3771 Denmark TrCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RBCEIVE
AMOUNT $ `
B DOLLARS
+oo
E] CASH ? CHECK
R0R
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
C? v BY
'k
8795
CITY OF EAGAN
Pilot Knob Road Eagan, MN
PHONES 454-8100
55122 fit / 55
BUILDING PERMIT Receipt
To be used for SF DVG_/G R Est. Value ti Date 19
Site Address ' 771 11 _nmxrk rail Enact ? Occupancy R - 3
Lot -3 Block 3 -- Sec/Sub. 71100 Lz0'_; 118. 44AIter ? Zoning R-1
Parcel # L 57503 250 03 Repair ? Fire Zone 11A
Enlarge ? Type of Const. ?f
Name Sta??rA3 t -(untPr C'nn gt _ , Tnc - Move ? # Stories
W
Address 8151 Zenj th Ct - NQrrtia Demolish ? Length 51 -
b r-:..Ttrnnklvn Park oi._- 5F,1-!]'A r;R Grade 11 Depth 36 Sa. Ft.
o Name _
uU Address
Assessment
Water & Sew.
Police
Name s''' E, GAge Fire
Address "-32 P,nnne Avp_ '7n_ Eng.
Planner
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
State of Minnesota Statutes and City of Eagan Ordinances. APC
Fees
Permit "?'j
Surcharge 20:
Plan check ] 5 2
SAC 5?5.01)
Water Conry5QG1-
Water Meter ice' '._?---
Road Unit -? r -
Total ?!524.3Q
Signature of Permittee f
A Building Permit is issued to: 5taw3l,.7r--/L'LLSter snit f !fie on the express condition that
all work shall be done in accordance with all Applicable State of Minnesota Statutes and City of Eagon Ordinances.
Building Official
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
? Ip /?
N? IT
7J
Well
Water
Disp.
Sewer
Electric WOSSS30 w4i y (o-(A-?r3
Inspection Date Insp. Other
Footings ?/ '? ?c',
Foundation
Framing
Rough Plbg, ?.g
Rough HVAC
Insulation
Final Plbg.
Final HVAC r
Final ?
Water Describe Location:
Well
Sewer ?-
Pr. Disp.
CITY OF
3830 Pilot Knob Road, P.O. B,
BUILDING PEBW'k &
To be used for 4-SEASON POWN
Site Address J
Lot 25 Block
Parcel No.
W Name N
o Address
& MARY UU
Phone
Address
City Phone
V¢
ww Name
Address
00
a W City Phone
I hereby acknowlege 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 Permitee
MARK b URY UMRS
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
N 19
21
)9, Eagan, MN 55121 5
Receipt
Date Nov 8 19 90 j
OFFICE USE ONLY
R+3
Occupancy FEES
Zoning 126
.00
(Actual) Const Bldg. Permit
(Allowable) 5.50
Surcharge
# of Stories
Aff4
Plan Review 82.00
Length
h
Dept SAC, City
S.F. Total SAC, MCWCC
S.F. Footprints
On Site Sewage Water Conn
On Site Well Water Meter
MWCC System
City Water Acct. Deposit
PRV Required S1W Permit
Booster Pump S/W Surcharge
Treatment PI
APPROVALS Road Unit
Planner Park Ded.
Council
Bldg. Off. Copies
213.50
Variance TOTAL
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC 8??? l! ?? °ro
Inspection Date Insp. Comments
Footings 1 -I iz/ D
Foundation
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul. 2-
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
fill in numbered spaces S/C _
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address ` - Lot -C Blk. Tract
--77777
4. Owner J i
5. Contractor '' - Phone
6. Address
7. City State ! Zip
8. Building Type: Residential ?J Commercial ? Institutional ?
9. Work Description: New Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. EQuioment BTU - M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets /
12. 1 hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
'Fee
Fill in numbered spaces S/C
Type or Print legibly Tot. .
1. Date 2. Installation Cost )
3. Job Address act
4. Owner, 94!6 / - G d.. ?? E-4 t. ?' c r
c
5.
6.
8. Building Type: Residential f Commercial ? Institutional ?
9. Work Description: New V Add ? Alter ? Repair ?
10. Describe 4'ir
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool /Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet
Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: -1 for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
7. City AS ate ; fc-•?=-.r
CITY OF EAGAN Remarks
Addition Pilot Knob Heights Addition #4 Lot 25 BIk 3 Parcel OD 57503 250 ft
Owner ,/1Z?/,f I-J '6 Street 3771 Denmark Trail eC *IIC `_ State Eagan.MN 55123
V_
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1977 1322.40 132.24 10 39 .72 A012510 -7---25-83
STREET RESTOR.
