3875 Denmark AveCASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEIVED '
FROM [ y,
AMOUNT
$
I .' 7 F]
& -DOLLARS
goo
? CASH [] CHECK
FOR `+_ ?.. Gt_'t
A
74451
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BLDG.
01-3210 • Bldg. Perini
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
r20-3868 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.
i
d U
I TOTAL `???
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
Al.
DATE i 19
RECEIVED 1
FROM
AMOUNT $ !
& _DOLLARS
100
Ej CASH O 'CHECK
FOR
r
FUND CODE AMOUNT
y U .2
".(
•?
Thank You
B Y
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
"-= • r CITY OF EAGAN _
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
I PHONE: 454-8100 BUILDING; PERMIT Receipt#
To be used for Est. Value Date ULNL Z ,19
Site Address v
Lot Block Sec/Sub, ='I CH PARK
Parcel No.
a Name .. ` Awl'
W
3 Address
o City Phone `
Name
,o
0 u Address
P City Phone
W
V
WW W Name
s z O Address
W City Phone
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well Type of Const V
City Water (Actual)
(Allowable)
* of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC, City
U
Engr. SAC, MWCC
Planner Water Conn, tl
Council Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. - Road Unit
thattheinformation iscorrectandagree tocomplywithallapplicable APC TreatmentPl
State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks
Copies
Signature of Permittee TOTAL
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 Date Telephone sR
Plumbing '- 4 (' / ?? Y
H.V.AC. -C z- ;
Electric Gn, $?s G
Softener
Inspection Date Insp. Comments
Footings I
Footings II dnZ OIZ2 Gt,)
Foundation
Framing 720
/VCe,?s .Sfwcll
, r t
ArR v
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg. 7 7
Final Plbg. a
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
MECHANICAL PERMIT RECEIPT # S
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
Site Address
Sec/Sub
Name /,Qn/EAl '! //TG
ca Address U$S i t Cc i F!
City "'f-) Phone
Name _
3 Address
p City ?I
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
/Cv M BTU
M BTU
M BTU
M BTU
CFM
BLDG. TYPE WORK DESCRIPTION
Res. ? New
Mult Add-on
Comm. Repair
Other
FEES 1
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) -
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
1.50 EA.
12.00
- 20.00
- .50
vtner
FEE:
S/C: SIGNATURE OF PERMITTEE
F' TOTAL ;1 L , 00
FOR: CITY OF EAGAN
CONTRACT PRICE
PERMIT # y' !?% ` 4-1
PLUMBING PERMIT RECEIPT # S 7
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: --- ???'
PHONE: 454-8100
Site Address
Lot Block Sec/Sub
m Name
Address .
C City Phone
Name J i
3 Address
O City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE -$12.00
MINIMUM - COMM/IND FEE -$20-00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
--,Water Closet - $3.00 $
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
r_Rough Openings - $1.50
FEE: ` L
STATE S/C:
GRAND TOTAL:
1 + s1
s
Trrtifiratt of (Orrupaury
Citp of eagan
aPru-bmt of lutibwo jwtrtion
This Certiftcate'ssued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure woes in compliance with the various
ordinances of the City regulating building construction or use. For the following.
use ctassisation 4s TWIGAR Bldg. Permit No. 13712
V
Occupancy Type Zoning District Type Const.
Owner of Building ; ,' Address °85 125'SH ST, AN.
BuildingAddr= f--. 0,201-11 a' S/JL [.Hqijt I, LkL, ° +1 isass
Date: 27, 1987
&t"ng Officiil
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
^^
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: f"
(612) 681-4675
SITE ADDRESS: APPLICANT:
? ?? i I t I;? ni ?
I1, NWAkI, AVI kIF vIN
141 f(CH ?'Altt (f, i :') 636 4E.80
PERMIT SUBTYPE:
t I ti
TYPE OF WORK:
I 1 PIA I
Permit No. Permit Holder Date Telephone 8
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 Zy f
DECK FINAL
CITY OF EAGAN Remarks D i v i s i o n # 16252 10/85
Addition Bireh gar Lot 11 Blk 2 Parcel 10-11175-1-10-02
Owner Street _3 R 7 9 T?p.nma rk A vP State_ - - 55191
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
' al pri r to lvis on
SEWER LATERAL
En
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK ---
-
STORM SEW LAT
TDW 198 13.31 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road 9977
P.O. Box 21199, v ' PERMIT NO.:
Eagan, MN 551211 DATE:
Zoning: F No. of Units:
Owner. Sunshine Coat.
> ??.+u*-ar:, Avenue L:z_ rc_ ar.
ess:
agree to comply with the City of Eagan
Insp.:
Connection Charge: 525.00;d
Account Deposit: 15.00pd
Permit Fee: 10.00pd
Surcharge: • 50c?d
Misc. Charges:
Total:
Date Paid:
CITY OF EAGAN Permit No. 3b= 3 Data.
3830 Pilot Knob Road Meter No: 387 /Z/3 So Size, a+( R6CL?
P.O. Box 21199 Reader No. 47 SP 6 a Date- _k;7
Eagan, MN 55121
Owner Sunshine Const.
Site Address: 1x'75 renmark Avet_._::;
Conn. Chg: -'-? • ?'?%°,? in
Acct. Dep 1 ' • 1 9
1
VA o. of Units:
Permit Fee: - local Utlllbt!5
'mj 6a Surcharge: E
Tr. Plant ". a a@W*1AQ;omply with the City of Eagan
ri
Meter.
Misc.: B
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: 3$23 Date: ` -Z1-87
I 830 Pilot Knob Road Meter No. Size.
P.O. Box 21193 Reader No. Date,
Eagan, MN 55121
CITY OF EAGAN No 13 712
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454.8100 Receipt* q L ySl
To be used for SF DWG/GAR Est. Value $85,000 Date JUNE 2 'j .Q 87
Site Address
Lot 11 Block
Parcel No.
2
Sec/Sub. BIRCH PARK
OFFICE USE ONLY
R3
On Site Sewage Occupancy
-
MWCC System X Zoning R
On Site Well Type of Const V
City Water X (Actual) V
(Allowable)
# of Stones
Length
Depth 48
S.F. Total
Footprint S.F.
a Name SUNSHINE CONSTRUCTION
= Address 5985 125TH ST
City A.V. Phone 431-2200
ZIName SAME
0 u Address
? City Phone
r?
mw Name J.R. HILL
z? Address 8200 HUMBOLDT
aw City BLMGTN Phone 884-3029
I hereby acknowledge that I have read this application and state
that the Information is correct and agree to comply with all applicable
State of Minnesota Statutes and Cisy of Eagan Ordinances.
Signature of Permittee
A Building Permit i$ issuee,
all work shall be done in 'a
Building Official
3875 DENMARK AVE
APPROVALS
FEES
$ 451.00
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
Council
Bldg. Off.
APC
Variance
with all
M
5
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
Copies
42.50
295.50
lnn_n0
525.00
528 n0
AT n0
--- 3A5-00
tan OO
TOTAL $2„421.00
on the express condition that
I City of Eagan Ordinances.
7' z8y6o y
;5?5t?? ao
.,.. _.. IQReady Nowp Will Notify Insoec-
No for When Ready
?Li censed Electrical Contractor 1 hereby request inspection of above
Owner electrical work installed at:
Street Address, Be. or Route No. City
3& fnn < ?- goQaM2
e70 7 T 0 - 0 sh I p Name or No. Ranee o. County
OCcU ant (PRINT)
l Phone No.
?1)11
All-) &yy G y3Z- ZZcxS
Power uPplie, Address
Sr
Electrical Contractor Parry Name) Contractor's License No.
?! S=3
Mailing Address (Contr
tor
or Owner Mak ng Instailationl
aac
/
?
??
1-2
Autho' ed Signature ICOntractor Owner akin, Installation) P ne umber
3G
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Qriqus-Midway Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
(0/87 REQUEST FOR ELECTRICAL INSPECTION E13-00p0/01-06
See instructions for completing this form on back of vellow copy. 78??
D y1 f,t 3 X" Below Work Covered by This Request
ew Add Rep. Type of 6oiltling Appliances Wired Equipment Wined
Home Range Temporary Service
Duplex Water Heater Lighting Fixtuies
Apt. Building Dryer Electric Heaun
H Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other pacify ihni (Spacl fy)
t ¢r Spocily Other Other
Compute Inspection Fee Below
e Fee Service Entrance Size p Fee FnedersrSubfeeders B Fee Circuits
f ZC1J 0 to 200 Amps 0 to 30 Amps - dl/ 0 to 30 Am s
Above 200 Amps. 31 to 100 Amps i Is 01b 31 to 100 Am
Swimming Pool Above 1000.-Am s Above 100_Amps
Transiorn r5 Irrigation Booms Pa rtia 1. Other
Fee
Signs Special Inspection ( ^
"eni TOTAL FF,E J
r1 " / s _ OW /
Rough-in ate
r I, the Electrical
Inspector, hereby
tif
th
h
Final
'+ta cer
at t
v
e above
inspection has been
mad
e.
This request Vold 18 months from
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 0 2 5 7 0 7
Eagan, Minnesota 55122-1897 Date Issued: 06/07/95
(612) 681-4675
SITEADDRESS: P . I . N . : 1e-14175-110-02 APPLICANT:
LOT: 11 BLOCK: 2
3875 DENMARK AVE SHEA KEVIN
BIRCH PARK (612) 636-4680
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
V-6-4?s ?
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
/_?t1
Date
Site Address 1,kn JNG Unit #
v
Property Owner, Telephone # X45
Contractor STANDARD HEATING & AIR CONDITIONING
410 T-L K BEET
Street Address MINNEAPOLIS, MN 55408
-824 2;;5f --- City
State _ Zip Telephone #
( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
[\ furnace -Additional Replacement New
air exchanger
air conditioner
heat pump
other
F ly ??
State Surcharge I I $ .50
OCT 12 Zoos ILU/1
Total $ .5
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and curate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical e , ha understand this is not a
perms but only an application for a permit, and work is not to start witho p it t th wit will b n accordance with the
appr d plan in the case of?jyhich requires a review and approval of ans.
Applicant's Printed Name Applicant's
25
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651.681.4675
New Construction Requirements
• 3 reglstered site surveys showing sq. fC of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan I lot planed after 711/93
• Rim Joist Detail Options seelectioon?sheet ?(blogs with 3 or less units)
DATE(, ` ns`,- tJ
SITE ADC
TYPE OF
APPLICANT
ftwimillm.
AULTI-FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ I _ 2
STREET ADDRESS (jprin Rainida. MN 55498 CITY STATE ZIP
TELEPHONE #-I(cb'-T3S -3lJ?'-8ELL PHONE # FAX # -:4 S
PROPERTYOWNER TELEPHONE
COMPLETE THIS SECTION FOR ^NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _
(J submission type) - Residential Ventilation Category 1 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 #
Phone #
JUN 0 7 i_ixJZ
Fee: $90.00
Fee: $70.00
-------------------------------------------------------------------------- -------- ------ ------------------------------
I hereby acknowledge that 1 have read this application, state that ye ' formation Is corr t, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan r a Cps.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
Water Softener
Water Heater
No. of Baths
Phone # LB
Lawn Sprinkler
No. of R.I. Baths
RemodegRegair Reguiremems
2 copies of plan
1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate it home served by septic system for additions
VALUATION ?4,,, '6 .'? 3
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NOTE: PAYMENT OF FEE AT TIME OF
APPLICATION DOES NOT CONSTITUTE
APPROVAL OF PERMIT.
INSPECTION OF SEvM AND/OR WATER
INSTALLATIONS WILL NOT BE SCHED-
ULED UNTIL PERMIT HAS BEEN
APPROVED.
---------------------
(Please Print)
1) PROPERTY ADDRESS: 38? 5 pe & M 1
LEGAL DESCRIPTION: L1( Q;-2- Qir4-9- PA(2-r-
or Tax Parce
IF EXISTING STRLVTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE: (Month/Year)
Q C=MCIALAMAIL/OFFICE
E] INDUSTRIAL
o INSTITUTIONAL/GOVERI MENT
2)
0" R-1 SINGLE FAMILY
E-I R-2 DUPLEX (Two Units)
R-3 TICWNHOUSE (Three + Units) ( Units)
Q R-4 APARTMENT/CONDOMINIUM ( Units)
ADDRESS:_lem BS ! ZS ?? Sr &--,.
CITY, STATE, ZIP: ?Q PRz 1?41?LE5 7 )'!7/Y 5 S PZQ
PHONE: 431 -ZZLXS
3) cr {? For City Use
NAME: 7'4 2 7?L itrn ?inlly Plumbers License:
ADDRESS: D! 8 ?) 1 t? Pit o.C(s5 T? R2 ??a
CITY, STATE. ZIP: ("w ow Tay r 4w 6. 5 542,o Not recorded
• PHONE: Se>4 4 r¢?j MASTER LICENSE# 332`[ M St- tial
4) •aa is
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
-5) a r• i ? r: • a?• :: ? ??
CONNECTION TO CITY SEWER JR- CONNECTION TO CITY WATER E? O= '
6) " PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - -
PLEASE MAIL A-PPYTIF PERMIT TO 10 31 4, ABOVE
:' (Circle one)
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ -2-0 $ id - S--D
$ /- $ /O - S-2)
$ 7 U--Z? $
$
$
$
s 5 ZS
s 42
s
$ 2 4 Z
7
RECEIPT
$ /5lt?
$ (f
$
s
$
$
s
7 (/,!Z3 /
RECEIPT
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: 111941-17
/37/2
1987 BUILDING PERMIT APPLICATION - CITY OF
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF EVER,
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MOST
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERM
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
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,
$2,000 LANDSCAPE BOND
To Be Used For: SIAIC .Mc-E FAmt t. Valuation: E;, C 0 Date:
Site Address 981S V?PcmP(tlG. OFF:
Lot It Block '2On Site Sewage
MWCC System ?
Parcel/Sub (j) &kj.?- PAQ ?<-. On Site Well _
City Water ?
Owner ?Uw?,Sl{I ?On«rRaaeT7c?^g
Address SciBS jZST' sn
City/Zip Code AOL' Vi.Ctctg .5 iW
Phone 4 3 i - 22dy APPROVALS
Contractor A44y S A5 48001:
Address
City/Zip Code
Phone
Arch./Engr. ?. ?, ILL
Address 6SO6 Alu.r, f.3otor,
City/Zip Code
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
451'-60+
42.50+
225• 50+
625•0U+
52.00+
6'1•UU+
305.00+
1;30.00+
2 421^00*
Occupancy K,-3
Zoning ?• I
Type of Const
(Actual)
(Allowable)
# of Stories
Length SU
Depth ¢g
S.F. Total
Footprint S.F.
FEES
Permit 41?4.
Surcharge Z. 5S_
Plan Review ZZS , so
SAC, City ( oU
SAC, MWCC 25
Water Conn 2S
Water Meter (01
Road Unit 308
Treatment Pl l60.
Parks
Copies
TOTAL
Phone # _884-3029
h
One or Two
All Other
Site Address
G ??yy
Contractor Date
='r- Ss -/ZS- 7T etosQ
Pho ne
LINEAL FEET OF t
E,UIOSED WALL .?E d?L?jpy, r F?Tllft. above grade 19,21-7.Cr-IIrZ
TOTAL EXPOSED WALL AREA SQ. FT.
OPAQUE WALL COi?.SSTRUCTION: "U" Value x Area
Detail: I'Yt}?1k= nUII.O?.z? x SQ.
reference "Un-_ • /4 r7 x SQ.
from I":III "uu?x SQ.
attached null x SQ.
sheets IIUII x SQ.
IIUII x SQ.
WINDOWS: IIUII Value x Area
Make & Type We uL. • "U!' . 5 Z x sq.
null
" if ?llulf x SQ.
it ft nun x sq.
x SQ.
DOORS: "UII Value x Area
Ila':;e & Tyne _57Z In147L, "UII
11 II Il4r??
It IIUII 47 x SQ.
II •
Ilu tl .. x sq.
11 n IIu II
x SQ.
TOTALS _a Z 0 SQ.
TOTAL (U)(A) VALUES AVERAGE flue'
17?, Z2_ _
DIVIDED BY TOTAL WALL AREA M2,00
AVERAGE "UIC` j15.ar less for M2 family dwellings
ROOF/CEILING:
TOTAL AREA: IZ?r I?
FT. ,Y O- 6Z, (U)(A)
FT. 52=_17,?Q (U) (A)
FT. 129,4r? , '_(U) (A) .11
FT. _ _(U) (A)
FT. _ (U) (A)
FT. _ (U)(A)
FT. 171.1o = 47,? ,7
FT. _ (U) (A)
FT. _=_(U) (A)
FT. _ (U) (A)
FT. !?v-o-= 0c (o (U)(A)
FT. FT.- (U) (A)
FT. _ (U) (A)
FT. 177 Lz- (U) (A)
Detail reference
f nun sOZ 1 x SQ. FT-
rom
ached sheets. IIUII
"UI' x SQ. FT. (U) (A)
Describe openings
IIUn x SQ. FT. _ (U)(A)
in ro
of.
flue? x SQ. FT. _ (U) (A)
x SQ. FT. _ (U) (A)
TOTAL (U) (A) VALUES DIVIDED BY I , ? i
= 7ot141?7 )?%? 54?f ?P,7!7 CVY??
to
TOTAL ROOF/CEILI1tG AREA
:.. 17s,p'.QD pr'-?
AVERAGE fl
e'
u
.02$ fo}• ventilated roofs
.
CITY OF BUILDING DEPARTMENT
EXTERIOR EIIVEtOPE AVERAGE IIUn C014PUTATI014
(To be submitted with building permit application)
Family Dwelling -- Owner
--WALL SECTION--
Determining JOU" values at Roof, Wall, Rim,, and Conc. Block
ROOF/CEILING (R) VALUE
1.) Interior Air"rilm 0.61
2.) 5/8,0 Gyp. Bd. .56
3.) Insulation 40,0
4.)
5.) Exterior Air Film .61
(STILL)
"U° = 1/R= .023 'TOTAL (R)= 41.70
WALL (R) VALUE
6.) Interior Air Film 0.68
7.) fit'" Gyp. Bd. .45
8.) II
ulation
nn
ss 19,00
'
/
G
1
on
V 4
10.) M
il
Sidin 67
11.) Exterior Air Film .17
uUn = 1/R= .043 TOTAL (R)=z3.Of
RIM (R) VALUE
12.) Interior Air Film 0.68
130 Insulation 17100
14.) 2" Fir Rim Joist 1.88
15.) ,5:" Av,LTr PTT( 2,o
7
160 Mdsonite Siding .6
170 Exterior Air Film .17
11U It = 1/R= , 044 TOTAL (R)=
.r 1
FOUNDATION (R) VALUE
18.) Interior Air Film 0.68
19.)
20.)
21.) 12" Concrete Block 1.28
22.) f1d,I> JAY2VL S.vO
23.) Exterior Air Film .17
t1Uii = 1/R= r 140 TOTAL (R)= 7./3
0
q.? X ,34+-34+ 49--+-4q.? _- 14rpZ,oo
s ?oX ? z2 +z.8? = zSo,oo
°Q X, ZZ = )7 Cv, 00
3.0o X g = L4, po
19?Z,D0
%7X ?34-+30-+- 4b+4?, = fo9,5Z
3,r-p K g Z97 00
lzB,sZ -?
Wlr.vt,.) » S
777 ( 1 - ?-CP A Z-- ,S.zo
+&y I( x 3z = 7. 1 X 1= 7, I r
lam' Z4 x 1Z.0 3 = 3&,Oo
T ZO -/,/F3 = ?•7 X 9 z?,go
7a", 1 P 16"o 6" a 62
9/, ro ?-
Ire-u;
1Y1r/? ? 1?3,?
1115 h C?rw? 128, 5 2
1 Z-` 1 I a
2/, /o
l ?„c•7
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fr-E
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Cpl (a_
IZ?,cb
CITY OF EAGAN
3830 FiIlot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
&Iw4.?,09/
BUILDING
025707
06/07/95
SITE ADDRESS:
P.I.N.:"10-14175-110-02
3875 DENMARK AVE
LOT: 11 BLOCK: 2
BIRCH PARK
DESCRIPTION:
Bbit,d164_Perm1t Type DECK
u51'ding Glpr_k Type NEW
s k ? iu
fi
¢ 'pA"
J 3
ri tF#.aw Y34i ,._v ,&_' ; s ?? y A °°Y %G y 3"iE Pin 'p
t.c is x" '4 ..ss, p ;
111U
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Subtotal
$30.00 COPIES
$•50 Total Fee
$30.50
$1.00
$31.50
CONTRACTOR:
4
I hereby acknowledge that,-1' h?av`emrsa'd .z
iiformation is correct and agre-e, to colt
Statutes and°City,of Eagan ardinanc-es.
APPLICANT/PER E SIGNATURE
OWNER: - Applicant -
SHEA KEVIN
3875 DENMARK AVE
EAGAN MN 55123
(612)636-4680
j? Aluf
New Cnnatruetion Reauiremants
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
3 registered site surveys
2 copies of plans (include beam & window saes; poured fnd. design; etc.)
1 energy calculations
3 copies of tree preservation plan if lot platted after 7/1193
required: _ Yes _ No
DATE: 1'li?Y d ? I' qS
State:
DESCRIPTION OF WORK: -??)4
STREET ADDRESS: 3C1'? ???1r?1ra(L1L A??E ? ?, ?Zf-nr,3
LOT I- BLOCK _ I SUBD./P.I.D. #: 15-ML) ILL
n t v?? = L??- 4?8Q
PROPERTY Name: ' AEA 11,3 Phone #: (09(y-Dm?
OWMER RUT
Street Address- ??t-°tP42NC A-,J (--
City: - fie;f- r State: 1"'li?l. Zip: 15-S
CONTRACTOR Company:
Street Address:
City: State: _
Name:
Street
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
31.0
wU ?-?
Zip:.
Penalty applies when address change and lot
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.
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
ARCHITECT/ Company:
ENGINEER
Signature of Applicant:
_ Yes No
Yes No
CONSTRUCTION COST: 41?20c:?,
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
MAY 2 3 1995
Phone #:
License #•
Zip:
Phone #:
Registration #
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
,zr- 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
• ? 14 Fireplace ?
-e-'l 5 Deck
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
0 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering
Variance
4'l y
o!
b
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies 00
Total:
Valuation: $ /Zoo
% SAC
SAC Units
f
P
a-
4i
J Ex?STi+JCa`Paccti° I
I1 iI `
Fa ux. - ? --_ --
C, rrC -Q ... ?
I t%
14-3 x 14 o DELK,
SHORT FORM ENCROACHMENT PERMIT
PERMITTEE DATE. - 3
. 19 F_?
Name: 1<'e"';' ,?h r4 ?
Address: 3875 C J e r r X1'4 ??
Phone: ?/? ) cn?o 7007 EA9AH !N/? ?"i?lr?3
LOCATION -
5pe+bn: To-h)P'
7"27/ Renga: co^..n? H+ State'. - /
LA<_Of/r1 ?N
Un06B000n:' g11gnMOnt 3nBat rvu. Miles P06l EneSm+lpn9 NO. Tiap+NUm ar. ROW wleln: /
Fo 5/3 Ong oYrivs z?z ?zzgsir t 32 9 8S
OESCRIPTION OF PERMITTED FACIL-ITY
i
- .
/?
? ?/ ?
WA',J
C •'e tis
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e
rn c„
o,i f
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t C
•
What: .PS
u i
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Si
/
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04-
Where: 3b'?S- CJ ?A.e?is?/? ,/fvP G//y M.'1 iyl?
Diagram: (. fret"
?
^
I
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Thls permit Is granted subject to the terms and Special Provisions shown below and
strictly in accordance with the specificatio ns shown on the reverse side hereof-
CON SIT I O NS
1. The Permit herein granted is subject to the existing easement 7. You agree that WPL may remove, at your expense, any
rights of WPL. encroachment or portion thereof, if in WPL's judgement it Is
2. Permittee will con • maintain, relocate and remove the reasonably necessary to do so in order to construct, alter,
maintain
repair or replace its facilities located within the
encroachment at no e expexpe nse toW PL
.
,
easement, or in order to construct or install nerN, facilities.
3. Parmittea must notify WPL at least 48 hours before work Should WPL remove any such encroachments, or portions
commences on or near WPL right-of-way. No work shall take thereof. WPL will not be liable to you or your successors or,
place without WPL staff being given the opportunity to be assigns for any damages resulting by reason of such.removal.
present at the site. B. WPL reserves the right to alter the specifications of this per-
4. You shall supply such plans, surveys and drawings as WPL mit at any time. provided that you will be given a reasonable
deems necessary. time to comply, at your expense, with any new requirements
5. This permit shall be revocable by WPL In the event of your imposed after the construction of the facility.
noncompliance with any requirements, conditions, or specifi- 9. All permitted facilities shall be constructed and maintained
cations of this permit, upon notice given to you and/or the to comply with all laws and industry standards.
owner of record.
10. The permission herein granted by Williams Pipe Line
d You agree to indemnity, save and hold harmless WPL, its Company is limited to its interest and authority in the subject
shareholders, and their directors and employees, and WPL's land and Permittee acknowledges the possible obligation to
subcontractors against any and all claims for damages, injury obtain the required permission from other parties of interest
or death arising by reason of your placement and maintenance or the Government. WPL permits this facility only to the
of said permitted facilities, extent it may do so by law
Special Provisions;
?
Ale-'
Your local
conta
t is:.
c
_
/
?
Name: ?-*-'r 'i Jr LJ _ Address: Z 4/I ??e S f Low IS ally! rC
Phone: G,/Z ) 1033 - X77 S?, ? L ??/v SSi/3
In Eventotan Emergency 1-800-331-4020 or 1-918-588-3200
WILLIAMS PIPE LINE COMPANY 1 acknowledge that I have reviewed, with a Williams Pipe Line
representative, the requirements, conditions and specifications
SUBMITTED BY: of this permit and agree to the provisions thereof.
oar ? '
?
APPROVED BY; /7./S v
1 a (
OIS 1 ANAC3ER PeriMlTl'EE
aIaTRIBOTON: WHITE - Lewd, necortle 8 CIdm1 (ru,a); GANAFY - Oma•on O +lica. %NK. Pe+mnlee.
METENTION: Perrnananl
W/LL/A/NS PIPELINE CpMOANYJ'1
pV60f rNS neuAUr Ln IYMVS AC ?W '
//
SURVEYOR'S CERTIF=ICATE
l/ l/ r L_ lJ /
N 44.00'44" E
'-
I 882.3 104.14 r
x
861.9 Mp
11 \383
85G.i? :
N .
N
I
O N
?N
I?
I
I-
r?
J M
I N
- y _
i
0
SIENNA CORPORATION
A
i \
t
N 47.35''42" E \
/ •989.9 JV "7?
WILLIAM9 PIPE LINE CO, 973.1
EASEMENT
l 1
970999 PE" Doc. N0, ` m LOT
I \
a 891.3
)Y ryry ??O 4g 3 O V
e \
G)
16 -. \v
?''a Aps
??qy,? esa.a
\ ?A
5I- aso.I; A Aa
I6•4 a
59.95 • 0
1 5
60.00
8s9.5 A poa R.Ia36
834.0« 884.2
16.62-.?
N 40001"57"E
e53. esl.a
K
0' DENMAR ,
I
i
1
_ 9es.-•- a -?-
?---- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
O DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
\40
\
4
l
4'
1? EV ISED S-2t; 8 7
To. SµrDv.J p PRAPosE0
NOV4E FOIZ SISNSIIIrIk
CorIS'f,
SCALE: 1 INCH = 30 FEET
PROPOSED GARAGE FLOOR = 97643 FEET
PROPOSED LOWEST FLOOR =050.rv FEET
PROPOSED TOP OF BLOCK = Q64,? FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
IIEPRESENTATIO14 OF A SURVEY OF THE BOUNDARIES OF:
Lot II , Block Z , BIRCH PARK, according to the recorded plat thereof,
Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY, AS SURVEYED BY
14E OR UNDER MY DIRECT SUPERVISION THIS 1-5a.o DAY OF ue.- Toga- , 1955.
APPROVED FOR SIENNA SIGNED
CORPORATION
BY: BY:
DATED THIS DAY OF --------------------- I
19_.
PROJECT NO, F / PAGE
84762 C'73Z4)
ZS
FILE N0.
FOLDER
JAMES R. HILL, INC.
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMOER 12294
JAMES R. !-TILL, INC.
Planners / Eng(neers / Surveyors
x200 itumboldt Avenue Bouth
Bloomington, Mn. 65431 012-B04-3020
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA130603
Date Issued:05/04/2015
Permit Category:ePermit
Site Address: 3875 Denmark Ave
Lot:11 Block: 2 Addition: Birch Park
PID:10-14175-02-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas J Vasterling
3875 Denmark Ave
Eagan MN 55123
(651) 452-2432
Bettin, Inc
3208 1st Street South
Waite Park MN 56387
(320) 251-2505
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137171
Date Issued:06/21/2016
Permit Category:ePermit
Site Address: 3875 Denmark Ave
Lot:11 Block: 2 Addition: Birch Park
PID:10-14175-02-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas J Vasterling
3875 Denmark Ave
Eagan MN 55123
(651) 452-2432
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147247
Date Issued:12/19/2017
Permit Category:ePermit
Site Address: 3875 Denmark Ave
Lot:11 Block: 2 Addition: Birch Park
PID:10-14175-02-110
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Thomas J Vasterling
3875 Denmark Ave
Eagan MN 55123
(612) 791-3001
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(952) 930-3777
Applicant/Permitee: Signature Issued By: Signature