EA186441 - Building - Single Fam - Issued Date 11/03/2023i. _a 1,40 W1
City of Eagan , , , a Permit Type: Building
3830 Pilot Knob Rd ,,e;; `,",��, Permit Number: EA186441
Eagan, MN 55122 •••• •®wk
EAGAN
(651) 675-5675 111111111111
www.cityofeagan.com * E R 1 8 6 4 4 1
Date Issued: 11/3/2023
Site Address: 1369 Camelback Dr
Lot: 12 Block: 3 Addition: Fairway Hills
PID:10-25600-03-120
Use: * 1 0— 2 5 6 0 0— 0 3— 1 2 0
Description:
Sub Type: Single Fam Construction Type: V-13
Work Type: Egress Window
Description:
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC- I
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 - Egress Window $94.00 0801.4085
BL - Plan Review - Fixed $40.00 0720.4222
Surcharge -Fixed $1.00 9001.2195
Total:
$135.00
Contractor: - Applicant - Owner:
Midwest Egress Michael W & Margaret Brask
10000 Abbott Ave S 1369 Camelback Dr
Bloomington MN 55431 Eagan MN 55123
(612) 889-2763
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 I
Permit #: 13E A` G �� I
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I Permit Fee:
Date Received: Uf I
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 j
(651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694 I Staff:
buildinginspections@citvofeagan.com L _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 8/10/23 Site address: 1369 camelback dr Eagan Unit #:
Name: Michael Brask Phone: 6512478567
Resident/
Owner Address / City / zip: 1369 camelback dr Eagan
z
Applicant is: Owner X Contractor
standard e ress window. New o enln ouble 2x6 header.
Type of Work Description of work:
I 28x54 casement 4286 isteel v,ell
t Construction Cost: 1700 Multi- ami y ui ding: ( es / No _)
Company:� Midwest Egress LLC contact: jake
Contractor.
Address: 10000 abbott ave s City: bloomington
State: MN zip: 55431 Phone: 612.889.2763 Email: info@ midwesfegress.com
I
`License #: nat-f181775-1 Lead Certificate #: bc733225
If the project is exempt from lead certification, please explain why: W—IJ f:�I IIQ 1/ O y �fi lid
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
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NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
clased as non uc if ou rovide s ecific reasons that would permit the Cit to conclude that,,, -y are trade secrets
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You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the C:ity's
website at www.citVofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wit rdinances 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 s witho t a permit; at the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Jake Heine
x x
Applicant's Printed Name Applicant's Sign e