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EA187362 - Building - Multi - Issued Date 10/27/2023
PERMIT City of Eagan , , , ® Permit Type: Building 3830 Pilot Knob Rd EAGAN Permit Number: EA187362 Eagan,MN 55122 ®-®• •- (65 1)675-5675 www.cityofeagan.com * E A 1 8 7 3 6 2 Date Issued: 10/27/2023 Site Address: 3646 Kolstad Rd Lot: 4 Block: 10 Addition: Timbershore PID:10-76500-10-040 119111111111111111111111111 Use: * 10 76500 — 10 - 040 Description: Sub Type: Multi Construction Type: V-B Work Type: Repair Description: Front steps and railings Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1 Zoning: PD Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Carbon monoxide detectors are required within 1( 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: $138.78 Contractor: - Applicant - Owner: Crosstown Concrete Nadine K Clark-Nordaker 9036 Hyland Creek Rd 3646 Kolstad Rd Bloomington MN 55437 Saint Paul MN 55123--101 (952)239-4002 This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature For4fficetJsa —r.. --~-------I i 187362 i f Building Permit#: I S&WPermit#:EAGAN I I Permit Fee: y 1 i 10/9/2023 l Date Received: l f i 3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810 i (851)875-5875 1 FAX: (651)675-5694 I Date lssued: 4 buildinginsnections§citvofeacan ccm L--------------------� RESIDENTIAL BUILDING PERMIT APPLICATION. Date: 10— 9 —& ,3 Site Address: -3 ` "u s 7' unit#: Applicant Is: ❑ Owner aContractor Name: j r .n 1 Vie, Sktr- fy A alm e S HOri180Wt1@r Address: 5 (-,7T b 1 v ! �ct �C city., State: 7.i ,._Phone.• 1 Emall: Description of work: Fr 4Arl 7L / S f jJ TypeC Construction Cost: /i Y 00 PD,Timbershore Type of building: ❑ Single Family 12 Townhome, of units ❑Twin Home Company: t^e 7thContact: &y'eT Bujlding Address: `_931 d. 4d— City: 4/©eA,I . Cornftaicir� State&L Zip: Phone:l.Snl'aa C�'ygm�1:, f��rig.� cv�sx•��c.��, r�7�� r C O h^ License#: Ex iration Date; .ku 59WQT$s - Company; Contact: COntit #Ot'. Address: City: State:_Zip:p: Phone: Email: new construction„ ro .,. : 1LIcense#: Ex lration Date: ❑ t understand that Plumbing, Mechanical,and Fire Suppression work require separate applications. NOTE!dans and4upporting documents that you submit are considered to be public informatigN2,.9 Eior s f" lnformaln mta ,c[ st� d�es nofi-public if you:provida specific'reaabne that would pernittttiet ;tc)coni ar8 tlade$.eoit$: r rF CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.Qot)heritateonegall.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 6/' e I, " x /I il�- Applicant's Prirddd Name Applicant's nature