 2 v ------------- - 00" 1A K m ?, 9 ra PERMIT RECEIPT DATE: 1' 3 -01 Please complete for: SITE ADDRESS: $ESIDENTI*L PLUMBING 'P'ERMIT iA PP11CATION CrrYOF EACIM 3630 PUMT KNOB RD EAGM, MN 5512E 651-661-4675 single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system OWNER NAME:: M HVe INSTALLER NAME: Mr.01IIRF A SQNR STREET ADDRESS: 605 12th Avenue South CITY: TELEPHONE 6s] 4SZ-s7W (AREA CODE) TELEPHONE qs-Z 931"967(. (AREA CODE) Place a check mark next to the permit work tvne STATE: ZIP: New residential dwelling unit under construction and not owner/occupied $ 90.00 _ Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 ` • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • . water turnaround Nature of work: _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge ---- $ .50 v I ' ? Total JUL 2 200 ? • S Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. gar I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no Iiabili for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit withii City pro ty/rightof-way/easement. C SIGN TU E OF PE MITTEE Updated t/o1 ------------------ j Permit#: CYD Permit Fe I ? Date Received: G j I I I Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Z® d0 "O? Site Address: 37 0 64z 11!VY'frh ft"I-IL A4(?-l Tenant: Suite #: RESIDENT/OWNER Name: &?? 6"v,?; UM Phone: 6a--A7- Address /City /Zip: 3F69 N/ Applicant is: Owner X Contractor TYPE OF WORK Description of work: - cy 0 © 00 Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: V 4LLE i j ?1J V t 3 6 N S. License #: 1 Address: 15s- cr . &- elg ?- / /? ?% r'- // City: :1 ? Zip; ¢J -S /a 3 S ta te / , - e Phone: 6 S(_ ???^J l / I Contact Person: ( / /M (/1/??L (fl?'l S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted 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 fo be public information. `Portions Of"'!, the information may be classified as non-public if you provide specific reasons that would permit the City to'? ' =concludethafthe are trade secrets.. 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 a of Plans. X ?? ?/ V l L-I- //??l S X Applicant's Printed Name A I ant's ignature Page 1 of 3 SURVEYOR'S. CERTIFICATE SIENNA CORPORATION REVISED 10-15-87 TO SHOW PROPOSED w . HOUSE FOR SUNSHINE CONST. N I ? 973.3 m 4C w u. 974.9 c V ? 1111 E c^j ?? ` ? ??$• tD5991 1 At,? 00. } 5 I n <5 DOG N y3 1 ?? QEa ? to . 4p, P y`N? 3o i I? Z 30 52.33\ PROPO D ?'? N v ? DRI AY A .... ?I' 46 \ COM y O V I t I'D ^ m 1 0 I ? v\ I ? 872.4 V 30.33 10 I '?-13.00 13.00-, 0 872.10! . 11 JAMES R. HILL, INC. V HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 co 0 w rr, m 87( .e 971.4 -_ 30.00 -" "4 1 52.33 - 11 ' 872.3% 1*5103 E 148.28 ` 40 - I - L \i , X989.2 c_ f EXISTING HOUSE ' DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET A DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = FT7.3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = F75t5 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = r77,7 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot I , Blo ck :3, BIRCH PARK, according to the recorded plat ther eof, Dakota Coun ty, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 239.o DAY OF OC-ro5sv- , 1985. APPROVED FOR SIENNA SIGNED: CORPORATION BY: BY: DATED THIS DAY OF 19_ PROJECT NO. 1300K / PAGE 84762 ('875'37) 242/61 FILE NO. FOLDER ao I 1 1 r?Ia° 1 I m 1m m I0D r . YI C s 0 II 11? r J y w N o %44% vJ %999.5 10 i 1 JAMES R. HILL, INC. Planners / Engineers / Surveyors 0200 Humboldt Avenue South Bloomington, Mn. 55431 612-084-3020 l s i City Up ' I Permit Fee: I 3830 Pilot Knob Road l l Eagan MN 55122 CLI l Date Receiv d: ~ I Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff--- p/ MECHANICAL PERMIT APPLICATION 2011 Date: Site Address: ck) A44 W.I< Xc' al-3 Tenant: Suite Name: /LGc~fe! L Phone: C;~~ ^•~Sdf~ RESIDENT I OWNER ~ z Address 1 City I Zip: - - Name: T y FJ%sV ~L License CONTRACTOR Addr ss: City:ff~ Efate: Phone: 79a ContaJ~ip- E~ Email: Mp g-v New Replacement Additional Alteration Demolition TYPE OF WORK Description of work: _ # OTE: Roof mounted and ground mounted mechanical 4qulpment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods, RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement PERMIT TYPE - Air Conditioner _ Install Piping Processed _Air Exchanger _ Gas Exterior HVAC Unit s Heat Pump Under 1 Above ground Tank Install Remove) Other RESIDENTIAL FEES. $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE COMMERCIAL FEES ( $75.00 Underground tank installation/removal 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 = $ Surcharge - If the Permit Fee is > $10,010, surcharge increases by $_50 for each $1,000 Permit Fee i (i.e, a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Cats at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilhies. 0.1herstateonecall.orn I hereby acknawl ge that this information is complete and accurate; that the work will be in con ance with the ordinances and codes of the City of Eagan; that I u s#and this is not a permit, but only an application for a permit, and work is not s rt without a pe it; that the work will be in accordance with the ap plan in the case work which requires a review and approval of plans. x x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Neat -Final HVAC Screening R 1'N1'lll/ lIII " MIIl1 rR1 IA TU !\T P=03l NllI Nn MMI_U 16-1-h1•U.1 L' 11111 /[Ill$ 2012-05-2210:10 » 65I9755694 P 314 Use BLUE or BLACK Ink I For Office Use Permits: ~ ~ ~l ~5~ City of Eap 1 PermhFee: I 3830 Pilot Knob Road I l Eagan MN 55122 Date Received: ~ Phone: (661) 676.5675 I I Fax: (661) 676-5694 I Staff. I 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION note: J 1~~7 ` 1 Site Address: : 1. ~ Tenant: Suite r `~I 4 Name; LLB 1, Phone: 1 S (0 5 n :t Address / City/ Zip:SC1-t'Y~ lk.5 C1~JC5 Name: Ucense # / 1 Address: ~r . j V coy: o , State: Zip' f J Phone: _ ~R1& '11 Contact: Email: L n. New Replacement T Repair Rebuild Modify Space ~ Work in R.O.W. i~"st%.. ,I a Desert ion of work: Lo-k- RESIDENTIAL :,.r yN?s^ Water Heater Lawn Water Softener L 4 RPZ / PV6) ,w. J ti {~t~ S Add Plumbing Fixtures Main septic ystom Lower Leval) New Water Turnaround t~ ~•y-_• h; Abandonment RESIDENTIAL FEES: $00.00 Minimum Water Heater, Water Softener, or Water Heater o Softener (includes $5.00 State Surcharge) $00.00 Lawn Irrigation (includes $5.00 state Surcharge) $60.00 Add Plumbing Fixtures, -fttia_ Svslem Abandonment, Water Turnaround' (includes $5.00 State Surcharge) `Water Turnaround (add $189.00 If a 5M* meter is required) $106.00 S i New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Can Gopher State One Call at (0111) 454.0002 for protection against underground utility damage. Call 46 hours before you Intend to dig to receive locates of underground uttlltles. mbftg29herstateonecall.ora I hereby acknowledge that this Inrormation is complete and accurate; that m work vAl be in conformer w11h the oWinanon and codes of the City of ~°~o:1gaL.l~oda~nd-M~i8_is..aot_3.peRaitrbul.oeY~pp..application..>ror~ppagll.-apd-woolW6-rat-to`•ahrt-wi Ae-aAil-be-Ifr-- - aocordence wNh We approved plan in the case of work Whlch requires a review and approval of plans. X "aa X- - , /I. - Z-/ -,-2- Applicant's Printed Name Appllcant' gnaturs FOR'ot~ Use- 'Lp't4' s 1 Y, 12 tl`13, xiii J Inspectlons Under Ground Rgytgh-In. _ P►Ii Test ` ' ` Gak Test Plnal ` v ' 2012.04.3016:40 651975 5694 Pogo 1 ~T Use BLUE or BLACK Ink F~. r--------^-------- I For Office Use I rf I ~ I I Permit#: City of EaIN I Permit Fee: 1 3830 Pilot Knob Road Eagan MN 55122 Date Received:. 131 Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: W IV Z'4 `TS` G Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work` Descri tion of work: I N (9 ;PeN«r Construction Cost: J0 G Multi-Family Building: (Yes / No ) Company: PA ('d s,i e-5--r ri t Aid d o js Contact: Cory Contractor Address: 73 M /tJ V C /1i A vecity: M4 State: MA) Zip: ~ Phone: co Q - _1d 1'' ,S-_,P, 3 3 License U o Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X_ x -A o-, Applicant's Printed Name Applicaa s-Signature Page 1 of 3