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3962 Denmark Ave öêö øþø ýüü ûúþ úÿþþ ùüüïøÿý õí ãæøîø ôáæ æ ã ýüö ÿþýü ñø ûøþýü ÷ ú øüñø Ø ø ø øü øø òø îÿ ø äø ø ø ü ø ü åæôôæçô Úý ô ç÷ðþö÷ ê ä øñ à ü ßéæ í ç íô çç ôù øîø ñë éæí å íåæ êããí ó ò öñð üü úö Üøõäøý ô ç÷øî øï åã øï ä ö îä÷ææ ä÷ææ àåæßççå î ø ÿýú î îï ø îüü îî ìøøø ø üýúîüüÿ ìä õýìðø í üüù ø ø ý ø y i ? ' i ;- r " BUILDING PERMIT To be used for r' =`- CITY OF EAGAN 1$47A 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 / C. Receipt # ` L Est. Value S 1 9 t00 Site Address 3462 f l,'-?!ARK Ali i n 5 BIRCc PAP k, Lot Block Sec/Sub. OFFICE USE ONLY Parcel No. Occupancy FEES W Name LYON Zoning (Actual) Const Bldg. Permit 26 • t? o Address 3? 62 BE?t?`•A` RY AYE (Allowable) . SO h e S EACAN City Phone bbt-15C.o #ofstories arg urc 16 , Plan Review o Name SA IE Length Depth 14' SAC City Z , O< Address S.F.Total SAC,MCWCC City Phone S.F. Footprints Water Conn On Site Sewage W W Name On Site Well Water Meter W _= Address MWCC system 2= a W City Phone City Water Acct. Deposit S/ W P rmit PRV Required e 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 Booster Pump APPROVALS S,'W Surcharge Treatment PI Road Unit 14AnK LYON A Building Permit is issued to: Planner Park Ded. 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 Council Bldg. Off. Variance -_ Copies TOTAL ^6'? + Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Hig. Final Plbg. Const. Meter Plbg. Inspector - Notity Plumber Engr./Plan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. CITY OF EAGAN 12?,?2 - - .c - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt# SF DWG/Gi R $104,000' JUNE 23 36 To be used for Est. Value Date 19 Site Address 3962 DLi M-kilK AVE Erect [5 Occupancy Rj Lot o Block 5 Sec/Sub. BIRCH PARK Remodel ? Zoning Parcel No. Repair ? Type of Const. Addition ? No. Stories Name `'U'`"ir`'Ir' COIdSTRUC`'ION 01 W S985 H Move ? Demolish ? Length Depth 38 c Address A ! 431-2200 Int Impr. ? Sq. Ft ' 1 - Phone City Install ? o Name SiVIE. Approvals Fees SK Address F Cit Ph Assessment Water & S w 443 • 40 Permit e 52.00 har Sur y one . e li P g c Pl R i W ; . u 5 it HILL N o ce ev an ew UU_ ame F W 3200 HU'vIBOLDT _ ? Add s Fire SAC . 00 re s <W City i1rIMIN Phone 884-3029 Eng. r Pl Water Conn. te t r- b ?B W M anne a r e e l .00 I hereby acknowledge that I have read this application and state that the Council Bldg. Off. 23 Road Unit Tr. PI. -? 00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Signature of Permlttee Date Copies 3 . 00 Total A Building Permit is issued to: SUhiSH INN CONST?;UC!'IOIN on the express condition that all work shall be done in accordance with all applicable State of Minnesot a Statutes and Ci ty of Eagan Ordinances. Building Official '` Permit No. I Permit Holder I Date I Telephone # PERMIT # t MECHANICAL PERMIT RECEIPT # L2 S °?Sa CITY OF EAGAN e 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site Addf ess - Lot - Block M BTU M BTU M BTU M BTU CFM BLDG.TYPE Res. Mult Comm. Other WORK DESCRIPTION TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other FEE: S/C: TOTAL: New Add-on Repair 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) i SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site Address - BLDG. TYPE WORK DESCRIPTION Lot Block - Sec/Su Res. k New Name Mult Add-on Address - - Comm. Repair c City Phone Other NO. FIXTURES TOTAL Name W t r Cl t - $3 s 00 $ . a o e e 3 Address Bath Tubs - $3.00 p City Phone Lavatory - $3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 146 OF CONTRACT FEE Urinal/Bidet - $3.00 Laundry Tray - $3.00 MINIMUM - RESIDENTIAL FEE _$10.00 Floor Drains - $1.50 MINIMUM - COMM/IND FEE - 20.00 Water Heater - $1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10 00 . Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: ?- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 1 I s, i ra+` 3830 Pilot Knob Road a ?4 `4 Eagan, Minnesota 55122-1897 Permit Number: #j7t ?i) 1 !'?rDate Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: III NlgnJ•. h a`-'I I .hl Mi,;:1 I kl II IIAN! PERMIT SUBTYPE: J J , . ' PI 1 .11 TYPE OF WORK: I I F I ' P I P T F 0 N Al TFkA IFI ON (No fic owinMS; INSPECTION ,.i i rl DATE INSPTR. • TYPE i DATE INSPTR. REMARK `-#: A ',FVARA I? NI NM I I I F kf t)1111ri I1 Fisk ANY iii IINH 1 Nc, 4in f 1 i J I k It At W()RI<: Permit No. Permit Holder Date Telephone k ELECTRIC 10 ?? 9f0 PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND / FRAMING ll ?a(!1 / rQ? ,, Q J Al /-kif' . ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG w CITY OF EAGAN Remarks ri y ini_g # 16 2 5 2 10/a5 Addition Ai rch Park Lot 6 Blk 5 Parcel 10-14175-060-05 Owner Street 3962 Denmark Ave State Eagan MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 162.96 8.15 20 Paid ri r to divi5 on SEWER LATERALbn 198 132.70 8.85 15 rr r' 'r rr rr rr rr rr 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 WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO., Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: 2 =3eru-ar'-: Plumber: r T I t:.".i, ` Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to so opal wlllh tau city of WE Surcharge: ordieewooe. Misc. Charges: Total: By Dote Paid: Date of Insp.: ' Insp . TY OF EAGAN SEWER SERVICE PERMIT 130 Pilot Knob Road 0. Box 21199 PERMIT NO.: igan, MN 55121 DATE: ring: No. of Units: rner: - Address: ^ fi r} I e to emply weir tlu City of awn Connection Charge: 0e1eee. Account Deposit: P*nhnit Fee: Surcharge: Misc. Chhorges: of Insp.: Total: Date Paid: ! CITY OF EAGAN WATER SERVICE PERMIT aiint Knab Road rA 21199 PERMIT NO.: Eagan, MN 2:5121 DATE: Zoning: 1 No. of Units: Owner: Sun!;hLie :imarrk _ tiAtv, enve ?.f, "` B-rrclPark Site Address: `_ i:mb in bar. F m ??(1 , ?,h) ?nr stet NO Q f F12 6 b ion Charge: _R der Na..,r kn/?4? n cail lpcga ` kIli if).00 'd _ .?Inon r 63 Iii - ?e? 60. E , I agree to enePly whk *td"K siELECj o _ 5`Jp' Orhilueeeeo. I (y RED rootoi: ,' ?c7 „r, r er By Date Paid: Date of Insp.: Insp.: g, p-?? CITY OF ? AGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 12162 BUILDING PERMIT PHONE: 454-8100 Receipts 7 SF DWG/GAR $104,000 JUNE 23 9 86 To be used for Est. Value Date Site Address 3962 DENMARK AVE Erect ? Occupancy R3 Lot 6 Bloc BIRCH k 5 Sec/Sub PARK Remodel ? Zoning Parcel No . Repair ? Type of Const. R . Addition ? No. Stories SUNSHINE CONSTRUCTION Move ? Length 50 u Name 5985 125TH ST Demolish ? Depth 38 a Address Im r I t El S Ft A V 431-2200 p . n . q. . . City . Phone Install ? Aoorovals Fees o Name- ,4 Address Phone ?w Name JAMES R HILL ma Address 8200 HUMBOLDT aw city BLMTN Phone 884-3029 Assessment. Water & Sew Police - Fire Eng. Planner- Council I hereby acknowledge that l have read this application and state that the Bldg.Off. 6/23/86 information is correct and agree to comply with all app icabla State of Minnesota Statutes and Cit span Ord' ances. APC Permit a '+ a• uv Surcharge 52.00 Plan Review 221.50 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Wy" Var. Date Copies Signature of Per ee _. I Total $2_301.00 A Building Permit is issue o: UNSHINE CONSTRUCTION on the express condition that all work shall be done in accordance with all apfk1lca03 State 9f Minnksotj*Natu_ teb and City of Eagan Ordinances Building Of - CITY OF EAGAN N? 16472 - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 /P QQ BUILDING PERMIT Receipt # 0C) To be used for DECK Est. Value $1,000 Date MAY 16 t g 89 Site Address 3962 DENMARK AVE Lot 6 Block 5 Sec/Sub. BIRCH PARK OFFICE USE ONLY Parcel No. Occupancy FEES Zoning - w Name MARK LYON (Actual) Const Bldg. Permit 26.00 o Address 3962 DENMARK AVE (Allowable) SO .50 S h arge urc EAGAN City Phone 681-1500 x of Stories 161 Plan Review Length Y Name SAME Depth 14r City SAC i 0 04 Address S.F. Total , , M City Phone S.F. Footprints - SAC, MCWCC Water Conn On Site Sewage r $w Name On She well water Meter w .Z5 Address MWCC System aw City Phone City Water - Acct. Deposit S,w P mit PRV Required er I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and ree to comply with all applicable State of Minnesota Statutes and of EaclartQi dinan as. Treatment PI Signature of Permits e APPROVALS Road Unit A Building Permit is issued to: MARK LYON Planner Park Dad. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes a n d City of Eagan Ordinances. Bldg. Off. Copies - r ?? Building Official ,( I lXW9 fl,?,t ' t ?? Variance TOTAL 26.50 II INI II I III II I I I I III I III i 1 I II REQUEST FOR ELECTRICAL INS ECTION a? Minnesota State Board of Electricity g1 ?9 ?O * 0 7 3 2 8 0 8 * phone (612) Unwersity Y08e00 m. 5-128, 5t. Paul, MN 55104 2 ` Home Duplex Apt. Bldq. Other: t, • i5 New Addn Commercial Industrial Fartn fi M1 _ Remod Re .jr Air Cond. Htg. Equip. Water Htr. load Mgmt. Other: Dryer Range Elec. Heat Tem Service "K' above the work covered by this request. Enter remarks in this space and on the back of the white copy only. S?r7-c' !T Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Enhance Size Fee # Circuits/Feeders Fee Mobile Home Pork Stall 0 to 200 Amps 0 to 100 Amps Street Lig./Raffic Sig. Above 200 Amps Above,100_Amps Transformer/Generator INSPECTOR'S USj NLY I 9 l ? ? TOTAL Sign/Outline Lfg. Xfmr. 1? to r 6°? U Alarm/Remote Control I- V Swimming Pool I hereby teat! eledn st anon deacdbed herein on the dales waled Irrigation Boom Special Ins ection pe„yn_I„ Dora p Investigative Fee Final Date THIS IN MAY BE ORDERED GCT£D 1 F T C UjE2 MHIN 78 MONTHS. ? OFF( U E DNLY Tn, request void 18 months from volldation dale pnnted in this boy.• f?t••`r' `y' ?S PLEASE PRINT OR TYPE G Request Dale Rough-in inspection required? Yes No Inspection Other Than Rough-In: ? Ready Now YTII CO I )You must call the inspector when ady) D Nn, Ready: I, ? licensed contractor owner hereby request inspection of the above electrical work at: - Job Add., (Street, goy, or Roure o.l M ,2k t/?• City G?-C?4? ?p Code ss?z3 Section No. Township Name or No. Range No. Fire No. County y? ?Iw E Occupant { M?Q t f•-F- - % N L' ?- A) phone Na ?OS ( ?1 V V Power Supplier Address Electrical Contractor (Company Name) Contractor License No. Mask-Lic. No. (plant Elect. Only) Mailing Address (Contractor or Owner Performing Insellotion) Aunho' re (Contreeo Performin smllation) Phone No. ?Sl /SOa T B A D OW- SEE INSTRUCTIONS ON BACKOF YELLOW COW REQUEST FOR ELECTRICAL INSPECTION EB-00001.04 See instructions for completing this form on back of yellow copy. "'X". Below Work Covered by This Request aV4 Addj Rev. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader lndustrial Bldg. Air Conditioner Bulk Milk Tank Farm Other PeU y -lher SOCrilyl t er SPcc- Y Other Other - Compute Inspection Fee Below _ a Fee Service Entrance Size ft Fee Fenders/Subfeeders g Fen Circuits rj' O 0 to 200 Am s 0 to 30 Amps 1,1 0 to 30 Amos Above 200 Amps 31 to 100 Amps (} 31 to 100 Amps Swinvn i ng Pool Above 100-Amps Above I00_Amps Transtormers Irrigation Booms Partial.'Other Fee Signs Special Inspection $ T Remarks OTAL FEE Rough-in I, the Electrical e b / Inspector, hereby /J the b.V, Final inspection has been T n made. e This request Vold 18 months from This request void 18 months from Request D e ( q Fire No. Fre in Inspection Req]red? Ready Now Will Notify Inspec- t / ? ? D4y s No for When Ready L K icensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at, Street Address, an. or to No. C' ec[ton o. Towns ip Name or No. Range No. County ccu ant IPRINTI Phone I)Io. u?sh ?? 3I-??d o Supier Address El c ical Contracto tC pa ny N el arn -T Contract is Liar se No. vC S "team Address IC ont ra 1 1 for or Owner Making Instal tionl ? 7 5Y3 2 7 7 ? - Authorized Si Lure (Con a r/Owner ki Installation) ? Phnne Number D -t-1 3 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 66104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297.2111 ENCLOSED. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements • 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 711/93 • Rim Joist Detall Options selection sheet (bldgs with 3 or less units) DATE ?? IoI SITE ADC TYPE OF APPLICANT STREET ADDRESS 1 `7 5 TELEPHONE # IQ-`I3a 1 CELL PHONE # PROPERTY 51 RemodellReoair Requirements Z?;-- 1, C) -a >-- • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 she survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION fD(. 1h0D ULTI-FAMILY BLDG _Y h FIREPLACE(S) X 0 - 1 _ 2 TELEPHONE # ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSO'fA RUI.1;S 7670 CATEGORY 1 _ MINNESOTA RIJLNS 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _______ Phone If -------------------- Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Hcater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Hcat Recovery System Sewer/Water Contractor: Phone # -------------------------------------------------------------------------- 1 hereby acknowledge that I have read this application, state that t i f rma ion is gle?(tCT ly with all applicable State of Minnesota Statutes and City of Eagan a D lJ u LS Signature of Applicant MAY 10 2002 OFFICE USE ONLY By Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4102 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 4 2 9 (612) 681-4675 Date Issued: 08/01/96 SITE ADDRESS: 3962 DENMARK AVE LOT: 6 BLOCK: 5 BIRCH PARK P.I.N.: 10-14175-060-05 DESCRIPTION: (NO BEDROOMS) Permit Type BASEMENT FINISH rk Type ALTERATION c1s, 434 ALT. RESIDENTIAL. NIA 8[i `x??? dla'? 10 +IS qi& 6?$ 3m R@ }? ?$(_5' R ?°. c.S4 ry5 IS`.ky 1 LEE gRigl? REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge $...50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - LYON MARK 3962 DENMARK AVE EAGAN MN 55123 (612)935-6921 ?Ln R?, 1 ISSUED SIMATURE 3830 POT KNOB RD 65122 1t419 1996 BUILDING PERM CITY OF T APPLICATION (RESIDENTIAL) ? ?O Q ?j^V,Q 681-4675 ??t Remodel/Repair ReQuireme ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for healed additions ? 3 copies of tree preservation plan Slot platted after 7/1/93 required: _ Yes _ No DATE: -7--Z (o CONSTRUCTION COST: #.L4 . Poo,- DESCRIPTION OF WORK: STREET ADDRESS: J LOT G BLOCK 5- PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER SUBD./P.I.D. #: glrc?t "Paf #: 6`61' 1500 Name:_ Phone' I s, FIRST Street Address, 3 psp City:a r State: MrJ Zip: S t 2 3 Company: S ?l Phone Street Address: License #:. City: State: Company:1 Phone Zip: Name: Registration Street Address- City: Sewer & water licensed plumber: change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY 3ciUZ State: Zip: Penalty applies when address change and lot correct and agree to comply with all Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE o 01 Foundation ? 06 Duplex o 11 Apt./Lodging x9/16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous n 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE 0 31 New ar" 33 Alterations o 36 Move ? - 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) VIV Basement sq. ft. MCM/S System (Allowable) J,v Main level sq. ft. City Water UBC Occupancy 2 3. u _ sq. ft. Fire Sprinklered Zoning R-1 sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. _ 3< Depth Footprint sq. ft. SAC Code Census Bldg Census Unit O APPROVALS Planning Building 1I4?3- Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit SAN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies - Total: Valuation: $ % SAC SAC Units FOR CITY USE ONLY PERMIT # ISSUED L i.S zi- 6 Pd w/Bldg. Permit FEES: $ $ 16 O SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ (c3IS0 $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $_ ACCOUNT DEPOSIT - SEWER $ $ GYM ACCOUNT DEPOSIT - WATER $ ADD O-D $ WAC $ Z 7S cl G $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ /?7 O $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 1? I S? $ TOTAL ??197 ?c&ln/ RECEIPT RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? a 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: Xy-(-O-s(.zJ C TITLE: / DATE: .. w * -- CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: ?4T t Lot/ Jj1DCK/Suoalv1sj.on or Tax?E IF EXISTING STRLMLME, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: COIMERCIALAMAIL/OFFICE tR"-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units): INSTITLTIONAL/GMMZENT R-3 TOWNHOUSE (Three +. R-4 APARTMENT/CONDOMII 2)' s! i NAME: Set t 1-4 I &L F { f -ADDRESS:' `f E"S I2?S' CITY, S'L'ATE, ZIP: J> 4;PI'PL -c_ L1at-? PHONE: ftar- 22 cx:2) MOTS: PAW49M 'OF FEE AT TIME OF, APPLICATION DOES NOT CONbRITum APPROVAL OF PERMIT. ' INSPECTION OF SEWER AND/OR WATER INSTALIATTONS wnL NOT BE Sam- ULED UNTIL"'PERMIT HAS BEEN APPROVED 3) ?: NAME: STAB. PI &-. ADDRESS: 10 18 Mot-e.ut) 5p12/A S CITY, STATE, ZIP: jQ L cam,,, in[ 7"p iu m AI - cSPHONE: g?9 --4149 MASTER LICENSE# 4) 06:0*-ATMOA7715:111 NAME: ADDRESS: CITY, STATE, ZIP: PHONE: Tse 20 33 2 ? ' .L 1L ff J 7n Year p; t Active Not t re No rec c Stoma ' THIR'' =a 3) n r• r. • a• : a ? ?? CONNECTION TO CITY SEWER CONNECTION TO CITY WATER,'; C( OTHER 6) PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAZ APPROVED PMMT TO irQ 31 4;*t ABOVE Y% (Circle one) .. 7) r ! ?; y tk 4'. { r 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS I 7 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS ? OF 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 0I.A- 14p To Be Used For: DcG?'-- Valuation: tP Date Site Address 3962 Pnl?arcK AUr Lot 6 Block 5- Parcel/Sub J51RCI" Owner /r-/92,t 'Iyo-j Address 3962 4VF-, City/Zip Code SS/23 Phone o6 Contractor ?jW N F2 Address City/Zip Code Phone Arch./Engr. c w e/L Address City/Zip Code Phone U Occupancy FEES Zoning Actual Const Bldg. Permit o?(,,OO Allowable Surcharge 50 # of stories Plan Review Length IC?? SAC, City Depth 14' SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Aeet. Deposit On site sewage- S/W Permit On site well S/W Surcharge MWCC System Treatment P1. City water Road Unit PRV required Park Ded. Booster Pump i Copies TOTAL I-G-0 APPROVALS Planner _ Council Bldg. Off. S/rn Variance NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. 1986 BUILDING PERMIT APPLICATION - 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 COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, T SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For Site Address Lot (;!!? Block fT Valuation: Lt= Date: (' -/y _a(, Parcel/Sub f5lac- a 7:47e-r- Owner SUm Sf+ral E CDvtl£ r- Address ??18?5 l?S V' 'nT= City/Zip Code Q-:24E ??E'y' Phone 't5l - 22nc? Contractor A$00 Address City/Zip Code Phone Arch./Engr..16mc-& 91L' Address 6Q-oc-? "? }? #MPJ0L.J07- City/Zip Code 64?nnM1A`&T0f.L Phone # 84Z ?_ OFFICE USE ONLY Erect Lf Occupancy Remodel Zoning Repair Type of Const Addition # of Stories Move Length 5G _ Demolish Depth Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit OeI5 Water/Sewer Surcharge -5z Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off 2:# lTreatment Pl- APC Parks Variance Copies TOTAL , NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. IZ °ac Z$ 5;1i f / `1 UCH AV SZ x ,?= C-4 p??? ygo n, Z- S7C0 :A',1?.l. 1 ?: tom- _ CITY OF BUILDING DEPARTMENT EXTERIOR ENVELO''E A,,'ERAGE "U" COMPUTATION (To be submitted with building permit application) Ore or Two Family Dwelling Owner SCCi'LS H I KI L C oKin 7- All Other Si e Address .ibIl- DEAL M A.2 K Contractor 5yt&A-le: C&Al- LINEAL FEET OF EXPOSED WALL SFE 11"PaK 5k,67-0 ft. ASS -i?3 a- S?Y OPAQUE W11L COP:STRU7TIOT:: "U" Valuerx Area Date 6-t7 Phone 43(-2200 above grade = g; $OS,bO TOTAL EXPOSED WALL AREA SQ. FT. ?FAitl c nUn .04-3 x SQ# Detail Ce Jc . "U" .090 x SQ. reference fluff 040 1e?m x SQ. from - "U" x SQ. attached sheets nUn x SQ. null----- x SQ. WINDOWS: "U" Make & Type it n n n n u Value x Area FT. Z, 99.5br 9°•Zg(U)(A) FT. Zah54= 17.79(U)(A) FT. Z/5.80= S•&??(U)(A) FT. - (U) (16) FT. - (U) (A) FT. - -(U) (A) Ids x• Cs+n'T -fluff - 4$ x SQ. FT. 157• $0 = 75,7 (U) (A) "U" x SQ. FT. _ (U) (A) flint x sq. FT. _ (U)(A) "U" _x SQ. FT. (U)(A) DOORS: "U" Value X Area :take & Type 5TL• /wS.vL • fluff . /¢ x SQ. it " PO flute •47 X SQ n It "U" x SQ. it n -nUn x SQ TOTALS Z$O$, DD SQ. AVERAGE "U" TOTAL (U)(A) VALUES 240.77 _ DIVIDED BY TOTAL WALL AREA ZglO6.0v AVERAGE "U+' I15 r less for 1&2 family dwellings ROOF/CEILING: TOTAL AREA: l0 3(0 FT. 49.00 = (r, $(o (U) (A) FT. _Zd. 394-q(U)(A) FT. - -(U) (A) FT. - (U) (A) r'T. Z10.77 (U) (A) Detail reference "U'I .OZ3 x - SQ. FT. 103 = Z3.St(U)(A) from "U" _ x SQ. FT. (U)(A) attached sheets. "U" x sq. FT. _ U) (A) Describe openings nUn x SQ. FT. _ (U)(A) in roof. "II" x SQ. IT. _ (U)(A) TOTAL (U)(A) VALUES DIVIDED BY Zz>.82. - `]'iTIk1.5 lo3rP kry z3,g?CvK> TOTAL ROOF/CEILING AREA ?p3(Q •oZ3 AVERAGE I'U' .or or ventilated roofs. rl 1Jo1~K 5;h (r-- P- T // &RO55 E {'a5? wwu_ 17.5 X ( 24,tz6,+zo+zB) = 1, 890.E 9•s x (.zz+zz) = glS.c? 8•o x so = 400.E 5.0 X (10+10) - tov.oo Cock.. . &7 Y. (50 f 5c, I- 2&,-Z(,) S.o X (.fo -/-/o) Z8o8. oo 101.54 16r.00 PIO MOT .$3X (56, t5lot5-z+52+14) W/IWAou-* ?(vY, B& _ 41 o X z = s. cv> 11x 47 = 7.o ' x 4 = t8.oo lox " = (0.7 X & = 40.z.o Z0X f00 = $. Q X 4 - 33.00 $4X 48 = $,o X !o = 48. o0 Dc+oR S sr-. w/s.c , (o°- PA.T/ o e 2 Z $ STZ.. $L-p = 8¢.vo Zl.on /s'7 So -?- gET EXPaSO-] tj fR C_ EgoswS GIZcw,-? wwe-c- 1,909.oo 4E5,`! fiowe'. Z,/. F+ it 9,01- n 1?IDw'S $o /.5 7: n boo?2?5 t 33.00 -7°8.14 ?0 99s( Z6 X28 =- /4X zZ =. 7l$.oD 3o$. ocD f ROOF/CEILING 1.) Interior Air rilm 2.) 5/81, Gyp. Bd. 3.) Insulation 4.) 5.) Exterior Air Film (STILL) (R) VALUE 0.61 .56 90.00 .61 °U" = 1/R= •OZ3 TOTAL (R)= 41.75 WALL 6.) Interior Air Film 7.) 1" Gyp. Bd. 8.) Insulation 9-) P-ITE 10.) Masonite Siding 11.) Exterior Air Film R VALUE 0.68 .45 19, 0O 2 67 .17 "Ulr = 1/R= .p¢?? TOTAL (R)= z3.01 RIM (R) VALUE 120 Interior Air Film 0.68 130 Insulation 19.00 140 2" Fir Rim Joist 1.88 15.) z53z" &011-T- +er r6 2.c+ 16.) Masonite Siding .67 17.) Exterior Air Film .17 null = 1/R= TOTAL (R)= 2144 FOUNDATION (R) VALUE 18.) Interior Air Film 0.68 19.) 20.) 21.) 12" Concrete Block 1.28 22.) P1 &)b 1N5l?y-. S 00 23.) Exterior Air Film .17 "U" = 1/R= . O`J S TOTAL (R) = f D, f --WALL SECTION-- Determining 'lull values at Roof, Wall, Rim, and Conc. Block CITY USE ONLY y t L LP BLn/? /S-? RECEIPT#: ? /?°?? SUED.?,z tLS RECEIPTDATE: /r?97 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single family dwellings townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH TOTAL Shower 3.00 x Water Closet 3.00 x Bath Tub 3.00 x = Lavatory Kit h Si k 3.00 x _ = c en n 3.00 x Laundry Tray 3.00 x _ Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ` minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 x = Water Softener ' for existing dwelling 20.00 x = U.G. Sprinkler 'fordwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations ' to existing residence _20.00 Water Turn Around 20.00 = Private Disposal System " oak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems ` Abandonment 20.00 = STATE SURCHARGE TOTAL .50 20.50 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/dghtof-way/easement. SITE ADDRESS: 3 a (? 2- 'D e- -n ^,,u L ?A--a- OWNER NAME: ka.,r - L.."6o A INSTALLER NAME: o TELEPHONE#: G? (- l SOD STREET ADDRESS: S? rz CITY: SAGA STATE: ZIP: S_S/ SIGNATURE OF PERMITTEE U,. / L BL r] CITY USE ONLY ' -? l c t RECEIPT #: SUBD. 1 1 C JJ?- i" f? ?C. RECEIPT DATE: (- c)-o C) v -2 C) PERMIT # J a-? I 1999 PLum Ne PERMIT (RESIDENTIAL) CITY OF EAeAN 3$30 PILOT KNOB RD EAGAN, MN 55122 (651) 661-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas in outlet * minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished * requires MPC tic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new, installation/re air 30.00 x = $ Rough opening 1.50 x = S Shower 3.00 x = Under rounds rinkler if dwellin is under construction 3.00 x Under rounds rinkler if existin dwellin 30. x n$ E Water closet 3.00 x $ Water heater 3.00 x $ O Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surcharge .50 > > ----> $ 50. Total > > > ----> $ Reminder: Call for inspections of alterations, i.e. water beaters, water softeners, etc. -- -----kn-o--w--d --- --------------------------------------------- - --------------------- - ----------------- ------------ ----------------- hereby aclege that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: -55;&Z Z OWNER NAME:: 1491-{L 4eOki TELEPHONE #: f (AREA CODE) INSTALLER.NAME: ? - l. /C.d+y/re/ TELEPHONE#: ("?,12 ) Sglx ldJ3-?- n (AREA CODE) STREET ADDRESS: 0ffi00 CITY: i'vyT/A r STATE: l'?111? ZIP: SIGNATURE OF PERMITTEE RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 C? Telephone 9 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodellReoair Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and QII roofed areas -2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. - 1 site survey for additions & decks l set of Energy Calculations Addition - indicate donske septic system 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units S r-1 l .C) cD. Office Use Only _Ced of Survey Recd -Tree Pres Plan Recd -Tree Pres Not Reqd _ On-site Septic System Date `L`? / 2Op3 Construction Cost r5-r' ' 3, 5- 00 Site Address 3g6z DcNHA(LV, RVENUrU Unit/Ste # CA6A Q M0 55- 123 Description of Work ZjEG ; - t 6` yc ZS t Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ I - 2 Property Owner MRR.K L. otl Telephone#(6st ) 6$1 -ksoo Contractor 1.10Nrt- Address Clty State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Catesory I _ Minnesota Rules 7672 Energy Code Category . Residential Ventllatiq C tego -1-Worksheet-, • New Energy Code Worksheet (d submission type) Submitted ) S 1QI ?.` n I' Submitted • Energy Envelope Ca ul?gons Submitted ?_ IIII I? JUN 2 5 Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( I hereby apply for a Residential Building 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 the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan i e case of work which requires a review and approval of plans. MAe-Y_ t_YDA Applicant's Printed Name ephone #( Applicant's Signature OFFICE USE ONLY Sub Types y„ ? 01 Foundation ? 07 05-plex ? 13 16-plea ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex F 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_y or _ N ? 25 Miscellaneous Work Types YP 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 2i °b Occupancy -3 MC/ES System Census Code LT Zoning _ D City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const ?[ 111 _ Footings (new bldg) ?O Footings (deck) . Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. _ Air Test - Final Insulation Width REQUIRED INSPECTIONS Final/C.O. ?p Final/No C.O. Plumbing _ I-IVAC Other Pool _ Ftgs _ Air/Gas Tests - Final Siding _ Stucco _ Stone Windows (new/replacement) Retaining Wall Approved ByBuilding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total I , CO l_n-r 5 GLrG ?y/ c tf ?Ra 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan S' a g S 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New DOneINGIIOn Requirements RemodeVReoair Requirements 3 registered site surveys shaving sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan a "- 1 (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 9m 2 copies of plan showing beam & window sizes; poured found design, etc, t site survey for additions & decks I set of Energy Calculations Addition- indicate Ifonsife septic system , 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail options selection sheet (bldgs with 3 or less units 1 _ n O S k Y ? P ; _ s c?o vv? , {-? -e 1rSl Date 2?( / U Construction Cost 7 Cf SC)pcv Site Address 3c4- b(zn vtrctr-l? p vE UnittlSte # 5 ^ I Description of Work V / S C" i /7 L Multi-Family Bldg _ Y ZN Fireplace(s) _ 0 2 Property Owner hr' R 4 t^?o J Telephone # (6S l ) 6 B (? l S 00 Contractor l o iG R.. rz Address ZO(, L t - aG City L w-? State F l tJ zip L s- t 2 Z elephone # (6Sl) 7-4t S -'79 6 7 COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Category 1 • Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y , N fee applies. Licensed Plumber\ Telephone #( Mechanical Contractor Sewer/Water Contractor 0 Telephone #( L%'11' Telephone # ( If so, 25% plan review I hereby apply for a Reside `ding Permit and acknowledge that the information is complete and accurate; that the work will be in con rmance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. '-AAP-1-- L-? ct-? Applicant's Printed Name OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck )` 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 9 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy 2 3 MCES System Census Code A/ Zoning P12 City Water SAC Units -- Stories Booster Pump # of Units ?- Sq. Ft. C PRV # of Bldgs r Length Fire Sprinklered Type of Const -G Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) t FinaVNo C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other Ice & Water Roof Final Air/Gas Tests Pool Ftgs _ Final _ Framing _ _ _ _ Siding _ Stucco - Stone - Bri ck Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation Retaining Wall Approved By: , Building Inspector - - - - - - Base Fee -------------------- _------ --- ------ ------------ ----- -- ------- ----------- ----- (-V- ----_--------- Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 , 70 00 New Construction Requirements Remodel/Repair Requirements Office llse.OrA . 3 registered site surveys showing sq, ft. of lot, sq. fl. of house; and all roofed areas 2 copies of plan C P,f SurveYRecd %-_N , (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions `rreeres fsq itecd #1. _Y; N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Required _Y N' 1 set of Energy Calculations Addition - indicate if on-site septic system PgfA6.segpisystam_ D R 77 N 3 copies of Tree Preservation Plan I lot platted after 711193 Rim Jost Detail Options selection sheet (bldgs with 3 or less units / Z 0q *Z009 V Date ( l l Construction Cost Site Address ?`J(p Z dc,.j, ye_ A lc, Unit/Ste # Description of Work [Al) T14?tL 6 65 Ft A46 Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 6 / _ 2 Property Owner ??G E A)gn.)C `j j, L 0IJ Telephone # (65/) &01-15DO Contractor Address ?r/Jy ?? /??9 /? City 6 /Q?}JIGI( State Zip 53 j 37 Telephone # (9Q) &s p 'e)? j-b COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Category I • Residential ventilation Category 1 Worksheet (4 submission type) Submitted • Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ fee applies, Licensed Plumber Telephone # Mechanical Contractor Sewer/Water Contractor Telephone #( N If so, 25% plan review Telephone #( ) I hereby apply for a Residential Building 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 the State of MN Statutes; I understand this is not a permit, but only an application for a pe t, and work is not to start without a permit; that the work will be in accordance with the approved plan t' the caswor? which requires a review and approval of plans. P\ 1 ` N t Applicants Printed Name Applicant. Signature 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 590.0-D 4 l 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements atfrcUse Only 3 registered site surveys showing sq. ft. of lot, s% ft, of house; and all roofed areas 2 copies of plan Ced of Survey Recd =v Y N (20% maximum lot coverage allowed) l set of Energy Calculations for heated additions Tres Pres P&injFteod ?. 6LY 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks ?ree P,res kequued-`Y°=N l set of Energy Calculations Addition - indicate if on-sde septic system on site_S*'System' =Y._N 3 copies of Tree Preservation Plan 0lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date D / 9,3 Site Address _ 3 ') / 2wx to 2- ?c IMc?ft ?r` Construction Cost /` r'r 1 Z? d a Unit/Ste # Description of Work S ro L? Multi-Family Bldg _ Y _X N Fireplace(s) - 0 * 1 - 2 Property Owner f1 A K „rcy L-1 d0 „} Telephone # ( ) Contractor / mr 3cYt(iy n ex4-Yzroft5 `T C> L,c ZCi?/?{ 21c1? Address 215iS State 1? ^l e,)rtk A-.C_ I 11-sr" IS-,-k zip SS /D I City /1 Telephone #(e S?) ie?J?2cvcxld? 'L3? / 76 D COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y _ N If so, 25% plan review Telephone # ( Tel MAY I hereby apply for a Residential Building Permit and acknowledge that the i ormation is complete and accurate; that the work will be in conformance with the ordinances and codes of the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work whi requires a review and approval of plans. Applicant's Printed Name Applicant's Signature SURVEYORS CERTIFICATE. SIENNA CORPORATION -a- DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT,SET SCALE: 1 INCH 30 FEET O DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR 4( 7.3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR 8 s9, FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK FEET i i i WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES.OF: ' Lot 6 , 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 ,23RD DAY OF OGTorbEa-1 1965. SIGNED: JAhJES R. HILL, INC., IY: /l HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 APPROVED FOR SIENNA CORPORATION BY: DATED THIS DAY OF 19_. I. to SHEET 1 OF 2 SHEETS PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 84762 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 55431 812-884-3029 0R.VEVOR'S CERTIFICATE __-----__-- L? /J F W /y O ix = /W/ S 29024114E - 85.8 g UTILITY. pRAINAGE I 5 EASEMENT PER PLAT 0 .5 1 I. LOT, 6 00 g?61.3 I gbj-3 ?` g5'? 3 I c, , I 3 , i- x - e2,5? ? x$b L J sya-X?$e1 DeGK "(31at•S?n4f5 I x -J T " N ? / ?? D o 1\? (f N~? 0 1• V/. PROPOSED I ?? I f Xs m ? N HOUSE .-1 O nmi, (? 870. l0 ((? ,,l 16.0 p ?In", m r?i iY67o1 c}f2.0,4GA/ so3 24.0 x ?D 60?' 63.0-- C$lo7,u B6173 ees.e r 4 1 O 5 ? •• W R 5 O I O ?g$ i'13 be S2!017'08"E 85.00 1 1 DENMARK OAVVVENAUES,,?,` 860.1 - ? PROJECT NO. abw FILE NO. . FOLDER r?gS /\CR1=S BOOK / PAGE JAMES R. MILL, INC. 173 /31 Planners / Engineers / Surveyors 8200 Humboldt Avenue South Bloolnington, Mn. 65431 612-884-30211 SURVEYOR'S CERTIFICATE .t_ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT,SET O DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION SIENNA CORPORATION SCALE: 1 INCH - 30 FEET PROPOSED GARAGE FLOOR = 'K. FEET PROPOSED LOWEST FLOOR - S SIT,( FEET PROPOSED TOP OF BLOCK = F 1 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES.OF: Lot 6 , 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 23R0 DAY OF oCtofbPa-, 19SS. SIGNED: JAh R. HILL, INC. {Y: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 APPROVED FOR SIENNA CORPORATION BY: DATED THIS DAY OF 19_. SHEET 1 OF 2 SHEETS PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 84762 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenu• South FOLDER Bloomington, Mn. 55431 812-884-3029 _ - 1 SURVEYOR'S CERTIFICATE S29024114 1 E 85.86 g UTILITY. DRAINAGE I 5 EASEMENT PER PLAT LOT 6 F' W /0 O /X = W g 1.3 ? 1,1 X45 3 ? S6 5 q X c\I / ? 4 1 V h N ? 1 ? \ i 860,3 ?8 3 ^-' a ? OD $63.3 'i 1 I °° 3 8`°3 ? l J / I \r I I 80 O M GA I 970.3 co GA ri 24 .o 60 1 6 .o r .( Val o,} ebs.b I ; -. rii O Ml Y,.I.3 111 O ", 4,, ° 866 B S21017'08"E 85.00 x 8b0.1 g64.B B?S'1 , ------------ _ DFNMARK_ AVENU_F 86y? _ W1. I PROJECT NO. 86727 PILE NO. FOLDER BOOK / PAGE JAMES R. HILL, INC. 173 /3? Planners / Engineers / Surveyors 6200 Humboldt Avenue Bouth Bloomington, Mn. 65431 612-884-3029 SISA .VEYOR'S CERTIF.ICATI m 713/aj S 29°2411 '11 E 8586 ?- _ 1 ITY I :• DRAINAGE PLAT 1 5 EASEMENT PER 5 I LOT 6 t%l I I ?:'_.. g?bl.3 _ _ ??-5` ? •w. 849.3 ?` L) 451 I Not- 0 LID 1.5? VIrDPOStp o Nxg63 J X a6 t ??z s) r?_ !o - J 50.0 N EW/ lf.ist N sgq_?%e z. DEC a M V- 1 I P ?Xo ROPOSE N j jUSE 2.0 ? 1(D 16.0 //b °167.0 `+ 12.0 GAR. q 2.0 ` 7 . C6b 6011 r63.0,__? ?.o 861. p 1.3 _x11 I : •fl '. I?g66 8 407 S21017'08"E : 85.00 X I x 940,1 B6;.a 0 r.? °a ?, - 40.1.. ? I A cfLfiS aHOJECT NO. BOOK /PAGE JAMES R. HILL, INC. 9672-7 173 /3, Planners/ Engineers / Surveyors PILE No. " `8200 Humboldt Avenue South FOLDER Bloolnington, Mn. 66431 612-964-3029 PERMIT City of Eagan Permit Type:Building Permit Number:EA115163 Date Issued:09/24/2013 Permit Category:ePermit Site Address: 3962 Denmark Ave Lot:6 Block: 5 Addition: Birch Park PID:10-14175-05-060 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Aaron Hippe 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 - Mark Lyon 3962 Denmark Ave Eagan MN 55123 American Building Contractors 2960 Judicial Rd Suite 100 Burnsville MN 55337 (952) 707-6959 Applicant/Permitee: Signature Issued By: Signature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ity of Eagan Permit Type:Plumbing Permit Number:EA163865 Date Issued:09/15/2020 Permit Category:ePermit Site Address: 3962 Denmark Ave Lot:6 Block: 5 Addition: Birch Park PID:10-14175-05-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark Lyon 3962 Denmark Ave Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature