3819 Denmark Ave EI–
For Office Use
i Permit#: /(0.$' (/oo
Permit Fee:
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Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsecitvofeacian.com
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2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: 7'G y&- ke +& Phone: 6-s7-02 76-G2.S 73—
Resi+dti ,
Own@ Address/City/Zip: /9 O e.'t/t'1-t i e_ tea=' d,C—C_ S SL3
Applicant is: Owner Contractor
Description of work: St � ii t Ct /& c) L 1,4L/0(/.2_c
Type of Work /
Sjr,ESE '3f--54-(/ e.
Construction Cost: Multi-Family Building: (Yes /No i )
Company: Contact:
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 rrray be,
classified as non:public if you provide specific reasons that would permit the City to conclude#hat 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.citvofeaaan.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.qooherstateonecall.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 appr•'al ns.
f— X C
Applica is Printed Name Applicants Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA164930
Date Issued:10/12/2020
Permit Category:ePermit
Site Address: 3819 Denmark Ave
Lot:015 Block: 002 Addition: Windcrest
PID:10-84460-02-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Ilya Cheskis
1436 Kingswood Ponds Rd
Eagan MN 55122
(612) 772-2048
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature