EA187806 - Building - Foundation - Issued Date 11/06/2023PERMIT
City of EaganEAGAN
Permit Type:
Building
3830 Pilot Knob Rd
Eagan, MN 55122
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Permit Number:
EA187806
(651) 675-5675
www.cityofeagan.com
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Date Issued:
11/6/2023
Site Address: 1069
Northview Park Rd
Lot: 6 Block: 1
Addition: Lexington Square 6th
PID:10-45080-01-060
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Use:
* 10-45090-0
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Description:
Sub Type: Foundation Construction Type: V -B
Work Type: Alteration
Description: Push Piers
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -1
Zoning: PD
Square Feet: 0
Comments:
Fee Summary: BL - Base Fee $265.55 0801.4085
Valuation: 12,850.00 BL - Plan Review 65% $172.61 0720.4222
Surcharge - Based on Valuation $6.50 9001.2195
Total: $444.66
Contractor: - Applicant - Owner:
Innovative Basement Authority Mark R Schuldt
1741 Corporate Landing Pkwy # 103 1069 Northview Park Rd
Virginia Beach VA 23454 Saint Paul MN 55123-456
(320) 629-3990
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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Building Permit #: 1 1cz—
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EAGAN� Permit Fee:�- 4. I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-181
E C E I V E Date Received:
651 675-5675 FAX: 651 675-5694 1 I
c ) ( ) CaI Date Issued: —
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RESIDENTIAL B113iL IT APPLICATION
Date: 10/31/2023 Site Address: 1069 Northview Park Road Unit#:
Applicant is: ❑ Owner 14 Contractor Pi V
Name: Mark SChuldt
I Homeowner Address: City: 1069 Northview Park Road Eagan
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State: MN zip: 55123 phone: 6512101714 Email: 1069 Northview Park
Description of work: Install of push pier to existing foundation
Type of
Yp Construction Cost: 12$50'00
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Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home
Company: Innovative Basement Authority contact: Katherine Glader - IBA
Building Address:
6265 Carmen Ave E City: Inver Grove Heights
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Contractor State: Zip: Phone: Email: MN 55076 463-224-617 ibaminneapolispermits@teary
i BC765730 2/4/2024
' License #� Ex iration Date:
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Sewer & Company: Contact:
I Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License it Expiration Date:
V3 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the
information may be classified as non -public -if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
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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.
X Katherine Glader - IBA x 111I6
Applicant's Printed Name Applicant's Signature