3689 Denmark AveNov 15 10 05:10p Gates General Contractors (763) 498-7710 113
4,11' CityofEaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use ,r�
Permit it; ( '70.? Vh
Permit Fee: 531-7e 0
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION L 7- 6 —SIE
Date: it r) (// Site Address: 36g7 e-fiint /A-%fr'r' C.�rtvclL IKg)4-LSO cp,
IZcfr �f2.ygko s Lam/
Tenant: Suite ll:
RESIDENT /OWNER
Name: - 7yr3Cir-,5g" Phone: r#(2..---175":://9 2_
Address / City / Zip: LL:N ,± /t
y- '
Applicant is: Owner Contractor
_
TYPE OF WORK
Description of work: G4.1-, L_
op �'
Construction Cost: / d/ V �'-c , 'S Multi -Family Building: (Yes 1.---71.1c: )
CONTRACTOR
Name: CQ/1� 4trj c , �'Licennsse #: 6 793
Address: Sr% ii -z/4,(07 �0Q•'yr/ City: D/ �r/ !,- h
y�L2
State: /✓ Zip: /`� % Phone: j/ 7 Z - 7 2-3-- (� 3 VI
Contact: ! (...-f----- Email: ,-----
''"—rCOMPLETE
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
dale 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 wvouid permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. Iwww.gopherstateonecall.orq j
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the o ances and codes of the City of
Eagan; - . understand this is no permit, but only an application for a permit, and w. ' • t to start withou a permit; that the work will be in
eec. •an - ith the approved pl i the case of work which requires a review and ap I of • : ns.
(m-5
Applicant's Printed Name
x
Applic nt's Signature
Page 1 of 2
Aug 18 11 01:46p Gates General Contractors
411/1 City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
7634387710 p.2
Use BLUE or BLACK InkC C
For Office Use
J^ e-7-2 `%
Permit* / 606 7 } '
Permit Fee: /6°` "2-5
Date Received:
Staff
2011 RESIDENTIAL BUILDING PERMIT PPLICATION�
I 3(1717 /4689 cDcws1� ii /4" )t4? 1741 Unit #:
......ro.� ,_..
Date: Site Address: �
Name:171-7'31 1-7'31 i3tA-511 R -c— Es= 0 . 4
RESIDENT
OWNER Address t City / Zip:
Phone:
Applicant is: Owner Contractor
Description of work: Ti 1rA--
Construction Cost: ?I) 0 Multi -Family Building: (Yes 1,"'.;;710 )
t^�r ( 3-1360y dez-
TYPE OF WORK
f
Company: (s�/t'lz34T1frha�.-Contact: L
CONTRACTOR Address: 4970 Vi2)6CfiU:u� 1-1oo 357 City: Mierlt-c.1-441State: !/r')!Zip: rli� Phone: 6 (z 7 3—% rj '
License #: V ? ' i Lead Certificate #: e'"" --
erre-_5.
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
• Mechanical Contractor.
Phone:
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 thff are trade secrets.
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. wwv.copherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work wi . 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, a Id wo not to start without: permit; that the work will be in
ac n with the approved plan i e case of work which requires a review and appro I o - ans.
x c fzf%CL- G� x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Date:
Tenant:
City of Ea all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
calo cv
Use BLUE or BLACK Ink
Permit #: t0-7 UC2
iaO.00
Date Received: CC 12-7 ((2.
Staff:
Permit Fee:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address:
RESIDENT / OWNER
CONTRACTOR
Name:
Address / City / Zip:
(0 89 g-ev,rvicwlc- Jve-
1
J
Suite#:
Phone: 10,57! 17J `if(7
5 -S" --
Name: .
'S
Name:. MILBERT COMPANY INC.dba CULLIGAN WA
Address: 1801 50TH ST EAST City. INVER GROVE HGTS
State:MN Zip:"' 55.077' Phone: 651. ;451-2241
Contact BILL.MILBFT':,
Email:
TYPE OF WORK
.._ New eplacement Repair _ Rebuild _ Modify Space Work in.R.O.W.
Description of ork:..
PERMIT TYPE
RESIDENTIAL
Water Heater
Lawn Irrigation L RPZ /__ PVB)
Septic System
New
Abandonment
'45ater Softener
Add Plumbing Fixtures (_ Main / Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Tumaround (add $166.00 if a 5/8` meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $ t—e
CALL BEFORE YOU DIG. CaII 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.00nherstateonecall.orn
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 eta without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and L , ;� : I of p„ ne.
x 7 en l ike/e (
Applit:ant, s Printed Name
City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA119965
Date Issued: 01/07/2014
Permit Category: ePermit
Site Address: 3689 Denmark Ave
Lot: 4 Block: 03 Addition: Timbershore 2nd
PID: 10-76501-03-040
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: One Window/Door
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
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 by law in ALL single family homes.
Fee Summary:
Valuation: 500.00
BL - Base Fee $500
$40.00
Surcharge - Based on Valuation $500 $0.50
0801.4085
9001.2195
Total: $40.50
Contractor:
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
- Applicant -
Owner:
Barbara M Pawlowski
3689 Denmark Ave
Eagan MN 55123--103
(651) 442-7587
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.
Applicant/Permitee: Signature
Issued By: Signature
City of WI
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use (� _
Permit #:
Permit Fee: 2O 0
Date Received:
Staff:
L
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 3— /S—/
Tenant:
Site Address:
.3089 IOertr—r tif ,AvL
Resident/Owner'
Contractor
Type of Work
Suite #:
Name: a i L _11 ; 4- C'.e ,' b Phone: 6,S* j- 4 4 2— -7 S 8 "7
Address / City / Zip: 3 (a e rn e"
Ss'/23
Name: I-) eSS i 4 1°)w s: ncf 3Qr . r`ci' License #: P_- Co 4/11 3 s g
Address: P
1)0, ? 2
City: lc(S4
State: • f Y' /..) Zip: SS / o? 2 Phone: (,S /- 3 2 S
Contact: i^ t#(- h
New
Email. t., )7e.i )c" -N /�.. 5� "3 c ^�
1 -"Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
RESIDENTIAL��
£G1Vater Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $ j 0 • CU
CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 plans.
x Yt 1 t V \ V C 7; 1 -k
Applicant's Printed Name
Ap icant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
Meter Related ItemsMeter Size Radio Read Manometer Staff:
EAGAN
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810
(651) 675-56751 TDD: (651) 454-8535 1 FAX: (651) 675-5694
buildinoinspections c(�citvofeacian.com
For Office Use
Permit #:
Permit Fee: 9
Date Received: � e
Staff:
L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
i
Date: Site Address: g9 / t Unit #:
Name: Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: IPs6 a h G vf�� Sfrfif m �
Construction Cost: 7Y 2 r v 0 0 —' Multi -Family Building: (Yes K. / No )
Contractor
Company: v 57'0 tv H �o n CVCV-6 `& /�Yi ct:
6 ej gl`e f�
Address: / 03 6 [ l Y/a /U.gity: /5 4 0 ✓7 -in). v�
State:MN Zip:S-5/ 3 7 Phone: 9,5-) 3 51'Ef-aUoz Geo , e 71:5 TT'- //
I License #:
Lead Certificate #:
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:
Phone:
Mechanical Contractor:
1 Sewer & Water Contractor: Phone:
Phone:
Fire Suppression Contractor:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non- ublic If ou rovide s ecific reasons that would ermit the Ci to conclude that the are trade secrets.
.�. ��.�.��.�-..-max ..�,�..,....�..�.�� � .�..:..�,�.... ..�i�,....,.�..�.,....u.��,.�....�a,�.:.r....��.�..
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.citvofeagan.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.gopherstateonecall.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 approvedjedplan in the case of work which requires a review and approval of
lans.
Applicant' rinted Name „/
icant's nature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace
Single Family _ Garage
_ Multi _ Deck
lc 01 of ti Plex _ Lower Level
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% K 100% )
Census Code
# of Units
# of Buildings
Type of Construction
eq ocl-reY
_ Porch (3 -Season) _
_ Porch (4 -Season) _
_ Porch (Screen/Gazebo/Pergola)
Pool
_ Interior Improvement
_ Move Building
Fire Repair
Repair
Y i3
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings(-Additiou4 SIOD
Foundation Foundation Before Backfill
Roof: _Ice & Water _
Framing 30 Minutes
Fireplace: _Rough In
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Siding _ Demolish Building*
Reroof
Windows
Demolish Interior
Demolish Foundation
Egress Window _ Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test Hood
Final Pool: Footings Air/Gas Tests _Final
1 Hour Drain Tile
Air Test Final Siding: Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: Rough In _Final
Erosion Control
Other:
Reviewed By: / O !)1 ; j,
, 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
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Mechanical
Permit Number: EA152822
Date Issued: 11/01/2018
Permit Category: ePermit
Site Address: 3689 Denmark Ave
Lot: 4 Block: 03 Addition: Timbershore 2nd
PID: 10-76501-03-040
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Furnace & Air Conditioner
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
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Ron's Mechanical
2026 Colburn Dr
Shakopee MN 55379
(952) 445-8585
- Applicant -
Owner:
Barbara M Pawlowski
3689 Denmark Ave
Eagan MN 55123--103
(651) 442-7587
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.
Applicant/Permitee: Signature
Issued By: Signature