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EA187249 - Building - Single Fam - Issued Date 10/05/2023 PERMIT City of Eagan , ° , , Permit Type: Building 3830 Pilot Knob Rd ° ' ° ° ' Permit Number: EA187249 Eagan,MN 55122 ``-' EAGAN (65I)675-5675 Rumplimn www.cityofeagan.com * E Fl 1 8 7 2 4 9 Date Issued: 10/5/2023 Site Address: 661 Coventry Pkwy Lot: 26 Block: 3 Addition: Coventry Pass PID:10-18400-03-260 um Use: * 1. 0 — 18400 03 - 260 Description: Sub Type: Single Fam Construction Type: V-B Work Type: Alteration Description: Beam through Living Room Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1 Zoning: R-I 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: Jason A Shackelton Inc Christopher M Lamere 5542 Toledo Ave N 661 Coventry Pkwy Crystal MN 55429 Eagan MN 55123 (612)298-1657 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 I---------------------- I For Office Use I s � Z Building Permit#: I •.�� ���� EAGA I S&WPermit#: I I I � Permit Fee: - 1 ) j I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: to (651)675-5675 1 FAX: (651)675-5694 '`t�T 2013 I I buildinginspections@citvofea-gan.com I Date Issued: • I I RESIDENTIAL BUILDING PERMIT APPLICATION Date: " I 5� Site Address: 'P�l w Unit#: Applicant is: ❑ Owner Eff Contractor Name: Homeowner Address: City: State: Zip: Phone: Email: Description of work: T7, t 1� Type of Work Construction Cost: l7 1Q_1 wMNY DOI Type of building: ❑ Single Family ❑ Townhome, of C/ units ❑ Twin Home Jv► Company: j4 Oy1 "'% I h Contact: J a` Building Address: > [� /< I Contractor city: State: NZIp: S� L/2 9 Phone: / ,2 d /4"J Email: �/C License#: �� 7 /S _j Expiration Date: �-S� L� VCQR Feb Sewer& Company: Water Contact: Contractor Address: City: Required for State: Zip: Phone: Email: new construction License#: Expiration Date: ❑ 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 non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets- CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.clopherstateonecall.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. Applicants Printed Name X A icant" Signature