3944 Denmark AveCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3944 Denmark Ave
Lot: 3 Block: 5 Addition: Birch Park
PID:10- 14175- 030 -05
Use:
Description:
Sub Type: e - Gas Line
Work Type: New
Description: Stove
Comments:
Fee Summary:
Contractor:
Mark Pixler
3944 Denmark Ave
Eagan, MN 55123
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Owner:
Mark A Pixler
3944 Denmark Ave
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA079308
08/15/2007
ePermit
- Applicant -
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3944 Denmark Ave
Lot: 3 Block: 5 Addition: Birch Park
PID:10- 14175- 030 -05
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: P
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
ctures are not acceptable in lieu of inspections.
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Mark A Pixler
3944 Denmark Ave
Eagan MN 55123
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 informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA079625
09/05/2007
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3944 Denmark Ave
Lot: 3 Block: 5 Addition: Birch Park
PID:10- 14175- 030 -05
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
PERMIT
City of Eaan
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.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
Construction Type:
Occupancy:
$88.50
$1.50
Total: $90.00
Owner:
Mark A Pixler
3944 Denmark Ave
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA091741
10/23/2009
ePermit
- Applicant -
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
_,
BtIILDIN6 PERMIT
N°_ 12023
Receipt #
To be used for SF DWG/GAR Est. Value $93,000 Date MAY 29 19 t36
Site Address 3944 DENMARK AyE Erect CK Occupancy R3
Lot 3 Block 5 Sec/Sub. BIRCH PARK Remodel ? Zoning
Parcel No Repair ? Type of Const
. Addition ? No. Stories
W SUNSHINE: CONSTRUCTION
N Move ? Length 63
z ame
F
5985 125TH ST W
Demolish
?
Depth 44-
3: Address
City A• V • Phone 431-2200 Int Impr.
Install ?
? Sq. Ft
c $pMg Approvals
i F Name
80 Address Assessment
~ City Phone Water & Sew.
Police
Fire
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: SUNSH Ii E CONSTRUCTI
all work shall be done in accordance with all applicable State of Minnesc
CITY OF EAGAN
3830 Pitt Knob Road, P.O. Box 21-199, Eagan, MIN 55121
PHONE: 454-8100
Eng.
Planner
Council
'
Bldg. Off. 5/29/8
APC
Var. Date
Permit ?? g 4 z 0 UV
Surcharge 46.50
Plan Review 206.00
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156_00
Parks
Copies
Total 2+ .00
on the express condition that
and City of Eagan Ordinances.
Permit No. Permit Holder Data Telephone If
Plumbing t? - /3 - j(6
1 N.Y.A.\ ;
-
IfElectric
r E4
-?
Softener
I
Inspection Date Insp. Comments
Footings I Sa q
Footings II
Foundation
Framing
All 4
Roofing
Rough Plbg.
Rough Hig.
Haul. V
ireplace
F
Final Htg.
I Final Ptbg• -116
-?
Bldg. Final Q ?-J AS41
Cert. Occ. (,Lt
IDeck Fig.
Deck Frmg.
Well Describe Location:
Pr. Disp.
PERMIT # 9 O?iJ 3
• MECHANICAL PERMIT RECEIPT # a '1? 3
• CITY OF EAGAN AV-
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Name
Addre
c City'
Name
C Addre
p City
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
D M BTU
p M BTU
M BTU
M BTU
CFM
FEE: 3
S/C:
TOTAL:
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
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)
j p SIGNATURE OF PERMITTEE
S,ar?
FOR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT RECEI
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
PRICE: PHONE: 454-8100
Site Address
Lot L Block
m Name
Addre
c City _
Name
Addre
o City -
BLDG. TYPE WORK
Res.
Mult
Comm.
Phone Other
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
`s f I 1 !_1
FOR CITY OF EAGAN
New
Add-on _
Repair _
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE L.
STATE S/C:
?.'
