EA187694 - Building - Single Fam - Issued Date 11/02/2023 PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd E AG A N Permit Number: EA187694
Eagan,MN 55122 »' '~
(651)675-5675 1111111111111 IN 111111
www.cityofeagan.com * E R 1 8 7 6 9 4
Date Issued: 11/2/2023
Site Address: 853 Great Oaks Tr
Lot: 24 Block: 1 Addition: Great Oaks
PID:10-30950-01-240 111111111111 IN 11111111111111111111111111111111111111111111111111111111 In
Use: * 10 - 30950 - 0 1 - 240
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Kitchen in basement 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: $138.78
Contractor: - Applicant - Owner:
Bliss Homes LLC Daniel Ray&Ann Dick
4655 Nicols Rd,Suite 202 853 Great Oaks Trl
Eagan MN 55123 Eagan MN 55123
(507)649-7364
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
-------------i
For Office Use I
I 187694
1 Building Permit#: 1
ar,�„® �sto®r j S&WPermit#:
EAG 41,s• •ssR� 1 I
NIVEPermit Fee: ',./V•��
I I
10/25/23
OCT 15 2023 Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-181 I
(651)675-5675 1 FAX: (651)675-5694 I Date Issued:
buildinoinspections aDcityofeagan.com BY: t—————————————————————
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/25/2023 site Address: 853 Great Oaks Trail Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Bill & Peg Peruzzi
Homedwner 853 Great Oaks Trail Eagan
Address: City:
State: MN zi : 55123 Phone: 941.749.02 Email: billperuz@aol.com
Description of work:
Kitchen in basement remodel: pull&replace like for like.Working on an exterior wall.
Tyke b# "
13,560 {2 �, G12Qp�"C�G1S
Work Construction Cost: w�7ryry'
Type of building: A[.J Single Family ❑ Townhome, of units ❑ Twin Home
Company: Bliss Homes contact: Sadie Bliss
Building Address: 5708 Upper 147th St W, Suite 101 city: Apple Valley
Contractor MN 55124 651.207.52 blisshomesMN@gmail.com
State: Zip: Phone: Email:
License#: BC752347 Expiration Date: 3/31/2025
�eWtr 8� Company: N/A Contact:
Water
ContrActor Address: City:
Required for State: Zip: Phone: Email:
new cahstru6tion'
License#: Expiration Date:
1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE;Plans,and.supporting dpcurr►ent§that you$ubunit are;consiif red to be public infarnjation. portions of.the;
infbrimatlohr'mAy lie classified D:UMP
revide specific reasons°that would Oe mit the Citytd conclude that they
are tradb secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gopherstateonecall.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.
XSadie Bliss X
Applicant's Printed Name Applicant's Signature
CERTIFICATION OF PURPOSE OF SECONDARY
KITCHEN FACILITIES WITHIN SINGLE FAMILY DWELLING
I, 1�l IJP L
K-, duly sworn and under oath,certify that I am the Owner of the one-family detached
dwelling as defined in Section 11.30 of the Eagan City Code located at $5 3 (--7r a+06 k s-Fr 1 legally described
as Lot ILJ , Block l G ireAf ockks , Property ID: 1 O -309 5'Q-01 V aL40 .
A building permit application has been submitted on my behalf to the City to enlarge,alter, improve, remodel, and/or
finish the above-referenced dwelling,or a portion thereof,to include the installation of facilities for a secondary
kitchen within the dwelling.
The secondary kitchen facilities to be installed under the building permit are for the sole purpose of providing
cooking and food service facilities for private entertainment of guests by the property owner at the dwelling.
1 acknowledge that the Eagan Zoning Code prohibits the existence of a second kitchen facility within a dwelling unit
to serve a complete, independent,and secondary living or housekeeping use within the dwelling. I certify that the
installation of the secondary kitchen facilities under the building permit is not for the purpose of providing a second
complete, independent,andcrate liviinngg and/or housekeeping unit within the dwelling.
Owner's printed name: , )k C
Owner's signature: A,,vt /j,-Ck Date: !I �2 3
STATE OF MINNESOTA)
COUNTY OF DAKOTA)
This recop was s' ed and sworn to(or affirmed)before me on the sfi day of AVOVt jz.r 2023,
by I Lits owner.
Notarial signature: Date: Z969-3
Title and rank: � Pu IAC " /'nom
My commission expires: 4 3 /ZO?S
�...� SADIE J BLISS
Notary Public
Minnesota
My Commission Expkes
Jan 31,2025
STATE OF MINNESOTA)
COUNTY OF DAKOTA)
hereby verify that the above said Certification of Purpose of Secondary Kitchen Facilities within Single Family
Dwelling was recorded at the County
�Recorder's Offic.�e on the�day of , 2023.
Notarial signature: &Jk Date:
Title and rank: M4-arPit 6ge- — 0tAJ
My commission expires: d 1 3 I�a-oa5
THIS INSTRUMENT WAS DRAFTED BY:
.. =a City of Eagan
Community Development Department
My Commission Expires 3830 Plot Knob Road
Jan 31.2025 Eagan,MN 55122
&ORI NTT
County Recorder/Registrar
Dakota Cody,Mmesdta
ABSTRACT
Package: 910382
Date: 11/2/2023
Terse: 04 AM
BUSS HOMES LLC
Doc Tvoe Doo#1Cert# Anxxx t
SUP 3608563 $46.OD
Total Due: $46.00
Check 3730 $46.00