EA187251 - Building - Drain Tile - Issued Date 10/09/2023PERMIT
City of Eagan
Permit Type:
Building
3830 Pilot Knob Rd
Eagan, MN 55122
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EAGAN
Permit Number:
EA187251
(651) 675-5675
www.cityofeagan.com
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Date Issued:
10/9/2023
Site Address: 1784
Gold Ct
Lot: 23 Block: 6
PID:10-16705-06-230
Addition: Cedar Grove 6th
Use:
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Description:
Sub Type: Drain Tile
Work Type: New
Description:
Census Code: 434 - Residential Additions, Alterations
Zoning: R-1
Square Feet: 0
Comments:
Construction Type: V-13
Occupancy: IRC -1
Fee Summary: BL - Drain Tile/Radon $94.00 0801.4085
BL - Plan Review - Fixed $40.00 0720.4222
Surcharge -Fixed $1.00 9001.2195
Total: $135.00
Contractor: - Applicant - Owner:
American Waterworks Katherine Dickenson
1307 Valleyhigh Dr NW 1784 Gold Ct
Rochester MN 55901 Eagan MN 55122
(800) 795-1204
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
2019 RESIDENTIALBUILDING PERMIT APPLICATION
Date: IDA Site Address: 173 � &zA 6 C-�- Unit
Name: Phone:
Resident/
Owner Address / City / Zip: 4 ao16
Applicant is: Owner Contractor
Type of Work Description Of Work:
Construction Cost:,#,&qDB. Multi -Family Building: (Yes No _Z)
mlp,r-\C "6L-�f '
Company:4 - Contact.
Contractor "J "i
A d d re s s: I -a>m Vd\ \wv� � a" 1) r W city� C)r-Nen*!t�
State: tAW_ Zip: 5159 C) Phone!5E71-5
License Lead Certificate 4:N AT-- Y02NU 0
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
—Yes _%e!'No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non -Ru rqvldo���ons that would permit the City to conclude that the re trade secrets.
�lic lfyqtLe— - -
You may subscribe to receive an electronic notification from the City of proposed Ordinances by signing L11) for an email update on the City's
website at wwwM.cityofe�i�gan.COIII/SLibscribe
Exterior work authorized by a building pert -nit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. op
wNMA _ Lierstateonec lll.orq
w
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 'o ' of lan
pp
st
Printed Nm�eA p 4p, vi, Signature
ignat,re
Appli, ', Prink
clam
---------i
For Office Use
;Z Permit #:
EAGAN
Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MIN 55122-1810
(651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694
I Staff:
buildinginspectionsa gAiyqteaga
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— — — — — — — — — — — -- — -- —
2019 RESIDENTIALBUILDING PERMIT APPLICATION
Date: IDA Site Address: 173 � &zA 6 C-�- Unit
Name: Phone:
Resident/
Owner Address / City / Zip: 4 ao16
Applicant is: Owner Contractor
Type of Work Description Of Work:
Construction Cost:,#,&qDB. Multi -Family Building: (Yes No _Z)
mlp,r-\C "6L-�f '
Company:4 - Contact.
Contractor "J "i
A d d re s s: I -a>m Vd\ \wv� � a" 1) r W city� C)r-Nen*!t�
State: tAW_ Zip: 5159 C) Phone!5E71-5
License Lead Certificate 4:N AT-- Y02NU 0
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
—Yes _%e!'No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non -Ru rqvldo���ons that would permit the City to conclude that the re trade secrets.
�lic lfyqtLe— - -
You may subscribe to receive an electronic notification from the City of proposed Ordinances by signing L11) for an email update on the City's
website at wwwM.cityofe�i�gan.COIII/SLibscribe
Exterior work authorized by a building pert -nit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. op
wNMA _ Lierstateonec lll.orq
w
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 'o ' of lan
pp
st
Printed Nm�eA p 4p, vi, Signature
ignat,re
Appli, ', Prink
clam