EA187868 - Building - Single Fam - Issued Date 11/07/2023 PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd ���;�� �� Permit Number: EA187868
Eagan,MN 55122 E AG A N
(651)675-5675 ,,,.
111111111111 IN 1111111111111111111111111 IN III
www.cityofeagan.com * E R 1 8 7 8 6 8
Date Issued: 11/7/2023
Site Address: 4849 Sheffield Cir
Lot: 5 Block: 1 Addition: Brittany 5th
PID:10-15004-01-050
Use: * 10 — I 5004 — d 1 - 050 *
Description:
Sub Type: Single Fam Construction Type: V-B
Work Type: Alteration
Description: Bathroom
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-Base Fee $83.50 0801.4085
Valuation: 2,000.00 • BL-Plan Review 65% $54.28 0720.4222
Surcharge-Based on Valuation $1.00 9001.2195
Total: $138.78
Contractor: - Applicant - Owner:
Accent Design&Renovation LLC Steven R&Mary A Balcerzak
1635 Oakdale Ave 4849 Sheffield Cir
W St Paul MN 55118 Saint Paul MN 55122--273
(612)834-1287
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
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For Office Uso
I Building Permit#:j— (0
S&W Permit
EAGAN I Permit Fee: &Z,26
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ECEIVE
(651)675-56751 FAX: (651)675-5694 1 Date Issued:
buildinainsDections.CcDcitvofeagan.comNOV 02 2023 I—————————————————————-
RESIDENTIAL BUI ING PERM APPLICATION
Date: 11/02/23 Site Address: 4849-Sheffield Circle Eagan, MN 55122 Unit#:
Applicant is: El Owner 0 Contractor
Name: Steve & Mary Balcerzak
Homeowner Address: 4849 Sheffield Circle City: Eagan
State: MN Zip: 55122 Phone: 651.343.7 Email, balzakduo@gmail.com
Description of work:Description
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Type of Construction Cost: 19,239
Work
Type of building: 0 Single Family El Townhome, ofunits Twin Home
I Company: Accent Design & Renovation DBA Be' Contact: Jason Spencer
1635 Oakdale Ave West St. Paul
Building Address: ----City:
Contractor
State: MN Zi p: 55118 Phone: 651.788.90q Email: jason@beisselhome.com
License#: BC738654 Expiration Date: 03/31/24
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State:te:_
Zip: Phone- Email
new construction
License#:
Expiration Date:
I understand that Plumbing,Mechanical,and Fire Suppression work require separate applications.
OTE: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 masons that would permit the City to conclude that they
are trade secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.goDhtrstpteQRff&II._orq 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.
li,itay Jaoor
Jason Spencer Jason Spencer(),,.:2023„02143721-0s 00'
Applicant's Printed Name Applicant's Signature