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3904 Denmark Ave Use BLUE or BLACK Ink For Office Use I City Of Ea~dIl Permit#: tro j Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Q t►~n I Date Received: (I -1~-/(5 I I Phone: (651) 675-5675 AUG 18 RECD I Fax: (651) 675-5694 I Staff: Intl L-----------------I 2010 MECHANICAL PERMIT APPLICATION Date: Site Address: ~3;10q ^D1`2,1 VV\ 6-V` k /4"- _ -da h Tenant: Suite RESIDENT / OWNER Name: iZD V\ r k Phone: 61810- JT~ 98 Address / City / Zip: 3 90h w~civ I~ ~J h r\ SS/ CONTRACTOR Name: WR-(AZe I j 4i !2!q A-L License M Address: 44145 J i k t.et j Egjm ` City: State: ~IJ Zip: Phone: 1 g9U ' 9~~ Contact:_DQJA `y_~ yk Email: 6 I L,_4 u u>~en -z_ n Uae- c- o TYPE OF WORK New A, Replacement Additional Alteration Demolition Description of work: Q _u_\r vt G2 `z - NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes 0~ State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ 5,5,-0 0 TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50, If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.nopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is no 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 plansx __:15 \A 11 u tk\ \f\ x Applicant's Printed Name A t' s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection CITY OF EAGAN E. t ?} 12456 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ° PHONE: 454-8100 BUILDING PERMIT . Receipt # To be used for SF DWG/GAR Fct Vs%hia $$8,000 npfo AUGUST 13 ,o 36 Site Address 3904 Lot 6 Block 4 :SUNSHINE CONSTRUCTION W Name 3 Address 5985-12bT11 ST City A.V. Phone 431-2200 Erect a Occupancy nj Remodel ? Zoning PD Repair ? Type of Const. yn Addition ? No. Stories Move ? Length 5 Demolish ? Depth Int. Impr. ? Sq. Ft Install ? o Name SAME Approvals = 0 ¢ Address Assessment ~ City Phone Water & Sew. JAMES R HILL W W N Police ame 8200 HUMBOLDT AVE _ ? Fir9 Address oo B En. L?TN Phone 88 _ 029 i W City Planner 1 hereby acknowledge that I have read this application and state that the Council $ c 8/11 information is correct and agree to comply with all applicable State of Bldg off Minnesota Statutes and City of Eagan Qr inances. APC Var. Signature of Permittee "3--w A Building Permit is issued to: SUNSHINE CONSTRUCTION all work shall be done in accordance with all applicable. State of Minnesota Sjatt Permit $ 397.00 Surcharge 44.00 Plan Review 198.50 SAC 575.00 Water Conn. 500.0 Water Meter 63.50 Road Unit 290.00- Tr. PI. 156.00 Parks Copses $2,2201-000 on the express condition that City of Eagan Ordinances. Permit No. I Permit Holder Date Telephone N 9 Comments Plbg. Htg. Disp. PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE: PHONE: 454-8100 Site Address Z 6 V;1)NRK BLDG. TYPE WORK DESCRIPTION Lot `4 Block Sec/Sub Rea New X_ m Name ci??ANE/V'S //TG H IC /ivr Mult Add-on Address a e /? S T k100,0 TES t?ik,'e 23y - ogs Comm. Repair c City62 Phonel 9 Other Name c Addre p City/1 /C2 M BTU 00 FEES RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other M BTU M BTU M BTU CFM FEE S/C: 0 TOTAL. °( b' 00 SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN $5121 DATE: _ :T PRICE: PHONE: 454-8100 Site Address Lot Block Name Address _ c City Name 3 Address p City Phone _ FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE -$10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) 1 BLDG. TYPE WORK DESCRIPTION Res. New X Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL - Water Closet - $3.00 S Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 I 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 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL- FOR- CITY OF EAGAN CITY OF EAGAN Remarks biviston # t6252 10/85 AdditionD..iLL+ Park Lot 6 Blk /Parcel 10-14175-060-04 Owner Street3904 Denmark Aye State Eagan MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 197 162. 8.15 20 Paid ri r to divisi on SEWER LATERAL b n 1985 132 . 8.85 15 " WATERMAI N WATER LATERAL WATER AREA STORM SEWTRK 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 .jF EAGAN -430 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: . WATER PERMIT DATE: No. of Units: Owner: _ fo ns t . Addroj;• Sib Address: ?ve-nu' Plumber. g -f ?//' ry Meth NO.: ?J 1 1f (O o? d?p n !lr?p,, r Size: n ac1't Reader No. 612o 7 D /J B ?...,. OR ,•. 1 proe !e em* wkly dw Qtry of g.oul-t-I Orr! race. RED Bye` r Dote of I nsp.: IV - l Z- y6 CITY OF EAGAN 3830 Pilot Knob Road P. O. Box"7199 Eagan, MN 55121 Zoning: -.11, )We i Total: , Data Paid: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Owner: Sunshine Const. Address: Site Address: genainrk 4v: y tii_. t, T .u Plumber: '2 in 1 ow" to eomplg wkly do Cky of ggpn Orrls?eweeo. By Doh of Insp.: Insp.. Connection Charpo C 7 5 . !? Account Dep Wt. Permit Foe: Surcharge: Misc. Charges: Total: Dole POW: Mrt(LZLt SERVICE PERMIT NO.: r This request void V ?p 9l? 18 r.)onths from . r d;i naa, t? P-% u O)? lil? i fr ?. 4a?,_ \4. Requ Date Fire No. I. ghednflnspection ?Ready Now Will Notify Inspec- - Yes ? No for When Ready Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Ad ress, B x o to No. Street C 2 r J I (^a` action o. Township Name or No. ange No. County cc pant (PRINT) tt ash Ot LOST- Phone No. ?- er Supplier Lta Address I - le trrcal Contractor o Dany ame) ?? C tra tor' L' ense No. Mailing Address (Centr for or Owner Making Installation) (? I SS LL-) Il Authorized S nature (Co ra r Ow M rr1? Installation) Phone Nfmber NOT MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL RD Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 297-2111 ENCLOSED. c},?)9 ) REQUEST FOR ELECTRICAL INSPECTION Ee-00001.04 See instructions for completing this form on beck of yellow copy. 4,-. J r Ai n d d "X" Below Work Covered by This Request Niiiiw Add Rep. vType of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatni Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Pecs y [her (Spr. r.i fy) t .r Pocify Other Other ("mmncufp IncnPr•lrnn Lop Malnw If Fee Serv i ce Entra nce S iz e a Fee FeedersfSubfeeders p Fee Circuits 0 to 200 Amps 0 to 30 Amps 3 O 0 to 30 Amj)s Above 200 Am is 31 to 100 Amp < 31 to 100 Amps Swinvning Pool jis Above 100 Above 100_Amps Transformers Irrigation Boom Partial Other Fee Signs Special Inspection TOTA fE Remarks :K, , (( r Rough-in L/ D: Q the Electrical nspector, hereby certify that the above Final Date 7o 0g inspection has been 7made. This request void 18 months from CITY FEN 21A 9 N2 12456 3890 Pilot Knob Read, 9 , Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est. Value $88,000 Date AUGUST 13 1986 Site Address 3904 DENMARK AVE Erect L Occupancy R3 Lot 6 Block 4 Sec/Sub. BIRCH PARK Remodel ? Zoning PD Parcel No Repair ? Type of Const. TTIq . Addition ? No. Stories 6 Name SUNSHINE CONSTRUCTION Move ? Length 56 TH ST Demolish ? Depth 59A o Address A V 431-2200 Int Imp'. ? Sq. Ft . City . Phone Install ? o Name SAME Approvals Fees u< Address Assessment Permit 397.00 City Phone Water BSew. Surcharge 44.00 I-z Police Plan Review 198.50 2W Name JAMES R HILL Fire SAC 575.00 ?z Address 8200 HUMBOLDT AVE Eng Water Conn, 500.00 5M CityBLMGTN Phone 884-3029 . Planner Water Meter 63.50 Council Road Unit 290.00 I hereby acknowledge that l have read this application and state that the Elldg.Off. 8/11/86 Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci(v ?f dinance . APC Parks / / nv Var. Date Copies Copp Signature of Per 2 4 . 00 Total- HINE A Building Permit is issued to: CONSTRUCTION on the express condition that all work shall be done in accordance with all applicabl to of 'ones a Sta sad C ity of Eagan Ordinances. Building Official City oil' pgmn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ I For Office Use Permit* I j?•S] I Permit Fee: I 1 I Date Received: 1 I I Staff: L----------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: D.nyy\&-,V- Tenant: Suite M RESIDENT / OWNER Name: Phone: lam)?1 1V1?.1.r? 4"ilV-' Address/ City /Zip: i CONTRACTOR Name: License Address ??? 1Y ?,tLJ 1 t-?- City: f S- 4 v',im,`?y State: -Zip: Phone: t 6 -21-(b y-l I Contact Person: TYPE OF WORK _ New ]?L Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater -Water Softener -Lawn Irrigation -Add Plumbing Fixtures L RPZ! _ PVS) Main _ Lower Level) _ Septic System _ Water Tumaround _ New Abandonment RESIDENTIAL FEES: 50.50 inimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 518" meter is required) $100.50 Septic System New ($10.00 per as built) (includes county fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharg TOTAL e) FEES hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the city or 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. ` ?Ak - 1 x Applic n Printed Name e Applicant's Signature D X ?r FOR OFFICE USE Reviewed 133y: a4eEB 2 9 2008 Required Inspections: -Under Ground -Rough-In _AirTest _Gas Test _ trial P'4 ? RESIDENTIAL BUILDING PERMIT APPLICATION \ CITY OF EAGAN 1? 1 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New construction Requirements • 3 registered site surveys stowing sq. R of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Run Joist Detail Options selection sheet (bldgs with 3 or less units) DATE SITE ADC TYPE OF APPLICANT STREET ADDRESS Q,SD ' (-r-/ F-f-- TELEPHONE #?-mot ( CELL PHONE # PROPERTYOWNER &,f Tijs? TELEPHONE W-5-7 -6 Q,-5Z COMPLETE 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: Air Conditioning Heat Recovery System I hereby acknowledge that I have read this application, state with all applicable State of Minnesota Statutes and City of Ec Signature of Applicant OFFICE USE Phone # Water Softener _ Lawn Sprit _ Water Heater _ No. of R.I. No. of Baths OCT25 Phone # -I ?? RemodellReoair Requirements • 2 copies of plan 1 set of Energy Calculabons for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION l ScVoo ULTI-FAMILY BLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 CITY?STATE1114-2 ZIP 52123 FAX # 07 - L(KV- -3 y3 5- Phone # Fee: $70.00 information is correct, and agree to comply Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plax ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace )? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding f k 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 only) - Give PCA handout to applicant I - l Valuation Occupancy MC/ES System Census Code 3 Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const _ Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) ly Final/No C.O. y I" Footings (addition) _ Plumbing ?C 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 1 L.. , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 3 - 5 kp5o-)-- ( ?'Jr 3Y{ xLyo= ?9?0 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New construction Requirements • 3 registered site surveys showing sq. R of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE SITE ADC TYPE OF APPLICANT STREET ADDRESS lof d?t ! M ICCSI(2.1 TELEPHONE #95)167-6915-9 CELL PHONE # PROPERTY Remodel(Reoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for extedor additions & decks • Indicate "rf home served by septic system for additions VALUATION (rJ? 2 LTI-FAMILY BLDG _Y "'on?N FIREPLACE(S) _ 0 -k 1 _ 2 yifle STATEALZIP59337 FAX # 9Q0 - 07-9q?)- TELEPHONE# ?Sr-6?6?6Q? ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNISOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: - Air Conditioning - Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required Updated 4102 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS 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 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: Nou etz . Valuation: 5 ?2 Date: g-?-8 Site Address ??10¢mL1(21G. Lot o Block 4 E}vF" Parcel/Sub DAtp C. Owner Su n S H rti d 4,V 5-rg" C7761( Address ?55/L5L ?S 7-. City/Zip Code APPus:-O ALL6y MA- (-Phone3l -ZZOG? Contractor ?-, 09mc. A Address City/Zip Code Phone ?. Arch. /Engr.? ?tLL Address 82,E Hcovn Qom) AL)S City/Zip Code ?GGY?ry:?nlet4 ? ?W?( Erect Remodel Occupancy Zoning R3 K Repair Type of Const Addition It of Stories Move Length Demolish Depth Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC 7 Engr Water Conn Planner Water Meter T-0 Council Bldg Off ? Road Unit Treatment Pi APC Parks Variance Copies TOTAL ,' . Phone # 8s4302:2 NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. 6720 & i?O r+? Y One or Two Family All Other CITY OF M4CT64 BUILDING DEPARTMENT EXTERIOR ENVELOPE AVERAGE ffUfl COMPUTATION (To be submitted with building permit application) Dwelling Owner e>LISEIrLrF GaiLrSV Site Address 3 f09- T+u /h4?r- Contractor ?tm)'W J,C9F n nde_r. LINEAL FEET OF EXPOSED WALL ?7 E 9pe_ !24. _T ft. Date - Phone V-ZZ? above grade = ZZ13,00 s TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL CONSTRUCTION: IOU" Value x Area L Detail "U° .O3 x SQ. FT. 2, . 71_41 (0)(A) ! reference 140 x SQ. FT. 34,? = 19.o7 (U) (A) from •04•,J x SQ. FT. 2, = 6.71 SU) (A) attached °Un x SQ. FT. _ (U)(4) sheets $full x SQ. FT. _ (U)(A) ffU" x SQ, FT* -= (U)(A) WINDOWS: IOU" Value x Area Make & Type _19s,0 L, e N11 null .4(o x S Q. FT. Z , flu„ x SQ. FT. _ °aI (U)(A) •.ia. fl n U - .,_ fluff x Sq. FT. _ (U)(A) DOORS: "Ufl Value x Area Make & Type 57L, /A1 j(,, fluff r1¢ x SQ. FT. D = S(D (U)(A) of it It it PLKTID fluff •17 x SQ. FT. 4?(U)(A) x SQ, e of "U" FT. _ (U)(A) _ x SQ. "U° FT. _ (U)(A) TOTALS LEILo0 SQ. FT. 202..19 (U) (A) AVERAGE I'U ff ? TOTAL (U) (A) VALUES Zoe. fQ ? - ? DIVIDED BY TOTAL WALL AREA 2213.00 = AVERAGE "Ufl ,i r less for 1&2 family dwellings ROOF/CEILING: TOTAL AREA: ,00 Detail reference fluff _ 0 dZ? x SQ. FT. Wj.ao__. 3/.S7 (U)(A) from fluff x SQ, attached sheets. null x SQ. FT. . FT, _ (U)(A) (U)(A) Describe openings flUfl x SQ. FT. _ (U)(A) in roof. fluff g SQ FT - (U)(A) TOTAL (U)(A) VALUES DIVIDED BY 7?).?c? = TT)}l?j 1?z73'MT 3/i5 CUjp> TOTAL ROOF/CEILING AREA 1373100 oL 3 AVERAGE fluff 25 or ventilated roofs. l r, It1 1(y I/ WoP-r, SWeer 11, sK?ss EX?oSEfl w,?LC. 9.5c- Y, (5o45ot 310+3&) = I(039;00 S.no'A 5+Zlo) = Z70,oo 8.? Y, 310 = ZSS.oo 7.00 X 3 = Zl.op Z213,o0 Cor1C., .lo7,x (504504-361}-3ra? _ llS•L¢ 7.ooY, 3 _ 7-1100 1310.7-.4 ?- ?,?, Soi r . bs X (50 t.50+ 31o+36) ,9Z.7& w?a?o?s Z7x14 = Z, (o X I = Z.(oo Zox3(0 = 5,0 X z l o.oa Z4x3(o = 6n,0 X .4 = zg,oo lax 413 = X0.7 x 4 = Z&lso Z4x4.p, = 9,o x S = 4n,oo ZoXlOo = 8-q X 3 ZS,zo lZ$•loo Aoo?s 3- ?Tl.. LS,oo Z¢i STL, Sep. Z1,00 !o= PATIO = 84,00 133,c? OF,T EVOO L04LL 6a2?pLs ye s WgLL 2Z13,oo LASS 6AIC , 13(0 Zq WI,fDOws )42. lZg,mo -S'¢o,l00 A?/2y l33,oa )tv7Z 4a ?ooF z?x 3? Z x JS,S = Ix/4 = 1t- up S%A to = r Y 1. it 7'r 93(v 3r 317- , 8D 137 3,oo --WALL SECTION-- Determining "U" values at Roof/ Wall/ Rim,, and Conc. Block ROOF/CEILING 1.).Interior Air Film 2.) 5/811 Gyp. Bd. 3.) Insulation 4.) $.) Exterior Air Film (STILL) i. (R) VALUE 0.61. .56 40.00 .61 TOTAL (R)=41 7,3 WALL R VALU 6.) Interior Air Film 0.68 7.) ° OYP.,Bd. .43 8.) Insulation )9,00 10.) Masonite Siding .67 11.) Exterior Air Film 017 hull a 1/R= ?OZ'3 i IIUn IN 1/R° •dq-3 TOTAL (R)=Z3.0' . RIM R VALUE 12.) Interior Air Film 0.68 13.) Insulation R000 140 211 Fir Rim Joist 1.88 15.) u1LT • ?rTE Z,oQ- ?.. 16.) Hasonite Siding .67 170 Exterior Air Film .17 oull 0 1/Ra ?0fo TOTAL (R)= zg• y a1 FOUNDATION R VALU : 4 21.) 1211 Concrete Block 1.28 22.) F-161D 1)huL 1 5,00 23.) Exterior Air Film .17 18.) Interior Air Film 0.68`. <i 19.) 20.) 11U11 IN 1/R= . 4o TOTAL (R) =7, 13 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION xxxxxxxxxxxxxxxxx?FxR.s.xxx•.:xx:: NOTE: PAYMFTTP' OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/CR WATER INS'DULATTONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. Pease Print 1) PROPERTY ADDRESS: 3904 r_>EAt /M A P. IG LEGAL DESCRIPTION: (0 4 8l2G1 t IOAZ G. Lsion or IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE, Mon Year PRESENT ZONING/PROPOSED USE: ? CO44ERCIALAWAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL Q R-2 DUPLEX (Two Units) ? INSTITUTIONAL/GOVEFUMiT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: S4 u S H: /V E C'7_0,%c STP.uc rio•.r ADDRESS:' CITY, STATE, ZIP: APP4,e Vat--c F- 4 l' f ?rg4 PHONE: _4 31- 2260 3) NAME: S`C'A R Pun R, ADDRESS:_ [al WIOt?.rlJ 5P2?n!(e5 T-c2 CITY, STATE, ZIP: _?jL©pM???goo?I Ml( 6-'5-44-2 0 PHONE: 884 4141 MASTER LICENSE# 33:2`/ /Y) Active Expired Not recorded Staff Initial 4),+ •• • i:? - NAME: ADDRESS: CITY, STATE, ZIP: PHONE: CONNHCTION TO CITY SEWER CONNECTION TO CITY WATER OTHER ' 6) • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL PERMIT TO 1,( 3, 4, ABOVE (Circle one) E3 - 8(0 FOR .CITY USE ONLY PERMIT # ISSUED e? -7 7 Pd w/Bldg. Permit e F FEES: 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 r RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A " PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE NO DIVISION. LIST ISSUED BY THE ENGINEERING AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: SURVEYOR'S CERTIFICATE ' SIENNA CORPORATION DENOTES PROPOSED SURFACE DRAINAGE - O DENOTES IRON MONUMENT.SET SCALE: 1 INCH . 30 FEET ® DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR . 9373 F30 3 FEET X000 0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR -. . ' FEET . (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = & 37.7 FEET NOTE: THE LEGAL DESCRIPTION SHOWN'HEREON WILL BECOME VALID UPON FILING THE PLAT OF BIRCH PARK. WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 6 , Block 4 ,BIRCH PARK, accordinq 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 23RD DAY OF-,QC rogt_.¢- 1985. REVISED 7/2/66 TO SHOW PROPOSED SIGNED: JAMES. R HILL', INC. HOUSE FOR SUNSHINE CONSTRUCTION CO.. REVISED 8-5-86 /i. By: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 APPROVED FOR SIENNA CORPORATION BY: DATED THIS DAY OF 19_. SHEET 1 OF 2 SHEETS PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 84762(F6-79 6) Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 55431 612-884-3029 V, SURVEYOR'S CERTIFICATE SIENNA CORPORATION DENMARK A VENUE, g „R3,3r?-;?f g N 40'01 '57" E az,/ xrr 75.00 1\xr5?2 635 ;l 3 a m p p p U7 (0 O) ~ ?t Z 4 J 1 C. .? 7 srri.r$ lug s. e r+ h4 ]T o ° p , ° y O ? f wt 8 KI M 1435.9 1 MY1 1 ? ?? 30.33 I GA R. 0 &O F.4?E-XISTIJVG 33? o I 25j 7 0 PO S E O HOUSE A .? X (63Y.3 (fr343? -- - X h N Y'?f o F31.1 M p 5 \ c?t0Q1 F sPq?Ygc I N (3) \``?Fyr a or v ? \pF9 i??rr . 3 ri) LOT 6 r I I FZI$ O q d r m `s 6) 9y I 1 Fz2 z \ SHEET 2 OF 2 SHEETS PROJECT NO., 8476206"14 G? BOOK / PAGE JAMES R. MILL, INC, FILE NO. FOLDER planners / Engineers /.Surveyors 0200 Humboldt Avenue South Bloomington, Mn, 55431 512-884730217 VEYOR'S CERTIFICATE SIENNA CORPORATIO@J 5 ? ? 71 c3 DENMARK AVENUE 0 633, 9 ,??/g v ?Btl ? N 40'01 '57" E eez.l x - iu. vv _ (g3L°) I 71 g ? ? d 8 , c m 4359 837,,E • gzS.N3 ?_ _"'-' 30-33 I i IGAR. N 4 I O / ? N 4 M M i 037,1) n 2j ? Q PRO PO S D N ' 0 ? O a 6 HOUSE i O O • ? X (634.3 (F 4.3? Q1 `? ti r?ao fr?2 C J ? ,, \\??FNT ? GT LOT \'?J ° I 0 t I 1 btl.f I `? 6j 6y I s ' so , q ??? J)^ s8 ro En a of 0 d m .I/ 640.9 EX/S! i tti?;?.2 SHEET 2 OF 2 SHEETS PROJECT NO., 84762(?Oq G) FILE NO. FOLDER BOOK / PAGE JAMES R. MILL, INC. Planners / Engineers /,Surveyors 0200 Humboldt Avenue South Bloomington, Mn. 55431 512-884-3029 PERMIT City of Eagan Permit Type:Building Permit Number:EA116932 Date Issued:10/14/2013 Permit Category:ePermit Site Address: 3904 Denmark Ave Lot:6 Block: 4 Addition: Birch Park PID:10-14175-04-060 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Amanda Mendoza 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 - Ronald M Bisek 3904 Denmark Ave Eagan MN 55123 Exteriors Of Excellence 4580 Scott Tr Suite 204 Eagan MN 55122 (952) 239-0560 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA149550 Date Issued:05/29/2018 Permit Category:ePermit Site Address: 3904 Denmark Ave Lot:6 Block: 4 Addition: Birch Park PID:10-14175-04-060 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for 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: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Ronald M Bisek 3904 Denmark Ave Eagan MN 55123 (651) 786-9069 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152103 Date Issued:09/28/2018 Permit Category:ePermit Site Address: 3804 Denmark Ave Lot:001 Block: 001 Addition: Windcrest PID:10-84460-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 - Aldrich B Lawson 3804 Denmark Ave Eagan MN 55123 (651) 341-7079 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167965 Date Issued:04/05/2021 Permit Category:ePermit Site Address: 3904 Denmark Ave Lot:6 Block: 4 Addition: Birch Park PID:10-14175-04-060 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ronald M & Martha C Bisek 3904 Denmark Ave Saint Paul MN 55123--145 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA168027 Date Issued:04/07/2021 Permit Category:ePermit Site Address: 3904 Denmark Ave Lot:6 Block: 4 Addition: Birch Park PID:10-14175-04-060 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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 (miscellaneous)$59.00 0801.4087 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 - Ronald M & Martha C Bisek 3904 Denmark Ave Saint Paul MN 55123--145 M & M Plumbing LLC 2905 Hanson Ct Faribault MN 55021 (507) 581-0336 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA168162 Date Issued:04/12/2021 Permit Category:ePermit Site Address: 3904 Denmark Ave Lot:6 Block: 4 Addition: Birch Park PID:10-14175-04-060 Use: Description: Sub Type:Residential Work Type:Alteration Description:Stove Comments:Please call for a Rough In and Air Test, prior to the Final Inspection. Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Ronald M & Martha C Bisek 3904 Denmark Ave Saint Paul MN 55123--145 (651) 789-9069 Dual Air 27730 Naylor Ave New Prague MN 56071 (952) 292-1816 Applicant/Permitee: Signature Issued By: Signature