GRADING
SAN SEW TRUNK 1971 $159.59 $7.98 20 55.98 A012510 7-25-83
SEWER LATERAL 1976 2888.84 $192.59 15 1348.20
WATERMAIN
* WATER LATERAL & SERV 1976 15
WATER AREA 1972 157.87 $7.89 20 63.19 A01251 7-25-83
STORM SEW TRK
STORM SEW LATtYunk 1976 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 450.00 35526 4-28-83
BUILDING PER. 7959
SAC
525,00
PARK
WATER SERVIC E PERMIT
CITY Or EAGAN
3795 Pilot Knob Road PERMIT NO.:
MN 55122 DATE:
Eagan,
of Units:
No
Zoning: .
Owner
:
Address:
Site Address:
Pl
umber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
:
h
S
I agree to comply with the City of Eagan urc
arge
ordinances. Misc. Charges:
Total:
B Date Paid:
y
Date of Ins
: Insp.:
p.
SEWER SERVICE PERMIT
lmY or EAGAN
3795 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning:
i• : r- No. of Units:
.•n
Owner:
Address:
' 1 ^err>Ftr
Site Address:
Plumber.
1 agree to comply with the City of Eagan Connection Charge:
ordinances. Account Deposit:
Permit Fee:
Surcharge:
B Misc. Charges:
y
Date of Insp.: Total:
I Date Paid:
nsp.. j
a
N° 7959
BUILDING PERMIT Receipt # !(
To be Used for SF DWG/GAR Est.Volue $58,000 Date April 28 19-83-
Site Address 3771 Denmark Trail Erect )a Occupancy R-3
Lot 25 Block 3 Sec/Sub. Pilot Knob Hts. 4thAlter ? Zoning R-1
Parcel # 10 57503 250 03 Repair ? Fire Zone NA
Enlarge 13 Type of Const. V
s Name Stawski-Custer Const., Inc. Move ? # Stories
z Address 8151 Zenith Ct. North Demolish ? Length 53.4
Ci Brooklyn Park phone 561-0368 Grode ? Depth 36 Sg. Ft.
N Owner Approvals _ Fees
a ame
f
u§ Address
~ Cit Phone
W Name Wm. E. Gage
1Z Address 7232 Boone Ave. No.
SE .. Brooklvn Park o-..__ 533-5026
I hereby acknowledge that I hove 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: Staw
all work shall be done in accordance with
CITY OF EAGAN
3793 Pilot Knob Read Eagan, MN 33123
PHONE: 434-8100
Assessment -
Water & Sew.
Police
Fire
Eng.
Planner -
Council -
Bldg. Off. _
APC
Permit .iU/.UU
Surcharge 29-017)
Plan check 15 3 - SO
SAC 525.00
Water Conn450.00
Water Meter 60.00
Road Unit NA
Total $1994_in
on the express condition that
and City of Eagan Ordinances.
Building Official
CITY OF EAGAN Np 852
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 11
BUILDING PHONE: 454-8100 (1 _ I, PE?j? & Receipt # lJ
To be used for 4-SEASON PORCH Est. Value $11.000 Date NOV 8 , 19-90-
Site Address 3771 DENMARK TR
Lot 25 Block 3 Sec/Sub. PILOT KNOB FITS
Parcel No. 4TH
w Name MARK & MARY ULFERS
o Address 3771 DENMARK TR
City EAGAN Phone 423-4800
o Name SAME
u< Address
City Phone
Name Address
City Phone
101
I hereby acknowlege 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 Ordmangps. /
Signature of Permitee "
A Building Permit is issued to MARK & 1 Y ULFERS
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Budding Official
Occupancy
Zoning
(Actual) Coral
(Allowable)
x of Stories
Length
Depth
S.F. Total
S F. Footprints
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
OFFICE USE ONLY
R-3 FEES
14x14
14x14
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC. MCWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI
Road Unit
Park Dad
Copies
TOTAL
126.00
5.50
82.00
213.50
To Be Used
Site Address: .
Lot Block Sec. /Subfj Ivr- k„? I! ?`v Elrect 1
L`
Parcel #: -:?z x GCU 0 Alter
Repair
Owner: Enlarge
Address:
City/Zip Code:
Phone #:
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date ?- -,W6 - 93
OFFICE USE ONLY
Occupancy
_ Zoning
_ Fire Zone
_ Type of Const.
Move # Stories
Demolish _ Front 906 S3- ft.
Grade Depth 36 ft.
APPROVALS FEES
Contractor: STnont ( C r CD/)S I j assessments
Address:
City/Zip
Phone #:
0151 Zeg M7 cT ?AZT Police r
Code: ?Q?(qj P&, k- 41A Fire
Arch./Eng
Address:
City/Zip
Phone #: 5-33-ne96
Eng.
Planner
Council
Bldg. Off.
APC
Permit 307
Surcharge
Plan Check s3
SAC SAS
Water Conn.
Water Meter (p d ?
Road Unit
TOTAL 1ST ` ?
?? CITY OF 7APPLICATION
G PERMI4Rr-
r?
10-
V
? 79
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
ti'
'See ??((inatrncirpns for completing this form on back of Yellow copy.
V aelotflw n(?S? Co Nd by This Request ?(p $ S
Nem Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unluader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Othar pen y Other ISpemfyl
[ er I$peCilY Other Other
Compute lnspectfon Fee Below
# Fee Service Emirs nce Size a Fee FQedera/Sgbfeaders # Foa c.rts
/O. J 0 to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 200 Amps 31 to 100 Amps t 31 to 100 Am s
Swimming Pool Above 100Amps Above 100_Am s
Transformers Irrigation Booms Portia L'Other Fee
Signs Special Inspection
3
1
_
T
Remarks
_ or 6
5,
0 AL FEE
///7•(X1
Hough-in / the 7 I, the ectricnl
WM??! Inspectoq heroby
`?yy L?rtriy that the above
Final c ! Q ?jf ijispection has been
/? ? • (made.
This request void 18 months from
This request void
18 months from
55830
LAS, ¢3, 'i't, lD4t-kttb? 3(a( 8' S
((oro0
Re., asst Da 4e R Fire No. Ropgh-i nspectmn
egwred?I ,.?,!
?Rently Now IJTwlll 1y Irispe
h
h
'/
O Yes ?NO e
¢n Ready
for W
ady
Licensed Electrical Contractor
? Owner
I hereby request inspection of above
electrical work installed at:
Street Address, Box or Route No.
3771 Dee) /IAA cic- City _
-h?. pGA11
ecLOn No. Township Name or Ne. Range No. County
D4 r,07,09
Occupant (PRINT) Phone No.
Power Supplier Address
d R EL r &-
Electrical Contractor (Company Name) Contra rtor's License No.
0.3 .2
Mailing AAJress (Contractor or Owner Making Instal aLOn)
3? uP.
.
W L,c fd?? 533V
Authori nature (Contract, /O er Maki
' Installation) Phone Number
11,93
MINNESOTA STATE BOARD OF ELECKICITY? THIS INSPECTION REQUEST WILL NOT
Gr.gga•MIdWBY Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 65104 UNLESS PROPER INSPECTION FEE IS
- . .................. ENCLOSED.
°ry eel5?l REQUEST FOR ELECTRICAL INSPECTION =--4, EB-00001-0e
MlU7I b- See mstrucoons for completing this form an back of yellow copy
Iir ?.ri Q 1 Q X" E*ow Work Covered by This Request ew Adtl Rap Type of Building Appliances Wired EqufpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial ' Furnace
Farm Au Conditioner
Omer(spec,fy) Contractors Remarks
Compute Inspection Fee Below:
# Other Fee # service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 70D Amps
Transformers Above 200 _ Amps Above Amps
Signs inspectors use only: TOTAL L
Irrigation Booms -U 3 D •5 0
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oe
certify that the above inspection has
been made. Fnel
`
Data 276
OFFICE USE ONLY 11
This re iumt void 18 months from ?L S e? S Q.? ?Or L
* a.?
8 414 -
3 ?
Request Date Fire No. Roughen lns n
Required V,
W Ready Now ? Will Notify Inspector
Wh
R
d
?
r " Yes ON. en
ea
y
10 licensed contractor )6 owner hereby request inspection of above electrical work at:
bb Address (Street. 8. or Fouler NO) C ty
z
37n I u a
Section No Township Name or No. Range No County
/'
1
Occupant (PRINT) 1 ` T-S
a 1 /`N`- Phone No
4 - 72,Z 2-
Poser Suppler Address
C
Electrcal
ComrWor (Company Name) Contractors Lcense No
l
D W
Mailing Address (Connector or owner Making Imnallanon)
A Signature IComracfor
ryer M
a
?ygg Installation) Phone Number
/
,/
?
9L /7/ ?K?.r _ 5¢7ZZ
MINN"M AT OAR E CT ICITy THIS "INSPECTION REQUEST WILL NOT
GAp0sM aldq. St Room m 5- 3 BE ACCEPTED BY THE STATE BOARD
1841 N (61 r Ave., St. Paul, M 01 UNLESS PROPER INSPECTION FEE IS
P0,n(61 6/2-0800 ENCLOSED.
Tertif!rate of (Orrupaury
?itp of Cagan
Eppartment of Builbing Jnopprtion
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
u..c6-mnao SF DWG/GAR '?t" siae.r.nnnuo. 7959
0-a TM R3 7ypcoenmcmm V e;nr . NA zommDuuicc R-1
Owoer oe BueeuK Stawski-Custer Con?dt e. 8151 Zenith Ct. N.
3771 Denmark Tr. Lot25, B1k.3,Pilot Knob Hts.
ly"e,A. my*
o.re July 22, 1983
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
I? CITY OF EAGAN
?Q 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
JAN 2 2 2007
Date-', '
Site Siteet Address ? 7 71 e az ; 26 Unit #
Property Owner C S Telephone #
u cq O
Contractor Jf! i Telephone # ( )
Address ^ City State Zip
9291-
The Applicant is: _ Owner contractor -Other
X
Septic System New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a wa ter softener and/or water
heater at the same time. If you are installing only a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment R
IE C E f? ?l
J
-Water Turnaround (add $130.00 if a 5/8" meter is required) i
SAN 2 2 M07
/
Other:
_ Water Softener Water beater $ 15.00
_ new replacement
-Lawn Irrigation TRPZ _PVB -new - repair -rebuild $ 30.00
State Surcharge
$ .50
Total
1 hereby a ply for a Residential PI b' P
p um ng ermit 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
accordant
,fVm ith the approvin the event a plan is required to be reviewed and approved.
Ap ca is Printed Name !
App ca
is Signature
Certificate for:
Stawski-Custer Const. Co. Ing. gk: 66?5n
8151 ,Zeliith Crt.
Brooklyn Park, Mn. 55443 1
j'.
DELMAR H. SCHWANZ
LAND SURVEYORS, Inc. I
RghlereE Under Lew. Of The SWO Of MlnnesOle
2978 - 148TH STREET W. - BOX M NT, MINNESOTA 86888 PHONE 612 423-1769 I
uS RVEVOR'SCERT KATE SCALE: inch s 30 feet
o Denotes iron pipe
AIL/ B6¢.l Denotes existing elev.
Denotes proposed elev.
?? m??? MO •-- Denotes proposed drain e
Denotes set wood hllb
?--
•l
I M r v
to _ "yr 7?64'*9
bl'
g• u6 a ???. S OPyNpB 11 \ ??
?? ?? r ? N a tg.33 ? 1B ??? a? Se d ? \
/ A 5e a 0 \ \ BG?-25
end
Drainage & utility \
Jj easement ?
i
E Proposed garage
M e V 00
floor elev. £? S
Proposed top of block 667- U
i ?C) 0v Proposed basement floor g?'3 • U .
I hereby certify that this is a true and correct
representation of Lot 25, Block 3, PILOT KNOB HEIGHTS
FOURTH ADDITION, according to the recorded plat thereof,
Dakota County, Minnesota.
Also showing the location of a proposed house as staked thereon.
Dated: April 25, 1983
csL' ?u1- ?! ?'r1 f
MINNESOTA REGISTRATION No. 13625
1521
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 CRTS OF PLANS
C} REGIST?^"^ °T'"r ciTVVSVC?
? n. C roa?
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
I O j- SC4sQh
To Be Used For: n f 0 f-c"1-%
Valuation
Site Address 2 271 Do-hM`rk If- W,
Lot ? Block 3
rw
Parcel/Sub 1lal knob N4>4ts
Owner M&.fk ?"lafr (A,?FerS
Address 37 / pk n NA-rk 1('k-i
City/Zip Code 0.g LA- n 5 S to 3
Phone 1?4 `7o?oZe2 ?, ?1,13--4808 (w)
Contractor 5?.1
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
,LOV 0 2 RECD
Date: /I-)- q0
OFFICE USE ONLY
FEES
Occupancy P-3
Zoning
Actual Const Bldg. Permit 6.00
Allowable Surcharge So
# of stories Plan Review 6z. 0o
Length Fb" 14 x 14` SAC, City
Depth pZK 14 rIV' SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage- S/W Permit
On site well S/W Surcharge
MWCC System Treatment Pl.
City water Road Unit
PRV Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL !19.50
Council
Bldg. Off. ?1 I
a
Variance
,4
wIf= 1`?? X s!= t9g
D?
1000
09 9 (- ° 2. ) ),? 6 c?c?
O-A
op\,A4
126.00+
5.50+
02.00+
213.50"-+
126.OOF
5.50+
82.OOF
213.50*+
65if36
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date D 0 / 023 / o? 'A
Site Address _5 7 71 Unit #
r Yla r k y I
t
O
P {? hone # (?J ) 75 L/
Tele - 7R??
roper
y
wner p
Contractor (J /
/_
Street Address
4649, / /'J
W
ST
City
UU/1
1l
State MN- Zip .5-i(1 bp 0 Telephone # (651)
Bond #: Expires:
The Applicant is Owner ?Ontractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace -Additional - Replacement
_ air exchanger
air conditioner -New repl acement
other
State Surcharge
JUL 16 20041
f? $ .50
By 30
56
Total _
$
I hereby apply for a Residential Mechanical Permit and acknowledge that the
b nformance with 557e codes of the City of Eagan and,*
pe ut only an appt, and work is not to start withou
app ed plan in the casa review and approval of61
Applicant's Printed Name Ap
t is complete and accurate; that the work will
;hanical Codes; that I understand this is not a
that the work will be in accordance with the
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please i implate for modifications to existing residential dwellings.
/,`? 1?? _1 1 n
Date
Site Street Address °g4 Unit #
Property Owner Telephone #
Contractor f ?4 ?6 4X C9 Telephone # )LJ?6_ , -M_
Address city State Zip
The Applicant is: _ Owner Contractor -Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing only a water softener and/or wafer
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment
i? ??17 ? VI M '
-Water Turnaround (add $130.00 if a 5/8°° meter is requireeiy ' C
-Other: ?r?_ IIF ( 0 200E
AWater Softener _ Water Heater $ 15.00
_ new replacement
I
-Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $ r?
I hPrPhv Pnnly fnr P RF?airlontiPi
11 ' _____..._..._...a - .,•..•.. W., u aL <nc 11111111/111/11 is compie[e 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 approv plan in the event a plan is required to reviewed and ap roved
4
.
Ap i nt's Printed Name
Ap lice t`s Signature
Certificate for:
S?awski-Custer Const, Co. IncBk: 66/5
8151 Zenith Crt, I
Brooklyn Park, Mn. 55443
DELMAR H. SCHWANZ
LAND SURV EVORS, Inc.
Registered Under Laws OtThe State of Minnewta
i
2979 - 146TH STREET W. - BOX M NT, MINNESOTA 55966 PHONE 612 423-1769
? i
SURVEYOR'SCERT ICATE SCALE: 1 inch - 30 feet
o Denotes iron pipe
Denotes existing elev.
1?" M a Denotes
Denotes proposed
proposed elev.
drain:
," 3 5 uCa R Denotes set wood hub
? p'? *- ti.
Y. 14
n, oI.3 s
/ / ? ? 36.G? _ . G R
VVV 111 _ ?e ??(o 'ku8
yg 33 a,I 5?
\ B u8 a 6Af \ Amp HuQ
H ?
q ° ss' 33 2^? \
o m b ? ?
o f' '
b I
Z yl Drainage & utility p
easement
8Lb.2 .
tiv
>ia-? Proposed garage
floor elev. -s
Proposed top of block 6 7-?
?.
Proposed basement floor 163,
I hereby certify that this is a true and correct
representation of Lot 25, Block 3, PILOT KNOB HEIGHTS
FOURTH ADDITION, according to the recorded plat thereof,
Dakota County, Minnesota.
Also showing the location of a proposed house as staked thereon.
Dated: April 250 1983
MINNESOTA REGISTRATI0- ?N0.6625
L-nl Lr1vr-% L.1 -4 v 66-6er i T.II- rte Y-1 6-
TI24NSi"11TT?c?JGE ,
SITE ADDRE55 TLaH'
GD1•IT?G'rO(Z Sre?,Eici - x.rFZ C??sr, Co.rkc
o?IN?R
PUILDIN?TIYM 409044*4 0h1E0RJW0 FAr1tLYoWEWt4q
ASSEMBLY DES&POL T'fP5
st4ow c AL-4ULA IotJ A2R (Aq U-VAWE Ux A
INSUTATFD Aj?FEA 95 oaars I.,up
s5yweltt('S rips:
FIRING AREA I CXo, t t2. t
arRSF CDE5GR16E)
I T°TAL?5 t ocoo.S 33. GS
KA FitoH
Z. AV15"P. U VALLE A L"Itj
, 031
3 KfEqulgwUVA LEFROHW , o
GEI U JG I ROOF
INSULATED AREA 1093.2 OGz-- --- r a,_ O-PL
VK?r' WCI AKA IlvCo , OG I_.. . 10.13
WINVCo jj?,TYm- .. 1 5g Ivy
Don2e;)TYF'05 .37,96 07 2.-G
?ZM .IoI? AIZ?Ps :- loq , s r
FI jz?n.AGE WALL ?,l N
roUtJDA'(io1J I,JA,u. cl"Pl s3. IG 3R. o
FOUNDAj O J WINWW5,1YK W/s, 4//-s\ N/
SLIpINq GLASS-V00,9'5 3? q rj 1 20, -
crr 4r: 1:?, Dk5GR1f5 t:)
4}{I=IZ.,' pesai3E)
4 ToTpl-5 1 I 2?3, sZ
PNERxtE U VPWE .13
oil
' rvccnrlCh UW t_
Use BLUE or BLACK Ink
~
For Office Use Permit - l I
City of Eajan Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 [RECEIVED I Date Received:
Phone: (651) 675-5675 1
3 Staff
Fax: (651) 675-5694 APR U
2012
2012 RESIDENTIAL BUILDING PERMIT APPLICATION Ca~~ w
Date: Site Address: Unit
Name: Phone: b l~4_
RESIDENT
OWNER Address/ City /Zip: / ~~'~C~( ~~lA t i ~7
Applicant is: Owner Contractor
~ l
TYPE OF WORK Description of work: ~ ?fc~ ®C-GIC 6ot~ .S Rif
Construction Cost: 0 Multi-Family Building: (Yes / No X)
Company: Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.aooherstateonecall.org
t hereby acknowledge that this information is complete and accurate; that the work WIC) be in conformance with the ordinances and codes of the City of
Eagan; that l understand this is not a permit, but only an application for a permit, and walk 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 K&C K ELI x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
164 311 „YVL r ~D~rNOT WRITE BELOW THIS LINE / 3 ~9
SUB TYPES
Foundation = Fireplace Porch (3-Season) Storm Damage
Single Family _ Garage Porch (4-Season) Exterior Alteration (Single Family)
Multi Deck Porch (ScreenfGazebo/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 r Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
4 Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy G -1 MCES System
Plan Review Code Edition eV 7 SAC Units (25%- 140% !/f Zoning P 0 City Water
Census Code ~:3q- Stories _ Booster Pump
# of Units Square Feet PRV
# of Buildings Length _ Fire Sprinklers
TYip of Construction Width
~
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) A6- Final / No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: Ice & Water Final Pool: ,Footings Air/Gas Tests Final
Framing Siding: 4Stucco Lath Stone Lath ,Brick
Fireplace: Rough In Air Test , Final Windows
Insulation Retaining Wall: Footings Backfill Final
Sheathing Radon Control
Sheetrock _ Erosion Control
Reviewed By: , Building Inspector ;z I/ RESIDENTIAL FEES
Base Fee 73
Surcharge
Plan Review 1/-2
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124262
Date Issued:06/25/2014
Permit Category:ePermit
Site Address: 3771 Denmark Tr
Lot:25 Block: 3 Addition: Pilot Knob Heights 4th
PID:10-57503-03-250
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 .
Berkshire Home Solutions
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 -
Mark S Ulfers
3771 Denmark Tr
Eagan MN 55122
Berkshire Construction
1700 Niagra Lane N, Suite201
Plymouth MN 55446
(612) 232-3434
Applicant/Permitee: Signature Issued By: Signature