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3695 Denmark Ave411' City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN 6 2011 at Use BLUE or BLACK Ink Permit #: Permit Fee: Date Recei Staff: 2011 MECHANICAL PERMIT ,APPLICATION Date:'' 1 1 Site Address:( C1 ;n (bort( i--tu"T' Tenant: `i C.j(' 9y/ Suite #: 1 J RESIDENT / OWNER Phone: /' /454 (-3 / 8 Name: Qope.ill. ( OnA eJ_ (' Address / City / Zip: N 5.3 i CONTRACTOR Name: ay\ cJ ) 4tA,r\` AD') )1C` ill Addres . :. U1', City: C� i 5, //'/(I' rat State: VA\0 Zip: Phone: -7C‘'3 ' (2- . - 132-A Contact: LISP GC 3' Email: TYPE OF WORK New r Replacement Additional Alteration Demolition Y Description of work: , W,hail Q 00_4 NOTE: Roof mounted and ground mounted mechan cal equiprt nt is i� s eil bY' � Code. Please contact the'Mechanical Inspector for informatton::on sae' .,:.' PERMIT TYPEFurnace RESIDENTIAL COMMERCIAL _ New Construction Interior Improvement ' Air Conditioner _ Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump _ _ Under / Above ground Tank ( Install / Remove) Other **When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $ 5-3--,0 0 TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Fee requires a $ 5,50 surcharge) Contract Value $ x 1% = $ Permit Fee - If the Permit Fee is Tess than Permit Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 i not t. • 'thout a permit; that the work will be in accordance with the appro plan in the case of work which requires a review and approval of plass. x j1� Ot 74%6\ 61 Applicant's inted Name Aplplira'ant's - ature FOR OFFICE USE Required Inspections: Under City of BaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 RECEIVED Fax: (651) 675-5694 JAN 2 0 2011 Use BLUE or BLACK Ink Permit #: q 7Z' v Permit Fee: 56- 06 Date Received: Staff: ������ y 2011 MECHANICAL-�LPERMIT APPLICATION Date: 1 ) 1ZO I 1 Site Address: .1(`7- 1') \ XX Tenant: kJ )len ! f' V q Suite #: J RESIDENT / OWNER Y '66 Name: "..V - (1i.�',l IJ. rt...1 Phone:u" ci ` C ., JU G Address / City / Zip: (k%`.`,\E 0 k `tV \ ) ) J CONTRACTOR Name: C:NA\� Rek . 'c)Vl% VA\O Y0L1 License #: rt C tS 7 I l Address: 5SiaP„)..0)),. me iit'. City: . \1(' i )ek `. I t State: \\\ \ " Zip: � . _C Phone: 7( ? 5 `� I -O ' I J-)' i Contact: VA \2.4-1‘\.)c. - Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE:' Roof mounted and ground mounted.mechan cal equipment le tom' tined Cityy Code. Please contact. the Mechanical In ctor for information Asn s . �' v ods ; PERMIT TYPE RESIDENTIAL \' Furnace COMMERCIAL New Construction Interior Improvement VAir Conditioner Install Piping Processed _ Air Exchanger _ Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank ( Install / _ Remove) Other ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) S5, b() $5.00 State Surcharge) $ TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Fee requires a $ 5.50 surcharge) Contract Value $ x 1% _ $ Permit Fee - If the Permit Fee is less than Permit Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.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 ' of to s . wi • • t 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,. Applicant's Pri ted Name i xr A nts Signatur FOR OFFICE USE Required Inspections Jul 10 13 07:32a Gates General Contractors 7634387710 p.4 41110 City of Eatau 3830 Pilot Knob Road Eagan MN 55122 Use BLUE or BLACK Ink For Office Use Permit p: \1T 1 Permit Fee: 39 . as 11\O13 Date Received: Phone: (651) 675-5675 1111 Fax: (651) 675-5694 Staff: k4 Date: i 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 3 (> cif (/ 3 t: 93;;3695;36"7 Dem d un • Narne: / /7'x'1 &G1t-4 r'r-O — L'/ ©- ift Phone: It (2— 717-i /92--- , /Z_ Address/City/Zip: Applicant is: Owner 4. Contractor Description of work: 0.0a Construction Cost: / l i P"O Multi -Family Budding: (Yes=/ No ) Companyt it1 5 (�-[ rV C,�yt%`¢ Contact: J Resident/ Owner Type of Work Contractor J G�— Address3- f g r' 4✓ S7 Vco-;VCity: 041/1-t (-1,4 Stale: Z V Zip: T 547 Phone: 723--Z 5 �J License #: e- Po 773 Lead Certificate #: ,/fr/1-7-37 Z 3 r- % If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY 1 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher Slate One Call at f651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities.' www.onoherstateonecall oral 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 orjlauthorized by a building permit issued in accordance with the MinnesotaBuilding Code ntlist be completed within 180 day pe it issuance. Applicant's Printed Name x Applicant's Signatu Page 1 of 3 City of Eagan PERMIT 41' City of Eaan Permit Type: Plumbing Permit Number: EA147041 Date Issued: 12/05/2017 Permit Category: ePermit Site Address: 3695 Denmark Ave Lot: 1 Block: 04 Addition: Timbershore 2nd PID: 10-76501-04-010 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Heater 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 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Dean's Professional Plumbing 7400 Kirkwood Court N Maple Grove MN 55369 (763) 428-1321 - Applicant - Owner: Robert L Blomberg 3695 Denmark Ave Eagan MN 55123 (651) 454-3878 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT 41' City of Eaan Permit Type: Plumbing Permit Number: EA152434 Date Issued: 10/15/2018 Permit Category: ePermit Site Address: 3695 Denmark Ave Lot: 1 Block: 04 Addition: Timbershore 2nd PID: 10-76501-04-010 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Heater & 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 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Dean's Professional Plumbing 7400 Kirkwood Court N Maple Grove MN 55369 (763) 428-1321 - Applicant - Owner: Robert L Blomberg 3695 Denmark Ave Eagan MN 55123 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA156848 Date Issued:07/22/2019 Permit Category:ePermit Site Address: 3695 Denmark Ave Lot:1 Block: 04 Addition: Timbershore 2nd PID:10-76501-04-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 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 - Robert L Blomberg 3695 Denmark Ave Eagan MN 55123 (651) 454-3878 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature