3655 Denmark AveCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3655 Denmark Ave
Lot: 1 Block: 04 Addition: Timbershore
PID:10- 76500- 010 -04
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Quesetions regarding elec
952- 445 -2840
Ashley Orman
410 W Lake St
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
cal permit r equirements should be directed to Mark Anderson, State Elec
ME - Permit Fee (Replacements)
Surcharge -Fixed
- Applicant -
Owner:
Beth N Duffell
3655 Denmark Ave
Eagan MN 55122 -1039
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA082251
03/18/2008
ePermit
cal Inspector,
Jul 10 13 07:32a Gates General Contractors 7634387710 P.1
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(.I ~G 72/ j Permit*:
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City of Ea an Permit Fee: 36
I
383D Pilot Knob Road I I
Eagan MN 55122 I Date Received: TI 15 j
Phone: (651) 675-5675 1 1
Fax: (651) 675-5694 1 Staff: 1
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: b Site Address: -cc ~ r 3 ~ 5~3; 3L 5-5; 3(,5--7 Name: ! Phone:
Resident
Owner Address / City i Zip:
Applicant is. Owner Contractor
Type of Work : Description of work:
Construction Cost: 3 1 i'CTTU ^ Multi-Family Building; (Yes ✓ / No
Company (Or14r~ ~G,~/~~r~l_7 L`Ohs?ri~ Contact:
r ~G, v 2-7 KtV T3C:
ity:
Contractor Address:
state: /*14"_ Zip: ,S~7 7 Phone: 1-511-72-3'-~ -3
License 17 C Oa G Z 5'3 Lead Certificate lt: Nom- Z 3
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
1 ~J
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:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be 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 rotection against underground utility damage. Cal 48 hours
before you intend to dig to receive locates of underground utilities. ~~dww.aoo`ersiateonecall orm
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 a roved plan in the case of work which requires a review and approval of plans.
Exterior rk author' ed by a building it tss in accordance with the Minnesota State Building Code must be completed within 160
days permit iss nice.
Applic' Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
�-----------------,
� For Office Use �
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Clt� Of�B�I�Il ������, � i Permit#: �D i
3830 Pilot Knob Road � Permit Fee: � �
Eagan MN 55122 AU� � $ 201� I �'��� I
Phone:(651)675-5675 � Date Received:
Fax:(651)675-5694 �Y;� `' � �,G'�i�,/ I
. � Staff: —�.�7 I
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2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 08/26/2014 Site Address: 3655 Denmark Ave
Tenant: Beth Duffell Suite#:
;���N"'����� r � �7�u''���� Name:__ Beth Duffell Phone: 651-681-7910
- �
� ��� � � � Address/City/Zip: 3655 Denmark Ave Eagan MN 55123
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a;��,��� �� 9i' � -, ;'� Name: Air Masters Heating &Cooling License#: MB003371
� b���— �` ���� Address: 112 Concord�Exchange South City: South St. Paul
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��,� � � �� u= State: MN Zip: �5033 Phone: 651-455-6324 �
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— �'� � `°��� �� �s Contact: Kim Greene Email: kimC�airmastersmn.net
a� ��_
� �"'— '�— � �'"� New X Replacement Additional Aiteration Demolition
��� �ti ��� �
� � ��' �` � Descri �
��a����i� � r� ption of work: � � �� • �°�- '�� S l ` � v nu�2..
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��fi� ' �a6�� �U� " __ _ :: . _ __ _=_ " 7!L!y 7�
�"��"� �t j RESIDENTIAL COMMERCIAL
�� _,�� �
� ���` ��;,� � � ]�Furnace � _New Construction _Interior Improvement
�rP �
- '� y� _Air Conditioner Instali Piping Processed
���'�_ ��� — —
� �,,I��r°�� � i �'"� ��° _Air Exchanger _Gas _Exterior HVAC Unit
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�--�,„ , �_ « �_ � �`�,�� _Heat Pump _Under/Above ground Tank �Install/_Remove)
n
- 'fl��`�� fi�;'��i""` - Other
RESIDENT/AL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ $0.00 TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge*
*'If contract value is GREATER than$10,010, Surcharge=Contract VaIGe x$0.0005
*"*If the project valuation is over$1 million, please cal�for Surcharge =$ TOTAL FEE
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.
X Kim Greene X ''
Applicant's Printed Name Applicant's Signat e
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Use BLUE or BLACK Ink
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• ������. � �a� �3� ;
(�}� O� ����� I Permit#:
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v�u AUG � 8 2014 ; Permit Fee: `�"� ' � i
3830 Pilot Knob Road i � � ��
Eagan MN 55122 I Date Received: �
Phone: (651)675-5675 k3Y: ---�- �-- � Staff: �`� �
Fax: (651)675-5694 L________________!
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 08/26/2014 Site Address: 3655 Denmark Ave
Tenant: Suite#:
- � r�7JiS � � ���iP� i�br-�� .
- ���� - �''�� Name:__ Seth Duffell Phone: 651-681-7910 �
� � �� �
�$�,.� ro��� �" `;�� �a �:
;�_ � Address/Ciry/Zip: 3655 Denmark Ave, Eaaan, MN 55123
,�� `�� � �
'��� '� �`� ��� Name: Air Masters Heatinq &Cooling License#: PC646107
� � �� �� A° =
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= '� � � ��� ,�� � Address: 112 Concord Exchanae South City: So. St. Paul
;� � ;� v i��
- �4 �^�z��, ���= ���h= State: MN Zip: 55075 Phone: (651)455-6324
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"����� _ � � Contact: Kim Greene EmaiL � kimCc�airmastersmn.net
���''�r �����
� �� i�,a� _New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
_ ��y—,fi��e� ;�E rvt
_3 �,��p� _�; Description of work: Remove old natural draft water heater and install new Richmond water heat r.
,
'� � '` - RESIDENTIAL
- �����
� ��
=
=t,��� _�7,�p���� �° �Water Heater �
����� =�' ` - = Water Softener
���' � Lawn Irrigation�RPZ/_PVB) �
� � , " �� Add Plumbing Fixtures�Main/_Lower Level)
������`��= Septic System
-�
= _ �r .�
�� � � �� WaterTurnaround
- New
�i��a - yy�illl —
= ���i4 ��� � _ Abandonment
= _ ���=
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround"(includes$5.00 State Surcharge)
"'Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00 Seqtic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
TOTAL FEES$ 60.OQ
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.aopherstateonecall.or4
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 plans.
x Kim Greene X
ApplicanYs Printed Name ApplicanYs Signature
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