EA186269 - Building - Single Fam - Issued Date 09/13/2023PERMIT
City of Eagan
Permit Type:
Building
3830 Pilot Knob Rd
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Permit Number:
EA186269
Eagan, MN 55122
EAGAN
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(651) 675-5675
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www.cityofeagan.com
Date Issued:
9/13/2023
Site Address: 1795
Bluestone Dr E
Lot: 21 Block: 8
Addition: Cedar Grove
7th
PID:10-16706-08-210
Use:
Description:
Sub Type: Single Fam Construction Type: V -B
Work Type: Alteration
Description: Bathroom
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
BL - Plan Review 65% $54.28 0720.4222
Valuation: 2,000.00 Surcharge - Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Window Concepts MN Charles & Maurine Tebow
291 Eva St 1795 Bluestone Dr E
St Paul MN 55107 Saint Paul MN 55122--290
(651) 905-0105
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
3830 PILOT KNOB ROAD I EAGAN, MN
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspectionsAcityofeagan.com
RESIDENT
ECEIVE
55122- 0
AUG 2 3 2023
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Date Received: I
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Date Issued:
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APPLICATION
®ate: 8/23/2023 site Address: 1795 E Bluestone Dr unit #:
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Applicant is: El Owner ®Contractor ;3
I Name. Charles Tebow
Homeowner Address: 1795 E Bluestone Dr City: Eagan
State: MN Zip 55122 Phone 612-314-060E Email.
Replacing existing shower, wall surround, vanity, sink, flooring and fixtures
Description of work. i
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4
Type of
Construction Cost: 893$'00
Work
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Type of building ® Single Family ❑ Townhome of units 11 Twin Home
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Company:
Window Concepts of Minnesota Contact: Steve Mickelson i
Building Address: 291 Eva St City: St Paul
Contractor I MN 55107 651-604-827E steve.mickelson@wc-mn.com
State: Zip: Phone: Email:
BC163493 3/31/2025
License #: Expiration Date
Sewer & Company: Contact:
Water
Contractor Address: City:.
I State: Zi Phone: Email:
Required for p�
new construction
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
t information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they
I are trade secrets
CALL BEFORE YOU DIG. Contact Gopher Stale One Call at (651) 454-0002 or www.ggot)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 tIstart without 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.
XSteve Mickelson
Applicant's Printed Name Applicant's Si ature