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3767 Denmark TrCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT ? CASH ? CHECK NUMERICAL FILE COPY BY CITY OF EAGAN 3793 Pilot Knob Rood Eagan. MN 55142 N2 4398 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Dote 19 Site Address Erect ? Occupancy Lot Block 1 Sec/Sub. _ -O - Alter ? Zoning Parcel # ce Name 3v ; W Z 0 Address 'o Name 1- iw A 5 cat3 -' ?< Address cc ?- tee... .. !r l -I Q L It Name _ Address I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with a!I applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Type of Const. Repair Enlarge Move ? # Stories Demolish ? Front _ ft. Grade ? Depth ft. Approvals Fees Assessment - Water & Sew. Police Fire Eng. Planner Council Bldg. Off. - APC Signature of Permittee ? Fire Zone Permit • ', U _ Surcharge • 00 Plan check _ SAC Water Conn. Water Meter ?9?!j Total Q 7 ? ?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 Eason Ordinances. Building Official remit # pate laved hrwilt" Plumbing o7 d 7 - Mechanical q 7 (? Si .- i 3- 7 7 INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Imp. Foundation Plumbing /? 77 f -3 0 -> Frame/ins. Mechanicof Final 3_ 7 Remarks: Ac? CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. Date September Receipt No. 07-5I5 jSingle Site Address: ' Residential Lot " Block 3 Sub/Sec. PKHts Name I- Id• `- New/Alter./Repair new Address Cost of Installation O City Phone: Permit Fee 2 { , . 00 ,Name rrne Heating Co. Surcharge E Address - 2 C)t}, 3t e 0 V City `r - _. n 5 5 r Phone: Total ' 0. 5-') - 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 rt CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. Date: Feptemher 1-3, 19 Site Address: ri -:1 ' Lot Block Sub/Sec. _ Nome V. John-son Cori -:3 t-ruct # Address O City > armingt_or: Phone: Name ? ettc-F>, ;gin 'l'ull: nq a", n:; ln: ' Receipt No Single Residential Multi Res., Comm./Ind. New/Alter./Repair Cost of Installation Permit Fee . '1 Surcharge ,I I nparess 'ILI 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 Control No. 3 CITY OF EAGAN PERMIT TYPE: OU.1 U D I N8 3830 Pilot Knob Road Permit Number: 8 • i 8 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: t OT : 23? Ur k.. ; APPLICANT: 3767 DENMARK TR W, BELL OAVrO PII.07 KNOB HEXAHTS 4TH (612) 496-•7814! PERMIT SUBTYPE: NA?,1 0t H r F 1"ISH UNAMIHU VINAI TYPE OF WORK: INaUCATrON ALTERATION Permit No. Permit Holder Date Telephone # S!W _ PLUMBING ILL HVAC ELECTRIC '•? fL - ; ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Rooting Rough Ptbg. Rough Mg. isul. Fireplace Final Mg. Orsat Test Final Plbg. I Plbg. Inspector- Notify Plumber Const. Meter EngrJPlan i Bldg. Final Cam/ / Deck Fig. a Deck Final Well Pr. Disp. CITY OF EAGAN Remarks Addition Pilo Knob Hei hts Addition JJ4 Lot 23 Blk 3 Parcel Owner ' £ Street 3767 De mark Trail State Eagan,MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1977 1322.40 132.24 10 1190.16 003500 10-14-77 STREET RESTOR. GRADING ?sJ SAN SEW TRUNK 1971 $159.59 $7.98 20 103.80 003500 10-14-77 SEWER LATERAL 1976 2888.84 192.59 15 2503.68 003500 10-14-77 WATERMAIN it WATER LATERAL& SERV 1976 15 167 WATER AREA 1972 157.87 7.89 20 110.53 003500 10-14-77 STORM SEW TRK * STORM SEW LATWtrunk 1976 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. y/ BUILDING PER. SAC g, -/ - PARK WATER SERVICE PERMIT CITY OF EAGAN 3195 Pbiot Knob Rood 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: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Dote Paid: Date of Insp.: Insp.: SEWER SERVICE PERMIT -iTY OF EAGAN 3795 W'at Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: -- Address: - - - - Addr : Sit - ess e b r Pl - --- um e : r 1 agree to comply with the City of Eagan Ordinances. By Date of Insp.: Insp.:- _ Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: RMA HOME SERVICES, INC. RESIDENTIAL 3200 COBB GALLERIA BUILDING PERMIT APPLICATION PARKWAY STE. #200 CITY OF EAGAN ATLANTA, GA. 30339 3830 PILOT KNOB RD - 55122 LICENSE 4 20268257 651-681.4675 New Construction Requirements . 3 registered site surveys showing sq. R. of lot, sq. ft of house; and all roofed areas (20% maximum lot coverage allowed) . 2 copies of plan stowing beam & window sizes; poured found design, etc.) . 1 set of Energy calculations . 3 copies of Tree Preservation Plan if lot platted after 711193 . Rim Joist Deta3 Options selection sheet (bldgs with 3 or less units) DATE 13 SUrSk •lS? VALUATION JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY TYPE OF %v\ ??? FIREPLACE(S) _ 0 _ 1 - 2 f -?CJ (?JJ p PHONE# ?Sc`) •?+?1S • ?t I ADDRESS ?LaQ ` 5+ • 5 all • 3ADa`f'r:%%?lM _ZIP CODE SSti rib 1M PAGER # CELL PHONE # 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 Eaga //rdinanc Signature of AppliwA m Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 Water Softener _ Water Heater _ _ No. of Baths 5Fslq .?(?;_ ?" 2-O-0( RemodeVReoair Requirements • 2 copies of plan . 1 set of Energy calculations for heated additions . I site surrey for exterior additions & decks • Indicate if home served by septic system for additions _ Phone #: lawn Sprinkler No. of R.I. Baths CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N? 4398 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # 6667 To be asad %,Single family/garage 50,000.00 Date 7/13 -19-71 Site Address 376 pntnark Trail Erect [3 Occupancy 1 Lot 23 Block 3 Sec/Sub.Pilot Knob HWth Alter E] Zoning } Parcel # Repair ? Fire Zone Enlarge ? Type of Const. ?T w Name David -Rai I Move ? # Stories 3 Address Demolish ? Front 66 ft. Gmde ? Depth 36 ft. City Phone N -N LT .T nhn n.. /r..,•. ?+ APProvals Fees p ame 8b Address P 0 Box 130 12 Name _ Address Assessment Water & Sew. Police Fire Eng. Planner Council - _ Permit 14 U . "J u Surcharge 25.00 Plan check SAC 475 Water Conn. -2.30-_00 Water Meter --60 0 hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total OZfI F(1 State of Minnesota Statute nd City of Eag O dino ces. r , Signature of Permittee A Building Permit is issued t : _M W •Tnhngon nonrt Tne on the express condition that all work shall be done in accordancev(y?)thall?applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official r-A`^"` lW?nnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ` REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST P 9265 Type of Building New Add. Rep. Check Appliances Wired Fox Check Equipment Wired For Home 19 ? ? Range ? 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 ? ? ? L ist ) List other ? ? ? } p Hehe sl Rerers ere COMPUTE INSPECTION FEE BELOW', Service Entrance Size: # Fee Feedeis??Su [ s: # Fee Circuits: # Fee 0 to 100 Amps. 40 [ 3011' eyes 0 to 30 Amperes 101 to 200 Am s. - ,3 to' 1'00 Am res 31 to 100 Amperes Above 200 Amps. bov 100 Amps. Above 100 Amps. Transformers emote Control Circ. Partial or other fee Signs Special Inspection Mmimum fee $5.00 Remarks TOTAL FEE I, the Electrical Inspector, hereby certify (Final) _ This request has bee9 mad r ,O a,e Jo_1 Date This request void 18 months from r? Date of this Request 7? --P 9265 1, as Licensed Electrical Co tractor ? Owner, do hereby request inspection of the above electri- cal wtnng installed at: y , Street dr s or Route No. Section TownsgiRt Which is occupied by 0754 County is a roughin inspection required on this job? No El Yes C1 Ready Now ? Will Call ? Power Supplier n? Ate-' % L? Address IQ Electrical Contractor Mailing Address Authorized Name) or Contractor's License No .? No. do'?Q ? ; </6 (Electol .Ixam,wtor or owner Mau ?MUW 2 rY ® COPY J? ?(? REQUEST FOR ELECTRICAL INSPECTION ??? tae ( 45055 ee instructions for completing this form on back of yellow copy uu _ "X" ftlow Work Covered by This Request ??. New Add Rep Typeofeuilding Appliances Wired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other. (Specify) Comm /Industrial Furnace a Farm Air Conditioner Other (specify) Contractors Remarks LL y.? Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # CircuHs/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps 00 _ Amps Signs Inspectors Use Only TOTAL_ Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M 2"S. ') I, the Electrical Inspector, hereby Rough-in / oat q J certify that the above inspection has been made. Finai Dee l? OFFICE USE ONLY This request void 18 months from X405 Request Date FI No Rough-In Inspect n atlv ? Ready Now III Notary Inspector R d ? Ves G No en ea y 1 = licensed contractor, owner hereby request inspection of above electrical work at: Jab Address (Street. Box Route Nc) 'J ? emn- rrk If- City Section No Township Name or No Range No County Occ nt (PRINT) Phone No e; qV1 Power BuDDl1e( Address Elect I Contractor (Company Name) Contracot§ License No. /11 DI.W'?ri Mailing Atl ss (Contractor or Owner Making Installation) vd? Authorized Signature (Contractor/Owner Making Installatom) Phone Number x__4 -- 2-96 P MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mid..y Bldg - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1811 University Ave. St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(612)60]-0800 ENCLOSED t C 0 3 5 0 0 DAKOTA COUNTY ABSTRACT CO. \1 77 1250 Highway 55 October 7, 1977 HASTINGS, 3i7-5600 ESOTA 55033 #6692 With the enclosed check please pay the assessments on Lot. 23, Block 3, Pilot Knob Heights 4th Addition. After the assessments have been paid, please return the receipt to me at the address above. a, o Thank Y ou. o m m Nike Burns i s I o o 1-, ? m ? N kl 1nO'?? V' October 13, 1977 #6692 DAKOTA COUNTY ABSTRACT CO. 1250 Highway 55 HASTINGS, MINNESOTA 55033 437-5600 Ann, I am enclosing an additional check in the amount of $450.00 to cover the shortage in the check sent to nay the assessments on Lot 23, Block 3, Pilot Knob Heights 4th Addition. Please pay the assessments and then return the receipt to me at the address above. '_"hank You. Mike Burns INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: L n T e 23 B t o c i< : 3 APPLICANT: 9767 DENMARK TR BEIL PILOT KNOB HEIGHTS 4TH (612) 296--761o PERMIT SUBTYPE: BASEMENT FINISH TYPE OF WORK: Control No. 1309 BUILDING 001805 1.1/17/92 DAVID ALTERATION INSPECTION TYPE FRAMING .DATE INSPTR. INSPECTION TYPE INSULATION DATE INSPTR. FINAL CITY OF EAGAN 38"30 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT Control No. 1309 PERMIT TYPE: Permit Number: Date Issued: BUILDING 001805 11/17/92 SITE ADDRESS: 3767 DENMARK TR LOT: 23 BLOCK: 3 PILOT KNOB HEIGHTS 4TH DESCRIPTION: 8ui1dxng Permit Type Building-',Work Type UBC occupancy BASEMENT" FINISH ALTERATION R-3 REMARKS: C O 'A NO FEE SUMMARY- Base Fee $35.00 Surcharge 50 Total. Fee $35.50 CONTRACTOR: OWNER: - Applicant - BEIL DAVID 3767 DENMARK 'TR EAGAN MN 551.23 (612)296-7810 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 Eaqan Ordinances. rJ o-4 L 0-e. J APPLICANT/PERMITEE SIGNATURE Z)2 r ISSUED e : IGNATURE PERMIT N REACTIVATE itas CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 $-5.5,f 0 NOV 1 2 RECf1, SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot change is requested once permit is issued. Date Noyrn13E2 / /2 / 1492- Valuation of work Site Address: 3767 Dr1gtjA214 I-RAIL STREET SUITE 0 Tenant Name: (commercial only) LOT BLACK , 3_ SUBD. d)t 14 412J flA, P.I.D. M Description of work: IN5uc4rr ourtiorLr SrnGNr w4v-5 2XHFRAI91N6 INCCUpli4c Dwipr(2 WALLS The applicant is: ® Owner ? Contractor ? Other (Describe) - 17 5 Name 8CIL DAVID Pholiv,29Z6-7fl%O Property LIST FIRST Owner Address 3767 D6t-Ir\A2K TrZAiL STREET STE I City 6-AG9T4 State Hi NN, zip 5-S-1 2-3 Company Phone Contractor Address License N EXP.- City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area as been approved. 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. l f App icant: Signature o OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l WORK TYPE PI-31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move "1?rw ement Finish + ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) UBC occu 1st F1. sq. ft. City Water pancy X- al Zonin 2nd F1. sq. ft. PRY Required g / of Stories Sq. Ft. total Footprint Sq. ft. Booster Pump Fire Sprinkler Length Depth On-site well Census Code cr 4 On-site sewage _ SAC Code APPROVALS Ccnt "S, RLN,. t;e?r5ub u N r r ?? Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing Framing ? Insulation ? Wallboard Q Final ? Draintile ? Fireplace Permit Fee .35,00 vr,iuatim: Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL / SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 . LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • mieimum - i 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Detay. ue. 15.00 U.G. SPRINKLER • home under moat. 3.00 ALTERATIONS • to a wing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE TOTAL: SITE ADDRESS: 3 .50 OWNER NAME: /de;j PHONE #: (¢/p) VS-a? - 15-65 ?l(lYl? /? Q2410212 IGNATURE OF PERMITTEE PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 CITY: N? & //d2 STATE: ZIP CODE: t 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN / 3830 PILOT KNOB RD - 55122 New Construction Requirements (651) Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes No DATE: / -7,1 IA! K DESCRIPTION OF WORK: K f (L 20 ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; STREET ADDRESS: 3 7 ( Qe, rtAvLC I vh L A14 I M' SC/ Z 3 3 SUED./P.I.D.#: 1?. IL LOT: a-? BLOCK: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER B e_: L 0A ve - Phone K: Last First Y5 2- - (-f / --) ?-? Street Address: 3 -7 V 2 D¢ ^- M1 _/ -4 CC ? Cit State: Zip; 5-5/ Z y Company: AM ?, . Z" 1S v. . n ct v n (t ['tfol(?#: _ Street Address: Z Z ] ti "(.') ( k- ?/ 4 ? ? S a - License # d"l yl u/ ?d Exp. (C?_ State: ?? -- Zip: S S 3 3 City 6ur-sue Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Penalty applies when address chang I hereby acknowledge that I have read this application; state that the information is correct, and agree to comply with all applicable Stat of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received - Yes No No Phone #: Registration #: State: Zip: Not (,(L- 707-6955 'a p 7 Date: BUILDING PEMIT APPLICATIO'_7 LOT BLOCK ADDITIO,S i)jL,0 n 66 / s Y AlJ09 PARCEL & SECTION 191tBER IF ULIPLATTED ADDRESS OF PARCEL .37(.--1 0,E /U H/L OCCUPANCY / USE (p 36 ESTIIATED COS, 0171E2 ?Ry`n f2L1L_ TELEPHONE 00 CONTRACTOR JAY JQ/jF,?J?CQtiI ('.ONST. .rn/C TELEPNONE :TO. 710 4p& y r ADDRESS -0)e J,30 1HQM UNGT-d nu d7)a! 26- r Note Include Site plan, building plans, and energy calculations with this application Signed OFFICE USE d' VALUATIOFvj S0? O e) a SAC H 7.5 . nn 42NTER CO WEC9T_O:? Mt TER ' YETE3 WJILDING P,^•.144IT FEE SURCHARGE FEF PLAL', CFECK FE:. PAP.?{ DEliICnTIOb' FEE y ? OTHER TOTAL* _ OD .OP- APPROVALS ' ASSESS4E11T CLERK I/. BUILDING DEPT. POLICE DEPT. NATLR & SEWER DEP^a. FIRE DEPT. PARK DEPT CERTIFICATE OF SURVEY 4000 - 1 41 O? R ? a 0 A / o- v I a 28 a M 0 \ O O W om N W ; a m ao 00 e 0: r m 0 m c a CD : LOT 24 Y ( a 132' ? LOT 23 24' ' o 12 Z w O , I q _-- p z 10 123.16 N 84° 00 E - LOT 22 I hereby certify that this is a correct representation of a survey of: Lot 23, Block 3, Pilot Know Heights Fourth Addition, Dakota County, Minnesota, according to the plat thereof on file and of record. and that I am a duly registered land surveyor under the lams of the State of Minnesota. Gene Dated L. Jacobson, , this 30th nn. Reg. No. 71 day of June , 7734 1977 SCALE - I" = 40' I DENOTES IRON MONUMENT Prepared fors M. W. Johnson Construction 908 Westgail Court Farmington, Minn. 55024 BEARINGS ARE ASSUMED DATUM GENE L . JACOBSON LAND SURVEYORS LAKEVILLE , MINN. 55044 TEL. 469 - 4328 FROM-RMA HOME DEPOT AHS 7635428227 T-928 P.001/001 LD41TED POWER OF ATTORNEY COUNTY OF ogoe 1, PF2 STATE OF MINNESOTA KNOW ALL PEOPLE BY THESE PRESENTS: F-768 THAT I, Todd Daniel Lewis, a resident of RAn1,5?e y county, Minnesota ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 646 Mendelssohn Avenue North, Golden Valley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attorney shall expire and automatically be revoked on the t c day of L 2002, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence- IN WITNESS WHEREOF this Limited Power of Attorney is executed this L*-, day of S ..a r 2001. Todd Daniel Lewis WORN TO AND SUBSCRIBED BEFORE ME by Todd Daniel Lewis on this day of -?n Nk 2 20 . ? .yWrW1M. `Ne Public in fort a State of MRA-eso BURTON T.1111OWN rwT.mPusuc-immesoor My Commission Expires: wc"""a1q""a t'' 396816.0 Received Time Jun, 7 . 2 : 5 6 P M JUN-07-2001 15:43 O ?3 z 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 RemodelRieoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan _ Can of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions _ Tree Pres Plan Real 2 copies of plan showing beam 6 window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pies Not Reqd 1 set of Energy Calculations Addition - rrdicafe if on-site sepfk system _ On-site Septic System 3 copies of Tree Preservation Plan Slot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date & / ,?L/ ©Q Construction Cost A6C?w _ _ Site Address >21 G J? "r Ct / / Unit/Ste # -? Description of Work 1, S L4 P PA 9 CLC' (rV r jZefj_' /N Sir I- 222jn U/i'C 114 O _ C X /Sf Multi-Family Bldg - Y N Fireplace(s) _ 0 1 _ 2 Property Owner l1 1 Y" ?T n _ I I S 1 l S/ L Telephone # (a) ??oL ' Y?7J Contractor f=-1 y_ f. , i rL P fli j l7 ,ea r )!A q_ 1gopmto, Address 3rv- () ui . )? y 9 LJ 3 City J n A 1 S (?/ ??a State zip Telephone # (nf 4?-? o-mb COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ 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 #( -0 7 Mechanical Contractor1 nP S' I f1/ ??(?(/Y /Y/?LYf Telephone # (9Sot) LL Sewer/Water Contractor ??l!r7 ??II L'1 AUG 1 1 2003 I hereby apply for a Residential Building Permit and acknowle ge that the informatio is complete and accurate; that the work will be in conformance with the ordinances and c8'des-? gan 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. noi I' J kI Applicant's Printed Name Applicant's Signature zoos 3065-RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. IS. S 0 Date / I V (O _ Site Street Address Unit # Property Owner l 1 Tle ? --F G`1) d eJ? Telephone # (&51) ?a -G 1-7 Contractor N,P P f 12 eV:7l?C Telephone # (w)-?(os-t-wo city C? State;M Zip 3 Address 6(n)c?, -DC)Crcl / The Applicant is: _ Owner V Contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. If you are installing only a wafer softener and/or waf heater, do not complete this section. Move to the next section and check appliance(s) you are installing. , LS f ?I I -Septic System Abandonment 1 ! JAN 2 4 2006 U -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: -Water Softener _LWater Heater - new VI replacement $ 15.00 Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $? S I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. , ©'no I ezR, X0\1 iY)S ?YI/A -? Applica 's Printed Name Applicant' ignature PERMIT City of Eagan Permit Type:Building Permit Number:EA132151 Date Issued:07/28/2015 Permit Category:ePermit Site Address: 3767 Denmark Tr Lot:23 Block: 3 Addition: Pilot Knob Heights 4th PID:10-57503-03-230 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 - David L Beil 3767 Denmark Tr Eagan MN 55123 (651) 452-4175 Window Store Home Improvements 2924 Anthony Lane #115 St Anthony MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA137629 Date Issued:07/13/2016 Permit Category:ePermit Site Address: 3767 Denmark Tr Lot:23 Block: 3 Addition: Pilot Knob Heights 4th PID:10-57503-03-230 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 - David L Beil 3767 Denmark Tr Eagan MN 55123 (651) 452-4175 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:Mechanical Permit Number:EA158199 Date Issued:10/01/2019 Permit Category:ePermit Site Address: 3767 Denmark Tr Lot:23 Block: 3 Addition: Pilot Knob Heights 4th PID:10-57503-03-230 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - David L Beil 3767 Denmark Tr Eagan MN 55123 (651) 452-4175 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160371 Date Issued:03/05/2020 Permit Category:ePermit Site Address: 3767 Denmark Tr Lot:23 Block: 3 Addition: Pilot Knob Heights 4th PID:10-57503-03-230 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - David L Beil 3767 Denmark Tr Eagan MN 55123 (651) 452-4175 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature