EA187367 - Building - Multi - Issued Date 10/27/2023 PERMIT
City of Eagan , e Permit Type: Building
3830 Pilot Knob Rd %,e,®, Permit Number: EA187367
Eagan, MN 55122 °--~ ~~®' EAGAN
(651)675-5675 1111111111111 IN 1111111111111111111111111111111
www.cityofeagan.com * E A 1 8 7 3 6 7 *
Date Issued: 10/27/2023
Site Address: 3645 Denmark Ave
Lot: 2 Block: 03 Addition: Timbershore
PID:10-76500-03-020
Use: * ltd - 765 D0 03 - 020
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:
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 Kirsten S Deloy
9036 Hyland Creek Rd 3645 Denmark Ave
Bloomington MN 55437 Saint Paul MN 55123-403
(952)239-4002
This permit shall be null and void if work does not start within 18Q days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this a. p4.icatton and state that the information is correct and agree to comply with all applicable State
of.Minnesota.Statutes and City of Eagart Ordinances.
Applicant/Permitee:,Signature , Issued By: Signature
----------------------
For Office Use
I 187367
Building Permit#: I
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S&W Permit#: _ I
Permit Fee:
I 10/9/2023
3830 PILOT KNOB ROAD IEAGAN, MN 55122-1810 Date Received:
(651)675-56751 FAX: (651)675-5694 I I
b_ uildinainsnectionsilacitvofeagan com I Date Issued:
L----------- ------ I
RESIDENTIAL BUILDING PERMIT APPLICATION
Date:_l(J ' -9-- .� 3 Site Address:_ �1 5 F'�t ,a.,�,ery v Unit#:
Applicant is: ❑ Owner Contractor
Name: 7 X11 1-7o 6
Homeowner /
Address: 3 P r 5 ,��� y7n oy � � City:
State: Zip: Phone: Email:
Description of work:_ F yr G c-t
Type of. PD, Timbershore
Work Construction Cost'.
Type of building: ❑ Single Family Townhome, of units ❑ Twin Home
Company: t.c SS 7�uh �u,, C r^r' e Contact:
Buildlr g Address: �I U 6 !`� i! k4 kick C� 1�2,,� city: _
Contactor
State: Zip. Phone:
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License#: Expiration Date:
S@We"FA Company: Contact:
Watex
Contractor Address:
City:
i2,quired for State: Zip: Phone; Email:
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License#:
--Expiration Date:
I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
N(3TE Pian"smand supporEng documents that you submit are consideretl tc be:pubilc informatiain Porttcesnf "e ,
information maybe olassifie!asnon-pubic if ydu provide speciffii reasons that would pe`rnit rile>� ity„to co�icl at�ey
are°frade socrets.
112
CALL BEFORE YOU DIG. Contact Gopher State one Call at(651)454-0002 or www:gooherstateonecall.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 acknowledgethat this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that l 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.
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Applicant's Pr ted Name' Applicant's SigOAure