EA186062 - Building - Windows/Doors - Issued Date 08/14/2023 PERMIT
City of Eagan ' , ® ® Permit Type: Building
3830 Pilot Knob Rd -�� +®,age Permit Number: EA186062
Eagan, MN 55122 EAGAN
(651)675-5675
www.cityofeagan.com * E A 1 8 6 0 6 2
Date Issued: 8/14/2023
Site Address: 3970 Worchester Dr
Lot: 3 Block: l Addition: Hills of Stonebridge
PID:10-32990-01-030 11111111111111 111mi 1111111111111111 IN IN
Use: * 10 32990 - 01 — D3 D *
Description:
Sub Type: Windows/Doors Construction Type:
Work Type: Replace
Description:
Census Code: 434-Residential Additions, Alterations Occupancy:
Zoning:
Square Feet: 0
Comments: Improvements to the home 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).
If the door or window opening is altered or you are installing Bay or Bow windows, please call for a framing inspection. Ca
for final inspection after installation.
Fee Summary: BL-Base Fee $133.15 0801.4085
Valuation: 5,000.00 Surcharge- Based on Valuation $2.50 9001.2195
Total: $135.65
Contractor: Owner: - Applicant -
Hakan Torbiorn Svensson
3970 Worchester Dr
Eagan MN 55123
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.
1 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
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For Office Use
Building Permit#: Zs Aj0 O (.0')— I
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S&W PermitEAGAN #:
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Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 j
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(651)675-5675 ( FAX: (651)675-5694 I Date Issued:
buildinginspectionsCaD-citvofeaaan.com
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 8/14/2023 site Address: 3970 Worchester Drive Unit#:
Applicant is: 0 Owner ❑ Contractor
Name: Torbjorn Svensson
: Address: 3970 Worchester Drive city: Eagan
m , state: MN Zip: 55123 Phone: 6512606026 Email: tjsspam@yahoo.Com
Description of work: Replace windows
9,000
Construction Cost: '
y Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home
Company: Self
Contact:
' Address: City:
State: Zip: Phone: Email:
, License#: Ex iration Date:
x' Company: Contact:
Address: City:
State: Zip: Phone: Email:
License#:
Expiration Date:
0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)4540002 or www.goopherstateonecall.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 art 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.
XTorbjorn Svensson ,
Applicant's Printed Name Applicant's ature