3968 Denmark Ave
BUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt
sr• DWG/GAR
194,00
Site Address
Lot Block Sec/Sub.
Parcel No.
6 Name
Address
b City Phone
Z9 Name
OU
Addre
u
t- city
U5
?W Name
W
Address _
U0
<W City Phone
Building Official
11175
28
Erect LJ Occupancy
Remodel ? Zoning
Repair ? Type of Const.
Addition ? No. Stories
Move ? Length
Demolish ? Depth
Int Impr. ? Sq. Ft.
Install O
Approvals Fees
Assessment
Water a Sew.
Police
Fire
Eng.
Planner
Council
Permit 0
Surcharge 1,
Plan Review f
SAC
Water Conn
Water Meter
Road Unit
I hereby acknowledge that I have read this application and state that Bldg. Off. . Tr. Pl.
{!
the information is correct and agree to comply with all applicable APC
State of Minnesota Statutes and City of Eagan Ordinances. Parks
Signature of Pertnittea Var. Date Copies
Total
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.
Permit No. Permit Holder - Dots Telephone #
Plumbing (? I? Ig 33- a
H.VA.C.
Electric
Softener
Inspection Date Insp. Other
Footings 1
Footings II
Foundation
Framing
Roofing
Rough Plbg. •t/?
Rough Htg.
Insul.
Fireplace
Final Htg. % ?- 7 -,2( e'
Final Plbg. l?
Final
Cert/Oec. y7 LG?
Water Describe Location:
Well
Sewer
Pr. Disp.
Ali
MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spoacea
Type or Prim legibly
Permit No.
Fee
S/C
Tot
1. Date 2. Installation Cost
3. Job Address Lot 81k. Tract
4. Owner
5. Contractor Phone r „ ?'
8. Address fr &
7. City - State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Epuioment BTU - M. Ea.
Forced Air No. Equipment CFM
A
Mfg. ir Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : _ ' for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot
.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor
6. Address
7. City
8. Building Type: Residential ?
9. Work Description: New ?
10. Describe
11.
Phone
State Zip
Commercial ? Institutional ?
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
CITY OF EAGAN Remarks D i V i 5j a nff 16252 10j85
Addition $ir-Ch Par Lot T Blk 5 Parcel 10-14175-070-05
Owner street 3968 Denmark Ave State Eagan MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 221 197 2.96 8.15 20 Paid ri r to divis on
SEWER LATERAL bn 931 198 2.70 8.85 15
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1018 198 750.48 50.03 15
STORM SEW LAT 1048 198 199.66 13.31 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
-
-
Road Unit 569-52 -ID72
5785
WATER CONN. 500.00 if if
9UILDING PER. 11175
SAC 525.00
PARK
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVIC E PERMIT
P. Q. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: _ No. of Units:
Owner:
Address:
Site Address:
Plu nber.
Meter No.: Connection Charge:
Size: Amount Deposit:
Reader No.: Permit Fee:
I eem to eewrply wuh the City of Bees Surcharge:
ondieeeeae. Misc Chorgss.
BY
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoning:
Owner:
Address:
Site Addrew:
Plumber:
Canst.
Total:
Date Plaid:
SEWER SERVICE PERMIT
PERMIT NO.-
DATE:
No. of Units:
I or" to e*m* wilt no City of iepe Connection Charge -' G -'
Orammeee. Account Deposit:
Penult Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
Jr tAUAN WATER SERVICE PERMIT
iM; Xnob R
ox 41199 PERMIT NO.:
WN 55121 DATE:
No, of Units.
Sib Address: y - eiimar vo. T.. B5 Birch Pavlk
Plumber: Star P i t:r.
Meter No.: -3/e 6- 515- ion Charge- { n
Size: S!$f1 ar+?.? $efrlf? rfi- ^ IpHA&caimeinkeaglt: - { { +1,
" CITY OF EAGAN N_ 1 1 17 5
3830 Pilot Knob Road, P.O. Box 21.199
Eagan
MN 55 121
,
,
PHONE: 4548100 -69 s
BUILDING PERMIT Receipt #
To be shad for SF DWG/GAR Est. Value $104,000 Date OCTOBER 28 19 85
Site Address 3968 DENMARK AVE Erect ® Occupancy R3
Lot 7 Block 5 Sec/Sub. BIRCH PARK Remodel ? Zoning RI
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories
Name SUNSHINE CONSTRUCTION Move ? Length 50
z
5985 Demolish ?
125TH ST W Depth 46
Address
A.V Int Impr. ?
431-2200
sq. Ft.
City . Phone Install ?
Name SAME Approval* ? Fees
ou Address Assessment Permit $ 44D-
00
12
1-
City Phone -
Water 8 Sew.
Surcharge 52 • 00
Police Plan Review 221.50
W Name JAMES R HILL TN Fire SAC 525.00
YK Address 8200 HUMROT DT AVE S O Eng. Water Conn. 500.00
<W City RT.MTN Phone 984-30 29 Pl 63
00
W
t
M
t
anner .
a
er
e
er
1 hereby acknowledge that I have read this applic tion and state that
the inlormotion is correct and agree to comp) with all applicable
State of Minnesota Statutes nd City of Ea Ounces.
Signature of Permittee t l`S
A Building Permit Is Issued to: SU SHINE STRU?l
all work shall be done in accordonce with alY,~Ilc ble State of Mir
Council
Bldg. Off. 10/23/
APC
Var. Date
Road Unit 280.00
Tr. PI. 132.00
Parka
Copies
Total $2,216.50
on the express condition that
and City of Eagan Ordinances.
Building Official
O ll?Q? REQUEST FOR ELECTRICAL INSPECTION
o IJ op see instructions for completing this form on back of yellow copy.
"X'"Below Work Covered by This Request
', EB-009
Ne% A d Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/F eders Fee
Swimming Pool 0 to 200 Amps to 10 Amp
Transformers Above 200-Amps Above 10 Am s
Signs Inspector's Use Only:
d TAL
Irrigation Booms ? ??
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER -O a, n IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final Datt
VV „
L
OFFICE USE ONLY
This request void 16 months from
00 5471
Request Date - re No. Rough-In Inspection Requi In
ion Other T Rough-ln
(You must call inspector an ready) Er
eetly No o' Inspector
? Yes No Dale Rea
I ?licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.)
r /?? City
at-,e. L.LL'e
Section No. Township Name or No. Range No. County
Occupant (PRINT Phone No.
6- 9?a
Power Supplier Address
Electnca Contractor (C pang Name) Conlractoes License No.
co.
?
Mailing Address ( ontraclor or Owner Ma g In allaliap)
Aulhoriz d ( 7( n c / er Making Installation) Phone Number
MINNESOTL rgFATE BOARD OF ELECTRICITY ? THIS INSPECTION REQUEST WILL NOT
Gnogs'.r w,ay Bldg. - Room S-128 / 4Ci-Yl0 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 e- UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0600 ENCLOSED.
This request void G
18 months from
07593-s-?? C7,? 5%'sya
Request Date
/ l .-b ?^ (?? Fire No.
I Rough-in Ins in
Req cared?
[]Neatly Now Eg?Zjll Nnlify Inspev
for Wh
R
d
?
Ves No en
ea
y
1?,Licenscd Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at:
Street Address. Box or Rout o. Cit^
ecvon NO. Township Na a or No. Range No. County
Occupant (PRINT)
?0 N-S? I '?j c;;- Phone No.
r Supplier
pow,
Address
ractor (Compa n/y Name)
/E/I???ctria(l?Co[nt-?
Contr/ayl tor's LFxn No.
Mailing dress (Contractor or Owner "I" Installation)
?C}}7S low 3 ?SAua&& - SS3'??3
Auth -d ignat.une' ((CDComra wnerJ Making ; Ilation) Phone N.n,b^r
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 - BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone 16121 2972111 ENCLOSED.
_ S REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
•' ' Ise instructions for completing this form on back of yellow copy. ' ss
n?9? ""X" Below Work Covered by This Request `
Add Pap. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other pem v Other Specifvl
t ar SPoci y Other Other
Compute Inspection Fee Below
ixe A Fee des Fee Clrcuos
.3 - 0to 30 Am s-3j 0to 30 Am s
n mps
m 5 --.
r 31 to 100 Amps
Amps
Above 100
Above 100_Am s
Irrigation Booms Partial 'Other Fee
Signs Special Inspection s E`
Herne rks OTAL
Yt,. J
tS_
Rough-in r / I, the EI
i D
?P Inspector, hereby
certif
that the ab
Final Rt ?
?
t/ y
ove
inspection has been
f a' C made.
This request void 18 months frpm -
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Now construction Reoulnurefft
• 3 registered site surveys showing sq. R 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 I lot platted after 111193
• Rim Jost Detail Options selection sheet (bldgs with 3 or Ism units)
DATE 7?T- aema
SITE ADDRESS
TYPE OF WORK
APPLICANT Te9s?t r F-So w{
n
k"/JM flee e
STREET ADDRESS Z4'-ZS (10h0;&Y Si CITY
TELEPHONE # 6'M-70K_-' ,Zff6_ELL PHONE # 61a-'7!7` X31
FAX #
PROPERTY OWNER NIQ &0/< TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CA'T'EGORY 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.
Water Softener
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Fee: $70.00
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 Ord" nceess„
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
asp
VALUATION 9)
.EwL e. MULTI-FAMILY BLDG _Y
IQ )W6- C/" de,,Adw)FIREPLACE(S) _ 0 - 1 _ 2
ATE , ZIP 5_-f y41'
RemodelfReosir Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if horse served by septic system for additions
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
i
°
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
1
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For:
Valuation: )04,000 Date: J I ,5
(7 rk A V-i?-' - OFFICE USE ONLY
Erect Occupancy (<,3
'Remodel Zoning R-?
Repair _ Type of Const j?
Enlarge q of Stories
Move Length 50
Demolish Depth 4(o
Grade Sq Ft
APPROVALS
Site Address:
Lot: Block ?'15 Sect/Sub
Parcel 0 A
Owner, ) `` r
Address( t
City/Zip Coded Phone Contractor(
`j}j
Address
I/
City/Zip Code
Phone II
Arch,/Engr-!./O C-?) /I-
Address
City/Zip Code
Phone 11 C?I??fr
Assessments Permit 443,
Water/Sewer Surcharge 3Z,
Police Plan Review Z21 , s-°
Fire SAC 25,
Engr Water Conn Soo,
Planner Water Meter (?3,
Council Road Unit 2g0-
Bldg Off /p_z.-_ rks
- APC 'Treatment P1 z-,
ariance / ' o
0t - TOTAL a
43 ,0
2°:?0+
-21 °L0+
2D°:.0+
--c 13+
53°J0+
2K :0+
132° :0+
..3216°SOT
Z6-/ x z ¢?
ZZ x Zz ? ??? x 12
l5x 3? - fox ?"4 Z37c?
f 0 3 F-
One or Two Family
All Other
CITY OF Aj _ BUILDING DEPARTMENT
EXTERIOR ENVELOPE AVERAGE fluff C014PUTATION
(To be submitted with building permit application)
Dwelling 7k-_ Owner
Site,Address
Contractor ;$Vys4/?? ?anlsT,
Date
Phone
LINEAL FEET
EXPOSED WALL OF 1)
ft.
5?
above grade ZZSIo ?`
TOTAL EXPOSED WALL AREA SQ. FT.
OPAQUE WALL CONSTRUCTION: 'fU'f Value x Area
'
_
t
D
il
m fluff .043
x
FT. ,
SQ.
D?
(U)(A)
e
a fruit 6g x _
S
IFT
(U) (A)
?
reference g _ Q.
.
from ?m fluff •04.0 x SQ:.FT. 119,57_= 417A U) (A)
attached ffun x SQ. FT. (U)(A)
sheets U
nun x SQ. FT. _ (
)(A)
U
a...
WINDOWS: 'fu ll Value x Area - -
Make & Type ltkut- 4k4 fluff •47 x SQ. FT.:sf0(O,SD= (U)(A)
of 11 fluff x sq. FT. (U)(A)
i n n fluff x SQ. FT. _ (U)(A)
n If fluff
X =
SQ. FT. (U) (.A)
DOORS:
"U" Value x Area
Make & Type
it it
u
n
. :' TOTAL
n
"
Ahw7l f fluff .14 x SQ. FT., Z, DO 5 (U)(A)
PA lih fluff .47 x SQ.? FT. ff,P0 = '414 53 (U) (A)
fluff x SQ.°+FT. _ (U) (A)
_ fluff x SQ.?.FT. _ (U) (A)
TOTALS ZZSly SQ.' F`T. " I9O: /Q- (U) (A)
AVERAGE 'full .
(U) (A) VALUES f9o.)4
DIVIDED BY TOTAL WALL AREA ZZr, MOO
a84
AVERAGE "U" .115 r less for 1&2 family dwellings
ROOF/CEILING:
TOTAL AREA: O Z
Detail reference fluff 047Z3;, x SQ. FT. 'JD Z = 2fa (U)(A)
" from fluff x SQ. .FT.• (U)(A)
attached sheets, fluffx SQ. FT. _ (U)(A)
- Describe openings 'full x SQ. FT. (U)(A)
in roof. fluff x SQ. FT. _ (U) (A)
TOTAL (U) (A) VALUES DIVIDED BY ZQ S? _ 7rrAtLS 1049Z -i?•:FT 11, g&C
TOTAL ROOF/C dG AREA IbgjZ '07.4'
AVERAGE " .025 or ventilated roofs.
--WALL SECTION--
z. 5 Gyp.
3.)'Insulation
4.)
5.) Exterior Air Film
(STILL)
nun = 1/R= .0Z3
R VALUE
0.61
.56
40.00
.61
TOTAL (R)= 4I•]$
WALL
6.) Interior Air Film
7.) j° GYP. Bd.
8.) Insulation
9.) YOIL.T ?lng
10.) Masonite Siding
11 .)'Exterior Air Film
null = 1/R=.. TOTAL (R)= 23.01
Determining nUn values at Roof, Wall, Rim, and Conc. Block
i
ROOF/CEILING
1.) Interior Air Film
/8jj Bd
RIM
12.) Interior Air Film
13.) Insulation
14.) 2" Fir Rim Joist
150 A>ta- 9ITg
16.) Masonite Sing
170 Exterior Air Film
(R) VALUE
0.68
.45
11,00
Z7
.17
(R) VALUE
0.68
19,00
1.88
Z ` 67
.17
nUn = 1/R= v4 p TOTAL (R)= 2444
FOUNDATION
18.) Interior Air Film
19.)
20.)
21.) 12" Concrete Block
22.). pll011?: VLa
23.) ExteriorNAir Film
nUn = 1/R=
09 a
R VALUE
0.68
1.28
/d.00
17
TOTAL (R)= '0.is
•. ra?4N ?•3 k?iFR.$?Y,,`??yY' i?+?F'rnea'?
{ Sg •.[` j i Yw ?4$b %w9.rY? rxd Y3'
1 ,
4
r# r
°?-Q?kbSS EX?SE?
k;
t?4 sx ??t3z+3Z) _
A 40
3:ox (8-r8) -
L
1 37-
?&/
Y
S h4Y
?
t
yy?? /`
V
j.7•?y
j
.v
.q•,w `? ?Y++a
144
48 ., r ,?
.
1
IFFY —
lox yo s v
X
- 4 =
0 0
0
2 _
7 X 'J
Q
o
?e{!
"
Wj
u'
(o X
x r =
8,vo f
- ..
m??_
as
lyl7-?-- 070
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-Or: A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE `C C,- \ 9L
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00
STATE SURCHARGE .50
TOTALO
SITE ADDRESS: ?ci G k Oc,n Nlcz t k (. t o
OWNER NAME: fy\4 1n(? r X11 o TELEPHONE #: SCE- g y a?
INSTALLER: P.FA f LNG AND COOLINCI
ADDRESS: EAGAN, MN 55422
45*4000
CITY
STATE: ZIP CODE:
TELEPHONE #:
tn=A 0 oo , ?':
SIGNA
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681.4675
! R A:?a1 sls J? iti lR Era-za q r r? r:ra:a.r r foil a r:s'r:s to a R ?! r;s:w? A:a:f? r a at a a r:sa ac•
F O R C I T Y U S E O N L Y
PE- '. T_ = ISSUED
$ /6-5 -0
$ (o ?' a z
S
$
$ ls. ?4
$ 5 . G
$ Sv?.«d
$
$
SE:•:ER nrP??rT (I2ICL::DE SU RCF?::?._?)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE R_E:.DE_R
WATER TAP (INCLUDE CORPORATION =?)
SEWER TAD
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT//TRUNK WA?TEERR?
OTHER J?`J J??" , G ZCr
$ TOTAL
$ /G 7U AMOUNT PAID/RECEIPT
DOES UTILITY CONN ECTION REQUIRE EXCAVATION IN-PUBLIC RIGHT OF WAY?
C YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SU33ECT TO THE FOLLOWI`IG CONDITIONS:
APPROVED BY:
t
TT^r-
DA ? _E
a" i sus Rr:pw =Pdm.r R O4fe a*:," RwAw:/f am" Riw "Cam !!4/Jngim1q moor mmo aA W146 Woo 04 w m v1r
.- . ? Y
. CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE P9INT)
r.ES=PTl- T:
-_= :G ST. C^^ DA'M OF ORIGINAL BUILDDIG PE ;ST ISSu?NC_2:
-1 Su,GLE FA`LILY " - -
Q R-2 DUPLEC M%0 UNITS)
? R-3 TUVNHCUSE (THREE + U"IITS)
? R-4 APARUTY T/CCiIDa%I`iIIL?1 ( L7:7
? CCMMCIAL/RETAII./OFPICE
? I-\DUSTRIAL
Q INSTITUTIONAL/G04'E.RI?N'I` 2) r°PLT_G_T r / l 1PLEASp PRINT)
/I
NA,"IE :
ADDRESS:
CrrYl STATE, ZIP:
PHONE:
3) PL: ?4? te
.
?ttE:
N R
,
ADDRESS: e)
CITY, STATE, ZIP.-
PHONE:
`S Y
4) NAVE-
ADDRESS:
CI:'_', STATE, ZIP:
PLUM:
/y% PLUMBER LICENSE M
PRINT
5) lr=c': PM - - IT IS BEID:G REQUESTED:
Q C041EC:ION To CITY SEWER
?k C=4EGTION TO CITY WATER
? OILER (PLEASE DESCRIBE)
.1) = G:W.
5
7) SIC: ^?,:..
PT..-,S-c InTn APPpwm PF. %UT FOR ?=i UP BY ONE OF eW.
?M SE %VVIL APPR 11) PER:-UT TO 1 2 4 ABOSIE
? ? (Circl ne)
7 7 .n
DATE: /
FOR. ';SE ONLY
Pll'M9E.45
-c z
cx
?y R..ecord
SURVEYOR'S CERTIFICATE." SIENNA CORPORATION
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT.SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
SCALE: 1 INCH FEET
PROPOSED GARAGE FLOOR &7?.3 FEET
PROPOSED LOWEST FLOOR = 6 FEET
PROPOSED TOP OF BLOCK = 671.7 FEET
NOTE: THE LEGAL DESCRIPTION
SHOWN HEREON WILL BECOME VALID
UPON FILING THE PLAT OF BIRCH
PARK.
WE HEREBY CERTIFY TO SIENNA.CORPORATION THAT THIS IS,A TRUE AND CORRECT REPRESENTATION
OF A SURVEY OF THE BOUNDARIES. OF:
Lot -7 , Block S BIRCH PARK, according to the -
recorded plat thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW'IMPROVEMENTS OR'ENCROACHMENTS'; IF ANY. AS SURVEYED BY ME
OR UNDER MY DIRECT SUPERVISION THIS 16rH DAY OF CXT03M 1985'. j
SIGNED: JAMES ILL, INC.
6Y:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
APPROVED FOR SIENNA
CORPORATION
BY
DATED THIS DAY OFD
19_.
RE,V, lo- IS-`ate TdsNaW
A ?R??O?E47 NroUS? FOP-
SuNSNIN?.. CO?.1ST.
PROJECT NO.
84762
49s9i
FILE NO.
FOLDER,
BOOK / PAGE
EAGAN
EVIEVV.E/
BY
SHEET 1 OF 2 SHEETS
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
,8.200 Humboldt Avenue South
Bloomington, Mm 55431 612-884-3029
,SU'RVEYOR'S CERTIFICATE SIENNA CORPORATION
v ItVV?>i ?L=??, I-lLIL./ t tkJI\J
S 29'24'14" E /
74.99 -??
tu
at
J
1
J O
DRAINAGE & UTILITY
EASEMENT PER PLAT
LOT 7
3)
(863
n$65•
1- -
I.OI 6b`LZ' //
Q
WGAR.
N
O 8
t _
866 ?
f
o
15
1
I
I Cr
1 ?Q
m?
I o
tQD
t _
k8'Ef) lr l
` J
I 1
5
90. 00
At 21 ?17'O's W (?e8.7
'E'A'ARK A VENUE- s
_?~ ??7L86h_`??
SHEET 2 OF 2 SHEETS
PROJECT NO., BOOK /PAGE
/3 JAMES R. HILL, INC.
?S9
84762 ?ya?yY Planners / Engineers / Surveyors
FILE NO.
8200 Humboldt Avenue South
FOLDER Bloomington, Mn. 55431 012-884-3020
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173761
Date Issued:12/02/2021
Permit Category:ePermit
Site Address: 3968 Denmark Ave
Lot:7 Block: 5 Addition: Birch Park
PID:10-14175-05-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Daniel R Cook
3968 Denmark Ave
St Paul MN 55123
(651) 238-7824
Knight Heating And Air Conditioning, Inc
13535 - 89th Street NE
Otsego MN 55330
(763) 274-9945
Applicant/Permitee: Signature Issued By: Signature