3953 Denmark Avey _. y
BUILCAG PERMIT
Repair Type of Const
Addition ? No. Stories
Move ? Length < <? '
Demolish ? Depth 29
Int. Impr. ? Sq. Ft
Install ?
To be used for SF DWG/GA.R Est. Value $110,000 Date "-'AY 2 ,19 X16
Site Address 3953 DENMARK AV L Erect C& Occupancy
Lot 6 Block 6 Sac/Sub. BIRCH PART. Remodel ?? Zoning
No.
W Name SUNSHINE CONSTRUCTION
o Address 5985 125561 S:lEST W
City A. V . Phone 431-2200
= o Name SAr lE
Address
~¢ JAMES R HILL INC
Name
F W
06 Address 8400 HUMBOLDT AVE SO
<W City BLMTN Phone 884-3029
information
Minnesota
Signature of
SUNSHINE
A Building Permit is issued to:
all work shall be done in accc
Building Official
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
State
Assessment Permit 5 458.0.
Water R Sew. Surcharge 55.0:"
Police Plan Review 2 2 9 .0 a ,
Fire SAC 575.00
Eng. Water Conn. 500. (1
Planner Water Meter 63.5U
Council Road Unit 2y 0.00
Bldg. Off. 512/86 Tr. PI. 156.00
APC Parks
Var. Date Copies
Total $2.326.50
N° 11876
Receipt# !-r ) j t'- %
on the express condition that
Statutes and City of Eagan Ordinances.
Permit No. I Pal II Holder I Data Talaphona k
Plop.
Hill.
Final
Occ.
Frmp.
Diap.
Pn?
r
BUIL¢ING PERMIT
To be used for r ' - T
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Est. Value $1,500
Receipt #
Site Address ' PC! ;` -" • All'
Lot Block h Sec/Sub. 211101 Y ARK
Parcel No.
W Name
3Z Address . ,, ? =,A:? r, . 2,
° City t.. IkPhone i2•-339:1
o Name SA, -E
OV
?< Address
City Phone
Name _
Address
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
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
SW Permit
S'W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
36. co
1.C"
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC }
Inspection Date Insp. Comments
Footings I
Foundation
Framing (r-
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT # _2 Oy ?7
MECHANICAL PERMIT RECEIPT # 3
CITY OF EAGAN ?
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE f / ZCONTRACT PRICE: PHONE: 454-8100
Site Addr -? 3 /? it R/c LpG. TYPE WORK DESCRIPTION
Lot Block Sec/Su
Name f N 'S N TG Res. ? New J--
m Mull Add-on
Address CR 76A Comm. Repair
c Ciry?' O ?? PdA 1R? t Phone 3 5/-09 5
Other
Name N F (- OAJ > / . FEES
W Address RES. HVAC 0-100 M BTU -$24.00
p CityllO / t-E ?f 6 t q phone 3 /-=1 =1192 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
F
;? 0,9 GAS OUTLETS - 1.50 EA.
orced Air M BTU - COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlets #
50
Other
FEE: So x ?? L 1 ?, .?
S/C: i SU SIGNATURE OF PERMITTEE
TOTAL W6,00
FOR: CITY OF EAGAN
PERMIT # -705
PLUMBING PERMIT RECEIPT # (l?o?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:,
CONTRACT PRICE PHONE 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot_ Block Sec/Sub
Res. New r
y Name Mult Add-on
AddrQSS Comm. Repair
S City' Phone Other
NO. FIXTURES TOTAL
Name ' Water Closet - $3.00 $
3 Address Bath Tubs - $3.00
O City LL Phone L j Lavatory - $3.00
,Shower - $3.00
FEES Kitchen Sink - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00
MINIMUM - RESIDENTIAL FEE -$10.00 Laundry Tray - 0
MINIMUM - COMM/IND FEE - 20.00 Floor Drains - $11.5.50 y
STATE SURCHARGE PER PERMIT - .50 :±_-Water Heater - $1.50
(ADD $.50 S/C IF PERMIT PRICE GOES Whirlpool - $3.00
J Gas Piping Outlets - $1.50 x
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERWtlTTEE FEE
j
STATE S/C:
?? '
FOR: CITY OF EAGAN GRAND TOTAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
I; I ! N APPLICANT:
TYPE OF WORK:
I+u 1 I II 1 Nr,
06/09/'14
W04 I I I
M( W
(10- R. 1Nc 11111111)
1 !!u C 1 CJs.': ,?
? f 1 Idrti
I I?f MAItF. A '.I PAPA i I 1A I'm I 1 I 1:1 1111 I I:i II lift.. Arj ; 1 1 1 1 1 I. 1 I AI 1111up
Permit No. Permit Holder Date Telephone N
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I 9
`
roev-
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector- Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final FUN 92
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OFEAGAN Remarks Division #16252
Addition Birch Park Lot 6 Blk 6 Parcel 10-14179-060-06
Owner Street 3953 Denmark Ave state Eagan 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 pri r to divis ion
SEWER LATERAL bn 931 198 132.70 8.85 15
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1018 198f 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 Rood SEWER SERVICE PERMIT
P. O. Box 21199 PERMIT NO.:
Eagan. MN 55121 DATE:
Zoning: No. of Units: '
.3t..
t. .
Owner, .' -,
Address: -
Site Address: 053 iv: vl
' `; ` r ^ z t-
: 1'
Plumber: `ar
T'
1 agree to 0-1 mph wh b as Ciy of Baps Connection Charpr.
ordiwawees. Account Deposit:
Permit Fee:
Surcharge:
BY Misc. Charges:
Date of Insp.: Total:
Insp.: Doh Paid:
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVICE PERMIT
P. O. Brx :1199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner: Sunshine
Site Address: ^ ? Denmark ' ?. r.
Plumber. t.:ir slur' ?„
Meter No.: Connection Charge: ;i -
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to amply w0h the CUT of seven Surcharge: Dr-
ormonew Misc. Charges:
Total:
BY
Dote of Insp.:
Dote Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilr..t Knob Road,
WIN 5599 PERMIT NO.-
P. 0. f3oi?
Eagan,
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.; 33'7VJjL
ion Charge:
Size: 41- 4-c k
to Go=* vMh 04WWW&LO,
R OUIRED T&Y. LAW
i Date Paid:
F Insp.: ! Insp.:
3830 Pilot Knob R dI P.O. Box 21-199, Eagan, MN 55121 N -0 11876
BUILDING PERMIT PHONE: 454-8100 Receipt # -&A))3
To be used for SF DWG/GAR Est. Value $110,000 Data HAY 2 tg 86
Site Address 3953 DENMARK AVE Erect 13 Occupancy R3
Lot 6 Block 6 Sec/Sub. BIRCH PARK Remodel ? Zoning R1
Parcel No.
W Name SUNSHINE CONSTRUCTION
3 Address 5985 125TH STREET W
o City A.V. Phone 431-2200
o Name SAME
z
8 a Address
City Phone
W Name JAMES R HILL INC
Address 8400 HUMBOLDT AVE SO
a W City BLMTN Phone 884-3029
I hereby acknowledge that I
information is correct and
Minnesota Statutes and Ci
Signature of Permittee1
ABuilding Permit isissuedW SUNSHINE
all work shall be done in accordance with all aq?4is;
Building Official f
Repair ? Type of Const. Vyt
Addition ? No. Stories
Move ? Length SD
Demolish ? Depth 29
Int. Impr. ? Sq. Ft.
Install ?
Assessment
Water & Sew.
Police
Fire
Planner
Council
and statethatthe gldg•Off. 5/2/86
Permit $ 458.00
Surcharge 55.00
Plan Review. 229.00
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. Pl. 156.00
Parks
Cop
,,.!"--$-2
,32 .50
Date
on the express condition that
and City of Eagan Ordinances.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for BASEMENT
Est. Value $1,500
N4 16423
Receipt # 0 I S 'qr)
Data. MAY 8 , ig 89
Site Address 3953 DENMARK AVE
Lot 6 Block 6 Sec/Sub. BIRCH PARK
Parcel No.
w Name DAN MOTT
o Address 3953 DENMARK AVE
City EAGAN Phone 452-3393
o Name SAME I
u< Address
City Phone
Name -
Address
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 gan Ordinances.
Signature of Permitee ?.
A Building Permit is issued to: DAN MOTT
on the express condition that all work shall be done in accordance with all
applicable State of Miiinn?e?sota Statutes andWCity ,)of Eagan Ordinances.
,
Building Official - USA " I r A
OFFICE USE ONLY
Occupancy FEES
Zoning
(Actual) Const Bldg. Permit 36.00
(Allowable) Surcharge 1.00
# of Stories
Length Plan Review
Depth SAC, City
S.F. Total SAC, MCWCC
S.F. Footprints -
On Site Sewage Water Conn
On Site Well Water Meter
MWCC System
Acct Deposit
City Water
PRV Required SW Permit
Booster Pump SW Surcharge
Treatment PI
APPROVALS Road Unit
Planner Park Dad.
Council 50
Bldg. Off. Copies .
Variance TOTAL 37.50
This request void
18.Rpnths :fbm
Request Uai{e
/ J Fire No. Roughud Inspection
Re dy
?Reatly Now N
c-
S
/?
O?Qes ?No r Read,
[or When n Ready
Df,Licen'sed Electrical IContractor 1 hereby request inspection of above
? Owner electrical work installed at:
Street Add s, Box or Ro No. Ci
/? /] Il
Section NO. Township Name or No. Range No. County
Oc nt (PRINT) Phone n.
P upplier Address
EI to alasl Contractor ICom y,N
pol ^7`/,/ n
t? Contractor's License No.
,?
.
J
Mailing Address IContrac to or Owner Making Installatio
7 n
S3-7
Authoriz ign ?ontractor Owner aking Installation) Phone
Ol
/
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grigg.-Midway Bldg. Room BE ACCEPTED BY THE STATE FEARS
1821 University Ave.. St. Paul. MN N 55104 UNLESS PROPER INSPECTION FEE IS
Ph... (6121 29]-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ER-00001.04
..
See instructions for completing this form on back of Yellow copy.
"X" Below Work Covered by This Request
If Fee Service Entrance Size a Fee Feedam/Subleeders B Fee Circuits
UQ - 0 to 200 AMPS 0 to 30 AMPS .3 0 to 30 Arms
Above 200 Amps 31 to 100 Amps 31 to 100 A Mp,
Swimming Pool Above 100_Am s Above 100_Amps
Transtormers Irrigation Booms Partial,Other Fee
Signs I I Special Inspection
$
-'t?7- TOTAL FEE
Remarks
r
Pouf h-in Onto I, the Electrical
3
spactor, herb,
eertily that the above
Final D' a r/- inspection has been
r,? r made.
This refusal void 18 months from
REQUEST FOR ELECTRICAL INSPECTION EB-00001-07
? See instructions for completing this form on back of yellow copy.
X" Below Work Covered by This Request
e Add Rep. Type of Building Appliances Wired EquipmentWired
Home Range Temporary Service
Duplex Wat Electric Heating
Apt. Building Dry Other (Specify)
Comm./Industrial g
Furn
Farm Air
Other (wecify) Cont actorb Remarks:
t? I
Compute Inspection Fee Be law:
# Other Fee # Service Entrance size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above200_Amps Above 100 Amps
Signs Inspectork Use Only: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication
Other Fee t
I, the Electrical Inspector, hereby
if Rough-in - /
cert
y that the above inspection has
been made. Final
2( ate
OFFICE USE ONLY v
This request void 18 months fro.
Request Del
O o Fire No. Rough-In Inspection
Required?
10 Yes ? No
? Ready Now l1wiliVi'-5Ntify Irwpedor
When Ready?
I ? licensed contractor k wner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.)
3953 Dowmer4- City
E4 rr
Section No. Name or No.
Township Range No. county
?pL
Occupant(PRIN-r)
h 101 /11 Phone No.
y,?L -33 C3
Power Supplier Adtlress
Electrical ContraMr (Company Name) Contractorh License No.
Mailing Address (Conned., or Owner Making Installation)
Authori no (C.nhacbr/AMrlp In n) 1 PhOnSZr-3353
y
MIIINESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1621 Unlverairy Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
62 o1?> L?
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 saes; poured found design, etc.)
• 1 set of Energy calculations
• 3 copies of Tree Preservation Plan I lot platted after 7/1193
• Rim Joist Detail options selection sheet (bldgs with 3 or less units)
DATE
SITE ADDRESS
TYPE OF WOR
APPLICANT
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 f a?
651-681-4675
w
v
RemodellReoair Requirements
• 2 copies of plan
• i set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate If home served by septic system for additions
VALUATION
CbO. °?
MULTI-FAMILY BLDG _Y _N
- FIREPLACE(S) _ 0 6_ 2
STREETADDRESS ?Sy] /&1-r*f?, 'W' CITY STATE/?wZIP SS3/?
TELEPHONE # CELL PHONE # /z 2 Z/- ?6og FAX # PROPERTYOWNER?u???ds??? TELEPHONE#
?Si- ySz l?Z
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Fee: $90.00
PhonRR e#
? I lry IC II l?e?
MAY 2 1 2002
------------------------------------------------------°--°--°------------°------- (Y ' -- -
I hereby acknowledge that I have read this application, state that the information is correct, nd agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin
Signature of Applicant
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
Phone #
Lawn Sprinkler
No, of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
PERMIT uz-?773i3 (, - R -,<I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date Issued:
3953 DENMARK AVE
LOT: 6 BLOCK: 6
BIRCH PARK
P.I.N.: 10-14175-060-06
DESCRIPTION:
REMARKS:
RV (ZO
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
BUILDING
023831
06/09/94
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Subtotal
$99.00
$4.00
$103.00
$8,000
COPY
Total Fee
$103.50
CONTRACTOR: OWNER: - Applicant -
MOTT DANIEL
3953 DENMARK AVE
EAGAN MN 55123
(612)452-3393
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 Mn.
Statutes and City of Eagan Ordinances.
eTIPETEE SIGNATURE ISSUED BY: SIGNATURE
(DECK INCLUDED)
uilding',Permit Type SF PORCH
uilding Work Type NEW
i 131
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
p Al" d _ -
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
talcs. pp
F
?
COMMERCIAL 2 sets of architectural & structu 1 ?
l
seet of
specifications, 1 copy of energy c lcs.
Penalty applies: 1) when permit is typed, but not picked up b y of month
in which request is made, 2) address is changed or 3) lot ch a is requested once permit
is issued.
Date Valuation of work_75200
Site Address: 3113 ,'"M44 AIAE.
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUSD.
Blrcti t?ar.? P.I.D. # 10-JgI75'-060-6
Description of work: Sereeq y%,r
The applicant is: Owner ? Contractor ? Other (Describe)
Name Inolf' .04soe/ F Tg,.rc?ru Phone ys.Z-3393
Property LAST FIRST
Owner Address 31153 Q°rlalarK Ac
STREET STE #
City Eggah State 0*41' Zip 31 /23
Company Phone
Contractor Address License # 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 •y >'{
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
n 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
L CL aM Dec /?
WORK TYPE
9r31 New ? 33 Alterations ? 35 Tenant Finis h ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st Fl. sq. ft. City Water
UBC Occupancy 2nd Fl. sq. ft. PRV Required
Zoning Sq. Ft. tota l Booster Pum p
# of Storie''s Footprint Sq. ft. Fire Sprink ler
Length On-site well Census Code
Depth On-site sewa ge SAC Code o/
Census Bldg
APPROVALS Census Unit -?
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
)0 Final
EY Framing
? Draintile
? 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:
?O
n
va Watian: $ Gr`Ln?O
SAC %
SAC Units
\g,".-? /oJ
?C
V 2/84
M CITY OF EAGAN
(,
2
E APPLICATION FOR PERMIT
- SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) Ppc-P ! ADDREss: 3953 T»mA-21,-- Au`.
L w D??L??TICN: Z- (o de( Bl,ec"4 PA!?!C
(Ict/Block/SL:.divisicn oT Ta:c Parcei Z.D. N=.-,er)
STPMZ, DA%: OF C.2?GLIAL rArl?_DL`.G
PF=S?- : y^?OFOS 7 CS: ,a R-1 Sz.= : P_•ffL'!
? R-2 DLT i (T:•0 U ZITS)
? r.-•) UN:=Si
? CCinIE::C_:L/RETAII?C17 icz-
? mmus-I.as s,
? L"STI'.^.,':'ICNAi,/G.ivr.: stir=-"n
2) e•-?:.: __ (PLEASE PRINT)
ACDRESS: 57 r& ; /-25" ST LJ.
ZIP: y.4 /F1 MA( 5612el
PFC- : 43i-2Z6C,
7
3) FLT:W°.3
NP
L lPL ''E PRINT) FOR CITY 'SE ONLY
.
.
?
`
PLD3ES5: `D ?
?
D
! PLpuocRS LICENSE:
C Activ
e
CIT_', ST. TE, ZIP: - Q
4 C Expired
PEONE
.
3 r,
' N" ` Lf
PLU98ER LICENSE N C Not of Record
40 NA2dE: - .5-622V
ADDRESS-
CI' !, STATE, ZIP:
PHONE:
5) I,,DIC.Tr ? }3IC I PER 4IT IS BEING RE?UESTM:
® CC:=ION TO CITY SETrER
J 1 CC:'-E=ION TO CITY UATER
? 97M (PLEr1SE DESCPSBE)
Q; L.u-V' ' W'-.:
-
P?r`,SE
))OLD APPROVED
P
p ERMIT FCR PICK-UP BY CNE OF ABC E
? PT :=Sc" :AIL APPR,= PEF_•LIT TO 1,03, 4 ABC-E
(Circle one)
7) SIC , L : _ c ????1 DATE:
4,44'r
_x zttg
s s/?
P/C-
(FD S f9- c?
5 7S, "
1989 BUILDING PERMIT APPLICATION
CITY OF EAGAN
1Wzs
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCS.
MULTIPLE DWELLINGS
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG DIV.)
1 SET OF ENERGY CALCS.
Date:
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 1 OF UNITS
NOTEi ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED..
SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING
PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS
BEEN COMPLETED INDICATING A LICENSED PLUMBER.
To Be Used For:
Valuation:
Site Address 3953 Oe*yoyo.y?Ae
Lot Block ( _ nn 1
Parcel/Sub y VJ)hR
Owner 457a n me-#
Address .35;r5 aw'We'.'/ A<-
City/Zip Code 4a,}ai., ?f Z-?
Phone yrz -331F3
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code _
Phone R
Occupancy
Zoning
Actual Const
Allowable
9 of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System
City water
PRV required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
COMMERCIAL
2 SETS OF ARCHITECTURAL
6 STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS.
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acet. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL f?i Q_
11%7`
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFITATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Mr-W J?:ESiD, Valuation: J/ Z Date: -j-21-80-,
Site Address: 39,53 oz5,UMAP.C Qua OFFICE USE ONLY
Lot: Block Sect/Sub 15e4 ?ap-V-Erect
Remodel
Parcel 4 Repair
Enlarge
Owner Sui.CS,+-!iAIz?- CoAj5T, Move
Demolish
Address S`j?,? /ZS y' Sl,, LcJ, Grade
City/Zip Code AMLt5 ?4.LLEy M1)• ----
Phone 431- 2200 APPROVALS
Contractor SAME AS AQOOc
Address
City/Zip Code
Phone
Arch./Engr. ?SA17-7,55 R, PILL WC-,
Address g4? {burn @o?0i ASE S
City/Zip Code ,[31-00;1,AZ(,6U SS43/
Phone n 884 302
2s Occupancy
_ Zoning
_ Type of Const
# of Stories
Length
Depth
Sq Ft
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr- Water Conn
Planner Water Meter
Council Road Unit
Bldg Off .9 arks
APC Treatment Pl
Variance
TOTAL
)0.3
-r
T?T
156
/rte
a3 a?-so
/62
zX ? ? /y
z x. /? = Z,a
x /z - 55U
Ski
x vv= 55v
One or Two Family
All Other
CITY OF BUILDING DEPARTMENT
EXTERIOR ENVELOPE AVERAGE "U" C014PUTATION
(To be submitted with building Permit application)
Dwelling Owner M 0-F' 1
Contractor 50A-1ZWjh D/- (sOnJS7"
Site Address 3'75-3 C
AE?AAMA2
Date Phone
LINEAL FEET OF /
EXPOSED WALL SSE "? c STS) ft. above
grade = Z790•00
rft
TOTAL EXPOSED WALL AREA SQ. FT.
OPAQUE WALL CONSTRUCTION: "U" Value x Area
Detail flu 11 •04-3 x SQ.
reference nun /40 x SQ.
from - i2,v?: nuu .04.o x SQ.
attached
sheets nun x SQ•
nUu X S@.
x SQ.
WINDOWS: "U" Value x Area
Make &
It Type
It
--•4(a x
JA75?. G?JaA?T rrUr'
S
rr
nun
X Q.
S
Q,
n 'l nUu
x
SQ.
uU n
X SQ.
DOORS: 'lull Value x Area
Ida?ce & T
YPe
rr G ?¢
"e W , "U" x
-
`
S
It
n
P.4Ti
t?
upn . g ry
x Q.
SQ.
n
'r _
'lUn
x
3Q.
nun
- x
SQ.
TOTALS 7-790,oo sq.
TOTAL (U)(A AVERAGE "U"
VALUES zSS. ??- _
DIVIDED BY TOTAL WALL AREA 2790.00
AVERAGE "U" .11 or less for 1&2 family dwellings
ROOF/CEILING:
TOTAL AREA: II 4,00
FT.Z055./b&.- 14911-00) (A)
FT._11I.?/)???+_,+?.f?,e/._- -7-IZ (U)(A)
FT.?p- (U) (A)
FT. _ (U)(A)
FT. _ (U)(A)
(U)(A)
FT.
FT. _ (U) (A)
FT.
FT. _ (U)(A)
FT. ,00 =._t:0 (U) (A)
FT.-aAa= (U) (A)
1-1:.
FT. -(U)(A)
_ (U)(A)
FT.2a'1 (U) (A)
Detail reference
from rru„ I -
n
n
Q
I9
(U)(A
attached sheets. u x S
.
Q =--?L=-
)
FT,
(A)
(U)
Describe openings
- ,U„ x SQ. FT. ?
_
(U)(A)
in roof.
-
"" ?
nUu x SQ. FT.
= (U) (A)
_ '--- x SQ FT
TOTAL (U)(A) VALUES DIVIDED BY Z7. v 7oret45 11_ 94 NfT Z7,¢(o )yA
TOTAL ROOF/CEILIN Z = Cu
0?3
AVERAGE R'U' G AREA 1171 ?
C .02$ or ventilated roofs.
11 Worms SeT N
&gc* eXPos?b cvq??
7.5 x?4Sr48+-Z8t28? = 1444,00
9.0 -A /Z40,00
To x (7+7) = Moo
z 790.
Co,Je.,
•(o7y, (98+48 tz8tz8? = fol,s4
7. o 7+-7) _ 70,00
199, gq-?
?ir^1 ToIST
-off x( W(v+-5(n? 5!°tSZ)
W NPOWS
)(0x3fo =-
o
x Z =
S,o
Z,9
x3( b = 5?o X ] = Sao
Zo x 48 = G 17 X 3 = zoly
7,4)(48 = 80
X !v =
9B,oo
Zo X &0 = 9,4 ri 9 = 75, co
z4 x360 = /,? o x 9- = Z41o0
1$0.704
3e sTC.• w/2 S,c,., = 35,00
Z? STL, see, = L],Op
PATlo e 2. = 84,00
140, oo
?e T o5lLcIt6o w4LL ?R?,4c S
tim't z 79o, o 0
Cass Code-, 199,84
??
h Kim
WflWS Z2S,$o
?V?,7? y )
r l ??,74`
u ms's 140,00
Zo53.1?1?
Roo
/Z -xZ$
IoXIS _
Zgxno
Mjo
150
77, $
119-, oo
--WALL SECTION--
Determining "Un values at Roofs Walls Rimt and Conc. Block
ROOF/CEILING
1.) Interior Air Film
2.) 5/81, Gyp. Bd.
3.) Insulation
4.)
5.) Exterior Air Film
(STILL)
allu = 1/R=
(R) VALUE
o.61
.56
*-vo
.61
TOTAL (R)=4?-78
WALL
6.) Interior Air Film
7.) }„ Gyp. Bd.
8.) Insulation
9.) 901(,T-91,rc-
10.) Masonite Siding
11.) Exterior Air Film
R VALUE
o.68
.45
19,vo
4
.67
.17
nUn = 1/R= .d43 TOTAL (R)=Z3.0I
RIM
12.) Interior Air Film
130 Insulation
14-) ?-u Fir Rim Joist
15-) Pult''r-P1TE'
16.) aconite Siding
170 Exterior Air Film
(R) VALUE
o.68
lq,oo
1.88
Z- 64-
.17
"Un a 1/R= ?rJ¢O TOTAL (R)= zg;f.
FOUNDATION
18.) Interior Air Film
19.)
20.)
21.) 12" Concrete Block
22.) )=1loIA YAWL,
23.) Exterior Air Film
R VALUE
o.68
1.28
S,c o
.17
null = 1/R= ,14o TOTAL (R)= 7,/3
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 100105
1
BRODSHO,KENT
Site Street Address 3953 DENMARK AVENUE
Unit #
EAGAN, MN 55123
(651) 452-1872
Property Owner Telephone # ( )
NORBLOM PLUMBING CO.
Contractor
(13 1
8? 74 Telephone # ( )
2)
Address
` City State Zip
MINNEAPOLIS MNN?5540>
The A
li
t i
pp
can
s: Owner ontrac or Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures (excludes water softener and/or water heate r--complete next
section if installing these appliances).
-Septic System Abandonment
-Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
_ Water Softener X Water Heater $ 15.00
_ new replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $ 15. 50
I hereby apply for a Residential Plumbing Permit and acknowledge that t
and accurate; that the work will be, in conformance with the ordinances
Eagan and the plumbing codes; that I understand this is not a permit, but
permit, work is not to start without a permit and work will be in accordance
the event a plan is required-to be reviewed and approve
he information is complete
and codes of the City of
only an application for a
with the approved plan in
???tt 1\IO'fb?aWt
Applicant's Printed Name
IVEYOR'S CERTIFICATE SIENNA CORPORATION
_ J
'IL Z
DENMARK AVENUE
g g¢8 S J 856.7
S 21'17'08" E
s x.' 80.00
? i.
11? to h
? 0
? ro i
77 7A
EXISTING
I
MOUSE/ M `Y'Fl
O
2
I--? S
r\ I
?X as*-0
? 853'1?
27.67
\
GAR. '\ \
\ IMPOSED
\ \ HOUSE_
0
8
),f? ` LDT?'??O Y
H
LOT
6
1
h
D 3
0
a
N
?N
CO Q
n ?
b
cn
oRq,Ngc I
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1^
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m
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Nps p fR 044T \ \
l
m
N
M
I
Z
n`
I
r\
\J
1
.J
663,2 3
J SHEET 2 OF:2 SHEETS
PROJECT NO., BOOK / PAGE JAMES R, HILL; INC&
84762 (86531) 161/63 Planners / Engineers / Surveyors
FILE NO. 0200 liumbo)dt Avenue South
FOLDER Bloomington, Mn. 56431 812-884-3029
4
SURVEYOR'S CERTIFICATE SIENNA CORPORATION
.E- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT.SET SCALE: 1 INCH - 30 FEET
® DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 854.0 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 546;3 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 854,4 FEET
REVISED 4-18-86 TO SHOW
A PROPOSED HOUSE FOR
SUNSHINE CONSTRUCTION
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF A SURVEY OF THE BOUNDARIES.OF:
Lot 6, Block 6, BIRCH PARK, acco;din to the
recorded plat thereof, Dakota County, ?innesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR"ENCROACHMENTS; IF ANY. AS SURVEYED BY ME
OR UNDER MY DIRECT SUPERVISION THIS 24TH DAY OF OCYOY?EtL?1985.
SIGNED: JAMES HILL, INC.
BY:
IIAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
APPROVED FOR SIENNA
CORPORATION
BY
DATED THIS DAY OFD
19
PROJECT NO. BOOK /PAGE
84762 (86531) 161/63
FILE NO.
FOLDER
SHEET 1 OF 2 SHEETS
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenue South
Bloomington, Mn. 65431 612-884-3029
'SURVEYOR'S CERTIFICATE SIENNA CORPORATION
848.8
DENMARK AVENUE
J JCL
S 21'17'08" E
cl >.
W
5 en is W
M ? O >
.1 p X653 ?? x 8S`f 0 _
n rA
I
W o
h
?
1
k 1(1.1^ m
,
YJ O1
77
A
M
EXISTING "q
/HOUSE m - Y
10
p O ?~!
I
S 40 LO
_J
I?
h m
M? m
PROPOSED
M
M m
\ HOUSE a z
50.0 I ey
i? 2\.67\
M GAR. ?
460, 0646.0 ?-Y' N
/ a \
II ? ? hl
LOT +
6
!? l f 9f ANT p UT/</TY
? I ?pc.aT?_ a
I?
5
m
?- I
g ? werC ? ?.\ d:
m 4ND ? h
s PeR P44r [o
m
(V
M
1
l
i
N 1:9,9
7
n`
i
r\
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I
?J
(Bt?•o) ,^; 5660 'O`38n?
4, N 53 2
?J
O ?? \Z
1
o
5 ?
? 1n
0
SHEET 2 OF:2 SHEETS
PROJECT NO. t300K /PAGE JAMES R. HILL, INC.
84762 (86531) 161/63 Planners / Engineers /.Surveyors
FILE 140. 8200 IIumbotdt Avmnum South
FOLDER Bloomington, Mn. 55431 012-804-3029
3
Use BLUE or BLACK Ink
-----------------i
I For OffiGe Llse I
I I
City EaEd rin Permit#: I
O ,
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122
I Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff: j
- - - - - - - - - - - - - - - - - J
2010 MECHANICAL PERMIT APPLICATION
Date: Site Address:
Tenant: (~i cY S~n Suite
RESIDENT / OWNER Name: Y Q (."T~ Phone:( -Q
-
Address/ City/ Zip: J IS-D~, N((v1yal Act
CONTRACTOR Name: BURNSVILLE HEATING R A/C' INC License #:9 3451 W. B=Sville Parkway
~ Address: City: Suite 120
State: Ek4pisville, MN 55337 Phone:
Contact: r Email:
TYPE OF WORK New _X Replacement Additional Alteration Demolition
Description of work: 1- -
NOTE`.'Roof06tirt ed acid ground mou edmeclaanical egiiipmejit.is Eequit'ed to°be'' eenes~Fiy ity_-,
i,, ermittect sG46 tl~thgds:
,'Code. Please'`uorltact the'Mechanlcal:tnsPector for,irtformation orP
9.,
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction _ Interior Improvement
Air Conditioner Install Piping _ Processed
Air Exchanger Gas _ Exterior HVAC Unit
Heat Pump Under / Above ground Tank L_ Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other SrC Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ SC TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.nopherstateonecall.orn
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is 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. ,
Apprrcant s Printed Name Applicant's Signature
FOR OFFICE USE Reviewed 8y: Date:
Required Inspections: _ Under Ground Ro gh In Air`Te~i Gas Service Test In-floor Heat Final
Exterior HVAG Screening inspection
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA107357
Date Issued: 10/08/2012
of 3 a R Permit Category: ePermit
Site Address: 3953 Denmark Ave
Lot: 6 Block: 6 Addition: Birch Park
PID: 10-14175-06-060
Use:
Description:
Sub Type: e-Siding & Windows/Doors Construction Type:
Work Type: Siding & Windows/doors
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: 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.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
Fee Summary: BL - Base Fee $8K $162.25 0801.4085
Valuation: 20,495.00 Surcharge - Based on Valuation $8K $4.00 9001.2195
Total: $166.25
Contractor: - Applicant - Owner:
Preferred Properties Inc Timothy M O'Brien
1725 Meadow View Rd 3953 Denmark Ave
Eagan MN 55121 Eagan MN 55123
(651) 379-5265
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.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
I For Office Use Permit
0, ~50
I
I Permit Fee:
City of Ea al
rj. Z I
Date Received: D r' -
3830 Pilot Knob Road
Eagan MN 55122 I ~ I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I - Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION ~D
Unit
Date: Site Address:
Name: ~77"`7 4~~- Phone:
RESIDENT I
OWNER Address / City / Zip:
Applicant is: Owner Contractor
Sa~ r.e
-74
Description of work:
FEF _
Construction Cost: v Multi-Family Building: (Yes / No
Company: Contact:
Address: ' ~ 'C C 4L *4..e S City: State: ZIP Phone:
License M. Lead Certificate
7
If the project is exempt from lead certification, please explain why: (see Page 3 for additionalformation)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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:
Phone:
Licensed Plumber:
Phone:
Mechanical Contractor:
Phone:
Sewer & Water Contractor:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
l the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
acgord;anthat I understand ce with the approved plan in thee case of work which requires a review and approval of plans. to start without a permit; that the work will be in
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be co eted within 180
days of permit issuance.
x -
Applicant's Signature
Applicant's Printed Name Page 1 of 3
A'1::~^1150 NOT WRITE BELOW THIS LINE
SUB TYPES 74
_ Foundation _ Fireplace _ Porch
(3-Season) _ Storm Damage
Single Family - Garage _ Porch
(4-Season) _ Exterior Alteration (Single Fa,
- Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
- 01 of _ Plex - Lower Level Pool
Miscellaneous
Accessory Building -
t
WORK TYPES
lzr5rz, 12
- New _ Interior Improvement Siding -Demolish Building*
_ Move Building _ Reroof _ Demolish Interior
Alteration - Fire Repair _ Windows
_ Demolish Foundation
- Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building -give PCA handout to applicant
DESCRIPTION J/'l/ ~
Valuation l/ Occupancy ° MCES System
Plan Review ode Edition jJ SAC Units
(25%_ 100%_) I tilt C4 City Water
Census Code Stories
Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC - Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath Brick
Fireplace: -Rough In -Air Test Final
Windows
Insulation Retaining Wall: - Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By:
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies _0
TOTAL
a~,
C N
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141593
Date Issued:03/21/2017
Permit Category:ePermit
Site Address: 3953 Denmark Ave
Lot:6 Block: 6 Addition: Birch Park
PID:10-14175-06-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 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 -
Timothy M O'brien
3953 Denmark Ave
Eagan MN 55123
All Around Roofing & Renovations
701 Decatur Ave N
Suite 201
Golden Valley MN 55427
(763) 447-3944
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155195
Date Issued:05/02/2019
Permit Category:ePermit
Site Address: 3953 Denmark Ave
Lot:6 Block: 6 Addition: Birch Park
PID:10-14175-06-060
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Timothy M Obrien
3953 Denmark Ave
Eagan MN 55123
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(952) 895-8100
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169137
Date Issued:05/17/2021
Permit Category:ePermit
Site Address: 3953 Denmark Ave
Lot:6 Block: 6 Addition: Birch Park
PID:10-14175-06-060
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 -
Timothy Michael Obrien
3953 Denmark Ave
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172705
Date Issued:10/13/2021
Permit Category:ePermit
Site Address: 3953 Denmark Ave
Lot:6 Block: 6 Addition: Birch Park
PID:10-14175-06-060
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Timothy Michael Obrien
3953 Denmark Ave
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature