EA187155 - Building - Single Fam - Issued Date 10/17/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
PERMIT
Permit Type: Building
%; e e K' Permit Number: EA187155
* E R 1 8 7 1 S S*
Date Issued: 10/17/2023
Site Address: 3772 Brown Bear Tr
Lot: 14 Block: 3 Addition: Blackhawk Forest
PID:10-14325-03-140 111111111111 IN 11111111111111111111111111111111111111111111111111111111 M
Use: * 1 d -14325-D3- 140*
Description:
Sub Type: Single Fam Construction Type: V -B
Work Type: Alteration
Description: Front Porch Remodel
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -1
Zoning: R-1
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 $166.25 0801.4085
BL - Plan Review 65% $108.06 0720.4222
Valuation: 6,200.00 Surcharge - Based on Valuation $3.50 9001.2195
Total: $277.81
Contractor: - Applicant - Owner:
HBRE - Home Building and Remodeling Experts Regina Simone Carlson
6701 W 23rd St 3772 Brown Bear Trl
St. Louis Park MN 55426 Eagan MN 55122
(612) 501-1056
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.
[ hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
)f Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature