EA186116 - Building - Single Fam - Issued Date 08/25/2023 PERMIT
City of Eagan , , , ® Permit Type: Building
3830 Pilot Knob Rd ®m+,-� Permit Number: EA186116
Eagan, MN 55122 `--- EAGAN
(651)675-5675 111111111111111111111111111111111111111111111 IN
www.cityofeagan.com * E A 1 8 6 1 1 6 *
Date Issued: 8/25/2023
Site Address: 4474 Ches Mar Cir
Lot: 3 Block: 2 Addition: Ches Mar 1st
PID:10-17100-02-030
Use: * 10 17 100 - 02 - 030
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: kitchen remodel and flooring on main level
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-I
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 $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:
Roberts Residential Inc David Sutliff
12268 Nicollet Ave 4474 Ches Mar Cir
Burnsville MN 55337 Saint Paul MN 55123-182
(952)224-3680
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 Issued By: Signature
--------------I
r For Office Use
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Building Permit#: 186116 I
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VPermit Fee:
Date Received: 8/16/2023
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 _ I I
651 675-5675 FAX: 651 675-5694
� ) � � ) I Date Issued: _----J
buildinginspectionsna.cityofeagan.com 6Y: (————————————————
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 8/16/23 Site Address: 4474 Ches Mar Circle Unit#:
Applicant is: ❑ Owner 0 Contractor
Name: David Sutliff
Homeowner Address: City:4474 Ches Mar Circle Eagan
State: MN Zip: 55123 Phone: 651-454-099 Email: sutliffd@comcast.net
Description of work: Kitchen remodel and flooring on main level
Type of $87 500
Work 0
Construction Cost: R-1, Ches Mar
Type of building: Single Family ❑ Townhome, of units ❑ Twin Home
--7777771, 1
Company: Roberts Residential Remodeling, Inc. Contact: Chris Baumann
Buildm Address: 12268 Nicollet Ave City: Burnsville
� :.
Contractor MN 55337 612-804-427`
State: Zip. Phone: Email. Chris@robertsresidentialremodeling.com
License#: BC006885 Ex iration Date: 3/31/24
Sewer$ Company: Contact:
Water
Contracti3r Address. City:
Required for State: Zip: Phone: Email
new construction
License#: Expiration Date:
understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE:flans andsuppo;rtittg documents.that you'submit are considered to be public information. 'Portion's of the
Information may;be classified as non-publid4 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 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.
Bohn Paggen x �
Applicant's Printed Name Ap icant's Signature