EA186185 - Building - Single Fam - Issued Date 09/25/2023 PERMIT
City of Eagan m , Permit Type: Building
3830 Pilot Knob Rd e`nA=� 4-,�-� E AG A N Permit Number: EA186185
Eagan, MN 55122 �_•� �.--•
1111111111111 IN 1111111111111111111111111111111
(651)675-5675 .� * E R 1 8 6 1 8 5
www.cityofeagan.com
Date Issued: 9/25/2023
Site Address: 4135 Lexington Way
Lot: 1 Block: 1 Addition: Fox Forest
PID:10-27478-01-030
Use: * 1 Q — 2 7 4 7 8 — d 1 — 0 3 D *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Remodel Main Level and remodel LL
Census Code: 434-Residential Additions, Alterations Occupancy: IRC-1
Zoning: R-1
Square Feet: 0
Comments:
Fee Summary: BL-Base Fee $975.40 0801.4085
BL-Plan Review 65% $634.01 0720.4222
Valuation: 74,834.00 Surcharge-Based on Valuation $37.50 9001.2195
Total: $1,646.91
Contractor: - Applicant - Owner:
St Claire Builders LLC Lucille Warkentien
808 So 3rd St 4135 Lexington Way
Stillwater MN 55082 Eagan MN 55123
(612)810-4862
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
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186185
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..' i bale Received• 8/21/2023 t
i 3830 PILOT KNOB ROAD(EAGAN,MN 55122-1810 I
t (651)675-5675 i FAX:(651)675-5694 i I
buildinainsoectionsacitvofea en com i Oaissued:
— ——
RESIDENTIAL BUILDING PERMIT APPLICATION
Date:—& r �5 '(V�/ site Address: 3' 14?.k Ir AtE 74*y � Unit#:
Applicant is: ❑Owner 13"Contractor
Name:
^
Homeowner
Address: ✓ EE' Ari l City::
State:A Zi :\A_tZ514V Phone:::�lZ-07y7 - mail: E t r lC�s4 s q ~r!7 .�
Description of work: t�Gf
Type of Construction Cost: R-1, Fox Forest
Work
Type of building: E Single Family ❑Townhome, of units ❑Twin Home
Company: > i fYr �G�r3< Contact:
Building Address: g s, .3 '""l-I ciry:
Contractor j
State:iiL Zip: J3 2 PhoneAr 'L� G z Email: G12 r/�e'1✓ �S14� c aC.t
License#: 4 Expiration Date: �' O`
Sewer& Company: Contact:
Water 1
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
_4
1 understand that Plumbing,Mechanical,and Fire Suppression work require separate applications.
NOTE:Pians and supporting documents that you,'submit'are considered to be public information. Portions of the
Information may be clasii{flsd as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secreta.
CALL BEFORE YOU DIG:,Contact Gopher State One Call at(651)454-0002 or w w.eoohersta,4eonecgil om for protraction 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 tie in conformance with the ordinances and codes of the City al
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 wdi bt?+«
accordance with the approved plan in the case of work which requires a review and appro plans,
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Applicant's Printed Name icant's Signature