3759 Denmark TrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3759 Denmark Tr
Lot: 19 Block: 3 Addition: Pilot Knob Heights 4th
PID:10- 57503- 190 -03
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Daryl T Rogers
3759 Denmark Tr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA080843
11/02/2007
ePermit
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
REQitIVEb
FROM
AMOUNT
& DOLLARS
100
? CASH ? CHECK
FOR
NUMERICAL FILE COPY
BY
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #k
Site Address 1 tmmarit -1r.
Lot -?- Block 3' Sec/Sub. P i 1 n t Kno i? It e-'t s
Parcel # 5'l
,,, Nome ?rv Mickelson
3 Address 44th Ave. '0,
0 2-6409
°CO Name 1'o11efson 111drs
oU Address 138I'; ol.y?: cr i.n
ur Val} ? w,,,..o 454-6873
Name _
Address
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.
N2 4593
Erect ? Occupancy
Alter ? Zoning
Repair ? Fire Zone _
Enlarge ? Type of Const.
Move ? #k Stories
Demolish ? Front ft.
Grade ? Depth ft.
Approvals Fees
Assessment Permit
Water & Sew. _ Surcharge -
Police Plan check
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council
Bldg. Off.
APC Total
Signature of Permittee I
A Building Permit is issued to: an the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eacon Ordinances.
Building Official -----
Permit # Date InoW Penahtee
Plumbing /.e5 a Q o7 _ - y _ ?tryc?
Mechanical
INSPECTIONS DATE INSP. Rough-in Find
Footings ACC(
- Date Insp. Dote Insp.
Foundation - Plumbing 6 f 'Jf •7
Frame/ins. Z Mechanical
Final Yt ?Y tr?? 11' r? •/f
Remarks:
9-s • -70?'
-7f
3'- q- 7J"
to 0 n
C a Jr da.T -t o ,?
CITY OF EAGAN 9 3 81 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
t PHONE: 454-8100
BUILDIf4G PERMIT Receipt #
To be used for Est. Value , 4oo Date ' L AE 15 '19`
Site Address ;.'ra r a; . i:. 'I f
Lot Block Sec/Sub. _
Parcel
rc Name
2 Address
o City Phone
s i-ALPtI HANSON CONS` T
e Name
2H {{+70 F!D'DVD S 'hC'rq r ...,
On Site Sewage Occupancy
MWCC System Zoning
On Site Well Type of Const
City Water (Actual)
(Allowable)
# of Stories
L
th
eng
Depth
S. F. Tot-aT?
Footprint S.F.
o? Address i APPROVALS FEES-
0 °-` city Phone 423-200':, $4.. jo
Assessments Permit
Water/Sewer Surcharge I
F W Name Police Plan Review
?z. Address Fire SAC, City
Engr. SAC, MWCC
a W City Phone Planner - Water Conn.
Council Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit
that the information is correct and agree to comply with all applicable APC Treatment P1
State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks
Copies
Signature of Permittee TOTAL
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
Permit No. Permit Holder Date Telephone it
Plumbing
H.V.AC.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg. ,q,
Deck Frmg.
Well
Pr. Disp.
CITY OF EAGAN
• - 8795 Pilot Knob Rood
Eagan, Minnesota 55122
Phone: 454-8100
(' _ PERMIT No.
Date:
ebruary 24, 1978
Site Address: '759 Denmark Trail
Lot Block Sub/Sec. _
Name mollefson Builder
Address 1111' iialvoke Tana
City :ale Valley 55124 Phone:
Name -'edricl.son Heating & -VC Co.
L
Address •1u d' Rue nri`Te
s
s
City Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and City of Eagan Ordinances.
1112
0"°1 57
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind.
New/Alter./Repair. Cost of Installation
Permit Fee
:n
Surcharge
Total
done in accordance with oil applicable State of
Building Official
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, Minnesota 55122
No. Phone: 454-8100
PERMIT
Date:
-fay 27, 1980
Site Address:
Lot L- Block J Sub/Sec.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential
Nome N
/Alt
/ R
i
er.
epa
r
ew
Address t
f I
ll
C
t
ti
os
o
ns
on
a
a
City Phone: P
it F
erm
ee
Name
Surchar
e
g
Address
City Phone: 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
= 3795 Pilot Knob Rood
Eagan, Minnesota 55123
Phone: 454-6100
PERMIT No.
February 8, 17=
Dote:
Receipt No.:
Single
Site Address: Residential
Lot Block Sub/Sec. Multi Res., Comm./Ind.
Nome Fie",..
New/Alter./ Repair
Address 316 Ho l.yc.3. c _.
Cost of Installation ?-
City ?''le Valley
Phone:
Permit Fee
Name Surcharge
S
Y
_
Address- +5 Se. Poi-x r
c
0
_
City ,,
.. Phone:
Total
This Per
Ut-
is issued on the express condition that all work shall be
done in accordance with all applicable State of
Minn o Statutes and City of Eagan Ordinances.
Building Official
???•? INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: i
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:' N . to- b r )O3.• 14.40 -H:f
t[)t, 14 111. (0(1'
4i1 IVHAkf: III
1, 1 1 01 1 1 N(tN 11111- 1 111-11''. it 1 11
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
H1 VAlf,'
lINS;i R i1' i f LIM (I.ff(if I U(j)
INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR.
J
Permit No. Penult Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
a?
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Pilot Knob Heights Addition #4 Lot 19 Blk 3
Addition
Owner llLl,ti l??u .' # i11?GIL I Street '1750 1]Pnmark Trail
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, 1977 1322-40 1- -4 10 1057.92 A006453 8-7-78
STREET RESTOR,
GRADING
61 SAN SEW TRUNK 1971 $159.59 $7.98 20 95.83 A006453 8-7-78
SEWER LATERAL 1976 $2888.84 $192.59 15 2311.10 A006453 8-7-78
WATERMAIN
* WATERLATERAL& SERV 1976 15
5-1 WATER AREA 1972 $157.87 $7.89 20 102.64 A006453 8-7-78
STORM SEW TRK
STORM SEW LAT + trunk 1976 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 230.00 83O - -
BUILDING PER,
SAC 475.00 8307 12-5-77
PARK
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: _
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address: t' r v r
Plumber: __
I agree to comply with the City of Eagan
Ordinances.
By
Date of Insp.:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3795 Fi-14t Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address: _
Site Address:
Plumber:
Meter No.: _ Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee-
I agree to comply with the City of Eagan Surcharge: _
Ordinances. Misc. Charges:
R,,
Date of I nsp.:
Total
Date Paid:
Insp.:
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 NE 4593
PHONE: 454.8100
BUILDING PERMIT APPLICATION $50
000 Receipt .# m _ 8307
.
9
To be used for Sine_ Fam Drula_ A Gara_ Date Dec. 59 . 19 77
Site Address 3759 Denmark Tr. Erect EK Occupancy ;
Lot J9- Black 3 Sec/Sub. pilot Knoh-ights t(@hr ? Zoning R1 .
Parcel .# 10 57503 190 03 Repair ? Fire Zone 3 V _
Enlarge ? Type of Const.
W Name Jerry Mickelson Move ? # Stories 1
Z Address 3620 44th Ave. So. Demolish ? Front 54 ft.
o Mpls 722-6009 Grade ? Depth 42 ft.
c Phone
Of Tollefson Bldre Approvals Fees
O Name
Ii Address 13816 Holyoke Ln
G Apple Valley phone 454-6873
t
ww Name
rw
X3 Address
¢'Z" City Phone .
I hereby acknowledge that I have read this application and state that
the information is correct andAgree to comply with all applicable
State of Minnesota Statutes ahd Citm of Eagan,Qrdfnapce?
Signature of Permittee L^"
A Building Permit is issued to: Toll sOn Bldrs.
all work shall be done in acc nce with ali/appliwbl State of
Building Official -? -' ° V `z
Assessment -
Water 8 Sew.
Police
Fire Eng.
Planner
Council
Bldg. Off. -
APC
Permit 140.50 _
Surcharge 7%-00
Plan check
SAC 475.00
Water Conn. 730.00
Water Meter 60.00
Total 930-90
on the express condition that
and City of Eagan Ordinances.
CITY OF EAGAN
N° 13816
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454.8100 Receipt* ICJ VOD
To be used for DECK Est. Value $2,400 Date JUNE 25 -1987
Site Address 3759 DENMARK TRAIL
Lot 19 Block 3 Sec/Sub. PILOT KNOB HTS 4
Parcel No.
w Name DARREL ROGERS
3 Address SAME
o City Phone 452-1392
ao Name RALPH HANSON CONST
< u Address 3679 UPPER L49TH ST
City ROSEMOUNT Phone 423-2009
Address
City
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well Type of Const
City Water (Actual)
(Allowable)
x of Stories
Length
Depth
S ,F. Total
Footprint S.F.
APPROVALS FEES
Assessments Permit $44.50
Water/Sewer Surcharge 1.50
Police Plan Review
Fire SAC, City
Engc SAC, MWCC
Planner Water Conn.
Council Water Meter
I hereby acknowledge that I have read this application and state
that the information is covect and agree to comply ,Pyith all applicable
State of Minnesota Statutes a i o Eag 4dinPnces.
Signature of Permittee
A Building Permit is issued to., RALPH HANSON CONST
all work shall be done in accordance with all appppable State of I
Bldg. Off. Road Unit
APC Treatment P1
Variance Parks
Copies
TOTAL 46.00
on the express condition that
Ajqnesota Statutes and City of Eagan Ordinances.
Building
Thi re nest void 18 months from e ?
/ 7 ?
J P 31885
Date oof tt 1 'equ t
I, as Od'Licensed Electrical Contracto ?Owner, do hereby request inspection of the above electri-
cal wiring installed at: ?i 9 ?3 -mil
Street Address or Route No. City?'++
Section Township ?sA?Range County
Which is occupied by
'
14.G>28? / (/ t
Is a roughin inspectio required on this job? No ? Yes *e,'_ Ready Now ? Will Call ILL
Power Supplie ?C Address
Electrical ContrKEPA D DIPit P i?`?IL') y Contractor's Li ?2
a y ame
MailingAddressi? r P, )Vl BURNSVILLE
.I J8 13 " E ec ica Contractor or Owner Making This Installation)
Authorized Signatures F.N n RI C K Phone NO 2 - 503 b
?ti6a, Y cal Contractor or Owner Making This Installation)
SIAM BOARD COPY
Minnesota State Board of Electricity
#Ali University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
C%9e? ';/ G
P 31885
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home
R ? ? Range Temporary Wiring ?
Duplex ;
1 ? ? Water Heater Lighting Fixtures
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace Silo UNoader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm ? ? ?
List
List
Other ? 11 ? Oceheersj r
J $tereers
COMPUTE INSPECTION FEE BEWX
Service Entrance Size: # Fee Fee Circuits: # Fee
0 to 100 Am
101 to 200 Amps.
Above 200 Amps.
r
LL-1 to 3 r
1 to s
Above 100 Am 0 to 30 Amperes
31 to 100 Amperes
Above 100 Amps.
,
Transformers 1 1 Remote Control Circ. Partial or other fee
Signs 1 1 Special Inspection Minimum fee 55.00
Remarks
TOT
I, the Electrical Inspector, hereby certif that th 1b ve linspection hastemti ..
(Rough-in) Date
(Final) Date
This request void 18 months from °
Owner/Agent Address
Ordinance Nos, and Corrections - Correct By
mgt'
For reinspection rlk::
Eagan Dept. of Inspection
3795 Pilot Knob Rd.
Eagan, Minnesota 55122
454-8100
Dept.: '7?
C®RRECTMN NOTICE
DATE:
Address ?f 9 oeOe uY°/? ?zz- Site Name >g' 3 /o Rno 0 ?
- - der Jerry Mte K
Owner/Agent Address Alyaht
Ordinance Nos. and Corrections - Correct By
For reinspection
Eagan Dept. of Inspection Inspector:
3795 Pilot Knob Rd.
Eagan, Minnesota 55122
454-8100 Dept.: -
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: P . I . N .: 10-57503-190-03 APPLICANT:
LOT: 19 BLOCK: 3
3759 DENMARK TR C & J ROOFING
PILOT KNOB HEIGHTS 4TH (612) 891-2122
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.)
DESCRIPTION
BUILDING
025515
05/03/95
REPAIR
(ROOFING)
INSPECTION TYPE
FRAMING DDATE INSPTR. INSPECTION TYPE
ROUGH IN PLBG DATE INSPTR.
ROUGH IN HTG FINAL
?J
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING coo
TEST RECORD JOB NO.
8910 WENTWORTH AVENUE SOUTH MINNEAPOLIS, MN 55420 (952) 881-9000
ADDRESS f2LrAAA-
OCCUPANT
SOLO BY J
MAKE
SERIAL NO. ?_ ` n I n :? V C
THERMOSTAT
VALVE -
LIMIT
LIMIT SETTING
FAN SETTING
PILOT TYPE
IGNITION MODEL
?YC
PILOT TIMING-
Ic
COz E
PRESSURE PERCENT
INPUT CFH 7 (0 PERCENT Oi
STACK TEMP. ?f -0 `o D° PERCENT CO " '_--
CITY
OWNER
INSTALLED BY
MODEL
a-0 u?l 03G7?q 0
INPUT ::7 0 QC9 0
j L?
t
VENT SIZE
TYPE OF LINER
J_ ?t
LINER SIZE
'-'T
y
FILTERS: SIZE NUMBER
WIRING
TESTTAG
LIGHTING INST. /?
DATETESTED - "
COMPANY TESTING
NAME OF TESTER `qU
FORM2 (RE.. 11189) FORM DISTRIBUTION WMTEOOPY-JOBFILE YELLOW COPY - CITY
^----------------
Ft;3f#,I ppie,,
j Permit#
I Permit Fee: c/o 1-0
I I
Date Received
I
I Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: d - , I `d Site Address: J ??S?J - Fn.?/hr lC T/L J L W£S T
Tenant: U a2!?VL )R phi Ek s Suite #:
RESIDENT I OWNER Name: _U L koc Ces Phone: (OS/ - ySoZ ^ I3 2a
Address/City /Zip: 37x9- bFA.N/slAPA-L
Applicant is: Owner Contractor
TYPE OF WORK Description of work. Tf?} eDF /= d /? £ -400F
Construction Cosy 960 Multi-Family Building: (Yes _ / No
CONTRACTOR Name: C + 1 R O
O F//`sr IA-) C License #: !na /y
I
: f/1Q 9- Lt?h+ !T£ /IOCI< ROA/
Addres
s
City: R ORIJS IL L r- State: /"1/v-' Zip: S' 3 317
Phone: 4/6 7,s Contact Person: llli/k
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
_ Minnesota Rules 7670 Cateoory 1
_
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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 yop submrt'are considered tabe public information.' Po}Yiopsof==_
vide-specific 'reai"ns that would
errnif the Crty to
the mformattorr m-- be cla
sed as non
publi
if
p
s
-
you pro
c
>W . ;'"conclude thatthe are trade"secrets .,_.. ;i? Ii;u
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x/YI I KZ 8S0(LK-5772.lhNlS x
Applicant's Printed Name Appli I ant's Signat r
Page 1 of 3
PERMIT
CItY OF EAGAN ???
3830 Pilot Knob Road PERMIT TYPE:
BUIL
D 5 N G
Eagan, Minnesota 55122-1897 Permit Number: 0255
(612) 681-4675 Date Issued: 0 5/ 0 3/ 9 5
SITE ADDRESS:
3759 DENMARK TR
LOT: 19 BLOCK: 3
PILOT KNOB HEIGHTS 4TH
P.I.N.: 10-57503-190-03
DESCRIPTION:
(ROOFING)
6 6di"n,p,prmit Type SF (MISC. }
ui1ding WdType REPAIR
?m
v6, Z_ v 4 ?seo-'"
s .
14 i? - ??[ "' 4"Lp & 3? LS 3N
V '{ ` L
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$63.00
$2.00
$65.00
$4,000
CONTRACTOR:
C & 3 ROOFING
14109 WHITE
BURNSVILLE
(612) 691-2122
- Applicant - ST. LIC
18912122 0009214
ROCK RD
MN 55337
OWNER:
ROGERS
376j U? i--
EAGAN
(612)452-1392
P
I hereby" ackn6'4dg4- that °I havd r azl ktzs a p1`iciba
E ,in-formation is' 4orrect and a.gree?`to,c6rriply?ia
r Statutes andl City: of Eagan OrdimarI8es«.,
DARYL
MN 55123
a:rict s-tat,e, twattMe. .':
?k c b1 `,S't !a Mn.'
I
APP ICAP RMITEE SIGNATURE t
ISSUED o
SI 0.
ATU
CITY OF EAGAN
3830 PILOT KNOB B RD
M14 RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window saes; poured fnd, design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot planed after 7!1!93
required: _ Yes _ No
DATE: CONSTRUCTION COST: 3cfV6
DESCRIPTION OF WORK: c-A-P- OFF -4 P -S -k-00f
STREET ADDRESS: ElylnA-k (C ?-A (L/ tV ES
LOT BLOCK Q_ SUBD./P.I.D. #: ?m r?1I. A? &)
PROPERTY Name: FMSR?? Phone #:
OWNER
Street Address 3759- dC Feoln4'c7k4 l"JP- S
City: State: M(L) zip: -51L/---23
CONTRACTOR Company: Loo F-tti G n Phone #:
Street Address: IVIO g -- Gtr/Il (71 APck QdLicense #• ?d
City: gt)2A--)S ?/c..L-F State: M/L-) zip: 5 337
ARCHITECT/ Company: Phone M
ENGINEER
Name: Registration #•
Street Address-
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No
l
1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN 6
X
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
OF SURVEY - CHECK WITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
o $2,000 LANDSCAPE BOND
va
To Be Used For:,",w-,1a?e,; Valuation: ,?"DU .`_ Date:
Site Address 3 ?s? V, OFFICE USE ONLY
Lot L Block 3 On Site Sewage_
MWCC System
Parcel/Sub kc?4 On Site Well _
Owner City Water _
?,-? 6et?rt
Address fLs?! AltJ~, 7j,--
City/Zip ;; a'os
Phone APPROVALS
Contractor
Address SW 7
City/Zip Code
Phone ll? -p2Q
Arch./Engr.
Address
City/Zip Code
Phone #
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL -
DATE
(iyLl?
BUILDING 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
owner
Addres
Contra
Addres
Sec./Sub. Parcel Number
Arch./Eng.
Address
Erect
Alter
Repair
Enlarge
Move
Demolish
Grade
OFFICE USE
Date of Approval & Initial
Assessment 7
Water/Sewer
Police
Fire
Eng.
Planner
Council /?q-----
Bldg. Off. , i?
A.P.C.
Valuation
5 73D3 19o o3
Telephone /a --17 - ? y U 7
Telephone 9,7,3- gtl V -,) -?'l/O
Telephone
OFFICE USE
Occupancy r
zoning K-
Fire Zone :3
Type of Const. '.?
# of Stories /
Front S?9
Depth 42
FEES
Permit /-10
Surcharge Z S `
Plan Check
SAC 117T Of
Water Conn. -609 ? _-
Water Meter
TOTAL
k
TolleEson Builders Inc. Or.10766
183-14A +
F. C. JACKSON `?,
LAND SURVEYOR
REGISTERED UNDER LAWS OF STATE OF MINNESOTA 11 / j
LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS
eats EA6T 55TH STREET55417
727-3484
00
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I HEREBY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A SURVEY OF
Lot 19,Block 3,Pilot Knob Heights Fourth Addition,
Dakota County,Kinnesots.
AS SURVEYED BY ME THIS 7th' DAY
Nov. 1977
F. C. JACKSON., L
r R" -TRATMN. No. 3600
lei
RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail options selection sheet (buildings with 3 or less units)
?7o_c0
Remodel/Repair Requirements Office Use Only
2 copies of plan Cert of Survey Reod _ Y _ N
1 set of Energy Calculations for heated additions Tree Pros Plan Recd _Y _N
1 site survey for additions & decks Tree Preis Required _Y _N
Addition -indicate ifonske septic system O"Ite Septic System -Y _N
Date Construction Cost a d (?y
Site Address 375//% dt r11[l NN Tra, Unit/Ste # --
E?
P1 JV
Description of Work h.1 r u // 11 (fir r !s r Jdwl
l? eva$ah?QrS?3
Multi-Family Bldg Y 7( N
- Fireplace(s) _ 0 _ 1 _ 2 ???A
L?dr?Le ?jGlr h iN (?, h
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Property Owner V9CA Ir n koo PlfS Telephone # (&57) 7S,?Z - /39
Contractor PI J' 2 C tt( `5 PU ir' q-YQ to
Address city
as
State
dM Flraa a H-Awl
h A
Zip
Telephone # (4O 2369 72 ?p
ttf enne 20512060
AM N. Fairview Ave,
h4'
III 1ermm ? M "113
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
Minnesota Rules 7670 Category I _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submded
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor l-JrT Y 4s 11V Q !7 eof*L&M-O
Sewer/Water Contractor
Telephone # (
N If so, 25% plan review
Telephone#(gS21 73G- 77? l
Telephone #(
7 `ck
94t
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
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.
et I IA 2, l? v sk
Applicant's Printed Name
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Applicant's Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145951
Date Issued:10/02/2017
Permit Category:ePermit
Site Address: 3759 Denmark Tr
Lot:19 Block: 3 Addition: Pilot Knob Heights 4th
PID:10-57503-03-190
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, 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 -
Daryl T Rogers
3759 Denmark Tr
Eagan MN 55123
(651) 452-1392
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163618
Date Issued:09/08/2020
Permit Category:ePermit
Site Address: 3759 Denmark Tr
Lot:19 Block: 3 Addition: Pilot Knob Heights 4th
PID:10-57503-03-190
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, 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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
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 -
Daryl T Rogers
3759 Denmark Tr
Eagan MN 55123
(651) 424-9292
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature