EA186055 - Building - Single Fam - Issued Date 08/21/2023 PERMIT
City of Eagan t , , Permit Type: Building
3830 Pilot Knob Rd -"b-' �e�.p, Permit Number: EA186055
Eagan, MN 55122 .- •- EAGAN
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 6 0 S S
Date Issued: 8/21/2023
Site Address: 983 Kettle Creek Rd
Lot: 25 Block: 3 Addition: Lexington Square 7th
PID:10-45081-03-250
Use: * 1 0 - 4S08 1 — (03 - 2S0
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
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 $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:
Driftwood Builders Inc Kristin A Rosicky
1202 Heritage Ct NE 983 Kettle Creek Rd
New Prague MN 56071 Eagan MN 55123
(612)220-2669
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.
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Applicant/Permitee: Signature Issued By: Signature
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I For Office Use I ' w- 0 �
1
t t i
I Building Permit#: I
F � � I S&W Permit#:
EAG0
Permit Fee: 1, 114.39
EIVE
Date Received: I
3830 PILOT KNOB ROAD i EAGAN,MN 55122-1810 j
(651)675-5675 1 FAX:(651)675-5694 AUG 4 20'.3 Date Issued:
buildinainsDections@citvofea-gan.com l
I
BY.
RESIDENTIAL BUILDING PERMIT APPLICATION
Date* 8/14/2023 Site Address: 983 Kettle Creek Road Unit 9:
i ❑ Owner 0 Contractor
� Applicant is:
Nam®. Kristin Rosicky
Homeowner Address: 983 Kettle Creek Rd City: Eagan
MN 55123 612-396-936E krosicky@gmail.com
w State. Zip. Phone: Email:
E Remodel Kitchen, 5 window replacements, 1 patio door
j Description of work:
Type of
Work Construction Cost: 59K
Type of building 0 Single Family ❑Townhome of units ❑Twin Home
Driftwood Builders, Inc. � � � Troy Flicek���W�
Company: Contact:
1202 Heritage Ct NE New Prague
Building Address: City:
Contractor MN 56071 612-220-266E troy@driftwoodmn.com
State: Zip: Phone: Email.
s
I BC6373053/31/2025
t License# Expiration Date:
k
rSewer& Company: Contact:
Water
Contractor Address: City:
t State: Zi Phone: Email:
Required for p
new construction
i License#: Expiration Date:
0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
i NOTE.Plans and supporting documents that you submit are considered to be public Information. Portions of the
Information may be classified as non-publics if you provide specific reasons that would permit the City to conclude that they
I are trade secrets:
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www ggpher,*tCjteonecall.oro for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates or 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 in
accordance with the approved plan in the case of work which requires a review and approval of plans.
xTroy Ricer, x
Applicant's Printed Name Applicant' natur