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EA187686 - Building - Single Fam - Issued Date 10/30/2023 PERMIT City of Eagan , , e Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA187686 Eagan,MN 55122 EAGAN (651)675-5675 www.cityofeagan.com * E R 1 8 7 6 8 6 Date Issued: 10/30/2023 Site Address: 4191 Amberleaf Tr Lot: 4 Block: 1 Addition: Rooney PID:10-64560-01-040 Use: * 10 - 64S6 01 - 040 Description: Sub Type: Single Fam Construction Type: V-B Work Type: Alteration Description: Bathroom 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 $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: $138.78 Contractor: - Applicant - Owner: Bluejack Builders Jean M Tste Taylor PO Box 40099 4191 Amberleaf Trl St.Paul MN 55104 Eagan MN 55123 (651)248-0252 This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature ------------------_--__i I For office use I 1 187686 I I Building Permit#: I i I S&W Permit#: l QQ Permit Fee: A0 �EAGAN I � I ECEIVE 10/25/2023 I Date Received: I 3830 PILOT KNOB ROAD i,EAGAN, MN 55122-1810 2 5 2023 (651)675-56751 FAX:(651)675-6694 OCT I Date issued: _———_-_i i buildinsainsoection$. citvofe gan .om t, .___________ BY: RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10.23.23 site Address: 4191 Amberleaf Trail unit#: Applicant is: ❑Owner 0 Contractor Name: Jean Taylor Homeowner Address:4191 Amberleaf Trail City: Eagan MN55123 612-803-2092 jean.taylor@me.com State: Zl : Phone: Email. Description of work: Bathroom Renovation and some miscellaneous items. Type of 55 000.00 R-1, Rooney Addition WoIr'k Construction Cost: ' Type of building: 0 Single Family Q Townhome, of units © Twin Home Company: Bluejack Builders Contact. Andy Sonrlen Buildirlig Address: PQ Box 40099 City: Saint Paul Contractor IUIN 55104 651-248-0252 andy@bluejackbuilders.com State: Zip: Phone: Email. License#: BC6271610 Ex iration Date: 01/23/24 Sewer 8R Company: Contact: Wafer Contractor Address: City: Required for State: Zip: Phone: Email: E-1 new construction License#: Ex iration Date: ® l understand that Plumbing,Mechanical,and Fire Suppression work require separate applications. NOTiz:Plant.and suppprting documents that you submit are considered to be public irtforinnit . Portions of the inforntalan,ma be cla gslfied as non-public It you provide specific reasons that would permit the City,to conclude that they are trade sacrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)45"002 or www oopherstateonecall oro for protection against underground utility damage.. Contact GopherStateOne 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 bean 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. XAndrew Sonnen X Applicants Printed Name Applicant's signature