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3983 Denmark Ave Use BLUE or BLACK Ink I 1 For Office Use ~ I Permit City of Ea an I Permit Fee: 830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 j Fax: (651) 675-5694 I Staff: L-----------------I _ 2010 MECHANICAL PERMIT APPLICATION Date* ' d1~ Site Address,, ;,4R ►yl~` ~e Tenant: `y ,,S Suite RESIDENT / OWNER Yl~l-, i ~A 6z Name:~ t 1~ m~(~ Phone: o"~ ( 1 ^ r1SZC~1~ . Address/ City/ Zip - nvq LT- CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK New Replacement _~K_ Additional 4 Alteration Demolition Description of work: P_0 V~~Q (O~L S~~ ~ Li NOTE: Roof mounted and ground m ted mechanical equipment is require to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add7on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace-burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in con rmance with the ordP_ nces and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not t "tart 'thout a permit the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name plicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _ Rough In -Air Test -Gas Service Te _In-floor. Heat Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA079387 Eagan, MN 55122 . Date Issued: 08/21/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3983 Denmark Ave Lot: 11 Block: 6 Addition: Birch Park PID 10-14175-110-06 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House SEE COMMENTS Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: 4/23/08 Per Brian Murry, has tried to contact homeowner to schedule an inspection, but the homeowner will not call him back. pf 612-238-0522 A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Harmony Homes Charles Grinner 3158 Viking Blvd NE 3983 Denmark Ave Wyoming MN 55092 Eagan MN 55123 (763) 413-1100 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA085808 Eagan, MN 55122 . Date Issued: 09/05/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3983 Denmark Ave Lot: 11 Block: 6 Addition: Birch Park PID 10-14175-110-06 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Harmony Homes Charles Grinner 3158 Viking Blvd NE 3983 Denmark Ave Wyoming MN 55092 Eagan MN 55123 (763) 413-1100 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature 3830 Pilot Knob Road! P.O. Box 21-199, Eagan, MN 55121 ' 12387 _$ PHONE: 454-8100 i BUILDING PERMIT Receipt To be used for SF DWG/GAR Est Value $97,000 Date AUGUST 1 19 $ 6 Site Address 3983 DENMARK AVE Erect 121 Occupancy R3 Lot I I Block 6 Sec/Sub. BIRCH PARK Remodel ? Zoning 21? D .-.i hl. Repair ? Type of Const. i o Name SAME ,j c Address ~ City Phone W W Name JAMES R HILL I? Address 8200 HUMBOLDT AVE SO <W City BLMGTN Phone 884-3029 Move W Length 4L Demolish ? Depth_ 50 Int. Impr. ? Sq. Ft InstaU ? Aoorovals Fees Water & Police _ Fire - Planner I hereby acknowledge that I have read this application and state that the Bldg information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC. Signature of Permi$ee Var. [ Surcharge Plan Revie 0 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies Total $2,269.00 A Building Permit is issued to: aU Naninr. %-VIM D-A:nu%.1-iVPI on the express condition that all work shall be done in accordance with all applicable fate of Minnesota Statutes and City of Eagan Ordinances. Building Official 11 - . I Permit No. I Permit Holder I Dots I Telephone # I Final e Fig. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: , +: I ; rt r r,l t PERMIT SUBTYPE: PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: t47j INSPECTION TYPE DATE IN-'PTR. rr. INSPECTION TYPE DDATE INSPTR. 0 ?F L Permit No. Permit Holder Date Telephone / ELECTRIC PLUMBING HVAC inspection Data Insp. Comments FOOTINGS FOUND FRAMING 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 DECK FINAL IN CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 51 I t AUUKr-bb: t (it T It H I OC K AVF I PERMIT SUBTYPE: ON RECORD PERMIT TYPE: 0A 1 -i t Permit Number: Date Issued: APPLICANT: TYPE OF WORK: LIRA I' l (IN INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. ;JAN Rf VIFWI"l1 BY Nif t HAVI t ti411APA"I " PFRNtI R1 011801 tl FOR ANY Pf "POT1410 I IORK . CAI I 149? 2N49 Itf 1tAkI11W, F f Vf I-RI A1. Pr FINT I AND 1 N` 'Fl i t[)NC 2 ( 3'9 3 Permit No. Penult Holder Date Telephone N ELECTRIC PLUMBING /r HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING 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 DECK FINAL CITY OF EAGAN Remarks Addition Ri rrh Park Lot ] 1 Blk 6_ Parcel 10-14175-1.10-06 Owner Street 3983 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 divisi on SEWER LATERALbn 1985 132.70 8.85 15 WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 1018 1986 750.48 50.03 15 STORM SEW LAT 1048 1986 199.66 13.31 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. 0. Box 21199 PERMIT NO.: Eagan, MN 551,21 DATE, Zoning: No. of Units: Owner: i e Go r . Add Site Address Plumber i Meter No.. Size: 'y y" K GL ? to ttL!`? - , Reader No.: Q.SN Antnte di .? rEs EIC. 1 Gone to GeGroh, whh ON city of e11MEM? roe* 0 7 REQE* { ?Or,1 r,ec By Date Paid: CITY OF EAGAN 3830 Pilot Knob Road P. 0. flow 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: t Owner {r;e Address: Site Address: 12 r - Plumber. 1 epn h GeesMal with 1rG City of 9Goeo Connection Charge: "seeoes. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Dote Paid: CITY OF EAGAN 3830 Pilot Knob Road P. 0. Box 21199 Eagan, .1N 55121 Zoning: Owner: wua? . Add ress: Site Address: ?n>~ Pl r b e . um Meter No.. Connection Charge: y , \ Size: Account Deposit: Reader No.: Permit Fee: *@tee to Sees* with Iho Gry of'"ps Surcharge: Orlopeadee. Misc. Charges: Total: By Date Paid: Dote of Insp.: Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12387 PHONE: 454-8100 BUILDING PERMIT Receipt p To be used for SF DWG/GAR Est. Value $97,000 Date AUGUST 1 1986 Site Address 3983 DENMARK AVE Erect IN Occupancy R3 Lot 11 Block 6 SIC/Sub. BIRCH PARK Remodel ? Zoning Pil Parcel No Repair ? Type of Const. V . Addition ? No. Stories SUNSHINE CONSTRUCTION Move ? Length 42 i IN ame 5 25TH ST Demolish ? Depth ?.,n 3 Address I ? S Ft o mpr. Int q. City A.V. Phone 431-2200 Install ? i o I Name SAME Q Address City Phone W bWI Name JAMES R HILL Address 8200 HUMBOLDT AVE SO Q a W City BLMGTN Phone 884-3029 Assessment- Water 8 Sew. Police - Fire Fees Permit $ 424.00 Surcharge 48.50 Plan Review 212.00 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies Total $2,269.00 Planner I hereby acknowledgethat l have read this application and statethatthe Bldg. information is correct and agree to comply with all applicable State of Minnesota Statutes and Cjttk?agan Ordinances., / APC. Signature of A Building Permit is issued to: SUNSHINE CONSTRUCTION on the express condition that all work shall be done in accordance with all applicable to of Minnesgta'St?ut s and City of Eagan Ordinances. Building Official c .G a 7v INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS:' °-"'4, s LOT: 1.1 6L0CK: 3983 DENMARK AVE BIRCH PARK PERMIT SUBTYPE: DECK 6 APPLICANT: OLESEN CONST INC, D (612) 753--1809 TYPE OF WORK: NEW BUILDING 02G6II 10/30/95 < < _ i RESIDENTIAL BUILDING PERMIT APPLICATION 5 l CITY OF EAGAN l V ( 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan Slot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 0IIz?IJ Z SITE ADD TYPE OF / ? 7. Z? Remodel/Repair Requirements • 2 copies of plan • 1 set of Energy calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION RESS 3?03 ! MULTI-FAMILY BLDG _Y N WORK FIREPLACE(S) _ 0 4 1 _ 2 APPLICANT STREET ADDRESS S.E TELEPHONE # 6/Z-33/-/?'.SJ CELL PHONE # FAX # P PROPERTYOWNER (jjz/}. 2? A1-- TELEPHONE#6?h/ y5C /90V COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'CA RULLS 7670 CATEGORY I (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Air Conditioning Heat Recovery System Phone # Phone # 149 W7? Worksheet 2 ZU0Z Fee: $90.00 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 Orgrprices. Signature of OFFICE: USE, ONI.Y Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4102 Water Softener _ Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths PERMIT r CITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 031393 (612) 681-4675 Date Issued: 0 2/ 0 4/ 9 8 SITE ADDRESS: 3983 DENMARK AVE LOT: 11 BLOCK: 6 BIRCH PARK P.I.N.: 10-14175-110-06 DESCRIPTION: B,W1161bg#Permit Type BASEMENT FINISH diti1d,1lg 14g?rk Type ALTERATION Genr"U6 Code 434 ALT. RESIDENTIAL a i v e?? o-= Pt I ? ?Nffi f`?' 1 I Il ? 1 u fP al: wp, w t ? S1Y ?51 '? 4t 8tnrt v ivy k REMARKS: PLAN REVIEWED BY MIKE BARCK. SEPARATE PERMIT REQUIRED FOR ANY PLUMBING WORK. CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS. FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: O I R - Applicant S ?' CHARLE 3983 DENMARK AVE EAGAN MN (612)456-7804 I? ISSUED BY., SIGNATURE Fla, ', fl Ali ?i r ?? r-. ??K%tatXt?X?:YFN! S?kckilr?#ikY?kiW.? *.W.k':?f:k X?:X ik?'k:?k?ak?E X'#W4,??YR CITY OF EA(AN . .. mu I , yn . iir CASH IER: as TERMINAL NU: 699 DATE N 02/04/98 TIME, W40a00 IW NAMP CHARLES GRIMMER ':31?i 0 9001. 3993 DENMARK AV 50.00 205 001 3983 DENMARK AV 0.50 :i3i3ia 9001 3993 DENMARK AV 20.00 2155 9001 3983 DENMARK AV 0. 50 Total Receipt Amount-., 71. „ i]C: CR0s35982 US!'r:Fi :E.rip JAN r , t r !.'^. .r ,. $;Y:?k>1c%rF?ci?:tt%k*?k?FY?yFik???i;;k?K:ktk>k:??k:hr%k7N8tX?W9ek"W##k':?? 0hu_ 04 iJA q.t "' 1998 BUILDING PERMIT APPLICATION 13 l CITY OF EAGAN 3830 PILOT KNOB RD - 58122 681-4675 New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window saes; poured fnd. design; ate.) ? 1 energy calculations ? 3 copies of tree preservation plan 'd lot platted after 7/1193 requiredl: _Yes No DATE: DESCRIPTION OF WORK: >L' (RESIDENTIAL)S? - Sa Remodel/Repair Requirements ? 2 copies of plan ? 2 she surveys (exterior additions & decks) ? 1,energy calculations for heated additions CONSTRUCTION COST; STREET ADDRESS: ???Q? ?1, A d p n LOT: BLOCK: L SUBD./P.I.D. #: Name.- Phone # PROPERTY Last First OWNER ?R??s Street Address m ? Zip: City State: Company: ?* Phone CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: 1 kN- Phone #: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): N Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information iip correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY V 21996 Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New J12'33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth :_} ? 11 Apt./Lodging ,0' 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. MCMS System i City Water Fire Sprinklered PRV Booster Pump 77 Census Code. y T? SAC Code 01 Census Bldg Census Unit APPROVALS Planning Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SNU Permit SM Surcharge Treatment PI. Park Ded. Trails Ded. Other Building _AlAi Engineering Valuation: $ Variance PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: ("49.5 BUILDING 026611 10/30/95 SITE ADDRESS: 3983 DENMARK AVE LOT: 11 BLOCK: 6 BIRCH PARK P.T.N.: 10-14175-110-06 DESCRIPTION: Bdilding'_,Permit Type DECK Ouilding Wigrlc Type NEW t ? I. REMARKS: FEE SUMMARY- Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: -- Applicant -- ST. LIC. OWNER: OLESEN CONST INC, D 17531809 20036525 GRINNER CHARLES 668 229TIA AVE NW 3983 DENMARK AVE BETHEL MN 55005 EAGAN MN 55123 (612) 753-1809 (612)681-9180 I hereby acknowledge that I have read this application and sta-te`thatJthe i rmation i orrect and agree to comp-),Y-with a'll applicable Mate of Mn. tatu s d i?t f Eagan__0rdaFPance PLICA ER ITEE SIGNATURE ISSUED B . SIG URE >J RD 1' CITY OF EAGAN It (V 3830 PILOT KNOB B RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ?Ap ? 3 registered ate 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 heated additions ? 3 copies of Lee preservation plan if lot platted after 7/1193 required: _ Yes _ No cio- DATE: l b ` I6' `I S CONSTRUCTION COST: 6Sc)o DESCRIPTION OF WORK: 7hec(<', STREET ADDRESS: 39Y3 ( )&N IMa r W, ao - LOT BLOCK SUBD./P.I.D. #:Aa1r L IPA, PROPERTY Name: G2i mt14(L. ?ha2lFS Phone #: (ag! - ?j/ 8c7 OWNER ?T MW Street Address - 3g 83? MK2? /?J? City: State: I 1 Zip. S?5 a3 CONTRACTOR Company: d ) , C7I?5? 1? Co n SgRL),4 `&j Phone #: 753/ ?? ? Street Address: X04 ? ,,tjc- ta,? License #• J06-3 6S?S City:?414 State: Zip. ARCHITECT/ Company: Phone #• ENGINEER Name: Registration #• Street Address* City: State: Zip! Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that 1 have read this application and state th t the in and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances Signature of Applicant OFFICE USE ONLY i 1995 Certificates of Survey Received Yes No OCT 1& + Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation a 06 Duplex a 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex a 04 SF Porch a 09 12-plex ? 05 SF Misc. ? 10 = plex ? 11 Apt./Lodging ? a 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace a ,0:La 5 Deck 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous WORK TYPE 31 New a 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION a 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. C/ Depth Footprint sq. ft. SAC Code a Census Bldg Census Unit 0 APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ /ZoO Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SAW Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Iii I - 1 - 1 i -T _ I 4-T - t- I i ? I ? ? 1 k \;r 4 ? r1 I I I I_ - ? - - T - ?II III ?1 i- I r - {'--• _ __+??_ __ ? _. I i ' it q'O? 37 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)} (?G l5 CITY OF EAGAN ii 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reaulrements Remodel/Reoalr Requirements > 3 registered site surveys showing sq. tL of lot, sq. ft. of house 2 copies of plan and gp rooted areas (211% maximum tot coverage allowed) 1 set of energy calculations for heated additions > 2 copies of plans (show beam R window sixes; poured Md. design; etc.) 1 site survey for exterior additions a decks > 1 set of energy calculations > 3 copies of tree p servatlon plan H tot platted after 7/1/93 DATE: ?0 CONSTRUCTION COST: DESCRIPTION OF WORK: ?Ce d PJ v\ us? STREET ADDRESS: ?L?- Vwtk' NQ-) LOT: BLOCK: SUBD./P.I.D. #: DI PCIparL\ Name :C Phone PROPERTY Last aa D ?First 1 OWNER Street Address: City ?tl) State: AYN zip:,Q?133'li l? y \IJ Company: Phone (area code) CONTRACTOR Street Address: License # Fxp. City State: Zip: ARCHITECT/ ENGINEER Company, Name: Telephone #: ( ) Street Address: Registration #: City State: Zip: Sewertwater licensed plumber (if installing sewer/water): Phone #: (-? I hereby acknowledge that I have read this application, state that the information is agree to ply with of applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 1 i OFFICE USE ONLY Certificates of Survey Received Yes No h`\Y Tree Preservation Plan Received Yes No Not Required CITY USE ONLY LOT BLpp l o SUBD.\ (C 4n RECEIPT #: ) 1 9 '4- l RECEIPT DATE: k ? 'p" - 9 I MECHANICAL PERMIT # (1 ?o Cy 1999 MECHANICAL PERMIT (RESIDENTIAL) CITY Of EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 Daie• (651) 681-4675 Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU $ 30.00 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) State Surcharge .50 Total $ Complete this section only if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. PI ase indicate if it is a new item, alteration, or repair. v New /Alteration Alteration _ Repair _ Other Reminder.' Call 681-4675forinspections. Furnace Air exchanger Air conditioning (! Other N ?S h ?- $ 30.00 State Surcharge 50 Minimum Total Due $ 30.50 SITE ADDRESS: OWNER NAME: (. ?/?11'/P S (-,1'irnAJr / PHONE #: (AREA CODE) INSTALLER NAME: (Ox,72'0// a,/' ' PHONE ##: Al /' nn (AREA CODE) STREETADDRESS:?/-2/0 60TCh)%D CITY: FQ /A STATE: Wi0 . ZIP: ?a SIGNATURE O PERMITTEE 03 7 1986 BDILDIRG PERMIP APPL CATION - 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, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: N(tc_y 2GS 1 p . Valuation: 27000 Date: Site Address ??? g ?c tii in o E iG Lot /L Block V Parcel/Sub 151(2x-14 Owner S u tic 5 r-1 i tisE <Llo wr S T. Address Sy 8.'S l2s5- 71.1 5T. City/Zip Code AP1044 Unc1 t?y 551 24 Phone 43! -2260 Contractor 661mItz? As 480C.XE? Address City/Zip Code Phone 11 Arch./Engr. . 4.hc'?' Address 820C?, 14(9&7 Goc-o-r pL.)ES OFFICE USE ONLY Erect Occupancy 3 Remodel Zoning Repair Type of Const Addition # of Stories Move Length 4z- _ Demolish Depth _ Int.Impr. Sq Ft Install _ APPROVALS FEES Assessments Permit '?2?? Water/Sewer Surcharge e1g, rO Police Plan Review / Z Fire SAC S7 S" Engr Water Conn 506 Planner Water Meter &V,' Council _jfload Unit O Bldg Off i reatment P1 05ey APC Parks Variance Copies TOTAL City/Zip Code bLoork7 rAic, 7-ohf 6,54,S1 Phone # 88? 36 LS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. ve 14A7% 1 `. 'x `z A(A 11:!A Z5W OO DATc> rJ1?r ?? CITY OF t4--AC3-KA s BUILDING DEPARTMENT EXTERIOR ENVELOPE AVERAGE rrUrr COMPUTATION (To be submitted with building permit application) One or Two Family Dwelling _\L_ Owner ,?Cf 3-4--IAOi ,' 1a-,(67- All Other Site Address rjC--svk7+7Ae.K .-5f7 Contractor i- 'f=- COG- Date Phone 43/-zz&0 LINEAL FEET OF 11 /EXPOSED WALL S 111, PP,K Ur-"r ft. above grade TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL CONSTRUCTION: rrUrr Value x Area Detail. ?r'/1l>1r rrUrr- 04, x SQ. reference 'till. ,u "nrr¢' x SQ. from Urr •/??r7 x SQ, attached rrUrr x SQ. sheets rrUrr x SQ. rrUrr x sQ WINDOWS: rrUrr Value x Area FT. 1797..7.0- 6.(v3(U)(A) FT._ Z59.1(no ?' (U) (A) F FT, r-D= &,,17 U) (A) U) (A) FT. _ (U)(A) FT. = (U) (A) Make & Type _14.2( /c^Lr nUn . x SQ. FT. 191R,00 (U` f n) rr of /% u it rrUrr x SQ. FT. _ (U)(A) "U° x SQ. FT. _ (U)(A) n n louts _ x Sq. FT. _ (U)(A) DOORS: rrUrr Value X Area Make & Type u rr rr it rr it TOTAL (U)(A) VALUES ?-142-70 All DIVIDED BY TOTAL WALL AREA 25 (O(a ?? AVERAGE rrUrr ; 15 r less for 1&2 family dwellings ROOFCEILING TOTAL AREA: rC- . T FT- "49, 00 - (U) (A) = ' ,c.. 'JU) (A) FFT. Oorrr ; (U) (A) FT. _ (U) (A) FT. 7_e!•7.7(0 (U) (A) Detail reference rrUrr • OZ 7j x SQ. FT. l_ 7..7.(09 (U)(p) from nun x SQ FT - attached sheets. nUrr . . s (u)(p) Describe openings nUn x SQ. FT. (U)(A) in roof. purr x SQ. FT. _ (U)(A) x sq. FT. = (U)(A) TOTAL (U)(A) VALUES DIVIDED BY 77 &7 rrAt?s 20 Z].(,9 Cy?,?> 21-77., Wu/, r nun • 4 it4'1l^ rruri x Sq. - • 47 x sQ. null x Sq 11U1x sq. TOTALS 7.Tr)•.IC?n Sq. AVERAGE !rUrr TOTAL ROOF/CEILING AREA 120=.?00 AVERAGE "Ur . 25? or ventilated roofs. - b oy Exn?? w L IS• S- LA ( oz +- z81-1(o) 9-83x (Zot3a}-2(p 8•oOX ?IV+fo? ': 14,0o X S - G'??ET N /209-75 3 I (oo.od -Ilz,oo zs34. ?? ;?. Soo X (?o t !o? = 1 ?oo.0a . R!M 'So>s-r . I •(olo x Op +It t zS = s? X (240 k20 f- 3z) = W )k>OL S_ ?2oX3ly = 5, o Z4x4-S = 8• o zq xCco = 10. C> z4x7Z. = I z , o z4x>? = io?o sTL• Z0-!m, 5 e R;nrz z8 x4-?, = I 1 4 x -7 _ J2z ? lsq,1(v.?- . l 09, s? 74 174.'3o X' 4 = Zo,oo X Z = /lo,vo x 9 . 90000 x q . 4B,Do x z =. lz, o0 f S?O,oo? = Z$,0o vo 13,00 41- NaT Ex? Wpl?L *QLVks Less Co?fe., Z59.?1v 174, So Wa I8/o, oo -752.4& Da?,?? /3,00 /7t32,70 L CITY USE ONLY RECEIPT #: C- 2 D is g a, 1t'/ BL SUBD. RECEIPT DATE: a4 y 1 98 1998 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 3.00 x = Kitchen Sink 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 ' for dwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alteraticns ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC tic. 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE .50 TOTAL GlOi, ?J ------- ----le -•dge --- that I have read t ------------- - hisappl---ication, s--------tate ----that ----the info------rm --ation -----a- ---------to comply wdh at----- - ------l -appli ---cable i5 ---- iry ---of Eagan ord------------inan---c--es- 1hereby acknow correct, and agree . 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 properly/right-of-way/easement. SITE ADDRESS: OWNER NAME: G QE-z yyx INSTALLER NAME: TELEPHONE #. F la ?$` ?,? STREET ADDRESS: CITY: STATE: ZIP: `1 SIGNATURE OF JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION xxxx xxxxxxxxx xx+.......xw xx:x xxx:. ..,. y. i0rwl: PA`TOM OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. * INSPECTION OF SEWER AND/OR MUM + INSTALLATIONS WILL NOT BE SCHED- * ULED UNTIL PERMIT HAS BEEN * APPROVED. * * * * (Please Print 1) PROPERTY ADDRESS: ':?C?,i?j (? I? M ?42.LG 6? y£ LEGAL DESCRIPTION: j ( G. z i ec" P,a 2LG Lot Block Subdivision or Tax Parcel ID 1 IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Month/Year- ? COfMERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY ? INDUSTRIAL ? R-2 DUPLEX (Two Units) [] INSTITUTIONAL/G(VEBMPgiNT ? R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) tis S /-/ / sj (2vO nr ADDRESS: SS 8:S IZ.J, CITY, STATE, ZIP: A ('Pc.C l ) y M AI PHONE: 431 -22oL? 3) m: NAME. STA(a- PC ADDRESS: /p 1 R P" QLA r n S PQJkVo. - CITY, STATE, ZIP: FBLOOi-'I IKLc,-Tcv . M/1 SS4 ? (3 PHONE: 884 4 L 4 S MASTER LICENSE# oj:,; 25 yv) . Active 'l}---11+ Expired Not recorded Staff Initral NAME: S o n A S '?2 ADDRESS: CITY, STATE, ZIP: PHONE: ® CONNECTION To CITY SEWER CONNECTION TO CITY WATER OTHER 6) ff?• i- PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAI PROVED PERMIT TO 1,(D 3, 4, ABOVE /,/? (Circle one) FOR CITY USE ONLY PERMIT # ISSUED 7 74?3 Pd w/Bldg. Permit FEES: $ rG 'S? $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ / D 6 $ ACCOUNT DEPOSIT - SEWER $ / S .0-D $ ACCOUNT DEPOSIT - WATER $>? C) 0 $ WAC $ S 7S o?i-D $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ S S? $ TOTAL RECEIPT RECEI PT DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A " PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO Q DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: TITLE: ?[ / DATE: V/`J t( 1 1 F 27 .? ?? it- - SURVEYOR'S CERTIFICATE SIENNA CORPORATION DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT. SET SCALE: 1 INCH - 30 FEET ® DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - E671 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = b39- (I FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = F0.7 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES.OF: Lot II, 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 2411k DAY OF 00_T06e*- 1985. REVISED 7-16.86 TO SHOW PROPOSED SIGNED: JAMES R. HILL-, INC. HOUSE FOR SUNSHINE CONS? CO. BY: IIAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 APPROVED FOR SIENNA CORPORATION BY DATED THIS DAY OF 19 J. SHEET 1 OF 2 SHEETS PROJECT NO. BOOK / PAGE 84762 (86i3 JAMES R. HILL, INC. 1y/31 .Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 55431 812-884-3029 'I-SURVEY®R'S CERTIFICATE SIENNA CORPORATION _ 07.B DENMARK)69AVENUE ?7, v 869,1 'f?=399.49 v ?n ?=11'31'31" 100 CONCRETE 80„36 SIDEWALK ` .. Otta.ox I`?BGF,T?? L' Y x; LO 5 ry N Ot t O ?d g6g,o5 -23.64 23.54 -- x 370.7 F68.21 , % o- 0 14 I I I c R. . I 6.67 $ r? I 3S11ON ODD, I M /? 3.0 6 o Ia O N DNIlSIX3 PROPOSED K! ? x p HOUSE/ N 42.0 .t .176 - f?3? N m - 19.30 F63. LOT I \? e ?1Z ()RA jNA 8E `i UTILITY EASSNENT?\ 5 . ? I PER PLAT \ J LfO.. 0) r I d e56N ?fib° 0) SHEET 2 OF:2 SHEETS PROJECT NO., BOOK /PAGE JAMES R. FIILLI INC. 84762(06k31) Planners / Engineers /,Surveyors FILE NO. I 0200 Itumboldt Avenue South FOLDER Blootnington, Mn. 55431 812-1304-3028 Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - l~z r~~z ForOf&t e Usq Permit 7. City of Ea~a~ I ~l 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 j Date Received: I Phone: (651) 675-5675 1 Fax: (651) 675-5694 Staff: 2011 MECHANICAL PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT / OWNER Name: 4 / /2 G e S ~2< 44A,?~tz- Phone: 6,' Address/ City/ Zip: hoop- CONTRACTOR Name: S License Address: 4v24 3S- IV k05S7 City: l/` JCL! ESi~/C State: Zip: Phone: Contact: Email TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: L f_~ cc~jd-,--~ / - 3~ r N~e,S NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE (/Furnace New Construction Interior Improvement vl'Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance Xith the X'P?Ived plan in the of work which requires a review and approval of pXans. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test -in-floor Heat -Final Exterior HVAC Screening Inspection Use BLUE or BLACK Ink r I For Office Use Permit City of EaRd I 5#4/-73 Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 R~~~ I I Fax: (651) 675-5694 MAR 3 X012 staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 1k~ Dat )b0Jn3kr0V_ Site Address~14\~ 1`m Unit Name: vds Phone: l - 691`"t 111 RESIDENT L(%-1t W OWNER Address / City / Zia? Are a~a3 Applicant is: X Owner Contractor TYPE OF WORK Description of wor : ~74~Lk* 1~ QVConstruction Cost: 3 Multi-Family Building: (Yes / No ) Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of g the information may be classified as non-public if you provide specific reasons that would permit the City to _ conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota Stat ' ding Code m st be completed within 180 days of permit issuance. x Applicant's Printed Nam icant's Sign tur Page 1 of 3 39 ~3 D / D• NOT WRITE BELOW THIS LINE V S SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation (g C9 l~ Occupancy „ MCES System Plan Review Code Edition '.1_ ' dot SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction V01 Width REQUIRED INSPECTIONS '7 Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC - Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: `-Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , , Building Inspector RESIDENTIAL FEES Base Fee Surcharge "f Plan Review MCES SAC City SAC Y0 00 0 0 Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ~ Use [SLUE or BLACK Ink - _ - 1 Office Use { l } { I Ciy i Permit t of Eapp. f ; .7 I Permit Fee:, - 3630 Pilot Knob Road ~ Eagan MN 55122 f ` I; I Date Received: Phone: (651) 675-5675 RE~ i Staff: Pax: (651) 675-5694 1 i APR 1 1 2012 _ _ _ - 01 RESIDENTIAL BUILDING PERMIT APPLICATION _ a Date. Site Address: Fume. ,e~ . i, ~"t Phone: _ - d1 RESIDENT J OWNER Address / City i zip: - Applicant is: Owner Y Contractor % Description of work: o-c ~ r~ `--t - TYPE { ~ WORK I Construction Cost: Multi-Family Building: (Yes ~ l No _ Company:-~P ~ a_A) c Contact ~ e~ %,,k ~ j Address. loo ~ ' .a ~ • Ln.► t( .A 100 city: A..`t 1f ~ y-- CONTRACTOR State: ,t"N_ Zip. Phone: 7 417 License Lead Certificate ~ K ' 1 t--- - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) X (P V"_ ct ~ a 4 rAa ~ ~ ~ ;l COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? g Yes No If yes, date and address of master plan: g Licensed Plumber- Phone: i Mechanical Contractor: Phone: P Sewer & Water Contractor: Phone: _r MOTE: Mans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurat, t at Vie work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an applica+ f_r a permit, and work is not to start without a pen- nit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesotai State Building Code must be completed within 180 days of permit issuance. x' C4 V I Applicant`s Printed Narrafsplcaht s Signature Page 9 of 3 w t a ~Q DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace Porch (3-Season) _ Storm Damage Single Family Garage Porch (4-Season) Exterior Alteration (Single Family) Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building` Addition _ Move Building Reroof Demolish Interior Alteration Fire Repair _ Windows _ Demolish Foundation Replace Repair Egress Window Water Damage (detaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Reviews Code Edition ,2007 SAC Units (25%---,- 100%_t1) Zoning O City Water Census Code Stories Booster Pump # of Units / Square Feet PRV # of Buildings / Length Fire Sprinklers Type of Construction ~_L12 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.Q. Required Footings (Addition) Final INo C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: Ice & Water _-Final Pool: --Footings --Air/Gas Tests -Final_ Framing Siding: --Stucco, Lath Stone Lath ~-Brick Fireplace: -Rough In _Air Test __Final Windows Insulation Retaining Wall: Footings Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: -----w;- Building Inspector (7 7 RESIDENTIAL FEES Base Fee i Surcharge Plan Review NICE S SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2of3 w ID 3 7~~3 ~ URVE O ' CERTIFICATE SIENNA CORPORATION ALV5 ' sb9,z=-R=399.49 f3 - 14.6664 -5 orvcR~r g . 36 sQ~wnc K t 23.54 ~ $ y 2_3. a 4 y $.aS V X66-31 ~ " F2. { _ J asr L~ Q /r 3.0 / U-) 10 PROPOSED +°2 HOUSE f YG.Q¢J w 9 30 - 76 _ i _ f e i Ur1i».XYY~5~~t1 R~ 5 FLAT 1 ,rte ~ ;rml1i'.. . SHEET 2 OF 2 SHEETS PROJECT 140., BOOK ~ PAGE JAMES R. HILL, INC. 84762(~69-3 1 I Planners / Engineers /,Surveyors FILE NO. 6200 Humboldt Avatnuo Soul?) FOLDER mar ~ ~ 55431 C12-ea4-3029 PERMIT City of Eagan Permit Type:Building Permit Number:EA113435 Date Issued:09/04/2013 Permit Category:ePermit Site Address: 3983 Denmark Ave Lot:11 Block: 6 Addition: Birch Park PID:10-14175-06-110 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 . Jason Vogen Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Charles Grimner 3983 Denmark Ave Eagan MN 55123 Elite Exteriors 1513 Southcross Drive West, Suite A Burnsville MN 55306 (651) 688-7808 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r----------------� I For Office Use � � j I � Permit#: ��L� I C�ty of �� Permit Fee: � 3830 Pilot Knob Road � i Eagan MN 55122 � Date Received: I Phone: (651) 675-5675 � � Fax: (651) 675-5694 L Staff:--------------� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: � 2 � /3 Site Address: ��•3 D�N�-A'��' �� Tenant: Suite#: � �� ;� , �� k�� Name: C h�.4�.L�S G (��/w�1'�12 Phone: 3�`�-''�,s,s�, �esider�� t� �� " Address/City/Zip: 3q�� MR1E=1� �"'� �:�:uw w.�� . : . �, ��,: r � " µ �1 P� 6yy�., � � � : . Name:��4A- pc.G Q� �STR-dati License#:T,i.,��.�,� � �'! 6.5 lB'+� .�✓ n� � � Address: City: S•$rf'�pi��—. ��i01'1#��''�3��"�� . �� '�� , State: �� Zip:__� ,5 a 7 5 Phone: 6 s l— YS I— �'!�► 3 g lv 1 �� =r �„�� Xr� ,�; ��. Contact: �1!� ��W ST�a�, Email: '� �� New Replacement _Repair _Rebuild _Modify Space Work in R.O.W. �`��f�tork — — — , Descriptionofwork: �L��S�� 3.5u� r �ly Bi�'� �t,e�� j� —p c.�f w � �%��~�}� RESIDENTIAL �� =�� Water Heater � #.; �� r. , �� Water Softener . �'�� Lawn Irrigation(_RPZ/_PVB) Perrni�� : - �� ' Septic System �Add Plumbing Fixtures(_Main/�Lower Level) I � , _�� rw� ��: ¥ :� �� r �.. �¥:y � 7. , .;� 'x��.:.�� WaterTurnaround �� t New ; v ��„.t _ �� ,, , v :.:j �,y, � <� �*y Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes State Surcharge) "`Water Turnaround(add$210.00 if a 5/8"meter is required) $115.00 Septic SVstem New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x ��vl (� �r��cJ 5 f/`�a�( ��,� x ApplicanYs Printed Name ApplicanYs Signature � x� ., �: �r.�� y� . ,.� . �� # �....':��,.�x�.. x .'�� = FOR QFFIC�� :{ R��eusr�d�?C� ��- �� `� �� #� �� .�� ,� °� ��.. � �. �� <� _ � w,. � ` ; ��red��isp�� ,� ��r��r�un�� t�� r� A7r�T�� Gas T�st � ��-�n� `� � � � � -- � £ ��-�� .: ��.:� �� _ � �� : � � •�� ter R��#ed l#��5:° Meter�ize ��i�tlio Read y M�nc�r��i�r � �� - �� 'y t -�- � �:��.� « m