3669 Denmark AveCITY OF
Addition #4.-.. __ Outlot B
State Eagan,MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
Irjl SAN SEW TRUNK 1971 9294-66 Iq 114 - 7 'A 20 1 76 189 A006789
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1()79 $291 -45 $14-57 20 189.46 9906782 10-3-78
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
For Office Use
; Permit#:
EAGAN
to
Permit Fee: 1 )-A.
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 HAY 1 7 2018
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: (":724—
buildinginsoectionsa.citvofeacian.com L
2018 RESIDENTIAL BUILDING PERMIT,APPLICATION
Date: Site Address: Unit#:
Name: 7'°�1�eti= Aw `t` !<lwvl12c, eS Phone:
Address/City/Zip: 3 6 / D-fa7"PT
Applicant is: Owner / Contractor f✓&-&ss /040,7 £O r- Cv-Gk ` "Sr-i4.V7
Description of work: Ff.,d
Construction Cost: 142t 0e0 Multi-Family Building:(Yes)( /No )
Company: C Lear� lO W n Con C r/G f`�- Contact: & VC, J
/`'/ Ti c,
Address: 90 3 liyle,.ro1 C� / /0 am: /.7ye?`ov►
StateN Zip: 55513 / Phone: 9Y 23 9 tVag 0.2 6fiI',e7 j S eto 4 c4-70,-
, 9 ' -
License#: Lead Certificate#: /AO
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:
NOTEsPla s and supporting,documents that you submit are considered to ie ublic info '►atiY ' ,#ions of the information ma ie t
ctat sifted o���'
4-13116:16)-i . ar 1e3ecrets f kk x
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.cityofeagan.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.00pherstateonecall.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 approval of pl s.
x t�ka fif.' I I x
Applicant's Prim Name Applicant' gnature
'3400 -- ,,,v414 4-- PY t- 1 tOP (f°
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi)
— Multi _ Deck —
Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
New
— Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
4_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace — Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 2, Occupancy J gc -3 MCES System
Plan Review Code Edition )'Y)/? 2E4,5-- SAC Units
(25%10 100%_) Zoning PP City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction \)e Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings./Berle) S'' f) Final C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
—
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
—
Shower Pan Other:
JJ
Reviewed By: / � /�( , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA160430
Date Issued:03/10/2020
Permit Category:ePermit
Site Address: 3669 Denmark Ave
Lot:2 Block: 06 Addition: Timbershore
PID:10-76500-06-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Warren G Rusch
3669 Denmark Ave
Eagan MN 55123
(952) 250-7015
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160453
Date Issued:03/11/2020
Permit Category:ePermit
Site Address: 3669 Denmark Ave
Lot:2 Block: 06 Addition: Timbershore
PID:10-76500-06-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Warren G Rusch
3669 Denmark Ave
Eagan MN 55123
(952) 250-7015
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature