EA185327 - Building - Single Fam - Issued Date 07/24/2023I ld I
City of Eagan
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Permit Type:
Building
3830 Pilot Knob Rd
Eagan, MN 55122
,
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Permit Number:
EA185327
(651) 675-5675
1111111111111111111111111111111111111111111111111
www.cityofeagan.com
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Date Issued:
7/24/2023
Site Address: 4338
Livingston Dr
Lot: 4 Block: 2
Addition: Lexington Pointe 4th
PID:10-45073-02-040
Use:
* 10-45073-02-040*
Description:
Sub Type: Single Fam Construction Type: V -B
Work Type: Int Impr
Description: kitchen remodel
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -1
Zoning: PD
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 $83.50 0801.4085
Valuation: 2,000.00 BL - Plan Review 65% $54.28 0720.4222
Surcharge - Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Great Northern Builders LLC Cliffton B & Deborah K Tstes Jacoby
3320 Terminal Dr 4338 Livingston Dr
Eagan MN 55121 Eagan MN 55123
(651) 302-4764
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 f3 -f- Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections(a2)citvofeagan.com
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For Office Use
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S&W Permit #:
Permit Fee: v Q
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� Date Received:
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RESIDENTIAL BUILDING PERMIT APPLICATION
7-13-2023 Livingston Dr
Date: SiteAddress:4338 Unit#:
Applicant is: ❑ Owner 0 Contractor
Cliff & Deb Jacoby
inECEIVE
Name:
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•�•• ••terEAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections(a2)citvofeagan.com
---------------------
For Office Use
I
I Building Permit #: I
I
I I
S&W Permit #:
Permit Fee: v Q
I I
� Date Received:
I
I I
I Date Issued:
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RESIDENTIAL BUILDING PERMIT APPLICATION
7-13-2023 Livingston Dr
Date: SiteAddress:4338 Unit#:
Applicant is: ❑ Owner 0 Contractor
Cliff & Deb Jacoby
Name:
4338 Livingston Dr Eagan
Homeowner
Address: City:
MN 55123 651-245-621r cbjacoby@comcast.net
State: Zip: phone: Email:
Kitchen Remodel
Description of work:
Typeof$88,703.04
P, Le)(l h11-0 n F0 17 We,Construction Cost:
Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home
Company: Great Northern Builders LLC contact: Natalie
Building
Address: 3320 Terminal Dr City: Eagan
Contractor
MN 55121 651-455-9371 natalie@gnbmn.com
.
State: Zip: Phone: Email.
BC636785
License #: Expiration Date:
Sewer & Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License #: Expiration Date:
0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Plans and supporting documents that you submit are considered to be publicinformation. 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. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates 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 stt that the work will be in
accordance
with
the
tapproved plan in the case of work which requires a review and approval of plans.
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A plicant's Printed Name Applicant's