EA186338 - Building - Single Fam - Issued Date 09/05/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 3578
Lot: 28 Block: 1
PID:10-31900-01-280
Use:
Description:
PERMIT
ame,s°,EAGAN
Single Fam
NW*ASA ��®D�r
Alteration
Coachman Rd
Addition: Hampton Heights
Sub Type:
Single Fam
Work Type:
Alteration
Description:
installing push piers
Census Code:
101 - Single Family Houses
Zoning:
PD
Square Feet:
0
Permit Type: Building
Permit Number: EA186338
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Date Issued: 9/5/2023
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Construction Type: V -B
Occupancy: IRC -1
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 $149.70 0801.4085
Valuation: 5,500.00 BL - Plan Review 65% $97.31 0720.4222
Surcharge - Based on Valuation $3.00 9001.2195
Total: $250.01
Contractor: - Applicant - Owner:
Innovative Basement Authority Eyerusalem Surur
1741 Corporate Landing Pkwy # 103 3578 Coachman Rd
Virginia Beach VA 23454 Eagan MN 55122
(320) 629-3990
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
8/25/23
3578 Coachman Road unit #:
Date:
OA a15
'
Owner ® Contractor
` C 1 , 1. o
Address: 3578 Coachman Road City. Eagan
Homeowner'
For Otttce Use ,
State: MN zip: 55122 Phone: 612574788 Email:
BY:
l 186338 I
Description of work:
Building Permit #: I
eo�e
work
Construction
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AAa N
S&W Permit #:
1
Permit Fee: ,IC50�F=AG I
Innovative Basement Authority Sophia Bagley
I
Gate Received: 8/28/2023
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
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{651) 675-5675 1 FAX: (651) 675-5694
j Date Issued: I
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Zip: Phone: Email:
State: Zip:
RESIDENTIAL BUILDING PERMIT APPLICATION
8/25/23
3578 Coachman Road unit #:
Date:
site Address:
Applicant is: ❑
Owner ® Contractor
Name: Eyerusalem Surur
Address: 3578 Coachman Road City. Eagan
Homeowner'
State: MN zip: 55122 Phone: 612574788 Email:
Installing Push piers
Description of work:
Type of
5500 Hampton Heights
Cast:
work
Construction
Type of building: ® Single Family ❑ Townhome, of units ® Twin Home
Innovative Basement Authority Sophia Bagley
Company: Contact:
6265 Carmen Ave E city. Inver Grove Heights
Building
Address:
Contractor
MN 6124245165 IBAminneopolispermitsa@teaminnovative.com
M
Zip: Phone: Email:
State: Zip:
License #: BC765730 Ex iration Date: 03/31/25
Sew @r &
Company: Contact:
Water
Contractor
Address: City:
Required for
State: zip: Phone: Email:
new construction
License #: Ex iration Date:
0 i understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the
`
information may
be classified as nonpublic if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
GALL BEFORE YOU DIG. Contact Gopher Slate One Call at (651) 454-0002 or ragh,rs,4g4n,ll,,of_q 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
X
Applic nt's Printe Na 9