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3753 Denmark TrCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE y 19 RECEIVED - '' FROM AMOUNT $ I ? ?Q p 4 et DOLLARS Io• ? CASH ? CHECK 4'_'t . FUND CODE AMOUNT f ?J e-;, / Thank You t BY White-Payers Copy 13139 Yellow-Posting Copy Pink-File Copy CITY OF EAGAN K r 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILD)NIERMIT . Receipt # _ ' GARAGE To be used for- ADDITION Est. Value $3,000 Date MAY 13 19A1_ Site Address 3f-53 DENIM RK TR 16 Block 3 Sec/SubPILOT KW3 HTS 4T Lot . OFFICE USE ONLY Parcel No. Occupancy 1 FEES x W JOHN G ROURTSON Name Zoning (Actual) Const Bldg 34.00 ' . o 13 ORNM RK TR Address 37 (Allowable) - 1 30 Surcharge . City EAGAN Phone 291-1169 # of stories 7 Plan Review Length p Name Depth n o SAC Cit z _ , y U-4 Address S.F. Total - City Phone S.F. Footprints SAC, MCWCC W On Site Sewage ater Conn "W W Name On Site Well w ~ Water Meter X 5z Address MWCC System 0 <W City Phone City Water - Acct. Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Ejigardinar. Treatment PI Signature of Permitee?'?` I% -14 e/ f I APPROVALS Road Unit J\ A Building Permit is issued 0?. JONN G R08brRTSON Planner Park Dad. on the express condition that all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official y y l i t Variance TOTAL 33.50 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Jc ?? Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. BUJLDIIJG. M MIT Site Addr$si Lot 1 b Parcel No. _ CITY OF EAGAN i Q4 9 3830 Pilot Knob Road, P.O. Box 21.198, Eagan, MN 55121 PHONE: 454.8100 / Z Receipt # Name W Address City _ Phone _- Name _ Address Citv Name Address I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. Erect Q Occupancy remodel ? Zoning ?z Repair ? Type of Const. Enlarge ? No. Stories Move ? Length Demolish ? Depth Grade ? Sq. Ft. Assessment Water & Sew. Police Fire Eng. Planner Council -7779 Bldg. OffAPC Var. Date Signature of Permittee PACIFIC POOL & i ATiO A Building Permit Is issued to: all work shall be done in accordance with all applicable State of Minna Building Official l Permit -?0V . 7 V Surcharge 5.00 Plan check SAC Water Conn. Water Meter Rood Unit Parks Total $ 85 Vs on the express condition that and City of Eagan Ordinances. Permit No. Permit Holder Date Plumbing H.V A.C. Electric Softener Inspection Date Insp. Other Footings Foundation Framing Rough Pibg. Rough HVAC Insulation Final Plbg. Final HVAC Final G ` Cert/Occ. Water Describe Location: A - Wall -- 16 /Y b /--,A; L Sevier Pr. Disp. CITY OF EAGAN 3M Pilot Knob Rood Eagan, MN 551 22 No 5095 PHONE: 454-8100 BUILDING PERMIT Receipt # - - To be used for p_ •'' -` Est. Value ^' ^ ^ Dat e 19 1 Site Address Erect Q Occupancy Lot Block Sec/Sub.?t,?Jr hC? t, Alter ? Zoning Parcel # Repair ? Fire Zone l E T f C t n arge ? ype o ons . W Name Move ? # Stories ? Address Demolish ? Front s City _ Phone Grode Depth -- -- -- - - - - e: zo OV VW Name _ Address Name 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. Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Fees Permit Surcharge Pion check SAC Water Conn. Water Meter Total Signature of Permittee I A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official remit # Oats lowned Penal"" Plumbin -3- 9 Mechanical -Z .7 / L. INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation Plumbing Frame/ins. y ! Mechanical Final i - I Remarks: ?L ;IL - 7 1 CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 1'y?Tr' PERMIT Date: }2%-'9 Site Address: 37-53 Denmmz'k- Trail Lot Z Sub/Sec. ?'.lit Rncj7 !its. 4th ?6 Block 'tblleflam Name e Address 13316 Holycke AVP. 3 O City ATPle Va1W Phone: 454-687? rredxicksm Htg. & Alr- 2= Nome , Address 30 ??u L* t ? Drit,In 0 I 1 City 7 ?a Phone: _>.• 7 7 This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. QZ'WSTMM AIR No. 1414 Receipt No.: 13733 Single I Residential Multi Res., Comm./Ind. New/Alter./Repair. Cost of Installation 20.00 Permit Fee Surcharge Total ry ~? done in accordance with all applicable State of Building Official CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 PTJJMIM - 3^79 Date: Site Address: 3753 Demnerk Trail Lot I ' Block 3 Sub/Sec. Name :bllefSm Bldrs. e Address 13816 11301V Le Trin`- City -Npple Va11e!y Phone: 454-5873 Name !MZ--Ryan Address t 74 > e N Cary ?'; s,r •i,,. Phone: 4 This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. PERMIT No. 1326 Receipt No.: Single Residential X Multi Res., Comm./Ind. New/Alter./Repair. Cost of Installation Permit Fee 20' 10 Surcharge .50 Total done in accordance with all applicable State of Building Official CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55123 Phone: 454-8100 5fA#.Pr ftAnFr PERMIT Date: Site Ad/dress: ` :JP:1rar ?C ' x I 17, - Lot Block Sub/Sec. Name ?11iir !Ialin Address ?753 De*mrk Trl. City q n Phone: Q? L 0 Name Vi lhert Co. (C,17) Address ?"rlee kvf:. No. Receipt No.: Single I Residential Multi Res., Comm./Ind. I New/Alter./Repair. Cost of Installation Permit Fee Surcharge V City Phone: I Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN Remarks Addition Pilot Knob Heights Addition #4 Lot 16 Blk 3 Parcel 10 57503 160 03 Ownerl f,? street 3753 Denmark Trail State Eagan, HN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1977 1322.40 132,24 10 S LB STREET RESTOR. GRADING S? SAN SEW TRUNK 1971 $159.59 7.98 20 SEWER LATERAL 1976 28 19 v s'? WATERMAIN * WATER LATERAL & SERV 1976 15 -7WATERAREA 1972 15],8] 7.89 20 ok STORM SEW TRK & SERV 1975 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 250.00 13139 _ BUILDING PER. SAC 13139 1-79 PARK WATER SERVICE PERMIT CITY OF EAGAN 3795 Pilot Knob Road PERMIT NO.: Sagan, MN 55122 DATE: Zoning: of Units: No . Owner: Address: Site Address: Plumber: Meter No : Connection Charge: . Size: Account Deposit: Reader No : Permit Fee: . 1 agree to comply with the City of Eagan Surcharge: Ordinances Misc Charges: . . Total: i By Date Paid: Date of Insp.: Insp.:- CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Address: Site Address: Plumber: agree to comply with the City of Eagan Ordinances. By Date of Insp": Inso":-_ SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: I a M1 Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: - Total: Date Paid: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE © SETS OF PLANS, © CERTIFICATES OF SURVEY © SET OF ENERGY CALCULATIONS To Be Used For: Valuation: Date: Site Address: X004 37 5'? ,r7?,a? • T , I Lot: Block Sect/Sub:r? Erect: Parcel Remodel: / Repair: Owner: /?L41 elllY Address: ?7s7 . F??fj c Iie_ City/Zip Code: 1654ei9/?/ Phone # : 7 S? -n2 72 Contractor Address: b' _S+S City/Zip Code: 6+/?-P Phone #: 7769 Arch./Eng: Address: City/Zip Code: nhnnr?$ Enlarge: Move: Demolish: Grade: Occupancy: -?j Zoning: -? Type Of Const: -?E # Stories: Length: 3(0 Depth: g Sq. Ft.: APPROVALS Assessments: Water/Sewer: Police: Fire: Engr.: Planner: Council- Bldg. Off.: APC: Variance: Permit: SQ,to- Surcharge: r? 00 Plan Rev.: SAC: Water Conn: Water Meter -?-?? Road Unit: r/t /hr?F Parks: ?- ? x•50 -Q. BUILDING PERMIT GAR To be used for AnnT CITY OF EAGAN N4 19046 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # C' { 3 .!, U' `z Est. Value $3.000 Site Address 3753 DENMARK TR Lot 16 Block 3 Sec/SubPILOT KNOB HTS 41 Parcel No. w Name JOHN G ROBERTSON Address 3753 DENMARK TR city EAGAN Phone 291-1169 o Name Address City Phone W Name u Address aW City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply wit all apoHCaple State of Minnesota Statutes and Citv ol.?oan.Ordinan . ? ?y Occupancy Zoning (Actual) Const (Allowable) 8 of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump Signature of Permitee'? APPROVALS A Building Permit is issued JOHN G ROB RTSON Planner 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 Building Official 11,4.((d.?I.?lLl Variance 1 OFFICE USE ONLY FEES Bldg. Permit 54.00 - Surcharge 1.50 7 Plan Review SAC. City - SAC. MCWCC Water Conn - Water Meter Acct Deposit S/W Permit - S/W Surcharge Treatment PI Road Unit - Park Ded. Copies - TOTAL 55.50 CITY OF EAGAN N9 9485 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING tsERM1T PHONE: 454.8100 Receipt # To be used for POOL Est. Value $10,000 Date SEPTEMBER 7 Iq 84 R3 3753 DENMARK TR Erect .y Occupancy Site Add11 tes? PILOT KNOB H $ A L`f - Lot Block ^.ec/Sub. 4Remodel ? Zoning Parcel No. Repair ? Type of Const. Enlarge ? No. Stories Name BLAIR MALINSKI Move ? Length Z Demolish ? Depth Address Grade ? Sq. Ft. City Phone 452-6272 PACIFIC POOL & PATIO Approvals Fees o Name u i5 6922 - CddressOAKDALE vh TH 5770-1313 Name City Phone I hereby acknowledge that i hove read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: PACIFIC POOL & PAT: all work shall be done in accordance wit I applicable 5 to of Building Official o ?IM Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 8/29/84 APC Var. Date ' Permit S80,50 Surcharge 5-00 Plan check SAC Water Conn. Water Meter Rood Unit Parks Total?- __ on the express condition that and City of Eagan Ordinances. CITY OF FAGAN 3795 Pilot Knob Read Eagan, MN 55173 PHONE. 454-8100 BUILDING PERMIT APPLICATION V_ " .-A 6.. SF IDW19 & Garage Est. Value 65,000. Site Address 2 "2 Lot 16 Block Parcel # W 3 0 3 Sec/Sub Pilot Knob HtS. Name Ng. 5095 Receipt .# /y!? 1-24 . o 79 anc Occu F-3 _- _ Erect ] y p ? 4tt1 Zonin Alter ? g , Fire Zone Repair ? V Enlarge ? Type of Const. - Move ? # Stories 5 7 4 Address 13816 Holyoke Lane Demolish ? Front ft. 454-6873 Grade ? Depth 38 tt. C;ty Apple Valley phone Approvals Fees s Name Jd L= ip Assessment Address- Water & Sew. City Phone Police tw Name Fire s? Address Eng. iw Phone Cit Planner y Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee _ A Building Permit is issued all work shall be done in a Building Official _L Permit Surcharge 32.00 Plan check 525.00 SAC Water Conn. 250.00 60.00 Water Meter Tatar 1,029.50 on the express condition that State of Minnesota Statutes and City of Eagan Ordincmcea. SINGLE FAMILY DWELLINGS 1991 BUILD®I(PICATION CITY OF EAGAN MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation Site Address 5;2S / /yj?p?- 772ftp7 Lot -[?z Block 3 Parcel/Sub Pl °T k.vv 3 H TS , y ?{ Owner {? /7 kCC) 0?J Address ? %J J City/Zip Code Phone Contractor ` Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Date: L5-- O y ?/ 63 0D v OFFICE USE ONLY ' Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. M-1 25' Q, 0 On site sewage On site well MWCC System ±r' City water PRV _ Booster Pump APPROVALS Planner Council Bldg. Off. GT 04/ Variance FEES Bldg. Permit '541,00 Surcharge 1150 Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL S5. s agrees that all work shall be done in accordance with (Signature of Contractor all applicable State of Minnesota Statutes and City of Eagan Ordinances. r-. x r ^ ? w 7,25 x 2- 2S = 16 3 x /S--=- ?yc? 7 orz 3DocD'- TDllefsan Builders Inc. Or.10968 . 3-L2 - F. C. JACKSON ?f LAND sURvxvm 16/0 Rm1RTOWD UNDRR LAW! OF 9TAT9 Or W104MOTA / LICRHRm RT ORDINAMM OF C/TT Or W101fYOR1R :. 3616 EAST aaTN OTRBET 55417 727-3484 233 Alt !I ? N .. 1 roK ? 3 N ? /a ?e? re a 1 „ B. li ti? X28.83' ±c I HRROY CISTIRY THAT THE AROW IR A TRUE AND ODRROCT RAT OF A OUIVtT OF ,fi/oTr! prrAlPM!' CAp "Airs 1 t r? a; -rte Y SsK/rr .ttri+rre °.r-,?,?rw ";.rllic.rr` . s / . f . Fir ?' " . --.v. _,li:Q:i`"-•"' -'_; s.-.•Ln-z,,:-..;''.sue .,,: _-f:? :. -)Jz'i='', •'-. "ten: s""' y6", '' • - Lac 16,31ack 3, lit-oo'fmv6eD s.,? ,- - ?.°•"`-' ; ' - -?;_? pakOtat CDY691 y'y iiS N • x,?._ ", ra v. •3. i. < -x , p:y?..v'.,"y? .jyYr"Y : e._;i.'4?nM`'y.-r c'?.:'.,?.?^k tt i'--Y\. ir'" ''• M" ?.y,Y,$G ?" rsT?^• " ;ov R DY M[ TNd '19ttr_ w=i: - ? - - - -_.. 'mss Y:?(. .?>rr., yi_ :?,?Na.. +? F?:. '^?%'r•" ?"Y• a1 '? .? • DATE c? WILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for Site Address: Lot Block Sec./Sub. 10, Valuation / ;? its . lJ2? 'Ron VD'za0-§'e TS a 0 Parcel Number Owner Address Contractor Address Arch./Eng. Address Erect Alter Repair Enlarge Move Demolish Grade Telephone Telephone 69 7 Telephone OFFICE USE Occupancy [61° :3 Zoning Fire Zone Type of Const. n a # of Stories o? Front Q Depth x 0'- OFFICE USE Date Of Ap proval & Initial Assessment ( ? ,6? /?/"ZW/7SY Water/Sewer Police Fire Eng. Planner Council Bldg. Off. A.P.C. FEES Permit Surcharge t ?? Plan Check SAC Water Conn. S?• 4D1 ter t4eter i e 00 ?_?.=A[ ?n ham,. Y TOTAL l v?q?sD i?l, fret: 3uEdCr0 IIC. F. C. JACKSON LAND SURVEYOR 1 ?I 1I I O AO,J x 741 ;11_i REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS Ijo 3616 EAST 66TN STREET 55417 727-3484 Ourbepar'g Certificatt _??•- Jam- `?_? -1 ? i q X41 J1&B ? a' Bey ?? z 3 3-ts vYs g \ 1 HEREBY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A SURVEY OF Xaumr varviee )s ,9 feee ? g• NIZZ, N1 GAi+ AflSe whir` x/?f rjq Rsvflh^7 y r4cifio ge4a/ rtrff7- Ira C, Lot 10,Block 3,Pllot Knzb Heights Fourth Addition, Dal.ata county,Minneaota. AS SURVEYED BY M! THIS--i - q t.11 , -- DAY OF--PAC .- -A.O. 1978 F. C. No. 3600 Tall-efsan Builders inc. I ?t =carer! ourbepor'z (Certifitate =B _ J i , 727-3484 .? f/ f ! V1- 14 Or. 10968 183-42 Spy % , '1. vq 1 11, \IA- 1 1 1 HEREBY CERTIFY THAT THE ABOVE la A TRUE AND CORRECT PLAT OF A SURVEY OF q/oTr. pro6lP?rtr Sel?Qr ,fer?1re ?s /9 Fper U GaN artt? 1.tJl?? z ?P16ti/ ffrreT- G A Lot lo,Block 3,Pilot Knob Heights Fourth Addition, ae Dakata County,Hinnesota. I ? Q i-OAY Of 4eC' A.D AS SURVEYED BY ME THIS-1?.'- F. C. JACKSON LAND SURVEYOR REGISTERED UNDER LAWS OF STATE Of MINNESOTA LICENSED BY ORDINANCE OF CITY Of MINNEAPOLIS 9616 EAST 55TH STREET 55417 ? YAIOP THOMAS ELAN MAP. P.PRAHTO JAMES A SMITH TNEOOOPE w.CHTER co.NU1 .1.0... _ _ June 28, 1979 ` __ - - CITY OF EAGAN 1185 PILOT KNOB ROAD EAGAN. MINNESOTA 55121 CIrY AOYIN?i fll.".. cIrr Mr. Carl R. Tollefson / <c Lf? yc Tollefson Bldrs, Inc. 13816 Holyoke Lane /U - 37So 3 - //OU -n3 Apple Valley, M 55124 RE: 3753 DE'?%RK AVENUE -- REPAIR BMI(EN WATER SERVICE Dear Mr. ILbllefson: On February 28 and 29, 1979 City Maintenance Department has to contract with Parrott Construction Company to repair a broken corporation on the water service at 3753 Dem ark Avenue. This repair work was created by the damage incurred to our water stop box during the excavation work of the above referenced property. -It appears that during the grading of this lot, a piece of eauipment hooked onto the water stop box and yanked it out of the ground thereby stretching the copper water service from the water main in the street and breaking off the corporation at the street. I an aware that the stop box was repaired and replaced but the broken corporation at the main in the street had to be repaired by City forces. It is due to these circ mLstances that the City of Eagan is holding the general developer of 3753 Denmark Avenue responsible for the bill in the total amount of $420.00. Hopefully with the additional information you will understand haw the City has determined the responsibility and cons?uently forwarded this repair bill to your attention for paym=nt. If you have any questions regarding this bill, please feel free to contact me or Mr. Joe Connelly of our [later Department. Sincerely, ??- Thomas A. Colbert, P.E. Director of Public works TAC:tlp bcc: Lorene Lee (p t i-'? ALrCE BOLKE au. THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. Tolletson Builders, Inc. CUSTOM DESIGNED HOMES 13816 Ndyoke Lame - - Apple Valley. MN 68124 Phom (6121464.6873 June 15. 1979 City of Eagan 3795 Pilot Knob Road Eagan, Mid 55122 Dear sir: We do not feel we are responsible for this bill. The curb stop in front of the house we repaired at aer expense to J. & J. Excavating. The bill for this repair is for the water main in the street of which our superintendent said we did not break. Cordially yours, Carl R. Tollefson Tollefson Buildersq Inc. a -- -STATE2MENT ~. r, #1130 CITY OF EAGAN 3795 PILOT KNOB ROAD WAN, MINNESOTA 55122 ` - ri Phone 4548100 ./ of r. '195 h2 -'-2&79 2A2%-79 ns l r Tollefson Builders 13816 Holyoke Ave. Apple Valley, M 55124 DETACH AND MALL W TH YOUR CHECK. YOUR CANCELLED CHECK O TOUR RECFI?f. #1130 February 28 and 29, 1979 Dig up and repair broken Corporation on Denmark Ave.. $420.00 (see attached bill) ' J J i' C ..Ya: - ytv" .. a yea SS 881 EAID RT CHECK NO. 4 TS)Ot:.??_.w?w.t,?'"...: POLY YAI( (3(1 SETS) 81891 r Parrott - Construction Inc. 9us.44"126 Res. 445-205e PARRQZ,6,ZM! INC. 2047 Eagle Creek Blvd. Shakopee, Mn. 55379 March 29, 1979 .2.2 f 7 5 City of Fagan 3795 Pilot Knob Rd Eagan, Minn. 55121 2-28-79 2 hro ® $47.50 moving to Denmark Ave. 2-29-79 5 hra ® $65.00 Dig up & repair broken Corporation Total 895.00 325.00 0.00 !1130 CITY CF EAGAN 3795 WI MT KWO ROAD EAGAN. MINWSOTA 55122 Phone 454-3100 l • 7 i i Sbllefson Builders & Reisinger Const. i 13816 Holyoke Ave. i Apple Valley, 141 5512a . -. L J MUCH AND FWl WUNU VOOF CKM YOW CANCHIN CN[PU IS YOUR Cert. = M30 February 28 and 29, 1979 Dig up and repair broken Corporation on Denmark Ave. - 3753 Denmark $420.00 i r ' (See attached bill) Damaged while excavating for 3 above foundation. 5 ' a J S < S ! 'a a e.arp .. MO AT PROF NO. K 8" ,DIY ,AF EN 9TS) MBM ?' Bua. t15-et26 Ras. us-lose Parrott - Construction Inc. PAR p rq RuraJ Route 2. Box-1] 1 ?Shakopge.Minnesota-s'! INC. _ --------.2047 Eagle Cred' Blvd. Shak0Pe Mn. 55379 Aarch 29, 1979 City of Eagan - 3795 Pilot Knob Rd Fagan, Minn. 55121 7 2-28-79 2 bra 9 $47.50 moving to Denmark Ave. 2-29-79 5 hrs 4 $65.00 Dig up & repair broken Corporatior. Total 395.00 325.00 3420.00 1 Qopy: Office 2 Copy: Crew Chief 3 Copy: Municipality 4 Copy: Customer Brooklyn Center Store 4321 - 68th Ave. No. Brooklyn Center, Mn. 55429 (560-6442) Pacific Pool & Patio A Minnesota Package Products Company No. St. Paul Store 6922 - 55th St. No No. St. Paul, Mn. 55109 (770-1313) CREW CHIEF Equipment Needed ? Back hoe ? Bob Cat ? Cat ? Truck ? Snow Fence ? Inspections Contract ? Walls ? Plumbing ? Footing ? Before Backfill ? Other Burnsville Store 1278 W. Co. Rd. 42 Burnsville, Mn. 55337 (435-3500) Ridgedale Store 12500 Wayzata Blvd. Minnetonka, Mn. 55343 (541-9180) ACCOUNT NUMBER POOL SIZE DATE NAME HOME PHONE STREET WORK PHONE CITY STATE ZIP CODE Diagram pool site in relation to house, garage, proper* line, and wires. (Allow 3" variance) ? Mark location of filter anlor heater by (#2). ? Indicate deep end by (X). O Does Customer wish to retain any or all dirt from pool excavation: ? Will any obstructions be encountered - such as trees, clothes poles or powerlphone lines ? Elevation from location marked "A" in diagram: ? Show type and location of slide if applicable: _ ? Location for disposal of dirt: ? Pacific Pool & Patio recommends that customer Install (As soon as possible following pool construction): 1. Rain gutters adjacent to pool- 2. Retaining wall where diagramed 3. Run off control ordrainfield CUSTOMER ALSO UNDERSTANDS & ACKNOWLEDGES THE FOLLOWING Some damage may be done to the yard andlor driveway entering and leaving the yard during construction: Customerassumes responsibility for electrical wiring and grounding of the pool (including permit if required): Initial Cusomter assumes responsibility for the gas Installation of heater if applicable (including permit if required): Initial If debris, structures, or substance foreign to normal soil should be encountered while excavating which requires abnormal handling andlor disposing -Customer shall assume responsibility if any extra costs are incurred. Intial . If you wish to change: filter position, slope of land, or anything else stated in this outline, please call our office - 770-1313. Crew chiefs are not authorized to change anything on the job or make any promises for work to be done by them. Any Changes that are not authorized by the office will be charged at a standard rate - no exceptions. Pacific Representative Signature Customer Signature Use BLUE or BLACK Ink 1------------------ 1 For Office Use I j Penns it V ~~2 Lily of Eapn l 1 3830 Pilot Knob Road'' k~ r Permit Fee: 1 Eagan MN 55128 ~b1`l Phone: (651) 675-5675 ,Date Received: -7-3-12-- I ~ CI 3 t t Fax: (651) 675-6694 Lstatfi C~ 2010 MECHANICAL PERMIT APPLICATION Gate: 7 ° r l Site Address: 37 3 2&,, ri'~ /ray / Zo, 'tenant: e r 7 ® Santa RESIDENT / OWNER Name: 4-'V &ze 1 ° Phone: Address 1 city / zip: 7 e G` CONTRACTOR Name: v e~"~yS7~Pr~t l' License it Address: Z22 Gc~eS 3YO~ State: Z& zip: 55233 Phone: Contacta email: c e c TYPE OF WORK New _ZReplacement Additional Alteration Demolition G® Description of work: G e Le.", Lzt NOTE: Ropff mwuhtad and ground mounted mechanical equipment is required to be screened by City Code. Please c ct the Mecha+rlt:ai Inspector for information on permitted screening methods. PERMIT TYPE RWIDEN77AL COMMERCM Furnace New Construction interior Improvement Air Conditioner Install Piping Processed Air Exchanger _ _ Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank (T Install/ _ Remove) -Other When i ooffingtremoving tame(s), call for inspection by Fire Marshal and Plan Inspector RES/DMIML FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appli, ductwork, etc.) (includes $5.oo State Surcharge) $60. TOTAL FEE. CCM AIERCIAL FEES: $75.00 Underground tank installation/rernoval OR Contract Value $ X1% $55.00 Niinimga (includes State Surcharge) $ - If the PaM Fee is less than $4010, surcharge Is $ 5.00 Permit Fee - If the Permit f, is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee ; $ Surcharge (Le. a $10,010411,010 Permit fee requires a S 0.50 surcharge) = $ TOTAL FEE CAL §CM Y W. Cats Gopher State One Call at (651) 4544002 for protoodw against underground utility damage. Gall 48 hours before you Intend to dig to receive locates of underground udilties. www.gopherstateonecali.ora i hereby adcnowtadge that this Irftmadon is complete and accurate; that the work will be in contbrmence 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 requinirs a review and approval of plena. X Zee Gle C~c°yy1 y AppNcaars Printed Name Applican 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 PERMIT City of Eagan Permit Type: Mechanical Permit Number: EA106167 Date Issued: 08/14/2012 Permit Category: ePermit Site Address: 3753 Denmark Tr Lot: 16 Block: 3 Addition: Pilot Knob Heights 4th PID: 10-57503-03-160 Use: Description: Sub Type: e -Furnace Work Type: New Description: Furnace COmmentS: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Jane/ Behrends 122 West 3rd S Fee Summary: ME -Permit Fee (Replacements) $55.00 0801.4088 Surcharge-Fired $5.00 9001.2195 Valuation: 2,988.00 Total: $60.00 Contractor: -Applicant - Owner: Haley Comfort Systems John G Robertson 122 West 3rd St 3753 Denmark Tr Hastings MN 55033 Eagan MN 55123 (651) 437-0338 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 Mi~esota Statutes and City of Eagan Ordinances.  ApplicanvFermitee: signature issued By: signature Use BLUE or BLACK Ink �________________� I For Office Use I � � Permit#: /���� � � Clty of ����� ; . . ��n� �-� � Permit Fee. � 3830 Pilot Knob Road i (�,. ��/;t/ i Eagan MN 55122 Date Received: d �— Phone: (651)675-5675 � � Fax: (651)675-5694 I Staff: _ � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � �/ Site Address: � J ,� ����/� Unit#: Name: �lr�/ i Y� � A �G��J 3 C�' Phone� ^�� � � � ( ��� Resident/ (�i� �2 �-� Z� ' owner = add�ess i c�ty i zp: S��l Z ' Applicant is Owner Contractor Typ@ Of WOCk Description of work: ��� � C truction Cost: Iti-Famify Building: (Yes /No� �, y ompany: � Contact: C011tt'aCtOC ' Address: City: State: Zip: Phone: Email: ' ' 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 supporfing documents'that you submit are considered to be public information. Portions of the informafion may;be classified as non-public if you Provide specific reasons thaf would permit the City to : conclude that fhe 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.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Build'n Code must be completed within 180 days of permit issuance. x V i �� d V x App canYs Printed Name Appli Signature Page 1 of 3 Use BLUE or BLACK Ink I�� r________________� . I For Office Use I � � Permit#: �� l � `I II Clty of ����� � . . � eS� � �� Permit Fee. , 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 I I Fax: (651)675-5694 I Staff: � I I 201 RESIDENTIAL BUILDI G PERMIT AP LIC/ATION � �- /,�/ Date: ('S ��� / Site Address: ���� --� ���' Unit#: k �� n v d Name: v z��' ��- Phon�- �/�f �` � � Residentl �,,�f � / / � � 3� Owner Address/City/Zip: ��`� '�r '�' y -���� �+��'`�' �O� ���� � : Applicant is: �Owner Contractor � � Type of WOrk Description of work: '� Construction Cost: � Multi-Family Building: (Yes /No �j � � � Company: ���/�YL,f J� ����Contac. COr1tPaCt01' ` Address: City: '> State: Zip: Phone: Email: ' 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 ' the information may be classified as non-public if you provide specific reasons'that would permit fhe City to ! conclude that the` are#rade 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.aopherstateonecall.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 State B ilding Code must be completed with'n 180 days of permit issuance. x � //l� Ci7' ��U°���V�/ x ApplicanYs Printed Name A li nYs Signature Page 1 of 3 37.�3 !�sN,��a�tx Ttt P�iG�M�T'� l�.G k�3� � � � �IOV ��► 20�4 � �������r t�G.: uv���� ���1 � �a�� �� � ����.� �� , � - ��. ��- �'��;.:� ���..��ra�c� -v���: :,,. . �� . , : .:W�.�a��b - ����;.. .:. • : �,�,11 .�3/G�";� hoie. i n �'►�"�' �`���'�N�-. y` ,�t� �-�' b�� ...:: ?o �v�nP scltr�r��a . , __ � _ _.... � i��- ;b� �� ���1��-�ti --� r. �- W� � r 1 > I��� 1,��;�' �� V , ' a ��� r+-�"'`°'�� ' , i � `°'��'�`tv1l�',p FL..�+���' ,,_. . �, �'-.�"l��!lP�� ��,� 4,�.,.� ,., . 1 _ , �� �� �"" `�..� ���� t ���`.. .., ��� ��� � ��.� ,` ,, ' .� r� k ���: � _____����__ - Am/chenges to these plarts ��,��.�: 4 shal!be submitted for r+eview ����D��� 3, ,.�, i�.�_�.,o�� ���i����� prior to tmplementation. Use BLUE or BLACK Ink I For Office Use � ; �a��� �� � ��� � � ��6 �� �� ���� � Permit#: � � Y � ' /���a� ' � Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: y�. � i /� /� � '� . � � Name: �6� �-�1 �/)P�U Pho e:�fJ �.�?� � �?i� v �� ������ :v� � �� ��� Address/City/Zip: S� - ��� � ��� � b�'� � �_,_:: ,a�. .. ,�_ Applicantis: � Owner Contractor �l(,��c � C � �� ��`� �. , / ,���`.� ��' � �' ° Description of work: Pi ��n / ��� ��.��`L�/Y ������@� � e� ���� �� � � � : ��,�;, Construction Cost: � Multi-Family Building: (Yes /No� ��� � w s �� . ; �� � ����� Company: Contact: �y��\`� � F� � � '' r��,; �� ` Address: City: �� �����.�` ,� �� � ' �' ��� z State: Zip: Phone: EmaiL• ���� �� ��,,,,;, , ����� , License#: 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 Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: ' Phone: Fire Suppression Contractor: Phone: y� �tT���; ��i���1"p� �rg�� i�5 � Gtr��`��� #'�S�m�`�1"�� c�t�� ,�'q, ��af � � \ ��.�, '�� � i- t - �:Z.�.> ra �� �;�� f, i �x �e!r►�`Qrm ���;� �r'�'�d� � ���f�rr��p����� ���c;r���������r�vrt�rl ����"��� .<, � � �� \\�'\'����� �'���eR: v �:�" � � �Y n,_��� c. � y��z- +. �€, . d�.,� .: �y ��L .. .: ,. ,\�.a'.. ,.�.::�:�\`'y,a � �r.� .�:����„�:�,.,,,, , _ , „���:�.��;, .�,'s� ���,��.�z 2^������:i ,�� ��a- �r 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.qopherstateonecall.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 State Building Code must be completed within 180 ' days of permit issuance. x � � ✓� x App icanYs Printed Name Ap ic Ys Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA152625 Date Issued:10/24/2018 Permit Category:ePermit Site Address: 3753 Denmark Tr Lot:16 Block: 3 Addition: Pilot Knob Heights 4th PID:10-57503-03-160 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - John G Robertson 3753 Denmark Tr Eagan MN 55123 Highmark Exteriors 8720 Eagle Creek Pkwy Savage MN 55378 (952) 882-8904 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153905 Date Issued:02/01/2019 Permit Category:ePermit Site Address: 3753 Denmark Tr Lot:16 Block: 3 Addition: Pilot Knob Heights 4th PID:10-57503-03-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - John G Robertson 3753 Denmark Tr Eagan MN 55123 Hero Plumbing Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature