EA181697 - Building - Single Fam - Issued Date 03/17/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
PERMIT
Permit Type: Building
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Permit Number: EA181697
E A 1 8 1 6 9 7
Site Address: 4147 Barrow Ct
Lot: 12 Block: 2 Addition: Hills of Stonebridge 3rd
PID:10-32992-02-120
Use:
Date Issued: 3/17/2023
* 1 0— 3 2 9 9 2— 0 2— 1 2 0
Description:
Sub Type: Single Fam Construction Type: V -B
Work Type: Alteration
Description: 2x bathroom remodel
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 $116.60 0801.4085
Valuation: 4,000.00 BL - Plan Review 65% $75.79 0720.4222
Surcharge - Based on Valuation $2.00 9001.2195
Total: $194.39
Contractor: - Applicant - Owner:
Jay W Fillmore Remodeling and Repair Bradley J & Lynn M Stenzel
546 Spruce St 4147 Barrow Ct
Eagan MN 55123 Saint Paul MN 55123--394
(651) 423-3301
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.
Applicant/Permitee: Signature ssued B : Signature
Y
BY:
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® ®0 m ® dEAGAN
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 FAX: (651) 675-5694
buildinainsuedonsCcD.cityofeacan.com
--------------------
For OfRas Use ` (�
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Building Permit t i
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Permit Fee: 01 If. 9 I
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Date Received: I�
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1 Date Issued: I
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RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 a ) 7-i Site Address: LI )y7 F,2e
)u.l Unit #.
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Applicant is: ❑ Owner C Contractor
Name: t--
Address: 414 7 f,
dpv,City: 4E QUI
Homeowner
State: /�ziP: S`l Z Phone:
Ids �� Z4'"Email:
Description of work: AY-(
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Type
Work
Construction Cost: I i. . o �• t
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Type of building:_ L'� Single Family
❑ Townhome, of units Twin Home
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Company: 34.0 r Ll.—tied Qa..agL
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Contact:
Building
Address: fA--G VA rz S7
City: r'�
Contractor
Stater_ Zip, S l a Phone: EA -4;8-7>654 Email: - t o V,- U -. d e% a - .C.M ,gJ@J—.
License #: 3�"/O�5
Expiration Date: — 'kr�4L�H-G o 1U aa..r v
Sewer & Company:
Contact:
Water
Contractor Address:
City:
Required for State: Zip: Phone:
Email:
new construction
License It
Expiration Date:
I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the
Information may be classified as non-publio If you provide specific reasons that would permit the City to conclude that they
are trade secrets.
- -- -- --- - -
CALL BEFORE YOU DIG, Contact Gopher State One Cali at (651) 454-M or www.goaherstateonecall.org for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locate of underground utilities.
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.
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Applicanft Printed Name Appll s Ignature
s�r+t )IRED INSPECTIONS Dock
Footings: New Addition
_ Foundation: Elefore Backfill Poured Wall
Framktg:._.1 Hour ✓Residential Alteration
graced Wall Framing/Blocking
Braced Wall Sheathing (prior to house wrap)
Interior Braoed Wall Panel(s)
Firewalls
insulation
Radon control
Drain Tile
Grading
T A / k,
Revtewea oy: - -
EM
Calculated Valuation
Base Fee
plan RevieW
State Surcharge
Mgt Council SAC
City SAC
Treabnent Plant
Water Supply & Storage
S&W penrdt & Surcharge
Mater
Radio Read
_ meter Size:
Siding: Stucco Lath Stone Lath Brick
Roof:Ice & Water Final
Erosion Control Final
Pool: _Footings Fir/Gas Tests
Retaining Wall: ,_._.Footings -._pacwl —Final
_ Fire Suppression: _.Rough In Final
Windows
Other:
FlnatlNo C.O. Required
Final/C.O. Required
. Building inspeotor
FOR OFFICE USE ONLY
permit M.
Site Address:
Sarn
Fireplace
Lower Level
`
8ingle Flly
'- 01 of �, Plex
--
____ Foundation
_. Porch
—_ Deck
_ Garage
_Pool
WORK TYPES
Repair
— Siding
_, Retaining Wail
move Bunding
New
—
Fire Repair
Reroof
—'
_
Mmolish Building"
Addition___..
�teration
_ Water Damage
-- Windows
Solar
_
• ernolition of entire building - give PCA
Egress Window
_
handout to applicant
_ Replace
mCES system
r��CRIPTION
Calculated Valuation
.c/
f i —
p25q..13104%
Occupancy 'PC---�'--
Code Edition MND Q
SAC Units
City Water
Plan Review
toning kms-
Booster pump
Census Code
Stories
SJ.—
PRV
# of Unite
Square Feet '-'_'_. —
on Required
suppression
# of Buildings
Type of Construction
V3
Fire
Separate Stonowater management permit Required
s�r+t )IRED INSPECTIONS Dock
Footings: New Addition
_ Foundation: Elefore Backfill Poured Wall
Framktg:._.1 Hour ✓Residential Alteration
graced Wall Framing/Blocking
Braced Wall Sheathing (prior to house wrap)
Interior Braoed Wall Panel(s)
Firewalls
insulation
Radon control
Drain Tile
Grading
T A / k,
Revtewea oy: - -
EM
Calculated Valuation
Base Fee
plan RevieW
State Surcharge
Mgt Council SAC
City SAC
Treabnent Plant
Water Supply & Storage
S&W penrdt & Surcharge
Mater
Radio Read
_ meter Size:
Siding: Stucco Lath Stone Lath Brick
Roof:Ice & Water Final
Erosion Control Final
Pool: _Footings Fir/Gas Tests
Retaining Wall: ,_._.Footings -._pacwl —Final
_ Fire Suppression: _.Rough In Final
Windows
Other:
FlnatlNo C.O. Required
Final/C.O. Required
. Building inspeotor
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® LABOR & IINDUSTRY
RESIDENTIAL BLDG CONTRACTOR
Construction Codes and Licensing Division Licensing and Cerlifeafon Services 443 Lafayette Road N BL Paul. MN 55165
Website: n wi cohmn.aov:ccid" Email: d'I.li�_an;.5 ystate.m",u� Phone: 651284.5034
This is to certify that the certificate holder is licensed as a RESIDENTIAL BUILDING CONTRACTOR in the state of Minnesota and is in
compliance with 4linnesota Statutes 326B.803. and may build residential real estate, contract or oti'er to contract with an owner to build
residential real estate, and contract or offer to.conh:act with an owner to improve existing residential real estate; provided.4he
responsible individual is at all times it QUAUFYING BUILDER and the.certificate holder maintains compliance with the requiied general
liability insurance, and workers'.compensation latt•F.
License : RESIDENTIAL BLDG CONTRACTOR
Lic Number : B0389035 FILLMORE JAY W
Effective Date : 04/01/2021 DBA JAY W FILLMORE REMODELING AND REPAIR
Expiration Date : 03/31/2023 646 SPRUCE ST
EAGAN, MN 55123
VERIFY UP-TO-DATE STATUS, BOND,'AND:INSURANCEtNFO'AT www.dli.mn.aov/cc ILlcVerifyAo-0.(ENTER:NUMB R).
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