3830 Denmark AvePERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA149645
Date Issued:06/04/2018
Permit Category:ePermit
Site Address: 3830 Denmark Ave
Lot:006 Block: 001 Addition: Windcrest
PID:10-84460-01-060
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 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 -
Elizabeth A Hengen
3830 Denmark Ave
Eagan MN 55123
(651) 260-3459
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
• • i i
•t- • o
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections(a-)Cityofeagan.com
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RESIDENTIAL BUILDING PERMIT APPLICATION
Date:+ Site Address: Unit #:
Applicant is: ❑ Owner SContractor
Name:
Homeowner Address: Vc . �U city:
Statei! 1 Zip:S- / z2- Phone: Email:
Description of work:
Type of
Work Construction Cost;} ,?
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Type of building: ❑ Single Family ❑ Townhome, of units win Home
Company �, p�� i ` c-n `^ Contact: C V v
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Building Address: City: L , 21✓>
Contractor
StatejLl % Zip:553614 Phone:
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License #:G7�t�s S� Expiration Date:3i/, S
Sewer & Company:
Water
Contractor Address:
Required for State: Zip
new construction
License #:
Contact:
City:
Phone: Email:
Expiration Date: __
� I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
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. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
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.
Applicant's Printed Name Applicant's Signature