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3769 Denmark TrCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT & DOLLARS too ? CASH ? CHECK F D C BY 05875 NUMERICAL FILE COPY BUILDING,PERMIT CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4304 PHONE: 454-8100 4690W Receipt # Site Address `7[,) sr -" Erect 0 Occupancy _ Lot' Block Sec/Sub. Alter ? p Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. `J wName 67, Move ? # Stories 5 ddress Demolish ? Front ft. ty Phone Grade ? Depth Tf i A ro als Fees 0 z oau u? Name <y?rtl ..- Al A PV v 4 _Q 65 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. Signature of Permittee .t A Building Permit is issued to: 0 n-A'n - v, all work shall be done in accordance with all applicable State of Mir Building Official Assessment - Water & Sew. Police Fire Eng. - Planner Council Bldg. Off. - APC Permit S9 Surcharge 73fli1 Plan check 47 5 _,U SAC Water Conn. Water Meter Total 91 A ISO on the express condition that Statutes and City of Eagan Ordinances. Permit # Deft Iesae/ Perow"Im - _ Plumbing a 7?_ jf -_c3' 7 _' -7:77 ?J Mechanical C?.fL? q -?7- 7?-. INSPECTIONS DATE INSP. Rough-in Final Footings - y 7] Date Insp. Date Imp. Foundation Plumbing Frame/ins. Mechanical Final =r?_ Remarks: / ?- - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 { PHO N E: 454-8100 BUILDING PERM IT Receipt To be used for Est. Value Date Lot Block Sec/Sub. s i I.OS 1("jB .ITS -• On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const I F N City Water (Allowable) a W ame Address PRV Required * of Stories 3 o , - City Phone Booster Pump Length Depth ao Name S.F. Total . o i Address Footprint S.F. City Phone APPROVALS FEES a 1 r r., ?W Name En g g Permit T l a . l? 1 Z _ z. Address Planner Surcharge y y 7 3; Z W C City Phone Council Plan Review c 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 e)Fpress condition that al I work shall be done in accordance with all rI6 P applicable State of Minnesota Statutes and City of Eagan Ordinances. a Building Official TOTAL Permit No. Permit Holder Dote Telephone ik Plumbing HN.A.C. Electric Softener Inspection Dote Insp. Comments Footings 1 V Footings II Foundation G? Framing Roofing Rough Plbg. al. Rough Htg. Isul. / Fireplace Final Htg. Final Plbg. Bldg. Final ?fJ Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. Site Name F W Address i \ i J~ c City C?;(?T1ti, Li} 1 ?. Name f c Address 3D (2 't p City TYPE OF WORK Forced Air Boiler Unit Heater j Air Cond. PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN - 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ` PHONE: 454-8100 r BLDG. TYPE WORK DESCRIPTION Se /Sub y` Res New , Mult Add-on \ t __ ,-•. _ Comm. Repair Other Phone FEES RES. HVAC 0-100 M BTU -$24.00 ?. c -. ADDITIONAL 50 M BTU - 6.00 Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM 1 PER PERMIT) 1 50 EA - COMM/IND FEE - 1% OF CONTRACT FEE . . - M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & M BTU REMODELS - 12.00 M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM (,ac Pininn rlrnflofe A 2 AL: /? PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 Name Addre: c City Name C Addre; O City FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES OF FOR: CITY OF EAGAN PERMIT # - RECEIPT # - DATE: BLDG. TYPE " WORK DESCRIPTION Res. New Mult. Add-on v Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL] Water Closet - 53.00 - Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: c U STATE SIC: GRAND TOTAL: r S CITY OF EAGAN • 3795 Pilot Knob Road i Eagan, Minnesota 55122 .0 Phone: 454-8100 7 1' T 1." PERMIT No. 948 Date: 27• 1° 7 - Receipt No.: Single Site Address: Residential Lot Block Sub/Sec. PKFits 4111 I Multi Res., Comm./Ind 7 Na a Builders New/Alter./Repair Address _ Cost of Installation City Phone: Permit Fee 20.00 ` Name i'redrickson Fieatinc: & .ir ron??? Surcharge f' Address '230 f?e11- ""11e :'rive e 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 y Date: l: J r 1 .. Site Address:.. 37L•'; Dciu-, irk Lot Block Sub/Sec. Receipt No.: Single Residential Multi Res., Comm./Ind. I teve Brutlaci nev+ Name New/Alter./Repair Address ='t 7r 0op-per Lan,' Cost of Installation C City Ea Tai Phone: Permit Fee 2n.00 ` Name ame Surcharge Address e a V 5r City _ Phone: Total This Permit is issued on the express condition that oil work sholl be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. No. ?r. CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-6100 PERMIT Building Official CITY OF EAGAN Remarks Addition Piles Knob Heights Addition #4 Lot 24 B!k 3 Parcel 57503 240 03, Ownerk.? 1. •-. - ' ;r !' ' f Street 3769 Denmark Trail State Ragan,MN 551 23 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1977 1322.40 132.24 10 1057.92 A005282 12-8-77 STREET RESTOR. GRADING 15 SAN SEW TRUNK 1971 $159.59 $7.98 20 95.83 A005282 12-8-77 SEWER LATERAL 1976 $2888.84 $192.59 - -f5- 2311.10 A005282 12-8-77 WATERMAIN WATER LATERAL & SERV 1976 15 1-47 WATER AREA 1972 $157.87 $7.89 20 102.64 A005282 12-8-77 STORMS WTRK * STORM SEW LAT trunk 1976 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 40 5b Z& 77 BUILDING PER. SAC OO 77 PARK WATER SERVICE PERMIT CITY OF EAGAN 3755 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: - Add : ress Addre Sit ss: e Plumber: Meter No.: - Connection Charge: Size: __ Account Deposit: rmit Fee: P Reader No.: e 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: SEWER SERVICE PERMIT CITY OF EAGAN ?745 Pilot Knob Rood PERMIT NO.: Wagon, MN 55122 DATE: Zoning: _ No. of Units: Owner: Address: Site Address: - Plumber: agree to comply with the City of Eagan Connection Charge: ,Ordinances. Account Deposit: Permit Fee: Surcharge: By, Misc. Charges: bate of Insp.: _ Total: Insp.: Date Paid: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454.8100 Sal N2 4304 BUILDING-PERMIT APPLICATION Receipt # ? $46,000 _- To be used for Sing . Fam Dw1g. d Att. Garg. Date May 5- 19___L Site Address 3769 Denmark Tr. Erect 9 Occupancy Lot 24 Block 3 Sec/Sub. Pilot Knob Hght9 4*er ? Zoning Parcel # Repair ? Fire Zone _ l E V e of Const T arge C1 n yp . n Name Ste ven A 8rntl ag Move ? # Stories Z 0 Address- 2078 Copper Ln Demolish ? Front ft. City Eagan- Phone 4212-s765 Grade ? Depth ft. o Name brntlag Aldra- ou Address 2076 Copper Ln uF n... Eagan o,--- 452-5765 Assessment - Water & Sew. Police Fire Eng. Planner - Council Bldg. Off. APC Fees 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. Signature of Permittee/ - _ A Building Permit is issued t ' a+ all work shall be done " act ante- ith all Building Official 17, Permit 110_50 Surcharge 23_00 Plan check _.4/5.,0 SAC Water Conn. 2141-Ili Water Meter-6u- 0 Total 91 K _ 50 on the express condition that Statutes and City of Eagan Ordinances. CITY OFEAGAN N°_ 14378 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 454-8100 p BUILDING PERMIT Receipt # C? R To be used for REMODELING Est. Value $24, 000 Date NOVEMBER 3 ,19-K--- Site Address 3769 DENMARK TRAIL Lot 24 Block 3 Sec/Sub. PILOT KNOB HTS 4 Parcel No. < Name MARK & KRIS MILLER = Address SAME 0 City Phone 452-6972 c Name A.R.K. INC o a Address 4234 LODGEPOLE DR City EAGAN Phone 454-3078 wW Name_ w iz. Address QW City- 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 Permittee A Building Permit is issued to: A.R.K. INC on the express condition that all work shal I be done in accordance withal I applicable State of Minneso tutes and of Eagan Ordinances Building Official 6 X 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 Depth S.F. Total Footprint S.F. APPROVALS FEES $191.50 Engr./Assess Permit Planner Surcharge 12.00 Council Plan Review 95.75 Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 xpW&(copy) 6.00 TOTAL $4G5725- 3p5. Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 5V4-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST ;a( e&" 7% p 8218 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home N ? ? Range ® Temporary Wiring ? Duplex ? ? ? Water Heater lid Lighting Fixtures Apt. Bldg. ? ? ? Dryer Electric Heating 99 Commercial Bldg. ? ? [I Furnace ?. Silo Unloader ? Industrial Bldg. ? ? ? Au Conditioner Bulk Milk Tank ? Farm E] ? [] List List Other - 0 ? ? pp Haersj Ethers COMPUTE INSPECTION FEE BELOW Y'z FY`? Service Entrance Size: # Fee Feeddis&S bfeeiteis: F # Fee 0 to 100 Amps. 0 to 30^Ar`n Amperes 101 to 200 Amps. hygp 31 to I A `res eres 100Amperes Above 200 Amps. Above 0 Amps. R Amps. Transformers Remote Co ntrol Circ. r fee S' ns Special Ins ection $5.00 Remarks I, the Electrical Inspector, hereby ce at above rinspe ton has been ma (0 E `T /3-7 J a Date Rough-in) (Final) Date Ia- /- •7 7 This request void 18 months from This,.rdquest void 18 months from .,e* O 4 -:;, '% Date of this Request -7//0/77 P 8 218 I, as ? Licensed Electrical Co tracto Owner, do hereby request inspection of the above electri- cal wiring installed at: Street-dress or j?p`u?te C Section Township Range County Which is occupied by ATE UEA) 4 ?R (J2LAG (Name of occupant) Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call A PowerSupplic;T) AKgclA tLtC Address Electrical Contractor _S'/-PU,6 "07'L/p e- Contractor's License No. (Company Name Mailing Address 20'78 OPPEQ ?Ait/E . ASCAAl u? 121 Authorized Phone No. 4_12S7" (E I"",a, contractor or owner MaN STAM BOARD COPY This request void 4 pr1 18 months from l ? % `J S1yG?i Request ate Fie No. RouPh\m Insoervon R ???,,/// / q rred Y ?Ready Now 7(Wr 11 Nulily InsPec- es ?No or When Ready Imo- ? posed Electncal Contrector 1 hereby request inspection of above ? Owner electrical work installed at. Street Address, BBoo?a or Roo-a/ act mn o. Township Name or Nn. Range No. City +Co?w Occu ant(PRINT) Phone No S Power lier Atltlress G h j prp6fly Electrical Contractor (Company Name) oLO m a Contractor's license No. .; ?q G Mailing Address (Contractor or Owner Mating Ins[a ila UOnl a-5-eD W . Co. /Z?/ z dru U%/F u A Doped Sipna to ra ICOntra c[or/Owner Making Ins [allaU On) Phone umber -- -Z/- - -,:5G E242 VvntsUTA STATE BOARD OF ELECTRICITY r igga-Midway Bldg. - Room N-191 1821 University Ave.. St. Paul. MN 55104 Phone (612) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-000001-0 /e 72653 ? See instructions for completing this form on beck of yellow copy. "X" Below Wank Covered by This Request Wervi Reel TV" of Building I Appliances Wired I Equipment Wired ce E l ectnc Air Oil p Fee Service Entrance Size h Fee FrodersrSubleeders a Fee Circuits p U to 200 Amps 0 to 30 AnIs 0 to 30 An s I Above 200 Amps 31 to 100 Amps j's 31 to 100Am Swimming Pool Above 100 Am s Above 100-Amps Transtormers Irrigation Booths 1 1 , Partial-Other Fee Signs Special Inspection emarks ]Pq,-5-? TOTAL Py G?? Rough-in ?.S Date Elec?riY#'? $ nspector, hereby ertify that the abov 1 Final i D/al e ns pacbon has been aside This request void 18 months from loq 999 BUILDING PERMIT APPLICATION (RESIDENTIAL) -? 07? CITY OF EAGAN 3 3830 PILOT KNOB RD 55122 4-3 651-681-4675 New Construction Reauirements Remodel/Repair Requirements > 3 registered site surveys showing sq. k. of lot sq. H. of house 2 copies of plan and all roofed areas (207, maximum lot coverage allowed) 1 set of energy calculations for heated additions > 2 copies of plans (show beam R window sizes; poured fnd. design; etc.) 1 site survey for exterior additions & decks > 1 set of energy calculations > 3 copies of tree preservation plan R lot plaited after 7/1/93 DATE: .5/,? -7 f 5q CONSTRUCTION COST: DESCRIPTION OF WORK:: STor\ a„,a ? P STREET ADDRESS: 3-7 Q ?ot -L)42VI (YI q j? j< rt^ LOT: J__? BLOCK: J SUBD./P.I.D. #: 1 (Xf/ r17 1 LAS C/?? Name: (,q 1) I m kk l s-i(m Phone #: 1 sv2 to ( 7 PROPERTY Lost First OWNER StreetAddress:3-- 0 ()en (h44 11- City Cam, ?,A y\ State: 1'1`1 Zip: SS / ao? Company:14(weg a (WA1.4e Cbn4p",eS Phone#: (viol 70?-C $ c?_ I.J (area code) CONTRACTOR ' IICo lleT Aj 50, License# 0 / 615 3 Exp. O Street Address:) QW-7 n City E UQt1 S t) ([(t State: 611) Zip: S L3-7 ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street City Sewer & water licensed plumber (required for new construction only): State: Penalty applies when address change and lot change Is requested once permit is Issued. Zip: 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. Signature of Applicant: OFFICE USE ONLY I V i j Certificates of Survey Received Yes No 1?1I Tree Preservation Plan Received Yes No Not Required Registration #: 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 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, $2;000 LANDSCAPE BOND 611 OCT 3 01987 To Be Used For: Rem *41 Valuation: ?9 svo Date: /o -J Y- 97 Site Address X7``69?9 00-4 yank T . •` y Lot 4`7 Block Parcel/Sub '/ Kn o6 ?y?s Owner /Yap Y x r r y /YJ /lB YY Address 3765 Oe7.ya?k /e. City/Zip Code 45-QTA0, SS/.25 Phone 5/S oZ - 6 9 7 a Contractor Address J?kTt/ aLo?,en3!s C9r. City/Zip Code EAr R,' r S/ a 5; Phone $"4-'Y'- ,3<' 7;' Arch./Engr. Address City/Zip Code 2(10e?oz? EEL On Site Sewage_ MWCC System On Site Well City Water _ APPROVALS Occupancy R^j Zoning Type of Const (Actual) (Allowable) S of Stories Length Depth S.F. Total Footprint S.F. FEES A8'sessments Water/Sewer Police Fire Engr Planner Council Bldg Off Z APC Variance Permit 1141,50 Surcharge 12, o0 Plan Review 9 S, 7s SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies Oo TOTAL D 5 , o 3-, Phone # o C'X"?_s'= 300 / y = y 2- r? ab x >s Z ND ,2 yob0 U•? 191.50+ 12 Uu+ N? `l?) + b°UU+ 30 •>`i It CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: MA? k -4 K' '$. M, ile b SITE ADDRESS: 376 9 ocilynark Tra.?? CONTRACTOR: /7 'f K Tic • DATE: /O'i?'b7 PHONE: Ntf' 30-79! Determine working square footage of each: 1. Total exposed wall area .. 7 V 9 sq. ft. x .11 2. Total roof/ceiling area .. AM sq. ft.x .026 //• 3 9 7V9 Total exposed wall area above floor = a. Total wall window area ............................ b. Total door area ................................... c. Total sliding glass area .......................... d. Total fireplace wall area .................... ..... ............. e. Total wall framing area (average 10%) f. Total net wall area above floor .............. ..... ^^?T? g. Total rim joist area ......................... ..... 70 Total exposed foundation area = h. Total foundation window area ....................... 6 i. Total net foundation area above grade, ......... o ... / 7 Determine 'U' value of each wall segment: a. x 'ur = /.s 68 b . x ' u' .319- = /3. c, x 'u' d. X 'u' _ e. x fur f. WE X fur Ttf 9. x fur h. x 'u' - i. /7 x 'u' 06?,; - = 3 . ................................................... Total = V. 4.5 If item U3 is the same as or less than item #1, you have met the intent of SBC 6006(c) 2. Total exposed roof/ceiling area = H3 F J. Total skylight area ............................... k. Total roof/ceiling framing area (average 10%) ..... 1. Total net insulated roof/ceiling area .............. OVER - A. Determine 'U' value for each roof/ceiling segment: j, x 'U' _ k. x 'U' 4 . ...................................................... Total = ??.95 If total of #4 is the same as or less than Ill, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items U3 and 114 shall not be greater than the sum of Items N1 and 112. 1. _ + 2. + 4. _ 2 BUIS')'I.IiG PEMIT PIPPL0CATI0.'i ?` 1 5 1p1 ADDITI011 F-PIRCEL & SEC F r I7.' !T;.].Y!J 2TED ?_.__._... ;?>r...?,sw On i,r5gc -%7ENrrl?7lPk / /t'R/G?__?iV__??•'r/2/--- s:oi??_ e PIS T.L•iAMLD AJ& roan ;croR _ _ RUTGA GU/L?? S TELEPFiOPIP: IIO. ysf4? - ADWC-;3S t?otc I1IC1n,.YA Nf p.I hui.7.Sing plans, and energy calculat' ns %!i.th this t an appliraticl Signe - OFFICE USE VALUA•Ta.Oi _--_- r SAC I?A2'L:_2 CO.arSRC^,rn.T wtiTER ! YiiTER EUILDIAG PEMIT F" SUi:CF•i, FEE PI.W Ci.i.CK Fi:i. PTAIM DEDICYZEU-J FI MEER TOTAL* APPR(YJALS. ASSESSAM,.'T CLEFK O"c> 47s ?o 60? j DEPT. POLICE DEPT 4- cjAm-.C?R c& s-"mR DEPT. FITM DrPT. PARK DEPT. ,40 164D lac fo5 il o 45 i 100 --j3, 50 PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA101268 Date Issued: 09/28/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3769 Denmark Tr Lot: 24 Block: 3 Addition: Pilot Knob Heights 4th PID: 10-57503-03-240 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Insert Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to concealin,. Carbon monoxide detectors are required bn law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Heath and Home Technologies Kristen L Miller 2700 N. Fairview Ave 3769 Denmark Tr Roseville MN 55113 Eagan MN 55123 (476)16-332 X61 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA101268 Date Issued: 09/28/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3769 Denmark Tr Lot: 24 Block: 3 Addition: Pilot Knob Heights 4th PID: 10-57503-03-240 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Insert Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to concealin,. Carbon monoxide detectors are required bn law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Heath and Home Technologies Kristen L Miller 2700 N. Fairview Ave 3769 Denmark Tr Roseville MN 55113 Eagan MN 55123 (476)16-332 X61 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink 1----------- For Office Use I I ~I Permit City of Ea ~a~ r I Permit Fee: I 3830 Pilot Knob Road I Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 1 1~! I I Staff: Fax: (651) 675-5694 I I INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: ~'t 1,5P I Site Address: ~7(n IJVV1 ~4 t2JL U Tenant: - i~ 1tJ lr 1M I i .U'c~ Suite t Name: tcA Sra fJ L l t,l Phone: j RESIDENT / OWNER Address/ City/Zip: 3-(a ijuJ S57 ~3 Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEINER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: 5UiM~ Other: --'I DESCRIPTION Description of work: - t`~-e)a-~ 5 U,1^(~-P ~ ibC! atY~b~ p t FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ d *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeacian.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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 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. t X x Applicant's Printed Name Applic s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final Date: City otEap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: /fl)3s Permit Fee: 67 Date Received: ' I � 1 " Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: RESIDENT/ OWNER Name: < /i / //Aie Phone: L! c1'' £ 9' 3 2 '9 D/ J ,`` 7y PI��� Address /City /Zip: / A/A 4�d` Applicant is: Owner , Contractor - Rol-- TYPE OF WORK L�I;Iha✓ opo„,94)08 �j`_ L N/ t rSi/old -- / r moi- Description of work: . 'rat 111✓ ® T3l f ii Le &I (II))vj/J _ l ititit 6 /tea ,�/ °��e�a �) Construction Cos�t+:� Multi -Family Building: (Yesj,� 9R CONTRACTOR /�/jNo Company: i'>9�/ t) 12Di Contact: /'i'/1//. / 4AJI1l' , Address: 3O Sl/J/L1/ li* E4' () City: t,,J E i Nle. 0/ilei State: .116_, Zip: Phone: Sf 0() &St (S3'” 1401 tis-( )did License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ‘)D .JAk 6-11 In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered tobe 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. 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.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterio R •14: uthorized by a building permit issued in accordance with the Minnesota days • t iss e. Applic. nt's P inted Name 6-?; 1‘.7 x Vit- Building Code st be completed within 180 Applicant's Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building RK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction r Fireplace Garage Deck DO NOT WRITE BELOW THIS LINE 3'/14^,tee-rt)/70 Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) } Pool Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock ✓- Reviewed By: �, Building Inspector pi. Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test� Other: /1�,��. '�'tJ tW ��'� 6c./ &/t /I Pool: ootings Air/Gas Tests ?( Final g�v Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings Backfill _ Final Radon Control Erosion Control RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL ro 0 4) Page 2 of 3 2012-11-20 08:11 Pool Corp El 7634246247 » 651 975 5694 P 2/2 AlEINGSSV 3Od2f8 11VM 1VO?dAl Lr llgidq 1,g !iY QPrin214{�,�zaE! a IN RIAIWR15AWO vZ 1 ~ l rl N qag 1 n r ooo Z Z m s SO - - 12 V7 rrl zi bin +N - Ph 10i 1 1 lipp a ?8? -1 J53g 1 09!gi "i..� mic iii z m � l 9� F L§ 1iMPIVa ialirn 42/ r POOL PERMIT -APPLICATION SUBMITTAL REQUIREMENTS Address: 37/ 9 W►af I f. Gde.s-f Applicant Name: Kr; s hA; // er GENERAL INFORMATION x ¢ b o z ❑ ❑ Applicant name and contact information ❑ ❑ Property owner name ❑ ❑ Address of property -0"' ❑ ❑ North arrow, scale (1" = 30' or 40') ,@I ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls and fences. /!'7 ❑ ❑ Location and name of all streets adjacent to property ❑ ❑ Directional drainage arrows (existing and proposed) ELEVATIONS Existing tEll ❑ ❑ House corners ❑ ❑ Property corners ❑ )21/ ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed U RI ❑ Finished pool deck corners ❑ ,0 ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes) ❑ ❑ Pool bottom (or max. depth) DIMENSIONS Existing ❑ ❑ All property/lot lines ❑ ❑ All Easements on the property Proposed 0 ❑ ❑ Pool Xf ❑ ❑ Pool plus integrated deck/patio ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house Reviewed: Name Date G:FORMS/Pool Permit Checklist/02-13-07 Dakota County, MN Street Address 3769 DENMARK TRL W Zip Code Unit Street DENMARK Postal City EAGAN 55123 Municipality EAGAN Comments Bulk move to Building Centroid Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document and should not be substituted for a title search,appraisal, survey, or for zoning verification. Dakota County assumes no legal responsibility for the information contained in this data. Map Scale 1 inch = 40 feet 11/10/2012 0 C0 8 3A00 "N14 5 5 z 8 1.4N X 1 al diONI .121v0 - Wy`� o2 g U ig gmig i !SI 5v:111010 OwWWIPII22541;g� 5,24P941/1 GIRP1100 a S 14 iN 3 TYPICAL WALL BRACE ASSEMBLY 2/2 d t695 SL6 LS9 « L'i29407£9L 13 dJo3 food LL:80 02-LL-2LO2 Paragon Pools 305 Stillwater Road • Willernie, MN 55090 (651) 653-6807 • Fax: (651) 653-1104 09.4 xijd' Equipment Needed Back Hoe _ ;i:1 Cat Cat Truck ow Fence _ Uni-Loader Inspections Contact Walls _Plumbing _Tooting Before Backfill Diagram pool site in (Allow 3" 'ariance) relation Acct No Pool Size Name iz 4S &/ S D A/r4 t c 7• uJ Ci y State Directions/ Date CP �p7��0 Work Phone S'k'id 3 Zip Code fiasr to house, garage, property line, and wires F5.410 A",4 8; Dk�� /i/i OZ 20 =30A01 EAGAN ENGiNEERUNG DEPT. *Paragon Pool & Patio will make application for and pickup your swimming pool building permit.(Electrical, gas, fence, or other permits are the responsibility of the contractor doing the work). *The actual cost of the permit is the responsibility of the home owner and Paragon Pool & Patio will expect to be reimbursed for this permit cost within 30 days of obtaining the permit for you. Signed: Date: Mark location of filter and/or „heater by (#2). Indicate deep end by (X). Does Customer wish to retain any or all dirt from pool excavation: upi,,: _ Will any obstructions be en- countered -such as trees, clothes poles or power/phone lines etc.: Location for disposal of dirt: _ Paragon Pool & Patio recommends that customer install (As soon as possible following pool construction)'; 1)Rain gutters adjacent to pool 2)Retaining wall where diagramed 3)Run off control or drainfield 4)Permanent or temporary fence _ Elevation from location marked "A" in diagram: f-1 _ Show type and location of slide if applicable: *** CUSTOMER ALSO UNDERSTANDS & ACKNOWLEDGES THE FOLLOWING *** *Normal Excavation time using a back hoe and a dump truck is less than one day. X *If Limestone, Sandstone, Shale or any unusual substance, like construction debris or backfill material that is unuseable in the construction of this pool, the customer is responsible for the cost of removal and replacement of suitable materials.X *Trees and or tree stumps are the responsibility of the customer and must be removed before construction begins.X *Some damage may be done to the yard and/or driveway entering and leaving the yard during construction:Initial .*Customer assumes responsibility for electrical wiring and grounding of the pool (including permit if required):Initial *Customer assumes respons'bility for the gas installation of heater if applicable(includiig per if required):Initial Paragon SignatureCustomer Signature 4.60/SA 1110.1J.. >1...110LULJOCJ co a) 0 a) CoCo a) a) (N 1•-• 0) C •C C (0 CL C U) U) E Ti; co co "E a)() E eu > .4- a) 00 co LO 0- 0 wiza rds. co m Dakota MN 2947592 Page 1 of 5 Receipt# 270496 ABSTRACT FEE D 7=17 Return tq: CITY OF EAGAN 3830 PILOT KNOB ROAD MUNICIPAL CENTER EAGAN, MN 55122 2947592• P 4 $46.00 `4- 407.14•tke ij 11 Recorded on: 5/3/2013 10:55:01AM By: DMB, Deputy Joel T. Beckman County Recorder Dakota County, MN EXTRACT OF MINUTES OF THE CITY COUNCIL OF THE CITY OF EAGAN DAKOTA COUNTY, MINNESOTA gatiati-n A regular meeting of the City Council of the City of Eagan, Dakota County, Minnesota, was duly held at the Eagan Municipal Center located at 3830 Pilot Knob Road in said City on April 2"d, 2013 at 6:30 p.m. The following members were present: Mayor Maguire, Hanson, Fields, Bakken and Tilley; and the following were absent: None * * * * * * * * * * * * * Fields introduced the following resolution and moved its adoption: CITY OF EAGAN W zoning reg NO Dakota Cot conditions incorporatec DAT. (Seal) •: L;u Y OF EAGAN By: Christina M. Scipidni Its: City Clerk trface )perty eto adopted Eagan, to the et and Dakota,MN 2947592 Page 2 of 5 The motion for the adoption of the foregoing resolution was duly seconded by Member Bakken and upon vote being taken thereon, the following voted in favor: Mayor Maguire, Tilley, Fields, Bakken and Hanson; and the following voted against the same: None STATE OF MINNESOTA) ss COUNTY OF DAKOTA) On this 2nd day of April, 2013, before me a Notary Public within and for said County, personally appeared Christina M. Scipioni to me personally known, who being by me duly sworn, did say that she is the City Clerk of the City of Eagan, the municipality named in the foregoing instrument, and that the seal affixed on behalf of said municipality by authority of its City Council and said City Clerk acknowledged said instrument to be the free act and deed of said municipality. This Document was drafted by: City of Eagan 3830 Pilot Knob Road Box 21199 Eagan, MN 55121 CD/Ext of Min. form , Dakota MN 2947592 Page 3 of 5 EXHIBIT A CITY OF EAGAN CONDITIONAL USE PERMIT WHEREAS, Kristen Miller has complied with all the requirements of the City of Eagan necessary for obtaining a Conditional Use Permit. NOW THEREFORE, By order of the City Council of the City of Eagan, Dakota County, Minnesota, and subject to the terms and conditions hereof, a Conditional Use Permit is authorized as follows: 1. Permitting a Conditional Use Permit A Conditional Use Permit to exceed 25% impervious surface coverage in a Shoreland Overlay District on a residential lot on the property within the confines of a "Residential Single Family " zone. 2. Said Conditional Use Permit shall apply to the following described property: Lot 24, Block 3, Pilot Knob Heights 4th Addition The CUP shall be continually subject to the following conditions: 1. This Conditional Use Permit shall be recorded at Dakota County within 60 days of approval by the City Council with the following exhibit: • Site Plan dated February 17, 2013 (received by the City of March 7, 2013) 2. The impervious surface of this lot shall not exceed 34.7% per the Site Plan dated February 17, 2013. (received by the City on March 7, 2013) 3. Prior to the release of the Conditional Use Permit for recording, the applicant shall provide a $500 escrow deposit for inspection of the raingarden(s) installation. 4. The proposed rain gardens/infiltration basins shall be designed and constructed to accommodate 100% of the runoff from the excess impervious surfaces from a 100 -year, 24-hour, 6.0" rainfall event. 5. Infiltration basins shall be constructed so that temporary ponded runoff has infiltrated below the surface within 48 hours after the end of a rain event. 6. Mitigative designs and installations shall be approved by the City Engineering Division and the installation shall be overseen and inspected by City staff at the time of installation. 7. As -built drawings and capture volume measurements shall be provided to the City that verify minimum storage volume requirement is being met. 8. The applicant shall enter into a long-term stormwater facility inspection and maintenance agreement, in a form acceptable to the City Attorney, to be filed in the property records with Dakota County Recorder's Office, at the applicant's expense. 9. The applicant shall discharge water from the pool in a form and manner acceptable to the Water Resources Manager. Dakota MN 2947592 Page 4 of 5 IN WITNESS WHEREOF, I have hereunto set my hand this 2nd day of April, 2013. CITY OF EAGAN A Minnesota Municipal Corporation By: 7 '2a Pam Dudziak Planner (STATE OF MINNESOTA) :ss (COUNTY OF DAKOTA) On this 2"d day of April, 2013 before me a Notary Public within and for said County, personally appeared Pam Dudziak to me personally known, who being by me duly sworn, did say that she is a Planner of the City of Eagan, the .municipality named in the foregoing instrument, and s.' . City Planner acknowledged said instrument to be the free act and deed of said municipalit 1' Notary Public: Julie trid I hereby verify that the above said Conditional Use Permit was recorded at the County Recorder's Office on BY: ITS: Dakota MN 2947592 Page 5 of 5 EXHIBIT B LIU Cl) 5amsW 0 O N it +saM Ileal N.JDLUU a N 4 plan rn c c 0. U) a) a vi E ets ami m Y E 13 I a) Ea)0 Qla: p 3,1 ois 5.C 1 41 H <2 cn A CO CD 3 c N 8 z a Cl) 2 a m a cn m ra. 0 3 uiuueid u6pep b an W W t4Y �. C� C3. w 673 4x YW.R S? ti Add RS o g 1441 ce , o o o 0 cri UI —1 CD co CD 0. 0, 3 a 0 g CR (Ti CD 90 (.6 CD R Q. CD CO 0 13 CO 0 Co co CD 9- (1 01 (.9 Vl 70 ui Ell -13 9 -K3 o 1w 3- a) •-• 'J"' — k.) 3 0 m to 13 ucia malAJeA0 uep..100 ult,z:i 0 0 -TI Denmark Trail West _ 7 r7rVO1 L1 Cc 8176E 881 Project Title Design Firm MILLER RESIDENCE Earth Wizards, Inc. Proposed Site Improvements 1071 County Highway 10 Minneapolis, Minnesota 55432 Sheet Title Consultant Existing and Proposed Hardcover Submitted By Project Manager Stacy Anderson Reviewed By SA Checked By 0 QT, CO 3 Designed By John Moe CAD File Name Plot Date 00/00/00 Drawing Code Drawing Code Project ID 1 Revision Revision • Date 02/17/2013 z O (4 ,, Z lea ejols JaAn puespsodwoj a v CD 18 Issue Notes ST? z O 9e101 0 CD FIT %E•8? Revision Notes Zone Appr %L VE %L'SZ (%) sno!AJadwt 1eloi 8176E 881 010T T60Z (suolle2) a eio15 lelol, 8'LZS E'50I EVI 5'61Z (la) a8eJo1S ielol 8'TZT E t Z EE S'i79 (4 ,, Z lea ejols JaAn puespsodwoj 9017 18 OTT ST? (4)) „9 3e a9eJol5 8uipuod 9e101 96817? %E•8? %L'8Z %L VE %L'SZ (%) sno!AJadwt 1eloi /LIE ZZ9E EL9E &MTV 96ZE (Gs) snoi uadwl leloi 0ZE 0017 TOT 96 SE? 0E9 Z£ DEE 0801 OZE 00t I0T 96 SEZ 0E9 ZE 099 WET 95Z ooh TOT 96 SEZ 0E9 Z€ 099 09Z1 0179 008 TOT 86 SU OZ9 ZE 099 09ZI TOT 86 SZS OZ9 ZE 099 09ZI (Is) ped luawdlnb3'8 loa© lood (;s) 100d (4s) Pa4S (45) Aem lleM halu3' Gs) oiled alanuo3 (45) AeMaMJQ (Ts) ped a8eJeg (j5) aeJeg (is) asnoH £ 911 PPV 1 DU PPV 19!1 (saguetp imm) Jano)PJeH PasodOJd Jan03PJeH 2ugs1x3 eat /.padoid 40 u0lld!Daa (3s 0E£) dol}ooa snot + (4s 099) a8eae8 8uunldeg 19T (45 088) dolTooi asno4+ (8';o? •xoidde) ped/Tap 8uipuno»ns 8uunidej 0ZZ Nos •xowdde) ped/pap &ulpunoJJns pue {%oo1) food 2uIJnideD 0Er {4s) MN - E uapJeg ule8 (is) MS - Z uapieg u[ea (}s) 3s - T uapJeg idea LIBZI (Is) 1e101 any 401 3as}}0 aJnzde) aaremuJJol5 y1im uoi}Eppy pod - aaII!W sial aoua� algociwil-uoN +H ,17 Id 99 8j7 017 Ze uO�G=..8/L.:OIB3s jZ ueid mayuenO ueruee u!EH 9l• 8 ---�C�opunogadoad--- 0 \oi af4ua0 -1 p 2 aloe, 6ulyo4.o-1 .las 6uiso0-41as aa�•_ 5u4e,xa �s O ) Acmanyc i (45 Ze) Pod a6ouoc,• }oou wou} 46 CDEE (.4s ger) 6ui..sixa peonpazi Lac-- [.1-70 LL mob uapunc,> 6uia.six5 UM07 nno ..aanp ea,1 5u4six= aouaalgogwr0-UON GLs OeZL) asnoi-} ai.c 60iyo+0-1 41a5 6uls01-31as N aa.:y 5u .s xa (fs g6) AnM.>11nM a�auouo, UMn-1 VII 0 3 0 A o ---&:opunog — — „0-.0 I J final, �.IeWL1 tD w PERMIT City of Eagan Permit Type:Building Permit Number:EA119016 Date Issued:11/13/2013 Permit Category:ePermit Site Address: 3769 Denmark Tr Lot:24 Block: 3 Addition: Pilot Knob Heights 4th PID:10-57503-03-240 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . John Meyer 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 - Kristen L Miller 3769 Denmark Tr Eagan MN 55123 (651) 452-6972 Viking Exteriors 901 N Concord St South St. Paul MN 55075 (651) 256-1061 Applicant/Permitee: Signature Issued By: Signature ." f �, � Use BLUE or BLACK Ink r-----------------� I For Office Use � p I ��Ti�✓�� I �t� �� �� �� IZ��E�Y G.t�" � Permit#. � � � I �UN 121014 � Permit Fee: ���• �� � 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � ���"� j Phone:(651)675-5675 � I Fax:(651)675-5694 � Staff: I � I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � (��� Date: Site Address: Unit#: � ��,;,,. ��� � � , Name: MA,f�C !t�0. � f�+'�s� /"t� I��P.T Phone: GoS I- y Jr 2 -Ca q72 �"' Rc�� �' � � � �wner' x Address/City/Zip: �7�oq' DPn'1✓►1arVC T�'ai� � `Laqan. ,Ml� 55123 � x;; � i��r �� ° Applicant is: Owner �Contractor ��,_�: "��� � f � �I '�c�Ino✓�xj L✓�rr/�t/ -�Ti'�/!�� � �� �= � Description of work: �.-��i�Q�,r�p�' R��p �r���. , f�oa� ►Nr /�C-..e/r i- wai/< . e�p�/eit��, ,�/.��`'*''���//�irv�f r� ��� ;� � "�°` ����, Construction Cost: � ,S �0�-4� �,�i.�•�vo�K Multi-Family Building: (Yes /No ) � ''w ��` 'N��%„ Com an ar t � p y:_�Gi�"'Lt�S v � �2�5 i An-Qv� I� Contact `J a✓�'l.�5 �Ad5�✓1 �.:� �.. �,,��;t e " '� m Address: SqZO �y�� s't; I� # �DD City: �ODt.e,va��Q✓/ e ;�ac o � � ; State: l�/l�Zip: SS I Z�t Phone: 9S2-y 31�I!o 70Email: Javn�S � .1 Q 1�Q. Q��Z � �- ' License#: � G�9��02,3 Lead Certificate#: ✓v/v �-o�G 7� d If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) v!. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: � O� / S �` ` .A�. ` .,:�;� ' CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.QOpherstateonecall.orp I hereby acknowledge that this information is complete and accurate;that the work will be in confortnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. � x � X✓c.�+-// �c�//�,,.� Applican`�`s Printed Name Applicanfs Signature Page 1 of 3 ✓ . Q" 4. 37 �� /}e. l� I����� DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ 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 N Valuation � Occupancy �..� MCES System �" Plan Review Code Edition Q�7 SAC Units �' (25%_100%�') Zoning pD City Water —' Census Code �3� Stories — Booster Pump '" #of Units / Square Feet — PRV -- #of Buildings / Length -- Fire Sprinklers -' Type of Construction �_ Width "" REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool: Footings _Air/Gas Tests Final � Framing Drain Tile Fireplace:_Rough In _Air Test Final Siding:_Stucco Lath Stone Lath Brick � Insulation � Windows Sheathing Retaining Wall:_Footings_Backfill Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES r� �� ��� ���� t� ?3 ' � Base Fee � Surcharge � �R 5Qj -� Plan Review h'? MCES SAC ��� � City SAC Utility Connection Charge S8�W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 „ Jul(17 13 10:43a Bill Rascher Mechanical 6514506644 p.2 tlse BLUE or BLACK Ink �-----------------, � For Office Use � City of����� � Permit tl:�, J� � 1 383a Pilot Knob Road � Permit Fee: lL��<� I Eagan MN 55122 Oate Received: i 1 Phone:(651)675-5675 j `�� i Fax:(651)6T5-5694 , � 5taff: � �Zc.$i�:t�� --------- ------, 201 PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all comntercial applications. n Y • Oate: ��2��� Site Address: J` f(p� (�n(}'� 1'{(� _�Q�� Tenant: Suite#: F P01H e� Name:_1 ' I G..f � f�1(�A �' �C i�1 5 T��:�� f�I P.�_Phone: lo ,�7%'�-�S� —1 r/�� � � � � ; Name: I�J I�� �u Sc.h��r �Yl��1�r ,n��c�� License#: PlyJG��J`�I � � � • Contractor ; �u�i� C ? ' Address: ��:� I 1 �L �!p�L_City:_ Tnlr�.lL� .�uFi-�f5 State: 1i'111/ Zip:�-rjf�''7 � Phone��_�-}�p-{�(��n2 Email: il � � �,L � , Type of Work � —N� �Replacement _Repair �Rebuild _,Modify Space _Work in R.O.W. Description oiwork: (�� � COMMERCIAL New Construction Modify Space � _�niyalion system(_yes�_no)�RPZ�_Pv6) Rain sensors required on irrigation Systems + Permit T e � € � • A�9•� (2”turbo required unless smaller size allowed by Public Works) � � Meters Call(651)675-5646 to verity that tests passed prior to oickina uo met .. n � � Domestic:5ize&Type Flre: 1 € Avg.GPM Migh demand devices?_Yes No Flushomete�s Yes_No � COMMERCIAL FEES � Contract Value$ x.01 d $55.00 Permit Fee Minimum € _$ J�"�J-n� Permit Fee `: 'If contract value is LESS than�10,010,Surcitarge=a5.00 =� �(� Surcharge' "It comract value is GREATER than$10,010,Surcharge=Coniract Vafue x$0.0005 l '*`If the project valuation is over$1 million,please call tor Surcharge °$ ��'�v TOTAL FEE Following fees apply when installing a new lawn inigation system $ Water Permit i Contact the Gty's Englneenng Department,(651)675-5646,for required fee amounts. $ Treatment PIaM � $ Water Supply 8 Slorage $ State Surcharge � -$ TOTAL FEE ' CALL BEFORE YOU DIG. CaN Gopher State One Call at(65'I)454-OD02 for protedion agaiiut underground utility damage. 1 i I hereby acknowledge lhal this information is completa and accurate;that the work wi11 be it�conformance with the ordinances and codes of the City of Eagan; that I understand this is noi a permit, but only an application�w a permit, and work is not to start with t a permit; that the work wi[I be in accordance with the approved plan in Ihe case of work which requires a review and approval of ans. X- a�,-� �� I P(� X `r� l� Applicant's Printed Name ApplicanCs Signature FOR OFFICE USE Approved By: p�e. Required I►�spections: _tlnder Ground _Rough-In _Air Test aGas Test _Final �RV Required:_Yes No Meter Rela�ed Items: Meter Size Radio Read Manometer Sta€F. Page 1 of 3 i Jul 0713 10:44a Bill Rascher Mechanical 6514506644 p.3 ', � i; � .. /���� ' I � II I , I i I � �� I b�m�vp.q . 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'� �� �s+. �' �eo� m D D I � � I �..o�� ..,_.�___���� �--s:QQ . � F f � � �4 sa a In� u� $� I � � � � o� > m 4 � `1T', 6 � ir �� � , �r � � o m z � � < � � rn � � � � t ' I ' a I .-ax� ��/�—sec•�r.9,' '� 4o-1-r r3-1—ra—i �eo� I �y : �� I i . � e:o I � �er.•�ox� ra -ra� P� . ea . I � a � z� 7d'—y-N-y�ST �� P m I I ° j ��� a ' Z �;Z 4 c;r- ��,�.� � � �� � �m � � ' ' � � 1 . a D i I � ` i ��a� ) z�, ( ���� j > � ���� ) $ � � ���� , � � ��a� ; i y�' ` ��� 1 m� � ( , " ��..��v � � � $� �� �� o a MARK AL� � KRIS �"IILLER j w � �� 8 � james,�Barton Q � ' � i� o� �� N� I�ERIOR�MOD� —Deeign-Build lcc.— � � z � 3769 DENI"IP.RK TRAIL W. f,..x.«......,<.. .� ss»aer s�.s.sa..��e,n�.v.s�,�a+sf�a� � I EAC-Al�l,t"IN SSI�� omTrswu�»w.».uLMu .�..a..,..a...ua.�. City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-6694 MAY 162 16 Use BLUE or BLACK Ink / Il For Office Use - I (' Permit #: /li / j ,g7 Permit Fee: ,7' (a 61 Cate Received: — %E Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: 1�4( P virF �" 4i ,qQ.fJ Pidije._.�....�,.�„_ , .�..._,_....�,.� ..w., .._.t Address / City / Zip: 3IV! 6Ltir L r' "t Lljrt Applicant is: J( Owner Contractor Description of work: l/ /l� Constructicn Cost: 41 ll/ 0U ei frogs s Company: J 15 1hd 3w7di,vcc r� Address: �1 O . Y�� Multi -Family Building: (Yes Contact: City: mail: State& Zip: W)()11, Phone:161' 111)934 164 License #: rk. (j De Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: Fire Suppression Contractor: Phone: ft ate consrderod to`be public lnformattvn Vfafe ecrfic re tins that •would panni ancwd� CALL BEFORE YOU E)I,G. Call Gopher State One Gall 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.gopherstateonecalt.grg I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Build" a ode must be co i pleted within 180 days of permit Issuance. (-Lf 'B+ sc..h Applicant's Printed Name x Appliciit'tsSig re Page 1 of 3 SUB TYPES Foundation n1 Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% X: ) Census Code #of Units # of Buildings Type of Construction ji /1-4'6 DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair ?_)t)ov.^ Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior _ Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy j7at Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: % , RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: Footings Air/Gas Tests Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA155073 Date Issued:04/26/2019 Permit Category:ePermit Site Address: 3769 Denmark Tr Lot:24 Block: 3 Addition: Pilot Knob Heights 4th PID:10-57503-03-240 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Mark W Ala 3769 Denmark Tr Eagan MN 55123 (651) 270-9743 Viking Exteriors 901 N Concord St South St. Paul MN 55075 (651) 256-1061 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165435 Date Issued:11/02/2020 Permit Category:ePermit Site Address: 3769 Denmark Tr Lot:24 Block: 3 Addition: Pilot Knob Heights 4th PID:10-57503-03-240 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Mark W Ala 3769 Denmark Trl Eagan MN 55123 Boevaag Plumbing P.O. Box 1257 Prior Lake MN 55372 (952) 292-1511 Applicant/Permitee: Signature Issued By: Signature