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3760 Denmark Tr• CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 1 9 _ RHCEIVED AMOUNT $ I & -DOLLARS loo ? CASH ? CHECK White-Payers Copy Yellow-Posting Copy Pink-File Copy ank You BY i - CITY OF EAGAN `--A'3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDIN4a"PERMIT Receipt# To be used for Est. Value Date Site Address OFFI CE USE ONLY : iA 'e :: •n ;t'i : On Site Sewage Occupancy Lot Block Sec/Sub. MWCC System Zoning Parcel No. O Sit W ll l) Const A t n e e c ua ( City Water (Allowable) ac Name Z Address PRV Required of Stories 3: City Phone Booster Pump Length a., Depth p Name S.F. Total o u Address Footprint S.F. cF City "t Phone APPROVALS FEES ¢ Engr./Assess. Permit i W Name - W ? Planner Surcharge _ g Address Council Plan Review ¢= W Cit Phone y Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee - Road Unit A Building Permit Is issued to:_ Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL Building Official Permit No. Permit Holder Date Telephone it Plumbing H.V.A.C. Electric Softener Inspection Date Insp, Comments Footings l b9 . ngs 11 Footi J Foundation Framing , Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final , a 2j-. ?. Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN N° 4 9 2 4 • 3795 Pilot knob Rood Eagan, MH 55122 PHONE: 454.9100 BUILDING PERMIT -,. r . 53,000 Receipt # 4 Site Address Erect Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel $? Repair ? Fire Zone _ Enlarge Q Type of Const. c c Name 1 Move Q # Stories cc 3 Addres s Demolish ? Front ft. b oc,,,,,e Grade ? Depth ft. W Nome ..rr........ .. , _ 0 0? Address Assessment Permit ~ CI Phone Water & Sew. Surcharge Police Plan check Ii? Name Fire SAC u3 Address Eng. Water Conn. <W City Phone Planner Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. the info... tion is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Perrnittee A Building Permit is issued to: on the express condition that oil work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Pennk # Deft Isseed Ie "Nfte Plumbing I aaD -? ?- 7 ?? ` Mechanical -2 -35 Ip 7 --.19 1 ft-k-L :t _ELAI- Q-b ! a-P. 3 s? -„2 --19 ftt4--IC)IfCL) INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation 9-sI• ?? _n?• ,?,? f0•/3- '>I- Plumbing Frame/ins. Mechanical Final -, Remarks: ;ar':?i`ING CITY OF EA"N 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT _on Air Required No 1313 i-2c3--78 11872 Date: Receipt No.: Single I Site Address; Residential Lot Block Sub/Sec. i. _ Multi Res., Comm./Ind. Name air N /Alter /Re ew . p Address Cost of Installation City t. T au3 Phone: Permit Fee - ` Name C'f Surcharge Address l ?l•`' ^ :ilti. e 0 City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official r CITY OF EAGAN 8795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 "LUMBING _ PERMIT 17-'71(,' Date: Site Address: Denraklz T Lot Pilot K71ob Ht5. 4t' Block Sub/Sec. Name Address 1962 K!,.);, 4 -')03 1 ?z • Paul City Phone: l.ond?. 1'1 ?.'??}_ i:?• l'n . Name 550 Golden Z al ley Rawl Address City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. 122" No. Receipt No.: Single Residential Multi Res., Comm./Ind. New/Alter./Repair Cost of Installation Permit Fee Surcharge Total done in accordance with all applicable State of Building Official Receipt ?G i PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly 1. Date 2. Installation Cost 3. Job Address U Lot &4?Blk. I: M AI A'VV- 4. Owner _ _ . -7- - Permit No. Fee S/C Tot. (C'-- 5. Contractor E: L )'E 1N? I Phone i 4- 2.7 S (,- 6. Address - >>? O 1 C- i?? h1 ! ' I'_ 7. City State Zip ? I a 8. Building Type: Residential ? 9. Work Description: New ? Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe i< F?c_t V. rl(4 i, Q) 11. No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : {. for Rough Finna-ll? ? Inspections: Date Insp. Date 1' TrT Insp.1?4,<I- This is your permit when numbered and approved. Approved r _i _ i x : CITY OF EAGAN 454-8100 ice' CITY OF EAGAN Remarks addition _ Pilot Knob Heights Addition #4 Lot 4 Rik 2 Parcel X503 040 02?' Owner Street 3760 Denmark Trail State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1977 1322.40 132.24 10 AID A007985 7-13-79 STREET RESTOR. GRADING 161 SAN SEW TRUNK 1971 S148.10 $7.41 20 PAID AOn7_qg_q 7-1 'j-79 *SEWER LATERAL 1976 19 PAID Ann7QRq 7-1 -';-:Zg WATERMAIN *WATER LATERAL & St,,bS 1976 15 X;F WATER AREA - 1972 $146,48 $7.32 20 PAID ann70Rq 7-1 ^4-79 * STORM SEW TRK 1976 $2888.84 $192.59 1 STORM SEW LAT 1975 116.00 23.20 5 * rf n 1976 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 250.00 11179 8_7-78 BUILDING PER. #4924 SAC 500-00 1117Q R-7-7R PARK CITY CF EAGAN WATER SERVICE PERMIT 3:795 Pitt Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: r- _ Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: _ Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: - , { - Total: BY Date Paid: Date of Insp.: Insp : . 795 Pilot Knob Road iagan, MN 55122 zoning: honer address: ite Address: lumber: agree to comply with the City of Eagan Irdinances. Y gate of I nsp.: _ Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges. Total: Date Paid CITY OF EAGAN N2 1 4 2 7 8 1 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 ? BUILDING', PERMIT PHONE: 454.8100 Receipt* ----I C) To be used for GARAGE Est. Value $6,000 Date OCTOBER 8 -19 87 Site Address 3760 DENMARK TRAIL Lot 4 Block 2 Sec/Sub. PILOT KNOB HTS 4 Parcel No. m Name JOEL KEMP 3 Address SAME O City Phone 454-2256 o Name SCOT OLSON , ou Address 1880 BEAR PATH TR P City eagan Phone 452-5355 ww Name 454-7992 w z? Address =zw e City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ail applicable State of Minnesota Statutes and Qtyy o?n O ances Signature of Permittee A Building Permit is issued to: SCOT OLSON on the express condition that all work shall be done in accordance with all applicable State of Minnesota Stat es and Qty of Eagan Ordinances. ;! Building Official "-` - OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length 14 Depth 34 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess Permit $65.50 Planner Surcharge 3.00 Council Plan Review Bldg Off SAC, City Variance SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks TOTAL $68.50 CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 W 4924 PHONEt 454-8100 BUILDING PERMIT APPLICATION Receipt # 11179 r. " ....A ..SF Dwig. & Gar. c.. v,,,11e 53,000 n... 8/4 1978 Site Address Lot 4 Block parcel # - Denmark Trail c Name Joel Kemp z Address 1962 Mmb Road 9 St. Paul .. 454-303 p Name Same Address Name Sussel Near Built Homes Address 1850 Oomo Ave. St. Paul _,_ 45-0331 I hereby acknowledge that I have read this application and the information is correct and agree to cgmply with all State of Minnesota Statutes(Lpd City, of Can pr5inanc Signature of Permittee L A Building Permit is issued all work shall be done/Jet y Building Official" 1.?? Erect K1 Occupancy 1 Rl I- Alter ? Zoning Repair ? Fire Zone 3 Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grode ? Depth ft. Approvals Fees Assessment W Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 8 4 78 APC Permit 14D&VV Surcharge 26.50 Plan check SAC 500.00 Water Conn. 250.00 Water Meter 60.00 Total 981.50 on the express condition that ell applicable State of Minnesota Statutes and City of Eagan Ordinances. This request void 18 months from /! p 'R23567 Date of this Request 7119, I, as icensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: L q F) --)- PL(. m r )? RO-h u f) 44f fh (0_C( r'(n . Street Address or Route No. ,3 %. Q lNF"W-k- Ttt , City Section Township Range County Which is occupied by Is a roughin inspection required on this job? No ? Power Supplier asp Electrical Contractor 1 ?1? /Li ??g c r Contractor's License Nqt" Mailing Address lectr ical nlractoror wnar Making This Installation) : ? • Authorized Signature /I Phone No. (Electric ontractor or Owner Making This Installation) NAVE ? /1[`UJ ?1 ?[ 0 CQ s? 17 This inspection request will not ti accepted the ¢r.S?J Q l( State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity versity Ave., St. Paul, Minn. 55104-Phone 645-7703 UEST°FOR ELECTRICAL INSPECTION V W WORK C OVERED BY THIS REQUEST // 'r ?Y 'R 23567 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home Duplex Apt. Bldg. ? Commercial Bldg. ? Industrial Bldg. ? Farm ? ? ? ? ? ? ? ? ? ? ? ? ? Range ? Water Heater ? Dryer ? Furnace ? Air Conditioner ? L i _ Temporary Wiring Lighting Fixtures Electric Heating Silo Unloader Bulk Milk Tank List ? ? ? ? ? Other ? 1:1 ? pp He Herers COMPUTE INSPECTION FEE BEL Service Entrance Size: # Fee F ers&. ubf er s: Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. It ). 400 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. _ Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Ins ection Minimum fee $5.00 Remarks D"T- .5 TOTAL FEE 0 I, the Electrical Inspector, hereby certify that thYabove inspection has been ma .38 R Dt ( ough-tn) a e (Final) Date l^ St k - 7 This request void 18 months from This NKuest void 18 months from // ?lo 4 -,2- iu)o1o R23561 Date of this Request 4, 1, as El Licensed Electrical Contractor 19owner, do hereby request Inspection of the above electri- cal wiring installed at: Street Address or Route No. Section Which is occupied by Is a roughin inspection required on this job? No ? Yes 5L Ready Now ? Will Call Power Supplier Vs P Address 3ooo mkittie II Aw. -NQwa1f? Electrical Contractor Mailing Address Authorized or Contractor's License No. Phone No. 7 D U (tleC ric contractor or owner MakinglQu6 InstanaLOn[ p ?®?t J This inspection request will not accepted by the State Beard unless proper inspection fee is enclosed. Minnesota State Board of Electricity 19& University Ave., St. Paul, Minn. 55104-Phone 645-7703 w REQUEST`FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REOUEST // go 4 '?? R 23561 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? Rang. ? Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? List h List Other ? ? ? ers# Re Oteheers? COMPUTE INSPECTION F hL Service Entrance Size: n F F ers: a Fee Circuits: u Fee 0 to 100 Amps, 44o 30 Amperes 0 to 30 Amperes IOU 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above I00_Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5.00 Remarks -7?d L6A + 16v ?J e TOTAL FEE + 60 1, the Electrical Inspector, hereby certify that the X; n pi e"Flio6 has been m de.? (Rough-in) _0 { Date (Final) ?) Date -' 9 "7? This request void 18 months from (!?/? 5 REQUEST FOR ELECTRICAL INSPECTION s-ooool-os O #A 8 ?(, insiruchons for completing this form on back of yellow copy- t ? 9 "X" Below Work Ccj;ered by This Request ' Ne R-7. pT Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Load Managment e Comm Industrial Furnace Other (Specif ) Farm Air Conditioner Other fspechy) Contractors Remarks CYCLED AIR Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to mps Transformers Above 200 Amps Above900 -Amps Signs Inspector's Use Only TOTAL Irrigation Booms ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby c th t th t f b h ti Roughen Date er y a i e a ove inspec as on been made. Final Date 1176 r/J Z OFFICE USE ONLY This request void 18 months from 0///f5 0 0 5 8 2 9 8 Vx , .1 ? . Request Date Fn No R/egh-m 'nap€cho ypegwretl Inspection Other Than Rough-in 1 (You must call inspector when ready) (u?T??•eatly Now ? Will Notify Inspector ? Yes ? Date Ready I ? licensed contractor ? owner hereby request inspection of above electrical work at Job Address (Street Box or Route No ) C' y Z) <« ?,- Secuon No Touvnship Name or No Range No Counly i ak( Occupant PRINT) Phone No _,7 ce/ Power Supplier Dalaota EkKiric Assoc. Address Farmington IF,efgl HIIRB Do?taf (Oo:e),? ? Contract"G Gense.J?/10?C0. r tt arA0P16"" MN 55124 "P28?9 Aulhoozed Sig tur (Coetraetox Owner Making Installation) Phone NLjM (M YJ VJV Phans m"rsty AveF ,.,StoPau SMIN8 55104 1CITY III NIA NIS I IN I N? In N? d? UBE ACCEPTED BY THE NLESS PROPER INSPECTIONF EE 13 11821 U RESIDENTIAL BUILDING Permit Application City Of Eagan 914 y- 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVRepalr Requirements Office Use Onlv 3 registered site surveys showing sq ft. of lot, sq. ft. of house, and all roofed areas 2 copies of plan _ Cent of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions _ Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculabons Addition - indicate if on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units rr-- Date w 1 1 o(:> ,O-l Construction Cost 7. l Site Address 31 (o 0 C ( Unit/Ste # Description of Work Ny 2 W lv 1.\ao W S q h Y t v q Multi-Family Bldg _ Y -)e N Fireplace(s) r`/ 0 _ 1 _ 2 ?` Property Owner ?C L S • ?Q m (? JaS(P Telephone # ((PS I) w 1C 4S1 y ' - 0 Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING 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 Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( phi'„ #( ) I hereby apply for a Residential Building Permit and ac?p wledge that the information is complete and accurate; that the work will be in conformance with the ordinances and co es 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 rSquires a review and approval of plans. Applicant's Printed Name 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN 0 SINGLE FAMILY DWELLINGS o4 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, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, D 4C?? $2,000 LANDSCAPE BOND To Be Used For: , T Ag16?'Aov? Valuation:Date: /? 5 7 Site Address pic4yl 4vk OFF: 6 oez> °- - Lot -4- Block 0- On Site Sewage_ ? / MWCC System V, Parcel/Sub Yr ?pT On Site Well _ City Water ?. Owner T©,EL kF-MF- Address _37100 ?7 st/ ? 5p Ffs7-- City/Zip Code Fwt&? j6 /T;k/ Phone APPROVALS Contractor 5& r 0z co ?. Address City/Zip Code, Phone Asa-53SS ?sy-75Sa2 Arch. /Engr. 7XpfP65 'D;2 f97X16 Address Y4106 ( i ce L10 City/Zip Code Phone # Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Occupancy Zoning -2L:.1_ Type of Const (Actual) N-N (Allowable) y-N # of Stories Length Depth 34 S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment PI Parks Copies TOTAL 65.50 3,? C,ARN&j5 3L+x14= vr1(o )( i2= s91 L- 7?1 DATE r BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for d )rQ•"?• Site Addresz. 1740 0GNr4AAR TjQA/L e, pY 0 Lot L4 Block 2 See. Sub. f` 9 Valuation 7-100400 oyo oa- Owner .SOEL A. KE n1P Address ? KK,ab Vs .PNUL. m?;?s d Contractor J S. It661 Address S(. s,.Q'M?rN 4m 15 9111f Arch./Eng. SUSSEL NEAR C#& HOMCS Address ??„pi?y rn n?,a <S I e Erect Alter Repair Enlarge Move Demolish Grade Telephone 1}54'3031 woV4 45,q -g01+0 Telephone *5T-3o31 Wop,14 1fS* *o4o Telephone ?TJ y X33 OFFICE USE Occupancy Zoning K" 9. Fire Zone Type of Const?- # of Stories Front Depth OFFICE USE Date of Approval & Initial Assessment Water/Sewer Police Fire 1 Eng. Planner LAU Council ? Al U Bldg. Off,( A.P.C. FEES Permit _ -- - ?`-?` Surcharge Plan Check SAC Sar7?'? Water Conn. ??n. 840 Water Meter e TOTAL / S I o'v. ?a r O 4 ? v _ s .s1d?s fro ®f( -?o 1? tip, 37. 54 34! i . I - GOf?aX. a s 4Tr/S !Gn w \ ,Lc+ 4 block z TILQ+ khob J4+" AddN. W4 ck -Z TITLE:n/,,_T TH C 9 G c+U?[?EA /?® iJ RESIDENCE OF: ?O?G ?dyp DATE: ?eGe?a _ SCALE:- a / = o ZS - " . 645-03311 ADDRESS: _ _ 3'](sib ?tWHAKKTA=.d.tl-__ __ _.. PLAN NO. -- SHEET OF 1850 COMO AVE., ST. PAUL, MINN. AREA: DRAWN BYc ¢ ?._----- Caw. ?L'ef ? q d ?. dPP2oX . / (Lilaf! 7' ? ? pr P.GC+p! !.s lGZFr: mz ? ?-ia6 e?l 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. R of lot, sq. It of house; and all roofed areas (20%mazimum lot coverage allowed) 1 Soils Report d proposed building is to be placed on disturbed soil 2 copies of plan shoving beam & window sizes; poured found design, etc. 1 set of Energy calculations 3 copies of Tree Preservation Plan if lot platted after 7/1193 Pom Joist Detail Opbons selection sheet (buildings with 3 or less unit) Mnnegaoo mechanical ventilation form era- oa Remodel/Repair Requirements Office Use Only 2 copies of plan showing footings, beams, joist Cart of Survey Recd - _Y _ N 1 set of Energy Calculations for heated additions Soils Report _Y _ N 1 site survey for additions & decks Tree Pres Plan Recd _Y -N. Addb'on - indcafe it on-&je sephc system Tree Pres Required- _Y-_N On-site Septic System _Y _N Plans are considered public information unless you state they are trade secret and the reason. Date II / l`4 / (7-] Site Address '37 4 0 1]Q r1 n. Construction Cost Sr34d,&10a F Unit/Ste # Description of Work iZo a? ? 0, 0, n ?Q ski Y) 49 Multi-Family Bldg _ Y A N ? Fireplace(s) 0 - f - 2 Property Owner S? E L Vc rr 3 F Telephone # ((oS I) 454 - ZZ-SCn Contractors AQ x?1 Q Address )it(-O iLA&lto State y'Y% tiS city 5-f f AkL - Zip SS 1 1 9 Telephone # ( COES/) 4-?eC COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Venblation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted . 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? - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Telephone #( Telephone #( Sewer/Water Contractor Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the inform complete and accurat 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. -.3-ocL e6m r Applicant's Printed Name a-al ?? Ap is nfs Signature DO NOT WRITE BELOW THIS LINE Sub Tvoes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage___ _Yes Valuation Occupancy MCES System Plan Review 100% or _ 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock - Footings (deck) _ Final/C.O. - Footings (addition) _ Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Final - Framing _ _ Siding _ Stucco Lath _ Stone Lath -Brick - Fireplace _ R.I. _Air Test -Final _ Windows - Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?? lQ`a `?? r wta 1? T-c Zq 8a P i l??- kKa b '! 1 A 11 11 21COLLECTOR AREA (EACH, SgFt) 31NUMBER OF COLLECTORS 41TOTAL COLLECTOR AREA 51NO. OF OCCUPANTS (20 GAL.\DAY) 61HOT WATER LOAD (BTU\DAY) 71 81 91 MONTH 101 ___._-------.____-- 17.1 JANUARY 121 FEBRUARY 131 MARCH 141 APRIL 151 MAY 161 JUNE 171 JULY i81 AUGUST 191 SEP'T'EMBER 201 OCTOBER 27.1 NOVEMBER 221 DECEMBER 231 241BTU7S SAVED ===::• 25: D I I C 11 30 2 60 45000 BTU''S\SgFt BTU'S AVAIL D 1 1 E 1 BTU LOAD "7. OF LOAD ---------- ------------- -- 571620 1395000 40.98 10885 653100 1260000 51.84 16746 1004760 13+95000 72.03 16567 994020 1350000 73.63 17644 1058640 1395000 75.89 17262 1035720 13350000 76.72 21214 1272840 1395000 91.24 22084.) 1324800 1395000 94.97 18688 1121280 1350000 8.3.06 15508 930480 1395000 66.70 10046 602760 131,50000 44.65 7663 459780 1395000 32.96 AVERAGE 67.05 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA167928 Date Issued:04/02/2021 Permit Category:ePermit Site Address: 3760 Denmark Tr Lot:4 Block: 2 Addition: Pilot Knob Heights 4th PID:10-57503-02-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Joel Kemp 3760 Denmark Trl E Eagan MN 55123--100 (651) 295-6493 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature