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3765 Denmark TrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3765 Denmark Tr Lot: 22 Block: 3 Addition: Pilot Knob Heights 4th PID:10- 57503- 220 -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: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460 -6022 X253 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - equirements should be directed to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 Owner: Raymond A Larson 3765 Denmark Tr Eagan MN 55123 $50.50 Permit Type: Permit Number: Date Issued: Permit Category: $0.50 9001.2195 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 EA078296 06/14/2007 ePermit CASH RECEIPT .CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN. MINNESOTA 55122 DATE RECEIVED 19 AMOUNT I ? CASH ? CHECK DOLLARS r V?` 1 BY NUMERICAL FILE COPY CITY OF EA"N 3795 Pilot Knob Rood - Eagan, MN 55122 PHONE: 454-8100 BUILDING'PERMIT Site Address ` Lot Block Sec/Sub. Parcel # at Name Address .n t ? 17 1H b cs?; a5 o0Name r u< Address z Name I hereby acknowledge that I In the information is correct an State of Minnesota Statutes Signature of Permittee A Building Permit is issued to: all work shall be done in occo Building Official read this application and state that free to comply with all applicable City of Eagan Ordinances. -. Receipt # _ Na 4210 Erect (] Occupancy Alter ? Zoning Repair ? Fire Zone _ Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade E] Depth ft. Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit _ Surcharge Plan check SAC Water Conn. _ Water Meter Total on the express condition that of Minnesota Statutes and City of Eagan Ordinances. Penal # pule bond PerobMM Plumbin g -? Mechanical 41 INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Dote Insp. Foundation L _ Plumbing - Frame/ins. - - ?7 3- 2) Mechanical ri-sr-.vi Final a j Remarks: to? p _ ?? ?f p vo oLo.L_ '/!`'° ?•R,.?,/?"j?-? owe ,Ba:?'? e??+'' `R?/?`. 1 - r s T.?i??.oiTt(?, Date: March 18, 1977 Site Address: CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT Lot Block Sub/Sec. PK T?ts It'. No. 7 r, -1 . Receipt No.: Single Residential 3 Multi Res., Comm./Ind. Name ! ' °t= f' New/Alter./Repair new Address Cost of Installation G City Phone: Permit Fee 20.00 Name Preferrpc? Pluuabino Heatir Surcharge g Address ' "7(} yo• Charles c 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 _:* INSPECTION RECORD CITY OF EAGAN l1 ? 1 i1 Mlr , PERMIT TYPE: -?- • 3830 Pilot Knob Road `' P1 Permit Number: t.E . Eagan, Minnesota 55122-1897 Date Issued: f (612) 681-4675 SITE ADDRESS: APPLICANT: 1E1 N01r'! t ti, f 1:ri i.Av OM[) I i I r 011!: III I oil, 1 4 11; ! I 1 + PERMIT SUBTYPE: TYPE OF WORK: 1.?17 %CI+IIF' {i(IN "Fill 6A--VF1f1 b nFrl 1' 001 1 N1i' F RAM I NO t I N AH I J Permit No. Penult Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING 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 FlNAL DECK FTG ? _ ?Z'9L 6'?y. CITY OF EAGAN Remarks Addition Pilot Knob Heights Addition X64 Lot 22 Rik 3 Parcel 10 57503 220 03 L Ownerf0i `j, C.? ?I:`1.:++ Street 3765-nenT ark Tram State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1977 1322.40 132.24 0 1190.16 003405 11-17-76 STREET RESTOR. GRADING SAN SEW TRUNK 1971 $159.59 7.98 20 103.8 A003405 11-17-76 % SEWER LATERAL 1976 2888.84 192.59 15 503.6 AOQ34Q5 11-17-76 WATERMAIN * WATER LATERAL & SERV 1976 15 / WATER AREA 1972 157.87 7.89 20 110.53 A003405 11-17-76 STORM SEW TRK ?t STORM SEW LATQ trunk 1976 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 220-00 2-3-77 BUILDING PER. SAC 5909 2-3-77 PARK WATER SERVICE PERMIT CITY OF EAGAN 3795 Pilot 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: agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: ' Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Owner: e.IJ-..... SEWER SERVICE PERMIT PERMIT NO.: - DATE: No. of Units: • r'r'. C)r1 CK? Site Address: 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: RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ?W I r 3830 PILOT KNOB RD - 55122 I I J 651.681-4675 70,00 New Construction Reauirements RemodellReoairReauirements / . 3 registered site surveys showing sq. it of bt, sq. it of louse; ant@g rooted areas . 2 copies of plan (20%maximum kit coverage abwed) • I set of Energy Calculations for heated additions . 2 copies of plan showing beam & window saes; poured found design, etc.) 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan If lot platted after 7/1193 . Rim Joist Detail Options selection sheet (bklgs with 3 or less units) DATE Au.a VALUXION a000r of JOB SITE ADDRESS 30I G DE w w?A rc k Try .' ( LI(-) IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER Pr-4 K4, ..EP A Lc sow TYPE OF -0 FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT Sac "'9 ADDRESS PAGER # PHONE # PHONE# 6 5 1- y5 ?( ?YF3 ZIP CODE FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor. Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. r1 Signature of Applicant r Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ ' `Updated 1101 Water Softener Water Heater No. of Baths _ Phone #: Lawn Sprinkler No. of R.I. Baths CITY OF EAGAN : 3795 Pilot Knob Road Eagan, MN 55122 N2 4210 PHONE: 454-8100 BUILDING PERMIT APPLICATION 39,000. Receipt # . Jas an. 3. a 77 Site Address .3roi uenmaric ir. Erect ] Occupancy Lot 22 Block -3 Sec/Sub.PPil2LKnob--Eg}Lts WAlter ? Zoning Parcel # 10-57503-220-03 Repair ? Fire Zone Enlarge ? Type of Const. V z Name David Waddell Move ? # Stories 3 Address 2150 Cliff Rd. Apt 217 B Demolish ? Front 44 ft. o City Eagan Phone 8909486 Grade ? Depth 48 ft. p Name Myron Walter Approvals Fees ~ Assessment 113.00 Permit 22911 iillehei Ave E Add 19 50 r n astin$ss Min Phone 437-6594 CitH - Water & Sew. - . Surcharge Police Plan check V„w Name Fire SAC 475.00 _2 Address Eng. Water Conn. 220.00 aW City Phone Planner Water Meter 60.00 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 te of Minnesota Stat a ' y of Eagan Or 'nano IC St 887 $0 Total a Signature of Permittee A Buildina Permit is issued to: .. on the express condition that all work shall be done in occardancetwit4411 opplicaAwState of Minnesota Statutes and City of Eagan Ordinances Building Official minnesota State uoaro of wectriclty 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 aR LnEST FOR ELECTRICAL INSPECTION CHEGKELOW WORK COVERED BY THIS REQUEST °-d 9Ta P 56054 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Futures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Unloader ? Industrial Bldg. ? ? ? Air Condi r ? Bulk Milk Tank ? Farm El ? ? List List 1 Other ? ? ? Oehers p } Herersl COMPUTE INSPECTION FEE BELt?d11 D A I F% Service Entrance Size: # Fee F rs& ee Circuits: # Fee 0 to 100 Amps. 0 30 r 0 to 30 Am eres 101 to 200 Amps. 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 O Remarks TOTAL FEE 1, the Electrical Inspector, hereby certify that the above (Final) This request void 18 months from has been made. J_(m'?Y' This request void 18 months from 5'??D3 d U L /4"0 / oZ Date df this Request l y" P 5 6054 1, as ? Licensed Electrical Co actor Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. Section Township Range County kll,IP.c-Uh+ Which is occupied by )2 F I- ( 11 N. e of occupant) ?/ Is a roughin inspection re tired on this job? No ? Yes ? Ready Noyes, Will Call ? Power Supplier -Address `/ Electrical Contract or /Z. ?i.cn ur ?.L4/t t.t c Contractor's LicrdUNo G Mailing Address (Ele[trl Making This Installation) Authorized Signatu Co or Owner Phone No.7Z7_ 5 / 0 Z I ctrical Contractor or Own Making This Installation) STAN MARD COW This inspection request will not accepted the `State Board unless proper inspection fee is enclosed. . 16 PATRICIA E. AWADA August 28, 2001 Mayor Mr. Raymond Larson . , X3765 W. Denmark Trail PAULBAKKEN Eagan MN 55123 PEGGY CARLSON Dear Mr. Larson, CYNDEE FIELDS MEGTILIEY I am writing in response to your letter of August le, addressed to City Administrator Hedges alerting us to an incident involving a truck on the trail south of Thomas Lake School. Council Members The City of Eagan Park and Recreation Department does operate a marked City one-ton truck fitted with a trash compactor carrying the brand name "New Way". However, the New Way compactor THOMAS HEDGES unit is also used by a variety of private contractors thus a positive identification of the vehicle you CityAdministrator confronted as a City vehicle may not be possible. The ownership of the vehicle aside, I would like to answer several of the issues raised in your letter. City maintenance vehicles are authorized to utilize City trails to gain access to remote sites and facilities. The trails have been constructed to withstand vehicular traffic specifically for the purpose of Municipal Center: access. The City trash hauling truck utilizes the trails to service the remote trash containers located 3830 Pilot Knob Road throughout the park system. During the summer season trash containers are often placed at athletic fields located on school property that are best accessed from a trail. Unfortunately, given the fact Eagan, MN 55122-1897 that there are over 100 miles of trail in the City, use by unauthorized vehicles is difficult to monitor. Phone: 651.681.4600 Based upon your letter I have instructed the Park Maintenance Supervisors to remind their staffs, Fax: 651.681.4612 of the appropriate protocols when operating a vehicle on a trail. These both seasonal and regular TOD: 651.454.8535 , include sounding the horn when approaching a hill or curve, not exceeding 10 MPH and yielding the right of way to bicyclists and pedestrians. Maintenance Facility: I wish to thank you for providing the City notice of this incident. Should you observe a non-City vehicle on a park trail please contact the Police Department. If you notice a City vehicle driving 3501 Coachman Point inappropriately on a park trail please contact Steve Taylor, Park Maintenance Supervisor or myself at Eagan, MN 55122 651-681-4300. Thank you. Phone: 651.681.4300 eSpectfully, Fax: 651.681.4360 TDD: 651.454.8535 Paul Olson Superintendent of Parks wwsvciryofeagan.com Cc; Tom_Hedges, City Administrator Ken Vraa, Director of Parks and Recreation Steve Taylor, Park Maintenance Supervisor Paul Graham, Park Operations Supervisor THE LONE OAK TREE The symbol of strength and growth in our A. Larson 55 W. Denmark Trail, Eagan MN 55123 (651) 454-8483, Rayl-arson@gwest.net August 14, 2000 Thomas Hedges, City Administrator Eagan City Hall 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Hedges: This is to report an incident and to request corrective action. The incident occurred yesterday, Monday August 13 at about 11:30 am on the east-west blacktopped trail that runs south of Thomas Lake Elementary school. It occurred about half way between the school and Pilot Knob road. I was riding a bike westbound on the trail when suddenly there appeared over a rise and around a bend an eastbound garbage truck bearing the name "New Way". It was moving far too fast for any consideration of safety, and ran me off the trail. The truck had apparently made a stop at the school, and after passing me it proceeded to a pavilion just south of the trail along Pilot Knob road. I find it difficult to believe that the truck was authorized to operate on the trail for reasons of safety, environmental damage, damage to the trail surface, and incompatibility with the intended use of the trail. If by some stretch of the imagination the truck had been authorized to use the trail, it was operating at a speed far in excess of what is reasonable and safe. It is not plausible that the city would be able to actually enforce a speed limit. I request that either the operator find a new way, or that the city find a new operator. If you are not the appropriate person to be advised of this issue, please route my request to the appropriate department - perhaps the police department. Please advise me as to how this request is resolved. Th LRaymond A. Larson "I PERMIT CITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 028292 0.7/22/96 (612) 681-4675 Date Issued: SITE ADDRESS: P.I.N.: 10-57503-220-03 DESCRIPTION: DECK SF (MISC.) NEW 434 ALT. RESIDENTIAL „ry a& 3765 DENMARK TR LOT: 222 BLOCK: 3 PILOT KNOB HEIGHTS 4TH GAZEBO & Buildin-gPermit Type jj3uilding.Wprk Type r? Census Code" x t. M„ REMARKS: FEE SUMMARY- VALUATION Base Fee $99.75 Surcharge $2.50 Total Fee $102.25 CONTRACTOR: $5,000 OWNER: - Appiicanti - LARSON RAYMOND 3765 DENMARK TR EAGAN MN (612)454-4789 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 Mn. Statutes and City of Eagan Ordinances. RI& AP LICA MITEE SIGNATURE ISSUED SIG ATUR CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ;? L I 16291' 996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reauirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies or plans (include beam & window saes; poured Ind. design; etc.) ? 2 she surveys (exterior additions & decks) ? 1 energy calculations ? I energy calculations for heated additions ? 3 copies of hee preservation plan If lot plotted after 7/1/93 required: _ Yes . No / !1 DATE: `1 .q6 r`t`J CONSTRUCTION COST: /' 0 c I DESCRIPTION OF WORK: £ ?a f l :v J PC?. &,+ Li - LCv& CI F r: v ` N S3 /z3 STREET ADDRESS: 396s w 1Jrna(?k r111,1 1 f LOT 2Z BLOCK 3 SUED./P.I.D. PROPERTY Name: b0 Phone #: OWNER w*-? own Street Address* 31767 /AJ City: CL. _ State: Zip• ! 2? CONTRACTOR Company: Phone #: ARCHITECT/ ENGINEER Street Address: City: Company: _ Name: Registration #' Street Address, City: State: Zip: Sewer & water licensed plumber. Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that a informatl n is Irrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RE E I II ? D Certificates of Survey Received Yes No 111 In 2 4 i_J36 Tree Preservation Plan Received - Yes No _! `. ..... License #• State: Zip* Phone # OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-plex ? 14 Fireplace k 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE * 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: ? 16 Basement Finish ? 17 Swim Pool ? 20 Public Facility ? 21 Miscellaneous 0, At, MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit - Engineering Variance Valuation: $ 1 UV U % SAC SAC Units 2 F lF- 6 WC)o < OQ < CL W = 1.- 0 ? Q W= ? ? 0 mN a. ? z? C Q vii p ? ----------------- ------- ----------- Existing Patio i Exist ling Rocks-' , • Rock;l , Is' to Elevation: 31" Lot Line Platform Screened Gazebo ;1a 4' 1.75" on a side; ove grade agon 9' 2.25" 25 feet to lot line Patio Door Back of House 20 feet to lot line Ro' t? Lot ¦ men Mohagen Engineering Inc.,Ltd. Suite 100-2499 RiceSt.,Saint Paul, MN. 55113 612/4840726 July 24, 1996 Ray Larson 3765 West Denmark Trail Eagan, MN 55123 Dear Mr. Larson, At your request we have designed (calculated) the required joist for a proposed exterior deck to your residence. Table 16-A of the "1994 UBC" Uniform Building Code, as adopted by the State of Minnesota requires that exterior residential balconies be designed for a live load of 60 PSF (Pounds per Square Foot). For a 9'-0" span with a 4'-0" cantilever, using #2 Southern Pine, Treated, 2 x 8 at 2'-0" O.C. would be adequate. If I understood you correctly, the Building Inspector, told you that a live load of 40 PSF was adequate. If a live load of 40 PSF is used for the design, #2 Souther Pine 2 x 6 joists at 2'-0" O.C. would be adequate. In spite of the requirements of the Building Inspector, we recommend that you use 2 x 8 at 2'-0" O.C. cerely S- Ro r E. Mohagen P.E. (Z? ?P 6/0 p L? ???c? ( ?, LtYa )ot5? ;4 RECIST aO V/ 11 1 .l'J HrJ J. V HAL t 6 773 'f'_ ?: Dal te: 2-2-2 7 ---- LOT BLOCK o1 BU'_'T 7ING 3 MalIT 2 PP=ATIC'i ADDITICi`dP" - _ - P;)RCETI E SECT-101= P ;IMR 1: ; iMPI ATTED PARCEL £::)PTT ?3. OCCOFPICCY USE . 4 EST- i,0 `ED CCST etl3 oac, a:rl::i2 M141j TELLPLIOb:+r No. corrA??.ceoR ADli'v:3S 1:2 R !7 TELEPHONE NO. 5??-- 4 l . tlot_ iuclyd,e .;.te plan, buildin3 plans, and energy calculations with this f application ? Signed /- OFFICE USE VALUATTOET C D SAC - `-` -.`? - 0D Yid .i'P.2 COtirTRCTTOiT ----" RATER !PETER I UILD.tC G F13. _ P FLd S7F.^c3£.G I' ?E PIXITI C, CK ME PAr-% D'CJ C::?TIOid FEE OTHER ld I / 6a v.. TOTr L* APP°0`J:<LS . *SSESS;Ba.T CLERK UIIDI14G DEPT. POLICE DEPT. !JATER E Sn!MR D:-P'T. FIRE DEPT. PARK DEPT.- gyp ??? 42 10 A ®b ;v97;- -1 ?/1 For Office Use / I j Permit C (1/ j Cif of Ea an j I C Permit Fee: I ' 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: A ivr~. r22 Op o ! Site Address: ? ? .ti Tenant: ^,20 A,0,09 L YC O n/ Suite # RESIDENT /OWNER Name. 'I -GG ,iwt® CQ L YSo A) Phone: ys y Address / City / Zip: 3 76 c (J rvv~o. R K Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: _ 13,o-mod Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 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 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 they are trade secrets. 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 Ra y m4_0 Lca, rr-w x Applicant's Printed Name Applicant's Sig ature Page 1 of 3 I DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ 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 *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 0 Occupancy MCES System Plan Review Code Edition ,z C„7_!7 SAC Units (25%_ 100%.) 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) x Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: _Ice & Water _Final Pool: Footings -Air/Gas Tests Final Framing S ~i 44T1 " 1 .?Jl L 'S Siding: -Stucco Lath -Stone Lath -Brick Fireplace: _Rough In Air Test Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review oo-A 2 MCES SAG City SAC q4 f Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 f For Office Use City Permit I Permit Fee: r 'Y7. 3830 Pilot Knob Road I Eagan MN 55122 Date Received: _ Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 Staff:..? ;71q, 2009 RESIDENTIAL BUILDING PERMIT APPLICATION l / l Lo. Date: Site Address: ? ` t 5 2~4. y v?1C~ v Tenant: Y vK o nr C( 4 L.Cit r-C o N Suite RESIDENT / OWNER Name: 'Ra y v t c ..)cl • ULrx a .y Phone: 6S-1- q s^y- c_li Address / City / Zip: ? S ~~N vtia r,! 1 r~i : I Applicant is: ) Owner Contractor TYPE OF WORK Description of work: Ct ea ~o a u C r 2 `OY t 1L Construction Cost: `J 0 0 Multi-Family Building: (Yes / No X) CONTRACTOR Name: Sr, L.. 1= License Address: City: State: _ Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 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 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 they are trade secrets. 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 appro ns. x°~ m o rvC.t A- r s v,U Applicant's Printed Name ® © V ± licant's Sig ture Page 1 of 3 JUN 32009 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3-Season) _ Storm Damage Single Family Garage Porch (4-Season) Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) 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 *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy _Z/?C -4' MCES System Plan Review Code lar2 SAC Units (25%_ 100% !i) Zoning 0 City Water Census Code _/Y -7 Stories - / Booster Pump # of Units Square Feet 1142 PRV # of Buildings Length 173 Fire Sprinklers Type of Construction _ Width g.y REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final I C.O. Required jj 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 Meter Size: Erosion Control Reviewed By: /,-2~ 4Z Building Inspector RESIDENTIAL FEES Atrt ~Q ,33 0 Base Fee Surcharge Plan Review 7, MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 1 "N ED 171k~ 14 10 ilillliiilllllloi;fo/v IF "M!69~ IN -614- # I LI City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: / (Cf_( 3 Staff: Il' 1 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: J4 ) �� °(3 Site Address: 3 c 6-5- (DE-NWtao, ✓ j ra ecep ci t2� Tenant: SES o w AJj Q. Resident/Owner Contractor Name: Suite #: y vv� o nud LCt ✓f O Ii Phone: f - q -C7 -" 4 (5-3 Address/City/Zip: v?7‘... ��n-it'n.Ccia- Tr k)--- Name: )— Name: SE. L T License #: Address: City: State: Zip: Phone: Contact: Email: Type of Work Permit Type New X Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W. (0A/4142- Afinifilew;PI tikI-s, Description of work: RE [4C1- & A. < RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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.gopherstateonecall.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 1 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 ap of pla X I lC� y YVL 0 ivC-\' L Y3 d N Applicants Printed Name Applicants Sigdature FOR OFFICE USE By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA171463 Date Issued:08/17/2021 Permit Category:ePermit Site Address: 3765 Denmark Tr Lot:22 Block: 3 Addition: Pilot Knob Heights 4th PID:10-57503-03-220 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Raymond A & C R Larson 3765 Denmark Trl Saint Paul MN 55123 (651) 454-8483 Am Burney Exteriors 14367 78th St NE Elk River MN 55330 (763) 229-6756 Applicant/Permitee: Signature Issued By: Signature