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3941 Denmark AveCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3941 Denmark Ave Lot: 4 Block: 6 Addition: Birch Park PID:10- 14175- 040 -06 Use: Description: Sub Type: e- Fireplace Work Type: Gas Insert Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Practical Systems 4342B Shady Oak Rd Hopkins MN 55343 (952) 933 -1868 PERMIT City of Eaan Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. JOANN KRUEGER BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - Construction Type: Owner: Robert A Reiff 3941 Denmark Ave Eagan MN 55123 -1474 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 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. Issued By: Signature Building EA081291 11/29/2007 ePermit CITY OF EAGAN 0 17575 ' , . D . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BUILDING PE & Receipt _- To be used for PORCH REMODEL Est. Value $3+000 Date - MARCH 5 19 90 Site Address 3941 DEPihIARK AVE __ Lot 4 Block _ 6 Sec;Sub. _BIRCII PARK OFFICE USE ONLY Parcel No. Occupancy FEES X CHUCK OESTREICH Name Zoning Actual) Cons( Bldg Permit 54.00 o 3941 DENMARK AVE Address (Allowable) h S 1.50 _ --- EAGAN 452-3540 City Phone s of Stoles arge urc -- Plan Review Length o Name s-10E Depth SAC City i 0 04 Address SY. Total , --- , City _ Phone S.F. Footprints SAC, McwCc Water Conn On Site Sewage ww Name On Site Well Water Meter X0 Address MWCC System ---- a W City _ Phone City Water Acct Deposit it SAN P PRV Required erm ___. I hereby acknowlege that I have read this application and state that the Booster Pump SrW Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of.Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: CHUCK OESTREICH Planner Park Ded. - on the express condition that at; work shall be done in accordance with all Council --- 1.00 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies :6. SG Building Official Variance TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing L Rough Plbg. Rough Htg_ Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notlty Plumber Engr/Plan Bldg. Final Deck Ftg. J? Deck Final Well Pr. 0 isp. CITY OF EAGAN 'Al! 17575 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 f P H O N E: 454-8100 BUIL'bING PER" A Receipt # To be used for PORCH REMODEL Est. Value $3+000 Date MARCH 5 1990 Site Address 3S Lot 4 Block Parcel No. DENMARK AVE 6 Sec/Sub. - Name CHUCK OESTREICH W o Address 3941 DENMARK AVE City EAGAN Phone 452-3540 c Name SAME .- - Add 4 a ress City Phone Name City Phone I hereby acknowlege 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.8,agan Ordinances. Signature of Permitee A Building Permit is issued to: CHUCK OESTREICH 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 ; Occupancy Zoning (Actual) Const (Allowable) # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump OFFICE USE ONLY FEES APPROVALS Planner Council Bldg. Off. Variance Bldg. Permit Surcharge Plan Review SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit SNV Permit S+W Surcharge Treatment PI Road Unit Park Ded. TOTAL 54.00 1.50 1.00 56.50 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.VAC. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Hig. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Fig. Deck Final 2 gp $' Well Pr. Disp. CITY OF EAGAN 0 18652 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 I I BUILDING PERMIT Receipt # To be used for FIREPLACE Est. Value $1,000 Date .: At: 15 19 91 Site Address JV41 DF 94ARK AVE Lot Block Sec/Sub. SUCH PARK Parcel No. X Name - ----- - --- ----- - -- W 3941 DENMARK XVr--- Address _ o City Phone SUMMIT ENERGY Ep Name O A R I AVE N Address ROSEVILLE 633- City Phone 1116 W W Name X Address <W City Phone I hereby acknowlege 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 Permitee SUMMIT ENERGY 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 Occupancy Zoning (Actual) Const (Allowable) # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance OFFICE USE ONLY FEES Bldg. Permit Surcharge Plan Review SAC. City SAC, MCWCC Water Conn Water Meter Acct. Deposit S/W Permit S1W Surcharge Treatment PI Road Unit Park Ded. TOTAL 25.00 • 30 23.30 1 Permit No. Permit Holder Date Telephone # WATER . SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Rooting Rough Ptbg. Rough Htg. Isul. fireplace b.5 Liz (jt Final Htg. Final Plbg. Cond. Meter Plbg. Inspector - Notify Plumber EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. SI r REACTIVATED FOR BASEMENT CITY OF EAGAN 5/86 ti 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 14, PHONE: 4548100 BUILDING I'ERM1T Receipt .:iA.R Site Address Lot Block Sec/Sub. Parcel No. W Name Address ^ Erect lJ Occupancy Remodel ? Zoning Repair ? Type of Const. Addition ? No. Stories Move ? Length Demolish ? Depth Int Impr. ? Sq. Ft. Name wpyroraq p, V Address Assessment - F City Phone Water b Sew. Police C oc Name Fire Z g Address Eng u <W City Phone . Planner Council I hereby acknowledge that I have read this application and state that Bldg. Off. i the information is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: all work shall be done in accordance with all applicable State of Minnesota Stat Building Official Permit Surcharge Plan Review SAC Water Conn. Water Meter Road Unit Tr. PI. Total on the express condition that and City of Eagan Ordinances. R^n0 14 -VA C. 1 0'Bv ,e_ / ?f(-a A , e- -3-elr1n "' " OA 61.9" Permit No. Permit Holder Date Telephone # Plumbing ?V ? 3 3 ENctdc f) A 1 S 14 '/1 •r a• Softener Inspection Date Insp. Other Footings I e Footings II Foundation Framing Roofing Rough Plbg. ?' ? / _ - Rough Htg. Insul. YS Fireplace ?95ert Final Htg. w? Final Plbg. i. a . s, Final Cert/Occ. ; Water Describe location: Well 6CG{? ' ? ? 7w Nil ' (wM ?/ / r4d/ Sewer ??? ?CCrl'CE? C. LUf1" 1 c=? CCt CCU ? 2 ,C? ?1-l?L. PERMIT # MECHANICAL PERMIT RECEIPT # y CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE 3 Site Addr Zq'// Lot Block Name. J"-)" a? y Address city Name 3 Address p City Z-(^6A ,J TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Gas Piping Outlets # Other WORK DESCRIPTION - Res. New o k ? ? Mult Add-on i C Phone -; omm. epa r h er Ot 1, 7 ` . - - r` FEES c MA' RES. HVAC 0-100 M BTU -$24.00 Phone ` ??/? 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. M BTU COMM/IND FEE - 1% OF CONTRACT FEE M BTU M BTU MINIMUM - RESIDENTIAL FEE MINI M - COMM/IND FEE - 10.00 - 20.00 M BTU CFM STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) - .50 FEE S/C: SIGNATURE OF-P E E TOTAL' (/ 7 7) °f T - FOR: CITY OF EAGAN RftWpt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered awn S/C Type or Print legibly Tot. 1. Date - c? 2. Installation Cost 3. Job Address `1 / Lr, f Lot Blk. Tract 4. Owner 5. Contractor i Phone S. Address 7. City. State . , Zip 8. Building Type: Residential a Commercial ? Institutional ? 9. Work Description: New El Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equipper BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly 1. Date 2. Installation Cost 3. Job Address Lot Blk. _ 4. Owner 1 I Permit No. ; Fee S/C Tot. Tract 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial Institutional ? 9. Work Description: New ? Add ? Alter D Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 CITY OF EAGAN e.Ai.1- Birch P Owner Remarks niyision # 16252 101 85 Lot 4 Blk 6 Parcel 1 0-1 41 7 5-040-niS Street 394 Denmark Ave State Eagan MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 49.2 1973 162.96 8.15 20 Paid prio r to divisi on SEWERLATERALbn -, ,a 1985 132.70 8.85 15 U H " If to H WATERMAIN WATER LATERAL WATER AREA I L STORM SEW TRK lni8 1986 750 8 O, J_ f STORM SEW LAT - .4 50.03 0 1 to S - f _ CURB & GUTTER SIDEWALK STREET LIGHT Road Unit $280.00 56368 10/11/85 WATER CONN. -5500.00 " BUILDING PER. 11091 SAC 525.00 PARK CITY OF 'cAGAN /U WATER SERVICE PERMIT 3810 Pilot Knob Road-,,- P. O. Box 21199 ' f'(`' PERMIT NO.: J Eagan, MN 55121, DATE; Zoning: _ No_ of Units: Swis ]nom t r } jl a r ? r o posit: a hti row met Total: Dote Paid: 1 CITY OF EAGAN K 8 Pil b R d WATER SERVICE PERM ot no oa 3 30 P. 9. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning:. No. of Units: n.., r sunshine cow; Address: Site Addrew 1.4 -k, 3 t.t cb Par Plumber: =mob ==1-_ Meter No.: Connection Charge: P Size: Account Deposit: I • P 10. Ups Reader No.: Permit Fee: nc I some to comply whir 60 City of sager Surcharge: ; , 00 Oeliraeeee. Mist. Charges: scs - ,_ . Total: By Date Paid: Date of Insp.: Insp.: OF EAGAN SEWER SERVICE PERMIT Pilot Knob Road Box 21199 PERMIT NO.: i, MN 55121 DATE- g: 1?'? No. of Units: Address: of Insp.: Connection Charge: "?'' •''"` Account Deposit: )eislc Permit Fee: , Surcharge: Misc. Charges: Total: Date Paid: - to comply wkh "M City of Buse CITY OF EAGAN N°- , 1 10 91 3830 Pilot Knob Road, P.O. Box 21.199 Eagan MN 55121 ? PHONE: 4548100 11 0UII,9ING PERMIT Receipt # SF $114,000 D Site Address 3941 DENMARK AVE Lot 4 Block 6 Sec/Sub. BIRCH PARK Parcel No. & Name SUNSHINE CONSTRUCTION CO z Address 5985 125TH ST W City A.V. Phone 431-2200 g Name SAME Z ou Address City Phone r'w Name JAMES R. HILL ASSOC 12 Address 8200 HUMBOLDT AVE SO 'o - City BLMTN Phone 884-3029 I hereby acknowledge that I hove read this application 96d state that the information is correct and rqe to comply n it all applicable State of Minnesota Statutes City of Eagan i Signature of Permittee A Building Permit is issued to: NSHINE CONSTRI all work shall be done in accordance with all opplicabl fate of Mi? Building Official =-C. Erect 1. Occupancy R3 Remodel ? Zoning RI Repair ? Type of Const. V Addition ? No. Stories Move ? Length 50 Demolish ? Depth 46 Int. Impr. ? Sq. Ft. Install ? Approvals Fees Assessment Permit 46 • 00 Water & Sew. Surcharge 57 • 00 Police Plan Review 234.00 Fire SAC 525.00 Eng. Water Conn. 500.00 Planner Water Meter 63.00 Council Road Unit 280, 00 Bldg. Off. 10/8/8 5 Tr. PI. 132.00 APC Parks Var. Date Copies Total $2 ,259.00 CTION on the express condition thol resota`?Ftatutes and City of Eagan Ordinances CITY OF EAGAN N2 17575 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PE?11?tT ?( DECK & PHONE: 454-8100 Receipt # - j f C?t2To be used for PORCH REMODEL Est. Value $3,000 Date MARCH 5 , 1990 Site Address 3941 DENMARK AVE Lot 4 Block 6 Sec/Sub. BIRCH PARK OFFICE USE ONLY Parcel No. Occupancy FE ES Zoning Name CHUCK OESTREICH (Aq a Bldg. Permit 54.00 3 o Address 3941 DENMARK AVE (Allto lowabllee) ) 1 50 City EAGAN Phone 452-3540 # of stories Surcharge . Length Plan Review fF Name SAME. Depth SAC, City 00,04 Address S.F. Total F City Phone S.F. Footprints SAC, MCWCC G On Site Sewage Water Conn w ti Name On Site Well Water Meter Address MWCC System aW a city Phone City Water Acct. Deposit _ PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump information is correct and agre to comply with all applicable State of S/W Surcharge Minnesota Statutes and 9an OrdiJnn/ces. Treatment PI Signature of Permitee r ..-..IL ! V11nL??. APPROVALS Road Unit A Building Permit is issued to: CHIT K O TRPTCH Planner Park Ded on the express condition that all work shall be done in accordance with all Council . applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 1.0 0 Building Official _ T l NIq 11! i Variance TOTAL 56.50 CITY OF EAGAN No 18652 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BCw1DING PERMIT Receipt # 0 I I , r) S To be used for FIREPLACE Est. Value $1,000 Date JAN 1 5 , 19_2L Site Address 3941 DENMARK AVE Lot 4 Block 6 See/Sub. BIRCH PARK OFFICE USE ONLY Parcel No. Occupancy FEES Zoning - w Name CHUCK P OESTREICH Actual)Const Bldg. Permit 75 on Address 3941 DENMARK AVE (Allowable) Surchar e .50 City EAGAN Phone 452-3540 a of Stories g Plan Review Length o Name SUMMIT ENERGY Depth SAC, City . °z < Address 2770 FAIRVIEW AVE N S.F. Total SAC MCWCC r , City ROSEVILLE Phone 633-1116 S.F. Footprints - , Water Conn On Site Sewage ww Name On Site Well Water Meter s Address MWCCSystem s Acct. Deposit will City Phone City Water - S1W Permit PRV Required I hereby acknowlege that I have read this application and state that the Booster Pump SAN Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City, of Eagan r nan`es. Treatment PI Signature of Permitee iLv-sc,.? APPROVALS Road Unit SUMMI E A Building Permit is iss d to: Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 1) Q?-,`,Ir, 11 Building Official , -) a I 11 !r Variance TOTAL 15.50 REQUEST FOR ELECTRICAL INSPECTION EB-00001.04 ' See instructions for completing this form on back of yellow copy. HUn ,? (f aS S. '"N"" Below Work Covered by This Request New -flea. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other neci Y Other ISVncifyl [ er Spoci fy Other Other Compute Inspection Fee Below M fee Service Entrance Size ry Fee feeders?S Vbfeede,s M Fee Circuits 0 to 200 Am s 0 to 30 Am s 0 to 30 Amps Above 200 Amts 31 to 100 Amps 31 to 100 Amps SW imming Pool Above 100_Amps Above 100-Amps Transtormers Irrigation Booms Partial,'Other Fee Signs Special Inspection s ?„ }. TOT Remarks • , AL FEE Rough-in Oate 1. the Electrical i9 Inspector. hereby _ cartily that the above Final ?,,/..iJq /p/ r Ora?te inspection has been A J ?3 made. This request void 18 months from This re uest void e-? 18 months from <-? ° ?'' 1 1 r Request Date - ?? Fire No. Rough-in Inspc coon fleyuired7 Heady Now E3 Will Notify Inspec- ? ?Yes ?No for When Ready ? Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at S[r¢@y AddreS , Boa or Route No. City- ' 3 nl /T7 w r C ?Ct GLc? ec9on o Township Name or No. Hangs No. County G Q 1' U Occupant (PRINT) Phone NO- ME l3A l c t S -d-9/6 Power Supplier Ct J? Address eC• a Electrical ontracto (Company Name) Contractor's inse No. eo Mailing duress )Contractor or Owner Making Instailationl e e akt-, y Authorized Signature ( ntrac,/O.ner Making Installation) Phone Number n ai MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 UniversltV Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION M EB'OO°° -t,. 'See instructions for completing this form on beck of yellow copy. U0 h l i F g r)q "X" Below Work Covered by 7his Request " Add Rep. Type of Building Appliance. Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Hauling Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Sroci v Other ISnaSfyl t er Speri v Other Other Compute Inspection Fee Below a Fee Service Entrance Si.. 4 Fee Famhm./Subfeeders a Fee Circuits - 0 to 200 Amps 3D, 0 to 30 Am )s 0 to 30 Amps Above 200 Amps S 31 to 100 Amps 31 to 100 An s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms PartialOther Fee Signs Inspection Special $ EL 6C TOTA Remarks e , L FEE Rough-in Date the Electrical i Inspector, hereby certify that the above Final Dyke ter. inspection has been /oS I /1/L d made. This request void 18 months from I his request void 18 months from Request Date tO_ C? ( Fire No. Ro up h-in Ins Pection Reyuiretl? ?Ready Now4Will R Inspec- for Wh R d ox ?NO en ea y ,Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Ron or ut?e No.? q I City / ,( ) ecUmr o Township Name or Nn. Range No. County ' / -t, Z-s 4 I nl G? J? PLl t ( ( P MS pPit. Address Ele to cal Contractor (ComPany Namel ?C.e?::7rojc TVG , Conlracn,r's Li enee No. 1 F ! cI -_3 Mailin? llre!s Contractor or O; ner t?a1?A Install.?A) U? ?-- :- Auth,-i7 SiBna to re.IConI rac caner Makin,, s lationl \J' -C e r 6b, 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 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ' See instructions for completing this form on back of yellow copv. nn t l fv? i "X" Below Work Covered by This Request Nev? Ad Rep. T of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ther pact v Other ISpe Clfyl t er Spedfy tar Othor Compute lnspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders. # Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Amps, 31 0 Amps 31 to 100 Amps Swimming Pool 00-Amps Above 100_Am s Transtormers n Booms 110- .Partial,;Oth er Fee Signs lnspection 5 TOTA F Remarks L EE Hough-in Final are ate L 1. the Electrical Inspector" hereby certify that the above inspection has been made. This request void 18 months from This request voitl 1.8 months from 100023 Request Date ?? T Fire No. Ron Reqgh-iredn?Inspection fi ea tly Now ? Will Notify Insper for Wh n R d ?Yes No e ea y Licensed Electrical Contractor ? Owner 1 hereby request inspection of above electrical work installed at: Sweet Add ej s, Boz pL flouts No. ? l p r / Yr '(• ?'_ Cit ecvon No. h i Nam Towns e orN o Range No. Cow Occupai t(PRINT) ?. Phone No. Power Supplier Address EI t cal otractor (Company Nam Otra or's Licens No. Ma li g ddress ICo acto or Own¢r Ma kf Ins tail ati Ile- oEfA 1 ?SSa r. r?s ?a ?? t' -33 Autho Signature (Con ctor/ n r Making Installatinnl ? m6 p1 ? P)j Y y e, MINNESOTA AATE BOKAO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwav Bldg. Rgom N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (6121297-2111 ENCLOSED. 77 `/-/{ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 bon Ramriremenls RemoddRteosir Reouiremems NZ 3 registered site surveys shoving sq. it of K sq. R of he=; and all roofed arms 2 copies of On showing footings, beams, joists (20% maximum lot coverage allowed) _1- 6iergy Calculations for hosted adottom 1 Soils Report if proposed building is to be placed andt l?> I ?\ ! I rvey for additions & decks 2copies r ?armg? & window saes; poured ekL ll ?i -` - inaicate ffonsffe septic system 1 set of Energy 3 copies of Tree Reservation Plan if lot finial after 7/??? q O 7007 IJ Rim Joist Detail Options selection sheet (buildings with ,4 Wnnagasco mechanical ventilation form Office Use On Cart of Survey Recd _Y _N Solis Report _ Y _ N Tree Pres Plan Recd _ Y _ N Tree Pms Required _Y . _ N On-slle $eptic System _ Y _ N Plans are considered public informatinn nnlocc vin ?+M+n +k, t, , e +.•..d,, ,.,.,,- .r aV"V, n,ru ,,, rcaaurt. Date Construction Cost ig"• 00 Site Address .?J???1?2]gYA1L Ayf Unit/Ste # Description of Work Multi-Family Bldg _ Y 2? N Fireplace(s) _ 0 2 PropertyOwner by'. Cy ?)-1'h1A, Re f?6 r Telephone # (jpljl) Ip Wudget ExWdon Contractor 8017 Nicollet Ave S. Address Bloomington, MN 55420 PH: 1-877-310-1742 City State _ FAX: 1-952-887-1659 iP Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cat orv 1 _ Minnesota Rules 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Submitted Submitted • Energy Erwelope calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor I hereby apply for a Residential Building and acknowledge that the information is comnlete. Am mat 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 approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanSignatureTelephone # ( Sh(KR14- CLLin U Telephone # ( Telephone # ( 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN 19517S SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: O?!!LD '/t'c-/L Valuation: Date: Site Address 39 P Z ?4M/JRJL AHC Lot Block Parcel/Sub Owner (,'AGC.CK woe-OkeeC,? ?] Address 390 I/?dJ dhd?/Z/C fiv--0- City/Zip Code GI JA) SS/ 2 3 Phone 115x- 3 5 qO Contractor se L? Address City/Zip Code Phone Arch./Engr. "00 B ell 5 Address 3ya7- 15 ?, City/Zip Code ?;fW s OFFICE USE ONLY FEES Occupancy Zoning Actual Const Bldg. Permit Allowable Surcharge # of stories Plan Review Length SAC, City Depth SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage- S/W Permit On site well S/W Surcharge MWCC System _ Treatment Pl. City water Road Unit PRV Park Ded. Booster Pump _ Copies " SUBTOTAL APPROVALS Penalty Planner TOTAL Council Bldg. Off. Variance Phone # 722 -LS & 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN To Be Used For: Site Address: 411 A ? Lot: Block 21 Sect/Sub Parcel # Owner Address City/Zip Phone INCLUDE 2 SETS OF PLANS 3 CERTIFITATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Valuation: 114, X4,000 Date: zt? L/i4 OFFICE USE ONLY Contractor Address f? City/Zip Code ?f Phone } Arch./Engr. 94 Address City/Zip Code Phone 11 l tq Repair Enlarge Move Demolish Grade PPROVALS Occupancy );?.-3 Zoning el i _ Type of Const -?T _ # of Stories _ Length Sc2 Depth Sq Ft Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council R ad Unit Bldg Off/ Parks APC Treatment P1 V fiance • TOTAL 4(?S 2?4 52 5 SOO (03 7 80 L(_n- n+ D+ Z L° 0+ D+ 0+ J+ 14X 2 = 2?c? x S3 = ?4-0 ??4 x Sg = ??liZ 4 4 x zo ZvBc? IZ x f2 - ? f? 4 x 12 ? So ?8 22 x 'z 2 2Q K3? Scbcf- Y44 _ .?oOI(o l l 3c--?)s C, One or Two Family All Other CITY OF BUILDING DEPARTI4ENT EXTERIOR ENVELOPE AVERAGE "Ulf C014PUTATIO14 (To be submitted with building permit application) Dwelling AOwner 1) gi¢jLL.1;7 /, Site Address Contractor Jt26 gdjW0=- Core Date Phone LINEAL FEET OF EXPOSED WALL I?w?1jE?7 11 ft. above grade TOTAL EXPOSED WALL AREA Sq. FT. OPAQUE WALL CONSTRUCTION: "Ulf Value x Area Details nun •443 x SQ. reference °'/?' •098 x sq. from fluff 04rJ x SQ. attached IFU° x sq. sheets "U" x sq. pun x sQ WINDOWS: 'lull Value x Area FT. 2549.10- 104.Cvl(U)(A) FT. ZoZ,5Z= N.84 (U) (A) FT. 158.9fn= /0.35 U) (A) FT. = U) (A) FT. _ (U) (A) FT. _ (U)(A) Make & Type JnhuG, d2/tslT, t1Ull . 4S 11 x SQ. FT. Z4$ 4O = llO.lvS (U) (A) uun it „ x SQ. FT. _ (U)(A) "U° x SQ. FT. _ .(U) (A) nun X SQ. FT. _ _ (U)(A) DOORS: 'lull Value x Area Flake & Type IrZ. X,? liUu . /¢ X SQ* of u - PAT1n. uun 97 x sq. n „ 11U" x SQ. uUu x SQ. TOTALS _33?iY•4 sq. TOTAL (U)(A) VALUES AVERAGEllUu Z9(O.S / _ DIVIDED BY TOTAL WALL AREA 5387.q-6 o7 AVERAGE llu? 15r less for 1&2 family dwellings ROOF/CEILING: TOTAL AREA: _ II7Cv FT. 49,00 =604(0 (U)(A) FT. 84-.0y = 3 (U) (A) FT. _ (U) (A) FT. _ (U)(A) FT. ' 2°I(a. $/ (U) (A) Detail reference f nUli 102-5 x SQ. FT. 7.0 (U) (A) rom nun x SQ FT attached sheets. nun . . (U)(A) Describe openings nun x SQ. FT. _ (U)(p) in roof. nU° x sq. FT, (U)(A) x SQ. FT, - (U)(A) TOTAL (U)(A) VALUES DIVIDED BY z 7,04 - r7AtV2Ja(,P N.fT 27• LUq - TOTAL ROOF/CEI aG AREA 117(p • oz 3 AVERAGE "Ull,.025 f r ventilated roofs. ROOF/CEILING R VALUE 1.) Interior Air Film 0.61 2.) 5/811 Gyn. Bd. .56 3-) Insulation 40,00 4.) . 5.) Exterior Air Film .61 (STILL) Determining null values at Roofs Wall, Rim, and Conc. Block "U" = 1/R= OZ3 TOTAL (R)=41.7$ WALL 6.) Interior Air Film 7.) 1" GYP. Bd. 80 Insulation 9.) Suit_T- PITS 10.) Masonite Siding 11.) Exterior Air Film R VALUE 0.68 .45 19.00 Z.o4 .67 .17 nun = 1/R=., ,0¢3, TOTAL (R)= 23.01 RI14 12.) Interior Air Film 13.) Insulation 14.) 2" Fir Rim Joist 15.) FwtL-r- R'PTE 16.) Masonite Siding 17:) Exterior Air Film R VALUE o.68 19.00 1.88 2.04 .67 .17 nun = 1/R= 40 TOTAL (R)= 00.f f FOUNDATION 18.) Interior Air Film 19.) 20.) 21.) 12" Concrete Block 22.) ?)&j)> 145tt g 23.) Exterior Air Film null = 1/R= .OqB R VALUE 0.68 1.28 6,0 TOTAL (R) = jLgq ? rr JL 18.33 x (.s?tsa t Zs+aa) = 2859.48 ?? X 54 = 4?Z,oo 4V X (7+7? = 98.or? Cale., 700 X ( 7t7? E&I :?ois7 tSD+Z$+ZS? ),UP X (50 ?Ir{?oWS llvx?6 = 9-, o X Z = Zox??o = S,O X g = 2oOF2 = (•7 x 9 = 14x3 =- b,o x Z = z0X690 = 8.4x 4= '1$ X ISL = 94•o x f = 'k9L 3? V- P.7/v G Z. _ ZB.oo 2t, 00 • gQ•,o 0 /39,04 3389.48- = 98.vv Zo2.A5Z Z517,7G i- 9.00 -Jo, oo lod, 30 S?S,oo /2'00 33, (a o 44,00 Z4s.9 0 4- -p°C 9K8 m 3? 14 x zo z8o Illly. oo 4- ? , code, ZoZ,SZ P, ?M 258.71o Wcw'> 29S,70 338948 Z549./0;- CITY USE ONLY L BL ? RECEIPT #: SUBD. Birch Parr- RECEIPT DATE: PERMIT # 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN - 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 underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet * minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished 'requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installationlrepairirebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Undergroundsprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 100 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener If existing dwelling 30.00 x = $ Water tumaround 30.00 x $ State Surcharge .50 -> -> --> $ .50 . Total -4, -> -> -> $ Reminder., Call for 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 propertyidght-of-wayieasement. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: HUGHES. D. 3941 DENMARK AVENUE EAGAN, MN 55123 (651) 905-3857 STREET ADDRESS: TELEPHONE #: CODE) CITY: 233 arRGM°nr=. ROUE STATE: ZIP: MINNEAPOLIS, MN 55408 SIGNA U E OF PERMITTEE TELEPHONE #: l *************************************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 729 DATE: 09/05/00 TIME: 10:19:24 ID: NAME: NORBLOM PLUMBING CO 3212 9001 4107 BVER.DM RD 30.00 2155 9001 4107 BVER DM RD 0.50 3212 9001 592 HWTHN WDS D 30.00 2155 9001 592 HWTHN WDS D 0.50 3212 9001 3941 DENMARK AV 30.00 2155 9001 3941 DENMARK AV 0.50 Total Receipt Amount: 91.50 CR136838 USER ID: JAN i ?'? ton t ?/`t4 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, FJ?GAN MN 55122 651.681-4675 _ New Construction Requirements RemodeVReoelr Requirements O . 3 registered site surveys showing sq. ff. of lot, sq. ft. of house; and jW roofed areas . 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Indicate it home served by septic system for additions . 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 Z P K' SITE ADDRESS 39 qt 40EN 41 & L- )4/I!? TYPE OF VALUATION GIODd O// MULTI-FAMILY BLDG Y N FIREPLACE(S) _ 0 Z1 _ 2 APPUCANT(G f00 r-5 -TVL STREET ADDRESS/ Zod9D IZ fI ? S CITYJj?e V STATE MA Alp 5S33 TELEPHONE # R52 92S J- 9CELL PHONE # QSWAW FAX # 91-2 85S-72A2 PROPERTY OWNER DDh b ttuQnE S TELEPHONE# foSI9o?3BS7 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: Water Softener Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # Air Conditioning Heat Recovery System --------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan C rr'? Signature of Applicant OFFICE USE ONLY Fee: $90.00 Fee: $70.00 nl?(????o?lU Phone # is Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 o? I RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 New Construction Reauiremems RemodeVlteaalr ReouMemerds . 3 registered sre surreys showing sq. ff. of tot, sq. ft of house; and L11 rooted areas . 2 copies of plan (2g% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions . 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Indicate if home served by septic system for additions . 3 copies of Tree Preservation Plan ti lot platted attar 711/93 . Rim Joist Detail Options selection sheet (bklgs with 3 or less units) DATE _ /ZDIa Z VALUATION g/I9D SITE ADDRESS 3991 DFA112Zy e,- 4 ?E MULTI-FAMILY BLDG _ Y `-N TYPE OF WORK eE fob DuE ?p $fa2?J FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT GIASSIL 12ooFs?- STREET ADDRESS /ZOVo /Z 147/6" S CITY &VZZ! tZz& STATEI W ZIP 55337 TELEPHONE # g52- 8qJJ"-? F CELL PHONE # 612- L6 J 093 0 FAX # qa Ris- 92- 7& PROPERTY TELEPHONE# 651- 902 - 3 57 COMPLETE THIS SECTION FOR °NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ (J submission type) . Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Water Softener Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Lawn Sprinkler No. of R.I. Baths Phone # Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the nformation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan es. Signature otApplicont OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-881.4675 ?1 -Now Conduction Reaulremenh Remodel/Reoad Reauire menna 9 V -? 3 registered site surveys showing sq. ti. of lot, sq. ft. of house 2 copies of plan and go roofed areas t2(nf. maximum lot coveroae atiowed) 1 set of energy calculations for heated additions n 2 copies of plans (stow beam a window sizes: poured find design: etc.) 1 site survey for exterior additions & decks a 1 set of energy calculations > 3 copies of tree p eservation par H lot plotted offer 7/1193 DATE: O? CONSTR CTION O'ST: ` 7 700 DESCRIPTION OF WORK: l? 2 l/1 r v 8 C-0 STREET ADDRESS: `g L? 46,e LOT: 4 BLOCK: o SUBD./P.I.D. C_ J V CAv GL Y IL Name: f Gt ?1 r L 5 ?O a? Phone E: 0!S_ S - 3 F5`7 PROPERTY Last Flat OWNER ? // Street Address._ 3 cJ C f De_- k7 i s City 0? stare: ^ zip: 5 /? 3 Companyb); ?t A Vn C ?n'140 1 Phone: 6 o - ) as / / /^I KC- (area code) CONTRACTOR 4 AUe ' UcensegC_951-' Exp. -3/- O Street Address: city -Fr/q 21 a Y<- Stare: My ZIP: ARCHITECT/ ENGINEER Company Name: Telephone E: ( ) Street Address: Registration S: City Sewe(fwater licensed plumber (if installing sewer/water): I hereby acknowledge that I have read this application, state that the of Mlonesota Statutes and City of Eagan Ordinances. State: Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received Yes No No - Not Required Zip: comply with as applicable State -, i? ' ': . CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1) PFC: = . -, ADDRESS: DAT-- OF ORIGi :AL BUILDING P---_,ST ISSc?N=.: ? R-1 SL\.= FAMILY ? R-2 CUP= (TWO UNITS) ? R-3 TC Ni\THCUSE (THREE + UNITS) ? R-4 APARTP'M'T/CCNDQ%INIU:l ? CQ`•+ry=,CIAL/ =AII/OFFICE ? \DUSTRLAL ? INSTITUTIONAL/GOVMNMENT 2) NAI?!C: ADDRESS: CZ'?"_', STATE, ZIP: PHONE: PLEKE PRIM,) f ?. 3) Pr--.7E ?'->-}- EASE PRINT) FOR C_' ::SE CN!Y N?i•IE: ..? J PLU'BERS ADDRESS: (, i CSC s CTFY, STATE, zip: jj a i eN to ? n ? , y iT hii, 171 O 0 PROVE: . IL, ?f yy - L//L%/ PLUMBER LICENSE H ?j >> •`,Z Pco,d 4) ru4->E: ADDRESS: CITY, STATE, ZIP: PE.?ONE: PRINT) 5) _?.OIC'. :;I3IC:] PEI•:•IIT IS BEING RMUESTID: Q CL';=.ION TO CITY SEATER ?k CCTNECTION TO CITY WATER ? OTIIE'R (PLEASE DESCRIBE) [] PlZ-,S-v HOTD APP VIM PERMIT FOR PI '-UP BY ONE OF A&^, ? PLEI.SE ;,!UL APPPRROB, ED PC-LIT TO 1 2 4 APJOVE ( 1 (C a one) 7) SIG. ^ =.: :f ? DATE: , OR ?! a:a?s?+:?a.Jm ]? w mt?J?:w Y w rte s?s:a.A r d r: i'i:i tw ?R 1?! ?I:A wM re??.:w fY m! at a mr.?sac F O R C I T Y U S E O N L Y ' PE?_.tI? = ISSUED F S /G' SU $ $ $ $ $ /rou $ ?da.dU $ S.?S u o S SET.-TER DcP%IT- (I:ICT"DE SURCHA=G?) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE RE.-.DER WATER TAP (INCLUDE CORPORATION S`) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER $ TOTAL a /O.u-ti $ AMOUNT PAID/RECEIPT D0 7-S UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE [-NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SU2JECT TO THE FOLLOWING CONDITIONS: I AP?:OVER BY: TTT D:,TE MR iw mum m w i+ maw t m as woo mm w w, r w:mo wpm w!w ok w w sp;A map" w,ow .t M s. r:.m m? m m ma w m. "m Lot Block Subd. UNDERGROUND KIRINIO.ER SYSTEM PLUMBING PERMIT Date c-lp - < z Receipt # Commercial: $25.50 + water tap if required. (City installs all taps up to V). If adding new service, a water permit wi l be required, as well. Eidsting residential: $15.50 (Plumbing permit not required if backflow preventor was previously installed). Residential developments: Fee to be d. :termined by building inspections department. May require payment of water permit, plumbing permit, WAC, and water treatment plant fees. 39'K/ ,0e-,7 /;V". * 15g, , , (Address to b; sprinklered) Homeowner/Plumber: A<z"', `?c ?v lce ?? Phone #: 933- 5-i; r3w Street Address: ?o a? ems- /7 /e Al, City, State, Zip: a -W 1;17, Owner Name: G?i ?c k 6 1`?^ c c Street Address: JAY/ti 'Apr Phone #: ??j?vZ - ?S`z a Irrigation Contractor: Phone #: I hereby ac o edge that I have read this .!application and state that the information is correct and ee to co y 'th all applicable City of Eagan Ordinances cc: Engineering Department 1991 BUILIt F f4P LICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For:'F1REPLACC- 1?StRValuation: Date: Site Address 3fYl Zbixyric Ave. Lot A- Block Parcel/Sub J? ix ? "5x Owner _l 4ac P. OesfretcA Address 11 enma?K Que. City/Zip Code Eay&,h. MA/ U Phone Z/s 2-3.3- (a Contractor 5!1P7N(Ir ENt1q6y Address 277,0 FAlRV7cW Ave. Ado. City/Zip Code R9J-FU1LLC- 07A/ SJ113 Phone A 33-11(6 Arch./Engr. NJit Address City/Zip Code Phone # Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well MWCC System City water PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. Variance ONLY FEES Bldg. Permit 2 S'00 Surcharge JD Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL 2SIST? 4rAm7N Stain y1J?x? 8V 4/000 G agrees that all work shall be done in accordance with ( gnature Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showng sq. ft of lot, sq. ft. of house; and all roofed areas (20%mmimum lot coverage allowed) 1 Soils Report If proposed building is to be placed on disturbed soil 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 711/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel/Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indcafe if on-site septic system (? QQ.(.r-LG? ? ' oZ'D Office Use Only Cert of Survey Recd _Y -N Soils Report :.:. _Y. -N Tree Pres Plan Recd -Y - _ N, Tree Pres Required. _Y _N On-site Septic System Y -N Plane are ronsiriprarf nuhlir information unless you state thev are trade secret and the reason. Date Site Address 3 g 7 l?f/ /n Jew Construction Cost Jn2! ?C Ac Unit/Ste # Description of Work Re &I.. . ?)_ , - Multi-Family Bldg - Y /l N Fireplace(s) 0 2 Property Owner (1 ;2r" Me7R Telephone #i/w) Contractor 7- Z af/1 ric770.[? =g?2 Address t?ra77 State `? /tom ?(/2cri ?/R C L E Zip City ?eC/!E r/i`L / f Telephone # (/y (2) 7 91 - 7 l (P COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber n G° ?l" 1 E2 E', Telephone #( Mechanical Contractor Telephone #( Sewer/Water Contractor Telephone # I hereby apply for a Residential Building Permit and acknowledge that the inform is complete and accurat e; 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 approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name A plicanfs Sign ture DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition r 33 Alteration ? 34 Replacement ? 13 16-plex ? 16 Fireplace A 17 Garage ? 18 Deck ? 19 Lower Level ? 20 Pool ? ? 21 Porch (3-sea.) ? ? 22 Porch/Addn. (4-sea.) ? ? 23 Porch (screen/gazebo/pergola) ? ? 24 Storm Damage ? 25 Miscellaneous 30 Accessory Bldg 31 Ext. Alt - Multi 33 Ext. Alt - SF 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 VVindows/Doors `Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage _ Yes Valuation '?3,tnoD 'tea Occupancy MCES System Plan Review _ 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. - Air Test -Final Insulation 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 ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex REQUIRED INSPECTIONS Sheetrock FinaVC.O. Final/No C.O. _ HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath - Stone Lath -Brick _ Windows Retaining Wa11 Building Inspector EYOR'S CERTIFICATE ' ' Z g3?y / jAv?vB„W cAR ?? ° ?F343r $4ssY?611 !5 11 W $ R opg 53 bgv0) r- PROJECT NO. 85g9(o FILE NO. FOLDER BOOK / PAGE JAMES R. HILL, INC. ?46?6 Planners / Engineers /.Surveyors 8200 Humboldt Avenue South Bloomington, Mn. 55431 612-884-3029 13905 N1°22'57*'W SURVEYOR'S CERTIFICATE SUNSHINE CONSTRUCTION, CO. .y_ DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT SET SCALE: I INCH - 3 p FEET o DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 84 3 8 FEET XOOO.O DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 230.3 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 84-1-1 FEET 1 HEREBY CERTIFY TO SUNSHINE CONST. CO. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 4, Block 6, BIRCH PARK, according to the recorded park thereof, Dakota County, Minnesota. (THIS LEGAL DESCRIPTION WILL BE VALID UPON THE FILING OF THE PLAT BIRCH PARK.) AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCRUACHMENIS, IF ANY, THEREON. AS SURVEYED BY,ME, OR UNDER MY DIRECT SUPERVISION, THIS 7TN DAY OF 0--16esv, 1965 SIGNED: JAMES R. HILL, INC. A,? BY: I ?CP HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 PROJECT NO. 1300K PAGE JAMES R. FALL, INC. 85,8% 1g61? Planners / Engineers / Surveyors FILE NO. 0200 liurnboldl Avenue South FOLDER Bloomington,lAn. 55431 612-884-3029 SURVEYOR'S CERTIFICATE' Av?NtiE 0 eO 15 s N2p7 0 545. 13 It 6 4/ 66 ' g5q.o ,? A ? . y a r 6-I N 5 ? ?'yq'?• ??? - .o ? _ GPI. W 7,6.00 A I pRoPo$0 Q x88801 36 a 6A ?? ?% 1A/ 00 N s I ? tj ? 5 CO 5 ORAErAGE rU T,?_ \ 'ice ? l EpSEMENT PFRR? (D L? Z al r ?1 LOT 4 N ? N^ t0 (n 0 A rn ? i 139.05 N 1°2257"W -? FrL -r 3 HEF sF R S PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 14(ioIr Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mm 55431 612-884-3029 íø þý ýü ýüüûúíú ùûûüüÿþ ý ëö â ý ïâ ÿ ýü ûúù ÷ý ý ÷ úù ö õ ù÷ý ý ñ Ú ñ úù ñýæý ýöóû ë ó öóû Ú þ ó ü ðð çýýç þý ýüñöïï âïâîâââðâ óø ì÷ãá ÷ éïíîíî ôù ý øè éïíðíðï óòòñ ðõ ùùý ó óû ëû ë ææ ðð çýýç ð óý ç þý ýñöïï þý ýñöïï ìâïêâîâââðâ ûýõ ýýç ýýùùýýý ý æ óý ýý óùõýýùùýû ý æñ ýý ýåæþý ýä ý í ùùýá ó ý ý PERMIT City of Eagan Permit Type:Building Permit Number:EA151409 Date Issued:08/23/2018 Permit Category:ePermit Site Address: 3941 Denmark Ave Lot:4 Block: 6 Addition: Birch Park PID:10-14175-06-040 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Joseph C G Anderson 3941 Denmark Ave Eagan MN 55123 (612) 396-5314 Liberte Construction Llc 1406 West Lake St, Suite 202 Minneapolis MN 55408 (612) 999-7663 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152583 Date Issued:10/22/2018 Permit Category:ePermit Site Address: 3941 Denmark Ave Lot:4 Block: 6 Addition: Birch Park PID:10-14175-06-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Joseph C G Anderson 3941 Denmark Ave Eagan MN 55123 (763) 478-7653 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175582 Date Issued:04/08/2022 Permit Category:ePermit Site Address: 3941 Denmark Ave Lot:4 Block: 6 Addition: Birch Park PID:10-14175-06-040 Use: Description: Sub Type:Water Softener Work Type:Replace Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Joseph C G Anderson 3941 Denmark Ave Eagan MN 55123 (612) 396-5314 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178127 Date Issued:08/02/2022 Permit Category:ePermit Site Address: 3941 Denmark Ave Lot:4 Block: 6 Addition: Birch Park PID:10-14175-06-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Joseph C G Anderson 3941 Denmark Ave Eagan MN 55123 (612) 396-5314 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature