3657 Denmark Ave
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Jul 10 13 07:32a Gates General Contractors 7634387710 P.1
~ Use BLUE or BLACK Ink
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I For OfficeU9s+e--------- ~
(.I ~G 72/ j Permit*:
1 l j
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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156431
Date Issued:06/28/2019
Permit Category:ePermit
Site Address: 3657 Denmark Ave
Lot:4 Block: 04 Addition: Timbershore
PID:10-76500-04-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Phyllis L Super
3657 Denmark Ave
Eagan MN 55123
(612) 819-3261
Boys Mechanical Inc
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179314
Date Issued:09/28/2022
Permit Category:ePermit
Site Address: 3657 Denmark Ave
Lot:4 Block: 04 Addition: Timbershore
PID:10-76500-04-040
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
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.
Contractor:Owner:- Applicant -
Phyllis L Super
3657 Denmark Ave
Saint Paul MN 55123--103
(612) 819-3261
Service Today
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature