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EA187363 - Building - Multi - Issued Date 10/27/2023 PERMIT City of Eagan , " " Permit Type: Building 3830 Pilot Knob Rd +, W ®,"" Permit Number: EA187363 Eagan, MN 55122 EAGAN (651)675-5675 www.cityofeagan.com * E R 1 8 7 3 6 3 * Date Issued: 10/27/2023 Site Address: 3664 Kolstad Rd Lot: 1 Block: 08 Addition: Timbershore P1D:10-76500-08-010 Use: * 10 - 76500 - 08 — D 10 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 Laura&Edgar Gonzalez 9036 Hyland Creek Rd 3664 Kolstad Rd Bloomington MN 55437 Eagan MN 55121 (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 i--------------------- l For Office Use a m 1 187363 1 as® ® ® 0 1 Building Permit#: i S&WPermit#f:EAGAN _ I ( i Permit Fee: O O I 10/9/2023 9830 PILOT KNOB ROAD I EAGAN MN 55122-1810 Date Received: (651)675-5875 1 FAX:(651)675-5884 I I buildinainspectionsra�cltiofesaan��m I 1 Date Issued: I L-------------------- RESIDENTIAL BUILDING PERMIT APPLICATION Date (," �/ _�, Site Address: 3 lrU l S 74C Applicant is: ❑ Ownerunit#R: Contractor Name: % it�117 A7f� H0111@OWIt@r vLc,•/h A of e'S Address: 3 6'6 y /C c, S City: State: Zi : Phone: Email: Description of work: /:Zr ew? YL ,S Type,of01 . W;0 Construction Cost: 41, 4100PD,Timbershore Type of building: ❑ Single Family I RTownhome, of units ❑TwinHJome Company: 6 v e- c S 71"-h �u ki e v e 7t Contact: Building. , : Address: 203Al7�c/%.-� C� Gontrator City: State Zip:60 13 r Phone:l5- 3�'�/ rna (�y t'th C: GYGSS�G�Guh GNC License#1;: Ex iration Date: Sewer& Company: Contact: COnrB�tQ1'- Address City: Required for.' State: Zip: Phone: neuu constrdcfion,r '— Email: .� License#: Ex (ration Date: ❑ 1 understand that Plumbing, Mechanical,and Fire Suppression work require separate ri p applications. NOEpla sad tsupporEng documents that you subnn)t are considered to be public infonnatio " P,a o'_ . infotrt a#iin maybe ciassifletl as non=piiblic,if you provtde.apeclfic ri"orts that itiould permit th Gil+�Co „„ arefftrae secr+ets., CALL BEFORE YOU DIG. Contact Gopher State One , damage. Contact Gopher State One Call 48 hours before ayou 11 at int nd to dig to receive locates of undergrolund tiliti454-0002 or M8ML-90-21111111111122ae-0om for est ion against underground utility. 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 1n the case of work which requires a review and approval of plans. Applicant's Prin tl Name X Applicant's ' nature