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
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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
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Date Issued: I
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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
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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