3637 Denmark AveAug 18 11 01:46p Gates General Contractors
40 11 ' Cityofaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
CONTRACTOR `:
7634387710 p.4
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Applicants Printed Name Applicant's Signature
Use BLUE or BLACK Ink �C
For Office Use / (�
Permit #: ! O
Permit Fee: '3/0%76'
Date Received:
Staff:
// 2011 RESIDENTIAL BUILDING PERMI APPLICATION
m �
6((gi 7 r •>-Li 36 E563�
Date: Site Address: j ( 1 ` Unit #•
Name: 1 P7C0---- 4 /1 •
RESIDENT /
OWNER l Address / City / Zip:
Applicant is: Owner fr6cntractor
TYPE OF WORK Description of work: - te-Ar
Construction Cost: 7 v - v Multi- Family Building: (Yes " / No )
_. _ ,...•_ _.... _.� .. ■_ . .
Company: � iP'f�S� C9 �-*� �rti9 dis 7�' 411- Contact: / ` ./c
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Address V'1deN! ifi i L,a/ Sl � aO - &S) City: r- C v)'"4
5
State: el Zip: - (7 Phone: / 4!�
License #: 79 Lead Certificate #: /
If the project is exempt from lead certification. please explain why: (see Page 3 for additional information)
Phone:
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:
Phone:
Sewer & Water Contractor:
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. CaII 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.aooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the o . finances and codes of the City of
Eagan; nderstand this is not a permit. but only an application for a permit, and wo not to start without permit; that the work will be in
a 9 anh the approved plan i e case of work which requires a review and ap • •o al • "plans.
Page 1 of 3
EAGAN TOWNSHIP - y
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: April 11, 1972 Number: 611
Billing Name: lira Hori Homes Site Address : & 1294 Cru:3trid; a & 3635
Luwu:Ax
Owner: • =,,ma Billing Addreas3 Ko1at d
Plumber: Thaapson Plumbing Co.
Location of Connection Meter Size Connection Chg.
Meter No. Permit Fee '10,CO ixi 4/11/72
Meter Reading_ Meter Dep. .50 16 4/11/72
5 meters dL 00.UU us.
Meter Sealed: Yea Add'l Chg.3 Pd 4/11/72
NO Total Chg.
Inspected by
Data 7 - 1 "' 7
Building is a: Remarks:
Residence
•
Multiple Hat. tn
Commercial I(u . _ f L L METE S.
Industrial By:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
ThCnp.,on 1le:,bing Co.
Please notify the above office when ready for inspection and connection.
EAGAN TOWNSHIP 4/ gi
-
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454.5242
PEREI=T FOR SEWER SERVICE CONNECTION
DATE: 4ti 11 11'1972
NUMBER 1 '
OWNER: I�:r i:o.iaon 110i40.1 1291, Cr jrrid;� :c 3635 c :)637 uer
Address
PWMBERTn ;,ri Plwnbin` !;n. TYPE OF PIPE
•
DESCRIPTION OF BUIIDING
Industrial Commercial Residential Multiple Dwelling No. of units
Location of Connections: Connection Charge
Permit Fee 16.•..:J r.,, b/11/r7
0
p-4/11/7=:
Street Repairs
Total
Inspected by:
Date J :7L ∎ 2 -
Remarks:
By
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota•County, Minnesota
By
•
�w�:oim Co.
df Pleashe notify when ready for inspection and connection and before any portion
te wor ie cove
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r For Office Use
• �,� � � r,� Permit#:
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%do���• # EAGAN
_ter
Permit Fee:
/117
^ c Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �+E��E. Odf
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56 MAYZQ�� Staff:
buildinginspectionsecityofeagan.com
2020 RESIDENTIAL BUILDTNG--RERM1T APPLICATION
Date: .:j 1' I 9'0)0 Site Address: 3(P-37 at t wI' f-' 1 J v L Unit#:
Name: bv((/1l .TA h ItUJ'V Phone:& I PSLI
Residentt
Owner, Address/City/Zip:
Applicant is: Owner Contractor P1)
pp Tik/k1)06 (1/1. WZH'-
_ f1
Type Description of work: I�1' p I Ct.(.P f JL
Construction Cost: 8 7 uw Multi-Family Building: (Yes K /No )
Company: SCb" { i't((-f d oto
Contact: Q1a � AX �Q�I a
35.
Contractor Address: City:
State: Zip: Phone: Email:
License#: 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: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression 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;
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.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 approvalrovalof/�plans. j /�
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE — 76:7&-2 D 1ik' 14i/ - /6/6ram —3
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family)— .
Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi it: 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
X Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 3,ccc, Occupancy > c-3 MCES System
Plan Review Code Edition Qcac: SAC Units
(25%_ 100%_) Zoning P,' City Water
Census Code 3</ Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction SS Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
X Footings (Deck) Final I C.O. Required
Footings (Addition) X Final I No C.O. Required
Foundation Foundation Before Backfill _ HVAC Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
}( Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing _ Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: .-Ne Is , Building Inspector
RESIDENTIAL FEES 41
12c?ldc: c x..*4-4,e. cv
Base Fee
Surcharge 51,42rc Zee}- = /6U
Plan Review
MCES SAC — Tv.s-l�tk:..S nec.s IN" eril^SS
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174657
Date Issued:02/09/2022
Permit Category:ePermit
Site Address: 3637 Denmark Ave
Lot:1 Block: 02 Addition: Timbershore
PID:10-76500-02-010
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brenda M Tste Bernauer
3637 Denmark Ave
Eagan MN 55123
Haferman Water Conditioning Inc
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature