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3881 Denmark AveCITY OF EAGAN N_ 1 4 2 8 1 3830 Pilot Knob Road, P.O. Box 21.1 99, Eagan, MN 55121 BUILb ING PERMIT PHONE: 454.8100 Receipt #78/79 To be used for SF DWG/GAR Est.Value $1091000 Date OCTOBER 8 19 87 Site Address 3881 DENMARK AVE OFFICE USE ONLY R3 12 2 BIRCH PARK Lot Block Sec/Sub On Site Sewage Occupancy . MWCC System X Zoning _ Parcel No. Vn On Site Well (Actual) Const SUNSHINE CONSTRUCTION Name City Water X (Allowable) Vn W 3 Address 5985 125TH ST W PRV Required X # of Stories _ 56 0 City A.V. Phone 431-2200 Booster Pump Length 33.3 Depth c Name SAME S.F.Total ou Address Footprint S.F. P City Phone APPROVALS FEES a En r'/Assess. g Permit -- $ 530.50 mW Name 54 $0 ?Z Planner _ Surcharge . _ z- Address W z Council _ Plan Review 265.25 = W a Cit Phone Y Bldg. Off. SAC, City 100.00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 525.90 information is correct and agree to comply with all applicable State of Water Conn. 525.00 Minnesota Statutes and City of Eagan Or man s. Water Meter ._---67.00 Signature of Permittee ----- Road Unit ?303-00 A Building Permit is issued to:_ S NE ONST Treatment Pi 180.00 on the express condition that all work shall bed ein accordance with all parks applicable State of Minnes Statutes an of n Ordinances. - . TOTAL $2552.25 Building Official- CITY OF EAGAN Remarks Division .4 16959 10.185 Addition Ri rch Park Lot 12 Blk 2 Parcel 10-14175-12 r,... e. 3881 Denmark Ave Eagan MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 221 197 8.15 20 Paid pr or to divis on SEWER LATERAL bn 931 1985 8.85 15 WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 1018 198 750.48 50.03 15 STORM SEW LAT 1048 198 199.66 13.31 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK NUMVEIM 5717-3579 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHON E: 454-8100 BUIL`61NG PERMIT Receipt # To be used for Est. Value Date &$hKARK AVE Lot Block Sec/Sub. Parcel No. c Name w 3 Address City Phone c Name 0 u i Address I' City Phone Address 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 _ OFFICE USE.ONLY On Site Sewage Occupancy t, y MWCC System Zoning I On Site Well (Actual) Const City Water (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 ie Plumbing r a Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing ?! ,! ?? s?i% ?y auL, Roofing 2dT? v_ ?r y. Rough Plbg Rough Htg. Isul. i1•if C•, Fireplace Final Htg. Final Plbg. • Bldg. Final Cert.Occ. Temp. LP Deck Ftg. %?8 cei,1? ??1=Oaw, Deck Final Well Pr. Disp. PERMIT # MECHANICAL PERMIT RECEIPT # rJ S' 2 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 11 -2 - 97 CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot i . ,Block ?. Sec/Sub Res New c Name` _ Mult Add-on Address Comm. Repair c City _J?o&AA Q &Q hone Other • FEES ` Name 011 V_ At RES HVAC 0 100 M BTU $24 00 . - . - 3 Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GA MIN TLETS M M 1 PER PERMIT 1 50 EA - ) ( S OU I U - . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air /0 0 M BTU Co ? APT. BLDGS. - COMM. RATE APPLIES Boiler TOWNHOUSE & CONDOS - RES. RATE APPLIES 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 # -? SO BEYOND $1,000) Other FEE: .:1 $'D - lctY ??yp ?• SIC: J SIGNATURE OF PERMITTEE TOTAL' - ; , O" FOR: CITY OF EAGAN PLUMBING PERMIT PERMIT # RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: - CONTRACT PRICE: PHONE: 454-8100 Site Address i t ii., t Lot - Block Sec/Sub Name Address n ' m c City L Phone'"-!. Name C Address p City I Phone (. FEES COMM/IND FEE r 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) r _ ? 1 SIGNATURE OF PERMITT E .? 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 $ - I Bath Tubs - $3.00 ""- Lavatory - $3.00 TShower - $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 i (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 a FEE: STATE S/C: -70 GRAND TOTAL: j,r .. (Urtifiratr of (Orrupaury cite 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: TIXICAP Bldg. Permit No. Use Claasificatioa'' Occupncy Type R3 Zooiag DWaxi Type Come. + ?T [d [s-1 Owner of Building ?gm OCZf -? Add" - BmlAing Addre? t° Ate. ?`_? s Locality p L?' Date: 2 t [RX 2S 1 1 Building OMCW POST IN A CONSPICUOUS PLACE CITY OF EA N Permit Na 9142 Date: 10--13-87 f' L 3830 P .: -Knob Road Meter No: 39 Size: t m P.O. Eox 21199 Reader No: C r 77 t ?' Date: Eagrn,'MN 55121 Owner. Sunshine Const. Si-,e Address: 3581 Denmirk Avenue L1'? E? 'Birch Part: Plumber Star P1i:r:bin., Conn. Chg: 525.00nd Acct Dep: 15, 00 d Permit Fee: 10, 00nd Surcharge: - 5081 Tr. Plant 1cl.0t P'j Meter. Misc.: PI-T yn_T TTi' 1' .(1,I1IT_RT} CITY OF EAGAN 3830 Pilot Knob Road Zoning: to No. of Units: 1 I agree to comply with the City of Eagan Ordinances. By WATER SERVICE PERMITI t - 12 -b? Permit No: 1 Ct? Date: T 1 1 B/P No: 7s1Date: r ,r7 P.O. Box 21199 Eagan, MN 55121 - Site Address: MWCC: ')z!1, QURn City Chg: ,? • Odd Acct. Dep: `_ c . oone' Permit Fee: ` Surcharge: Zoning* No. of Units: I agree to comply with the City of Eagan Ordinances. By SEWER SERVICE PERMIT This request void 18 months from D 65876 0-,s/- I n ry uc>a vP re ire rvV. I no ugn-m ins peen.... rrrttt??,,, Requned, ?Ready Now LgWill Notify Inspec- I(_yy->( / Yes ?No [or When Ready ® Licensed Electrical Contractor I hereby request inspection of above Lr?J, Owner electrical work installed at: Street Address. Box or Route No. D&- n r-v,,-, l ?, City C,1+'1 Section No. Township Name or No. Range No. County Occupant (PRINT) n 7` _j_ S ? Phone No. ?3l- Zzej Y uc um ? cm s ? Power Supplier L)a kc-?2 <-- /.,-5 ??? t? Address ?? r???-,1 -??? Electrical Contractor Company Name) q Contractor's License No. ,0 W= Mailing Address (Contractor or Owner taking Instailaiion) -7&7,5-&J w /3 - 3 ,au a r .0. Authoori,ed?Signature (Contractor/Over Making Installation) PhoKe Number MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midwey Bldg. - Room N-191 1821 Universitv Ave.. St. Paul. MN 55104 Phone (612) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 Sae instructions for completing this form on back of yellow copy. D 6 5 8 7 6 ..x.. Below Work Covered by This Request Wil Add Rep. Tvoe of Surldina Appliances Wired Equipment Wire a Fee Service Entrance Size ti Fee Feeders/Subfeeders tr Fee Circuits 12. X 0 to 200 Al 0 to 30 Amps 3 .dL 0 to 30 An s Above 200 Amps 31 to 100 Amps S, jo 31 to 100 Amps Swimming Pool Above 100Amps Above 00-Ampti Transtormers Irrigation Boons .5-0 Partial Other Fee signs special Inspection S ?? ? TOTAL Remarks U z/r? CASH RECEIPT CIT Y OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RCCRI V ED 19 FROM AMOUNT $ J / DOLLARS ton ? CASH ? CHECK ++a+LV. rCKM1T Alp. -,,! ? 141 01-3210 Bldg. Permit G? 01-3422 Plan Check ?^ J 01-3445 Surch./Adm. 01-3446 SAC/Adm. 5 01-2155 Surcharge y QJ C , Cy 17-3860 Road Unit ,(f? ciU 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. 0 11-3855 Park Ded. TOTAL BY _ White-Payers Copy Yellow-Posting Copy Pink-File Copy . Thank You 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 SEWER AND/OR WATER INSTAI.IATIONS WILL NOT BE SCBED- DLID UNTIL PERMIT HAS BEEN ; APPROVE. > > > Please Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: - IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mon Year) PRESENT ZONING/PROPOSED USE: COMMERCIAL/PMTAIL/OFFICE R-1 SINGLE FAMILY 0 INDUSTRIAL 0 R-2 DUPLEX (Two Units) C] INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2)? NAME: ?u.VtX/N L?o,v< i.?'T/c7A/ ADDRESS: CITY, STATE, ZIP: 1,14A-i 5--,5_1 g2 f PxoNE:_ y3 /-,22 00 3) u ::• ? For City Use S2 PiJ. rt Q „u Plumbers License: ADDRESS: /[7 ! /%uiv 4 SP 2 inik e F Active Expired i CITY, STATE, ZIP: ?yvnH. U, sS y1? Not recorded PHONE: MASTER LICENSED 33.2 9 M staTY Initial 4) ?aa a i? NAME: ADDRESS: CITY, STATE, ZIP: 5) r• a . ?. : o o? ?? CONNECTION TO CITY SEWER yyj CONNECTION TO CITY WATER 6) r 7) Q OTHER ' . PLEASE HOLD APPROVED PERMIT FOR PI UP BY ONE OF ABOVE PLEASE MOVED PERMIT TO , 2, 3, 4, ABOVE c 1 (Ci le one) FOR CITY USE ONLY PERMIT # ISSUED 2 Pd w/Bldg. Permit FEES: $ /6 S? $ $ I o S? $ / $ (??•ClZ $ $ /5 • U z $ s $ s ?zs on $ $ $ $ $ $ $ ` L9?? $ s / N?f s ,?2 RECEIPT 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 Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: A,',,.-,ism ? TITLE: DATE : ?D 4-3 /x- Y 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF 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 To Be Used For: ?--Pk Valuation: i (3t) O - Date: Site Address 3T61 0 vv, ,m Jc Lot J 7- Block Parcel/Sub 2`Sfe-'LO?n'I? Owner 6 AIL K C.F,1y A,(,k Address ???6C? yy GtiW? City/Zip Code G? Phone ?Slo CC?3 g?S?F Contractor J Cep. s C?, Address 2c 00 V6AAA,5;( City/Zip Code Myj Phone Arch./Engr. S2 Address City/Zip Code Phone # On site sewage_ MWCC system _ On site well City water PRV required Booster Pump APPROVALS JOL Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. FEES Engr/Assess Planner Council Bldg. Off. tx?j?15 Variance Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 2 ?- !O ?vg LA& Wi ?O%ST ?fr?nrb s 12 - 1 4 j ?PIX X FROST FA97jA)GS i ?Xrv CCOf1?r ?c-Kinl? j / IS" SAs`c Z8 19$7 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - 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 Ian OCT JW7 To Be Used For: r4111 Valuation: /02000 a Date: AI--1- Site Address Lot la Block Z On Site Sewage` n MWCC System V/ Parcel/Sub L};2cN l?A2K On Site Well _ ` City Water v- Owner .JGc?/SHln/E LoNSr2tlcrON Address $?f?S I.2Saf- SY: 41 City/Zip Code APPLE 6 5 !a Phone -/3 / - -2 000 I APPROVALS Contractor SoMe AS A8o?k_ Address City/Zip Code Phone Arch./Engr. Address 9y()/ V AHES 441.E SO- City/Zip Code Aw/l/y6-noy 5593/ Phone IF 667y-309 Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Occupancy R-3 Zoning R _1 Type of Const (Actual) IV N (Allowable) V-N # of Stories Length -K.OO, Depth 3("33 S.F. Total Footprint S.F . FEES Permit 530.50 Surcharge 5y, 6'0 Plan Review 265' 25 SAC, City 60,60 SAC, MWCC (J 525,0 Water Conn SZS 100 Water Meter 00 47, Road Unit 3C)SIDO Treatment Pl 1130, Parks Copies TOTAL M c d y-- ZZ-X3o =66ox/2= x7920 Nous? Z?X2 G = GAG 111 XZZ, 308 984 `/Icz = I(7 ?-b CITY OF A6 nAj BUILDING DEPARTMENT :r EXTERIOR ENVELOP AVERAGE "U" COMPUTATION r (To be submitted with building permit application) a. {.'One or Two Family Dwelling Owner 4tA/tif/NE CO/V All Other Site Address 38v 6Ey1,,jP- C Alec- Contractor J{ day (?? Date Phone LINEAL FEET OF EXPOSED WALL ft. above grade = / ,,.•- l?(J TOTAL EXPOSED WALL AREA SQ. FT. E WALL CONSTRUCTION: "U" Value X Area 1 ? ..U.. X SQ. ence ~°U" i -X SQ. .lu,. X SQ. hed SQ. a. fluff X SQ. _ fluff X SQ. WS: "U" Value X Area FT. 2?-(0 t Z'3,?0 (U) (A) FT. FT. (U) (A) FT. _ (U) (A) FT. _ (U) (A) & Type lull X SQ. FT. (U) (A) & Type - "U" X SQ. FT. _ (U) (A) & Type "U" X SQ. FT. _ (U) (A) & Type '.. "Ulf X SQ. FT. (U) (A) "U" Value X Area ke & Type Tdi .lU.. 1. ?• X SQ. FT. ke & Type "U" X SQ. FT. _ (U) (A) ke 6 Type "U" X SQ. FT. -(U) (A) ke & Type "U" X SQ. FT. _ (U) (A) TOTALS r e44- SQ. FT. (U) (A) AVERAGE "U" TAI; (U) (A) VALUES I _aa,04-_? ?? VIDED BY TOTAL WALL AREA ?T ERACE "U" .11 or less for,'.1.& l family dwell s OF/CEILING:.( TAL AREA tail reference "U" X SQ. FT. (U) (A) from "U" X SQ. FT. -(U) (A) Cached sheets. "U" X SQ. FT. _ (U)(A) scribe openings "U", X SQ. FT. _ _(U)(A) roof. "U" X SQ. FT. _ (U)(A) n TOTALS _SQ. FT.7 3)I )(A) CAL (U)(A) VALUES DIVIDED BY 14 - CAL ROOF/CEILING AREA OO ?/ SRAGE "U".025 for ventilated roofs. :ON ill, Rim, and Conc. Block ROOF/CEMIN0 1.)' Interior Air rllm 3.) Insulation 4.1 5.) Exterior Air Film (STILL) u0u = 1/R= , ';+.° TOTAL (R)= 4 ? ?Mf3 WALL 6.) Interior Air Film 8.) Insulation 10.) a•1 r..rt. ` 11.) Exterior Air Film uUu 1/R=,E ?u1 t TOTAL (R)=`???5 D? RIM 12.) Interior Air Film 13.) Insulation 15. ) ??_l It.-,T 17:) Exterior Air Film (R) VALUE 0.61 QQ ? .61 (R) VALUE o.68 .17 (R) VALUE 0.68 1 .17 HUfr = 1/R= 1 040 -TOTAL (R)=2444 FOUNDATION (R) VALUE 18.) Interior Air Film 0.68 19.) 201.) 23.) Exterior Air Film .17 uUu = 1/R= j !.{- TOTAL (R)= I ?"zj u_. a .3 in _4 k = ,cam' k A "./Z0 ox? ,n a t RESIDENTIAL BUILDING ?°1 b Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 I i s-?? Zs 0_,A_ of 011(103 New Construction Recuirements Remodel/Repair Recuirements Office Use Only 3 registered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas 2 copies of plan _ Cart of Survey Real (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pres Not Reqd l set of Energy Calculations Addition - indicate ifonste septic system _On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date (0 / Z / Site Address t] _ sz n ry sy Construction Cost 2-11000 ? 4VA_-? UnitlSte # Description of Work /A-e ? /U, U w Multi-Family Bldg _ Y ?1? Fireplace(s) _ 0 - 1 - 2 Property (honer o? L Ph a& be Lk *s Telephone # ( t?51) le&cS' ?? Contractor ?rzVh0 S U n On C VjrS ArveS_': Address State S 1 n v o l/?CL-Ce zip fS l City kA a hleworiJ Telephone # ( 6 ?j onto COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Category 1 • Residential Ventilation Category 1 Worksheet (4 submission type) Submitted • Energy Envelope CalculaNgns Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone # ( Telephone #( Telephone #( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 approve,' plan in the case of work which requires a review and approval of plans. 90but Applicant's Printed Name Applicant's Si tune OFFICE USE ONLY Sub Types a ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace x 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding V21, 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 300,9 Occupancy RO-3 MC/ES System _ Census Code Lt ?? Zoning P D City Water _ SAC Units - Stories _ Booster Pump Nbr. of Units _ Sq. Ft. PRV Nbr. of Bldgs l Length Fire Sprinklered Type of Const Width /.7 REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final _ Framing _ - _ _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ Air Test - Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total /53 L7 Building Inspector "$ CERTIFICATE SIENNA CORPORATION li VEYU_ 11 N 44e21'43aE -_ 12.93 IT- Al &.5r. IS 01 6q `50g3 F I? 1 REVISED 9-28-87 TO SHOW PROPOSED HOUSE BY SUNSHINE CONST. CO. S 40'01.57" W 852.1 053.0 e?e.a 0 a 0 a DENMARK AVENUE asa.5 -? DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND ?PROPOSED GARAGE FLOOR = FEET XOOO.O DENOTES EXISTING, ELEVATION PROPOSED LOWEST FLOOR - V41r• L FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 866•? FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 12 , Block 2 , BIRCH PARK, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO 511011 IMPROVEMENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS t314-0 DAY OF or-jodEk- , 1%B APPROVED FOR SIENNA CORPORATION BY: DATED THIS DAY OF 19_. PnOJECT 110. BOOK / PAGE JAMES R. HILL, INC. 84762 (87544) 234/69 Planners / Engineers / Surveyors FILE NO. 11200 Ilumboldt Avenu• South' FOLDER Bloomington, Mn. 155431 812-004-3020 SIGNED: JAMES R. HILL, INC. HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 BY r L4 = IT4i i1T-I L BUILDING PERMIT APPLICATION a L( a CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 Now Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 120% 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 if lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE CD F 9 SITE ADDRESS 3'r */ TYPE OF WORK A.0- MdW -4- RemodegReoair 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 a of SZZ- MULTI-FAMILY BLDG _Y L-IC f- FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT STREET ADDRESS 3 S `7 2Z' <Pul 1,, CITYZ?llll!4 STATFj?'ZIP TELEPHONE # 44af-292' F!'& PHONE 7;2 FAX # c PROPERTYOWNER (3 NIA. V TELEPHONE# _46 gam' TD 94' 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 Plumbing Contractor: ___ Plumbing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Water Contractor: Phone Fee: $90.00 n JUN 2 6 2002 ;,j I hereby acknowledge that I have read this application, state that the inf Lion is,eolrec ,and' ree o comply with all applicable State of Minnesota Statutes and City of Eagan Or a es. ` Signature of Applicant - ???_*_ -------------------------------- -- - ------------------------ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4/02 Water Softener Water Heater No. of Baths Air Conditioning Heat Recovery System Phone # Lawn Sprinkler No. of R.I. Baths Phone # PERMIT# H, 7 t fr7 RECEIPT DATE: I _ ;? _U ? t 1?SSX - ?1r1? UISIDENTUL PLUMING PEI M f "'PLICATION crrYoF F_AaAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: 3 1 ?vY?aC 1L I p OWNER NAME:: TELEPHONE (AREA CODE) INSTALLER NAME: hA GUIRE & SONS TELEPHONE #: 9'-'a 4--s i-9 c 02 6Q5 12th Avenue Scti? (AREACODE) STREET ADDRESS: €?$? hh? 55a? CITY: Place a check mark next to the permit work type 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 ofwor':: Re?", 1A Q( yN(ylit-e/ _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Tota I $? a Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. )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 Eag sumes no liabilit s caused by the City during its normal operational and maintenance activities to the facilities constructed under this p mi ithin City operty/right-off easement. Updated 1/01 je r%l: TIFICATI? SIENNA CORPORATION N 44°2[143"E - C; -- 12.93 l s0 F -t7 ? 'y WILLIA"s PIPE LINE CO, I EASEMENT PER DOC, N0, 1 Srosaa 854.3% I M LOT 1//? ' II %881. Q,? I M 851.5) 'ORAlNAGE B UT7(.17-y '? I5 O ^ 5 EASEM ER PLAT e PRorbyea-a Iz Ila I ) . DEcr (8550-x U) X l 851.3 3 / ` • 951 49.0 M I ?U PROPOSED h Z p / HOUSE / a0 jz M O /W / / ,D 1n M EHOUSEO xa M y`1 25.67 ?j ARAGE N ; r 30 33 -__- X851.4 ? ?, Csc?j6 ? <v', ? , m ppOPtlSED i. O ' DRIVEWAY p 00 5I tm m h'li ., •°. O a?, ... x m LLl k c? N r?? O y o b } I Z h '?' _W I ^ k /1 • \J Q . J J?tSi REVISED 9-28-87 TO SHOW PROPOSED HOUSE BY SUNSHINE CONST. CO. - - -? 71 . 71'.CONceEfF%'•'-i SIDEWALK 5' .•. ? WIDE--• S 40 -01 '57" w l 953.0 948.3 a O V O a DENMARK AVENUE 853.0 11849A - SURFACE DRAINAGE DENOTES PROPOSED SCALE: 1 INCH = 30 FEET O • DENOTES DENOTES IRON MONUMENT SET IRON MONUMENT FOUND ''PROPOSED GARAGE FLOOR = FEET X000 0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = P46. 6 FEET . (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 8S? ^. FEET VIE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 12 , Block 2 , BIRCH PARK, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOV! IMPROVEMENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS t3v-v DAY OF oC.-Tot3EU-- , 19kf APPROVED FOR SIENNA CORPORATION BY SIGNED: DATED THIS DAY OF 19_. PROJECT NO. BOOK / PAGE 84762(87544) 234/69 FILE NO. FOLDER BY: JAMESIRR.. HILL, INC. //?Y -81-11 HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 JAMES R. HILL, INC. Planners / Engineers / Surveyors 0200 Ilumboldt Avenue South Bloominoton, Mn. 65431 612-D04-3020 SURVEYOR'S CERTIFICATE' N 44°21'4311E 41 C, - 115. SIENNA CORPORATION -1 I S0 F j'ASEMF _ NEc 1370588 Efl OOC. N0, 834.3 p LOT 121 M 851.5 N N 5 DRAINAGE 6 UT/UTY O ^ EASEMENT PER PLAT xl Ctiy3,z? (553«1 533.0: J ° 48.0 -7 L Z PROPOSED HOUSE 8C m o EXISTING HOUSE xmm fl 25.67 r,ARAG j? I (BYln.o; o/ _.a 1 '?----- 30.33 538 .0 b bN 5 W • k OJ ? ? ? b b° ?k 2 1 h M Nr - J ?r E ?FdSED 't. ? REVISED 9-28-87 TO SHOW p ° DRIVEWAY ?. po PROPOSED HOUSE BY SUNSHINE 0o 6 1nne? CONSL CO. 71=-CONCBEfE'•'_i'SIDEWALK 5' .'" WIDE'."-- '71 S 40'01'57" W 848.3 ,852.1 853.0 o p a a DENMARK AVENUE %848.4 053.0 DENOTES PROPOSED SURFACE DRAINAGE O 0 DENOTES IRON DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET XOOO.O DENOTES EXIISTIINGUELEVATIIOND PPROPOSED ARAGE FLOOR = ROPOSED LOWEST FLOOR = ?e b FEET (000.0) DENOTES PROPOSED ELEVATION FEET PROPOSED TOP OF BLOCK = $5;,.^ FEET 14E HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: i Lot) 2 , Block 2 , BIRCH PARK, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT-TO SHOD! ItIPROVEMENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS Z39-1) DAY OF oClojy,si- , 19L? APPROVED FOR SIENNA SIGNED: JAMES R. HILL, INC. CORPORATION DY:Ft? BY: . DATED THIS DAY OF___? HAROLD C. PETERSON, LAND SURVEYOR 19_ MINNESOTA LICENSE NUMBER 12294 PnOJECT NO• BOOK / PAGE JAMES R. HILL, INC. 84762 (87544) 234/69 Planners / Engineers / Surveyors FILE NO. 0200 Ilumboldt Avenue South FOLDER Bloomington, Mn. 55431 812-004-3020 `Y0 S CERTIFICATE N 44°21'43"E - 12.93 'cT. N >I IS• 6q qg .. yJ I SIENNA CORPORATION Ai SO F ?\jI WILLIAM9 PIPE LINE Co, 570580 I / PEA oOC. NO. 1 I %861.9 H34.3% I ,) LOT 121 M B51.5 i 3- 1 858.0 -- Q tV 5,-EASEMGE d U71L7'Y 5 W k -- ER PLAT \ - (5 • x PROFb5ED1ti IL' 1 I N - y CID -- In U) w ( 851.3 DECk ( y55.0x n ki 851.3 a I _ru ;? ••1 46.0 ?I`,1 111 k i1 II PROPOSED M II1 \J Z Fn o HOUSE / a0 In Q -? ,n OI t0 h M EXISTING 1It 25.67 tj AIR G jNl; ,?i ((I HOUSE xm .` 4 I (Y'Sb.0) o/ 30.33 BSB.SO ----- re;.o, m 660a , x esl.a ($t$ pppP0 ED m REVISED 9-28-87 3Y SHOW o PROPOSED HOUSE BY SUNSHINE DRIVEWAY ; O CONST. CO. 0 5 L?-. i ? 1 ` m mt Ci m x n I x K 71.71=coNCeErt ' + SIDEWAL g ,i• WIDE:'= S 40'01'57 W BsE.I es3.o 848.3 0 d O a DENMARK AVENUE 853.0 848 .4 DENOTES PROPOSED SURFACE DRAINAGE SCALE: I INCH = 30 FEET O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND .-PROPOSED GARAGE FLOOR = FEET XOOO.O DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = {r0'•b FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = g5,.? FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lotl2 , Block 2 , 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 ME OR UNDER MY DIRECT SUPERVISION THIS Z3?v DAY OF o?tol5 k- , 1995 - APPROVED FOR SIENNA CORPORATION BY SIGNED: JAMES R. HILL, INC. DATED THIS DAY OF 19_. BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 PnOJECT 110. BOOK / PAGE JAMES R. HILL, INC. 84762 (87544) 234/69 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avanu• 6oulh FOLDER Bloomington, Mn. 66431 812^13134-3020 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA119754 Date Issued:12/17/2013 Permit Category:ePermit Site Address: 3881 Denmark Ave Lot:12 Block: 2 Addition: Birch Park PID:10-14175-02-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Ashley Orman 130 Plymouth Ave N Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John A Tantzen 3881 Denmark Ave Eagan MN 55123--147 (651) 687-0160 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature Date: City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: L 7-3 Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Li; `4 -77 Site Address: 3'b9/ 14,4_ i k Resident/ Owner Type of Work Name: Address / City / Zip: Applicant is: Unit #: -Pill Le vt / Phone: W7 ^ 9/7- Oc y/ Owner K- Contractor /114) Description of work: ' c ,- _0C1: 124_ r6bC Construction Cost: /0 *0, Multi -Family Building: (Yes / No N ) Company: G34-11,14- cr.,f-,/ Seri/ Qt �,� Contact: pJ ft Address: 6�6 J �6(tel% .4 City: L _ State: (14/ii Zip: 55-1,f Phone: J -''f' ?2Z,? mail: d'OZCa4r1e@G•JAL fe- License #: 6e., St, S `7 `[ S Lead Certificate #: )0A-1 - SO 33 B P( 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: 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. 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.qopherstateonecall.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 com • l- . 'thin 180 days of permit issuance. Applicant's Printed ame x Ap: cant's Signature Page 1 of 3 Use BLUE or BLACK Ink r________________� I For Office Use � � � Perm it#: ��1r�� I Clty of �� : �� Perm t Fee l � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � � Phone: (651)675-5675 � � Fax: (651)675-5694 � Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ��5�'/� Site Address: �g0� ��v�e<✓1� �-rv..e�-- Unit#: ' Name: �c> � �n Phone: Residentl �° Owner - Address/City/Zip: 4�-r�-� .�'�� SS/Z� Applicant is: Owner �Contractor Type of Work Description of work:�lac� G�/% l�i��ar.iJ .�Xr�� %�GcS�y�u� �si��w s vE• Construction Cost: Multi-Family Building: (Yes /No� Company: ��,�'-�� Gt�- _��dl�e 5 Contact: ��`C�� Contractor Address: �Qa� /21u2��1�� (� �r/ c�ty: ��,��VQ State:�Zip: S S�� !' Phone:�� .�a'� Email: �j�k;`,�rr�� /,✓�Lis ,�e L/ ` License#:� s6� ��S Lead Certificate#: /�/�i4'i` S�B.�I'�i'� � 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 may be classified as non-public if you provide specific reasons that would permit the City to conclude'thaf the are:trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.ora 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. �� -� --9 x L 'G�� x ApplicanYs Printed Name ApplicanYs Signature � Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA130210 Date Issued:04/13/2015 Permit Category:ePermit Site Address: 3881 Denmark Ave Lot:12 Block: 2 Addition: Birch Park PID:10-14175-02-120 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. Applicant: Jeffrey Norblom 1465 Selby Avenue St. Paul, MN 55104 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 - John A Tantzen 3881 Denmark Ave Eagan MN 55123--147 (651) 687-0160 Norblom Plumbing 1465 Selby Ave St Paul MN 55104 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature