3950 Denmark AveBUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 19%21 7
PHONE: 454-8100
Receipt #
DWG/gar Est. Value $89,000 Date N1AY 21 .19 -dk
Site Address 3 y 50 UEi1.?',ARK AVE Erect D' Occupancy R3
Lot 4 Block 5 Sec/Sub. BIRCH PARK Remodel ? Zoning R1
Parcel No Repair ? Type of Const. Viz
. Addition ? No. Stories
ac Name Sly !{I 1 CONSTRUCTION Move ? Length 60
AU
C
Address 5965 125TH ST W Demolish ?
I
I
? Depth 50
Ft
S
City A.V. Phone 431-2200 nt.
mpr.
Install ? q.
F Name SAW'. Al
i
LO) Q Address Assessr
~ City Phone Water &
F W Name JAI`Ii:S R. HILL Foece _
2
Z5
Address 6200 rIUMBOLDT
AVE SO E
<W
Citv Phone 684- ng.-
3029 of ,.
Council
I hereby acknowledge that I have read this application and state that the Bldg. OI
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC_
Var. Dal
Signature of Permittee -'• ?^---
A Building Permit is issued to: SUNSHINE CONSTRUCTION
all work shall be done in accordance with all applicable State of Minnesota Statutes
Permit -5 400.00
Surcharge 44.50
Plan Review 2 U U . 00
SAC 575.00
Water Conn. 500, 0
Water Meter 63.50
Road Unit 250.00
Tr. PI. 156.00
Parks
Copies
Total . UO
on the express condition that
of Eagan Ordinances.
mIgI Ii I-InIg
Z
0
Site Add T .:? 11:-? L
Lot Block
m Name
Addre
c City(l
Name
c Addre
p City z
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
PERMIT #
MECHANICAL PERMIT RECEIPT # (?D 4
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
PHONE: 454-8100
?K BLDG. TYPE WORK DESCRIPTION
ec/Su
Res. New
b01) 7E2 Mult Add-on
Comm. Repair
ne Other
/ Lf-2 M BTU
M BTU
M BTU
M BTU
CFM
FEE:
S/C:
TOTAL
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)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
' PLUMBING PERMIT
CITY OF EAGAN
38W PILOT KNOB ROAD, EAGAN, MN 55121
Site Add ess ± ?_ -
Lot Block Sec/Sub
m Name
Addre
c City
Name
3 Addre
O City
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)
FOR: CITY OF EAGAN
a S
PERMIT # -7
RECEIPT #
DATE:) '_=;T?
BLDG. TYPE WORK DESCRIPTION
Res. _ New h
Mutt. Add-on
Comm. Repair
Other
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:
STATE S/C:
GRAND TOTAL
CITY OF EAGAN
A.?.i:.:.... Birch Park
Owner
RemarksDivision # 16252 10/85
Lot 4 Rik 5 Parcel 10-1417 5-040-05
street 3950-Denmark Ave State Fagan MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 221 197 162.96 8.15 20 Paid ri r to divisi on
SEWER LATERAL bn 931 198 ,,432.70. 8.85 15
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1018 198 750.48 50.03 15
STORM SEW LAT 1048 198 199.66 13.31 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road SEWER SERVICE PERMIT
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: _ No. of Units:
Owner: . ,-
Address:
site Address: Ien k ,? •,- -- ,- .- , r',
Plumber. ~ > - u ;
1 NM to ae,l?ly with the City of seven Connection Charge:
01 re MGM Account Deposit:
Pem* Fee:
Surcharge:
By Misc. Charges:
Dote of Insp.: Total:
Insp.. Dab Paid:
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVICE PERMIT
P. O. Box 21199 PERMIT NO
:
Eagan, MN 55121
R .
DATE:
Zoning:
/? No. of Units:
??
Owner:
Address:
t
Site Address: ' c r!^s t.. -
Plurnber
Mater No.:
Size:
Si
ze: -
Connection Charge.
Rm&r
No
: Account Deposit.
. Permit Fee:
E I "Wee to amply with the City of gaga, Surcharge:
Misc. Chorgm
B Total:
y
Gate of Insp.: Date Paid:
j
R Inp.:
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVICE PERMIT
P. O. Q-.c 21199 PERMIT NO.:
Eagan, h4N 55?i 1 Zl DATE:
Zoning-
Owner, UIIS l 1e No. of Units:
Address: "?)J Jenm r
No.: L !A T Y39
to am* with the city
Charges: I .,j ti
Total: E
N Dab Paid:
e of Insp.: Inap.,
CITY OF EAGAN
N2
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512
1
1 11997
PHONE: 454-8100 1 "
?
BUILDING PERMIT Receipt If
To be used for SF DWG/gar Est. Value $89,000 Date MAY 21 tg 86
3950 DENMARK AVE I} R3
Site Address Erect C Occupancy
Lot 4 Block 5 Sec/Sub. BIRCH PARK
" Remodel ? Zoning R
Parcel No Repair ? Type of Const. Vin
. Addition ? No. Stories
SUNSHINE CONSTRUCTION
Name Move ? Length 60
i
5985 125TH ST W Demolish ? Depth SO
Bt Address
431-2200
A.V. Ph
Cit Int.lmpr. ?
? Sq. Ft
y
one Install
o Name SAME
Approvals
Fees
€a Address Assessment Permit $ 400.00
City Phone Water & Sew. Surcharge 44.50
Police Plan Review 200.00
GW Name JAMES R. HILL Fire SAC 575.00
u? Address 8200 HUMBOLDT AVE SO Eng Water Conn 500.00
`aW city BLMTN Phone 884-3029 .
Planner .
Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that l have read this application and state that the Bldg. Off. 5/ 21/86 Tr. PI. 156.00
information is correct and agree to comply with all app cable State of
Minnesota Statutes and f agan O d' ances. APC Parks
fYZ,l ?,,,???
Signature of Perm' ee Var. Date Copies
00
Total
NSHINE CONSTRUCT ION
A Building Permit is issued to: on the express co ndition that
all work shall be done in accordance with all applicable of)4innesota St tutes an ity of Eagan Ordinances.
Building Official
void
- ntonihs from
Requ5L Fire No. Rough-in Inspection
Regui
rpd?
Ready Nuw ?14Yi11 Notity Inspec-
Y
, ?
/
t,RtLS No J?tnr When Peady
1?y
Iglicensed Electrical Contractor I hereby request inspection of above
?I
S
-
L
J
Owner electrical work installed at:
Street Atldress, Box or Ro o. Ci
?rnar a
Section No. Township ame or No. Range No. County
O nt IPRINT) Pha No.
P SUPpI'61 Address
1?
teal Contracto party ame)• ?----. Co tree is Lic nse No.
ihn AAtldress ICont ctor or Owner Making Ins lahon)
Authori ure II:Oq reclor/Ow king Install ion)
1 Phone N b¢r
5? X16
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
Ph... 1612) 297.2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-0000 1-09
Sea instructions for completing this form on back of yellow copy.
"X" Below Work Covered by This Request
We4Addj Rep-.-,.Type of Building Appliances Wired Equipment wired I
BU Ik
X Fee Service Entrance Six. n Fee F..d.rs/Subfe.ders s F.. Circuits
/ OU 0 to 200 Amps 0 to 30 Am s 0- 0 to 30 Am s
Above 200 Amps 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100_Am s Above 100_Amps
Transformers Irrigation Booms Partial-'Other Fee
Signs special Inspection
Rertwrks S? TOTAL FEE
Rough-in 'P IF SO_ I, the Electrical
r C QC? Inspector, hereby
I certify thnt the above
Final pydl inspection ha been
made.
This request Vold 18 months from
SEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881-9000
?tso - \" /)e,
ADDRESS- 4');rr CITY
OCCUPANT
SOLD BY ?t'
MAKE /0.4?VI?DK l
SERIAL NO. J-101? 1
-$WD
LIMIT I IFCL
LIMIT SETTING-
FAN SETTING yy
1
PILOT TYPE
IGNITION MODEL
.?w
PILOT TIMING v
(
PRESSURE PERCENT CO,
INPUTCFH PERCENT 02_
/
?
w
?
,(
STACKTEMP. PERCENT CO.
FORM 285 (REV. 11189)
TEST REICORD JOB NO.
OWNER 14, `?9--.
INSTALLEDBY 4r
MODEL
Q7??/?! ?(I
INPUT 00()
VENT SIZE
TYPE OF LINER ?-tw
LINER SIZE
FILTERS: SIZE I NUMBER
WIRING ur n,,h
TEST TAG
LIGHTING INST.
DATE TESTED 10 0
COMPANY TESTING }1?
NAME OF TESTER
FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY
440' City of Eatan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
I For Office Use
I ,
Permil#:
I Permit Fee:
i Date Received:
I
I Stall:
I
i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
e-
Date: ?•? a $ She Address:
Trarw it, ok A `t`" t `,,? t' ` l - a- Suite
?1- g
S-!? b
RESIDENT / OWNER 0
???n u ?? Phone
Name: L
2p??
0'l rngyK-- tW e
Address / City I Zip: J 1?V
,
Applicant is: -Owner ``N??Contractor
TYPE OF WORK Description of work:
Construction Cost: ' Multi-Family Building: (Yes _/ No
Lice"se #:?? 787??i
S
d
^
CONTRACTOR -
2>-r+n .8-r
L75 ?-
Name:
Address:(('e -I 61
I
el/
ZP:??? 4
Stat
S, t?inb'4??
i
fj
k
C
ty:
?
^
l ? ^
ct Person:L-1? let
nt
C
'
o
a
n
Phone: 1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
_
Energy Code • Residential Vem lation Category 1 Worksheet • New Energy Code Worksheet
Submitted
Category Submitted
(4 submission type) • 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?
_Yes _.No if yes, date and address of master plan:
Licensed Plumber- Phone:
Mechanical Contractor- Phone:
Sewer & Water Contractor: Phone:
NOTE_ Plans and supporting documents that you submit are considered to be public Information. Portions of
rovide specitk reasons that would permit the CNy to
bli
N
you p
c
the Information may be classified as non-pu
conclude that they are trade secrets.
wmor?nn,,,;e ..•.w ..•..••---- ---- - --- -
I hereby acknowledge that this irramlatlon is complete and accurate; that the work will oe in
Eagan; that I and tand 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 tje iipproved plan in the case of work which requires a review and approval of plans-
T•d
9069-06-11-096
x
Applicant's Signature Page 1 of 3
uasob ysor d92tb0 80 Ea Jew
9029 EGV ZS6
5632.3 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?p(YY)
651-681-4675 dCA)(f " 6-
New Construction Requirements Remodel/ReDalf Requirements
? 3 registered site surveys showing sq. ff. of lot, sq. ff. of house 2 copies of plan
and all roofed areas (20% maximum lot coverage allowed) t set of energy calculations for heated additions
2 copies of plans (show beam & window sizes; poured fnd. design; etc.) f site survey for exterior additions & decks
t set or energy calculations
> 3 copies of free preservation plan ff lot platted after 7/7/93
DATE: 6 I I OI qq CONSTRUCTION COST: (PC) U3. j4 O
DESCRIPTION OF WORK: 3PA.Y DF? 0na YIP-rcpF
STRE ADDRESS: 1? 4 r? l?noy V- (1?/ A/ .
V?n
7? BLOCK: ?- SUBD./P.I.D. #: ?6A1/U Q4 k?l-
Name:.... : I f AYQY10L- -0(5-n Phone#: kt>l ) 45c0'n1IJ
PROPERTY Last First
OWNER 5950 j?
Street Address:,L-.QnrnCLr k, R-u.
city FQOIC.I.YI State: I -k p. Zip: 55 X23
Company: mICl.11e1. 'Rff1 Phone #: (012. X(-)B - (Wq
(area code)
CONTRACTOR
Street Address: 1 0 1 4 Rd, License #201/4-11%
Exp. ?CS?X?
city B-1 rn
1 e state: Yn . zip: 55:3;5q
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
city State: Zip:
Sewer a water licensed plumber (required for new construction onlv):
Penalty applies when address change and lot change is requested once permit Is issued.
1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE Of
Certificates of Survey Received
Yes No
Tree Preservation Plan Received Yes No
S a 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 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE S - UZ
(-I ? -XS
Remodel7Reoair 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 4F,- ?C
SITE ADDRESS MULTI-FAMILY BLDG _ Y
TYPE OF WORK :?f??? Q a ? ? FIREPLACE(S) _ ?B _ 1 _ 2
APPLICANT
STREET ADDRESS 2489 Rice St S tit . 70 CITY Roseville STATE_ dhLZIP55113
TELEPHONE # Fb51-734-6433 CELL PHONE #
FAX # 651-483-021.9
PROPERTY OWNER \
-----------------------------------------------------------------------------------------------
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:
r? F f? q q q is
AUG 16 2002
Fee:
Phone #
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin des-
Signature of Appl" .
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
Air Conditioning
Heat Recovery System
_ Phone #
Lawn Sprinkler
No. of R.I. , a
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
\6".S/ v
2/84
CITY OF EAGAN
APPLICATION FOR PER2MIT
r SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) a n cc?^, ?i^? SS: ? ?l
c7
bGA[ ('mil't, '-Aa k
T ^.w Cccv TP'PIC`I. a
' .?pp
T 13 'J 6 1-4 PA 9.,
(Let/Block/Str.divisicn or Ta-: Parcei I.D. Nt..-er)
-. .J u DH1J OF CRIG=%L `u I-+:: O :C
,G
^pCr^CSE7 U,--: R-1 Si :GL- FP-MI °_
? R-2 DUP =. (7vn L^II sl
? R-3 TC[•.1'!:CU5E (=-'= + U: a.s) ( UN-_7 -T)
? R-4 APPu: T:7. /CC_MC:'M1 '•1 ( S)
? CCiLIE°CL L/RETAII?Cr^FT_CE
? 2,C'1STRL--L
2) (PLEASE PRIM)
)
?=' F? JUnIS.N i?f ? Cb?SI .
FrDRESS: ?SS? /2? Y" cSr 6A3 -
CI.'_', s y, ZIP: PPc? [f acsrl? A? . 6-5124
PHCZ: 431- z2.6)0
3)
ti IPL-' E PRIM) FOR CITY "SE ONLY
NP.
LF:
ALMESS: PLU.9RERS Li CENSE:
av
st
e
CITY,.STA.E, zip: } nj 11 C4,4; - Q Expired
PHONE: IN PLU ai N:r.RER LICENSE N
33 fi?/yN C Hot Of Record
Mir- 11.117
4)^^?_rn/Cr (PLLASL PRIM
ADDRESS:
CI"l, STAiE, ZIP:
PHaTE:
5) r-:DILATE- "sHICH PER,1IT IS BEING RBOUESTED:
® CC:VECPION TO CITY SETTER
Cc'- C'ION TO CITY T'IATER
O-MER (PLEASE DESCRIBE)
Pr t ,22 H OM APPRaM PMm.IT FOR PICT-U`P SY ONE CP =-z
arm:SE ?MAIL APPROVED PE'_?LIT TO 1, (?) 3, 4 ABOM'E
(Circle one)
7) SIC LSE: / DATE: 2d ?j?j
FOR CITY USE ONLY
PERMIT # ISSUED
7111/ 50 3A4
Pd w/Bldg. Permit FEES:
$ ?G S $ 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
$ 5Z>O O C? $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$'C T} $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ / ys S $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A " PERMIT FOR WORK WITHIN PUBLIC
NO
Q ROADWAY" MUST BE
DIVISION
LIST ISSUED BY THE ENGINEERING
AS A CONDI
ION
. T
.
SUBJECT TO THE FOLLOWING CONDITIONS:
i
APPROVED BY:
TITLE: p
3/0 (?
DATE: 72-
1986 BUILDING PERMIT APPLIC ON - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CrNMF.RrTA1
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: 5/A.fts-c.c FRM• Valuation: e4jg000 Date:
Site Address 334'0 004mAEKL
Lot 4 Block r5
Parcel/Sub l611ac- H Aqp.r--
Owner JuN SJE/nl? ?anr ?%
Address Z ` a S /,Zs -t14- STliJ,
City/Zip Code APPLe-e t LLcc
Phone 43/ 2260
Contractor s5 A M, i4 S A Q O UE
Address
City/Zip Code
Phone
Arch./Engr. ?g1Lq 6S 14, LL.
c?
Address 02Lb (-Zumb6c.o7-4LcS.
Erect Occupancy 12
3
Remodel Zoning
V
Repair Type of Const
Z7
Addition # of Stories
Move Length
Demolish Depth
Int.Impr. Sq Ft
Install
APPROVALS FEES
Assessments Permit y?
Water/Sewer Surcharge
Police Plan Review 2CO
Fire
SAC _
57 S-
Engr Water Conn 4)0
Planner Water Meter
Council S.?f Road Unit 2
Bldg Off Treatment P1
APC Parks
Variance Copies
TOTAL Q e
City/Zip Code 16606/7/nlC 6w
Phone # 884 '3025
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
one or Two Family
All Other
:ontractor ?JNarHIAl? 60AAA -r
as- 13q
Date 6---2, 1 Phone ¢,RZZ06
LIi.EAL FEET OF
EC'OSED 71ALL Ae U-)"o, ol/?GF ft. Above grade = 049.00
TOTAL EXPOSED WALL AREA SQ. FT.
0 AQUE ';!',LL COrZSTRUCTIO11: rrUrr Value x Area
Detail rmme, rrUrr .69-3 x SQ.
reference C0n9C?., rrUrr + 140 x SQ.
from rrUrr •04-0 x SQ.
rrUrr x SQ.
attached rrUr' x SQ.
sheets rrur' x SQ.
711FDOWS: 'lull Value x Area
?iFse & Type 1"AVL, &""-T rrUrr • SZ x SQ.
n it rrUrr x SQ.
n it null x SQ,
n n null x SQ.
DOORS: 'lull Value x Area
& Type `?7L hy,60L, 'lull • /4 x SQ.
it rr Fi4°rrrn rrU" .47 x SQ.
rr null x sq.
it n nun x SQ.
TOTALS 20".00 SQ.
AVERAGE 'fU°
TOTAL (U)(A) VALUES f99.7(v
DIVIDED BY TOTAL 'ALL AREA 20+7 X097
AViRAGr; rrUrr .115 or less for 1&2 family dwellings
ROOF/CEILING:
TOTAL AREA: 1250
FT. 1549.7o. (o(a.&3(U)(A)
FT. 1°33.54= !5.1 4 (U) (A)
FT. 134.9= 5.3 7(U)(A)
FT. - (U) (A)
FT. - (U) (A)
FT. - (U) (A)
FT, (06.30= 5.95(U)(A)
FT. - (U) (A)
FT. -=-(U) (A)
FT. - (U) (A)
FT, 9.00 = 6,9 (U) (A)
FT. ,00 =/ 7, '74 (U) A)
FT. - (U) (A)
FT. - (U) (A)
YT. !99.7(v (U) (A)
Detail reference rrUrr •v?3 x SQ. FT. /,790 ` = 9• 14 (U)(A),
from rrUrr x SQ, FT. . (U)(A)
attached sheets. rrUrr x .SQ. FT. (U)(A)
Describe openings rrUrr x SQ. FT. _ (U)(A),
'_n roof. 'run x SQ. FT. - (U)(A)'
.OTAL' (U)'('A) VALUES DIVIDED BY F9•T? = Trht51- - ?4?f ?V?A?
:,D :AL ROO?/CEI1,Ii;G :,1 EA f1Q?0 •Oz
AVIMAGE "U .025 or ventilated roofs,
CITY OF BUILDING DEPARTMENT/
EXTERIOR ENVELOPE AVERAGE rrUrr COMPUTATION
(To be submitted with building permit application)
Dwelling Owner At 141iV -wS
Site Address 3`'I U D ???YIQR lC
0
It A)c gK o"5der--T ,,
14.5o X (z16+ /0-+ 38+• ZS) = 1,479.00
9.501(( lki- V4. 64,20) = 57a-ch?
2,049.00
?oNC,
.107 X 102 60? _- Jo S-S?
,?r Tors-r
?»mwS
I(ox 3(? = 4.o x 2 = 8.00
6.7 X f = 6.70
Zo x 3(n = S•o x 7 = 35.00
X3(o= (o•o ?($i 30.00
33.0
14 x 48 = S. o X ? = 49;
24 X ?4 = `1.o X = `t.oo
/ws• 30
kilo A? ': = 4Z,00
'7/ oo
A)67 Wiit-L pp
(09o515, ?RcL Z?09 9•. DO ,?6x-Z& = • 93 fv
4E55 Bowe, log.5?
" Zxlb = 3Z
R/rrI 1?9•
o &X?=
14o X /Z = lzo
17 Z-
P Door. `Jl • ov l? X49.'0
`
1)260
--WALL SECTIOB--
Determining °Ue values at Roofj Wall. Rimj and Conc. Block'
ROOF/CEILING
1.) Interior Air'r'ilm
2.) 51811 Gyp. Bd.
3.) Insulation
4.)
5.) Exterior Air Film
(STILL)
(R) VALUE
0.61
.56
.10. 0
.61
uUn - 1/R= .023 tOTAL (R)= 4-70
WALL
6.) Interior Air Film
7.) P Gyp. Bd.
8.) Insulation
9.) ?- /Sall Rol(_T-P(T7 '
10.) Masonite Siding
11.) Exterior Air Film
R VALUE
0.68
.45
.67
.17
"U" = 1/R= .0443 TOTAL (R)=23.01
RIM
12.) Interior Air Film
130 Insulation
14.) 211 Fir Rim Joist
15-)
z5/: n ?vrc SITE
16.) M&sonite S?ding
17.) Exterior Air Film
(R) VALUE
0.68
19,00
1.88
, o¢
Z
.6
.17
IIUn = 1/R= 1040 TOTAL (R)=;4.gj
I
FOUNDATION
189) Interior Air Film
19.)
20.)
21.) 12" Concrete Block
220 f*11> 1k?5V L .
23.) Exterior Air Film
(R) VALUE
0.68
1.28
5,a0
.17
npn = i/R= r /40 TOTAL (R)= 71.3
r
0
2005 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
6? _?p hJ
Date ) / b / (/ J
Site Address Unit #
Property Owner Telephone # ( )
Contractor SEDGWICK HEATING & AIR CON071TING LL di
8910 Went•:vorth Avg
Street Address Minneapolis Y?^1 _,,b420 City
(952) 881-9000
State -
-- - ----- ----Zip }
(µ,
Telephone # r
I i iI
Bond #: Expires:
The Applicant is Owner i/ Contractor Other j
Add-on or alteration to existing dwelling unit ,?'?
!rC
? 11
?a????'ollsClJ?T1S $ 30.00
furnace ac
-Additional
air exchanger
air conditio
r
p?j,/
N
? R
l
- rU?J
L
ne _
acemen
ew
ep
other
State Surcharge $ .50
Total $?
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.
SEDGWICK HEATING & AIR CONDITIONING LLC'
Si nature 1,U1 nh
Applicant's Print("`W 1p1 Applicant's
innea lis, MN 55420 g
(952) 881-9000 ' t "?
SURVEYOR'S: CERTIFICATE
DENOTES PROPOSED SURFACE.DRAINAGE
O DENOTES IRON HONUMENT.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 - S S 3.3. FEET
PROPOSED LOWEST FLOOR - 8+ b.2 FEET
PROPOSED TOP OF BLOCK = S,52?,-7 FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF A SURVEY OF THE BOUNDARIES OF:
Lot 4, Block 5, BIRCH PARK, accordin, 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 zbRv DAY OF OQTo6EV? 1985.
REVISED 5113186TOSHOWPROPXED
HOUSE FOR SUNSHINE CONSTRUCTION SIGNED: JAME& R HILL, INC.
BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
APPROVED FOR SIENNA
CORPORATION
BY:
DATED THIS DAY OF
19_.
JZEV 5-21-5?
PROJECT NO.
84762
FILE NO.
FOLDER
BOOK / PAGE
SHEET 1 OF 2 SHEETS
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenue South
Bloomington, Mn. 55431 812-884-3029
$URVEYOR'S CERTIFICATE SIENNA CORPORATION
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TZE.U S' 21 - 8 6 SHEET 2 OF 2 SHEETS
PROJECT NO., BOOK PAGE JAMES R. MILL, INC.
b41-)
t762 Planners / Engineers / Surveyors
FILE NO.
8200 Humboldt Menu* South
FOLDER Bloomington, Mm 55431 812-884-3029
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122840
Date Issued:05/21/2014
Permit Category:ePermit
Site Address: 3950 Denmark Ave
Lot:4 Block: 5 Addition: Birch Park
PID:10-14175-05-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jim Mcevoy
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 -
Rita M Gahr
3950 Denmark Ave
Eagan MN 55123
Norwest Contractors
8469 Zanzibar Ln N
Maple Grove MN 55311
(612) 859-8517
Applicant/Permitee: Signature Issued By: Signature