EA186972 - Building - Foundation - Issued Date 09/27/2023 PERMIT
City of Eagan EAGAN Permit Type: Building
3830 Pilot Knob Rd ,4+;a asp:p Permit Number: EA186972
Eagan, MN 55122 �«�� -A^
(651)675-5675
www.cityofeagan.com
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Date Issued: 9/27/2023
Site Address: 4124 Cashell Glen
Lot: 013 Block: 003 Addition: Wenzellst
PID:10-83570-03-130
Use: * 10 - 83570 - 03 — 130 *
Description:
Sub Type: Foundation Construction Type: V-B
Work Type: Alteration
Description: install 3 smarjacks w/footings,4 piers
Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1
Zoning: PD
Square Feet: 0
Comments:
Fee Summary: BL-Base Fee $133.15 0801.4085
BL-Plan Review 65% $86.55 0720.4222
Valuation: 5,000.00 Surcharge-Based on Valuation $2.50 9001.2195
Total: $222.20
Contractor: - Applicant - Owner:
DBS Residential Solutions Lawrence Dickens
5116 Jean Duluth Rd 4124 Cashell Gln
Duluth MN 55803 Eagan MN 55122
(218)525-0720
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
mail �d °I� ___ ___
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For Office Use
1 186972 I
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Permit Fee:
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Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810SEP Z 1 2023 I I
(651)675-5675 I FAX: (651)675-5694 1 Date Issued: ————— I
211
buildinginspections@cityofeagan.com BY. (----------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9/20/2023 Site Address: 4124 Cashell Glen Eagan, MN 55122 Unit#:
i
Applicant is: ❑ Owner 12 Contractor
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Name: Gena and Lawrence Dickens
Homeowner Address: 4124 Cashell Glen city: Eagan
I State: MN Zi 55122 Phone: (763) 439-7145 Email: geneva 76@hotmail.com
I Description of worklnstall 3 smartjacks in the basement with cast-in- lace concrete footings. Re lace
i - Type of drywa In insta area wit ver ast pane Ing rnear eet . peers un er oun atlon
Work Construction Cost: $23,000 PD, Wenzel
a
Type of building: ❑ Single Family ❑ Townhome, of units ❑ Twin Home
I Company: DBS Residential Solutions Contact: Joe Harris
Building Address: 5116 Jean Duluth Rd City: Duluth
I Contractor 218 525-0720 ermits dbsre air.com
State: MN Zip: 55803 Phone: ( ) Email: p @ p
License#: CR692609 Expiration Date- 03/31/2025 I
Sewer & Company: Contact.
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Ex iration Date:
Fa"re
understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
Plans and supporting documents that you submit areconsidered to be public information Portions of the
ation may be classified as non-public if you provide specific reasons that would permit the City to conclude that they
adesecretss
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www gopherstateonecall.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 Joe Harris x r '
Applicant's Printed Name Applicant's Signature