EA183218 - Building - Single Fam - Issued Date 09/19/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 4665
Lot: 002 Block: 004
PID:10-83751-04-020
Use:
Description:
PERMIT
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Single Fam
Work Type:
EAGAN
Stratford Lane
Addition: Weston Hills 2nd
Sub Type:
Single Fam
Work Type:
Alteration
Description:
new windows and kitchen remodel
Census Code:
434 - Residential Additions, Alterations
Zoning:
R-1
Square Feet:
0
Permit Type: Building
Permit Number: EA183218
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Date Issued: 9/19/2023
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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:
Owner:
Cory Lee Nelson
4665 Stratford Ln
Eagan MN 55123
- Applicant -
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
Df Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
Im qj,jq ECEIVE
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® I Building Permit #: 183218
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Permit Fee:
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Date Received: 5/30/23 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651) 675-5675 1 FAX: (651) 675-5694
I Date Issued:
buildinginspections ancitvofeagan.com I — — — — — — — — — — — — — — — — — — — L—j
RESIDENTIAL BUILDING PERMIT APPLICATION
5/25/2023 4 N65 8tm fto nd r{ea n e Ob 5 S'To t fD L" r—
Date: Site Address: Unit #:
Applicant is: ® Owner ❑ Contractor
Name: Cory Nelson
Homeowner 4665 Stratford Lane y Ea
Address: Cit an 9
State: MN Zi : 55123 Phone: 651-274-2585 Email: tory@rmsoutdoor.com
Description of work: New windows, and kitchen remodel l0 S1 2 bq 34�
Type of 25 000
Work Construction Cost: R-1, Weston Hills
Type of building: ® Single Family ❑ Townhome, of units ❑ Twin Home
Company: Contact:
Building Address: City:
Contractor
State: Zip: Phone: Email:
License #: Ex iration Date:
Sewer & Company: Contact:
Water:
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction_
License #: Ex iration Date:
❑x I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Plans and supporting docPz ants' that you submit are considered to be public information.; Portions of the
information may be classified as titin-publig ifyou provide specific reasons that would permit the City to conclude that they
are trade. seg,' .
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gooherstateonecall.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.
x Cory Nelson x Cory Nelson
Applicant's Printed Name Applicant's Signature