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3977 Denmark AveCITY OF EAGA N 12007 I ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - PHONE: 454-8100 ;. $UILDING PERMIT Receipt To be used for SP DWG/r ;A 1 Est. Value 7112 , 0 0 0 Date mAY 27 19 d 6 Site Address 3977 DENmAKK AVE Erect C Occupanc y R3 -BIRCH PARK Lot 1Ly Block ti Sec/Sub Remodel ? Zoning ?tl . Parcel No. Repair ? Type of Const. If,n Addition ? No. Stories SUNSHINE CONSTRUCTION N Move ? Length 65 ame W 5985 125TH ST W Demolish ? Depth 4 3 Address ° City 11. V. Phone 431-2200 Int.lmpr. ? Sq. Ft Install ? o Name SA,-tE Approvals Fees z? Q Address Assessment Permit 463.00 City Phone Water & Sew. Surcharge 56.00 W JAi lES R HILL Police Plan Review 231 • 50 F W Name Fire SAC 575.00 ?n Address 8200 HUMBOLDT AVE SO Eng. Water Conn. 00 00 W BL?v1Tr1 884-3029 4 City Phone Planner Water Meter. 50 I hereby acknowledge that I have read this application and state that the Council 5/20/8f Bldg Off Road Unit "? • 00 150 . 00 Tr Pl information is correct and agree to comply with all applicable State of . . . . Minnesota Statutes and City of Eagan Ordinances. APC Parks Signature of Permittee Var. Date Copies . 00 Total SUNSHINE CONSTRUCTION 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 I I Permit NO. I PermH Holder Date T"phone N Date Plbp. Hty. Htq. Final Occ. Fty. Frmp. Disp. PERMrf # MECHANICAL PERMIT RECEIPT # 44 3 Q CITY OF EAGAN 7Z ' 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: -ZT d CONTRACT PRICE: PHONE: 454-8100 Site Address C lq BLDG. TYPE WORK DESCRIPTION Lot ZQ, Block 10 SSeclS ubAZACM Age& ? S G Res. New $ Name Mutt Add-on Address ('e WerIP U C c Cit E /1 "?/ ? Ph 9 3 -?J 9S omm. Repair y one Other Name U v S ` 5 7 FEES c Address RES. HVAC 0-100 M BTU -$24.00 p City" I Phone !Z 5 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA Forced Air M BTU COMM /IND FEE - 1 % OF CONTRACT FEE . Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU -It MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU u STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other FEE: SIC: jU SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN PERMIT # / of, ` i -I PLUMBING PERMIT RECEIPT # (o 3& '7 L CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: I< .ANTRA[_T PRIrF- DunuC. wcw_ainn Site Ad ,?ss Lot - Block m Name Addre c city _ i ?w uv - c Address O City FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE _$10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION y Res. New ' Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 Bath Tubs - $3.00 Lavatory - $3.00 _ Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 -Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: i STATE S/C: GRAND TOTAL INSPECTION RECORD Control No. 1243 CITY OF EAGAN PERMIT TYPE: b(I i I P i NCI 3830 Pilot Knob Road Permit Number: 061696 Eagan, Minnesota 55123 Date issued: ? • 1 g /9Z (612) 681-4675 SITE ADDRESS: L O T I 1 R L Qt: k£ N APPLICANT: 3917 DENMARK AVE JOHNSON LARRY BIRCH PARK (612) 864-3360 PERMIT SUBTYPE: `;F Pf)P('t1 TYPE OF WORK: NFLI DESCRIPTION INctuo!'s IOx13 Oli:ti INSPECTION f 111) iINti DATE INSPTR. INSPECTION TYPE FkAMINH DATE INSPTR. INSULATInN FINAL Permit: No. Permit Holder Date Telephone it S/W PLUMBING HVAC ELECTRIC ELECTRIC inspection Date Insp. Comments Footings] Foundation Framing t ?J Roofing Rough Plbg. Rough Htg. ?7L Isul. ( t ! Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector- Notify Plumber Const Meter EngrJPlan Bldg. Final / Deck Ftg. 1i Deck Final Well Pr. Disp. CITY OF EAGAN Lot 10 Blk In Parcel 10-14175-100-06 Street 3977 Denmark Ave State Eagan MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 221 1973 162.96 8.15 20 Paid ri r to divisi on SEWER LATERAL n 931 198 132.70 8.85 15 11 " WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 1018 198 750.48 50.03 15 STORM SEW LAT 1048 198 K 13.31 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. SUILDING PER. SAC PARK CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N °- 12007 BUILbING PERMIT PHONE: 454-8100 Receipt # ?A u / To be used for SF DWG/GAR Est. Value $112,000 Date MAY 27 ,1986 Site Address 3 9 7 7 DENMARK AVE Erect E Occupancy R3 BIRCH PARK Lot1Q_ Block 6 Sec/Sub Remodel ? Zoning Rl - . Parcel No Repair ? Type of Const. 11n . Addition ? No. Stories SUNSHINE CONSTRUCTION N Alloys El Length 65 W p ame 5 98 5 125TH ST W Address Demolish I t I 11 ? Depth 34 Ft S City A. V. Phone 431-2200 n . mpr. Install ? q. = o Name SAME 00 Address ~ City Phone Assessment _ Water & Sew. Fees Permit $ 463.00 Surcharge 56.00 Plan Review 231.50 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 It JAMES R HILL Police W W Name 0c3 UA Fire Address 8200 HUMBOLDT AVE SO Eng. <W City BLMTN Phone 884-3029 Planner Council I hereby acknowledge that I have read this application and state that the 5/20/86 information is correct andaaree to comnly with all nnalinahia Stator of Bldg. Off. Signature of Permittq A Building Permit is issued to: SUNSHINE CONSTRUC all work shall be done in accordance with all applicable State g inneso Building Official T? Date Copies , 0 0 Total :52 , 335 on the express condition that M CITY OF EAGAN IT WATER SERVICE PER 3830 Pilot Knob Road P. O. Bo+ 21199 PERMIT NO.: Eagan, NIN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I syfea to amply wkb ibe city of Iowa Surcharge: onliannews. Misc. Charges: Total: B Dote Paid: Y Date of Insp.: Insp.: f 3830 Pilot Knob Road f P. O. Bov 21199 PERMIT NO.: Eagan, AN 55121 DATE: Zoning: No. of Units: Owner Address: Site Address: 3 Plumber: I spew to sswPh vd& !M City of ENe¦ ordleamew By Date of Insp.: Connection Charge: Account Deposit: Permit Fes: Surcharge: Misc. Charges: Total: Doh Paid: GAN WATER SERVICE PERMIT nob Road 199 PERMIT NO.: 55121 DATE: No. of Units: Address: Reader No.: D -2N !:t / 7 -"r '7 V PIfPeU*'!C" I gone to s°ewpllr wMb the City s?U'a1 Total: By `?`" ti Date Paid: Date of Insp.: Insp.: B6 Birch Pai 63.50 g_?-0 ICIj REQUEST FOR ELECTRICAL INSPECTION EB-pOOn01 .04 [t See instructions for completing this form on back of Vellow copy. d 7 1;d 7 -X" Below Work Covered by This Bequest `•lewl Add Rep.I Type of 1i I Appliances Wired I Equipment Wired I Silo Unloa Bulk Milk " Ih g Fee Service Entrance Size W Fee FeedarsrSubfeedera R Fee Circuits 0 to 200 AM P5 0 to 30 Amps 0 to 30 Amos Above 200 Amps 31 to 100 Amps. 31 to 100 Amps Swimming Pool Above 100_Amps Above 100-Am s Transformers Irrigation Booms Partial."Other Fee I Inspection S'? " I ' Al nougn-m crate r I, the ctrical // :ZS S Inspector, hereby certify thet the above Final / ` fe inspection has been This request Vold 18 months from This request void 10 months from C 425 7 .icensed Electrical Contractor ? Owner ?? -2- .. I[]Ready Now Jill Notify Inspec-I No for When Ready 1 hereby request inspection of above electrical work installed at: Street Addreesss. Box or Route No. City J - // 2- /S j-j IC /. I J V ?J t 1 action o. Township Name or No. Ranee No. County Occu - t (PRINTI Phone No. Power SuPplie Address I Contractor Company Name) Contractor's License No. S o l? d f?N Ya ?y G`??G? 0 4CO ZY 51' Adai/l?iny Addrreess IC on r r 2-- trr or Owner Making Instailati I CC A AuM tz Si at ontrac r/Owner Making Installation) Phone Number // MINNESOTA STg[fy?BOARO OF ELECTRICITY Grig9a-Midway 1d9. - Room N-191 1921 University Ave., St. Paul, MN 55106 Phone 1612) 297-2111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ER-00001-04 1 See instructions for completing this form on beck of yellow copy. / 3 7l? C27203 "X" Be/ow Work Covered by This Request N Add Rep. Tvpe of Building Appliances Wired Equipment Wired 1 to I 1 I I Industrial Blda. I I Air Conditioner 1 I Bulk Milk Tank 1 p Fee Service Entrance Size p Fee FasdarerSubteedars a Fee Circuits J,5-00 0 to 200 qm s 0 to 30 Am s 0 to 30 An! s Above 200 gmps. 31 to 100 q ins 5,CD 31 to 100 Amps Swinvning Pool Above 100_Amps 1 Above 100-4m Ps Transformers Irrigation Booms l .50 Partial-Other Fee LL ISigns I I ISpecial Inspection Is?l'Y- TO L E Remarks certify that the above inspection has been request vold This request void This months from I[/ U C127S0.3 pu-in .. ?"r,n n?, R f_ Required? Ogeady Now I Notify, Insoec- x 1O `?,es No for When Beady Lfr-t?icensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed et: Street Addre s, Box or Route 4 1-) f Section o. Township Name or No- Range No. County O cu nt (PRINT) - r?_ h w -? Phon No. -? r Supl liar 136 Address ectrical Contmcto pa ny N met ` t = / Y` Contract r4s License No. Mailin Address (Contractor or Owner M a kin/0I tailation) -7b - c? Au Norize natkre (Co tractor/O .king Installs ion Ph bar MINNESOTA STATE BOARD OF ELECTRICITY ?. THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Be.. N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave-, St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Ph.o. 46121 297-2111 ENCLOSED. K59 95 l?-r? y a ?i? ??? ?r? ?an-?e /o8?9s ??D °„ ReOUe 1 ate `U,IL r r Fire No. Rough-i Inepecli'm Requ ? s G No CD Ready Now ill Notity Inspector When Ready? I licensed contractor Downer hereby request inspection of above electrical work at: .bb d s IS 7x oute No.) City Section No. Township Name or No. Range No. Cou Oc nt IPRINTI - Ph ` Power Supplier Address EI r. al Conlram r ICOmeany amel Co cfor Lice o. Mai tlr 1 onVaclor ner Making 1oslallali f Aut iietl SI aline 1 o tfaatar%Owner my ahonl Ph n to !!\) W MINNESOTA ST E BOARD OF ELECTRIMY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55184 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-OWO - ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Slk`"`%-14 E8-000(r a 9 5 • See instructions for completing this form on back of yellow copy. ! 91! -X" Below Work Covered by This Request .;..` egg Add Aep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./industrial Furnace Farm Air Conditioner Other (specify) Contra g2rgRemarks. 1 Compute Inspection Fee Below: O lrJ I(?? h1 # Other Fee # Service Entrance Size Fee # Circuits/Fereders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps A 00 Amps Signs Inspectors Use Only: TOT C n Irrigation Booms ?? O . Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 S. P I, the Electrical Inspector, hereby Rough-in , 8 certify that the above inspection has been made. Final OFFICE USE ONLY r This request void 18 months from U/ as l RESIDENTIAL BUILDING lX / Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 i ?. J-5 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan _ Cart of Survey Real (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pms Plan Reod 2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Regd 1 set of Energy Calculations Addition - indicate Non-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan ff lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date 7 & Construction Cost / / 1 Site Address ??77 i/J/ yl/J? Unit/Ste # Description of Work .,._..,... _ ,----.- ---. _'._.. - Multi-Family Bldg _ Y N - Fireplace(s) 0 1 2 P t O hone # (,v Tele wn roper y p W77 Contractor Address City State zip Telephone #TX- )J7? rf? 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 Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone 0 ,r; II 'I I ?S (V5 1f Y ilk 3 i Z1103 I hereby apply for a Residential Building Permit and acknowledge that th? information is complete and accurate; that the work will be in conformance with the ordinances and codes of &6, City-of-Eagan-an44fle 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. S /{"leas i /4? Applicant's Printed Name Appli ant's Signature RESIDENTIAL 5 1 r BUILDING PERMIT APPLICATION l I CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New construction Reaulrements • 3 registered site surveys showing sq. ft. of b4 sq. t of house; and &11 roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, at.) • l set of Energy Cabulations • 3 copies of Tree Preservation Plan If lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE & J / b RemodeMettair Reaulrements • 2 copies of plan • 7 set of Energy Cabulatkms for heated additions • l site survey for exterior additions & decks • Indicate it tome served by septic system for addftbns VALUATION J12- U / SITE ADDRESS 1 7-7 Q e / P -.a '/c MULTI-FAMILY BLDG _ Y ?N TYPE OF WORK rPiYO(? FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT ? FJGc n L%? f? rf ors STREETADDRESS 7?b6 was?=7474?'v ARi e CITY, TELEPHONE # ?5L-&8l-?Z3Z CELL PHONE # PROPERIYOWNER CAn S ?X)ffz4- RO Gd ( TELEPHONE# COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Phone # Phone # Fee: $90.00 I?UN 1. 7 2002 ? I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan OFd Signature of OFFICE USE Water Softener _ Water Heater _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Air Conditioning Heat Recovery System 5?3yr? FAX # and agree to comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 PERMIT CITY OF"'EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: VALUATION $1.0,000 3977 DENMARK AVE LOT: 10 BLOCK: 6 BIRCH PARK DUI LDING 001605 7.0/29/92 DESCRIPTION: INCLUDES 10x13 DECK Bu:ld3tg Permit Type SF PORCH r Building ',Work Type NEW UBC Occupancy R--3 Building Length 14 Building Width 14 ?. i REMARKS: e J? 7 FEE SUMMARY: PERMIT TYPE: Permit Number: Date Issued: Base Fee $1.17.00 COPIES 00 Surcharge .,00 Total Fee $124.00 Subtotal $122,00 CONTRACTOR: L_ I hereby acknowledge that I information is correct and Statutes and City of Eagan OWNER: - Applicant - JOHNSON LARRY 3977 DENMARK AVE EAGAN MN 55123 (61.2)854-3360 Piave read this application and state that the agree to comply with all applicable State of Mn. Ordinances. !! •f AP /IIICANT/PERMITEE SIGNATURE r ISSUED BY: IGNATU Control No. 1243 PERMIT # REACTIVATE 1(•9ff CITY OF EAGAN 1992 BUILDING PERMIT 681-4675 :612:.Q1 APPLICATION OCT 1 9 REco cam ll-ac SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot change is re guested once permit is issued. Date /o - Valuation of work /.SoaC) Site Address: -3177 SS/13 STREET SUITE M Tenant Name: (commercial only) LOT /U BLACK G SUBD. P.Z.D. # Description of work: .?nsoti oiccr c /? The applicant is: J( Owner ? Contractor ? Other (Describe) Name _J0Zws& J ±/_o Phone Property LAST FIRST ya )?3d6o crr %53 Owner Address _j'1077 STREET STE 0 City /es State' Zip Ss??3 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: YO °'°' OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 ? 02 Foundation SF Dwg. ? ? 06 07 Duplex 4-Plex ? ? 11 12 Apt./Lodging Multi. Misc. 7N Le it Finish ? 1? swim ool ? 03 F1 04 SF Addition SF Porch ? ? 08 09 8-Plex 12-Plex ? ? 13 14 Garage/Accessory Fireplace ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft.. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy k 2nd Fl, sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump 9 of Stories Footprint Sq. ft. Fire Sprinkler Length 14 On-site well Census Code 431 Depth 1_ On-site sewage SAC Code Ga?1su5 bfd _L._ APPROVALS Planning Building /p 2L 92.?S Assessments Engineering Variance REQUIRED INSPECTIONS 3-5E&50N Pb?2c++ AND 1 oXr3 D£c!L ? Site ..Footing Framing Winsulation ? Wallboard Final ? Draintile ? Fireplace Permit Fee 71, oo v.iuotiam g `C70 ? c> Surcharge Plan Review 5,?a P License - I y X! - Ie( 6 MWCC SAC City SAC ?- Water Conn. Water Meter ? Sp 11 +-?S ?(On Acct. Deposit S/W Permit p ? S/W Surcharge - - b vo Treatment Pl. Road Unit Park Ded. /b D Trails Ded. Copies Other Total: SAC % -- SAC Units LLB M caAN?ICA ERMiT REJICEiPr # C a 7 ? SUBD. (612) 681-4675 DATE - cZ RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: ADD-ON A/C ADD-ON FURNACE SITE ADDRESS: O J // ADD ON/REMODEL (EXISTING CONSTRUCTION ONLY) $ 15.00 INSTALLER- c ?y HVAC: 0-100 M BTU 24.00 PHONE #: y3a ^ ADDITIONAL 50 M BTU 6.00 ADDRESS: (3(?? GAS OUTLETS - MINIMUM 1 @'$3 EA. CITY. ZIP: 55 (? SURCHARGE: $ 50 SIGMA TOTAL 0 $ U ; gill; , COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE- FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 MINIMUM FEE - $25.00 OWNER: TOTAL: $ SITE ADDRESS: TENANT: SUITE #: INSTALLER: ADDRESS: CITY. ZIP: PHONE #: CITY SIGNATURE: SIGNATURE: W' J / O 'i i "=2/84 r '> CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 3 577 L c ????rlcN: L?6 is,&- i-star,d-j- PAP-<- (LO C/31ock/Sucaivisicri or Tart Parcei I.D. Niz,-zer/ c=Cm7', ' I Dal:. OF ORT_G_:UI L u,ZT-D=- . r.'11 lsa: L.C P? _._ ...^ey^ROP^^S? CS: R-1 Si :GLc". F,`-•.tiiz }?+ ? R-2 DU_». (7..0 L7n-) T%NLa- ISE 'i'?.-= 1 Tom.--.. ? :1-4 ? ca-ti1E:C_:L/RET:?II?OFFI?? ? 1,?csT?sL ? DISTI7=IO`l? /G v •n?• 2) (PLEASE PRiul) NAME: 5u N?}I e C?5 Ai T PLDR-°SS: 55 e? ts m"s C=' s_;:y, ZIP: APp?? i/s4 FT h? 5`?i24 PHCNE: 4 i j - 22r? 3) F ??? NPME (PL" -E PRINT) 1/4 FOR CITY USE OSLY ATe: cSS: p /0 O PLU9HRS LICENSE: o C Active CI 'Z .ST: TE, ZIP: = Q = Expired - PfONE: ?AaiE'. PLU.4BER LICENSE N C Not of Record . T= :n1M, NT,i4E: ADDRESS: CITY, STATE, ZIP: PHONE: PRIR1 5) rlDIC,TE WHICH PERIT IS BEIA:G REQUESTED: ® C=lECrION TO CITY SE7NER 16,1 CC::%I=ICN TO CITY WATER ? 0"'IM (PLEASE DESCRIBE) ? ?1-t:SE I?CID APPROVED PERMIT FOR PICT:-L? BY CNE CF ABCs. PI r:S :'AIL APP°WED PMAIT TO 1,(p 3, 4 ABNE (Circle one) Tb SIC R;E: DATE: RTC 21 a`5 PERMIT # ISSUED x> sl Pd w/Bldg. Permit FEES: $ $ $ $ $ $ $ SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ /?3 V ??` CrZ $ TOTAL C10 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. Q SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: o DATE: fOR -CITY USE ONLY r .: ICS < ? ec P2K: CITY OF ?A ?Z•.41?1 BUILDI { NG DEPARTMENT ??- EXTERIOR ENVELOPE AVERAGE 'lU" C014PUTATION (To be submitted with building permit application) Ore.or Two Family Dwelling Owne r S E - M,:S r L 41M All Other `7q q Site Address 3177 nEWMA Contractor Date - !Phone 4Z7-6 LINEAL FEET OF EXPOSED WALL ?1Ea= I'l.Jvt'K qq J? I SB g? ft. abov • D e grade = G y TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL CONSTRUCTION: 'full Value x Area Detail RAI»B nu" 104.3 x ?' l " SQ. FT. Z:72•O R19?(U)(A) reference or e U" . 140 x r' SQ. FT. 2010 ZS, Z (U)(A) from u"-- •C 40:7 x " S Q. FT. attached u" x SQ. FT. MW sheets "u" x sq. FT. - (U)(A) nun x SQ. FT. _ (U)(A) I+INDOWS: "U" Value x Area Ma is 11 ke & Type J1J5gUG, CSH?!r. rrUr' . SL x SQ. FT. IDlv,39 (U) (A) "U'I x SQ. FT. _ (U)(A) null x SQ. FT. - M(A) nun x SQ. FT. _ (U)(A) DOORS: "U" Value x Area Ilaice & Type ?TZ, OL "U" " n P?7}O f,ur, ''Q x SQ. FT.--5eprpo= ?i8 (U)(A) .. if ---_ • 47 x SQ. FT.__PT!S2Q=,e Ps (U) (A) n n nUrr x sq. FT. _ -(U) (A) "un x SQ. FT. _ (U)(A) TOTALS _Z$(pf, f3 SQ. FT. I- X31 (U)(A) AVERAGE "U" TOTAL (U)(A) VALUES _ 0&2184 = DIVIDED BY TOTAL {'TALL AREA gb&j, AVERAGE "U" . 15 less for 1&2 family dwellings ROOF/CEILING TOTAL AREA: : S$ Detail reference "U" 1 ( )( ) 'OZ x SQ. FT. b59, Z4.;3 U A from nUrr x SQ. FT. (U)(A) -attached sheets. nun Describe openings „u„ x SQ. FT, _ (U)(A) Ln roof. nun x SQ. FT. _ (U)(A) x SQ. FT. _ (U)(A) TOTAL (U)(A) VALUES DIVIDED BY Z? 33 To I&Vj 125E NR 24 33YM TOTAL ROOF/CEILING AREA rp?? ?3 AVERAGE 11U1 .029 f r ventillted roofs. , 11 woKK ?#Pee-r'I ?' Ro'r?i E?GD wA(rC_ IS•33 X (3?t?t27t27) = Z3a9.s8 7.50 X (4+4+4+4? = f5z.ov 0.00 X 3 (a - 280, o0 7.00 X (e,+58 02#00 Z8?1. 5 s . fp7 X 3(9+3(0+31 +31? = 89, 78 7.00 k (S r3? - 11Z,Oo L- :?o/sT 1•(97 X ( 31o +3(o tZ7+z?? _ .53 x 0+4+4+4, 4•o loX3(o . S.o Z¢X48-- 8.0 zo )(coo = 8.4 Z4Xl0o = 10.0 Dopes Zlo_$z. I ?-z8 ZZ?7,70* I(9.oo 25, o o 00.00 33,100 5v, o0 3° h?L• w/Z ?,,L. = 3S,oo Za W. SIwz. = ZI,00 040 190.0o ?ET 5Xfi'n5ED WALL E4vs?c-S Gas ' G'orle, xa1,75 Rol ' Z7-3, 70 - 770-o 1?law's 704. S +' Doo?'S f¢O.a? ?? x4 x 5 X ?o X 4 X S Z01,75 4- 'R voF z?x3? _ q?.po x f 3 = 52.00 4 ? 13 =?,. 5 z, 00 1.5x 1Z = I S-oo --VIALL SECTION-- Determining "Un values at Roof, Wall, Rim, and Conc. Block 1--- ROOF/CEILING R VALUE 1.) Interior Air Film 0.61 2.) 5/P Gyp. Bd. .56 3.) Insulation 40,Ob 4.) 5.) Exterior Air Film .61 (STILL) nUn = 1/R=TOTAL (R)=41.76 WALL 6.) Interior Air Film 7.) 1" Gyp. Bd. 8.) Insulation 9.) guILT-f175 10.) Masonite Siding 11.) Exterior Air Film R VALUE 0.68 .45 19#00 21 6t .17 nUn = 1/R= ,p4Tj TOTAL (R)= 23.0' RIM 12.) Interior Air Film 13.) Insulation 14.) all Fir Rim Joist 15.) X01GT-K1I 16.) Masonite Ming 17.) Exterior Air Film R VALUE 0.68 19. w Z:69 .i7 uUu = 1/R= TOTAL (R)= 7(? 4n FOUNDATION 180 Interior Air Film 19.) 20.) 21.) 12" Concrete Block 22.) P,164? ldWL- 23.) Exterior Air Film R VALUE 0.68 . 1.28 5000 . .17 "U" = 1/R= . 144 TOTAL (R)= 7.13 -^1 e a ' t 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN 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: 42000 Date: Site Address: '3`1 77 iUc?JMAN-- <, G. i OFFICE USE ONLY Lot: /0 Block (o Sect/Sub ir?-r- r46ct Occupancy le3 Remodel Zoning Parcel 0 Repair Type of Const Enlarge # of Stories Owner SU &(su L ti r? Cenm i T- Move Length Demolish Depth Address Cj Q, IZJJ?? Jc T to„ Grade Sq Ft City/Zip Code A PALE i y y J 512 4 -------------- --------------- ------ Phone ?{3( 22 c7 o APPROVALS Contractor 5.4ME A5 A6 OU(: Assessments Permit ?/G3 _ Water/Sewer _ Surcharge Address Police Plan Review Q Fire SAC -57 City/Zip Code Engr Water Conn Planner Water Meter GU Phone Council Road Unit Q A J Bldg Off Parks rch./Engr. _ AMES P--PILL APC Treatment PI Address --&'z00 urn ha?oi 11?cS Variance TOTAL ? - 3 S- City/Zip Code 13L oo»-i /^tca bo 55431 Phone 0 gRe4- 30 2-7 Gvx l? J?? z?lz 57 /, r //d"/CI F PERMIT# RECEIPT DATE: RESIDENTIAL PLUMING MtMIT APPLICATION C" OF £A GM 3$30 PILOT KNOB RD EA GM, MN 55122 651-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow, preventer for irrigation system SITE ADDRESS: p?G r]?D???? OWNER NAME:: TELEPHONE #: (AREA CODE) INSTALLER NAME: STREET ADD CITY: Place a check mark next to the permit work type New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: ???W CAXJLA ? NL? QI? _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 T t l $?? o a Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Cityof 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 per within City property/right-of-w y/ asement 1 SIGNATURE OF PER ITTEE Updated 1101 J? / / CITY USE ONLY PERMIT #: / 61 jo RECEIPT DATE: LI.L01 KSMEMAL MECH MiCAL PERNH APPLICATION cITY OF I:A6Am 3830 PILOT KNOB 1i:0 KA6M MN 55122 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: -7 ' a-' 0 SITE ADDRESS: 9 ! -? Denrn a y I_- AV•PJ. OWNER NAME: _Whs Mf)cb` r)cbl TELEPHONE #: (AREA C E) INSTALLER NAME: VOoh rS S -('? l S Id TELEPHONE #: 01S13LJ q&:j (AREA CODE) STREET ADDRESS: (0" b 5n 1/y • )q (e CITY: f elm \blley STATE: ZIP: Place a check mark next to the permit work tvpe New residential dwelling unit under constructionand not owner/occupied $ 70.00 ZC Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement ? t ;- ' • air exchanger O l^ r 1 1 • air conditioner I iil! 0001 1 _ • other ti ' " P Nature of work: -2 mj nalo- 421atei - . 13y State Surcharge $ .50 Total $ 5D Reminder. Call for inspections. SIGNATURE OF PERI IITTE Updated t/0l SURVEYOR'S CERTIFICATE SIENNA CORPORATION - ?L83 - ?c869. DENMARK AVENUE V s6a.3 4201-1 S86E.1 21017'08" E fi<B.a yy,,// 8687) 8? . ?t7 '"' L 869,"1 __ ( 8E IS o EXISTING K, HWSE ?' a K 17211 X VI.6 U; W ?00 . 4] Nri am ,c,^ N I to 1 . J I PROJECT NO., 64762 (%60 FILE NO. FOLDER N _ s iZ o) p130 ' 20 / 29.0 / 1 "72A 23.0 r It 864•'! t? 8?a,3 ? VoRcH ?fe I--- I _ ly, LOT 10 3 _- gb f\ Q m . ce ? I I - J DR A L N A BE 49 UTILITY EASEMENT \ \ / PER PLAT I g ' g gl 9A 0 0 ??Qa 5? UGC SHEET 2 OF.2 SHEETS BOOK / PAGE JAMES R. HILL, INC. 16 ?/z7-28 Planners / Engineers / Surveyors 0200 Humboldt Avonue South Bloomington, Mn. 55431 612-804-3020 -SURVEYOR'S CERTIFICATE SIENNA CORPORATION ?c83 _ t869,?- DENMARK AVENUE ?sce.3 x868, rg 9 2 S 21'17'08" E sc R.4 xzl?131_7) 80.00 1x869,"7 9 Elf IS TI NG HOUSE sn- I x (j 'j i lu 47 Nri Q M Q0 (D I I 1 I -J 1 ,? 865.4 3 m ? N ca.P co to I -J ll? ?J 39 16° ? 9A• ?3 0 g3 ,91 \f SHEET 2 OF.2 SHEETS PROJECT NO., BOOK / PAGE JAMES R. HILL, INC. 84762 16717- -7-28 Planners / Engineers /.Surveyors FILE NO. 0200 Humboldt Avenue South FOLDER 131oaminpton,Mm 65431 612-864-3020 SURVEYOR'S CERTIFICATE SIENNA CORPORATION ?- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES . IRON 140NUMENT FOUND PROPOSED GARAGE FLOOR - 972.3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - frGy.G FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = S;7z.7 FEET ... 116 REVISED 5/10/86 TO SHOW PROPOSED HOUSE FOR SUNSHINE OON$T. WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 10, Block 6, 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 241-H DAY OF 00-70-6Ee) 19&5. SIGNED: /JAM/S R. HILL, INC. BY:, ?EfTc? 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. 84762(&,/U,) FILE NO. FOLDER BOOK / PAGE O/Z? -25 JAMES R. HILL, INC. Planners / Engineers / Surveyors 8200 Humboldt Avenue South Bloomington, Mn. 55431 612-884-3029 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136516 Date Issued:05/18/2016 Permit Category:ePermit Site Address: 3977 Denmark Ave Lot:10 Block: 6 Addition: Birch Park PID:10-14175-06-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Christophr J Mocol 3977 Denmark Ave Eagan MN 55123 (651) 405-3896 Performance Plumbing & Heating 315 Pine St Farmington MN 55024 (651) 463-1223 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166360 Date Issued:01/04/2021 Permit Category:ePermit Site Address: 3977 Denmark Ave Lot:10 Block: 6 Addition: Birch Park PID:10-14175-06-100 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 - Christopher J Mocol 3977 Denmark Ave Saint Paul MN 55123--147 (763) 913-2009 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA179318 Date Issued:09/28/2022 Permit Category:ePermit Site Address: 3977 Denmark Ave Lot:10 Block: 6 Addition: Birch Park PID:10-14175-06-100 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Christopher John Mocol 3977 Denmark Ave Eagan MN 55123 Minnesota Exteriors Inc 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature