EA187366 - Building - Multi - Issued Date 10/27/2023 PERMIT
City of Eagan , , , , Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA187366
Eagan, MN 55122 ®-
(651)675-5675 11111111111111111111111111111111111111111111111
www.cityofeagan.com * E A 1 8 7 3 6 6 *
Date Issued: 10/27/2023
Site Address: 3649 Denmark Ave
Lot: 4 Block: 03 Addition: Timbershore
PID:10-76500-03-040
Use: * 10 - 76S00 - 03 - 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
BL-Plan Review 65% $54.28 0720.4222
Valuation: 2,000.00 Surcharge-Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Crosstown Concrete Joyce L Favilla
9036 Hyland Creek Rd 3649 Denmark Ave S
Bloomington MN 55437 Saint Paul MN 55123-103
(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
jFor Office Use---------------------,
1 187366 I
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S&W Permit#EAGAN :
Permit Fee: j
10/9/2023
3830 PILOT KNOB ROAD I EAGAN, MDate Received:
55122-1810 I i
(651)676-56751 FAX:(651)875-5694 I I
buiidinainsoectionsC&-cityofeaaan com I Date Issued:
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2- 3 Site Address: 3 6 q 9 4--t? 14 u--e— Unit#:
Applicant is: ❑ Owner 12 Contractor
Name: ,', � h o v e-
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Homeowner Address:
City:
State: Zip: Phone: Email:
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Description of work:_ F Y•V a7
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Work Construction Cost:_ � �U (J — PD, Timbershore
Type of building: ❑ Single Family t3! Townhome, of units 13 Twin Home
Company: Contact: 1^ �r :Pr
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Bu>itding e Address: i 6 City:
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Contractor
State:/ Zip:! fit/ o Phone: 9'5 -2 3 9- E vcv ► c vi-,cr e?C
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License#: Ex iration Date:
Sealer& Company: Contact:
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License#: Ex iration Date:
❑ 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NATE Plans�an�d�supporting�document�,that.you submit are.considered to.bepubiic infornnattpn; PorErans�of til', � �� -, , :-
infortn�at�t}n may be claseifiedas non=publio if youwprauide specific reasons that would perrtttt iiia City to concl»ud t�at�th
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)4540002 orwww.gooherstateonecali org forprotection against underground utility
damage. Contact Gopher State One.Cali 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 pian In the case of work which requires a review and approval of plans.
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Applicant's Prltfted Name 1 Applica Signature