3712 Denmark CtCITY OF EAGAN N? g175
3795 Pilef Knob Rood Eagan, MN 55122
PHONE: 431-8100
BUILDING RERMIT 2eceiPr #
Te M uwd for SE DWG/GAR Ert,yalue $74,000 Dare June 21 1 y 83
Site Address 3712 Denmark Court Erect Occupancy R-3 ,
LM 17 Black Z See/Su6Pilot Knoh Hts. 4th qlter ? Zoning R-1
parcel # 10 57503 170 02 Repair ? Fire Zone NA
Enlorge ? Type of Contf. V
c Name Eueene Carriere
? Address 3716 Denmark Court
r:...Eaean 55123 ?___ 454-7178
g Nome Owner
Address
Neme _
Address
I hereby acknowledge thot I hove read ihis applicotion and stofe that
the informotion is correct and ogree to tomply with nli applitoble
State of Minnewta Smtufjes'and Ci'ty f Eoga_.
$ignuture of Permittee 4A Bullding Permit Is issued Eugene Carriere
all work shall be done in acmrdarxe with atVAooliwble_ re of MIL
Move ? .fk Stories
Demolish ? Length 51
Grade p Depth 41 Sq. Ft.-
Anvrorals Fees
Assessment _
Wafer 8 Sew.
Pollce -
Fire
Enq.
Plonrror ?
Councll -
Bldg. Off. _
APC
$tatutes und
Permit 174.JU
Surcharga 5• 00
Plan check 177.50
SAC 25.00
Woter Conn. 200.00
Water Meter NA_
Road Unif NA
= I Taol 602.00
In Addition to fees
paid on SP lF4931
_ on the express CondiNon ihat
City of Eaqon Ordinonces.
Building Officiol
etitiqtt Cales InCITy pF EF,GAN Include 2 sets of plans, ,
1 site plan w/elevations &
? BUILDING PERMIT APPLICATION 1 set of energy calcd7.ations.
sed Eor Valuation ? Date (- c-?3
ite Pddress ?7/?9,- ?,d,??.??-y ?, pFFICE USE ONLY
iot 170 slocx ;?7,_ sec./sub.JM, kwb {t+-s, 4L? Erect x occupancy
Parcel #: /0 57So3 1`(v oz .. Alter Zoning
r ' . Repair Fise Zone
Qaner: Enlar4e _ TYAe of Const.
# stories
Acldress: M°ve
Deimlish Front ft.
City/Zip Cocle: ?%. 3 Grade Depth 1-1l/ ft.
Phone #: 7i 7d"'
Contractor:
Address: -o--v---2_
City/Zip Lde:
Phorie #:
PsCh. /F?19
City/Zip
Phone #:
• c ?y,-en?
Cr
coae:
APPROVAi.S FEES
Assessments Permit 1°IN • SO
?aater/Sewer Surcharge S • o O
Police Plan Check 1'1-7. S o
Fire SAC as' 0 6
Eng, water Conn. „2 p o. o o_
Planner Water MeterN
Cotmcil Rnad Unit Nft-
Bldg. Off. • ?- 7p-
APc _
TOrai.
??c.? ?
-0 (n a a'1 ? oc?
T{OK E
rQaP, #
?0.1
_ ?(` ?S /+PP«cabit p?.r-r
o 4 ? ?F?a1?^Ead?
?YvtC9Ll?`?- E10W
? ?Frov?n &,P? # t(4$ ?
s,oo ?'rlno? sc?
7?oC5 ? 3a,oo
`??SO
4 ? ?,.oo A
s,o6 ? Soo,a6 aS,
p , o b ??5 O, 0 6
o, o o -? (oo , o s
? ,
N?lt- N/A- N A-
T-ola ? I lt boq t SO ? aoz. So ? (oaa coc)
:
.;
REQUEST ,?.,,
FOR ELECTRICAL INSPECTION EB-00001-03
veliow covv.
?N2 7 6 4 6 ? See insbuctions for com0lelino this form on back of ,
"'R'" BeLoi? Work Cov,:red-9y This Request 3?? 2 l
N A?d Rep. Typa of Building Apoliancas Wired Equipment Wired
Home 'Range Temporary Service
Duplex Water Heater ' Lightiny Fixiures
Apt. BuilAing Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm ther peu y Other ISUecifyl
t er Speci y Ot er Othr,r
Compute lnspection Fee Below
k Fee ServieeEntrenceSize p Fee Fenders/Subtaedere N Feel-A Circuits
0 to 100 Am s 0 to 30 Am s to 30 Am s
101 to 200 Amps 37 to 100 qmps 31 to 100 qm s
Above 200 Am s Above 100-Amps SO Above 100_Am s
Transiormers Remote Control Circ: , pQ Partial%Other Fee
" Signs- Special Inspection S 6p
Remarks A? FE?
Rough-in
? spector, hereby
certify thel the above
Finai Dx}er ection has bean
.
• ?.{? ?. l lFade.
rnv, ,A P?..,oin
18 months fiom
This reatjes[ voitl kho?
18 monffis from ?
tpd 2 7 6 46 t. 44- .q a-? 4?( ? S a
pPnues[ Date ira No. RouPh-i i Inspectiori
Rgquieedl NU TflesAV Nuw?Will NotitY.InsPe<-
19'C ? mr When Reatlv
F?\'
? Licensed ElecViral ConVactor I herebY request ins0ection of above ,
?Own¢r elec[ricol wark installetl eF.
Sveet Address, Box or Route No. C ity
?/?. ct r?f
ectmn o.
I
Tawnship Name or No.
Ranee No.
Count. y
9? ?
t t
s 1/
tXI• r""
Occupan[ IPftINTI Phorie No. ?
Power Sup 'er Atldmss
Electrical.Con[recror (Co
mpany Name) Convactor's License No.
/
?
ailin Address (COniractor or Owner Making Instaila[ion) .
?7? ? .
Authprized SiBnature (Controctor?Owner nB Installation) Phone Number
^ 1 ? ?2?
MINNES WSTATE BOAflD OF ELECTqICITV THIS INSPECTION NEQUEST WILI NOT
Gripga-Midway Bidg. - Roam N-197 BE ACCEP7ED BV THE STATE BOARD
1827 University Ava., St. Paul, MN 55104 UNLESS PqOPEH INSPECTION FEE IS
Phorie 18721297.2111 . ENCLOSED.
cInr oF EAcAN
, 3795 PIlet Knob Rood Eogan, AAN S5122
, PHONE:4S4-8100 '
BUf`LDING RERMIT Receipt
To bo wed fer 4q1' T)47(11/^AR Fd vni„' S74_000 n,,.e .lune ?' io "3
51te Addtess 3719 I)a=SL'k reLr t Erect p Occupnncy
Lot 17 ._ Blotk _Z $ec/SubPj lnt K nob Ht&. 4th /11ter ?p Zoning
Porcel 1(2 575Q3 170 0 Repoir ? Fire 2one NA
Enlargs Q Type of Corut. v
W Name ti.ugpne (:arriarp Move 0 ?t Stori
s
e
; hddress '171 fi ilpnmark Ceiirt Demolish ? Length_51
b Ci phone 454 -7178 Grvde p Depth4l?Sq. Ft.
Appro val$ Fees
? p Nome _
u? Address
r-t...
Nome _
Address
1 hereby acknowledge that I hove read this
the intormotion is correct ond ogree to <
State of Minnesoto Stotutes ond City of
Siynoturo of Permittee - -- ? -? +'
A Building Permif Is issued to:
all work shall be done in occordance wlTh
8urldinp Official
otion ond state that
with oll opplicoble
Ordinonces.
^ssessment
Water & $ew.
Police
Fire
Eno•
Plonner
Council
Bldy Off
Permit 1y4. 'JU
Sureherge 5•00
Plon check 177.50
SAC 25.00
Water Conn. 2Q0 on
Woter Meter IIA
Rood Unit ?9A
APC • Total S602.00
In Addit,iQU to fees
ipaid on BP 14931
on the Express tondition fFxat
iesote Statutes ond City of EaQan Ordinances.
Permit No. Permit Holder Mist. Permit No. Holder
Plumbiny 1 3 D`7 N•F.Kt ? I ? -Ac • 5
H.V.A.C. 3 g-U 5r p w n? r g-? a-S'3
YVe11
W?ter •
Disp.
Sewer
Electric
Irupection Date Insp Otfier
Footinqs
Faundation
Frominp
Rou9h PIb9. •2 f [? Z ~ ?
v ?
770
Rouyh HVA ?
?
Inwlation k -
Final Plbp. _g`
Final HVAC _23 u?
?
F{nal Z •??- ? Z ' 23
Wa"r Oseeribe Location:
Vllell
5swer
Pr. Disp• . ?
? L .
. •
Site Address
L.ot
Porcel # -
ap Nome
Z
?§u Add?,
?- i-:-.
cI,Y oF E?G?N h179
3795 Pller Kowb Roed Eo9en, MN 55132 N! 4931
PHONEs 454-8100
i PERMIT Receipt #
?
for Est. Value -• j -- ~ Dote - 19
Erect [y OccuPcncY Block c/sub. '"n°b ht'. After ? /loning Repa(r ?p? Fire Zone Enlarge Type of Const.
Move ? #? Stories
2''.r;.,. De ish ? Front ff.
Phone ? Grdde ? Depth ft.
_ ?----
) <W I CIt„
I hereby ocknowledge that I I
the informotion is correct o
Stote of Minnesotn Stotutes
Signature of Permittee _
A Building Permit is issued tc
oll work sholl be done in occ
Building Officiat
Approvab Fees
? ssessment Permit _
.
Ph Wa & Sew. Surchorge
one Police
" Plan check
F,tre SAC
E^? Water Conn.
P}one Plonr3er Water Meter
•
n and stote that
read th
i
o Councif
gldg. Off.
gree to h all applicable
/?
i
City oinances.
c
APC
Tot
?
on the express condition that
ce with oll appliwble State of Minnesota Stotutes ond City of Eognn Ordinances.
ParmM # Oaft luwd ?aeIMN '
Plumbing
Mechonicol
INSPECTIONS DATE INSP.
Rough-In
Firql
Footings Date Irsp. Dafe Irbp.
Foundotion PI umbing
Frome/ iru. Mechonica I
Finol '
112
Remorks:
Receipt MECHANICAL PERMIT Permit No. ?
CITY OF EAGAN
Fee ? . :' -
LS ? Fill in numbered spaces S/C `
Type or Prrnt /egibly f •
Tot. `
1. Date ' - " ? - -
? 2. Installatian Cost
, ,.
3. Job Address Lot?Blk. ? Tract
.
4. Owner
i /
5. Contractor Phone ' -
6. Address - ? - ?
? "? - -
7. City _ ?? - R• State 2ip 'i j ?•?; ?
8. Building Type: Residential N
9. Work Description: New .W
Commercial ? Institutional O
Add ? Alter O Repair ?
10. Describe Fuel Type
11.
No,
V Epuioment BTU - M. Ea.
Forced Air No. EQUiPment CFM
Ai
H
Mfg. r
andling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
?
Signad : _ for
Rough Final
Inspections: Oate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Reoeipt PWMBING PERMIT Permit No. ?
CITY OF EAGAN -
Fee
j fill in numbered spaces S/C
Type or Prini /egib/y Tot.
1. Date 2. Installation Cost
-
3. Job Address Lot-,7 Blk. _ Tract
,l.
4. Owner
5. Contractor Phone
6. Address
7. City State Zip ?
8. Building Type: Residential lp Commercial O Institutional ?
9. Work Description: NewZ Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
_L Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
_ Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 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
CITY OF EAGAN Remarks
AdditiQn Pilot Knob Heights Addition #4 Loc 17 Blk 2 Parcel 0 a2 I
Owner ' r -- - street 3712 Denmark Court State Eagan, MN 55123
l,f(,'U
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1977 1322.40 132.24 10 264.48 C008845 -7-84
STREET RESTOR.
GRADING
5AN SEW TRUNK 1971 148.10 7.41 20 44.36 C008845 -7-84
JQ*SEWERLATERAL 1976 2888.84 192.59 15 1155.61 C008845 -7-84
WATERMAIN
*WATER LATERAL & SERV 1976 ZS
WATER AREA 1972 146.48 7.32 20 51.32 C008845 3-7-84
hSTORM SEW TRK & ISt 1976 15
STORM SEW LAT 1975 $116.00 $23. 20 5 i? 12
CURB & GUTTER
SIDEWALK
STREET LIGHT
T R NN 200.00 36590 6-21-83
WATERCONN. 250.00 11545 9-1-78
9UILDING PER. 4931
sa,c Son-on 5 9-1-78
-_?
cirY oF EA"N
? 9795 Pilet Knob Rood Eagan. MN 55122 N.0 4931
PNONL: 454-6100
BUILDING PERMIT APPLICATION Re?ipt # ??-
Te b, wed Eor$F Dwlg. 8 Gar. Fst, VaIL,e64,000 pate $l8 , 191$__
Site Addvess 3712 Denmark Court Erect ? occupa?,cy
l.ot 17 Block 2 sec/sub. pilot Knob Hts. 4%er ? Zonin9 ?-
PQmal # Repoir ? F,ire Zone
Enlarpe ? ,.'Type of Const.
oe Nome ViC Tarnowski Mov8 Cj ,# Stories
? A?? 3822 Sheridan Ave. So ?,,mi;s?'p Front n.
Ci Mpl s. 55410 p,,e 929-33?tq Grode' p Deprh ft.
Name Saine APProvol@
z? Assessment Fees
Pennit 160.50
Ul W
oter 8 Sew.
??
Surchorqe 32.00
??
city Polioe Plan chetk
?W Nome ro
gui 5AC 500.00
50
00
x? Ndd?ess E .
Water Conn. 2
<W Ct Phate Plan Woter Meter ?•00
CAUnti I
1 heroby ucknowledfle that I have rcod thi pplication ond stote tfiat g?dg, p{{. S
8 78
the informotion is correct and agree comply with all appllcable A? Total 1?2•5Q
Stnte of Minnesota Statut Ci of Eo9an Ordinances. ,
SiQnoture of Pemnittee
l1 Buiiding Permit is issued on tfie express conditian that
all work shall be done in mxe with appliwble Sjtate9YMinnesoto Stotutes ond City of Eagnn Ordinences.
Buildinp Offieiol
CITY OF EAGAN WATFR SERVICE PEMIT
•3830 ?i 3t Knpb Road
P. O. Box 21199 PERMIT NO.: ,
Eamn. MN 55121,.
DATE;
Zoninp;
-- .' ?_r,- r F• ? No. of Untrs:
Owner.
i
-------------------------
/lcfdreas: _
Ske /lddross:
Plurnber. _,
Mater No.. _
Stze:
Readsr No.: _
109"0 fo oempb whb tlw Gh ef Ep"¦
Ordleaep&
By
Date of Insp.:
Connection Chorge: ' ??• 00 pd 9 1/ 71
Account Deaosit:
PermFt Fee: 10. (1ll - '
Surcharge:
M1s pqnpes;
Toral: met ?r
Dots Paid:
Irqp.:
?
CITY OF EAGAN
M0 Pili.t Knob Road gEyyU SRyICE PERMIT
P. O. Box 21199 PERMIT Np.: -
Eagan, MN 55121 DATE;
? T
Z°^inp:
Na of Units: - '
OYVrwr: `. t v? i-+t ?(' ^ r r i o r
/1dd?ess:
SItR Add?OSS: - 171? T`prr. ,;.r.t. ? j 17 ?? ••-'i' Lt'
Plumbee ?Fatkei,Yi? s ---
1 pne to oomolp wllb !Iw Gyr oi Eapw
Adinenus,
By
Dcte of Insp.;
Connacfion Chorpe: ? . j •,,
Aeeownt Deposft: •
Permit Fee: " --
Surcharpe: _
Misc. Chorpss
Totof: _
I^y" Ooh Poid:
CITY OF EAGAN ar. •
3795 Pilot Knob Roed ?
Eagan, MN 55122 DAl'
Zoning: _ RI - No.
Address;
Slte Address _ 3_712 -Derimark__ Gt
Plumber: _
9/1/78 11545
I agroe to aomplr with fhe City of Eagan Conne
Ordieoeees. ? Account
Permit I
? Surcharg
BY -
Dute of
Date Poid:
CITY OF EAGAN
3795 Pilot Knob Rood
Eogcn, MN 55122
Zoning:
Owner:
Address:
Site Address: ?.
Plumher:
1 ageee to eemply wit6 the City of Eogon
Ordinunees.
By
Date of Insp.:
I nsp.:
CITY OF EAQAN
3795 Pilot Knob Rood
Eagon, MN 55122 Zoning: _
Owner. _
Address:
Site Address:
Plumber:
I ogroe fo comply with the City of Eagan
O?diBOnCOt.
R.. Connection Charge: {10
Account Deposit: ?
Permit Fee:
Surcharge:
Misc. Chorges:
Totol:
Dote Pofd:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
_ No, of Units:
, . . . ?:?
Dote of I nsp.:
I nsp..
PERMIT
100.00
SEWER SERVICE PERMIT
PERMIT NO.: _
DATE:
No. of Units:
Connection Charge: -00.00 L•'
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Poid:
CITY OF EAOAN WATER SERVICE
3795 Mlot Knob Rw/ ERMI ..
Eagon, MN 55122
Zoning: RI of 1
Owner: ViC T3rAOwski
Address:
Site Address: 3712 nmar PKH 4t
Plumber:
Meter No.: Charge• 50o00 pd
Conn
Slze: Accoueposet:
?
Reader No.: ? Fee:
Permit
1 egree to eomply witfi tl
'Xkr,of Ea n Surcharge:
??
Ordinonaes. ??? .IlNisc. Cb2i-aes: 60.00 pd meter
By
Date of I nsp.:
arr oF FaaAN WATER SERVICE PERMIT
3795 Pflo! Ksob Road PERMIT NO.: -
Fagnn, MN 55122 •. DAYE: y
Zoning: _ ,
No, of Units:
Owner,
Address
'
5ite Address: "' 7 2 "emlnaz `et. ;-,rIi 4t1Y
Plumber. -
Meter No.: Connection Charge: = • ~' • ? ? PO, '
Size: Account Deposit:
Reader No.: Permit Fee:
I agree to eomplp whh tfie Citr of Eagan Surchargei ---
y
Ordinanees. ? ~?:?• ?C? S'` i'' -*oX
Misc. Charyes:
Totol:
By Dote Poid
Date of Irtsp
CITY OF EAGAN WATER SERVICE PERMIT
3795 Piloe Knob Road PERMIT NO.:
Eagan, MN $5122 DATE:
Zoning: No, of Units:
Owner: -
Address:
:.
Site Address: - ' - ' ?
Plumber:
Meter No.: Connection Chorge:
Size: Actaunt beposit:
Reoder No.: Permit Fee:
1 egree to eanply with the City of Eagan Surchorge: :
Ordinonces. Misc. Charges:
Tot I•
By
n.,
o.
Date Poid: -
? CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAO
EAGAN, MINNESOTA 55122
DATE
REC6IVBD
19
AMOUNT $ I
& DOLLARS
1 oo
? CASH ? CHECK
FOR
RVMG I CODE I AMOUNT
1
You
??Q BY
(./ k
VJhite-Payers Copy
Yellow-Posting Copy
Pink-File Copy
/
CY',/ 8 rP !?
?o r CA
4
u?D ??In
? rc) ?rt
?As
°'? ?-?
--- CASH RECEIPT
CITY QF EAGAN ;
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE t 9
REC61YfiD
Fpp/rt
AMOUNT
& OQL,LARS
700
? CASH ? GHECK
Thank You
?a
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File CoPY
City of EapIl
3830 Pitot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
----------------?
; Faofficeuse
? Permit It:
? Permit Fee: ??• S ?/ ?
1
i ?
? Date Feceived: ?
I ?
? StaH: ?
-----------------?
2008 MECHANICAL PERMIT APPLICATION
Date: SiteAddress: ?311 tZ I'14?1Ci?'??-
Suite
N
ILD11I
A Q
`
i G-NaC
??"V)Ph
(OS?-4CI'IL4-+ r'-I
Q
RESIDENT/OWNER ame:
(
Y
one:
..
.
&
Address / City/ Zip: cy f-
CONTRACTOR Dvvt
Name: ` #
J ? License
Address: J? ??W &Q?
Ciry: g1V•(".w1 State: YYx'\ Zip:
RO`) 1
Ph
one:
Contact Person:
TYPE OF WORK - New _V- Replacement _ Additianal _ Alteration _„ Demolition
Description of work:
NOTE: Both roof mounted and'ground mounted mechanical equlpmenf is required to
be screened by City Code. Please contact the Mechanical lnspector or one of the
Planners for lntormation on erm(tted screenin methods.
PERMIT TYPE RESlDENTIAL COMMERCIAL •
Fumace _ New Construction _ Interior Improvement
\I
J? Air Conditloner _Install, Piping _ Processed
_ Air Exchanger _ Gas " _ Ex[erior HVAC Unit
•
HVAC units must be screened
_ Heat Pump Under / Above ground Tank (_ Install / Remave)
Other " When installing/removing tank(s), call far inspection by Fire
Marshal and Plum6in Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FIi'e repaif (replace 6urned out appliances, ducMrork, etc.) (includes $.50 State Surcharge)
$ !JL60 TOTAL FEE
COMMERClAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- II Permi Fae is less than $1,000, surcharge is $.50.
- li Permit Fee is > $7,000, surcharge increases by $.SO for each =$ St8[e SurCharge
$1,000 Permit Fee (i.e. a$1,007-$2,000 Permit Fee requires a$1.00 sureharge).
$ TOTALFEE
I hereby adcnowledge that Ihis infortnalion is complete and accurate; that iha work will be in conformance with ihe ortlinances and codes of Ihe
I understand this is not a permit, hut onty an applica[ian for a permit, and work is not to start without a permi[; that the work will 6e in accordance
Xla the case af work which requir a re?w an?pro1 plans. x
r
< N I?'? r
C
?' rRr
ApplicanYS Printed Name ApplicanYs Signature I II I I
FOR OFFlCE USE Reviewed By:
Eagan; that
i
9 2008
Requlred Inspectlons: _Under Ground _ Rough In _Air Test _Gas Service Test _In-floor
uz?53??, PL[7MBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when pernvts are required for each unit
DateJ1 ? / / v3
rt`
Sit
Add U
i
#
e
ress If vA. n
t
Property Owner Telephone #((OQ "?5q-W(01
Contractor , , ,? ,.,,,???'^??c
-
1T.TTTri7vv??
3670 DODD ROAD
Address City
,
(651) 365 1340
State
Zip Telephone # ( )
The Applicant is _ Owner Contractor _ Other
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additlons, excludi ng water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter'rf needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener Water heater $ 15.00
? replacemer.t _ additional
S[ateSurcharge ??' ,
?? $ .50 50
Total
utL, Z003
$/15
I hereby apply for a Residendal Plumbing Permit and aclmowledge that the infgg? tion is complete and?c urate; that the work will
be in conformance with the ordinances and codes oF the City of Eagan and wi t1?e-Piffmnmg 7oaes; maz i understand this is not a
pernut, but only an application for a pemut, 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 wNch requires a review and approval of plans.
Dd& AU&Nm&-
Applicant's Printed Name Applicant's Signature
52901 RESIDENTIAL BUII,DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
;???.P D . 2_S
Naw CansWCtion ReauiremenLs RemodeVReoair Reauiremenls Offce Use Onlv
3 registeied site surveys showing sq. ft of lot, sq. ft. of house; and all rooted areas 2 copies of plan Cert of Survey Recd
(20% maximum lol coverage allowed) 1 set of Energy Calalations for heated additions Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site suney for addiYions & decks Tree P2s Not Reqd
1seto(EnergyCalcula6ons AddRion-iMicateifon-s@esepficsystem _On-siteSep6cSystem
3 copies of Tree P2servation Plan tt bt platted after 7/1193
Rim Joist Defail Optbns selection sheet (bldgs wilh 3 or less uniLs
Date a
Site Address /_), S / G3
_ 3-712- Den Nqf K G? l Construction Cost ??Z? GUU, oO
? l. GqGr%i P1 N 55123 Unit/Ste #
DescriptionofWork TeGrpfF 4 ?,p,51aC ?obSC ?qGLjG, TwrO-9 ? Reroo-P l-IwIc C
G e,
PropertyOwner t<e/1 ? tiAnP)r?a, ?c? Se? Telephone#(6S/ ) ??(?,??C{6/
Contractor Qen4i55&""t EAOf"''S
Address
State 2SS6 4wy IU City > ?1oU^dS V1e?
Zip Telephone #( I63 )-7eo 2CW
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category , Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet
(J submission typa) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
;81 Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pernrit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. „ /f
C?ris MeGatt < N'
Applicant's Printed Name Applicant's Signature
DS50
New Conatruction Reauiremenb RemodeURaoalr ReauiremeMa
• 3 reg'slered site surveys showing sq. ft af lot, sq. fl. of hause; ans all raofed areas . 2 copies M plan
(20% maximian lot coverage albwed) • 1 set ot Eneigy CalculaEOre for heated additions
• 2 copies of plan showing beam & vnndaw s¢es; poured found desgn, etc.) . 1 sde survey for artenor addNans 8 decks
• 1 set of Eneagy CalcWations . Ind'xate'rf home served by septlc system for additiore
• 3 mpies M Tree Praservation Plan H lot platted after 111193
• Rim Joist Detail Optiore selecdon sheet (Mdgs with 3 or less unils)
DATE " s--,)r Ow V1A?L,U,A_T?,0.,r?ION? 3, 3" • °o
M 55,'I32
JOB SITE ADDRESS 3? 1Z Z,us.?\
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? SI- u
PROPERTYOYVPIER " U.1UU.?k km'
. , • i,
LAVI
TYPE OF WORK??Q.A.Q Orik C?) /tFhU.. (?A'X, Q./loI /YLG??? 5 fl EPL?AC (S) _
0_? v
APPLICANT MNNM???, Nt PHONE#
ADDRESS _ 5m`smtamoft ZIP CODE
i?nnei0l?a. MN,66343
PAGER # _ ph, 95Y_g3?g?gFax952?35?9544 FAx #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Confractor.
Mechanical System Includes:
Sewer/Water Conhactor.
_ Air Conditioning Fee: $70.00
_ Heat Recovery System ?.--n------
Phone # I??
All above information must be su6mitted prior to processing of application.
I hereby acknowledge that I have read this application, state thaT the information is co ct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc s. , ?
n 1/
Slgnature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not uired _
Updated 2002
RESIDENTIAL
I-? - ", , , , - t?;
BUILDING PERMIT APPLICATION
CITY OF EACAN ?
3830 PILOT KNOB RD - 55122
651-681-4675
_ Water Softener _
Water NPatar
No. oF Baths
Phone #
Fee: $90.00
Phone #:
Iawn Sprinkler
No. of R.I. Baltis
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)91- Z5
? / G / ? CITY OF EACAN
?o ? 3830 PILOT KNOB RD - 55122
651-681•4675
New ConstmcFion ReaWrements RemodeUReoair Reauiremenfs ?
? 3 regisfered sHe surveys showing sq. k. ot IoL sq. tt. of house 2 coples of plan
and all roofed areaa (207. maxfmum loT coveraae allowed) 1 sei of energy calculatfons tor heafed addRtons
? 2 coples of plans (show beam 8 wfndow slxes; poured fnd. design; efc.) 1 sHe survey for exteria addNfons R decks
1 set W energy calculaflons
> 3 copfes of tree preservatlon plan If lot plaHed afler 7/1/93
DATE: -1 - ? I A 4%
DESCRIPTION OF WORK: r
STREET ADDRESS: _ -3 A
LOT: -Ta BLOCK: ? SUBD./P.I.D. #:
CONSTRUCTION COST: 1-40 G a)
PROPERTY
OWNER
{ I yk phone #: (e S( y S4 3-7111111le
Name: KCl i Sc ge f1n
Last First
Street
37 11 1
City ?TM-Gti.n State:
--?-•
Zip: mr ' Z
Company: tVSl6cn ?L&AA"T Phone#: &12 77 07` 1 `-U
(
CONTRACTOR ' p Y? area code)
_ 1C'T J License# 20142y ?
StreetAddress: ?
. ary gVrnSJstote: tVt`v zip: !;S3 3 7
ARCHITECT/
ENGINEER
Telephone #: area code (
Street
City
Name:
)
Registration #: _
State: Zip:
Sewer 8 water Iicensed plumber (required for new conshuction onivl:
Penalty appl(es when address change and lot change is requesfed once permit is issued.
I hereby acknawledge that I have read this applicatlon, state that fhe Informafion is cortect, and agree to comply with all applicable
State ot Minnesota Statutes and City of Eagan Ordinances.
Signafure of ApplfcanY.
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
JUL/1151999
Tree Preservation Plan Received _ Yes - No - Not Required
V.
, EXTERIOR ENVELO?E AVtRAGE "U ' COP3PUTATIOPI ?
ONINER V 1 G Tel IrN O wS K l
SITE ADDRES9
CONTftACTOft?_?_TdjohCWsx t DA
PHONE . A 9 - 3 ]„Z,
Determine vrorking square footage of each.
1. Total exposed wall area ....,,?875---sq. ft. x.17
2. Total roof/ceiliizg area .:.. 1 75y sq. ft. x.05 •
Total exposed wall area above floor l =
42?
a M 2S°
= 071
a. Total wa21 windoti•r area ............... ..17&_
b. Tota1 door area ...................... 13
c. Totr3.1 sliding glass area ................. NAD
d. Total fireplace wall area ...... .. .
e. Total wall framing area (average 10%)... !??
f. Total net wa12 area above flopr .......
g. Total rim joist area ................. .'?
Total exposed foundation area = 4M4
h. Tctal foundation rrindow area .........
i. Total net foundation area above grade .?
Determine t°UY value of each wall segment.
a. )7L x "U`:
b. y'+?--. X rtUr ? a ?
c._qf2_ X "U`° ,,61 _ vl.ye
D. 7C ftU`` .. _ ?_
e. X `;U}3
f. g WUi: ?
9 ?1k g ttU.7
h. X `°U" _
3. g?7 x ''U" ?_ = 34.Ir7
3 ............................................Tota1 = Aaj(o
Ii item #3 is the same as, or less than item Nl, you have met the
intent of SBC 6006(c)2.
r
Total exposed roof/ce313ng area = Y 75y
J Total skylignt area . ........ ... ?
k. Total roof/ceiling framing area(avera 10
1. iotal net insulated roof/ceiling ar e
ea ?'?.. IS 7B.L?
Determine "U; value for each roofi"ceiling segment.
J. 0_X 1,U;; ,b097 ° ---.0----
??"s„gw??t,ok . 17 x ,V, .O ° -67-M
i.JMb x ,:U,i .03M - 507
4 .........................................Total = ?__1?t? L o
If total of #4 is the same as, or less than #2, you have met the
intent of SBC 6006(e)1.
Alternate Buiiding Envelope Design
To utilize the total envelope system method, the values established
by the sum of itema #3 and #4 shall not be greater than the sum of
items #1 an3 #2.
1. + 2. -
3. + u. _
nATE 6.t
?
BUILDIAIG PERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
?
/1 , ?; ?vy0?' eo
To be used for S; qCFO ?7'i;n 9?' S? V?luation
Site AddresE; G.O7 )7 PIIa? r7e15??5 y? /T???I/ON
V?6L? Z
??^Z- r?-7?/?'I/? •^?v ?e w{'?
Lot Block Sec. Sub. Parcel Number
Mner V ( G Ta P' na $ KJ
P,ddress 3"?.?1i @ y 1 ? p A u e Se
M M n ea Its I_ 1-S ?2?2ft -5,5410
Telephone 9-49-3 3 7 Z
Contractor S e1 vN e & $ Q W w?P b Telephone
Address
Arch. /En4 • 5;66"R a s C'?wittoL
Address
Erect wllt.sa??.oaSf??a?7/e?l
Alter
Repair
Enlarge
Nbve
Demolish
Gxade
Telephone
Occupancy ,??---?
Zoning
Fire Zone
Type of Const.
# of Stories
Front
Depth
OFFZCE USE
Date of Approval & Znitial
Assessment
Water/Sewer
Police
Fire
Eng.
Planner
Council
Sldg. Off
A.P.C.
OFFSCr, USE
FSES
? ?
Permit
Surctlaz'4Q
rLan Check
SAC
Flatei Conn. ?24-v
V
-
11ater Meter ,
ToTAz, I o O a,
City of Eagan
3795 Pilot Knob Road
Eagan, hIld 55122
Date: June 19, 1979
Vic Tarnowski
3712 Denmark Caurt SPECIAL ASSESSbtEYT SEAFCH
Eagan, MN. 55123 ' RE: Lot 17, Block 2, Pilot Knob Hgts 4th
0
Enclosed herein is the search which you requested made on the above described
property:
Kin o I^provemeni Runs Be ginning Origina Ar.:ount Balance Due
Street 10 Yrs. 1977 1322.40 925.68
Sewer Tnmk 20 Yrs. 1971 148.10 81.50
Sew & Wat Lats 15 Yrs. 1976nami 2388.84 2118.52
Water Area 20 Yrs. 1972 146.48 87.92
I further certify that according to the records of said office, the following
improvements are contemplated or pending after having been approved, and are now
in the process of planning or completion.
Kin o Improvement Apgroximate date o Cor.ipletion Ancroximace Cost _
NONE
WAIVER:
Nei:her the City of Eagan nor its employees guarantees the accuracy of the above
information which was requeste?t by the person or persons indicated. Nor does
the City of its er.rployees assume any liability for the correctness thereof.
In consideration for the supplying of the indicated information in the above
form, and for all other consideration of any nature whatsoever, any claia
against the City of its employees rising there from is hereby expressly waived.
Levied assessments to be paid to the County Auditor at Hastings, FAinr.esota 55033.
Very truly yours,
SPECIAL ASSESSItENT DEPARTMENT
t
C.R. WINDEN 8 ASSOCIATES, INC.
LAND SURVEYORS To1.645-3616
1381 EUSTIS ST., ST. PAUI, MINN. 55108
CERTIFICA-TE OF SuRvEY
FOR :
EUGENE L.. CARRIERE
(?1/49)
110"
!00"
9¢-
SCHLE: I" = 30'
o DENUTES IRON
BENCHMARK: Top of
Hydrant - Lots 15 & 16,
Block 2. Assumed
Elevation = 100.00
a
Q
c
0
i
4
NDTE: ( 99.9 ) Denotes
Existing Elevation
101.5 =?Finish Grade'.
Garage Floor
Contours shown are
existing qround,
(l00.4? o -__ ? o ( DA ?poa (7'op of curb 98.3
-100-N.Op__? Q-
Y 84 °42 ' 2!"yy
(Tcp of cur6 98.9) "
(roP ?f C?+r6 98.4)
DENNIARK cOuRr
Lot 17, Block 2; Pilot Knob
Heights Fourth Addition,
Dakota County, Minnesota.
HE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRES6NTATION OF A SURVEY OF THE BOt1NDARIES OF THE LAND
ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY,
FROM OR ON SAID LAND.
Dated thia 94, day of JUnQ A.D. 1985 C. R. WINDEN 6 ASSOCIATES, INC.
.(&,
, Minnesota Registration No.
~
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Kf , VIC TARNO~fS
. ~ ~ ~ 3823 Sherid:an Ave: S~, Se'
~ ~ ~ ~ ~ ~ ~ ~ ~ r 55~1E~ .
M?nneapolis, MN. , 410
~
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAR 2 r< 2014
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
Z -30e
2014 MECHANICAL PERMIT APPLICATION
❑ Pleas su s mit two (2) sets of plans with all commercial applications. ss��� (�
Date:
Site Address: ,;1 1 D n mo -f ' 1L C -'t G
Tenant: Suite #:
J
Name: int I SSA- CY..l d- LW( G) etAr It— Phone: - /-0' 475 7&240
Address / City / Zip: 7IL I AIN <--;1 1_
l l � S L LI1 L
1 L9 � G% c96 "-� 4�� '�I 1 License
r: L(f S3L "ate ✓"/
ivanie..`` {{ J
Address505 icamdolp h r'tiQ City: St - Pak)
Zip:_ US - 12-S-4011
Email: M. t ,cotr ' Y. F --Y 1 ` corn
Replacement Additional Alteration Demolition
ace
RESIDENTIAL
Furnace
Air Conditioner
_ Air Exchanger
Heat Pump
+I Other ?O 1.V(
New Construction
Install Piping
Gas
COMMERCIAL
_ Interior Improvement
Processed
Exterior HVAC Unit
Under/Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge)
TOTAL FEE
COMMERCIAL FEES
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
*If contract value is LESS than $10,010, Surcharge = $5.00
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge
Contract Value $ x .01
_$
=$
=$
Permit Fee
Surcharge*
TOTAL FEE
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.
xp LC" -&O \
Applicant's Printeame
x
Applicant's Signature
Use BLUE or BLACK Ink
r————————————————"'�
I For Office Use �
' � Permit#:_____�, l J (/� - j
Clty of �a�a� ; �; . �� ;
Pe t Fee.
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � �
Fax: (651)675-5694 � Staff: �
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
F<��y �� s
� = '� Name: {.,.��t 1 1� � �,5��i1 ! e�(�`/�` Phone: �D�a. " 7S� `" �J��J r�
� ���� �
�' -��� �'� ; � Address/City 1 Zip: 7 � �'� .���
� ��
� ��
`E ���� , � Applicant is: Owner Contractor
r
I�
� Description of work: ,
��s���
y�����` Construction Cost: Multi-Family Building: (Yes /No�
� r���� �— `
.---
�� Company: �. j�1°(`,[�()�P �P�('�/'�5 Q`Contact: c� (�S
�� � "��� Address: �� r�7 j� �' i�� City: ��J!��[�
�� � � °
� ��
� � �`���; State:�Zip:,� � � Phone: �rj��2`�F f��mail:
��"� � r
'' T� �� License#: S Lead Certificate#:
.;
, , ,: . ��:�:
If the project is exempt from lead certification, please explain why:
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 Ptumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
� ,���� if��(�� � �3�i�` � ��� ��C ���
-� � � �"`�� �`����r� +��"r�� � �� ��
„ �y �y 4�y
���, �(��������������'�5���^;��`�,�f�'�1"�����C�����'�'�`�'i���� �,���H���
G «,-,,,�.,�� ,,.. ...a v.,, ,.:���we,. ;�:�.f, , .,,��:`�; _...�.�".?���.,. . ..��i',.. .., ,..:��x�[�.�`�..; �;u��.: � .,�.�� �,��z ^ . £� £ .�Ys.
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.aoaherstateonecall.ora
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 S te Building Code m st b completed within 180
days of permit issuance.
x � ' � x
Applicant's Printed Name Applican 's Signa ure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA133468
Date Issued:10/15/2015
Permit Category:ePermit
Site Address: 3712 Denmark Ct
Lot:17 Block: 2 Addition: Pilot Knob Heights 4th
PID:10-57503-02-170
Use:
Description:
Sub Type:Garage
Work Type:Overhead Garage Door
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Prudential Relocation Inc
3712 Denmark Ct
Eagan MN 55123
(612) 750-1572
Treasured Spaces Inc
822 Arizona St NW
Lonsdale MN 55046
(612) 221-0965
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147217
Date Issued:12/18/2017
Permit Category:ePermit
Site Address: 3712 Denmark Ct
Lot:17 Block: 2 Addition: Pilot Knob Heights 4th
PID:10-57503-02-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Prudential Relocation Inc
3712 Denmark Ct
Eagan MN 55123
(612) 875-3835
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature