EA185763 - Building - Drain Tile - Issued Date 08/09/2023 PERMIT
City of Eagan , ® , Permit Type: Building
3830 Pilot Knob Rd
Eagan, MN 55122 EAGAN
Permit Number: EA185763
(651)675-5675
www.cityofeagan.com MR R 1 8 5 7 M63
K
Date Issued: 8/9/2023
Site Address: 2095 Shale Lane
Lot: 6 Block: 8 Addition: Cedar Grove 4th
PID:10-16703-08-060
Use:
* 1 0 6 7 0 3 — 0 9 0 6 0
Description:
Sub Type: Drain Tile Construction Type: V-B
Work Type: New
Description:
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: R-1
Square Feet: 0
Comments:
Fee Summary: BL-Drain Tile/Radon $94.00 0801.4085
BL-Plan Review-Fixed $40.00 0720.4222
Surcharge-Fixed $1.00 9001 2195
Total: $135.00
Contractor: - Applicant - FEagan
American Waterworks ethany J Faber
1307 Valleyhigh Dr NW
Rochester MN 55901 5122
(800)795-1204
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
1-----------------,
I For Office Use I
1 I
`a I 1
Permit#: 185763
EAGAN ECEIVEI Permit Fee: ' I
2023 1 1
j Date Received: 8/3/2023
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �Y;
(651)675-5675 1 TDD:(651)454-8535 FAX: (651)675-5694 I Staff: i
buildinginsaections&cityofea an com I I
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: ` ,' fl,pl) I t l e��_ Phone: V-7- -" ' (.,1 J _2LP
Resident/
Owner Address/City/Zip:AL-A ;,SL U_ I_i,o �,t pkn, Mk)
� j 7
Applicant is: Owner Contractor
Type Of Work Description ofwork:lA C' . _,AL
r— `: 'dU'Jyj t , Ftet{ "#rye t` Lreu ,
C. CC
Construction Cost:. $ i A�� ,
Multi-Family Building: (Yes /No )
Company:
t ' { Contact:6( b f' . t=4'lr'' .
Contractor Address 1 �- l Vau, `l � .L�`� ti W City _'ck ? ,.��•�t, � y
State: ' fV
Zi _ r' m
p: Phone: :�t "i 3�21,3(IZ)Email:4xik I e4q,con– yo d4
Vwl
License#: 1 Lead Certificate#: �� "
If the project is exempt from lead certification, please explain why: R-1, Cedar Grove
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public Information. Portions of the Information maybe
classlfled as non- ublic if yogyrovIde specific reasons that would permit the City to conclude that flM are trade secrets.
You may subscribe to receive an electronic notification fi-om the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaenan.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 Cali 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.org
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
accordajntce with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed 4ne Applicant's Signature