GRAND TOTAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: f i l l I I Is 1 140
3830 Pilot Knob Road Permit Number: 0 1 1 4 1
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
f 01 NMNFrI. AV[ f NK. f `i VI i WIN
r? i I?rit I-A10 PERMIT SUBTYPE:
TYPE OF WORK:
Fit w
III CI( SFAWi
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
1 nn I I too,
?
Permit No. Permit Holder Date Telephone M
Sm
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings l u S
Foundation
Framing
Roofing
Rough Pibg.
Rough Mg.
Isul.
Fireplace
Final Mg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
/
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
iPECTION RECORD
PERMIT TYPE:
Permit Number:
" sr Date Issued:
SITE ADDRESS: LOT: 3 BLOCK:
3944 DENMARK AVE
BIRCH PARK
PERMIT SUBTYPE:
{F
SF (MISC.)
5 F%v ¦ "" I-
SINKEY
(612) 688-6069
TYPE OF WORK:
DESCRIPTION
BUILDING
021141
06/08/93
VERNON
NEW
DECK STAIRS
INSPECTION TYPE
FOOTING DDATE INSPTR. INSPECTION TYPE
FINAL DATE INSPTR.
F
7
CITY OF EAGAN Remarks Division # 16252 10J'85
Addition Birch Park Lot, 3 Blk 5 Parcel 10-14175-030-05
Owner Street 3444 Denmark Ave state Eagan MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
?r n n
n n n n
r?
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
r r:huruv WATER SERVICE PERMIT
Ir ::nob Road
ax 21199 PERMIT NO.:
VIN 55121 DATE:
1
No. of. Units:
9-
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVICE PERM
P. O. Box. 21199 PERMIT NO.:
Eagan, MN 551,27
; DATE:
Zoning - No. of Units.
1"
Owner. . -
Address:
Sit, Address: +r'!raark Ave• ,.r, ; 2
Plumber.
Meter No.: Connection Charge:
Size: A
t D
ccoun
eposit:
Reader No.: Permit Fee:
109 M to ""ply with Nn City of 4yee Surcharge:
orrllnenem Misc. Charges:
Total:
By Date Pakk
Date of Insp.: Irnp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: 1
Eagan, MN 55121 DATE: 5- 3 0-mss F,
Owner: Sunah No. of Units: 1
ire
Address:
Site Address: 1.3 p5
" -
Plumber _tjCh Park
?i 3113
1 "Fee h *No* Wkh the Cher of 4o,e
ordloesese,
By
of Insp.:
10o. pa
Connection Charge: 4 _ nnPrt
Account Depatit: 7 S nRnrt
Permit Fee: t t, tl ?.y t
Surcharge: Misc. Charges;
Total:
Date Paid.
BUILDING PERMIT
N2 12023
Receipt N t 3'4!/ ?
To be used for SF DWG/GAR Est.Value $93,000 Date MAY 29 19 86
3944 DENMARK AVE R3
Site Address Erect ? Occupancy
Lot 3 Block 5 Sec/Sub. BIRCH PARK Remodel ? Zoning R1
Parcel No.
Name SUNSHINE CONSTRUCTION
c Address 5985 125TH ST W
city A. V. Phone 431-2200
o Name SAME
$ a Address
? City Phone
=
uw
Name JAMES R HILL
w
`-? 8200 HUMBOLDT
X u Address
<w city BLMTN Phone 884-3029
I hereby acknowledgethat l have
information is correct aqd agree,
Minnesota Statutes and Oidvef'E
Signature of
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Repair ? Type of Const V
Addition ? No. Stories
Move ? Length
Demolish ? Depth 44
Int Impr. ? Sq. Ft
Install ?
Aoorovals Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
this application and state that the
oply with all applicable State of Bldg. Off.
Var. Date
Permit ? 9 J_z . VV
Surcharge 46.50
Plan Review 206.00
SAC 575.00
Water Conn. 500. 0 0
Water Meter 63.50
Road Unit 290.00
Tr. Pl. 156. 0
Parks
Copies
T..1.?I •J c'/c'T?•V0
A-Building Permit is issued to: "' on the express condition that
all work shall be done in acco dance wit pli ble State of nesota at es and City of Eagan Ordinances.
Building Official ???
REQUEST FOR ELECTRICAL INSPECTION Ea-00001-04
See instructions for completing this form on back of yellow copy.
."X" Below Work Covered by This Request
flow, Add Rep: Type of ifding Appliances wired Equipment Wired
Home Range Temporary Service
Uup ex Water Heater Lightio, Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm other peu v Other sil?.,if,l
t .r specify other omer
Compute Inspection Fee Below
p Fee Service Entrance Size 4 Fee Feeders/Subfeeders 0 Fee Circuits
S 0 to 200 Amps-
m s
0 to 30 Amps
3(a.Ca
0 to 30 Amos
Above 200 Amps] 31 to 100 Amps -$0V 31 to 100 Amps
Swimming Pool Above 100_Amps Above 100_Amin
Transtormers Irrigation Booms Partial-"Other Fee
Signs Special Inspection $
TOTA
F
fiemarks
L
EE
Rough-in Da e
t I/7 I^the Electrical
spectow, hereby
65 n? above
Final / Cloy 4 ^?apectionrhes been
Al (J?r de.
This request vold 1S months from
This request void
1B months from
u 5
a
Req l
I J
/r(
I
Fire No.
Rough-in) InsO NO On
Re rred?
[ ]Ready Now' WilI Notify. Inspec-
?
??
l for When Ready
Licensed Electrical Contra ctor I hereby request inspection of above
? Owner electrical work installed at:
Street Add ss, ox r floute CH
Q nu r r-_
ecUOn No. Tow ship Name or No. Range No. County
Oc up- of (PRINT) Phon ,
?
P 6- ft Suptoller
7tT Address
e t,Cal Conntracctor IC mp p Nam 1 Con meet is L' ens. No.
'
S `CiY 1 IV l'?
Mailing Add,ess (Convect or Owner Making Instailatio
AuMo azure (COgtra Cl0l? nor Making Ins a Lion) Phone Number
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 1512) 297-2111 ENCLOSED.
2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
SO • s 0
Date 1v / 1' ? /
Unit #
Site Address
P
t
O Telephone # ( 6L/'
wner
roper
y
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
furnace -Additional -Replacement _ New
air exchanger
air conditioner
_ heat pump
I other 0g60//T0Vji y W'(1 (r/acTlo rS
VL to 1 r
State Surcharge $ .50
$ 0,
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the info n is comple
be in conformance with the ordinances and codes of the City of Eagan and with thM cal Cc
permit, but only an application for a permit, and work is not to start without a pe t??
approved({p?1lan in1C,Ithe case of work which requires a review and approval of plans. \\\\??ssss
'IM •''r t t? %V-
Applicant's Printed Name Applicant's Signature
d accurate; that the work will
that I understand this is not a
till be in accordance with the
LpoCqq MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
g6 ,,O .S-0
Date G -I. 1
-2 G
[
Site Address V 1 t L4 \aJ1Z C1 .J? t \f? Unit #
Q-r- A-"?
;f 2 - t' q
-??
c?l?h
+a w
P
t
O
? k
- hone # ( ?? ?) l0 1 t y
L ?Tele
roper
y
wner t
p
. .? p
Contractor
Street Address ??Q? ?J L ?rJ a 4 1"-Ll??5 City Q ?I n`d kn?-
State ZipS62GELG-1 felephone# ((ps() 2?i'`S2 S.
The Applicant is Owner ?C Contractor Other
Add- n, modification or alteration to existing dwelling unit $ 30.00
/
furnace replacement
_ air exchanger
air conditioner
other
State Surcharge $ .50
Total $ 3- - V
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
Applicant's Printed Name Applicant's Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION VI/
CITY OF EAGAN
3 l 3830 PILOT KN
OB RD, AGAN MN 55122
651-681-4675
New Construction Requirements
• 3 registered Site surveys showing sq. ft. of :ol. sq. H. of house: and all roofed areas
(2001• maximum lot coverage allowed)
• 2 eocies of plan showing beam 3 window sizes: poured found design, etc.!
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan it lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 71/51ba
RemodelfReoair Requirements
• 2 copies of plan
• 1 set of Energy Calculations `or healed additions
• 1 site surveyor exterior additions 3 decks /
S?
Intlicate it nerve served by septic system .or additions
VALUATION rI, adb
SITE ADDRESS l?&dt/J'>u/L I-1"y-e- MULTI-FAMILY BLDG _ Y _ N
TYPE OF
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT ffazlv=
STREET ADDRESS qy?' A-10Le, At . CITY 41," L&&STATF/1JN. ZIP.r
TELEPHONE # 9S1 7P9/ /9/9 CELL PHONE # 61?2 -o"Y79-77(?? FAX #
PROPERTY OWNER fiA.xAe TELEPHONE# 65y?-yY-9/90
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y([A VL•a(YT.A RULES 1670 C.A"f F.G(>R5• I _ MINNESO'I'A 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:
N[ech,utic.il system includes:
Mechanical Contractor:
Sewer/Water Contractor:
_ Air Conditionit>,
Fleat Reco%cn- System
Phone #
Phone #
--------------------------------------------------------------•-------------...-----.._..----- I-I) 11!1.1 6.2002- I?
I hereby acknowledge that I have read this application, state that the information is corr ,and agree to comp)
with all applicable State of Minnesota Statutes and City of Eagan Ordein/ances. By
Signature of Applicant (1 • ?l'Lr'?-?
OFFICE USE ONLY
Water Softener
No. of R.I. Baths
Water Heater
No. of Baths
_ Phone
Fee: $90.00
Lawn Sprinkler
For. 570.00
Updated 4102
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
C?-10r,
BUILDING
61? lu
021141
06/08/93
SITE ADDRESS:
3944 DENMARK AVE
LOT: 3 BLOCK: 5
BIRCH PARK
P.I.N.: 10-14175-030-05
DESCRIPTION:
DECK STAIRS
B,u31d ni g?Permit Type SF (MISC.)
wilding 4To,rk Type NEW
REMARKS:
FEE SUMMARY:
VALUATION $500
Base Fee $15.00
Surcharge $.50
Total Fee $15.50
CONTRACTOR:
OWNER: - Applicant -
SINKEY VERNON
3944 DENMARK AVE
EAGAN MN 55123
(612)688-6069
I
I hereby acknowledge that I have read this application and s*tate that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE 6SSUED 8 : SI NATU E
KLALI1VAIt _
PERMIT B;:
And
VII IF Vr GFl?.li'?Ir
1993 BUILDING PERMIT APPLICATI >r r?
' 681-4675 RECE
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si L
?nf energy
S
ur
talcs. '
__
_
_
COMMERCIAL 2 sets'of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date S Valuation of work l DO
Site Address: g YY De"iU?s?RK AdE
STREET SUITE S
Tenant Name: (commercial only)
LOT 0_0
BLOCK 05 /
SUBD. 6 4
r
P0
P.I.D. */c- lyi7S-030-05
Description of work:
The applicant is: E Owner ? Contractor ? Other (Describe)
Name SS=?kcY ye.^,yeA? Phone G$$-/vdb?/
Property LAST FIRST
Owner Address 394lq Qe,cl drums Ate.
STREET STE #
City _&P ORJ State til.y Zip s5/?3
Company Phone
Contractor Address License N Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
t5L 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
WORK TYPE
,,31 New
32 Addition
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
#+ of Stories
Length
Depth
APPROVALS
Planning
Engineering
Basement sq. ft.
1st F1, sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
REQUIRED INSPECTIONS DECK STAIRS
? Site Footing ? Framing
? Wallboard F Final ? Draintile
o
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
1 5 i UO I valuation: $
_Cb
C l'Basement-4in i s h
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
V S% O
_• ^ >r ( 2/84
CITY OF EAGAN
l t APPLICATION FOR PERMIT
- SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
'A q 44
Lww u: ..CL^J. T7TTCV: ? . I ?) ?(?!t ?/?F.?Tr
(Lo t/Block/Su!.d isicn or Tax Parcel I.D. N=zer)
ST ,UCTL=, CA= OF CR-TTGl^. AL FUI...^ "G =__IT ISSU; ..G.:
P=cS'^ C. .. CFCSL?) L7.S3:'-1 Si:GLE cP;•ffL':
? R-2 CL_T i M.'O UNITS)
? R-3 :C:t.1EMTTSE (??-2 ?- + =^.S) ( L :__?)
? R-4 A? ?T/CC_ Ci.tr;r-.1 ( UN S)
? CC?-LM ::C_Z/RE.AIL/CFFIC
? ?CCSi? L
? I:'STI.?^ICNAL/GVV N.=_7
2) A-PL= -_Ii (PLEASE HINT)
NPi•?: _ S[.tNS?-I I I.IE= _6 ('S l
ACCRESS: .7?i85 va 57" ST. 1.,L.
C=" s--;=-, ZIP: _APPL_,. VA.LLEII M/i 55/24
PHONE: 4?> I - 12 UU
3) PLL: a )PL" "E PH L41) FOR MY USE ONLY
MME
AZDRESS: ` q PLU.KRS LIL:ASE:
C Active
C17', STATE, ZIP: Q C Expired
• PHONE:
PLUeBER LICENSE k
_329/10
C Not of Record
_ IPLEASE PR1N(
4) CLC?? lC/?.. `
NAB: 2_&22X C?
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) INDICA ^:. WHICH PER:-UT IS BEING REQUESTED:
® CC.NE 1ON TO CITY SEPm
CC...- TICN To CITY WATER
? UMER (P=,SE DESCRIBE)
7i '?ICr ,iL
? P*.-rSE HOW APPPCIVED PERMIT FOR PICn-L'P BY Ova CF AECL'E
PLEASE M UL APPROVED PL; LIT TO 1, Q 3, 4 ABM7E
(Circle one)
.FOR -CITY USE ONLY
PERMIT # ISSUED
75116 ?o
Pd w/Bldg. Permit
FEES:
$ 5Z-` $
$ G 3 so $
$ ?< C O
$ / ' d z3
$ ?7 CJ n ?`? n
c
S
S
$
c
c
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
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
ZATE.
I
I
t
NOTE: ALL
/C7
1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN
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
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For:( F'ESIQ
, Valuation: '3?),000 Date:
Site Address '39-44 T-) £t 1 m d?
Lot 3 Block ?5
Parcel/Sub 5 CA
Owner Sum S1-i l ,? [ t
Address 5`i BE 12514 3T, W
City/Zip Code APPLE LZALLJE4S5/z4
Phone
431-22 0cD
Contractor SA M6 AS A 13000
Address
City/Zip Code
Phone
Arch./Engr.
} (? ?_?QLjj f
Address 8-2-co
City/Zip Code
Phone # ssg2
Erect Occupancy rl•3
Remodel Zoning F-I
Repair Type of Const
Addition # of Stories
Move Length
Demolish Depth 44
Int.Impr. Sq Ft
Install
APPROVALS FEES
Assessments Permit Q lZ.
Water/Sewer Surcharge 4L
Police Plan Review ZCX0
Fire SAC
.
S'115
Engr Water Conn Sexy
Planner Water Meter 6 3
Council Road Unit 'L9
Bldg Off;/ 9 {r Treatment P1 I S(o.
APC I( Parks
Variance Copies
TOTAL -7-Z49,
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/ HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
K '?-` Cod Z ?c S? - 3 8q 7 t?
SIC-)
22 x 22 ` 4?4 x 12 - ???
912 9,0
t CITY OF BUILDING DEPARTMENT
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
(To be submitted with building permit application)
One or Two Family Dwelling owner S ^fj lNe 0e.vs%
EnlPZ?7K
All Other Site Address 31W, 0
Contractor ?oIt 4 )xa do/ye,-"r Date 6--.2-6 Phone 43i-2200
LIi?.EAL FM OF /l // F OSS.OO CT
E:t'OSED WALL .?SS w&Rwe- 'i7d6e-r ft. above grade
TOTAL EXPOSED WALL AREA SQ. F.T.
0"AQUE '3, LL CONSTRUCTION: "U" Value x Area
?7gjg&7o "U" •043 x SQ.
Detail GOroC• "U" .099 x SQ.
reference
)Riwl „U"
.04n x
SQ.
from .lU" x SQ.
attached "U" x SQ.
sheets "U" x SQ.
79I1dDOWS: "U" Value x Area
Mu'.te & Type 56F- "001M iida--TN "U" • SO x SQ.
fluff x SQ.
-
flull x SQ.
" n ui1n x SQ.
DOORS: "U" Value x Area
i&.!:e & Type 6%6, JW+ VL, "Un .14 x SQ.
" " P'AT/o "u" 147 x SQ.
" it "U" x SQ.
u it "U" x SQ.
TOTALS Z475;5. 00 SQ.
AVERAGE "U"
TOTAL (U)(A) VALUES Z10,40
=
DIVIDED BY TOT `;BALL AREA 2059.00 •?
AVLRAGi; "U" .11 or less for 1&2 fa mily dwelling s
ROOF/CEILING:
TOTAL AREA: 10 9
FT. 7.30 - (n/n.10 (U)(A)
FT. 109.44 =/v,ZZ. (U) (A)
FT. I pg•S(o = :g,'55(U) (A)
FT. (U) (A)
=
FT. (U) (A)
_
FT. _ (U) (A)
FT. APS,70 $Z•$S (U) (A)
FT. -=-(U) (A)
FT. - (U) (A)
FT. - (U) (A)
FT. 12,00 = (p.$(o (U) (A)
FT. 51,00 =(U) (A)
FT. - (U) (A)
FT. - (U)(A}
vT. 7,10.440 (U) (A)
Detail reference "U" ,OZTj x sq. FT. ?04? = 24,10 (U)(A)
from "U" x SQ. FT. (U)(A)
attached sheets. "U" x SQ. FT. o U) A)
Describe openings "U" x SQ. FT. _ (U)(A)
in roof. "U}' x SQ. FT. )(A)
_ (U
TOTAL (U)(A) VALUES
DIVIDED BY 741D
TT&V7 \
/
-?4 34,10
CUrrNj
TO
AL R00?/ror EA AVERAGE "U" Ventilated roofs.
--WALL SECTION—
Determining "Uri values at Roof, Wall, Rim, and Conc. Block
ROOF/CEILING
1.) Interior Air r'ilm
2.) 5/811 Gyp. Bd.
3.) Insulation
4.1
50 Exterior Air Film
(STILL)
(R) VALUE
0.61
.56
4p,0o
.61
v.
11U° = 1/R= , 033 i.OTAL (R)= 9V.7$
WALL
6.) Interior Air Film
7.) }n Gyp. Bd.
8.) Insulation
9.) 25?3L?? 1,004-1TE
10.) Masonite Siding
11.) Exterior Air Film
(R VALUE
0.68
.45
117,00
Z. 04
.67
.17
11Un = 1/R= 04& TOTAL (R)=25,01
RIM
12.) Interior Air film
130 Insulation
14.) 211 Fir Rim Joist
15.) wsel 8;01vr k1M
16.) Masonite Siding
17.) Exterior Air Film
(R) VALUE
0.68
)q,V0
1.88
Z, 04
.67
.17
nUri = 1/R= r 0 TOTAL W44,44
FOUNDATION
18.) Interior Air Film
19.)
20.)
21.) 1211 Concrete Block
22.) r1 6(b 1N5,u1- -
23.) Exterior Air Film
R VALU
0.68
1.28
8.00
.17
11Un = 1/R= , Qg$ TOTAL (R)
J
a
Exp ab
,l 1?oRK
/+.Sol, (Z(v+zb+-40) =
P-50)( 4o
3,00 X 7
L026- 0
3,00 x 7 =
SAET ,/
133A,00
loo. oo
_z 1.00
Z, 055.00 ,
88,44
zl,oo
107.14
Rim S`
. 83 x (4o+4of-Z&+z,t,) = 109. Slo
WlluDowc,
Ifox3Z =
Zox36=
AX310=
ZoX36 =
Z4 X40 =
Z4x4$ =
Z49 x48 =
Zoxbo=
Z4 z z4 =
7./
lo,o
(O, o
5,0
I(o,0
$,0
8.4
4,o
Lis
S-1i.
(o- PATio (S Z =
x I = x.10
)( I = 10,00
X Z = lZ,oo
x4= z0,oo
X j = 13.40
X I ? Jfo,O?o
=
X Z.
l?.oo
x 4 = /07Lo
x l _ 4,00
MOS-70-sk
28.00
z.l,oo
84.00
133.00
DIET j57XpoSa w? EqoK-5
&go 4 041, C_
Z10SS,oo
L84y Qewe, loq,44
W aS I /6S..?o
7o -
booR'S 7.3
I
arp
s
Z6Xgo = lo40
2XS = 10
G?55 hclo = - !o
I ? 048, oo?
SIURVEYOR'S' CERTIFICATE
.?- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT,SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
SIENNA CORPORATION
SCALE::, 1 INCH = 30 FEET
PROPOSED GARAGE FLOOR - 041,3 FEET
PROPOSED LOWEST FLOOR - 8-, FEET
PROPOSED TOP OF BLOCK = FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF A SURVEY OF THE BOUNDARIES, OF:
Lot 3 , Block 5 ,BIRCH PARK, according to the
recorded plat thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR'ENCROACHMENTS; IF ANY. AS SURVEYED BY ME
OR UNDER MY DIRECT SUPERVISION THIS z-Sav DAY OF oQio3Ew 19&5.
SIGNED: JAMES...R. HILL', INC.
BY: 41w4 a
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
APPROVED FOR SIENNA
CORPORATION
BY:
DATED THIS DAY OF
19
REVISED 5-28-86 TO SHOW PROPOSED HOUSE SY
SUNSHINE CONST.
SHEET 1 OF 2 SHEETS
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
84762
(86662)
167 / 68 Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Arsnu• South
FOLDER Bloomington, Mn. 55431 812-884-3029
-SURVEYOR'S CERTIFICATE SIENNA
IAIIA
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--- ._, 025.34„-'1`N 21.1 e4p C Y-
?Ra263.65A1F?lK AVENUE
DENM _--?
REVISED 5-28-86 SHEET 2 OF:2 SHEETS
PROJECT NO., BOOK / PAGE JAMES R. HILL, INC.
84762(8662) X167 68 Planners / Engineers /.Surveyors
/
FILE NO. 8200 Humboldt Arenum South
FOLDER Bloomington, Mn. 55431 012-884-3020
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FOPOSED
1 I m / OUSE 5
GAR.
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Ixl ?g710' 22.O
CORPORATION
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA125620
Date Issued:07/29/2014
Permit Category:ePermit
Site Address: 3944 Denmark Ave
Lot:3 Block: 5 Addition: Birch Park
PID:10-14175-05-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Ashley Orman
130 Plymouth Ave N
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mark A Pixler
3944 Denmark Ave
Eagan MN 55123
(612) 644-5889
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127512
Date Issued:10/03/2014
Permit Category:ePermit
Site Address: 3944 Denmark Ave
Lot:3 Block: 5 Addition: Birch Park
PID:10-14175-05-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Mark A Pixler
3944 Denmark Ave
Eagan MN 55123
Custom Building And Remodeling, Inc. Dba Cbr
10594 Amery Circle
Inver Grove Heights MN 55077
(651) 322-1616
Applicant/Permitee: Signature Issued By: Signature
!"
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