3693 Denmark Ave
l~qr ()tfice
Permit Jam/ City of Ealan
D o09
JUL 1 7 Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 7-/7( Phone: (651) 675-5675
Fax: (651) 675-5694 Staff: C7o
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 2-1-5--07 Site Address: 01 92 'Den MC,t,lC Attef mh'
Tenant: j.2Advi we /emu Suite
RESIDENT /OWNER Name: YI -e Yl k1 4 et., y Phone: S 7 - - ~30
Address/ City / Zip:
CONTRACTOR Name: 7 G C ' (r7/If r a t (716 Le License £ I® /7 n
Address: 7411 $ a
City: 14.ov /g L)a & State: a . Zip:
Phone: tb, - 9d - 4 r'r Contact Person:
TYPE OF WORK -New replacement - Repair - Rebuild - Modify Space Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
L' Later Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / T PVB) Main - Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 518" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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 pI
x I,c ng x a~a
Appl~cant's Printed Nam Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In ___Air Test _Gas Test __,_Final
Jul 10 13 07:32a Gates General Contractors 7634387710 p.4
Use BLUE or BLACK Ink
-------e----------
I For Office Use I
Permit 9:
Clay of Ea EaIl
~ Permit Fee: ~
3830 Pilot Knob Road vi~ I
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: 1
1 I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: O / Site Address 3 3 ~3G 9 3(i -7 ~ Unit :
Narne:_F1 ~'GJ~~ ~~y~ L 014 Phone: It 1y~0 7~~"/ / Z_
Resident/
Owner Address I City / Zip:
Applicant is: Owner A/ Contractor
Type of Work Description of work: 7
I G o.cp
Construction Cost: Multi-Family Building: (YesNom
Companyt:~;enT s rV C,ert Contact: L e-
Addre-3-S2Py 9, 4✓ 57-1-' 949,0-S-~_Xcity:
Contractor ,r
State: A4,6~ Zip:
T 7 -7 Phone: 72- 7>_l 5
License k Lead Certificate Z 3 f-~ l
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
qua
COMPLETE THIS AREA ONLY 1 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:
NOTE-- Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe 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. Call Gopher State One Call at 651 4540002 for rot2gion against underground utility damage. Call 48 hours
before you intend to dig to receive locales of underground utilities. : Tjv,,_oooherstateonecall or,
1 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.
Exterior or authorized by a buildin permit issued in accordance with the Minnesota Building Code sl be completed within 180
day pe it issuance. /
x )~j{/Gt/ tw rte/ x
Applicant's Printed Name Applicant's Signatu
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138182
Date Issued:08/15/2016
Permit Category:ePermit
Site Address: 3693 Denmark Ave
Lot:2 Block: 04 Addition: Timbershore 2nd
PID:10-76501-04-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Maurice W Hurley
3693 Denmark Ave
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature