EA187361 - Building - Multi - Issued Date 10/27/2023 PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd ,Aw; %-;'`, Permit Number: EA187361
Eagan, MN 55122 °�49 •--� EAGAN
(651)675-5675 111111111111111111111111111111111111111111111111
..,�.. * E R 1 8 7 3 6 1
www.cityofeagan.com
Date Issued: 10/27/2023
Site Address: 3665 Denmark Ave
Lot: 4 Block: 05 Addition: Timbershore
PID:10-76500-05-040 1 11111 IN 11111111111111111111111111111111111111111111111111111 OR
Use: * 10 - 76S00 - 0S - 040
Description:
Sub Type: Multi Construction Type: V-B
Work Type: Repair
Description: Front steps and railings
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: PD
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Carbon monoxide detectors are required within 1(
feet of all sleeping room openings in residential homes(Minnesota State Building Code).
Fee Summary: BL-Base Fee $83.50 0801.4085
Valuation: 2,000.00 BL-Plan Review 65% $54.28 0720.4222
Surcharge-Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Crosstown Concrete Amanda M Hermes
9036 Hyland Creek Rd 3665 Denmark Ave
Bloomington MN 55437 Eagan MN 55123
(952)239-4002
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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
Im lbl D t
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i 10/9/2023
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I Date Received:
(651)675-5675 1 FAX:(651)675=5894 1 I
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buildinciinspectionsCa7ritvofeaaan co I —M1 Date issued: I
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RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �" / -,1 Site Address: - y,
. Unit#:
Applicant is:
Owner ErContractor
Name: !?
ll
SU.-C
Homeowner 3 6 6.. ' ,, �e-� �v�
Address: . �. City.
State: Zi Phone:
Email:
Description of work: P7 74-
Type-,of r,
WQr Construction Cost:----E t 4/ U(a PD, Timbershore
Type of building; ❑ Single Family Townhome, of units
❑Twin Home
Company: /'o I--h (Oki ki c j,e f� Contact: &P e 4i-'j`� A'
Butdingr Address:` Chacity: d3 fa
Con#r"Act`or
State
Zip: /3 Z Phone:°li '�
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License#: C 0-A_
Expiration Date:
Se%tior&f Company:
Contact:
Water.:
Contractor Address:
City.
ired for: State: Zip: Phone:
Email:
new,cot�strucct�on= -
License#: Ex lration Date:
❑ i understand that Plumbing, Mechanical,and Fire Suppression work require separate applications.
PP Pp
NQ,TE�Plaris andgeu ortcing documents that ypu submit are considered to be public informatiani,Pprliona of
information�may t e classified as non= ubiiclf ou= ,ravide s ecific reasons that wouid ' ermit` eco c u
are:tratls`etets:: b p. Y �p p p aai
CALL.BEFORE YOU DIG. Contact Gopher State One Cali at 651 454-0002 or www.aonherstateone all ora for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
Eagan; that i understand this is not a permit, but only an application for a permit,
I hereby acknowledge that this information is complete and accurate;that the work will be in conand is not to start without a permit; that the work will be in
formance with the ordinances and codes of the City of
work
accordance with the approved plan In the case of work which requires a review and approval work
plans.
X
Appiicant'e Prig d Name x
Applicant's nature