3662 Denmark AveJul 0912 10:50a Gates General Contractors 7634387710 p.4
1 , 11 ' City of EaaII
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
RESIDENT /
OWNER Address / City / Zip: d 0. 1 o 1( 2—/ C G (
Applicant is: Owner contractor
CONTRACTOR
Permit #:
For Office Use
Permit Fee:
Use BLUE or BLACK Ink
Dale Received;
Staff:
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State: 01 Ai Zip: 5 y Phone: 6' (Z 7? 3 -6'T yr"
License #: G 7 5 3 Lead Certificate #: /' c/ Z 3 5
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7 / i /i z — Site Address: 3 36G o, 3G 6 cN►�r 47th /t/c .Unit #: Q
Name: /1 2 4 , 71; G��i�t 071-e_ .:_,. .. ... ,,. Phone: t/ 7 - //g
TYPE OF WORK
Description of work r r
Construction Cost: / ! / c9 / Multi- Family Building; (Yes / No
Company: Ui¢?S� 6' e ' AlC_Contact:
Address: 35 V s13 vs (--ef `/i A- City: t>/tfm0-(1/4
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.I v ww.gopherstateonecall..orn l
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 they are trade secrets.
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 Building Code must be completed within 180
days of permit issuance.
/ 1.t/C v5 x
Applicant's Printed Nam App ant's Signature
Page 1 of 3
1I
For Office U e1:0
�� i i "f• , EAG :::::ee
••�• •�•• : /Li7 -7
Date Received: / y/
3830 PILOT KNOB ROAD F ECIE/ED EAGAN,MN 55122-1810 .41/E
(651)675-5675 1 TDD:(651)454-8535 I FAX: (651)675-5694 Staff: i.411
buildinginspectionsCa)cityofeagan.com MAY 14 2018
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: f . L PLL 0 LA) V Phone: Asa` y a 4, blq
i0.44Resident!
d $ 1 >> /� >
Address/City/Zip: - �P g. U W � 14 Y I` i) tif2
-�
Applicant is: Owner Contractor
Description of work: GI V 0 Ce d„11 R�O-e Ui 04 '1' d Co o k
Construction CostilB 0 0 Multi-Family Building:(Yes /7-"/No
Company: 1 "0 U 1 10 '1,6 C-0'.51- Contact r1)-e_. L
o**tort+ Address: '1 3'7 a I< P 4 'C nilA Os i'3 Lcl4y City: VI 9 Id
State: MK..Zip: 55-11,3 Pho e: P- Ot,76Email: h1't 1 RA tWP.2 e_ Cc,w c 454
License#: C (Jo a- �y Lead Certificate it: h rq,+ 5 Le a lip "
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: y� Phone:
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.cityofeaaan.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 approval of plans.
x
mi ,A -e, H-e n x
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE `" e(Q -
SUB TYPES .'- “' tJ ..t /Y12A; Ale "
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*
i 14 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 00
Valuation / laid Occupancy 2-AG _/ MCES System
Plan Review / Code Edition pi, SAC Units --
(25% 100% L' Zoning _ .1)1) City Water �.
Census Code 4'Pi Stories Booster Pump __— _
# of Units 1 Square Feet /449 PRV —
#of Buildings / Length r Fire Suppression Required
Type of Construction i/fl Width La
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
,,, Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice & Water _Final Pool:_Footings Air/Gas Tests _Final
Framing K 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: 7/1/ , Building Inspector
00
RESIDENTIAL FE
30 /COI DAb/&Q /o r9 0211049
Base Fee Pr /
Surchargedo
Plan Review 5? -1�'7"° � �O
MCES SAC
City SAC /q
aG
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies / 612 ,_
-1,
TOTAL
Page 2 of 3
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160124
Date Issued:02/18/2020
Permit Category:ePermit
Site Address: 3662 Denmark Ave
Lot:2 Block: 11 Addition: Timbershore 3rd
PID:10-76502-11-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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 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 -
Delbert C Alloway
3662 Denmark Ave
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature