EA179889 - Building - Single Fam - Issued Date 11/04/2022 (2)W11 "I
City of Eagan , , Permit Type: Building
3830 Pilot Knob Rd ,'.,�1 ���: , Permit Number: EA179889
Eagan, MN 55122 *� ®•
(651) 675-5675 EAGAN
www.cityofeagan.com * E A 1 7 9 8 8 9
Date Issued: 11/4/2022
Site Address: 1389 Interlachen Dr
Lot: 6 Block: 1 Addition: Fairway Hills 2nd
PID: 10-25601-01-060
Use: * 10-2S601-0 1-060*
Description:
Sub Type: Single Fam Construction Type: V -B
Work Type: Alteration
Description: Install 3 Smartjacks
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -1
Zoning: R-1
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota
State Building Code).
Fee Summary: BL- Base Fee $118.00 0801.4085
Valuation: 4,700.00 Plan Review $76.70 0720.4222
Surcharge - Based on Valuation $2.50 9001.2195
Total: $197.20
Contractor: - Applicant - Owner:
Foundation Supportworks Solutions Daniel & Debra Sobiech
5116 Jean Duluth Rd 1389 Interlachen Dr
Duluth MN 55803 Eagan MN 55123--215
(218)525-0720
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.
.Ii -s
Applicant/Permitee: Signature ssued B :Signature