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3751 Denmark Tr
CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 0 - 18 Thank You BY nECENEO , .... FROM AMOUNT S & DOLLARS 100 ? CASH f CHECK ` FUND OBJECT AMOUNT C r ?x ?! While-Payers Copy Yelk--P-I g Copy Pink-Fib Copy .PER EDX, 9/12 0. Kip 44 CITY OF EAGAN r?Q '17053 jl-zl_ `3830 PilokKnob Road, P.O. Box 21-199, Eagan, MN 55121 a"t PHONE: 454-8100 -"? BUILDING PERMIT Receipt # To be used for SP DWG/GAR Est. Value $88.000 Date SEP 12 19 89 Site Address 3751 DENMARK TE Lot 15 Block 3 Sec/Sub. PILOT KNOB HTS OFFICE USE ONLY Parcel No. 4TH Occupancy R-3 M-1 FEES PD 1 -1 Zoning W Name KEYLAM HOMES (Actual) Const V"N Bldg. Permit 586.00 o Address 14450 BURNSVILLE PIM (Allowable) V-N s 44.00 City BUMVILLE Phone 896-2636 * of Stories urcharge 293 ? 501 Plan Review ? Length o Name SJ1!!$ Depth 521 SAC City 100.00 , O ? Address S.F. Total 575.00 c i SAC, MCWCC City Phone S.F. Footprints 580 00 Water Conn . On Site Sewage r w w Name On Site Well Water Meter 90000 u= Address MWCC System 30 00 Cr Acct. Deposit . W City Ph ne City Water - SAW P it 20' 00 PRV Required erm I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply with applicable State of 228 00 Minnesota Statutes and City of Eagan.Ordin3pe Treatment PI . Signature of Permitee . ' "" , f . ,? "I APPROVALS Road Unit 340.00 A Building Permit is issued to: KEYLAWD HOMS Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Ott. Copies Building Official I Variance TOTAL 2 $87.00 Permit No. Permit Holder Date Telephone # WATER Qge 9/7 8 SEWER PLUMBING 1C%-26 4e Cl-// 310 H.V.A.C. 3 .. Cry /G?p 0 / ELECTRIC ?j Cv Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. ( J5 XY Rough Hlg. <. y Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final 1127 Deck Ftg. Deck Final Well Pr. Disp. CONTRACT PRICE: Site Address -b73 l Lot Block . Name ' Address C Clty T :"r MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: r PHONE: 454-8100 For Office Use Only: Phone Name 'J r ` vrA c Addre s ?' (! C p City JY @.l:+J r Z Phone TYPE OF WORK Forced Air _ 1 ' M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # ! Other FEE S/C: TOTAL: BLDG. TYPE WORK DESCRIPTION Res. New M ult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) V#A SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PLUMBING PERMIT For C CITY OF EAGAN PERMIT # - CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # PRICE PHONE 454-8100 DATE: - FEES COMMAND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.59?8d,C PER EACH $1,000.QF PERMIT FEE) Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING- NQ, FIXTURES ?c Water Closet - $3.00 7 $ Bath Tubs - $3.00 4 Lavatory - $3.00 - Shower - $3.00 7 -? o d Ktchen Sink - $3.00 UnrIBHDiwt - .yo.vv yr_ T- Laundry Tray - $3.00 C/ Floor Drains - $1.50 T Water Heater - $1.50 Whirlpool - $3.00, Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERMIT) -$10.00 Igs - $1.50 PERMIT FEE: STATES SIC: ?3o v V GRAND TOTAL: W, STATEMENT • CITY OF EAGAN #531 ar 3795 FIKOT KW-a ROAD - - 7 EAGAN, MINNESOTA 55122 9 Phone 454-8100 !i u David Machacek •8549 Zenith Road Bloomington, W 55431 L DETACH AND MALL WITH YOUR CHECK. m4a' YOUR CANCELLED CHECK IS YOUR RECEIPT.r #531 Assessment Search for Lot 15 , Block 3 Pilot Knob 4th Balance Due: $5.00 ?l i /-.I Redifprme OS S94 rt PAID BY CHECK NO. POLY PAK (50 SETS) SPS84 is 884 POLY PAK DSO SETS) OPS84 PAS IT CHM NO .,.?1 '?:'YY4E.:i•.?.... a.,. i!'1 M?M1Q. Iii: t.?fl?"ti'., _ _a??eF.3r?`?.:j?,lS±i (In ifiratt of (Orrupaurg Citp of (eagan Deplsrtmmt of VuOWg Insplprflan This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.. use CkwF"uonSF DW/GAR Sldg. Rrmit No. 17053 Oo mx,y Type R3/M1 Zoning Div PD/R] Type Cow. VN Owner of Sulldfng MLW 1C`E.S AM. 14450 B?VILLE PKWY B'VII1.E Building Adam 3751 DMARK Try Loality L 15, B3. P UM IE HEIGM 4TH ' nett Building Ofrww POST IN A CONSPICUOUS PLACE CITY OF EAGAN Remarks AdditionPilnt Knob HPig]?ra Additinn #4 Lot 15 Blk 3 Parcel 10 57503 150 03 Owner L ''' A ` Street 3751 Denmark Trail State Eagan. MN 55123 Improvement Date - Amount Annual Years Payment Receipt Date STREET SURF. 177 1=274_0 132.24 10 STREET RESTOR. GRADING S? SAN SEW TRUNK 1971 $159.59 8 20 SEWER LATERAL 1976 2888.84 192.59 15 WATERMAIN * WATER LATERAL & SERV 1976 15 WATER AREA 1972 157.87 7.89 20 STORM SEW TRK * STORM SEW LAT I fidc 1976 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 y s v DATE SITE ADDRESS 1 7 r LOT y..BLOCK_SEC/SUB APPLICANT: ADDRESS:- CITY, STATE PHONE: - METER #7l PERMIT DATE 9114/R9 CHIP # .16 7 Zd '3 V PERMIT # 10889 METER SIZE B.P. RECEIPT # 3805 9/12/89 ISSUE DATE B.P. RECEIPT DATE _ PRV - BOOSTER PUMP ZIP CITY, STATE ZIP PHONE: OWNER: ADDRESS: CITY, STATE ZIP PHONE: --? PERMIT REQUESTED T? Ahead of Domestic Meters on Water Crit WILL NOT be giveryfor.Deduct N WATER - TAPS COMM/IND _ INITIAL EW EXISTING zLawn Sprinkler nkler Meters are to be Inc EAGAN ORDINANCES CITY OF SIGNATURE WHEN METER PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-8220 FOR IN: SEWER PERMITS, CONTACT ENGINEERING DEPT. 7, i- I P ) !T? S t SEWER S WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE .mot' SITE ADDRESS LOT BLOCK SEC/ APPLICANT: ADDRESS: y CITY, STYE ' PHONE: 1 CITY, STATE PHONE: - OWNER: - ADDRESS:_ PERMIT REQUESTED SEWER - WATER -TAPS COMM/IND NEW 42SI RESIDENTIAL EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES CITY, STATE ZIP SIGNATURE WHEN METER ISSUED PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. PERMIT DATE 9/14/81) METER # 10889 CHIP # PERMIT # j METER SIZE B.P. RECEIPT # ?- 9 ISSUE DATE B.P. RECEIPT DATE PRV -BOOSTER PUMP --,-z- xx DATE: 9/14/89 31A ?DENMARK TRAIL, LIS, B3, PILOT KNOB HEIGHTS 4th RE: Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following 'easons_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot be Issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 9/14/89 .0 RE:-370 DENMARK TRAIL, L1 S, B3, PILOT KNOB HEIGHTS 4th xx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Sewer & Water Permit for the above property cannot be completed for the following Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building NO CO WI11Y)lTP SIGNATURE ON RASFT1Ptdf' PER ED K 9/12 CITY OF EAGAN N2 17053 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 3CA< ? BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $88,000 Date SEP 12 19 89 Site Address 3751 DENMARK TR Lot 15 Block 3 Sec/Sub. PILOT KNOB HIS Parcel No. 4TH w Name KEYLAND HOMES c Address 14450 BURNSVILLE PKWY City BURNSVILLE Phone 894-2636 io Name SAME gQ Address City Phone Name wuw Name Address City Phone I hereby acknowlege that I have read this application and state that the information is correct and We to comply al applicable Minnesota Statutes and Ci o Ea a rdina e Signature of Permitee OFFICE USE ONLY Occupancy R-3 MM1 FEES Zoning PD RR=1 (Actual) Const VN Bldg. Permit 586. 00 (Allowable) VV_N Surcharge 44.00 # of Stories 293 00 Length ? Plan Review . Depth 52' SAC. City 100.00 S F. Total SAC, MCWCC 575.00 S F. Footprints - 580 00 On Site Sewage Water Conn . On Site Well Water Meter 90.00 MWCC System RR ' Acct Deposit 30.00 City Water - PRV Required SAV Permit 20.00 Booster Pump S/W Surcharge 1.00 Treatment PI 228.00 APPROVALS Road Unit 340.00 A Building Permit is issued to: KEYLAND HOMES I Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg Off Copies 0 Building Official " I ?? QL{? 1y11 Variance TOTAL 2,887.0 5 4 9 6 6 Request Date Fire No. uRin i ^ ion g *o?I 10 - 1 1 - 8 9 RequaeG? Ready Now?Wll NoM1ry InspecTw ? When Ready? es ON. I licensed contractor 0 owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 3751 Denmark TrailWest Eagan swim No Township Name or No. Range No. County I Dakota Occupam (PRINT) Phone No. Key Land Homes 894-2636 Power Supplier pdCress Dakota Electric Earmi.n ton MN 55024 Elecincal Contractor (Company Name) Contractors L"nse No Midland Electric Inc. 041610 MaihN Address (CantrWor or Owner Mating Installation) 14055 Grand Ave So, Suite E, Burnsville, MN 55337 Auth3. z (ContractohOwner MMing Installation) Phone Number 892-6688 MINNESOTA STATE BOARD OF ELECTRICITY C THIS INSPECTION REQUEST WILL NOT Griggs lyhfway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 UnWeraity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 5424800 ENCLOSED ryp REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 ?G/?f/O / ? See instructions for compleMrg this form on back of yellow copy. L 9W5Q IT b4-9 66 X" Below Work Covered by This Request ?59 New Add Rep. 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) Contractors Remarks: Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fee # Circuits/Feedem Free Swimming Pool 0 to 200 Amps VJ D to 100 Amps Transformers Above 200 Amps Above 100 _ Amps Signs Inspectors Use Only % L t TOTAL Irrigation Booms A S? Special Inspection J Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in C Dates certify that the above inspection has been made. Final OFFICE USE ONLY Thus request void 18 months from RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Now Construction Requirements • 3 registered site surveys showing sq. fl. 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 if lot platted after 711103 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 61,191110,9 RemodellReoair Requirements • 2 copies of plan • 1 site survey for exterior additions & decks VALUATION XPP/zoX 30P ®D SITE ADDRESS 37?;_l DEt9M?fRK 71Z I U/1 MULTI-FAMILY BLDG _ Y N TYPE OF WORK ATT ftGHEU 15bt p FIREPLACE(S) X0 _ 1 _ 2 APPLICANT //ftU/D J /t7?GfffYGEK STREET ADDRESS 37S/ N1Lti`f?TR, /&, CITY 2C STATE1112' ZIP /a3 TELEPHONE l107 CELL PHONE # FAX # 9 PROPERTY OWNER TELEPHONE# ??/'Y?`?i"9?6? COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ M (J submission type) • Residential Ventilation Category 1 Worksheet Submitted F • Energy Envelope Calculations Submitted I? U JUN 2 8 2002 Plumbing Contractor: Plumbing system includes: Mechanical Contractor. _ Mechanical system includes: Sewer/Water Contractor: Water Softener _ Lawn Sprinkle _ Water Heater _ No. of R.I. Bath: No. of Baths Phone # Air Conditioning Heat Recovery System --------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Ore Signature of Applicant Submitted Pee: $70.00 ---------------------------------- is correct, and agree to comply OFFICE USE ONLY Phone # Phone # r7 p . 0_-0-A Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex X 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding J( 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant 4000 V l ti a ua on Occupancy MC/ES System Census Code Zoning City Water J SAC Units ?- Stories / Booster Pump Nbr. of Units Sq. Ft. PRV i Nbr. of Bldgs Length ?G Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing Foundation HVAC Drain Tile _ Other Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Stone Siding _ Stucco - Fireplace - R.I. -Air Test _ -Final Windows (new/replacement) _ - Insulation _ _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other 70 / A?4t&A6 zdy8 Total CERTIFICATE OF SURVEY For: David Machacek i I nT ?n J C? W J F .. V 3 v ? H 4/ C7 O --? 2 y b3o W p 0 ng: O O 0 O N (I3 rn r- e I /I r ?" 10 r I I !'\T 11 A L_\Y I i `? N320,5 ° 00„ 11S•6;7 / Pee 70 KlSTfNG 2 ' ET _ 49 R 2 SoU 7 1i rSr FWALL LIE ? ¢ Z'2 S L07- LINE I OW Ld d I+, ' 0 ,. 4 T a7.t? eW Q V J lJ 1 %? W J 'E???o j? ? - 2g, t'ICDP05E17 aS a ?NED G? 9? ' JPQJ?? O 4 1O Y O" O Aq??G ti 1'\T I 4-: V I I ?J O t +? o \; NY yp1C ?` Oa L ? l? . eDGe n / Of t oar v Scale: 1"=30' Page 2 of 2 James R. Hill, Inc. 2 0 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) J CITY OF EAGAN 3830 PILOT KNOB RD - 55122 -L.75, 401 (651) 681-4675 New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711/93 required: Yes _ No DATE: C1 DESCRIPTION OF WORK: ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions d? CONSTRUCTION COST; (10i ?o 2c 12"r- STREET ADDRESS: 375; ( !1 ems-- rAA?4^ I Q1? f' ?/QCSQo?l LOT: (J BLOCK: SUBD./P.I.D. #: R 101 Kink NsJs PROPERTY OWNER Name: 1It4c'PR}Cc.`L 04t1e--- Phone 9:?S?- t/S6-yIb Last First Street Address: 3 7 S J De-, M^ .1- -r^, L S City E"A Zip: S S / 2? (,12 CONTRACTOR Company:q th c,, Us- 1.3v. LA i-I (-&-:4-?"Phone M: X0'7 -6 9S-5 C-d-o /4k 3 83 Street Address: J Z Z? r Lo Cc ? l Aye -Eicense # Exp. City 8 State: /lam- Zip: SS 3 3 ') ARCHITECT/ ENGINEER Company: Name: Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Penalty applies when address chang hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Stat of Minnesota Statutes and City of Eagan Ordinances. / Signature of Applicant:/ OFFICE USE ONLY p22 Certificates of Survey Received - Yes - No Tree Preservation Plan Received - Yes - No Not Required State: M^-' Phone #: Registration #: State: Zip: 3?3i?a I SINGLE FAMILY DWELLINGS .? SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCS. 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN MULTIPLE DWELLINGS 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG DIV.) I SET OF ENERGY CLLCS. `V COMMERCIAL 2 SETS OF ARCHITECTURAL i STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CLLCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS .-._. 1-OF UNITS DOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MOST DISIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERP.CT IS ISSUED.. SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL Di INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. ? 1 89 LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED S EP 0 To Be Used For uat?on:, g8 Date6 C e Address OFFICE USE ONLY Lot a Block 3 Parcel/Sub Owner Address 9 City/Zip Code Phone Contractor ':dress Occupancy -3 M- ioning PA R-I Actual Const V- N Allowable V-N / of stories Length OT Depth 2?. S.F. Total Footprint S.F. On site sewage On site well MWCC System V City water PAV required _ Booster Pump City/Zip Code APPROVALS Phone Planner Council l Aroh./Engr. _ Bldg. Off. G/e Variance Address City/Zip Code p?J Phone 9 rYJ ?? ??? FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL /s? IkI VAUAAATION GARP.CIE ?. ,z z %/ ?. ?O X IS", ( V600 a . rq r ?t BSwT •26 X y$ = 1248 X 14 I-I oksc- ???tX?3c 10 l 268 xSb ? G 34? a D f? $?y?2 ?aCw1 ?` "- ?t3o-UU= 4=. uu -r 293 "!J U+ 1=9o4-UU? : ' l •UU 2? 61) f EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER : DATF : 17- -$ SITE ADDRESS: LOT le T?LOCGK 3 . PHONE: - CONTRACTOR: 1;FU1 pa,)? 9Lrrr1CNaB PokD PLAN # rL- ?41Q ?? Determine working square footage of each 1 Total exposed wall area..... 1181-13 sq. ft. x .11 = ZOL,73 . 2 Total roof/ceiling area..... 1 ZCn`1 sq. ft. x .026 = 3 2 . Total exposed wall area above floor= ILe tt a Total wall window area .............................. ............. 13 . b ' Total door area ..................................... ............. 3 8 . c. Total sliding glass door area ....................... ............. 3 2. d Total fireplace wall area ........................... ............. . e Total wall framing area (average 10%) .............. ............. 1lal.g . f Total rim joist area ................................ ............. S I . net wall area above floor ........................ ............. ILl S? Z g. h, wall area above floor ........................ ............. i. wall area above floor ...............'......... ............. j frame wall area at foundation ...................... ............. . Total exposed foundation area= -74 k. Total foundation window area ....................... 1. Total net foundation area above grade .............. -7 Determine "u" value of each wall segment (e.g. window, door, each separate wall section) a. 13?,1`I X hull- -417 = 4 1 6 XX 'lull 13Z = IZa I co C. 32. 1 X 11V" q $7 d. X Ul e. l Le I , X uUu ,o(?7 = !O t C& f. , 5 I X l u„ ,Z057 5,2?b g. I :t-I sco Z X ,.u„ j37 7 53 I h. X tUl _ i X lull _ j X fU. k. X lUl _ X u„ I = 16,3 3 . ............................. ....Total = I'`?Z $3 R, If item #3 is the . as, or less than i #1, you have met t intent of SBC 6006 ?- 31l kd - 7D-Total exposed roof/ceiling area = IZ? 1 -Iota! skylight area Total roof/ceiling framing area (average 10?); tz o. Total net insulated roof/ceiling area....•.:...tr l Determine "U" value for each roof/ceiling segment n. X "U•• _ n. 1ZteJI X .'U.' i oZy,_- = 3.4 c 1(`lb•3 X -U•, iy7, = 2Zrg1 4 ........................... Total = Z S.$ total of -4 is the same as, or less than A2, you have met the intent of . S13C 50::5 ;c) I. Alternate Building Envelope Design To utilize the total envelope "system method, the values established by the sum of items 43 and -4 shall not be greater than the sum of items °1 and ,#2. 1. Zez ?3 + 2. 3L?`1`1 = z3S'xco'7 3 . 172.`63 + 4. ZS SSA _ V Y . Q PLAN # (z- 34 to-a * LINEAL FEET EXPOSED WALL BLOCK: q FF f Z co t $+ z6o y KNEE : Z ce .F L 4+ 3 I Z W.O.. FULL 1: `19 4Z S+13 4-I-Z-+73S'42c.= 15-1 FULL 2: FIREPLACE: RIM: * SQUARE FEET EXPOSED WALL. AREA BLACK: I` l g x . 5 = --t LI KNEE: Z: x 5 = Li 10 W.0.: x 8 = FULL 1: I S x 8 = iZo% FULL 2: x 8 = FIREPLACE: x = RIM: lS x 1 = 1S1 TOTAL 18 ?3 * SQUARE FEET EXPOSED CEILING ? 17- W w 1 N o6vws * DOORS I - Zs 3 S. S * PATIO DOORS ?- lfl- 3z.y -x347 1,r1 t 1 -1 r4 7 . ?l ,89 = X1,'1 `6 * BASEMENT UNITS 111 - I4s'9 =.?,? 8 ?33`I t'-1535- cez `\ _ Z,tyo?? _13.3 Z4>,cP 31 ?y A OF OPAQUE WALL AREA FOR CONSTRUCTION '/BASIC WALL 0 FIG. 01 TOPVIEW OF FRAME WALL R-VALUE ?2.ar•-.E?. 1. INTERIOR AIR FILM cob z y? nnr ?-Pa d y 3 . S yL SOFT_ WOOD (o . A 7 4. sue; w co 00 5. 6 FaCfEERIOR R FI 0.17 . TOTAL t y .-7 9 U ? . oto"7 1. INTERIOR AIR FILM 0.68 2. ' z'/ ?{P ca f7 i M i P ?? 8 •'4 S 3. 9 4= 4. B/q '-T1d 3tjA f p0 5. ? cm Z 6. 0 R Zco . 9 z- et n Lt = , 0 3 7 1. INTERIOR AIR FILM 0.68 2 t?r?a t9.oo (fl t ?? 1 R9 3. 4. r oZ 5. 6. I TOTAL Zg .'3?0 at?? 1 INI't'RIOR AIR FILM 0.68 2 . . ' ti C F3 c?octC 1 Z$ 3. p,.r., L 4> > r?Sc?t 5 .00 4. 5. 0.1 6, RIO AIR F LM TOT -t , t 3 SLAB ON GRADE I ? 1 (`a lit r % 'r FIG. 8 r?s r ? r .r yl lit i lit FIG. 04 III NOTE: INDICAT t , : ? t 2 V 4 1 '? ? OF INSULATION r? 1 4 „ ^:i s 7 t` j '1l i R" ypiUt; DEPTH AND PLACEMENT A -CEILING CONSTRUCTION ' P.-VALUE 1. INTERIOR AIR FILM 0.6& 2. UP GYP. 3. 4. O.bl U . = .02 A FEAT FLOW u UP FIG. #5 FRAME 1. INTERIOR AIR FILM 0.61 2. 578" G 3. x 4. U = 0.024 CONSTRUCTION K :AT FLAW UP FIG. #6 NON-VENTED HEAT FLAW UP VENTED L? 1. INSIDE AIR FILM 0.61 2. 3. 4. 5. FRA 1. ME INSIDE AIR FI124 TOTAL U = 0.61 2. 3. 4. 5. OUT 1. INSIDE AIR FILM U = 0.61 2. 3. 4. S. TOTAL U = n NOTE: USE ADDITIONAL SHEETS IF WRE SPACE IS NEEDED FOR DETAILS AND CALCULATIONS. FIG. #7 914491 STORM SEWER UTILITY EASEMENT IN CONNECTION WITH EAGAN CITY PROJECT #154 1 THIS STORM SEWER UTILITY EASEMENT, made this?ri day of rte/ F 1989, between DAVID J. MACHACEK and DIANNE H. MACHACEK, husband and wife, herein referred to as "Landowner" and the CITY OF EAGAN, a municipal corporation, organized under the laws of the State of Minnesota, hereinafter referred to as the "City". W I T N E S S E T H: That the Landowner, in consideration of the sum of One Dollar ($1.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby grant and convey unto the City, its successors and assigns, a permanent storm sewer easement over, across and under the following described premises, situated within Dakota County, Minnesota, to-wit: A permanent drainage easement for storm sewer purposes over, under and across the following described property: The northeasterly 10.00 feet of Lot 15, Block 3, Pilot Knob Heights 4th Addition according to the recorded plat thereof, Dakota County, Minnesota, the northeast line of said easement being the northeast line of said Lot 15. See also Exhibit "A" attached hereto and incorporated herein. The grant of the foregoing permanent easement for storm sewer purposes includes the right of the City, its contractors, agents and servants to enter upon the premises at all reasonable times to construct, reconstruct, inspect, repair and maintain pipes, conduits and mains; and the further right to remove trees, brush, undergrowth and other obstructions. After completion of such construction, maintenance, repair or removal, the City shall restore the premises to the condition in which it was found prior to the commencement of such actions, save only for the necessary removal of trees, brush, undergrowth and other obstructions. And the Landowner, its heirs and assigns, does covenant with the City, its successors and assigns, that it is the Landowner of the premises aforesaid and has good right to grant and convey the easement herein to the City. IN TESTIMONY WHEREOF, the Landowner has caused this to be executed as of the day and year first above written. D is e - ? dry? DIANNE H. MACHACEK STATE OF MINNESOTA ) ) ss. COUNTY OFZ?)-rg) TheN,.##oregoing instrument was acknowledged before me this ,4'6T/4day of1989, by DAVID J. MACHACEK and DIANNE H. MACHACEK, husband and wife. APPROVED AS TO CONTENT: Public Works Department Date q - ZL(c - E11 easement THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, WILCOX & SHELDON, P.A. 7300 West 147th street P.O. Box 24329 Apple Valley, MN 55124 (612) 432-3136 JPE Y } ?hcy Arp Warr Ald "Ve4"16' ;V t? } z , 4 • a ; iZ nervy 5 _ - 4xr' -es, '?-° o •?' / X355 Sys- .c:??' •od „ , ?, Ic 4L \ rr 10 7 Al 13 ?$ %%a! $ ` / a NO 14 ao $ rr? . N ?. H 95. X 15 25 16 24 \ ?"?? tc16!6J ` nr 9tl9 i 17 Le ate y I ?•- 22 ZP `w?'3? ? ??i ? ?? ? ? ??? .rte /?' ? ?•? 21 19 ••,i? ? ? Z ? J ? RL? ilforo6 Iit+p\ExhibitA .?89 ??SE RECORD OF COMPLAINT DATE: COMPLAINT TAKEN BY: O (? aJe JC,G,erlDAleV NAME: //l bc- V if MAC/, e C e ? ADDRESS: 3'2S/ D e„h,a A PHONE NO.: COMPLAINT: qq Tor ACTION TAKEN: -j?/ ©bSPrve / C S C H ?i ?? p /JY? ?le a C a G1P? Q/ u ?O Key ?o- e ?O d, Q fl ein vi ,r 7 h ?L,4a? be fake" Ca.r? - a7 ? h 3 - 3 ?,-?C COMMENTS: lh? ?otwEO?ae{- C?i? y?./- ?pnfa_Gf f?? C®"'tN?c?Or E'C??c TYPE OF BUILDING: S F 0 LEGAL DESCRIPTION:,-/-!5- j 3 ?Dfi Kyai • SIGNED: RECORD OF COMPLAINT DATE: /a_/6 COMPLAINT TAKEN BY: Ua/e SC?soCD/dna!^ NAME: aye rJ? chi 4t ek ADDRESS:_ .3 75 / ?enn+ark T PHONE N0.: -- 5!S (o/(e J -- COMPLAINT: ACTION TAKEN: GiEn fi dv_-_-- fc y Q // //JJ 1 49 ?i?s seiE?t /Jt__ Z -talker o /_Y3^n. -a f - ?JK ?// &,?d Xic s?? -t?'af _ 4.7?- C,iAsis1T-- 21 0- 4aAt' i fi - Lc9as _ hm? c?afecQ d e/mc? - dfr -LO zz y0 ?7?Q?i?? _tLQr;a. a. ?e ------- TYPE OF BUILDING: - --- - LEGAL DESCRIPTION: SIGNED-- (-? ?J-- - - - - Stl--12-'89 TUE 10:44 ID:JRhIES R HILL INC. ILL NU:L12 d84-'JSlb 40Db `UL SURVEYOR'S CERTIFICATE N \ =\ ?vr P@0. RN SE THE CITY FWN6 C^4AN 01 III yti / \ If ?` bsT.o z6'\ nl y' N, 'S j40 R" 8sl.by " O 0R 4 1L00N gP'`. 6s'w3 ?_ ?sa1`)rs9.ae Bg9.6 '?Z4 53, 6 Wood N p? . I [/ I' r IOA , KETLA"to HOMES \ REVIfCO p•29 61 TO TNoW 14,16-a NOJ{C L-OCATION v % I r?IT f 6. 4L 01 if w? Bff.6 I A 1 L}_ 674.7 T TOP F IRoU wLev,rsst,t7 A ?rV pf ty y 0 VV 31.50` ' Q s b Q f?.r ray f P Da e? EAGAN ENCI EERINC/ I3Ial + DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 3o FEET DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - $bD. G FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - Ssz,q FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - SGT p FEET WE HEREBY CERTIFY TO KE`(LANO HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 15, BLOCK 31 PILOT KNOB HEIGHTS FOURTHADDITION,A000RDING TO THE RECORDED PLAT THEREOF, DAKOTA COUNTY, MINNESOTA.- IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISIO TH S x I ST DAY OF AUGu%T -1999- J ILI, INC. SIGNED: BY. HAROLD C. PETERSON, LAND SURVEYOR MINNE§OTA LICENSE NUMBER 12294 M m ?a T-: 04 m W 0 IMP N? 0 t ? ? O P O W W> l o a m i = F O N m N y < N Use r'r or BLACK Ink c For Office uses I t r` aR: I City of E ata n I Permit 3830 Pilot Knob Road Permit Fee. Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 Staff. 2009 MECHANICAL PERMIT APPLICATION Date: q-/V--0'7 Site Address: 3`7 S 1 1De/1nla,; k /G CtiL_ Tenant: Nv icy( I-twC_k w C e.-k Suite RESIDENT I OWNER Name: i ~d M (I a L Phone: to`> q-66 - ClI U 7 Address/City/Zip: 375 / L)Cr)m_r'K 7imd W, Exck ert, M14 SS ')L3 Name: Re S t d ef* ,L9 Nc c l-t i n1 l A i p, License J-0 9 ' - -23-IS-7 CONTRACTOR Address: 4! 5-t St. 3,,j e -9 City: TY1,rlnect~yliS State: 9Y1N Zip: 55y~7 Phone: b 1 ,9 7~2q - IF 9 7 Contact Person: ~YI n , TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: Replcac_c. ktrnr%,c_g j.A/ C NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screen n►ethods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction , Interior Improvement Air Conditioner _ Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Move ground Tank Install / _ Remove) Other when installing/removing tank(s), call for inspection by Fire Marshal and Plumbs Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) SO. S-O $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $_50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ TOTAL FEE I hereby acknowledge that this information is complete and accurate: that the work will be in oonfo nce with the rdi ances codes of the City of Eagan; that I understand this is riot a permit, but only an application for a permit, and work is not to start without'd permit; that a be in accordance with the approved plan in the case of work which requires a review and approval of plans. t x l~~aYl E. Kol Y? r X ~r Applicant's Printed Name Applicant's Sig ture 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 F----------------- I For Office Use I j Permit s: City of Eapn I I Permit Fee: 3830 Pilot Knob Road 1 I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 ► I Fax: (651) 675-5694 1 star j 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: l Site Address: mark, W ~aeAai-) Tenant Suite RESIDENT / OWNER Name: LGI.UI l / I Gtr V l e~i tf e-, Phone: Address / City / Zip: 3-751 a n m Gt * ) ✓ _ ( n 55 3 Applicant is: Owner Contractor TYPE OF WORK Description of work: S Construction Cost: i ing: (Yes / No V11) CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: 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 the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoi)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in nforma nce 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 w is not to s rt without ermi i that the work will be in accordance with the approved plan in the case of work which requires a review and appro I plans. x Oav`IA N 4tkae x Applicant's Printed Name Ap cant's Sig 7 re Page 1 of 2 hf- o~ LV ill iaw DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (9-Season) Storm Damage _ Single Family Garage Porch (4-Season) r Exterior Alteration (Single Family) _ Multi i Deck _ Porch (Screen/GazebolPergola) 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 *DemolMon of entire building - give PCA handout to applicant DESCRIPTION Valuation ©v Occupancy MCES System Plan Review Code Edition I~ SAC Units (25%_ 100% A Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction- Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC 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 Backfili Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee ~ Surcharge P a Plan Review 7, MCES SAC City SAC Utility Connection Charge r i J i 00 t-- S&W Permit S Surcharge Treatment Plant n )Q z l D Copies I'~)3o ~ " TOTAL k7oof CERTIFICATE", OF SURVEY ~ 4 ill 7,)-- q For: David- Mcx%;JLMUo 3751 I f ~v o O'' I nT 1 A ~ A, A, ~ f v F Q w p W p ~32 056'0() V i 115,57 w A 10 fX1S71NG RfT 4 9 ? 22. SpVTHWfSTNC WALL LI --J a OF LOT UN a2f Q W +CQ 2~7 N C O W CA co29 4-0 WO { 1 (11l ? ,AA 1610 ~ etc, fl Q \ -10 0) r e GCS 4t' o• 10 nc~ i ti z G ~ CERTIFICATE OF SUR Y For: David Machacek 3751 0evm jRx 7K-AIL FR i ~T CAG^j 1"111 Jla?3 w4 L_V I z .0 x fl sF woo f woo 115 EXIS COL, 10 4- 71 G ~ 22- So RE7- G + vTN NIN WEST OF WALL LIES x,. > LOT LINE QL J ct i*d z~ a N O O ~ ~f1 _ Cyr a'- F, OG ~rofi ~G~ o k F'`yq¢ -O o Al" di - 10 !-f1 1j ~r- G ~G!s• f f Ge OF R Scale: 1"=30' Page 2 of 2 James R. Hill, Inc, !" #$%&'()' *+*, -./$%'"&0-1L6$4@$,+ -./$%'56/7-.1 89::;P9 >*%-'!??6-@199AB=A<B9C -./$%'#*%-+(.&1- -./$% D$%-'8@@.-??1'':PC9''>-,/*.R'".'' '!"# $% &&\[())* * + &&/*# &X+ :&\]-*EH 8&O H /01 '23!4!2\[32\[3'!2& 78- >-?2.$0%$(,1 ,9:&;.<- ,*)*+EC +8 @9$ * +&;.<- ? @%&;.<- =-<#>$- 1-8$@*< * + C-+898&C )- O\[O&3&W$$9<>+$. b +*+E ,G9>@-&A-- 2 /#->8-&#->V-&<@*+ -)&<*$ 9@-8& T&H 98-&S@><& +&8* -&T @& H-&T*+>#&*+8<-$ * +Q #(//-,%?1 ?H-+&*+8 >##*+E&V-+ *#> -)&8 TT* &F> -@*>#J&@-F V-&-R*8 *+E&F> -@*>#&L*Q-Q&)-:@*8& H> &$ 9#)&:# $%&V-+ 8N&>+)& >%-&8 -<8& & -+89@-&F>R*F9F&V-+ *#> * +& &> *$Q&&C>##&T @&T*+>#&*+8<-$ * +&>T -@&*+8 >##> * +Q " &3&">8-&A--&UOXU'2\[Q5!&2P2'QO2P! G--'D6//*.&1 ,9@$H>@E-&3&">8-)& +&a>#9> * +&UOXU5Q22&M22'Q5'M! a>#9> * + &&OJ222Q22 "(%*41H9BCI<C' #(,%.*2%(.1JK,-.1 3&&(<<#*$>+ &&3 1>V*)&`&K>$H>$-% \[4!'&1-+F>@%&;@ I>E>+&KY&&!!'5\[ 0&H-@-:.&>$%+ S#-)E-& H> &0&H>V-&@->)& H*8&><<#*$> * +&>+)&8 > -& H> & H-&*+T @F> * +&*8&$ @@-$ &>+)&>E@--& &$ F<#.&S* H&>##&><<#*$>:#-&, > -& T&K*++-8 >&, > 9 -8&>+)&C* .& T&I>E>+&W@)*+>+$-8Q (<<#*$>+ \\/-@F* -- &,*E+> 9@-0889-)&". &,*E+> 9@- EAGAN 3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 (651) 675-5675 ( 1DD: (651) 454-8535 i FAX (651) 675-5694 Email: buildinainspections@citvofeaaan.com Commercial Plan Submittal: eolanst citvofeaaan.com For Office Use Pemtit If: /l1 (Q D / Penult Fee: 60 ° v Date Rec ivett Staff: L .r 2020 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: July 20, 2020 Site Address: 3751 Denmark Trail West Tenant Suite #: Resident/Owner Name: Dave Machacek Phone: 651-246-8284 ,dam / City / Zip_ 3751 Denmark Trail West, Eagan, MN. 55123 Contractor Name: Mike Erickson and Associates, LLC. icense#: MB005647 Address: 9231 Clinton Ave So. Bloomington state: MN zip: 55420 Phone: 952-454-8546 Contact Mike Email: mikeredcksonassoc@gmaii.com Permit Type RESIDENTIAL ✓ Furnace ✓ Air Conditioner AS. Exchanger Heat Pump Other Type of Work New ✓ Replacement Additional Alteration Demolition moo„ of work Remove existing equipment and replace with new DescriRESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge includes State Surcharge = $ TOTAL FEE $100.00 Residential New, You may sum to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the Clty's website at www.cltvofeauan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work wiU 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 ,Mike Erickson Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required inspections: Reviewed By: Underground Rough In Air Test Gas Service Test In floor Heat Final