EA186088 - Building - Single Fam - Issued Date 08/25/2023 PERMIT
City of Eagan , , Permit Type: Building
3830 Pilot Knob Rd ,%A;q' a®1,®p Permit Number: EA186088
Eagan, MN 55122 •4•- -- EAGAN
(651)675-5675 111111111111111111111111 lit
www.cityofeagan.com * E R 1 8 6 0 8 8
Date Issued: 8/25/2023
Site Address: 4203 Valley Forge PI
Lot: 20 Block: 2 Addition: Northview Meadows
PID:10-52100-02-200
Use: * 1 0 — S2 100 02 - 200
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Solar
Description: 16 roof mounted solar panels
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-Plan Review-Fixed $40.00 0720.4222
BL- Solar/Wind Energy $94.00 0801.4085
Valuation: 8,403.00 Surcharge-Fixed $1.00 9001.2195
Total: $135.00
Contractor: - Applicant - Owner:
Wolf River Electric Kenneth A&Bonnie.i Bley
101 Isanti Parkway NE 4203 Valley Forge PI
Isanti MN 55040 Eagan MN 55123--195
(763)229-6662
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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Building Permit#: 186088
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c Date Received: 8/15/2023
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
651 675-5675I FAX: 651)675-5694 I Date Issued:
buildinginspectionsCaD by: ________________----_
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RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 8/15/23 site Address: 4203 Valley Forge PI, Eagan, MN 55123 unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Bonnie Bley
Homeowner Address: City:4203 Valley Forge PI Eagan
State: MN Zi : 55123 Phone: (612) 388-M Email: bsquared26@gmail.com
Description of work: 16 Roof Mounted Solar Panels
Type,of 8403.00 PO N01011v►-eW wo' dow s
Work Construction Cost:
Type of building: Single Family ❑ Townhome, of units ❑ Twin Home
Company: wolf River Electric Contact: Ben Struwve
Building Address: 101 Isanti Parkway Ne city: Isanti
C°ntract°r
State: MN Zip: 55040 Phone: 612-615-868F Email: Ben @ wolfriverelectric.com
License#: BC773271 3/31/2024
Expiration Date:
Sewer $ Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE:Plans and 6 pt 61rting_dor;uments that y�dWsubmit�are considered to be public inf074tiori: 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 vwvw.cioi)herstateonecall.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.
XBen Struwve X
Applicant's Printed Name Applicant's Signature