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3934 Denmark AveCITY OF EAGAN At 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 11550 BUILDING PERMIT PHONE: 454-8100 Receipt s 664Y Y To be used for SF DWG/GAR Est.Value $97,000 Date FEBRUARY 27 79 86 Site Address 3934 DENMARK AVE Erect Y] Occupancy R3 Lot 2 Block 5 Sec/Sub. BIRCH PARK Remodel ? Zoning Rl Parcel No. Repair ? Type of Const. V Addition ? No. Stories $ Name SUNSHINE CONSTRUCTION Move 11 Length 56 3 Address 5985 125TH ST W Demolish 11 Depth eA I Int Impr. ? Sq. Ft City A.V. Phone 431-2200 Install ? o Name SAME i 0 a Address City Phone Fw Name JAMES R HILL X8 Address 8200 HUMBOLDT AVE a W City BLMTN Phone 84-3029 I hereby acknowledge that l haveread this application a state th he information is correct and ree to comply with all ap I cable to of Minnesota Statutes an i Eagan Ordinances. Signature of Permitt e A Building Permit is issued to: SUN HIN CO STRUCT ( all work shall be done in accordance with all app' fate of Minne o Building Official Assessment Permit :? 424.UU Water & Sew. Surcharge 48.50 Police Plan Review 212.00 Fire SAC 575.00 Eng. Water Conn. 500.00 Planner Water Meter 63.50 Council Road Unit 290.00 Bldg. Off 2 24 8 Tr. PI. 156.00 Var. Date I Copies ? 0 Total - on the express condition that of Eagan Ordinances. 03 0 245 Request Date Fife C? flb? Rough-In Inspection Required ust call Inspectorwhen ready) (You Ins action Other Then Rough-In ?geatly Now ? WIII Natity Inspector 9??? -1 m Ves No Date Read 1 ® licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City Section No. Township Name or No. Rangy No. County r?,f ?r 1 hlJl? Occu ant IPRINT) r ? Phone No. 1 Power Supplier ,DCPir Address Electrical Contractor (Company Name) Contractor's License No. Corri CF1 Maili ng Addres Contmctor or Owner Making Installation) - ? AI !?;7 Audlrof?li? Signature (Contractor' ner Maki Installation) Phone Number P ya??3? MINNESOTA STATE BOARD Of EL&4RICITY THIS INSPECTION REQUEST WILL NOT 00998-Midway Bldg. - Room 5-128 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., SI. Paul, MN 55100 UNLESS OPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ?TC7 REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 See instructions for completing this form on beck of yellow copy. o- -X'" Below Work Covered by This Request 1 Add Rep. Typo of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heading Conanercial.Bldg. Furnace Sito Uhloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Spero v Other lSor,,Nl t ,r Sued y Other Other Compute Inspection Fee Below p Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee 'Circuits 0 to 200 Am s 0 to 30 Am s `? 0 to 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Am s Above 100-Am TransTOrmerS Irri ation Booms Partial,'Othzl-felik Signs Special inspection $4- TOT Remarks _ AL F r 5 r t Rough-in Date f I, the Electrical Inspect.,. hereby certify that the above Final Dat inspection has been de. This request void 18 months train This request void 18 months f `09 rom 310 L?,.35 Request Date 6 1 1 Fire No. Rough-in Inspection Regm ed? ? ?Ready Now?Will WNotify hen Inspec- [or When R d - s [] ea y icensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address . Be or ute No.? City Sect wn No. own.hip Name or No. Range o. County O .pant (PRINT) Phan No. Power Supplier Address 1 o" 'A Ele tri cal on tractor (Co any Namel Contractors tense No. Mailing Address IConlr ctor or Owner Making Instail `oni3) 77 ' _ (v / 3 c%G S53 7 Q Author...d Ana to_e (Contractor/Owner Making Inst' ion) Ph ne mher MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT 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 (612) 297-2111 ENCLOSED. 1 Oy3?2 2 4 5 REQUEST FOR ELECTRICAL INSPECTION Ill, See Instructions for completing this form on back of yellow copy. X' $elow Work Covered by This Request pj?n2 EB-00001-09 Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: ;Y,, Compute Inspection Fee Below., 0 FF ^V- # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200_Amps Above 100-Amps Signs Inspectors use only: `. TOTAL Irrigation Boom s Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee SeD COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby tif th t th b i i h Rough-in Date cer y a e a ove nspect on as been made. Final oa OFFICE USE ONLY This request void 1B months from CITY OFEAGAN Remarks OiyiciOn 9 16259 101$5 Addition Birch Park Lot 2 Blk 5 Parcel 10-14175-020-05 Owner Street 3934 -Pp-nma-r-k AvA State Eagan MN 551 91 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 221 1973 1 2.96 $.15 0 Paid pri r to divisi on SEWERLATERALhn 93.1 1 $ 1 2.70 $. 5 5 WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 1018 198 750.4$ 50.03 15 STORM SEW LAT 104$ 1 $ 1 1 1T $ _ CURB & GUTTER SIDEWALK STREET LIGHT Road unit $290.00 60066 2/27/86 WATER CONN. 500.00 BUILDING PER. 11550 SAC 575.00 PARK CITY OF EAGAN ton ?1 .15 C '0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 11 r PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est Value ??97 , 000 Date P6BRUARY 27 19 86 Site Address 3934 DENMARK AVE Erect IN Occupancy R3 Lot 2 Block -` Sec/Sub. BIRCH PARK Remodel ? Zoning RI Parcel No. Repair ? Type of Const V Addition ? No. Stories Name SUNSIIIIgL CONSTRUCTION Move ? Length 56 ' Demolish El Depth ¢(? 3 V1 Address 5985 125TH S7 I t I ? Ft S c mpr. n q. City A - V. Phone 431-2200 Install ? = o Name SA:-IE Approvals ,°? i Address Assessment a City Phone Water & Sew. W Name JAMES R HILL Foece ?Z5 Address 8200 f-MBOLDT AVE. Eng. It L-11 .TN Ph 84-3029 Cit y one Planner I hereby acknowledge that I have read this applic information is correct and to comply with Minnesota Statutes and ot?agan Ordinanc Signature of Permittee A Building Permit is issued to: SUNSHINE all work shall be done in accordance with all applii Building Official Bldg. Var. Permit Y 14.4 `% • V V Surcharge 48.50 Plan Review 212.00 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies Total $2 ,269.00 on the express condition that of Eagan Ordinances. 1 1 ' I Permitt No. Permit Holder I Date I Telephone N W Plbg. Htg. Hty. Plbp. Finel Occ. PERMIT # RECEIPT # j/ DATE 9 S CITY OF EAGAN MECHANICAL PERMIT 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 MINIMUM COMMERCIAL FEE - $20.00 + $•50 FEE a e - 4Q) fi S/C 5 TOTAL 62. 6, i-V 1. Bldg. Type: Res Comm Inst 2. New LO- Add Alter 3. Total Bid Price 4. Job Address ? 10,raff1A-2K i Lot Block Sec 5. Owner 64VAI ti 6. Contractor ?/?a??N S orw7lw& Cl 9? Cenr rA. W 7Eit 4 (Name) (Street) (City) 7. Contractor Phone # Repair Ili ?,QAZ57 - IG+ltl e f'j (Zip) RESIDENTIAL HEATING - 01-100,000 BTU's - $24.00. Each additional 50,000 BTU's or fraction - $6.00 RESIDENTIAL COOLING - 01-24,000 BTU's - $12.00. Each additional 6,000 BTU's or fraction - $6.00 MODIFICATIONS/ ALTERATIONS -$10.00 minimum fee HEATING VENTILATING HOT WATER STEAM AIR COND. AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. REFRIG. RES. GAS PIPING OUTLETS - $1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND.J.AATE -1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. X -er for Signed: _ Approved Inspections: Date Rough Insp. Date Final Insp. PERMIT # PLUMBING PERMIT RECEI CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:- , ,- Site Addre L - Lot Block 2 Name L - s Address c City - Phone Name I ' 3 Address O city ,rt 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) SIGNATURE OF PEAMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New x Mult. Add-on Comm. Repair Other NO. FIXTURES TOTAL - Water Closet - $3.00 B 3 00 t ath Tubs - $ . Lavatory - $3.00 - Shower - $3.00 J Kitchen Sink - $3.00 - '-' Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 _ i 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 SIC: GRAND TOTAL: ?- CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 7167 P. O. Box 21199 PERMIT NO.: 2-28-86 Eagan, MN 55121 DATE: 1 Zoning: R1 No. of Units: Owner: Sunshine Const. Add ress. Site Address: 3934 Denmark Ave nue L2 B5 Birch Park Star Plumbing Pl r b um . e ? ?Sl 3 500.00pd Connection Charge: 7 Meter No.: 00p 15 d Size: " a . Account Deposit: 10.00p d Rea No.: L2 f 'l ? Permit Fee: . 50 d 1 ogres to --moll wilt the Cky of laws Surcharge: 00p 156 d TP or?M . Misc. Charges: / Total: 63.54 ad metQr A ?(I B Dote Paid: y Date of Insp.: Insp.: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan,P"N 55121 Zoning: Owner: Address. Site Address: Plumber: Mebr No.. Size: Reader No.. I egree to as pig VA& ow City of Eogosh ordloseem By Date of I nsp.: Connection Charge: Account Deposit: - Permit Fee: Surcharge: Misc. Charges: - Total: Dote Paid: ER SERVICE PERMIT CITY OF EAGAN SEW 3830 Pilot Knob Road PERMIT NO. P. O. Box 21199 Eagan, MN 55121 DATE: Zoning: ' No. of Units: .CS:"St . S.hcletllne ! Owner. Address: Site Adds Plumber. 1 mesa- to sow* wilt dw Cite of EeMra O Now"Ne. of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Corwwction Charge: w 1 J. VV E'?_ Account Deposit: 15 06 Pd Pernik Fee: 1 Surcharge: Misc. Charges: Total: Data Paid: 14z -l5 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. ft. 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 if lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or lass units) DATE 1 / / 0 2 Remodelfftair 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 C)cyo OQ?) SITE ADDRESS 3??4 17erlmcrYi eve MULTI-FAMILY BLDG Y N TYPE OF WORK 7_/ iz- i? oo?I nc l FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT STREET ADDRESS` ?q °') ?,? tint a qc? 1I V-L CITY TELEPHONE # `' 9-4 1 g Lotn CELL PHONE # FAX # PROPERTY OWNER_T_-?? C.V, -5rnS TELEPHONE# rY1pZIP ?? 11-1 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Phone # 1111 0 5 2002 -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. of Applicant OFFICE USE ONLY Water Softener Water Heater No. of Baths Air Conditioning - Heat Recovery System Phone # - Lawn Sprinkler No. of R.I. Ba Phone Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 //SS O BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN To Be Used CC qZL. Site Address: Lot: Ly?Block Sect Parcel # Owne / Y 4 Address City/Zip C e Phone jjContractor`s Address y? City/Zip Code 4:. , i INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Valuation: ] C Date: OFFICE USE ONLY ect Occupancy Remo el Zoning (Z,I Repair Type of Const ?7: ? Enlarge # of Stories - Move Length 5(? Demolish Depth 4 Grade Sq Ft Phone 1) Arch ./Engr. Address City/Zip Code/ Phone U '? d4 J APPROVALS Assessments Permit 424 , _ Water/Sewer Surcharge ? ?. - Police Plan Review ZI 2, Fire SAC 5?S, Engr Water Conn Soo Planner Water Meter (-3. - Council Road Unit 1-90 Bldg Off;, Parks APC Treatment P1 15&1 Variance If ? TOTAL a Ulf '24^C0+ 48^50+ 212^:?0+ 75^C0+ 5'C-JO+ 63^50+ 29C°CO+ 156=C0+ :e269^30* 24- K 24, 5& = 33 4og, 2x (3 z? ? 4? ? (14-4 7 cro r( Y6 = SSG6 0 ?Z K - Co?3? 2 !2 q- x 22 9(" Jl0 8 SURVEYOR'S CERTIFICATE. SIENNA'CORPORATION _ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT,SET • DENOTES IRON MONUMENT FOUND XOOO.O DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION SCALE: 1'INCH . 30 FEET PROPOSED GARAGE FLOOR - 1;35P.3 FEET PROPOSED LOWEST FLOOR - 83%.6 FEET PROPOSED TOP OF BLOCK - 839.? FEET i WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES.OF: Lot 2 , Block 5 , BIRCH PARK, accordingto the recorded plat thereof, Dakota County, Minnesota. .- ta a IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY. 'AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS t3ao DAY OF oc?osea. 1985. SIGNED: JAMES R. HILL, INCC.., BY: HA OLD C. PETER ON, AND SURVEYOR MINNESOTA LICENSE NUMBER 12294 APPROVED FOR SIENNA CORPORATION - BY: DATED THIS DAY OF 19_. _ KEU,xn 2-'7'86 7o aHOV? - PRoaoseO 1Kx?sc FoR SUUSN?uE cOtISiQ OG7ipiJ, SHEET I OF 2 SHEETS PROJECT NO. BOOK ! PAOB JAMES R. WILLI INC. 84762 B63 S6 ?o 5/ Pfanners / Engineers / Surveyors 73 FILE NO. - 8200 Humboldt Avenue South FOLDER Bloomington,Mn. 55431 612-884-30211 SURVEYOR'S CERTIFICATE SIENNA CORPORATION 3 (+ i N M ti Q n i ISL.6 \/ -J $8x2.5 J20 f O 9 ,flVO.???.r \ - Q62s, , 0 o4o „ a8s2.s Rd R63-65 kea9.a ENtijq Q \\ ' \K q VENUE ?_ xa?? SHEET 2 OF:2 SHEETS PROJECT NO., BOOK /PAGE JAMES p, H1ILL, INC. 11 11 64762 ios? Surveyors Planners / Engineers / ?3 . FILE NO. 0200 Humboldt Avenue South FOLDER Bloomington, Mn. 55481 012-06478020 •,1 .. [?r,4 y 1r,?-,\ C %J , /I 3??g `' `'1t'1 r l CITY OF BUILDING DEPARTMENT EXTERIOR ENVELOPE AVERAGE nUfl C014PUTATION (To be submitted with building permit application) One or Two Family Dwelling Owner ??JQ (95-;00;) All Other /J Site Address Contractor ?t?I?SF?IlIE Cvn?ST. Date Phone LINEAL F EXPO ED FEET OF ,L ft. above grade = _ZZtB•?d 7 TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL CONSTRUCTION, 'furl Value x Area Detail 1219/!)E fluff •04'3 x SQ. FT. A917. & .SZ.(U)(A) reference C-090-• fluff .09 x Kir// ?full 040 x SQ. S FT, 15 L = Zl. 10 (U) (A) FT o 1 ( U 4 from . Q. . = 5, ? ( )(A) v, attached fluff x SQ. FT. (U) (A) sheets fluff x SQ. FT. - (U) (A) ffu?r x SQ. FT. _ (U) (A) WINDOWS: ° Uf' Value x Area Make & Type it 14SJL• fluff . [f 5 x SQ. FT. 150.10 _ .(p (U) (A) n fluff x SQ. FT. (U)(A) - n n nun x SQ. _ FT. _ -(U) (A) n n nun x SQ. FT. _ (U)(A) - DOORS: nU?r Value x Area Flake & Type it fl n n It fl TOTAL (U)(A) VALUES 197.(07 DIVIDED BY TOTS VIALL AREA 7z18.00 .oqo AVERAGE '?U' ,I15 r less for 1&2 family dwellings ROOF/CEILING: TOTAL AREA: 1S10Z• FT. (9-8(00)(A) FT.?_- z9•(Pf (U)(A) FT. -= (U )(A) FT. - (U) (A) FT. 17VP7 (U) (A) Detail reference f?Uff .OLZj x SQ. FT.ISYPZ = 35.9z(U)(A) from fluff x SQ. FT (U)(A) attached sheets. fluff . Describe openings fluff x x SQ. SQ. FT. FT. _ (U)(A) - (U)(A) in roof. fluff x SQ. FT. _ (U)(A) TOTAL (U) (A) VALUES DIVIDED BY ??Jr,C1Z r7'A V2 S(OZ 3$,92.CUri> TOTAL ROOF/CE dG AREA 4743 ` AVERAGE ITT f. or ventilated roofs. L• ) UL. ::u: 1 49,00 x SQ. NA-r/12 4Z-2101- I "Un (93-0c7 x SQ. fluff x SQ nun x SQ. TOTALS _Z7-)5.00 SQ. AVERAGE ffUn --WALL SECTION-- Determining IOU" values at Roof, Wall, Rim, and Conc. Block ROOF/CEILING 1.) Interior Air Film 2.) 5/811 Gyp. Bd. 3.) Insulation 4.) 5.) Exterior Air Film (STILL) R VALUE 0.61 .56 40-o0 .61 nUo = 1/R= .07-N TOTAL (R)= 44-78 WALL 60 Interior Air Film 7.) ill Gyp. Bd. 8.) Insulation 9.) gvrLT- )? rTE 10.) Masonite Siding 11.) Exterior Air Film (R VALUE o.68 .45 19,00 Z.6? .17 nun = 1/R= TOTAL (R)= 23.01 RIM (R) VALUE 12.) Interior Air Film 0.68 130 Insulation 19.00 14.) 211 Fir Rim Joist 1.88 15.) J VVvr-Aire 2.0+ 16.) Masonite Siding .67 170) Exterior Air Film .17 uU° = 1/R= , 04-0 TOTAL (R)= Z¢." FOUNDATION R VALUE 18.) Interior Air Film 0.68 19.) 20.) 21.) 1211 Concrete Block 1.28 22.) P-1eo1D j4sSvL • 43,00 23.) Exterior Air Film .17 null = 1/R= .095 TOTAL (R)= jP.jZ, II opt ?/IfEET ?/ . _.,... 9.5 X C32+32 +Sw ?5(0? = Ilv7Z. vo X L7+7? _ 98,ov .:Co7X C3Z+3Z+S?+S(o' = 117-9L - 7- o X C7+7? 9$, 00 !nn T1 T ZIS. 9 z 5 _... __'S3X?3z +32,+5(ot5(o? = 14?n-o8 ..;???1,aDows -ZoX3lo - S•o X Z = fo-oo Z4x Ala = ?, v oo Z4x48 = 8.0 X 7 = s(p.oo ,??,5 JSo.4a yl/ S.L. _ Zg.oO Z $ 57L. SEP, 3Q ATRIVM = 21.00 (o _ PATi o = 4z, 00 . - Ilz.oo ? 1?T EXFb`? W?L uoC1U?.S ??osS wRLC. 2z1 S.oo 11 R1M 14tP,og I? W,rlDoklS I5oi-o 6,7,4.40 I? Doo1`'S lIZ,oU z4x?f? = 1344 ZOO (v X 3Z = _` . CITY OF EAGAN APPLICATION FOR PEMMIT SEWER AND/OR WATER CONNECTION 2) _ _ =5== :i, S- 7=7-7,E, DA= OF ORIGi 1AL ZUILDD G PERMIT ISSU LNG: _=- _ P.i / ';,POSE XR-1 Su:GLE FPMILY ? R-2 DUPLEX (TWO UNITS) ? R-3 TavNHCUSE (THREE + UNITS) ? R-4 ADARnM`T/CTM0.% =(,:1 ? CQ`AERCIAL/RETAII/OFFICE ? INDUSTRIAL ? INSTITUTIONAL/GMMNZMgr (PLEASE InuT) r _ r NACL: ADD.ZSS CT"_', STATE, ZIP: PHO C: 3) PL.' 3? NIMIE: • CI'F_', STAie., ZIP: P1.O N E: ADDRESS : CI:I, STATE, ZIP: PH O :'E: r.??7 ???lrVQS PLUMBER LICENSE b ASE 5) :• IICH PEF"•IIT IS BEIP:G REQUESTED: © C0.31EC:ION TO CITY Sam m ?k CCN iECTICN TO CITY WATER ? OT1 ?t (PLEASE DESCRIPE) 7) S:C ^' FOR C J5E C-SLY PLUMSEAS ...:S:c: r Petard 7 Plr S-v worn AI'PRO= MKIT MR PLAY ONE OF W W .K ? P11:=. ;:\IL APPI-= PEZ-LIT TO 1, 2 4 APE / (Circle one) y?-C? 1 DATE: OR O" a:a s•EA J? D? m ? mb. ^ fy as ?:.?a:a.? r d r:i Ai:i s ?l Y ?ls:w?Yflrlw:t nn a a v v raa F O R C T- T Y U S E O N L Y , i PE?--.I= = ISSUED c=S: SET--E°, nco%[rT (INCLUDE SURCHARGE-) $ E /%'• Z? WATER PERMIT (INCLUDE SURCHARGE) is S `, 5 WATER METER/COPPERHORN/OUTSIDE R_.-.DEF `a S:'^?? WATER. TAP (INCLUDE CORPORATION' S SEWER TAD ACCOUNT DEPOSIT - SEWER S i- ACCOUNT DEPOSIT - WATER $ ? T WAC s 7s• SAC S TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT S LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ i.57c _rr OTHER S TOTAL S ?.2G L-[+ AMOUNT PAID/RECEIPT #GG l% G 1 DOSS UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? W C YES IF YES, THEN A "PERMIT.FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE s? F-1 t70 ENGINEERING DIVISION. LIST AS A CONDI- TION. SU2JEC-7 TO THE FOLL01•1ING CONDITIONS: A??ROV:O BY: T?^'T ?T i / DATE: ^ f# w"W P%M;MW r w W OR r3. ?l w.o W4 s w 10.4 IM M w.a MOM I :w WIN OL4004 0" V?n F440 M 80 OR WPE P PERMIT # LA I WI-5 RECEIPT DATE: ) 0 - ?) IQ_? USIDENTUL PLIIM$IN6 PEPJET APPLICATION crrY of F-AeAN 3830 PILOT KNOB RD SARAN, MN 551 EE 651-681-4675 Please complete for: SITE ADDRESS: OWNER NAME: single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system JOGS, JOAN 3934 DENMARK AVENUE EAGAN, MN 55123 (651) 454-0555 _ TELEPHONE #: (AREA CODE) INSTALLER NAME: NORBLOM PLUMBING COQ TELEPHONE #: (AREA CODE) STREET ADDRESS: iftft CITY: Mi1VN • MN =4M STATE: ZIP Place a check mark next to the permit work tVDe New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 T • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround OCi CoOt 1?' Nature of work: QQ? )0..G¢_ I.jx 6A? _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ 50 Total $ 50 Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. S G RE OF PERMITTEE Updated 1/01 ì þ ò ÿÿ þýüëüûû úþþÿÿëý îí ùð ù ÿù ÿþýüû ïùþüû úùüû úöêù÷ öê û ò øþ ï þï Þâþû Û ÿßþù í òûùã ò ð ðò ù ßþù ò ùý ùòçó ù ööû óùóùò ÿ û çïóùóû ó ùç ïùýòå ùù ù ßþù ýö óòðò ç í èÞçæçæ øú ÿþùðù èçäçä ÝþÞ ç ÷öû ùõô ûû ïðòûúöïòûóõû ðùúñ øúÜîä÷ ÙÞäÞ òùã ÷ öøû õ÷Þ ìîÞé ð ù ýö ððã ù ðûû ðð óùòùù ù òûöðûûý ÿ óõ ÿþ ïó âù ç ûûê ùò ÿ þù þ ÿ þù PERMIT City of Eagan Permit Type:Building Permit Number:EA110822 Date Issued:05/30/2013 Permit Category:ePermit Site Address: 3934 Denmark Ave Lot:2 Block: 5 Addition: Birch Park PID:10-14175-05-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Cheryl L Thompson 3934 Denmark Ave Eagan MN 55123 (651) 249-1657 Champion Window Company Of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167693 Date Issued:03/26/2021 Permit Category:ePermit Site Address: 3934 Denmark Ave Lot:2 Block: 5 Addition: Birch Park PID:10-14175-05-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Adam V & Jennifer R Swirtz 3934 Denmark Ave Eagan MN 55123 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature